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 |