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Tech Support Academy



Video script for the HAMILTON-C3 Service software module



Contents 1



Disclaimer ..........................................................................................................................................................4



2



Tools overview ..................................................................................................................................................4



3



Starting the service software ............................................................................................................................4



4



Ventilator info ...................................................................................................................................................4



5



6



7



4.1



Software version tab ..................................................................................................................................4



4.2



Modify tab ..................................................................................................................................................5



4.3



Transfer tab ................................................................................................................................................5



4.4



Service timer tab ........................................................................................................................................5



4.5



Real Time Clock (RTC).................................................................................................................................5



4.6



Battery data ...............................................................................................................................................6



Tests / calibration screen ..................................................................................................................................6 5.1



Adjustments / calibration ..........................................................................................................................6



5.2



Touch screen ..............................................................................................................................................6



5.3



Inspiratory valve.........................................................................................................................................6



5.4



Pressure......................................................................................................................................................6



5.5



Expiratory valve..........................................................................................................................................7



5.6



Oxygen sensor ............................................................................................................................................7



5.7



Flow sensor ................................................................................................................................................7



5.8



Show tab ....................................................................................................................................................7



5.9



Default settings tab ....................................................................................................................................7



Component tests ...............................................................................................................................................8 6.1



Alarm system .............................................................................................................................................8



6.2



Alarm monitor 1 .........................................................................................................................................8



6.3



Alarm monitor 2 .........................................................................................................................................9



6.4



User interface tab ......................................................................................................................................9



6.5



Pneumatics 1 tab........................................................................................................................................9



6.6



Pneumatics 2 tab..................................................................................................................................... 11



System test ..................................................................................................................................................... 12 7.1



Pressure................................................................................................................................................... 12



7.2



Flow ......................................................................................................................................................... 12



7.3



O2 mixer .................................................................................................................................................. 12



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7.4



Tightness ................................................................................................................................................. 13



7.5



Alarming .................................................................................................................................................. 13



8



Sensor data..................................................................................................................................................... 13



9



Log / Config. files ............................................................................................................................................ 13 9.1



Service log ............................................................................................................................................... 14



9.2



Export (instrument report and events) ................................................................................................... 14



10



Software update ......................................................................................................................................... 14



11



Preoperational checks and alarm tests ...................................................................................................... 14



11.1 12



Alarm tests .......................................................................................................................................... 14 General tests............................................................................................................................................... 16



12.1



AC — DC test ....................................................................................................................................... 16



12.2



DC — Battery test ................................................................................................................................ 16



12.3



AC — Battery test ................................................................................................................................ 16



12.4



Power loss test and buzzer test........................................................................................................... 16



13



Fan check .................................................................................................................................................... 16



14



Communication interface test .................................................................................................................... 17



15



CO2 sensor accuracy check......................................................................................................................... 17



16



SpO2 measurement check .......................................................................................................................... 18



17



Final steps ................................................................................................................................................... 19



17.1



Setting the service timer ..................................................................................................................... 19



17.2



Downloading the instrument report ................................................................................................... 19



18



Your next steps ........................................................................................................................................... 19



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1



Disclaimer



This video tutorial is not intended to replace the information in the HAMILTON-C3 Service Manual. Calibration, testing, and troubleshooting must be performed according to the instructions in the Service Manual. This video is intended for certified service engineers only. No part of this publication may be reproduced, stored in a database or retrieval system, or transmitted in any form or by any means, electronic, mechanical, or by photocopying, recording, or otherwise, without prior written permission of Hamilton Medical AG.



2



Tools overview



The following tools are required to run the service software tests and calibrations on the HAMILTON-C3 ventilator:         



3



Tubings Bacteria filter Flow meter Pressure gauge Pressure connector Glass of water Stopper Breathing circuit with flow sensor 2-liter demo lung



Starting the service software



Notice: The HAMILTON-C3 ventilator needs to warm up prior to starting the service software. Make sure it has been running for at least 20 minutes in ventilation mode beforehand. Press the ON button located on the HAMILTON-C3 interaction panel and then press and hold the 100% O2 and Manual Breath keys at the same time. The two keys can be released as soon as the Alarm Silence key is illuminated. After the Service software starts, the main Service software screen is displayed.



4



Ventilator info



From the main Service software screen, touch the Ventil. Info button. Touch the Technical state button to enter the technical state section. Touch the HW version tab (if not already selected). The HW version tab displays the device name, part number, revision, serial number and timing information.



4.1



Software version tab



Touch the SW version tab. The SW version tab displays the device names and revisions of the operating software. HAMILTON-C3 Service software



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4.2



Modify tab



Touch the Modify tab. Always update the technical state when one of the components or assemblies in the list shown here has been replaced. Select the hardware component you want to modify. In the following section, we will show how to change the values after a blower replacement. To change the serial number or revision number, touch the corresponding button. Enter the number. Enter the Blower timer for the blower you installed. Note: Entering the serial number of the replacement blower will reset the Blower timer. When finished, touch the Save button. Note: Ensure you select the correct part number. Cross check with the label of the Spare Part / Installation Guide of the MSP (spare part). You must restart the device after you have modified the settings/parameters. Note: The information for the following components of the HAMILTON-C3 ventilator will be updated automatically by the system:     



4.3



Battery Flow sensor AIR (Qvent) Flow sensor O2 (QO2) Oxygen sensor Communication board



Transfer tab



The Transfer tab allows you to export and import the technical state of the ventilator to a USB flash drive. This includes all the serial numbers and revisions of the installed assemblies. Note: Always export the technical state file and instrument report before replacing the mainboard or before you disassemble the ventilator in general.



4.4



Service timer tab



The Service timer shows the operating hours of the ventilator and the Service timer, whose use will be explained at the end of this video. Touch the Blower timer tab. On the Blower timer tab, the total blower time hours are displayed as a percentage.



4.5



Real Time Clock (RTC)



Check the current date and time and adjust them if necessary. The green highlighted “Battery OK” means the battery located on the mainboard for the RTC is OK.



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4.6



Battery data



The Battery data button displays all the data provided for the batteries. Checking the battery is explained in the HAMILTON-C3 preventive maintenance module.



5



Tests / calibration screen



From the main Service software screen, touch the Tests/Calib button.



5.1



Adjustments / calibration



From the main Service software Screen, touch the Tests/Calib button. Touch the Adj/Calib button.



5.2



Touch screen



The Touch screen button allows calibration of the coordinates of the touch controller (4–point calibration). Touch the Touch screen button. Touch the Start button to begin touch screen calibration. The test begins automatically. The calibration status message Touch screen calibration is running... is shown on the display. You are instructed to touch the cross located on each corner on the display. Next, you are instructed to touch the Test button in the middle of the screen with your finger. Touch screen calibration is complete. Touch Apply to accept the new touch-screen calibration or Cancel.



5.3



Inspiratory valve



Touch the Insp. valve button. Touch the Start button. When inspiratory valve calibration is completed, the status message Inspiration valve calibration successful will be shown on the display.



5.4



Pressure



Touch the Pressure button. Insert the expiratory valve. Attach a pressure connector to the patient connection. Attach the tube system to the pressure connector and the expiratory connection. Close the flow sensor outlet with a stopper. Position an external pressure gauge, reset it and connect it to the pressure connector. Touch the Start button. The values on the screen should be equal to the values on the pressure gauge. HAMILTON-C3 Service software



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If adjustment is necessary, adjust the Gain by using the P&T control knob. Make the adjustment with the P&T control knob, then press the P&T control knob to apply the change to the Gain value. After completion, touch the Save button to save the changes.



5.5



Expiratory valve



Touch the Exp. valve button. Connect a short tube with a filter. Touch the Start button. Successful completion of the expiratory valve test is indicated by the following message: Calibration successfully finished.



5.6



Oxygen sensor



Connect the HAMILTON-C3 to high-pressure oxygen (if available). Touch the O2 cell button. Touch the Start button. Gain calibration runs automatically. The calibration status message Oxygen cell calibration running... is shown on the display. Calibration is complete when OK is shown on the display.



5.7



Flow sensor



Touch the Flow sensor button. Connect the tubing system and turn the patient flow sensor. The patient flow sensor has to be inverted for Flow sensor calibration, and an adapter is required. Touch the Start button. Patient flow sensor calibration is in process. Turn the patient flow sensor. Touch the Next button to continue. Successful completion of patient flow sensor calibration will be indicated with following message: Flow sensor calibration successful.



5.8



Show tab



For verification and troubleshooting you can touch Show to see the different calibration values.



5.9



Default settings tab



The Default Settings tab allows you to reset or set the values to a predetermined default setting. You can choose between setting the default values of only the flow sensor or of all settings. To reset the values, touch the Confirm button.



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Note: After resetting the values, the calibration tasks have to be performed again.



6



Component tests



Touch the Comp test button.



6.1



Alarm system



Touch the Alarm system button. Touch the speaker Start button. Ensure the speaker makes an audible sound. The speaker volume can be adjusted with the screen adjustment knob. Check that the volume changes to minimum and maximum. Confirm on the screen whether the speaker is operating correctly by pressing OK or NOT OK. When the OK button is touched, the speaker will switch off, the speaker Start button switches to Start, and OK is shown on the display. Touch the yellow lamp Start button. Ensure that the yellow lamp is switched on. Confirm on the screen whether the yellow lamp is operating properly by pressing OK or NOT OK. When the OK button is touched, the yellow lamp will switch off, the yellow lamp Start button will switch to Start, and OK will be indicated on the display. Touch the red lamp Start button. Ensure that the red lamp is switched on. Confirm on the screen whether the red lamp is operating properly by pressing OK or NOT OK. When the OK button is touched, the red lamp will switch off, the red lamp Start button will switch to Start, and OK is indicated on the screen. After completion of the alarm system tests, the results are shown on the screen.



6.2



Alarm monitor 1



Touch the Alarm Mon. 1 button. Touch the Start button. Confirm on the screen whether the alarm light and the alarm silence LED are blinking by pressing OK or NOT OK. Next, confirm on the screen whether the alarm light and the alarm silence LED are on by pressing OK or NOT OK. Next, touch the Alarm silence button. Confirm on the screen whether the alarm light is on by pressing OK or NOT OK. Next, confirm on the screen whether the alarm light is off by pressing OK or NOT OK. HAMILTON-C3 Service software



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Next, touch the Alarm silence button. Confirm on the screen whether the alarm light is off by pressing OK or NOT OK. Touch the Alarm silence button and wait 5 seconds. Confirm on the screen whether the expiratory valve plunger can be moved by hand by pressing OK or NOT OK. Confirm on the screen whether the alarm silence LED is ON and the buzzer sounds by pressing OK or NOT OK. Remove the rear cover and fan filter, then carefully stop the cooling fan by hand until the alarm is shown on the screen. After the Fan failure alarm is displayed, release the fan. Ensure that the message Test completed is displayed on the screen. Install the fan filter and rear cover.



6.3



Alarm monitor 2



Touch the Alarm Mon. 2 Button. Touch the Start button to activate the watchdog. • The alarm LED should blink • The buzzer should sound Touch the OK or NOT OK button and reboot the ventilator into the Service software mode.



6.4



User interface tab



From the main Service software screen, touch the Tests/Calib button. Touch the Comp test button. Touch the User I/F tab. Test the P&T control knob encoder by selecting the P&T control knob on the screen and rotating the knob. Observe there are 16 steps in 1 full turn of the P&T control knob. Touch each button and any combination on the interaction panel and observe the reaction to the button pressed on the screen. Touch the Day and Night buttons to switch between the two display brightness levels. Confirm with OK/NOT OK.



6.5



Pneumatics 1 tab



Touch the Pneumatics 1 tab. Connect a complete patient breathing circuit before starting the tests. Connect the tubing as shown with a 7-mm ET tube to the flow sensor. 6.5.1



Binary valve test



Touch the Start button to begin the binary valve test.



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The test runs automatically. The test status message Component test binary valves running... is shown on the display. The binary valve test is complete when OK is shown on the display. This means that the internal sensor checks are ok. 6.5.2



Autozero



Touch the Autozero button. Seal the flow sensor with a stopper or finger. Touch the Start button. The Paw pressure sensor and Qaw proximal flow sensor autozero adjustment is complete when OK is indicated on the display. 6.5.3



Blower flow



Touch the Blower flow button. Disconnect the inspiratory tube. Touch the Start button. The test is complete when Component test blower flow completed is shown on the display and the results are shown as OK or NOT OK. 6.5.4



Blower pressure



Touch the Blower pres. button. Seal the patient outlet with a stopper. Press the Start button. The test is complete when Component test blower flow completed is shown on the display and the results are shown as OK or NOT OK. 6.5.5



Expiratory valve



Touch the Exp. valve button. Connect a complete patient breathing circuit. Seal the flow sensor with a stopper or finger. Touch the Start button to begin the expiratory valve leakage and pressure tests. The test is complete when Expiration valve pressure test completed is shown on the display and the result is shown as OK or NOT OK. 6.5.6



Inspiratory valve



Touch the Insp. valve button. Connect a tube and filter to the ventilator and attach the flow analyzer. Touch the Start button. The inspiratory valve leakage test is complete when OK is shown on the display. Touch the Next button to begin the flow control tests. HAMILTON-C3 Service software



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Pass through the flow control test with the values of 0 l/min., 3 l/min., 18 l/min. and 150 l/min. Verify the 18l/min value with the external flow analyzer. It must be within a tolerance of ± 8% (16.5 - 19.5 l/min). The test runs automatically. The test status message Flow control in progress is shown on the display. The inspiratory valve flow control test is complete when OK is shown on the display. Connect a breathing circuit, flow sensor and 7-mm ET tube. Touch the Start button to continue to the inspiratory valve pressure control test. The inspiratory valve pressure control test is complete when OK is shown on the display.



6.6



Pneumatics 2 tab



Touch the Pneumatics 2 tab. Connect the ventilator to high-pressure oxygen (minimum 2.8 bars to maximum 6.0 bars (41 - 86 psi)). Disconnect the inspiratory tube. Press the Start button to begin the O2 input flow and leakage tests. The O2 valve flow and leakage tests are complete when OK is shown on the display. 6.6.1



Nebulizer test



Touch the Neb. valve button. Make sure the ventilator is still connected to high-pressure oxygen. Connect the flow sensor outlet to the nebulizer port with a tube. Touch the Start button to start running the nebulizer valve test. The test is complete when OK is shown on the display. Quick tip: Hold the flow sensor directly at the nebulizer port while performing this test, instead of connecting the tubing to the port. The test process and result will be identical. 6.6.2



Ambient valve



Touch the Ambi valve button. Connect the tube system as shown and seal the flow sensor outlet. Touch the Start button. The Ambient valve power-off test is complete when all tests are shown as OK on the display. 6.6.3



Proximal flow



Touch the Prox. test button. Attach two tubes identical in length to the flow sensor connectors and immerse the tubes in a glass of water. Touch the Start button. Verify that bubbles appear at both tube outlets and that the number of bubbles is approximately equal at each outlet. Confirm on the screen whether the Rinse flow test was completed successfully by pressing OK or NOT OK. Connect a breathing circuit with a 7-mm ET tube to the ventilator. Touch the Start button to begin the proximal pressure test. HAMILTON-C3 Service software



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The proximal pressure test is complete when OK is shown on the screen. Remove the 7-mm ET tube from the breathing circuit. Touch the Start button to begin the proximal flow test. The proximal flow test is complete when OK is shown on the screen. Disconnect the inspiratory tube. 6.6.4



Air entry



Touch the Air entry button. Touch the Start button. Obstruct the HEPA filter with some plastic foil with a small hole in it, and press the Next button. The test is complete when OK is shown three times on the display.



7



System test



Touch the System test button. Attach a breathing circuit to the ventilator and block the flow sensor with a stopper.



7.1



Pressure



Touch the On button to start the pressure tests. Set Pinsp to 5 mbars, 25 mbars and 50 mbars. The values should read 5 mbars ±1.0, 25 mbars ±1.2, and 50 mbars ±2.5. The test is complete when the status OK is shown on the display. Touch the Off button.



7.2



Flow



Touch the Flow button. Remove the stopper from the flow sensor. Set the Flow sensor Qvent to 18 l/min. Touch the On button. The test is complete when the status OK is shown on the display. Touch the Off button.



7.3



O2 mixer



Touch the O2 mixer button. Connect the ventilator to high-pressure oxygen. Set the Insp. flow to 10 l/min. HAMILTON-C3 Service software



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Touch the On button. Check for the following FiO2 settings: 21%, 90% and 61%. The test is complete when the status OK for each value is shown on the display. Touch the Off button.



7.4



Tightness



Touch the Tightness button. Seal the flow sensor with a stopper or finger. Touch the Start button. The tightness test is complete when OK is indicated on the display.



7.5



Alarming



Touch the Alarming button. Touch the Alr. High, Alr. Medium and Alr. Low buttons to generate alarm(s). Check if the correct alarm lamp and alarm sounds are generated. Check the alarm priority by combining the alarms. Touch the Alr. Medium button. Then select the Alr. High button and check if the alarm priority is working correctly. Deselect the Alr. Medium and Alr. High buttons. Perform the test again by touching the Alr. Low and then Alr. High buttons.



8



Sensor data



Sensor data is for Hamilton Medical internal use only. It can also be used for troubleshooting purposes. In this case, you will be asked to perform specific tests within Sensor data. Sensor data gives you the possibility of testing and running various functionalities manually.



9



Log / Config. files



From here you can look into the log files, as well as download log files and the instrument report. From the main Service software screen, touch the Log/Config. files button. Touch the Event log button to open the event log. The event log displays the technical events that have occurred with the date, time, device affected and a description of the technical event. To view another section of the event log listing, rotate the P&T control knob to select the slider on the right side of the display. Press the P&T control knob to activate the slider, then rotate the P&T control knob to move the slider up or down. HAMILTON-C3 Service software



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9.1



Service log



Touch the Service log button to open the service log. The service log displays the test and calibration results with the date, time and a description of the results. To view another section of the service log listing, rotate the P&T control knob to select the slider on the right side of the display. Touch the P&T control knob to activate the slider, then rotate the P&T control knob to move the slider up or down.



9.2



Export (instrument report and events)



The Export tab allows you to export the service log / instrument report to a USB drive. Insert a USB drive into the USB port on the side of the interaction panel. Touch the Export tab. Touch the Start button to export the events. Touch the Instr. report tab. Touch the Start button to export the instrument report.



10 Software update Insert the USB drive containing the software update file. Touch the SW update button. Follow the software update instructions provided with each software release version.



11 Preoperational checks and alarm tests Start the HAMILTON-C3 in the application software. Touch the System button, then touch Tests & calib. Perform the preoperational checks. How to perform the preoperational checks is shown in the corresponding HAMILTON-C3 video tutorials, and described in the HAMILTON-C3 Operator’s Manual.



11.1 Alarm tests Before performing the alarm tests, set up the HAMILTON-C3 ventilator as for normal ventilation, with a complete breathing circuit and 2-liter demonstration lung assembly with an ET tube. 11.1.1 High pressure Put the ventilator into the PCV+ mode. Start ventilation. Set the Pressure alarm limit to 15 cmH2O above the measured Ppeak. HAMILTON-C3 Service software



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Squeeze the demonstration lung hard during inspiration. Verify that the High pressure alarm is activated, the ventilator cycles into exhalation, and pressure falls to the PEEP/CPAP level. 11.1.2 Low minute volume Let the ventilator deliver 10 breaths with no alarms. Adjust the minimum ExpMinVol alarm limit so it is higher than the measured value. Verify that the Low minute volume alarm is activated. 11.1.3 Low oxygen alarm Set the Oxygen control to 50%. Wait for 2 minutes. Disconnect the oxygen supply. Verify the following:  



The oxygen concentration displayed in the monitoring window decreases. The Low oxygen alarm is generated.



Wait for 30 seconds or until the oxygen concentration falls below 40%. Reconnect the oxygen supply. Check that the Low oxygen alarm resets. The alarm should reset when the measured oxygen exceeds 45%. 11.1.4 Disconnection on patient side Disconnect the demonstration lung during active ventilation. Verify that the Disconnection on patient side alarm is activated. Reconnect the demonstration lung. Verify that the alarm resets and that the ventilator automatically resumes ventilation. 11.1.5 Loss of external power With the ventilator connected to AC power, turn it on. Disconnect the power cord. Verify that the Loss of external power alarm is activated and that the ventilator is powered by its backup battery. Reconnect the ventilator to AC power. Verify that the alarm resets and that the ventilator is again powered by AC. 11.1.6 Exhalation obstructed Block the expiratory valve exhaust port during active ventilation. Observe the pressure rise. Verify that the Exhalation obstructed alarm is activated.



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11.1.7 Apnea Put the ventilator into SPONT mode. Make sure Apnea backup ventilation is disabled. Wait for the set apnea time. Verify that the Apnea alarm is activated. Squeeze the demonstration lung. Verify that the Apnea alarm resets.



12 General tests Switch on the HAMILTON-C3 and stay in Standby mode. Connect the HAMILTON-C3 to the AC mains power and to the DC power supply. Perform the following tests:



12.1 AC — DC test Disconnect the AC mains power. Verify that the unit continues to run on the DC power supply and that the DC symbol is displayed on the screen.



12.2 DC — Battery test Disconnect the DC power supply. Verify that the unit continues to run on internal battery power and that the battery symbol is displayed on the screen. Verify that the alarm speaker sounds correctly for at least one minute.



12.3 AC — Battery test If no DC power supply is available, disconnect the AC mains power and verify that the HAMILTON-C3 switched to internal battery power. Verify that the alarm speaker sounds correctly for at least one minute.



12.4 Power loss test and buzzer test Remove the internal batteries. Verify that the unit alarms for at least 2 minutes. Caution: The buzzer is powered by the gold caps (super capacitors) on the mainboard. Make sure the unit is switched on (Standby mode or Service mode) for at least 20 minutes before the test to ensure that the gold caps are fully charged. Replace the mainboard if the buzzer sounds for less than 2 minutes. Reconnect the internal batteries and verify that the unit starts up again.



13 Fan check In order to check the fan for proper assembly, place a piece of paper over the fan inlet. If the paper sticks while the ventilator is on, the fan is blowing into the ventilator correctly. HAMILTON-C3 Service software



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14 Communication interface test The following material is needed to check the interface with the Hamilton Medical Datalogger software:    



Laptop with Windows operating system Datalogger software from Hamilton Medical USB to RS232 converter RS232 null modem cable



Ensure there is proper communication with the patient monitoring system. Alternatively, you can check the signal availability with the Datalogger software as shown in this video. Connect the laptop with the cabling to the serial interface of the ventilator. Set up the HAMILTON-C3 ventilator as for normal ventilation, with a complete breathing circuit and 2-liter demonstration lung assembly with an ET tube. Press Enter to start the Datalogger on the laptop. Start ventilation on the ventilator. Check that that the laptop is receiving and displaying the data sent from the ventilator. Stop the ventilation and disconnect the cabling. For more information about the Datalogger software, check the resources available on the Hamilton Medical website.



15 CO2 sensor accuracy check Follow these steps to check the accuracy of the CO2 monitor if installed. In addition to the HAMILTON-C3 ventilator with the CO2 monitor installed, this check requires: • • • • • • •



Patient breathing circuit Test lung CO2 sensor CO2 adult airway adapter Barometric pressure gauge (mbar) or TSI CO2 calibration gas cylinder or equivalent (CO2 5% ± 0.03; O2 0% ± 0.03; N2 Balance) CO2 gas regulator



Start the ventilator in Service software. Enter the Service software -> Tests/Calib > Sensor data > Sensor 3. Note the displayed barometric pressure (pressure sensor Pambient) and verify that it is within ± 20 mbars of the actual barometric pressure, measured with a second gauge or device (e.g., the TSI Flow Meter). Restart the ventilator in operational mode. Enter the Configuration menu: Tools > Configuration. Activate the CO2 hardware option: Tools > Configuration > Options > HW options. Connect the CO2 sensor with the CO2 communication board. Activate the CO2 sensor and deactivate the oxygen sensor: System > Sensors On/Off.



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Wait for 3 minutes to allow the sensor to reach the working temperature. Select the System tab, Tests & calib, then CO2 sensor to start the CO2 sensor calibration. Connect the patient breathing circuit, test lung, CO2 sensor, CO2 adapters, CO2 calibration gas and CO2 gas regulator. Set Oxygen to 21%. Start ventilation with standard settings. Select the PCO2 curve for displaying on the screen. Open the CO2 regulator slightly so that the display shows a stable CO2 curve. Note: Only a small regulated gas flow is required to achieve a stable curve. To achieve a stable CO2 reading, ensure that the CO2 sensor and CO2 adapters are upright. To see the PCO2 value in mmHg, press the Freeze button. See the corresponding graphs based on ambient temperature in the Service Manual. Confirm that the measured value is within the tolerance. Disconnect the sensor.



16 SpO2 measurement check Follow these steps to check the SpO2 measurement, if installed. In addition to the ventilator with the SpO2 communication board installed, this check requires: • • • •



Patient breathing circuit (not required: humidifier, water traps, or inspiratory filter) Test lung SpO2 Sensor Masimo OR SpO2 Sensor Adapter Nihon Kohden SpO2 finger probe



Check if the communication board is installed: • •



Enter System > Info. Verify the SpO2 communication board is displayed in the Info tab.



Activate SpO2 Sensor in Options: • •



Enter Tools > Configuration (Code 7132) > Options > HW options. Activate the SpO2 sensor.



Choose the installed sensor type (Masimo or Nihon Kohden) • •



Enter Tools > Configuration > Sensors. Choose the installed sensor type.



Activate the SpO2 sensor in the system: • •



Enter System > Sensors. Activate the SpO2 sensor.



Connect the patient breathing circuit with test lung. Connect the SpO2 adapter to the SpO2 port on the ventilator. Attach the SpO2 sensor to the finger probe. Start ventilation. HAMILTON-C3 Service software



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Check the values in the SpO2 Monitoring tab. Disconnect the sensor.



17 Final steps 17.1 Setting the service timer Caution: You should only reset the Service timer after completion of the whole preventive maintenance including calibration, running through all tests in the service software, and performing the preoperational checks and alarm tests. Start the ventilator in Service software mode. Touch Ventil. Info, then the Service timer tab. On the Service timer tab, the total operating hours are displayed and the service timer hours are displayed since the last time the service timer was previously reset. Record the operating hours and the service timer hours on the HAMILTON-C3 Summary of Test Report section. Reset the service counter by touching the Reset button. To enable the reset function, select the alarm limit timer first. The Alarm limit timer button allows the set number of hours between service intervals to be changed. Touch the Alarm limit timer button or rotate the P&T control knob until the Alarm limit rotary screen button is highlighted, then press the P&T control knob. The number of hours can be changed by rotating the P&T control knob. Touch the Alarm limit timer button again or press the P&T control knob to save the new value. Touch Reset. After resetting the service timer, the current operating hours will be added to the set alarm limit hours.



17.2 Downloading the instrument report Install a USB drive into the HAMILTON-C3 USB port on the left side of the display. Make sure the ventilator is in Service software mode. Select the Download menu and then Instr. report. Start the instrument report download. Ensure that the data is successfully exported to the USB drive. Complete the device tests by saving the instrument report with your documentation.



18 Your next steps Perform the electrical safety test.



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