FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 19413579 · Received May 29, 2024

Report

Report Number
3001421318-2024-01329
Event Type
Malfunction
Date Received
May 29, 2024
Date of Event
May 17, 2024
Report Date
October 21, 2024
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002801850
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

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.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: - THIS EVENT WAS REPORTED TO HAMILTON MEDICAL AG AS, BATTERY FROM VENTILATOR DEVICE SOMETIMES FAILS TO CHARGE. - THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION. HAMILTON MEDICAL AG HAS NOT RECEIVED ANY FURTHER EXPLANATION OR INFORMATION ABOUT THIS. - WHETHER ANY ALARMS WERE TRIGGERED WAS NOT REPORTED, BUT THE LOGS SAY OTHERWISE. - THE INSTRUMENT REPORT AND THE DEVICE LOG FILE'S (SERVICE LOG, ERROR LOG, EVENT LOG) WERE PROVIDED TO HAMILTON MEDICAL AG AND SHOWN THAT THE DEVICE INTERMITTENTLY ALARMED FOR "LOSS OF EXTERNAL POWER" AND THERE WAS NO INDICATION OF AC MAINS WHEN CONNECTED TO MAINS. - 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, BATTERY FROM VENTILATOR DEVICE SOMETIMES FAILS TO CHARGE. THIS OCCURRENCE WAS NOTICED DURING PATIENT VENTILATION. HAMILTON MEDICAL AG HAS NOT RECEIVED ANY FURTHER EXPLANATION OR INFORMATION ABOUT THIS. WHETHER ANY ALARMS WERE TRIGGERED WAS NOT REPORTED, BUT THE LOGS SAY OTHERWISE. THE INSTRUMENT REPORT AND THE DEVICE LOG FILE'S (SERVICE LOG, ERROR LOG, EVENT LOG) WERE PROVIDED TO HAMILTON MEDICAL AG AND SHOWN THAT THE DEVICE INTERMITTENTLY ALARMED FOR "LOSS OF EXTERNAL POWER" AND THERE WAS NO INDICATION OF AC MAINS WHEN CONNECTED TO MAINS. 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
1825959 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 161006 07630002801850

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown