FDA Adverse Event
Malfunction
Summary report: N
HAMILTON-C1
MDR report key: 20414719
·
Received October 10, 2024
Report
- Report Number
- 3001421318-2024-02445
- Event Type
- Malfunction
- Date Received
- October 10, 2024
- Date of Event
- September 23, 2024
- Report Date
- October 10, 2024
- Manufacturer
- HAMILTON MEDICAL AG
- Product Code
- CBK
- PMA / PMN Number
- K181216
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
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: ON (B)(6) WHEN PATIENT GAO WEIPING WAS USING A VENTILATOR FOR ASSISTED VENTILATION, THE VENTILATOR ALARM FLOW SENSOR MALFUNCTIONED AND THE EQUIPMENT DEPARTMENT WAS CONTACTED FOR REPAIR AND REPLACEMENT OF THE FLOW SENSOR. NO HEALTH CONSEQUENCES OR IMPACT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1946151 | HAMILTON-C1 | HAMILTON-C1 | CBK | HAMILTON MEDICAL AG | 161001 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |