The HAMILTON-C1 is a versatile and feature-rich* ventilator in a compact size. It is designed to combine flexibility, ease of use, and maximum mobility with high performance. This makes it an ideal companion for your long-term ventilated patients at the bedside and during intrahospital transport.  

*Not all features are available in all markets

Versatile and specific to LTAC needs

The HAMILTON-C1 is a versatile mechanical ventilator that offers solutions specific to the needs of patients requiring long-term respiratory support.

Speak Valve

• The optional Speak Valve feature enables the use of conventional speaking valves, such as the Passy Muir PMV 007, in pressure-controlled modes (PCV+, SPONT, PSIMV+)
• It gives tracheostomized patients a voice and allows them to swallow even while receiving respiratory support from the ventilator
• Monitoring, triggering, and alarm management have been adjusted accordingly

High flow oxygen therapy

• With the HAMILTON-C1, you can switch between invasive or noninvasive ventilation and high flow oxygen therapy using the same device and breathing circuit
• A range of dedicated consumables is available, including nasal cannulas, tracheostomy interfaces, and single or double limb breathing circuit sets
• The HAMILTON-C1 is compatible with active humidification (HAMILTON-H900), which can be controlled directly from the ventilator
• It offers constant flow rates, which can be adjusted in intervals of 0.5 liters for flows of up to 12 l/min and 1 liter for flows higher than 12 l/min
• Drugs can be administered using the integrated pneumatic or the optional Aerogen nebulizer

Integrated tools and modes to support weaning

The HAMILTON-C1 offers integrated tools to help you implement the recommendations of the American Thoracic Society and the American College of Chest Physicians for liberating critically ill adult patients from mechanical ventilation (1, 2, 3). 

Vent Status

The Vent Status panel shows you the readiness-to-wean criteria and indicates when an SBT may be considered. It displays six parameters related to the patient's oxygenation, CO2 elimination, and spontaneous activity. When all values are in the intended zone, the Vent Status panel is framed in green and displays a timer, indicating that spontaneous breathing trials may be be considered. You can define the weaning zone ranges according to the weaning protocol of your institution. 

Adaptive Support Ventilation® (ASV) mode

ASV is an intelligent ventilation mode that continuously adjusts respiratory rate, tidal volume, and inspiratory pressure depending on the patient’s lung mechanics and effort. ASV employs a lung-protective strategy and encouranges the patient to breathe spontaneously within the rules of this strategy.

In ASV mode, the ventilator transitions from pressure-control to pressure-support mode when the patient triggers a breath, and gradually decreases pressure support. ASV is also suitable for spontaneous breathing trials (SBTs), which are among the most commonly used techniques to facilitate weaning from mechanical ventilation. Clinical studies show that ASV shortens the duration of weaning without increasing the number of interventions by the clinician (4, 5, 6, 7, 8).

The all-in-one solution

The HAMILTON-C1 can eliminate the need to use multiple ventilators for patients needing long-term respiratory support. You can use this compact ventilator for:

• A range of ventilation therapies 
• Intrahospital transport
• Extensive patient monitoring
• Efficiency and patient safety
• Ease of use
• Digital solutions for respiratory care: Hamilton Connect Module and Hamilton Connect App

References

1. Schmidt GA, Girard TD, Kress JP, Morris PE, Ouellette DR, Alhazzani W, et al. Am J Respir Crit Care Med 2017;195(1):115-119
2. Girard TD, Alhazzani W, Kress JP, Ouellette DR, Schmidt GA, Truwit JD, et al. Am J Respir Crit Care Med 2017;195(1):120-133
3. Ouellette DR, Patel S, Girard TD, Morris PE, Schmidt GA, Truwit JD, et al. Chest 2017;151(1):166-180
4. Campbell RS, Branson RD, Johannigman JA. Respir Care Clin N Am. 2001 Sep;7(3):425-40
5. 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. Transplant Proc. 2014 Aug 20 [Epub ahead of print]
6. Kirakli C, Naz I, Ediboglu O, Tatar D, Budak A, Tellioglu E. Chest. 2015 Jun;147(6):1503-9
7. Kirakli C, Ozdemir I, Ucar ZZ, Cimen P, Kepil S, Ozkan SA. Eur Respir J. 2011 Oct;38(4):774-80
8. Tam MK, Wong WT, Gomersall CD, Tian Q, Ng SK, Leung CC, Underwood MJ. J Crit Care. 2016 Jun;33:163-8