BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HAMILTON MEDICAL, INC.

    MDR report key: 2536463 · Received April 10, 2012

    Report

    Report Number
    MW5025005
    Event Type
    Injury
    Date Received
    April 10, 2012
    Date of Event
    March 5, 2012
    Report Date
    April 10, 2012
    Manufacturer
    HAMILTON MEDICAL, INC.
    Product Code
    CBK
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PATIENT WAS ON A HAMILTON MODEL C-2 VENTILATOR. THE VENTILATOR DISPLAYED A 'VENTILATOR CANCELED' MESSAGE AND CEASED PROVIDING VENTILATION TO THE PATIENT. THE PATIENT WAS IMMEDIATELY MANUALLY VENTILATED UNTIL SUCH TIME AS A REPLACEMENT VENTILATOR COULD BE SET UP. NO HARM CAME TO THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HAMILTON MEDICAL, INC. HAMILTON MEDICAL, INC. C-2 VENTILATOR CBK HAMILTON MEDICAL, INC. C-2

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DA Life Threatening| S