HAMILTON-G5
Report
- Report Number
- 3001421318-2025-00903
- Event Type
- Malfunction
- Date Received
- November 10, 2025
- Date of Event
- October 12, 2025
- Report Date
- December 12, 2025
- Manufacturer
- HAMILTON MEDICAL AG
- Product Code
- CBK
- UDI-DI
- 07630002802208
- PMA / PMN Number
- K193228
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
HAMILTON MEDICAL AG REF. NR: (B)(4). FOLLOW-UP 1: INVESTIGATION OUTCOME. ACCORDING TO THE LOGFILE ANALYSIS, MULTIPLE TECHNICAL FAULTS (TF) APPEARED ON THE SCREEN PRIOR TO THE EVENT. THESE TECHNICAL FAULTS WERE FOLLOWED BY REPEATED ¿DISCONNECTION ON PATIENT SIDE¿ AND LOW MINUTE VOLUME ALARMS, INDICATING POSSIBLE INSTABILITY IN SYSTEM PERFORMANCE. THE SEQUENCE OF EVENTS SUGGESTS THAT THE DEVICE EXPERIENCED SEVERAL TECHNICAL FAULTS (TF: 2450, 1950, 2103, 9950, 9958, 2454, ETC.) WITHIN A SHORT TIMEFRAME, RESULTING IN REPEATED ALARMS RELATED TO VENTILATION PARAMETERS. SUBSEQUENTLY, THE DEVICE WAS POWERED OFF MANUALLY ¿ AS INDICATED BY THE EVENT ¿POWER-OFF¿ ¿ AND NOT DUE TO A POWER FAILURE. THE NEXT EVENT RECORDED IN THE LOGS IS A ¿POWER-ON¿ ON 2025-11-04, CONFIRMING THAT THE SHUTDOWN WAS USER-INITIATED RATHER THAN SYSTEM-TRIGGERED. 2025-11-04 14:46:25 POWER-ON 2025-11-04 POWER 1, 2025-10-12 19:44:25 HUMIDIFIER OFF SPECIAL 547, 2025-10-12 19:44:25 POWER-OFF 2025-10-12 POWER 3, 2025-10-12 19:44:22 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:21 AUDIO PAUSED ON SPECIAL 516, 2025-10-12 19:44:18 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:16 AUDIO PAUSED ON SPECIAL 516, 2025-10-12 19:44:16 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:15 AUDIO PAUSED ON SPECIAL 516, 2025-10-12 19:44:15 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:15 AUDIO PAUSED ON SPECIAL 516, 2025-10-12 19:44:15 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:14 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:14 AUDIO PAUSED OFF SPECIAL 517, 2025-10-12 19:44:14 AUDIO PAUSED ON SPECIAL 516. 2025-10-12 19:43:43 LOW MINUTE VOLUME ALARMS 5006. 2025-10-12 19:43:41 DISCONNECTION ON PATIENT SIDE ALARMS 5010, 2025-10-12 19:43:40 MAXIMUM LEAK COMPENSATION ALARMS 3030, 2025-10-12 19:43:38 DISCONNECTION ON PATIENT SIDE ALARMS 5010, 2025-10-12 19:43:12 LOW MINUTE VOLUME ALARMS 5006, 2025-10-12 19:43:10 HIGH FREQUENCY ALARMS 4004, 2025-10-12 19:43:09 LOSS OF PEEP ALARMS 4001, 2025-10-12 19:43:08 DISCONNECTION ON PATIENT SIDE ALARMS 5010, 2025-10-12 19:43:07 VOLUME LIMITATION ALARMS 4085, 2025-10-12 19:43:07 TF : 2454 TECH FAULT 2454, 2025-10-12 19:42:39 TF : 9958 TECH FAULT 9958 TF_ WDOG_TOUCH, 2025-10-12 19:42:36 TF : 2103 TECH FAULT 2103 ITF_PTIO_QUEUE_READ, 2025-10-12 19:42:36 TF : 1950 TECH FAULT 1950 TF_ TRI_QUEUE_READ, 2025-10-12 19:42:36 TF : 2103 TECH FAULT 2103 ITF_PTIO_QUEUE_READ, 2025-10-12 19:42:36 TF : 1950 TECH FAULT 1950 ITF_TRI_QUEUE_READ, 2025-10-12 19:42:36 TF : 9950 TECH FAULT 9950 TF_ WDOG_UD, 2025-10-12 19:42:28 TF : 2450 TECH FAULT 2450 ITF_AL_IPP_QUEUE_READ, 2025-10-12 19:42:28 TF : 2450 TECH FAULT 2450 ITF_AL_IPP_QUEUE_READ. THE TECHNICIAN REPLACED THE COMMUNICATION CABLE BETWEEN THE VENTILATION UNIT AND THE INTERACTION PANEL, AS WELL AS THE INTERACTION PANEL EMBEDDED SYSTEM MODULE (IP ESM). AFTER THESE COMPONENTS WERE REPLACED, THE DEVICE OPERATED AS INTENDED.
HAMILTON MEDICAL AG REF. (B)(4. INVESTIGATION ONGOING.
HAMILTON MEDICAL AG RECEIVED THE FOLLOWING EVENT DESCRIPTION: QUOTATION FROM THE REPORTER: "SCREEN FROZE WHILE ON PATIENT, VENTILATION STOPPED" NO HARM TO THE PATIENT WAS REPORTED.
HAMILTON MEDICAL AG RECEIVED THE FOLLOWING EVENT DESCRIPTION: QUOTATION FROM THE REPORTER: "SCREEN FROZE WHILE ON PATIENT, VENTILATION STOPPED" NO HARM TO THE PATIENT WAS REPORTED. CURRENTLY, THE EVENT IS UNDER INVESTIGATION TO VERIFY THE REPORTED ALLEGATIONS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1848364 | HAMILTON-G5 | HAMILTON-G5 | CBK | HAMILTON MEDICAL AG | 159002 | 07630002802208 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |