FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 21271046 · Received January 30, 2025

Report

Report Number
3001421318-2025-00189
Event Type
Malfunction
Date Received
January 30, 2025
Date of Event
January 15, 2025
Report Date
January 13, 2026
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002806091
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG EVENT REFERENCE NUMBER: (B)(4). THE INTERNAL PRODUCT INVESTIGATION IS STILL ONGOING. AS SOON AS THE RESULTS ARE AVAILABLE, THE MANUFACTURER WILL SUBMIT AN UPDATE OF THIS REPORT.

Additional Manufacturer Narrative · 0

INVESTIGATION OUTCOME: IT WAS REPORTED ON THE PROVIDED COMPLAINT FORM "RELEASE VALVE DEFECTIVE, ERROR CODE. PHYSICAL DAMAGES AND PM PARTS REQUIRED. BATTERIES NEED TO BE REPLACED DUE TO AGE" AND "SHOWN IN CALIBRATIONS / VISUALLY". DEVICE LOGS WERE NOT PROVIDED WITH THIS COMPLAINT. ATTEMPTS WERE MADE TO REQUEST THE LOGS AND ADDITIONAL INFORMATION. HAMILTON MEDICAL INC. SENT THE CHECK VALVE ASSEMBLY WITH OBSTRUCTION VALVE (MSP161192) TO BE REPLACED BY THE CUSTOMER. THERE WAS NO RESPONSE AFTER THREE REQUESTS FOR ADDITIONAL INFORMATION IF REPLACING IT RESOLVED THE ISSUE. THE COMPLAINT MAY BE REEVALUATED IF ADDITIONAL INFORMATION IS RECEIVED. COMPLAINT IS CONSIDERED CLOSED.

Description of Event or Problem · 0

THE FOLLOWING WERE REPORTED TO HAMILTON MEDICAL AG: THE RELEASE VALVE WAS DEFECT, ERROR CODE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
681107 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 161009 07630002806091

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown