FDA Adverse Event Malfunction Summary report: N

HAMILTON-T1

MDR report key: 22562936 · Received July 22, 2025

Report

Report Number
3001421318-2025-00702
Event Type
Malfunction
Date Received
July 22, 2025
Date of Event
June 16, 2025
Report Date
July 22, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
PMA / PMN Number
K181216
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG REF NR: (B)(4). NO UDI INFORMATION AVAILABLE AS DEVICE WAS MANUFACTURED PRIOR TO REQUIREMENT. INVESTIGATION: LOCAL SERVICE ENGINEER IDENTIFIED CONTROL BOARD (MSP161502) AS DEFECTIVE COMPONENT. REPLACEMENT OF THIS PART RESOLVED THE ISSUE. DEVICE PASSED ALL TESTS AND RETURNED IN USE.

Description of Event or Problem · 0

THE FOLLOWING WAS REPORTED TO HAMILTON MEDICAL AG: "DEVICE CAME IN WITH NUMEROUS TFS 246005, 232029, 485001, 431001, 446029, 246009, 443001. REPLACING CONTROL BOARD CLEARED ALL FAULTS. DEVICE PASSED ALL TESTS AND RETURNED TO SERVICE." NO PATIENT INVOLVEMENT. ALTHOUGH, NO PATIENT INVOLVEMENT WAS REPORTED, HAMILTON MEDICAL'S INITIAL ASSESSMENT OF THE CASE SHOWED AN "AMBIENT" IN THE LOG FILES. PATIENT INVOLVEMENT HAS NOT BEEN CONFIRMED BY THE CUSTOMER. BUT THE AMBIENT IS VISIBLE IN THE LOG FILE AND SEEN AS CRITICAL IF IT WERE TO RECUR. DUE TO THESE UNKNOWN CIRCUMSTANCES AND AN AMBIENT MODE LISTED IN THE LOG FILES, THIS CASE IS ASSESSED AS REPORTABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
778666 HAMILTON-T1 HAMILTON-T1 CBK HAMILTON MEDICAL AG 161001

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown