FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 19602544 · Received June 24, 2024

Report

Report Number
3001421318-2024-01508
Event Type
Malfunction
Date Received
June 24, 2024
Date of Event
May 23, 2024
Report Date
November 3, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002806091
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NV, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

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, D3, D4, G6, H2, H4, H11.

Description of Event or Problem · 0

THE FOLLOWING HAS BEEN REPORTED TO HAMILTON MEDICAL AG ON 24 MAY 2024. IT WAS REPORTED BY HAMILTON MEDICAL INC, THAT ON 23 MAY 2024, DURING A FLIGHT, A HAMILTON T1 VENTILATOR (SN (B)(6)) STOPPED VENTILATING AND WAS SENDING OUT ERRONEOUS NUMBERS ON THE VENILATOR. ONE OF THE MEDICS AT OUR BASE HAS PHOTOS OF THE ERROR CODE AND THE NUMBERS. NO OTHER INFORMATION AVAILABLE UP TO DATE. ACCORDING TO THE AVAILABLE INFORMATION, THERE IS NO INDICATION THAT THE COMPLAINT LED TO DEATH, INJURY OR SERIOUS DETERIORATION OF THE HEALTH OF THE PATIENT, USER OR THIRD-PARTY.

Description of Event or Problem · 0

THE FOLLOWING HAS BEEN REPORTED TO HAMILTON MEDICAL AG ON (B)(6) 2024 IT WAS REPORTED BY HAMILTON MEDICAL INC, THAT ON (B)(6) 2024, DURING A FLIGHT, A HAMILTON T1 VENTILATOR (SN(B)(6)) STOPPED VENTILATING AND WAS SENDING OUT ERRONEOUS NUMBERS ON THE VENILATOR. ONE OF THE MEDICS AT OUR BASE HAS PHOTOS OF THE ERROR CODE AND THE NUMBERS. NO OTHER INFORMATION AVAILABLE UP TO DATE. ACCORDING TO THE AVAILABLE INFORMATION, THERE IS NO INDICATION THAT THE COMPLAINT LED TO DEATH, INJURY OR SERIOUS DETERIORATION OF THE HEALTH OF THE PATIENT, USER OR THIRD-PARTY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1115568 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 161009 07630002806091

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown