FDA Adverse Event Malfunction Summary report: N

HAMILTON-S1

MDR report key: 18363162 · Received December 20, 2023

Report

Report Number
3001421318-2023-04290
Event Type
Malfunction
Date Received
December 20, 2023
Date of Event
December 11, 2023
Report Date
September 6, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

THE HAMILTON-S1 IS NOT DISTRIBUTED IN THE UNITED STATES; HOWEVER, HAMILTON MEDICAL AG CONSIDERS THE HAMILTON-S1 SIMILAR TO THE HAMILTON-G5 (K193228) IN THAT THE TWO VENTILATORS HAVE BASIC DESIGN AND PERFORMANCE CHARACTERISTICS RELATED TO DEVICE SAFETY AND EFFECTIVENESS, HAVE THE SAME INTENDED USE AND FUCTION, AND HAVE THE SAME DEVICE CLASSIFICATION AND PRODUCT CODE UNDER 21 CFR 868.5895. INVESTIGATION IS ONGOING. WITHIN THE UDI-PI PROJECT, HAMILTON MEDICAL DID REALIZE THAT THE REPORTED DEVICE (BRAND NAME: HAMILTON-S1 / MODEL NUMBER: 159005 / CATALOG NUMBER: 159005) IN THE PRESENT MDR IS NOT FULFILLING THE CRITERIA OF SIMILARITY FOR A DEVICE MARKETED IN THE U.S., THEREFORE THIS EVENT IS NO LONGER CONSIDERED REPORTABLE TO FDA AND NO UDI-PI IS GOING TO BE PROVIDED.

Additional Manufacturer Narrative · 0

THE HAMILTON-S1 IS NOT DISTRIBUTED IN THE UNITED STATES; HOWEVER, HAMILTON MEDICAL AG CONSIDERS THE HAMILTON-S1 SIMILAR TO THE HAMILTON-G5 (K193228) IN THAT THE TWO VENTILATORS HAVE BASIC DESIGN AND PERFORMANCE CHARACTERISTICS RELATED TO DEVICE SAFETY AND EFFECTIVENESS, HAVE THE SAME INTENDED USE AND FUCTION, AND HAVE THE SAME DEVICE CLASSIFICATION AND PRODUCT CODE UNDER 21 CFR 868.5895. INVESTIGATION IS ONGOING. HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: UDI RELATED DATA QUALITY UPDATES ONLY. FIELD D4 WAS NOT UPDATED WITH FULL UDI INFORMATION AS REQUESTED SINCE THE DEVICE WAS MANUFACTURED BEFORE 2015.

Additional Manufacturer Narrative · 0

THE HAMILTON-S1 IS NOT DISTRIBUTED IN THE UNITED STATES; HOWEVER, HAMILTON MEDICAL AG CONSIDERS THE HAMILTON-S1 SIMILAR TO THE HAMILTON-G5 (K193228) IN THAT THE TWO VENTILATORS HAVE BASIC DESIGN AND PERFORMANCE CHARACTERISTICS RELATED TO DEVICE SAFETY AND EFFECTIVENESS, HAVE THE SAME INTENDED USE AND FUCTION, AND HAVE THE SAME DEVICE CLASSIFICATION AND PRODUCT CODE UNDER 21 CFR 868.5895. INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE UNIT ALERTED ON TF8912.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE UNIT ALERTED ON TF8912.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE UNIT ALERTED ON TF8912.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2110486 HAMILTON-S1 HAMILTON-S1 CBK HAMILTON MEDICAL AG 159005

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown