FDA Adverse Event
Malfunction
Summary report: N
HAMILTON MEDICAL AG
MDR report key: 17823060
·
Received September 27, 2023
Report
- Report Number
- 3001421318-2023-03376
- Event Type
- Malfunction
- Date Received
- September 27, 2023
- Date of Event
- August 24, 2023
- Report Date
- November 10, 2025
- Manufacturer
- HAMILTON MEDICAL AG
- Product Code
- CBK
- UDI-DI
- 07630002800747
- PMA / PMN Number
- K181216
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AS
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
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: TECHNICAL EVENT: 246005,232035,232008, 233006, 233003, 233004, 233001 ON START UP. TECHNICAL EVENT:246005 TALLS_ALARMMONITORDEFECT, TECHNICAL EVENT:232035 TABM_PFILTERSENSORDEFECT, TECHNICAL EVENT:232008 TABM_PAMBIENTSENSORDEFECT, TECHNICAL EVENT:233006 TABPG_NEBULIZERVALVEERROR, TECHNICAL EVENT:233003 TABPG_AUTOZEROPAWFAIL, TECHNICAL EVENT:233004 TABPG_AUTOZEROQAWFAIL, TECHNICAL EVENT:233001 TABPG_AUTOZEROPVENTMONITORFAIL. NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 972970 | HAMILTON MEDICAL AG | HAMILTON-C1 | CBK | HAMILTON MEDICAL AG | HAMILTON-C1 | 07630002800747 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |