FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 18938765 · Received March 20, 2024

Report

Report Number
3001421318-2024-00659
Event Type
Malfunction
Date Received
March 20, 2024
Date of Event
February 22, 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
JA
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).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: THE C1 HAD BEEN STORED IN THE HOSPITAL WAREHOUSE FOR ABOUT SIX MONTHS SINCE ITS PURCHASE. WHEN THE C1 BECAME OPERATIONAL, THE HOSPITAL STAFF CHECKED IT AND TECHNICAL EVENT:232003 (PAW SENSOR DEFECT) OCCURRED. NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: THE C1 HAD BEEN STORED IN THE HOSPITAL WAREHOUSE FOR ABOUT SIX MONTHS SINCE ITS PURCHASE. WHEN THE C1 BECAME OPERATIONAL, THE HOSPITAL STAFF CHECKED IT AND TECHNICAL EVENT: 232003 (PAW SENSOR DEFECT) OCCURRED. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
535723 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 1610010 07630002813426

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown