FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 18928559 · Received March 19, 2024

Report

Report Number
3001421318-2024-00654
Event Type
Malfunction
Date Received
March 19, 2024
Date of Event
February 24, 2024
Report Date
October 1, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002808590
PMA / PMN Number
K201658
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING. HAMILTON MEDICAL AG COMPLAINT NUMBER: (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, H5, H11.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY:AFTER START UP DEVICE IS GIVING SELF TEST FAILED WITH TECHNICAL FAULT 431002 AND WHEN I MADE FLOW SENSOR CALIBRATION AND TIGHTNESS TEST THE DEVICE IS GIVING TECHNICAL EVENTS 231032 AND 231009.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY:AFTER START UP DEVICE IS GIVING SELF TEST FAILED WITH TECHNICAL FAULT 431002 AND WHEN I MADE FLOW SENSOR CALIBRATION AND TIGHTNESS TEST THE DEVICE IS GIVING TECHNICAL EVENTS 231032 AND 231009.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2276314 HAMILTON-C6 HAMILTON-C6 VENTILATOR CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown