FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 19257339 · Received May 7, 2024

Report

Report Number
3001421318-2024-01105
Event Type
Malfunction
Date Received
May 7, 2024
Date of Event
April 23, 2024
Report Date
December 29, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002801850
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS CER (B)(4). INVESTIGATION ONGOING. HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4). FOLLOW-UP 1 - CORRECTED INFORMATION: FIELD D4 WAS UPDATED WITH FULL UDI INFORMATION. UPDATED FIELDS: B4, D1, D4, G6, H2, H4, H11.

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS (B)(4). 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. A DETAILED INVESTIGATION WAS PERFORMED BY AN EXPERT FROM THE TECHNICAL SERVICE: THE INVESTIGATION SHOWED THAT WHEN THE VENTILATOR WAS BEING PREPARED FOR USE THE DEVICE STARTED GIVING ALARMS OF LOW OXYGEN. THE O2 CELL FUNCTIONS LIKE A BATTERY. ITS PERFORMANCE DECREASES THE MORE IT IS USED. THEREFORE, O2 CELLS NEED TO BE MAINTAINED REGULARLY. IF THE O2 CELL CANNOT DELIVER THE REQUIRED AMOUNT OF OXYGEN SET BY THE USER THEN THE DEVICE NOTIFIES THE USER BY GIVING AN ALARM. THIS IS WHAT HAPPENED IN THIS INCIDENT. THE DEVICE DID WHAT IT WAS SUPPOSED TO DO. THERE WAS NO MALFUNCTION AND THEREFORE THIS CASE IS NOT REPORTABLE.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: THIS EVENT WAS REPORTED TO HAMILTON MEDICAL AG AS, VENTILATOR DEVICE ALARMED FOR LOW OXYGEN. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION. WE LACK FURTHER INFORMATION ON THIS. AN INTERMITTENT ALARM WAS OBSERVABLE BOTH VISUALLY (MESSAGE ALERT: 'LOW OXYGEN') AND THROUGH HEARING. THE DEVICE LOG FILES (SERVICE LOG, ERROR LOG, EVENT LOG) WERE PROVIDED TO HAMILTON MEDICAL AG. THERE IS PATIENT INVOLVEMENT REPORTED. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION BUT WAS NOT FURTHER SPECIFIED NOR EXPLAINED. THERE IS NO NEED FOR ANY MEDICAL INTERVENTION REPORTED. NEITHER DELAY IN TREATMENT NOR HARM TO THE PATIENT, USER OR THIRD PARTY HAS BEEN REPORTED. THE INVESTIGATION IS STILL ONGOING.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: THIS EVENT WAS REPORTED TO HAMILTON MEDICAL AG AS, VENTILATOR DEVICE ALARMED FOR LOW OXYGEN. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION. WE LACK FURTHER INFORMATION ON THIS. AN INTERMITTENT ALARM WAS OBSERVABLE BOTH VISUALLY (MESSAGE ALERT: 'LOW OXYGEN') AND THROUGH HEARING. THE DEVICE LOG FILES (SERVICE LOG, ERROR LOG, EVENT LOG) WERE PROVIDED TO HAMILTON MEDICAL AG. THERE IS PATIENT INVOLVEMENT REPORTED. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION BUT WAS NOT FURTHER SPECIFIED NOR EXPLAINED. THERE IS NO NEED FOR ANY MEDICAL INTERVENTION REPORTED. NEITHER DELAY IN TREATMENT NOR HARM TO THE PATIENT, USER OR THIRD PARTY HAS BEEN REPORTED. THE INVESTIGATION IS STILL ONGOING.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: THIS EVENT WAS REPORTED TO HAMILTON MEDICAL AG AS, VENTILATOR DEVICE ALARMED FOR LOW OXYGEN. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION. WE LACK FURTHER INFORMATION ON THIS. AN INTERMITTENT ALARM WAS OBSERVABLE BOTH VISUALLY (MESSAGE ALERT: 'LOW OXYGEN') AND THROUGH HEARING. THE DEVICE LOG FILES (SERVICE LOG, ERROR LOG, EVENT LOG) WERE PROVIDED TO HAMILTON MEDICAL AG. THERE IS PATIENT INVOLVEMENT REPORTED. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION BUT WAS NOT FURTHER SPECIFIED NOR EXPLAINED. THERE IS NO NEED FOR ANY MEDICAL INTERVENTION REPORTED. NEITHER DELAY IN TREATMENT NOR HARM TO THE PATIENT, USER OR THIRD PARTY HAS BEEN REPORTED. THE INVESTIGATION IS STILL ONGOING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
641751 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 161006 07630002801850

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown