FDA Adverse Event Death Summary report: N

HAMILTON MEDICAL AG

MDR report key: 17562564 · Received August 17, 2023

Report

Report Number
3001421318-2023-02907
Event Type
Death
Date Received
August 17, 2023
Date of Event
August 14, 2023
Report Date
August 17, 2023
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
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: OUR EQUIPMENT DEPARTMENT RECEIVED A PHONE CALL FROM THE ICU MEDICAL STAFF INFORMING US THAT A VENTILATOR IN THE DEPARTMENT SUDDENLY WENT BLANK AND FAILED TO RESTART. IMMEDIATELY, OUR EQUIPMENT MAINTENANCE PERSONNEL WENT TO THE SITE TO INVESTIGATE AND HANDLE THE INCIDENT. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1707783 HAMILTON MEDICAL AG HAMILTON-C1 CBK HAMILTON MEDICAL AG HAMILTON-C1 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 Unknown