FDA Adverse Event
Death
Summary report: N
HAMILTON-C1
MDR report key: 17595455
·
Received August 22, 2023
Report
- Report Number
- 0002937708-2023-00015
- Event Type
- Death
- Date Received
- August 22, 2023
- Date of Event
- August 11, 2023
- Report Date
- August 21, 2023
- Manufacturer
- HAMILTON MEDCIAL AG
- Product Code
- CBK
- UDI-DI
- 07630002813426
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- NV, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
PATIENT PASSED AWAY DURING VENTILATION. LITTLE INFORMATION SHARED WITH HMI TECHNICIAN. AN ON SITE EVALUATION WILL BE SCHEDULED AND AT THAT TIME THE LOG FILES CAN BE DOWNLOADED AND PASSED TO KY2HELP.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 56641 | HAMILTON-C1 | HAMILTON-C1 | CBK | HAMILTON MEDCIAL AG | 1610010 | 07630002813426 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Death |