FDA Adverse Event Injury Summary report: N

HAMILTON-C2

MDR report key: 8727488 · Received June 24, 2019

Report

Report Number
2937708-2019-00002
Event Type
Injury
Date Received
June 24, 2019
Date of Event
June 5, 2019
Report Date
June 21, 2019
Manufacturer
HAMILTON MEDICAL AG
Product Code
CBK
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
CA, US
Reporter Occupation
501

Narratives

Description of Event or Problem · 1

PATIENT SETTING WAS NIV-ST THEN INTUBATED. TWO BATTERIES INDICATED RED AND PLUG INDICATOR HAD RED X. USER UNPLUGGED VENTILATOR THEN PLUGGED THE VENTILATOR BACK INTO WALL AC, THEN RECEIVED A BATTERY COMMUNICATION ERROR. SCREEN FROZE AND THE VENT STOPPED AND FROZE ON A SELF-TEST SCREEN. BAGGED PATIENT AND SWITCHED TO A HAMILTON-C1.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
522764 HAMILTON-C2 C2 CBK HAMILTON MEDICAL AG C2

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention