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 |