• Adult, pediatric, and neonatal ventilation

    The HAMILTON-C6 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 as low as 2 ml.

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  • 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 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 selecting an appropriate lung recruitment strategy and the correct PEEP setting as an anti-derecruiting force are critical for this patient group.

    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.

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  • 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.

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  • 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
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  • IntelliSync+

    IntelliSync+ keeps an eye on patient-ventilator synchrony by continuously analyzing waveform shapes hundreds of times per second. This allows IntelliSync+ to detect patient efforts and cycling immediately, and initiate inspiration and expiration in real-time. IntelliSync+ applies to invasive and noninvasive ventilation, regardless of the ventilation mode.

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  • High-performance 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). 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.

    Compared to a compressed-air-based intensive care ventilator, the HAMILTON-C6 ventilator provides a higher peak flow rate of up to 260 l/min due to an integrated high-performance turbine. This guarantees optimal performance even with large leaks. In addition, the leak compensation function adapts to changing breath patterns and airway leaks to achieve optimum synchronization between patient and device. 

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  • High flow oxygen therapy

    The HAMILTON-C6 optionally provides an integrated high flow oxygen therapy* mode. With this enhancement, the HAMILTON-C6 gives you a variety of therapy options in one device, 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.

    *Always use active humidification during high flow oxygen therapy.

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  • Remote access to humidifier controls and status*

    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.

    * not available in all markets

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  • Driving pressure

    The HAMILTON-C6 offers continuous monitoring and display of driving pressure.

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  • All ventilation modes

    The ventilator supports the following types of modes:

    • Intelligent ventilation modes with Adaptive Support Ventilation (ASV)
    • Pressure-controlled modes (including biphasic modes)
    • Adaptive volume-controlled modes
    • Conventional volume-controlled modes
    • Pressure support modes
    • Modes for noninvasive ventilation

    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. 

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  • Adaptive Support Ventilation (ASV)

    All Hamilton Medical ventilators feature the intelligent ventilation mode, Adaptive Support Ventilation® (ASV®). ASV continuously adjusts respiratory rate, tidal volume, and inspiratory pressure 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. ASV has been a well established mode in critical care since 1998 and has become a standard ventilation mode in many units around the world.

    Clinical studies show that ASV:

    • Shortens the duration of weaning without increasing the number of interventions by the clinician (1, 2, 3, 4 ,5)
    • Shortens the duration of mechanical ventilation in various patient populations with fewer manual settings (3, 5, 6)


    1. Campbell RS, Branson RD, Johannigman JA. Adaptive support ventilation. Adaptive support ventilation. Respir Care Clin N Am. 2001 Sep;7(3):425-40.

    2. Celli P, Privato E, Ianni S, Babetto C, D'Arena C, Guglielmo N, Maldarelli F, Paglialunga G, Rossi M, Berloco PB, Ruberto F,Pugliese F. Adaptive Support Ventilation versus Synchronized Intermittent Mandatory Ventilation with Pressure Support in weaning patients after orthotopic liver transplantation.  Transplant Proc. 2014 Aug 20. [Epub ahead of print]

    3. Kirakli C, Naz I, Ediboglu O, Tatar D, Budak A, Tellioglu E. Chest. A randomized controlled trial comparing the ventilation duration between Adaptive Support Ventilation and Pressure Assist/Control Ventilation in medical ICU patients. 2015 Jun;147(6):1503-9.

    4. Kirakli C, Ozdemir I, Ucar ZZ, Cimen P, Kepil S, Ozkan SA. Adaptive support ventilation for faster weaning in COPD: a randomised controlled trial. Eur Respir J. 2011 Oct;38(4):774-80.

    5. Tam MK, Wong WT, Gomersall CD, Tian Q, Ng SK, Leung CC, Underwood MJ. A randomized controlled trial of 2 protocols for weaning cardiac surgical patients receiving adaptive support ventilation.  J Crit Care. 2016 Jun;33:163-8.

    6. Zhu F, Gomersall CD, Ng SK, Underwood MJ, Lee A. A randomized controlled trial of adaptive support ventilation mode to wean patients after fast-track cardiac valvular surgery Anesthesiology. 2015 Apr;122(4):832-40.

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  • nCPAP modes

    The nCPAP modes are designed so that you only need to set the desired CPAP pressure. The flow is subsequently adjusted 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.

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  • Volumetric capnography

    Proximal flow and CO2 measurement enables Hamilton Medical ventilators to perform up-to-date volumetric capnography, which provides an important basis for the assessment of ventilation quality and metabolic activity.

    More information

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  • SpO2 measurement

    The integration of the SpO2 option with Hamilton Medical ventilators offers an innovative solution for noninvasive measurement. Hamilton Medical also provides a comprehensive portfolio of SpO2 sensors.

    More information

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  • Vent Status for weaning 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 and displays a timer, indicating that spontaneous breathing trials should be considered. 

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  • 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.

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  • 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
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  • Serial interface for connection to PDMS or patient monitors

    The serial RS-232 interface provides ports for connection to hospital monitors or Patient Data Management Systems (PDMS).

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  • 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. 

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  • Optimal alarm detection

    Even from a distance or at high noise levels, the HAMILTON-C6 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.

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  • 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.

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  • 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. 

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  • Mobility for intra-hospital transport

    The high-performance turbine enables the HAMILTON-C6 mechanical ventilator to be completely independent from compressed air, and its integrated high-capacity battery allows you to ventilate your patients during intrahospital transport without the need for an external power source. The compact design of the HAMILTON-C6 mechanical ventilator makes handling much easier.

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  • Integrated high-performance turbine

    The integrated high-performance turbine enables the HAMILTON-C6 to be completely independent from compressed air. This reduces weight and saves space.

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  • On-screen help for alarm troubleshooting

    The HAMILTON-C6 helps troubleshooting with an integrated on-screen help system. Whenever there is a problem, the HAMILTON-C6 not only generates an alarm using the alarm lamp, sound, and message bar on the display, but also helps you identify where the problem is. As a result, you can immediately start with the troubleshooting.

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