FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 18003346 · Received October 25, 2023

Report

Report Number
3001421318-2023-03648
Event Type
Malfunction
Date Received
October 25, 2023
Date of Event
October 9, 2023
Report Date
August 7, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002808590
PMA / PMN Number
K201658
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: CER (B)(4). HAMILTON MEDICAL AG`S CONCLUSION IS THE FOLLOWING: ROOT CAUSE: DEFECTIVE PRESSURE SENSOR ASSEMBLY. LEAK IN PRESSSURE SENSOR ASSEMBLY. CORRECTION: REPLACEMENT OF THE PRESSURE SENSOR ASSEMBLY. HAMILTON MEDICAL AG COMPLAINT NUMBER: CER 143165 FOLLOW-UP 1 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION AS REQUESTED. UPDATED FIELDS: B4, D1, D3, D4, G1, G3, G6, H2, H4.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4). HAMILTON MEDICAL AG`S CONCLUSION IS THE FOLLOWING: ROOT CAUSE: DEFECTIVE PRESSURE SENSOR ASSEMBLY. LEAK IN "PRESSURE" SENSOR ASSEMBLY. CORRECTION: REPLACEMENT OF THE PRESSURE SENSOR ASSEMBLY.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: DURING SERVICE SOFTWARE: PRESSURE SENSOR ASSEMBLY TEST FAILS. NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: DURING SERVICE SOFTWARE: PRESSURE SENSOR ASSEMBLY TEST FAILS. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1432929 HAMILTON-C6 HAMILTON-C6 CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown