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