FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 18373196 · Received December 21, 2023

Report

Report Number
3001421318-2023-04306
Event Type
Malfunction
Date Received
December 21, 2023
Date of Event
October 30, 2023
Report Date
November 7, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
505

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: CER (B)(4). HAMILTON MEDICAL AG COMPLAINT NUMBER: CER (B)(4). **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION AS REQUESTED.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4). - HAMILTON MEDICAL AG COMPLAINT NUMBER: CER 144914 FOLLOW-UP 2 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION AS REQUESTED.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: C1 VENTILATOR EXPERIENCED TF231022 (PEXPVALVE SENSOR DEFECT). FAILURE DURING TESTING NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: C1 VENTILATOR EXPERIENCED TF231022 (PEXPVALVE SENSOR DEFECT). FAILURE DURING TESTING NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: C1 VENTILATOR EXPERIENCED TF231022 (PEXPVALVE SENSOR DEFECT). FAILURE DURING TESTING NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
298109 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown