FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 20105146 · Received August 30, 2024

Report

Report Number
3001421318-2024-02099
Event Type
Malfunction
Date Received
August 30, 2024
Date of Event
August 27, 2024
Report Date
May 2, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION ONGOING. G4 WAS CORRECTED IN THIS FOLLOW UP: CORRECT 510K IS K181216. ADDITIONAL INFORMATION ADDED IN FOLLOW-UP #2 CER 156728. FIELD B4, G6, H2, H3, H6 AND H11 UPDATED. DURING START UP AT PREVENTIVE MAINTENANCE THE OPTIONS DISAPPEARED IN CONFIGURATION MENU. NO PATIENT INVOLVED. CONSEQUENTLY, THE EVENT DID NOT CAUSE OR CONTRIBUTED TO A DEATH OR SERIOUS INJURY. THE OPTIONS DISAPPEARED / OPTIONS NOT FOUND ISSUE MANIFESTS DURING DEVICE BOOT-UP, BEFORE THERAPY IS INITIATED OR A PATIENT IS CONNECTED. THEREFORE, IT IS IMMEDIATELY DETECTED, EVEN PRIOR TO ALL MANDATORY TESTS THAT NEED TO BE EXECUTED BEFORE USING THE DEVICE ON A PATIENT. THE ISSUE CAN BE RESOLVED BY STANDARD USER OR SERVICE ACTIONS (E.G., REBOOTING, VERIFYING LICENSE KEYS, OR RELOADING CONFIG). CONSEQUENTLY, THIS MALFUNCTION IS NOT CLASSIFIED AS A CRITICAL FAILURE OR A REPORTABLE EVENT UNDER STANDARD MEDICAL DEVICE REGULATIONS. SINCE IT OCCURS RIGHT AT BOOT UP AND THE VENTILATOR UNDERGOES MANDATORY VALIDATION BEFORE EVERY USE, ANY DEVICE THAT DOES NOT START WILL SIMPLY BE IDENTIFIED AS NON-OPERATIONAL AND REPLACED OR SERVICED BEFORE IT CAN BE CONSIDERED FOR PATIENT CARE.

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. G4 WAS CORRECTED IN THIS FOLLOW UP: CORRECT 510K IS K181216.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: OPTIONS DISAPPEARED / OPTIONS NOT FOUND.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: OPTIONS DISAPPEARED / OPTIONS NOT FOUND.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: SUMMARY: OPTIONS DISAPPEARED / OPTIONS NOT FOUND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1356335 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown