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