FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 21262704 · Received January 29, 2025

Report

Report Number
3001421318-2025-00183
Event Type
Malfunction
Date Received
January 29, 2025
Date of Event
January 7, 2025
Report Date
November 3, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMES TO THE CONCLUSION: INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

THE UNIT ALARMED WITH FLOW SENSOR CALIBRATION FAILED DURING PREVENTIVE MAINTENANCE. NO PATIENT WAS INVOLVED. THE EVENT DID NOT CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY TO A PATIENT. THE REVIEW OF THE LOGFILES BY THE LOCAL TECHNICIAN CONFIRMED THE ISSUE. THE ROOT CAUSE OF THE EVENT WAS DETERMINED TO BE A DEFECTIVE PRESSURE SENSOR BOARD. AFTER REPLACING THE PRESSURE SENSOR BOARD, THE DEVICE WAS RELEASED BACK INTO USE.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: (1) DETAILED COMPLAINT AND FAILURE DESCRIPTION: "DETAILED COMPLAINT AND FAILURE DESCRIPTION: "FLOW SENSOR CALIBRATION NEEDED." WHAT CORRECTION HAS BEEN DONE? "ADULT FLOW SENSOR CALIBRATION DID NOT PASS. SO WE HAVE CROSS CHECKED WITH NEW FLOW SENSOR AND CLEAN EXPIRATORY VALVE MEMBRANE BUT PROBLEM REMAINS CONSTANT. WE PERFORMED FLOW TEST IN TSW AND FOUND THAT PROXIMAL FLOW SENSOR QAW VALUES WAS NOT OK AND AUTOZERO TEST ALSO FAILED. SO WE REPLACED THE PRESSURE SENSOR BOARD (P/N -161510) AND DONE ALL TEST AND CALIBRATION SUCCESSFULLY COMPLETED. PLEASE CLOSE THE CER." (2) HEALTH IMPACT: NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1792571 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001 07630002800747

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown