FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 18009220 · Received October 26, 2023

Report

Report Number
3001421318-2023-03660
Event Type
Malfunction
Date Received
October 26, 2023
Date of Event
October 4, 2023
Report Date
August 9, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002808590
PMA / PMN Number
K201658
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
DA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER: (B)(4). HAMILTON MEDICAL AG COMES TO THE CONCLUSION: ROOT CAUSE: LEAK IN "PRESSURE" SENSOR ASSEMBLY. CORRECTION: REPLACE THE PRESSURE SENSOR ASSEMBLY.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER: (B)(4). HAMILTON MEDICAL AG COMES TO THE CONCLUSION: ROOT CAUSE: LEAK IN PRESSSURE SENSOR ASSEMBLY. CORRECTION: REPLACE THE PRESSURE SENSOR ASSEMBLY. HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WERE UPDATED WITH FULL UDI INFORMATION AS REQUESTED.

Description of Event or Problem · 0

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

Description of Event or Problem · 0

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

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1567603 HAMILTON-C6 HAMILTON-C6 CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown