FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 21010165 · Received December 24, 2024

Report

Report Number
3001421318-2024-03002
Event Type
Malfunction
Date Received
December 24, 2024
Date of Event
November 3, 2024
Report Date
November 21, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER
Health Professional
N

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: THE FACILITY REPORTED WHILE USING NPCAP MODE ON A PATIENT THE VENTILATOR ALARMED WITH TECHNICAL EVENT (AUTOZERO ERROR QAW/PAW). THEY REPORTED THIS OCCURRED NUMEROUS TIMES: (B)(6) 2024 AND (B)(6) 2024. THE VENTILATOR WAS REMOVED FROM USE AND REPLACED WITH ANOTHER VENTILATOR. NO HEALTH CONSEQUENCES OR IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2364507 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown