FDA Adverse Event Malfunction Summary report: N

HAMILTON MEDICAL AG

MDR report key: 17070250 · Received June 6, 2023

Report

Report Number
3001421318-2023-02186
Event Type
Malfunction
Date Received
June 6, 2023
Date of Event
May 23, 2022
Report Date
June 6, 2023
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LY
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: THE UNIT IS WORKING WITH A FAILURE IN THE FLOW SENSOR CALIBRATION, FLOW SENSOR CALIBRATION NOT OK. WE PERFORMED THE TEST SOFTWARE, EXPIRATORY VALVE TEST PASSES NOT OK. NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
674749 HAMILTON MEDICAL AG HAMILTON-C1 CBK HAMILTON MEDICAL AG HAMILTON-C1 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 Unknown