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 |