FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 18343240 · Received December 18, 2023

Report

Report Number
3001421318-2023-04249
Event Type
Malfunction
Date Received
December 18, 2023
Date of Event
November 10, 2023
Report Date
July 30, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
PMA / PMN Number
K201658
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: FSN WAS INITIATED: Z-0267-2023 (B)(6) 2022: IN VERY RARE CASES, THE BACKLIGHT OF THE HAMILTON-C6 DISPLAY MAY FAIL. THIS IS ATTRIBUTABLE TO A RESET OF THE HMI CONTROLLER (HMI RESET) WHICH CAUSES THE DISPLAY TO FAIL FOR 2-3 SECONDS. THE DEVICE'S VENTILATION FUNCTION IS NOT AFFECTED BY THIS. HAMILTON MEDICAL AG COMPLAINT NUMBER: CER (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WERE UPDATED WITH FULL UDI INFORMATION AS REQUESTED.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: FSN WAS INITIATED: Z-0267-2023 (SEPTEMBER 22, 2022): IN VERY RARE CASES, THE BACKLIGHT OF THE HAMILTON-C6 DISPLAY MAY FAIL. THIS IS ATTRIBUTABLE TO A RESET OF THE HMI CONTROLLER (HMI RESET) WHICH CAUSES THE DISPLAY TO FAIL FOR 2-3 SECONDS. THE DEVICE'S VENTILATION FUNCTION IS NOT AFFECTED BY THIS.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: INTERACTION PANEL BLACKOUT FOR 2-3 SEC (HMI RESET).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: INTERACTION PANEL BLACKOUT FOR 2-3 SEC (HMI RESET).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2299267 HAMILTON-C6 HAMILTON-C6 VENTILATOR CBK HAMILTON MEDICAL AG 160021

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown