Safe use of Hamilton Medical ventilators on patients with highly infectious diseases

06.02.2020
Author: Uwe Scherzer, Reviewer: Ralph Teuber, Ray Curtis, Kathrin Elsner

This article gives you an overview of possible measures that may be taken to ensure protection against internal contamination of the ventilators, as well as protection of patients and clinical staff.

As the novel coronavirus (2019-nCoV) continues to spread and has now been declared an international emergency by the WHO, questions regarding the safe use of Hamilton Medical ventilators on patients with highly infectious diseases are becoming more frequent.

We therefore recommend implementing the following measures to avoid contamination:

  • Follow the instructions for use of the ventilator and consider the WHO guidelines. (1, 2)
  • Use an inspiratory bacteria filter to assure non-contamination of the internal ventilator gas path.
  • Protect the expiratory valve outlet with a bacterial filter or connect to a scavenging system, which is directly connected to the hospital suctioning system. The Hamilton Medical scavenging system comes preassembled and ready for installation.
  • For active humidification, as with a HAMILTON-H900 humidifier, use a bacterial filter on the inspiratory and expiratory port or alternatively use the Hamilton Medical scavenging system. 
  • For passive humidification, use a bacteria HME/HMEF filter between the proximal flow sensor and the patient to protect the airway against contamination. Be aware of changes in anatomical dead space and airway resistance. 
  • Contamination of the flow sensor tube connectors is avoided due to permanent rinse flow through the flow sensor tubing towards the patient.
  • Use the Stand-by function prior to disconnecting the ventilator from the patient to avoid mucus dispersion from the circuit. 
  • Use single-use consumables such as breathing circuits, flow sensor, airway adapters, expiratory valves, and filters to minimize the risk of cross-contamination when the ventilator has been cleaned and set up for a new patient. 
  • Disinfect the outer surfaces of the ventilators during ventilation or after treatment of a patient with a registered hospital disinfectant. Consult the hygiene specialist in your facility regarding the appropriate disinfectant and follow the instructions for use of the manufacturer, particularly with respect to contact time.
  • For suctioning, use a closed inline suction system only.
  • Reduce the need for user interaction with the ventilator by using Hamilton Medical’s INTELLiVENT-ASV mode for intubated patients. INTELLiVENT-ASV continuously adapts ventilation to the patient condition and requires fewer interactions by clinicians. (3, 4)
  • All turbine-driven Hamilton Medical ventilators (HAMILTON-C6*/C3/C1/T1/MR1) are equipped with high-grade HEPA filters to keep the interior airway free of contamination. There is no need to change the HEPA filters more frequently than indicated in your regular maintenance plan.

Make sure that all clinical staff involved in the handling of the ventilator are informed about the above-mentioned measures. 

This information is available for download in both English and German below.

* Not available in all markets

References

  1. Infection prevention and control of epidemic- and pandemic-prone acute respiratory infections in health care. World Health Organization, Geneva, 2014. 
  2. Infection prevention and control during health care when novel coronavirus (nCoV) infection is suspected Interim guidance. World Health Organization, Geneva, 2020. Licence: CC BY-NC-SA 3.0 IGO
  3. Beijers AJR, Intensive Care Med. 2014 May;40(5):752-3.
  4. Arnal, J.M.,Minerva Anestesiol, 2018. 84(1): p. 58-67.

Downloads

Product Category Type/Size Date / PN Language
135_Safe-use-of-Hamilton-Medical-ventilators-for-patients-with-highly-infectious-diseases.pdf
PDF
71 KB

135_Sichere Verwendung von Hamilton Medical Beatmungsgeräten an Patienten mit hoch ansteckenden Krankheiten
PDF
73.4 KB

HEPA filter company statement
PDF
80.1 KB
2018-11-06

ELO20180811N

EN

infectious disease, corona virus, safety, infection prevention, contamination, epidemic, pandemic
Back

Date of Printing: 28.02.2020
Disclaimer:
The content of this Knowledge Base is intended for use by Hamilton Medical distribution partners for informational purposes only, and should not be copied, distributed or published in any way. While the information contained herein is believed to be accurate, it does not represent an official recommendation from Hamilton Medical AG, nor may it substitute an opinion, assessment or instructions provided by a trained healthcare professional.