FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 22010979 · Received May 13, 2025

Report

Report Number
3001421318-2025-00600
Event Type
Malfunction
Date Received
May 13, 2025
Date of Event
April 23, 2025
Report Date
May 13, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002813532
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG COMPLAINT NUMBER: (B)(4).3 COMBINED REPORT. MEASURES TAKEN: THE DRIVER BOARD (PN MSP161500) AND THE POWER SUPPLY (PN MSP396232) WERE REPLACED. THE VENTILATOR DEVICE PASSED THE SERVICE SOFTWARE TESTS SUCCESSFULLY AND IS PUT BACK IN SERVICE.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING INCIDENT DESCRIPTION: "DURING PATIENT VENTILATION THE VENTILATOR SIMPLY STOPPED WORKING. SCREEN WENT BLANK, IT WAS AS IF IT HAD JUST SWITCHED OFF. VENT POWERED ON AGAIN AND BEGAN ATTEMPTING TO VENTILATE (OBVS NOT ATTACHED TO PATIENT). SCREEN WAS ILLUMINATED WITH A COMPLETELY BLANK WHITE SCREEN AND ALARM WAS SOUNDING. UNABLE TO SWITCH OFF. ONLY OPTION WAS TO LEAVE TO RUN OUT OF BATTERY. WHEN SWITCHED ON AGAIN APPEARED TO BE FUNCTIONING NORMALLY AGAIN (ALTHOUGH UNTESTED ETC)¿. THE REPORTED ISSUE DID NOT RESULT IN ANY PATIENT HARM. THERE IS NO MEDICAL INTERVENTION, NOR A DELAY OF TREATMENT REPORTED. THE DEVICE LOG FILES WERE PROVIDED TO HAMILTON MEDICAL. THE DEVICE LOG FILES DON¿T COVER THE REPORTED EVENT DATE 23-APR-2025. INSTEAD ON DATE (B)(6) 2025 VARIOUS AMBIENT AND BATTERY RELATED ALERTS WERE LOGGED. THEREFORE, A CHECKING WITH THE REPORTER IS INDICATED. THE VENTILATOR DEVICE MODEL HAMILTON-T1 IS DESIGNED FOR USE DURING PATIENT TRANSPORT. DUE TO THE REPORTED ISSUE AND THE INDICATIONS FOUND IN THE LOGFILE, AN IMPACT ON THE PATIENT HEALTH CANNOT BE EXCLUDED. THEREFORE, THIS CASE WAS ASSESSED REPORTABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1031938 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 1610060 07630002813532

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown