BEUDAMED
    FDA Adverse Event Death Summary report: N

    HAMILTON MAX

    MDR report key: 114820 · Received August 7, 1997

    Report

    Report Number
    114820
    Event Type
    Death
    Date Received
    August 7, 1997
    Date of Event
    June 25, 1997
    Report Date
    July 3, 1997
    Manufacturer
    HAMILTON MEDICAL, INC.
    Product Code
    CBK
    Report Source
    User Facility report
    Reporter Location
    AL, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    VENTILATOR MAY HAVE CONTRIBUTED TO DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HAMILTON MAX PORTABLE VENTILATOR CBK HAMILTON MEDICAL, INC. PART 154003 *

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Death ETT| DISPOSABLE PORTABLE VENTILATOR CIRCUIT.| HME HYGROBAC FILTER