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Errors in health care in the USAalone cause up to 98,000

deaths every year. In response, the Institute of Health CareImprovement (IHI) started the 100,000Lives Campaign, an

initiative to improve patient care and prevent avoidable

deaths. This developed into the 5 Million Lives Campaign

with the aim of protecting patients on a global scale.

Start w t c anges n your ICUThe 5 Million Lives Campaign and other initiatives focus on

changes that can be implemented in any hospital and par-

t cularly in ICU . According to the IHI, Intensive care is not

only complex, it is also expensive Errors occur in ICUs at un-

acceptable rates. A number of initiatives, such as the Venti-

lator Bundle (5 Million Lives Campaign, IHI), focus on critical

care.

tec no ogy supports youAs a manufacturer of ICU ventilators, we support many safe-

ty initiatives. We have joined other high-risk industries such

as aviation and nuclear power in embracing automation and

user interface design. The result: The HAMILTON-C2, our

compact ICU ventilator, providing:

a unique Ventilation Cockpit that is designed to improve

safety through intuitive operation and monitoring

proven closed-loop ventilation that automatically applies

lung-protective strategies, reducing the risk of operator

error and promoting early weaning a single, versatile source of invasive and noninvasive venti-

lation for adults, pediatrics and neonatal ICU , emer-

gency and recovery rooms, subacute care, and intrafacility

transport

integrated turbine and hot-swappable batteries for maxi- - -

mum mobility

Help protect 5 million lives!

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Arent a dozen ventilation modes more confusing than

helpful? Arent there already more monitoring parametersavailable than most users ever need? Ventilators clearly need

to be simpler to use . Once again, HAMILTON MEDICALhas

led the way with the AMILTON-C2 a pioneering mechanical

ventilator designed from the ground up for ease of use.

See an un erstan a mportant n ormat onat a g ance1, 2

In mechanical ventilation monitoring means curves, numbers

and more numbers. But what do they tell us about the pa-

tients condition? The AMILTON-C2provides the innovative

Ventilation Cockpit to visualize the patients respiratory me-

chanics and ventilatory support in an intuitive way.

Prov e pat ent-centere care w t ewer resourcesUnlike conventional modes which require you to set many

parameters, closed-loop ventilation with Adaptive Sup-

port Ventilation (ASV) requires attention to just one: minute

ventilation.

tu es s ow t at :

ventilates virtually all intubated patients whether active

or passive and regardless of their lung disease

requires less user interaction, adapts to patients breathing

activity more frequently, and causes fewer alarms

adapts to changes in the patients lung mechanics overtime

Ease of use

ARDS

Normal

COPD

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Critical care is expensive and so is ventilation. Each extra

ventilator day in the SAcosts $1,522. And the risk ofventilator-associated pneumonia (VAP) compounds these

costs: a study showed that preventing just one case of

VAP can save $57,000.

The HAMILTON-C2lets you optimize clinical resources and skills

while reducing cost of ownership and management overhead.

Most importantly, it can help reduce the patients time on the

ventilator.

Know w en to cons er ta ng t e pat ent ot e vent atorWith the Ventilation Cockpits Vent Status panel, you get an

intuitive visualization of the most important parameters and

ettings related to patient-ventilator dependency. Studieshow that notifying caregivers about the patients recovery

from respiratory failure can significantly reduce the duration

and total cost of ventilation.

Start wean ng at ntu at onHAMILTON MEDICALs unique closed-loop ventilation system

ASV(Adaptive Support Ventilation) automatically promotes

free breathing for patients in all ventilation modes and phas-

es. It encourages spontaneous activity right from the start

of ventilation and promotes weaning from first deployment.

Studies show the results: shorter ventilation times (see graph).4

ASVadapts to lung mechanics by automatically applying lowertidal volumes in ARDSpatients.

At the bedside or on the move: benefit from aou e- uty so ut on

The HAMILTON-C2s com actness and inde endence from

external ower and air su lies allow for maximum mobilit

Improved patient outcome

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2ml

Lung Protect ve Vent at on

Inflammation caused by lung overdistension (volutrauma)is thought to be important in the pathogenesis of broncho-

pulmonary dysplasia (BPD). Preterm infants with variable

lung compliance are part cularly at risk. Use of protective

tidal volumes, 4 6 ml/kg in preterm infants, has been shown

to reduce ventilator length of stay, incidence of BPDand

pneumothorax.

The HAMILTON-C2with volume targeted ventilation delivers

consistent, appropriate tidal volumes as low as 2 ml with the

aim of reducing lung damage. This lung protective type of

ventilation can provide an effective, safer means of ventilat-

ing the neonatal patient.

Mon tor ng or sta tyStability of tidal volume is especially important in avoiding

hypocapnia and volutrauma associated with rapid changes in

compliance due to clearing of lung fluid and surfactant ad-

ministration. ,

All monitored waveforms are based on proximal airway mea-

urements. Work of breathing (WOB and synchrony are en-

hanced with flow trigger sensitivity reduced to 0.1 lpm. End

tidal and volumetric CO measurements not only reduce

blood gas frequency, but provide measurement of dead space

and CO2elimination.

B nasa vent at on n sync ronyThe breathing patterns of a very premature infant are fre-

quently erratic and inadequate. Nasal CPAPeffectively sup-

ports the breathing of preterm infants.

Synchronized nasal intermittent positive pressure ventilation

results in a decreased work of breathing, stabilizes the chest-

wall and reduces as nchronous motion between the chest

Efficiency through innovation

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Con gura e Vent at onCockpitT e Vent at on Coc p t e ts

you con gure your pat ents

mon tore ata t e way you

want. You can select from

var ous ayouts to sp ay a

om nat on o Inte gent

Pane s , nc u ng t e Dynam c

Lung, Vent Status, an ASVtarget grap cs, pus tra -

t ona wave orms.

ex ty Opt ons

Volumetric (Mainstream) CO2 Sidestream CO2 eonatal ventilation

eoNIV(nasal CPAP)

The configuration you need

IntelliTrigC ang ng reat ng patterns or c rcu t ea s are

a c a enge n non- nvas ve vent at on. W t t e

nnovatve Inte Tr g tec noogy, t e HAMILTON-C2

automat ca y respon s to varyng ea s an a apts

ens t v ty t res o s or opt ma response to t e

pat ents reat ng pattern.

apt ve Support Vent at on ASV s a c ose oop

mo e ase on a reat - y- reat assess , optm ze

an ac eve concept:

1. Assess t e pat ents ung mec an cs.

. Opt m ze t e t a vo ume/resp ratory requency

om nat on ase on ung mec an cs.

3. Achieve optimum tidal volume/respiratory fre-

quency y automat ca y a ust ng man atory rate

an nsp ratory pressure app y ng ung-protect ve

trategy ru es.

Neoe neonata opt on on t e HAMILTON-C2effectively

upports your most rag e pat ent, t e premature n ant,t vo umes as sma as 2m an requenc es up to 150

reat s per m n ute. W t t e a t o n o t e neonata

opt on, t e HAMILTON-C2 s t e r st neonata es e

ent ator t at can accompany t e n ant ur ng osp ta

rans orts. To urt er en ance neonata vent at on.

e mo e n CPAP-PS s ava a e as an opt on to prov e

a gent e nasa CPAPtreatment w t a t ona pressure

upport.

2ml

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For further information about the HAMILTON-C2 please contact:

HAMILTON MEDICALAGVia Crusch 8CH-7402 BonaduzSwitzerland

(+41) 81 660 60 10(+41) 81 660 60 20

www.hamilton-medical.com