FDA Adverse Event Malfunction Summary report: N

HAMILTON-C3

MDR report key: 19266253 · Received May 8, 2024

Report

Report Number
3001421318-2024-01117
Event Type
Malfunction
Date Received
May 8, 2024
Date of Event
April 25, 2023
Report Date
November 12, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002801881
PMA / PMN Number
K201306
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: 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: B4, D1, D2A, D4, D8, G1, G2, G6, H2, H4, H5.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: A SELF-TEST ERROR OCCURRED WHEN THE DEVICE WAS TURNED ON WITH TECHNICAL FAULTS 444004, 431001, 431006, 231032 UNIT DOESN'T START UP (BLUE BOOT SCREEN).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: A SELF-TEST ERROR OCCURRED WHEN THE DEVICE WAS TURNED ON WITH TECHNICAL FAULTS 444004, 431001, 431006, 231032 UNIT DOESN'T START UP (BLUE BOOT SCREEN).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
782733 HAMILTON-C3 HAMILTON-C3 CBK HAMILTON MEDICAL AG 160005 07630002801881

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown