FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 18736916 · Received February 20, 2024

Report

Report Number
3001421318-2024-00401
Event Type
Malfunction
Date Received
February 20, 2024
Date of Event
February 6, 2024
Report Date
October 28, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002813426
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: UDI RELATED DATA QUALITY UPDATES ONLY. FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION. UPDATED FIELDS: B4, D1, D4, G6, H2, H4, H11.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: TF 233004 APPEARED IN THE SERVICE MENU NO FLOW SENSOR CALIBRATION POSSIBLE PROX. FLOW SENSOR QAW DISPLAY IMPLAUSIBLE NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: TF 233004 APPEARED IN THE SERVICE MENU. NO FLOW SENSOR CALIBRATION POSSIBLE. PROX. FLOW SENSOR QAW DISPLAY IMPLAUSIBLE. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1067300 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 1610010 07630002813426

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown