FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 19030874 · Received April 3, 2024

Report

Report Number
3001421318-2024-00825
Event Type
Malfunction
Date Received
April 3, 2024
Date of Event
March 26, 2024
Report Date
October 22, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
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: CER (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: **UDI RELATED DATA QUALITY UPDATES ONLY** FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: WE HAVE CHECKED THE MAIN POWER SUPPLY AND POWER SUPPLY CABLE THEN WE CHECKED THE POWER SUPPLY BOARD OF THE VENTILATOR AND FOUND THAT THE OUTPUT VOLTAGE OF THE POWER SUPPLY BOARD IS 0. THEN WE REPLACED THE POWER SUPPLY BOARD AND DONE ALL THE TEST AND CALLIBRATIONS SUCCESSFULLY. NOW THE VENTILATOR IS WORKING SATISFACTORILY. NO HEALTH CONSEQUENCES OR IMPACT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: WE HAVE CHECKED THE MAIN POWER SUPPLY AND POWER SUPPLY CABLE THEN WE CHECKED THE POWER SUPPLY BOARD OF THE VENTILATOR AND FOUND THAT THE OUTPUT VOLTAGE OF THE POWER SUPPLY BOARD IS 0. THEN WE REPLACED THE POWER SUPPLY BOARD AND DONE ALL THE TEST AND CALLIBRATIONS SUCCESSFULLY. NOW THE VENTILATOR IS WORKING SATISFACTORILY. NO HEALTH CONSEQUENCES OR IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1729239 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown