FDA Adverse Event Injury Summary report: N

HAMILTON T1

MDR report key: 19995931 · Received August 14, 2024

Report

Report Number
MW5158475
Event Type
Injury
Date Received
August 14, 2024
Date of Event
August 11, 2024
Report Date
August 12, 2024
Manufacturer
HAMILTON MEDICAL, INC.
Product Code
CBK
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
WV, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

VENTILATOR CIRCUIT FAILURE. ALARMING FOR THE FLOW VALVE TO BE FLIPPED WHILE THE VENT WAS ATTACHED TO THE PATIENT.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED ON 9/12/2024 FOR REPORT MW5158475 TO UPDATE PROCODE TO CBK.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED FOR REPORT MW5158475 ON 09/18/2024 FOR MANUFACTURER HAMILTON MEDICAL, INC. VENTILATOR CIRCUIT FAILURE. ALARMING FOR THE FLOW VALVE TO BE FLIPPED WHILE THE VENT WAS ATTACHED TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2350676 HAMILTON T1 VENTILATOR, CONTINUOUS, FACILITY USE CBK HAMILTON MEDICAL, INC.

Patients

Seq Age Sex Outcome Treatment
1 1 MO Male Required Intervention