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 |