FDA Adverse Event Malfunction Summary report: N

HAMILTON-C6

MDR report key: 21318936 · Received February 6, 2025

Report

Report Number
3001421318-2025-00227
Event Type
Malfunction
Date Received
February 6, 2025
Date of Event
December 22, 2024
Report Date
July 21, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002808590
PMA / PMN Number
K201658
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`S CONCLUSION: INVESTIGATION IS ONGOING.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: HAMILTON MEDICAL AG`S COMES TO THE FOLLOWING CONCLUSION: THE USER REPORTED A WHISTLING NOISE FROM THE BACK OF THE VENTILATOR AT HIGH TURBINE SPEED. THE EVENT OCCURRED IN A NON-CLINICAL SETTING; NO PATIENT WAS INVOLVED. NO HARM OR TREATMENT DELAY WAS REPORTED. THE DEVICE STILL WORKED AS INTENDED EVEN WITH A ¿NOISY FAN¿. NO LOGFILES WERE MADE AVAILABLE. BASED ON THE TECHNICIAN¿S ASSESSMENT, THE ROOT CAUSE WAS A DEFECTIVE BOTTOM FAN (PN 160856). THE FAN (C6 BOTTOM FAN 12V, PN 160856) WAS REPLACED. THE DEVICE PASSED ALL SERVICE TESTS AND WAS RETURNED TO USE. NO FURTHER ACTION REQUIRED.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDIAL AG: COMPLAINT DESCRIPTION (QUOTATION OF THE CUSTOMER/REPORTER): "THE USER COMPLAINED ABOUT THE VOLUME AT HIGH TURBINE SPEED."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
909565 HAMILTON-C6 HAMILTON-C6 CBK HAMILTON MEDICAL AG 160021 07630002808590

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown