FDA Adverse Event Other Summary report: N

HAMILTON-T1

MDR report key: 2957236 · Received January 31, 2013

Report

Report Number
2937708-2013-00001
Event Type
Other
Date Received
January 31, 2013
Date of Event
December 2, 2013
Report Date
December 18, 2012
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
PMA / PMN Number
K120670
Report Source
Manufacturer report
Reporter Location
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS BEEN RETURNED TO THE MANUFACTURER AND HAS BEEN EVALUATED. AS ROOT CAUSE WAS DETECTED THAT THE MANUAL DOES NOT INCLUDE INFORMATION ABOUT THE INTERNAL OXYGEN CONSUMPTION OF THE DEVICE DURING USE. A RECALL WAS INITIATED TO PROVIDE THE OPERATOR WITH THIS INFORMATION, REVISE THE OPERATOR'S MANUAL AND IMPLEMENT A SOFTWARE UPDATE WHICH PROVIDES INFORMATION ABOUT OXYGEN CONSUMPTION AND DECREASE THE DEVICE'S OXYGEN CONSUMPTION.

Description of Event or Problem · 1

HAMILTON MEDICAL AG HAS RECEIVED A CUSTOMER COMPLAINT ABOUT AN UNEXPECTED HIGH OXYGEN CONSUMPTION DURING THE VENTILATION OF A SMALL PATIENT WITH THE HAMILTON-T1 VENTILATOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
41904 HAMILTON-T1 TRANSPORT VENTILATOR CBK HAMILTON MEDICAL AG

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization