FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 19133757 · Received April 18, 2024

Report

Report Number
3001421318-2024-00959
Event Type
Malfunction
Date Received
April 18, 2024
Date of Event
April 4, 2024
Report Date
November 12, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

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.

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: BIOMED STATED C1 DISPLAYED TF 233004 (AUTOZERO ERROR QAW/PAW) WHILE VENTING A PATIENT. PATIENT WAS MOVE TO AN ALTERNATE VENT. NO HARM TO PATIENT. WHILE GOING THROUGH SERVICE SOFTWARE, THERE WERE MULTIPLE TESTS THAT FAILED. NO HEALTH CONSEQUENCES OR IMPACT.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: BIOMED STATED C1 DISPLAYED TF 233004 (AUTOZERO ERROR QAW/PAW) WHILE VENTING A PATIENT. PATIENT WAS MOVE TO AN ALTERNATE VENT. NO HARM TO PATIENT. WHILE GOING THROUGH SERVICE SOFTWARE, THERE WERE MULTIPLE TESTS THAT FAILED. NO HEALTH CONSEQUENCES OR IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2288954 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown