FDA Adverse Event Malfunction Summary report: N

HAMILTON-G5

MDR report key: 18989055 · Received March 27, 2024

Report

Report Number
3001421318-2024-00746
Event Type
Malfunction
Date Received
March 27, 2024
Date of Event
January 29, 2024
Report Date
November 20, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002802208
PMA / PMN Number
K193228
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS 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, D4, G6, H2, H4, H11.

Additional Manufacturer Narrative · 0

INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE DEVICE IS FAILING TEST 8 OF THE PM; IT IS TAKING ABOUT 5 SECONDS FOR PTANK TO DROP FROM 300 TO 280. I''VE CHECKED MULTIPLE TUBES/O-RINGS/CONNECTIONS BUT STILL CAN''T FIND THE ISSUE. THIS OCCURRED DURING PM. UPGRADED THE SOFTWARE FROM 281B TO 2.90E. REPLACED MIXER VALVES, PRESSURE RELEASE VALVE, PRESSURE SENSE BOARD AND PRESSURE REGULATOR. THE PTANK PRESSURE STILL DROPS FROM 300 TO 280 IN LES THAN EIGHT SECONDS. THE NEXT STEP WILL BE TO REPLACE THE MOTHER BOARD. THIS CASE WILL BE UPDATED ONE THE REPAIRS ARE COMPLETED.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: THE DEVICE IS FAILING TEST 8 OF THE PM; IT IS TAKING ABOUT 5 SECONDS FOR PTANK TO DROP FROM 300 TO 280. I''VE CHECKED MULTIPLE TUBES/O-RINGS/CONNECTIONS BUT STILL CAN''T FIND THE ISSUE. THIS OCCURRED DURING PM. UPGRADED THE SOFTWARE FROM 281B TO 2.90E. REPLACED MIXER VALVES, PRESSURE RELEASE VALVE, PRESSURE SENSE BOARD AND PRESSURE REGULATOR. THE PTANK PRESSURE STILL DROPS FROM 300 TO 280 IN LES THAN EIGHT SECONDS. THE NEXT STEP WILL BE TO REPLACE THE MOTHER BOARD. THIS CASE WILL BE UPDATED ONE THE REPAIRS ARE COMPLETED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1928300 HAMILTON-G5 HAMILTON-G5 VENTILATOR CBK HAMILTON MEDICAL AG 159002 07630002802208

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown