FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 20211215 · Received September 13, 2024

Report

Report Number
3001421318-2024-02209
Event Type
Malfunction
Date Received
September 13, 2024
Date of Event
November 14, 2023
Report Date
November 17, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG CASE NUMBER IS: (B)(4).

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: "TECHNICAL FAULT 431009 (QO2 SENSOR DEFECT) AND 231013." NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1263099 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG MSP161179

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown