FDA Adverse Event Injury Summary report: N

HAMILTON-T1

MDR report key: 16492162 · Received March 6, 2023

Report

Report Number
0002937708-2023-00004
Event Type
Injury
Date Received
March 6, 2023
Date of Event
February 6, 2023
Report Date
March 6, 2023
Manufacturer
HAMILTON MEDCIAL AG
Product Code
CBK
UDI-DI
07630002813532
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
NV, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

CUSTOMER CALLED IN ON (B)(6) FOR A HAMILTON T1 SN (B)(4) RENO RGA 23612RB WAS ISSUED. COMPLAINT WAS "DURING USE THE POWER CORD BECAME EXTREMELY "HOT" AND THE RT STAFF SMELLED SMOKE. ASSESSMENT AND REPAIR REQUESTED. BREIFLY TURNED ON UNIT VIA BATTERIES AND POWER CORD. COULD NOT REPLICATE SYMPOMS DESCRIBED. UNIT POWER CORD DID COME IN EXTREMELY 'BURNT, HOT' AND EVIDENCE OF THERE BEING HEAT/FIRE DAMAGE. ATTEMPTING TO TOUCH BASE WITH TECH WHO TOOK RGA FROM CUSTOMER, ALSO WILL ASK CUSTOMER THE STANDARD QUESTIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
716167 HAMILTON-T1 HAMTILON-T1 CBK HAMILTON MEDCIAL AG HAMILTON-T1 07630002813532

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other