FDA Adverse Event Malfunction Summary report: N

HAMILTON-C3

MDR report key: 18674298 · Received February 9, 2024

Report

Report Number
3001421318-2024-00314
Event Type
Malfunction
Date Received
February 9, 2024
Date of Event
January 19, 2024
Report Date
October 16, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002801881
PMA / PMN Number
K201306
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4). FOLLOW-UP 2 - CORRECTED INFORMATION: PLEASE NOTE THAT ALL PREVIOUS INFORMATION ABOUT THE AFFECTED DEVICE WAS CORRECTED: THE DEVICE IN QUESTION WAS CONFIRMED TO BE A HAMILTON-C3 (K201306, BRAND NAME: HAMILTON-C3; VERSION / MODEL / CATALOG NUMBER: 160005). ALL CORRESPONDING FIELDS WERE UPDATED, AND ADDITIONALLY, THE SERIAL NUMBER WAS CORRECTED. FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: HAMILTON-C1 VENTILATOR FAILED OXYGEN CALIBRATION UPON STARTUP. NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: HAMILTON-C3 VENTILATOR FAILED OXYGEN CALIBRATION UPON STARTUP. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
81251 HAMILTON-C3 HAMILTON-C3 CBK HAMILTON MEDICAL AG 160005 07630002801881

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown