Adult, pediatric, and neonatal ventilation
The HAMILTON-S1 mechanical ventilator provides effective, safe, and lung-protective ventilation for adult, pediatric, and neonatal patients. For neonatal patients, a specifically developed neonatal proximal flow sensor is used. The tidal volume range goes down to 2 ml.All features
Automated ventilation with INTELLiVENT-ASV
With INTELLiVENT-ASV, the clinician sets targets for PetCO2 and SpO2 for the patient. INTELLiVENT-ASV then automatically controls the ventilation and oxygenation of the patient. INTELLiVENT-ASV sets the minute ventilation, PEEP, and FiO2 based on the targets set by the clinician and on physiologic input from the patient (PetCO2, SpO2, lung mechanics, activity).
INTELLiVENT-ASV is based on the proven Adaptive Support Ventilation (ASV). INTELLiVENT-ASV continuously monitors patient conditions, and safely adjusts parameters to keep the patient within target ranges, with minimal clinician interaction, from intubation until extubation. INTELLiVENT-ASV also provides tools to promote early, automated weaning (Quick Wean).
Clinical studies show that INTELLiVENT-ASV:
- Is safe
- Keeps patients in an optimal zone more often than conventional modes
- Automatically adapts to different lung conditions
- Requires less interactions by clinicians
P/V Tool® Pro - the protective ventilation tool
The Protective Ventilation Tool (P/V Tool Pro) performs a respiratory mechanics maneuver that records a quasi-static pressure/volume curve. This method can be used to assess potential lung recruitability and determine the recruitment strategy to apply.
The P/V Tool Pro can also be used to perform a sustained inflation recruitment maneuver and measure the increase in lung volume. It is particularly helpful for ARDS patients, as appropriate lung recruitment and the correct setting of PEEP as an anti-derecruiting force are critical.
In combination with esophageal pressure measurement, the P/V Tool Pro can give you a clearer understanding of the lung and chest-wall mechanics. This enables you to apply a lung-protective ventilation strategy by titrating the PEEP level (Talmor 2008), and optimizing the parameters for the recruitment maneuver, driving pressure and tidal volume.All features
Transpulmonary pressure measurement
Esophageal pressure is considered a substitute for pleural pressure. Partitioning of lung and chest wall compliance is then possible and is very useful to set PEEP and tidal volume, assess lung recruitability, and perform recruitment maneuvers. Transpulmonary pressure is airway pressure minus esophageal pressure measured during an end-inspiratory or end-expiratory occlusion, and represents the pressure to distend the lung parenchyma.
Transpulmonary pressure allows customization of ventilator settings to optimize lung recruitment and protective ventilation in mechanically ventilated patients.Read more All features
Integrated automatic cuff pressure controller IntelliCuff
IntelliCuff is a new noninvasive automatic cuff pressure controller integrated with the ventilator. IntelliCuff continuously monitors and automatically adjusts cuffed tracheal and tracheostomy tubes, providing real-time optimization of cuff pressure.
- helps to prevent and control VAP and tracheal injuries
- is integrated with the ventilator, so there is no need for external device handling
- provides continuous real-time monitoring of optimal cuff pressure during the entire ventilation period
- supports and optimizes mechanical ventilation therapy
Integrated humidifier control
The unique ventilator connectivity option allows control of the HAMILTON-H900 humidifier from the ventilator. All controls, monitoring parameters, and alarms are available and can be controlled from the ventilator. The humidifier can also automatically select the humidification mode (invasive vs. noninvasive) based on the selected ventilation mode.Read more All features
Adaptive Support Ventilation (ASV) for lung-protective ventilation
All Hamilton Medical ventilators feature the intelligent ventilation mode, Adaptive Support Ventilation® (ASV®). ASV continuously adjusts respiratory rate, tidal volume, and inspiratory time depending on the patient’s lung mechanics and effort. ASV adapts ventilation breath-by-breath, 24 hours a day, from intubation to extubation.
A lung-protective strategy ensures ASV’s safety. ASV attempts to guide the patient using a favorable breathing pattern and avoids potentially detrimental patterns. ASV has been a well established mode in critical care since 1998 and has become a standard mode in many units around the world.
Clinical studies show that ASV:
- Supports the earliest possible spontaneous breathing by the patient
- Shortens the ventilation time in various patient populations
- Reduces the number of interventions by the clinical staff
Noninvasive ventilation (NIV)
The noninvasive ventilation modes deliver pressure-supported, flow-cycled spontaneous breaths (NIV and NIV-ST mode) and pressure-controlled, time-cycled mandatory breaths (NIV-ST mode). In NIV modes, the ventilator functions as a demand flow system. When pressure support in NIV mode is set to zero, the ventilator functions like a conventional CPAP system.
The IntelliTrig leak compensation function adapts to changing breath patterns and airway leaks to achieve optimum synchronization between patient and device.All features
All ventilation modes
The ventilator supports the following types of modes:
- Intelligent ventilation modes with Adaptive Support Ventilation (ASV) and INTELLiVENT-ASV
- Pressure-controlled modes (including biphasic modes)
- Adaptive volume-controlled modes
- Conventional volume-controlled modes
- Pressure and volume support modes
- Modes for noninvasive ventilation
- High flow oxygen therapy
Thanks to its biphasic pneumatic design, the ventilator always yields to spontaneous breathing in all modes. This is achieved through a special valve control system independent of any trigger mechanism.All features
High flow oxygen therapy (optional)
The HAMILTON-S1 optionally provides an integrated high flow oxygen therapy mode. With this enhancement, the HAMILTON-S1 gives you in one device a variety of therapy options, including invasive and noninvasive ventilation, and high flow oxygen therapy. In just a few steps, you can change the interface and use the same device and breathing circuit to accommodate your patient’s needs.All features
Vent Status for simplified patient assessment
The Vent Status panel is part of the Ventilation Cockpit. It displays six parameters related to the patient’s ventilator dependence, including oxygenation, CO2 elimination, and patient activity. A floating indicator (floater) that moves up and down within the column shows the value for a given parameter. The panel is updated breath by breath. When all values are in the weaning zone, the Vent Status panel is framed in green, indicating that spontaneous breathing trials should be considered.All features
Dynamic Lung for simplified patient monitoring
The Dynamic Lung panel is part of the Ventilation Cockpit. It displays tidal volume, lung compliance, interaction with the heart, patient triggering, and resistance in real-time. The lungs expand and contract in synchrony with actual breaths. The shape of the lungs changes with compliance. Numeric values for resistance (Rinsp) and compliance (Cstat) are also displayed.All features
IntelliTrig leak compensation for NIV and invasive ventilation
The IntelliTrig function automatically adjusts the inspiratory and expiratory trigger sensitivity to airway leaks and ensures optimal synchronization with the patient’s breathing pattern. This is achieved both with invasively and noninvasively ventilated patients.All features
Heliox therapy is gaining acceptance for cases of acute and life-threatening upper airway obstruction. With the Heliox option, HAMILTON-S1 mechanical ventilator helps you successfully reduce the patient’s work of breathing while treating the cause of the obstruction.All features
The nCPAP modes are designed so that you only need to set the desired CPAP pressure. The flow is subsequently adjusted automatically based on patient conditions and potential leaks. This prevents unintended peak pressures, guarantees highly efficient leak compensation, and helps to reduce oxygen consumption. Flow adjustment occurs very rapidly due to high sensitivity of the pressure measurement.All features
Flexible device configuration
To adapt the ventilator to your user environment, you can configure the device in several ways:
- Mounted on a trolley, with the interaction panel on top or in front
- As a shelf-mounted version with the interaction panel on the unit’s side or on the shelf
Serial interface for connection to PDMS or patient monitors
The serial RS-232 interface provides two ports for connection to hospital monitors and Patient Data Management Systems (PDMS).All features
Proximal flow sensor for precise measurements
The proximal flow sensor precisely measures the pressure, volume, and flow directly at the patient’s airway opening. This provides the required sensitivity and response time, and prevents dead space ventilation. Your patient is better synchronized and has less work of breathing as a result.All features
Optimal alarm detection
Even from a distance or at high noise levels, the HAMILTON-S1 mechanical ventilator alarming is easily identified by the top-mounted 360°-visible alarm lamp. The optional nurse call capability provides additional support for optimal alarm detection.All features
Integrated pneumatic nebulizer
The integrated pneumatic nebulizer is fully synchronized with the inspiration and exhalation timing. The delivery of a fine mist of drug aerosol particles helps you improve your ventilation efficiency, for example in cases of bronchospasm or chronic hypercapnia.”All features
Tube Resistance Compensation (TRC)
To reduce the patient’s work of breathing, the ventilator’s tube resistance compensation (TRC) feature offsets the flow resistance imposed by the tracheal (ET) or tracheostomy tube.All features
Depending on your country, some features may be available as options, may have different specifications than described on this website, or may not be available. Contact your Hamilton Medical representative for details.