BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    HAMILTON MEDICAL AG

    MDR report key: 17349624 · Received July 19, 2023

    Report

    Report Number
    3001421318-2023-02709
    Event Type
    Malfunction
    Date Received
    July 19, 2023
    Date of Event
    July 8, 2023
    Report Date
    July 19, 2023
    Manufacturer
    HAMILTON MEDICAL AG
    Product Code
    CBK
    UDI-DI
    07630002800747
    PMA / PMN Number
    K181216
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN
    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: WHEN THE MEDICAL STAFF TRIED TO CONNECT THE VENTILATOR TO A PATIENT, THE VENTILATOR STARTED TO SHOW SELF TEST FAILED, FAN FAILURE, TECHNICAL EVENT 233001, 233003, 233004, 233006. NO PATIENT HARM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    40412 HAMILTON MEDICAL AG HAMILTON-C1 CBK HAMILTON MEDICAL AG HAMILTON-C1 07630002800747

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown