FDA Adverse Event Malfunction Summary report: N

HAMILTON-C3

MDR report key: 23756021 · Received December 9, 2025

Report

Report Number
3001421318-2025-00956
Event Type
Malfunction
Date Received
December 9, 2025
Date of Event
December 2, 2025
Report Date
April 13, 2026
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002801881
PMA / PMN Number
K201306
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AGS REFERENCE: (B)(4). HAMILTON MEDICAL AGS CONCLUSION: IT WAS REPORTED THAT THE VENTILATOR DISPLAYED REPEATED ¿OXYGEN SUPPLY FAILED¿ ALARMS DURING TESTING ON A TEST LUNG. LOGFILE ANALYSIS SHOWED MULTIPLE OXYGEN SUPPLY FAILURE EVENTS ON 02 DEC 2025 UNDER VARYING OXYGEN SETTINGS. THE EVENTS WERE CONSISTENT WITH A MALFUNCTION OF THE O2 MIXER ASSEMBLY, WHICH WAS REPLACED. AFTER REPLACEMENT AND COMPLETION OF ALL REQUIRED TESTS AND CALIBRATIONS, THE VENTILATOR PASSED ALL FUNCTIONAL TESTS AND OPERATED NORMALLY. THE VENTILATOR WAS RETURNED TO SERVICE. NO PATIENT WAS INVOLVED, NO HARM OCCURRED, AND NO MEDICAL INTERVENTION WAS REQUIRED. THERE IS NO INDICATION THAT THE EVENT RESULTED IN DEATH, INJURY, OR ANY DETERIORATION IN THE HEALTH OF A PATIENT, USER, OR THIRD PARTY. CASE IS CONSIDERED CLOSED.

Additional Manufacturer Narrative · 0

HAMILTON MEDICAL AGS REFERENCE: (B)(4); HAMILTON MEDICAL AGS CONCLUSION: INVESTIGATION IS STILL ONGOING.

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING EVENT DESCRIPTION: OXYGEN SUPPLY FAILED DURING TESTING ON TEST LUNG OF VENTILATOR. NO FURTHER CLINICAL SIGNS, SYMPTOMS OR CONDITIONS AND NO HEALTH CONSEQUENCES OR IMPACT, WERE REPORTED. THE INVESTIGATION TO VERIFY THE ALLEGATION IS STILL IN PROGRESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
429734 HAMILTON-C3 HAMILTON-C3 CBK HAMILTON MEDICAL AG 160005 07630002801881

Patients

Seq Age Sex Outcome Treatment
1