FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 21208048 · Received January 22, 2025

Report

Report Number
3001421318-2025-00158
Event Type
Malfunction
Date Received
January 22, 2025
Date of Event
January 31, 2024
Report Date
January 20, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002808590
PMA / PMN Number
K201658
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MY
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: ROOT CAUSE: THE DEVICE FAILED TO START UP SUCCESSFULLY AND TF 332001 (QAW FLOW SENSOR ERROR) WAS DISPLAYED. TF 332001 INDICATES A TECHNICAL ISSUE WITH THE PROXIMAL FLOW SENSOR QAW. THIS QAW IS MEASURED BY THE PRESSURE SENSOR ASSEMBLY BY MEANS OF 2 PRESSURE SENSORS. MOST LIKELY IT WAS DUE TO A TECHNICAL DEFECT OR DUE TO AN ERROR OF THE QAW SENSOR, WHICH WAS DETECTED BY THE SYSTEM DURING THE INITIALIZATION OF THE COMPONENTS INSTALLED IN THE DEVICE. THE ROOT CAUSE WAS FINALLY IDENTIFIED BY THE SERVICE TECHNICIAN AS A DEFECTIVE PRESSURE SENSOR ASSEMBLY (MSP160870). CORRECTION: THE CORRECTION CONSISTED IN AN EXCHANGE OF THE HAMILTON-C6 PRESSURE SENSOR ASSEMBLY (MSP160870). AFTER REPLACEMENT OF THE PRESSURE SENSOR ASSEMBLY THE VENTILATOR WAS CHECKED SUCCESSFULLY AND RELEASED BACK TO SERVICE.

Description of Event or Problem · 0

THE UNIT SHOWS AN ALARM "SELF-TEST FAILED" AND OCCURS TF 332001. AFTER REPLACING THE PRESSURE SENSOR ASSEMBLY, THE UNIT RETURNS TO NORMAL CONDITION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
943665 HAMILTON-C6 HAMILTON-C6 CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown