FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 19640355 · Received June 29, 2024

Report

Report Number
3001421318-2024-01559
Event Type
Malfunction
Date Received
June 29, 2024
Date of Event
July 27, 2023
Report Date
November 17, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002813532
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).

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 TESTING, A HAMILTON T1 VENTILATOR (SN (B)(6)) ALARMS FOR TE244021 AT START-UP BOTH ON AC AND ON BATTERY. VENTILATOR DISPLAYED TF: 244021, USUALLY MID FLIGHT FOR EMS COMPANY. THIS CODE SHOWS UP WHETHER THE VENT IS ON BATTERY, OR AC POWER. I HAD THE TECH SWAP BATTERIES, CONFIRM CHARGING LIGHTS, RESEAT THE BATTERIES AND HE RECONDITIONED ONE WITH THE SOH LOWER THAN WHEN HE STARTED. THEY ARE USING A SINE WAVE OUTPUT (NOT MODIFIED). ACCORDING TO THE PRELIMINARY INVESTIGATION PERFORMED, POTENTIAL ROOT CAUSE ASSOCIATED TO THE REPORTED ISSUE ARE AS FOLLOW: -DEFECTIVE BATTERY -DEFECTIVE POWER SUPPLY -DEFECTIVE BATTERY CONNECTOR BOARD THE FOLLOWING CORRECTION CAN BE CONSIDERED ACCORDINGLY: -REMOVE BATTERY ONE AT A TIME AND OBSERVE IF THE ERROR PERMANENTLY DISAPPEARS. -CROSS CHECK ON OTHER DEVICE WITH THE SAME SW VERSION, IF THE ERROR REPLICATES. -REPLACE THE DEFECTIVE BATTERY. -REPLACE POWER SUPPLY, IF THE ISSUE PERSIST. -REPLACE BATTERY CONNECTOR BOARD ACCORDING TO THE AVAILABLE INFORMATION, THERE IS NO INDICATION THAT THE COMPLAINT LEAD 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 30 MAY 2024 IT WAS REPORTED BY HAMILTON MEDICAL INC, THAT ON 23 MAY 2024 DURING TESTING, A HAMILTON T1 VENTILATOR (SN (B)(6)) ALARMS FOR TE244021 AT START-UP BOTH ON AC AND ON BATTERY. VENTILATOR DISPLAYED TF: 244021, USUALLY MID FLIGHT FOR EMS COMPANY. THIS CODE SHOWS UP WHETHER THE VENT IS ON BATTERY, OR AC POWER. I HAD THE TECH SWAP BATTERIES, CONFIRM CHARGING LIGHTS, RESEAT THE BATTERIES AND HE RECONDITIONED ONE WITH THE SOH LOWER THAN WHEN HE STARTED. THEY ARE USING A SINE WAVE OUTPUT (NOT MODIFIED). ACCORDING TO THE PRELIMINARY INVESTIGATION PERFORMED, POTENTIAL ROOT CAUSE ASSOCIATED TO THE REPORTED ISSUE ARE AS FOLLOW: DEFECTIVE BATTERY; DEFECTIVE POWER SUPPLY; DEFECTIVE BATTERY CONNECTOR BOARD. THE FOLLOWING CORRECTION CAN BE CONSIDERED ACCORDINGLY: REMOVE BATTERY ONE AT A TIME AND OBSERVE IF THE ERROR PERMANENTLY DISAPPEARS. CROSS CHECK ON OTHER DEVICE WITH THE SAME SW VERSION, IF THE ERROR REPLICATES. REPLACE THE DEFECTIVE BATTERY. REPLACE POWER SUPPLY, IF THE ISSUE PERSIST. REPLACE BATTERY CONNECTOR BOARD. ACCORDING TO THE AVAILABLE INFORMATION, THERE IS NO INDICATION THAT THE COMPLAINT LEAD 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
2174805 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 1610060 07630002813532

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown