FDA Adverse Event Malfunction Summary report: N

HAMILTON-G5

MDR report key: 17245978 · Received July 3, 2023

Report

Report Number
3001421318-2023-02530
Event Type
Malfunction
Date Received
July 3, 2023
Date of Event
June 17, 2023
Report Date
August 6, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800013
PMA / PMN Number
K193228
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING DESCRIPTION FROM THE PARTNER: PER BIOMED, DURING VENTILATION, THE DISPLAY FROZE AND BECAME UNUSABLE, WAVE FORMS STOPPED, BUTTONS NONRESPONSIVE, VENTILATION CONTINUED. SAYS THEY DID GET SOME VISUAL AND AUDIBLE ALARMS. LAST PM WAS DONE IN AUGUST 2022. BIOMED CANNOT DUPLICATE THE ISSUE. THEY MANUALLY BAGGED THE PATIENT WHILE THE VENTILATOR WAS REPLACED WITH ANOTHER VENTILATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
26463 HAMILTON-G5 HAMILTON-G5 VENTILATOR CBK HAMILTON MEDICAL AG 159001 07630002800013

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown