BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HAMILTON-C1

    MDR report key: 17794165 · Received September 21, 2023

    Report

    Report Number
    0002937708-2023-00018
    Event Type
    Injury
    Date Received
    September 21, 2023
    Date of Event
    September 11, 2023
    Report Date
    September 21, 2023
    Manufacturer
    HAMILTON MEDCIAL AG
    Product Code
    CBK
    UDI-DI
    07630002813426
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    NV, US
    Reporter Occupation
    003

    Narratives

    Description of Event or Problem · 0

    I JUST RECEIVED A CALL FROM ELIZABETH AT CENTENNIAL MARQUIS IN LAS VEGAS. VENT S/N 39512, THE SCREEN WENT BLACK WHILE IT WAS ON A PATIENT. THE PATIENT HAD SOME DECOMPENSATION, BUT IMPROVED WHEN THE VENTILATOR WAS SWITCHED OUT. VENT HAS BEEN PULLED OUT OF SERVICE. VENTILATION STOP WITHOUT TE OR TF LOGGED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2036126 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDCIAL AG HAMILTON-C1 07630002813426

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention| O