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