FDA Adverse Event Malfunction Summary report: N

HAMILTON-G5

MDR report key: 23552551 · Received November 14, 2025

Report

Report Number
3001421318-2025-00910
Event Type
Malfunction
Date Received
November 14, 2025
Date of Event
September 3, 2025
Report Date
November 14, 2025
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
PMA / PMN Number
K193228
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AG REFERENCE NUMBER: (B)(4). CREATION OF UDI WAS NOT A REQUIREMENT AT THE TIME OF MANUFACTURING OF THIS DEVICE AND HAD NOT YET BEEN IMPLEMENTED IN PRODUCTION. THE REPORT CONTAINS ALSO THE INVESTIGATION OUTCOME. THE MANUFACTURER HAS RECEIVED THE LOGFILES FOR ANALYSIS. ACCORDING TO THE LOGFILES, THE VENTILATOR TRIGGERED A 'VENTILATOR UNIT CONNECTION LOST' AND OTHER SEVERAL ALARMS. THEREFORE, THE LOG FILES CONFIRMED THE ISSUE. (B)(6) 2025 14:03:33, TF : 2438, TECH FAULT 2438; (B)(6) 2025 14:03:33, TF : 2450, TECH FAULT 2450; (B)(6) 2025 14:03:32, TF : 9914, TECH FAULT 9914; (B)(6) 2025 14:02:04, VENTILATOR UNIT CONNECTION LOST ALARMS 5024. (B)(6) 2025 14:02:04, VENTILATOR UNIT CONNECTION LOST ALARMS 5024. TO RESOLVE THE ISSUE, THE VU TO IP CABLE AND THE ESM VU WERE REPLACED. AFTER REPLACING THESE COMPONENTS, THE DEVICE FUNCTIONED AS INTENDED.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING EVENT DESCRIPTION: THE DEVICE ALARMED WITH TF9914. NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2249477 HAMILTON-G5 HAMILTON-G5 CBK HAMILTON MEDICAL AG 159001

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown