FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 18037450 · Received October 31, 2023

Report

Report Number
3001421318-2023-03688
Event Type
Malfunction
Date Received
October 31, 2023
Date of Event
October 3, 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
SZ
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: FROM THE INFORMATION RECEIVED AND THE ANALYSIS PERFORMED REGARDING THIS CASE, THE MOST PROBABLE ROOT CAUSE IS A DEFECTIVE REAR FAN. THE SERVICE TECHNICIAN REPLACED THE REAR FAN PN 160639 TO SOLVE THE ISSUE AND PERFORMED THE COMPLETE SERVICE SOFTWARE. THE VENTILATOR WAS THEN RELEASED FOR USE ON PATIENTS.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: SEE 143413.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: FROM THE INFORMATION RECEIVED AND THE ANALYSIS PERFORMED REGARDING THIS CASE, THE MOST PROBABLE ROOT CAUSE IS A DEFECTIVE REAR FAN. THE SERVICE TECHNICIAN REPLACED THE REAR FAN PN 160639 TO SOLVE THE ISSUE AND PERFORMED THE COMPLETE SERVICE SOFTWARE. THE VENTILATOR WAS THEN RELEASED FOR USE ON PATIENTS. HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4). FOLLOW-UP 2 - 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: FAN FAILURE.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: FAN FAILURE.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: FAN FAILURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2223033 HAMILTON-C6 HAMILTON-C6 VENTILATOR CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown