FDA Adverse Event Malfunction Summary report: N

HAMILTON MEDICAL AG

MDR report key: 17411662 · Received July 28, 2023

Report

Report Number
3001421318-2023-02777
Event Type
Malfunction
Date Received
July 28, 2023
Date of Event
June 13, 2023
Report Date
July 28, 2023
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
505

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: ALARM 232056.(PLAUSIBILITY BETWEEN PAMBIENT AND PFILTER FAILED) FIND FILTER PRESSURE SENSOR BOARD DEFECTIVE , AFTER REPLACE NEW PART THIS C1 CAN USE TO BE NORMALLY. NO PATIENT INVOLVEMENT. HAMILTON MEDICAL AG ADDITION: THE DEVICE COULD NOT BE STARTED UP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1929709 HAMILTON MEDICAL AG HAMILTON-C1 CBK HAMILTON MEDICAL AG HAMILTON-C1 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 Unknown