FDA Adverse Event Malfunction Summary report: N

HAMILTON-C3

MDR report key: 17874614 · Received October 5, 2023

Report

Report Number
3001421318-2023-03457
Event Type
Malfunction
Date Received
October 5, 2023
Date of Event
September 22, 2023
Report Date
August 14, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002801881
PMA / PMN Number
K201306
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: ROOT CAUSE: LOSS OF EXTERNAL POWER DUE TO VOLTAGE FLUCTUATIONS/VARIATION, GND POWER ,+24PS DROP VOLTAGE FLUCTUATIONS 4 V AND UP 24 VOLT. GND POWER, +24 BLOWER VOLTAGE IS 30V. CORRECTION: REPLACED POWER SUPPLY.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: ROOT CAUSE: LOSS OF EXTERNAL POWER DUE TO VOLTAGE FLUCTUATIONS/VARIATION, GND POWER ,+24PS DROP VOLTAGE FLUCTUATIONS 4 V AND UP 24 VOLT. GND POWER, +24 BLOWER VOLTAGE IS 30V. CORRECTION: REPLACED POWER SUPPLY. HAMILTON MEDICAL AG COMPLAINT NUMBER: CER (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION AS REQUESTED.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: LOSS OF EXTERNAL POWER DUE TO VOLTAGE FLUCTUATIONS/VARIATION, GND POWER ,+24PS DROP VOLTAGE FLUCTUATIONS 4 V AND UP 24 VOLT. GND POWER, +24 BLOWER VOLTAGE IS 30V. POWER SUPPLY IS DEFECTIVE.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: LOSS OF EXTERNAL POWER DUE TO VOLTAGE FLUCTUATIONS/VARIATION, GND POWER ,+24PS DROP VOLTAGE FLUCTUATIONS 4 V AND UP 24 VOLT. GND POWER, +24 BLOWER VOLTAGE IS 30V. POWER SUPPLY IS DEFECTIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2272109 HAMILTON-C3 HAMILTON-C3 CBK HAMILTON MEDICAL AG 160005 07630002801881

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown