FDA Adverse Event Malfunction Summary report: N

HAMILTON-S1

MDR report key: 18483749 · Received January 10, 2024

Report

Report Number
3001421318-2024-00084
Event Type
Malfunction
Date Received
January 10, 2024
Date of Event
October 16, 2023
Report Date
November 22, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LO
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. TOUCHSCREEN WAS NOT WORKING PROPERLY. FRONT COVER WITH TOUCHSCREEN WAS REPLACED.

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. TOUCHSCREEN WAS NOT WORKING PROPERLY. FRONT COVER WITH TOUCHSCREEN WAS REPLACED. HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** WITHIN THE UDI-PI PROJECT, HAMILTON MEDICAL REALIZED THAT THE REPORTED DEVICE (BRAND NAME: HAMILTON-S1; VERSION / MODEL / 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.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE CURSOR AUTOMATICALLY JUMPED ON DISPLAY AFTER FEW MINUTES.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE CURSOR AUTOMATICALLY JUMPED ON DISPLAY AFTER FEW MINUTES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1143071 HAMILTON-S1 HAMILTON-S1 VENTILATOR CBK HAMILTON MEDICAL AG

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown