FDA Adverse Event Malfunction Summary report: N

BREATHING CIRCUIT SET, COAXIAL

MDR report key: 25092224 · Received May 6, 2026

Report

Report Number
3001421318-2026-00239
Event Type
Malfunction
Date Received
May 6, 2026
Date of Event
April 20, 2026
Report Date
April 29, 2026
Manufacturer
HAMILTON MEDICAL AG
Product Code
BZO
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) INVESTIGATION IS ONGOING. HAMILTON COAXIAL BREATHING CIRCUIT FAMILY DEVICES IN THIS PRODUCT LINE ARE CLASSIFIED UNDER PRODUCT CODE BZO. ¿SET, TUBING AND SUPPORT, VENTILATOR (WITH HARNESS). PART NUMBER 260127 IS LISTED IN THE SAME PRODUCT FAMILY PER THE MANUFACTURER ¿S IFU, AND THEREFORE FALLS UNDER THE SAME FDA PRODUCT CLASSIFICATION. BATCH/LOT NUMBER WAS NOT PROVIDED; HENCE, SPECIFIC DEVICE IDENTIFICATION REMAINS INCOMPLETE AT THIS STAGE.

Description of Event or Problem · 0

ACCORDING TO THE COMPLAINT DESCRIPTION, "(B)(6) FROM (B)(6) SHARED THAT SHE HAD BEEN IN CONTACT REGARDING AN EXPIRATORY VALVE OCCLUSION/OBSTRUCTION ALARM." A PATIENT WAS INVOLVED IN THE REPORTED EVENT. HOWEVER, NO HARM OCCURRED AND NO MEDICAL INTERVENTION WAS REPORTED TO BE REQUIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
419982 BREATHING CIRCUIT SET, COAXIAL BREATHING CIRCUIT SET, COAXIAL BZO HAMILTON MEDICAL AG 260127

Patients

Seq Age Sex Outcome Treatment
1