FDA Adverse Event Malfunction Summary report: N

HAMILTON-C1

MDR report key: 25133950 · Received May 11, 2026

Report

Report Number
3001421318-2026-00273
Event Type
Malfunction
Date Received
May 11, 2026
Date of Event
January 26, 2026
Report Date
May 11, 2026
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
UDI-DI
07630002800747
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

(B)(4)

Description of Event or Problem · 0

HAMILTON MEDICAL AG RECEIVED THE FOLLOWING EVENT DESCRIPTION: THE REPORT FROM HOSPITAL SAY: WHEN THE OXYGEN CONCENTRATION IS SET ABOVE 80% DURING USE, THE OXYGEN CONCENTRATION DETECTION ERROR IS LARGE, AND THE MACHINE WILL ALARM FOR LOW OXYGEN CONCENTRATION AND EMIT A LOUD NOISE - NO HEALTH CONSEQUENCES OR IMPACT - THE STANDBY MACHINE WAS IMMEDIATELY REPLACED. ADDITIONAL INFORMATION RECEIVED ON 1TH MAY 2026: THE REPORT FROM HAMILTON MEDICAL TECHNOLOGIES IN CHINA WAS RECEIVED WHICH PROVIDED NEW INFORMATION ABOUT THE CASE. THE FOLLOWING WAS DESCRIBED: "WHEN THE OXYGEN CONCENTRATION WAS SET ABOVE 80% DURING USE, THERE WAS A LARGE ERROR IN OXYGEN CONCENTRATION DETECTION, AND THE MACHINE ISSUED A LOW OXYGEN CONCENTRATION ALARM AND A ROARING SOUND". THE STANDBY MACHINE WAS IMMEDIATELY REPLACED AND THE MEDICAL EQUIPMENT DEPARTMENT WAS NOTIFIED FOR REPAIR. THE MEDICAL EQUIPMENT DEPARTMENT CONTACTED THE MANUFACTURER'S ENGINEER, AND THE DEVICE RETURNED TO NORMAL AFTER SOFTWARE REINSTALLATION. NO INJURY WAS CAUSED AS THE PROBLEM WAS DETECTED AND THE STANDBY MACHINE WAS REPLACED IMMEDIATELY DURING USE. THE FAILURE MAY BE CAUSED BY A MALFUNCTION AT THE OXYGEN INHALATION VALVE, RESULTING IN THE MIXED OXYGEN CONCENTRATION FAILING TO REACH THE SET VALUE; THE ROARING SOUND MAY BE DUE TO BLOCKAGE AT THE OXYGEN INHALATION VALVE. THERE IS INFORMATION THAT REASONABLY SUGGEST THAT THE DEVICE HAS MALFUNCTIONED AND THAT THE DEVICE OR A SIMILAR DEVICE WOULD BE LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF THE MALFUNCTION WERE TO RECUR. THEREFORE, REPORTABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
622038 HAMILTON-C1 HAMILTON-C1 CBK HAMILTON MEDICAL AG 161001 07630002800747

Patients

Seq Age Sex Outcome Treatment
1