FDA Adverse Event Malfunction Summary report: N

HAMILTON MEDICAL AG

MDR report key: 17224720 · Received June 29, 2023

Report

Report Number
3001421318-2023-02496
Event Type
Malfunction
Date Received
June 29, 2023
Date of Event
June 6, 2023
Report Date
June 29, 2023
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
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 HOSPITAL STAFF PLANNED TO PERFORM MAINTENANCE ON THIS C1. HOWEVER, AFTER REPEATED ATTEMPTS TO CALIBRATE THE FLOW SENSOR RESULTED IN NG, THEY GAVE UP ON THE MAINTENANCE. WHEN WE CHECKED AGAIN THE NEXT DAY, TECHNICAL EVENT: 231003 WAS ALSO DISPLAYED ON THE SCREEN. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
309533 HAMILTON MEDICAL AG HAMILTON-C1 CBK HAMILTON MEDICAL AG HAMILTON-C1 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 Unknown