FDA Adverse Event
Malfunction
Summary report: N
HAMILTON-S1
MDR report key: 16805125
·
Received April 25, 2023
Report
- Report Number
- 3001421318-2023-01561
- Event Type
- Malfunction
- Date Received
- April 25, 2023
- Date of Event
- March 27, 2023
- Report Date
- April 25, 2023
- Manufacturer
- HAMILTON MEDICAL AG
- Product Code
- CBK
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HU
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE HAMILTON-S1 IS NOT DISTRIBUTED IN THE UNITED STATES; HOWEVER, HAMILTON MEDICAL AG CONSIDERS THE HAMILTON-S1 SIMILAR TO THE HAMILTON-G5 (K193228) IN THAT THE TWO VENTILATORS HAVE BASIC DESIGN AND PERFORMANCE CHARACTERISTICS RELATED TO DEVICE SAFETY AND EFFECTIVENESS, HAVE THE SAME INTENDED USE AND FUCTION, AND HAVE THE SAME DEVICE CLASSIFICATION AND PRODUCT CODE UNDER 21 CFR 868.5895. INVESTIGATION IS ONGOING.
Description of Event or Problem · 0
HAMILTON MEDICAL AG (HMAG) RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: "PANEL CONNECTION LOST."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1336176 | HAMILTON-S1 | HAMILTON-S1 VENTILATOR | CBK | HAMILTON MEDICAL AG |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |