Date Initiated by Firm | June 15, 2023 |
Date Posted | July 21, 2023 |
Recall Status1 |
Open3, Classified |
Recall Number | Z-2141-2023 |
Recall Event ID |
92482 |
510(K)Number | K121225 |
Product Classification |
Ventilator, continuous, facility use - Product Code CBK
|
Product | HAMILTON C2 Ventilator
Is intended to provide positive pressure ventilatory support to adults and pediatrics, and optionally infants and neonates |
Code Information |
Model: HAMILTON-C2
REF:
160001
UDI-DI Code: 07630002800372
Serial Numbers:
1549
1552
1554
1555
1557
1563
1565
1569
1796
1796
1797
1798
1800
1804
1806
1808
1809
1810
1811
1815
3001
3002
3004
3005
3036
3037
3038
3039
3040
3041
3042
3043
3053
3059
3067
3068
3070
3074
3075
3078
3081
3082
3085
3086
3087
3088
3098
3101
3106
3107
3115
3189
3191
3196
3204
3206
3207
3208
3209
3210
3211
3222
3223
3224
3225
3226
3227
3228
3229
3230
3231
3232
3233
3234
3235
3236
3237
3238
3239
3240
3241
3242
3243
3244
3245
3246
3247
3248
3249
3250
3251
3252
3253
3253
3254
3255
3256
3256
3257
3258
3259
3260
3261
3262
3263
3264
3265
3265
3267
3276
3278
3279
3280
3283
3283
3284
3287
3294
3297
3299
3302
3303
3304
3654
3785
3792
3792
3794
3796
3810
3811
3812
3812
3814
3816
3816
3818
3819
3820
3821
3821
3823
3824
3893
3929
4157
4158
4163
4165
4166
4168
4169
4171
4172
4174
4175
4178
4179
4181
4191
4193
4194
4195
4208
5168
5169
5170
5171
5172
5173
5174
5175
5176
5190
5193
5470
5647
5687
5700
5710
5711
5716
5722
5723
5746
5751
5754
5755
5766
5767
5768
5769
6022
6023
6024
6025
6534
6837
6877
6893
6904
7057
7165
7195
7716
7947
7948
7996
8600
8626
8627
8628
8629
8631
8632
8637
8641
8642
8810
8811
8812
8813
8814
8815
8816
8817
8818
9017
9018
9019
9220
9221
9237
10245
10732
10737
10737
10741
10744
10765
10770
10773
10775
10776
10778
10780
10808
11250
11300
12581
Puerto Rico Serial Numbers:
2848
2895
2900
3922
3924
3925
3936
3943
3944
3949
3952
3954
3955
3962
3964
3970
3984
3986
3989
4038
4039
4040
4041
4042
4043
4049
4052
5352
5973
5969
5975
5484
5945
5947
5971
5970
6502
6504
6501
6498
6499
6511
6950
7624
7694
7736
1549
1565
1804
1806
3001
3004
3005
3039
3041
3078
3081
3098
3189
3191
3206
3207
3208
3209
3211
3222
3223
3224
3225
3226
3228
3230
3231
3233
3234
3235
3237
3238
3239
3240
3241
3242
3243
3244
3245
3248
3250
3251
3253
3254
3258
3259
3265
4194
4208
8140
8143
8149
7724
8381
8382
8664
10172
10174
8668
8678
10097
10098
10099
10096
10104
10092
10090
10103
10174
10172
10180
10183
10085
10119
10080
10081
10082
10083
10089
10093
10095
10102
10112
10116
10118
10120
10122
10123
10129
10133
10134
10774
10742
10162
10759
10761
10766
10757
10758
11848
11877
11878
12576
12579
12703
12710
12708
|
Recalling Firm/ Manufacturer |
Hamilton Medical, Inc. 4655 Aircenter Cir Reno NV 89502-5948
|
For Additional Information Contact | Kyle Hofer 800-426-6331 |
Manufacturer Reason for Recall | Due to a software anomaly after approximately 91 days of cumulative use, the ventilator may stop and enter the ambient mode without prior notice. |
FDA Determined Cause 2 | Software design |
Action | On 06/15/2023, the firm sent via email an "URGENT Medical Device Correction" Letter to customers informing them that, affected HAMILTON-C2/C3/C1/T1 ventilators which are used for long-term ventilation in neonatal group will switch to the "Ambient State" if the ventilation time is exceeding 91 days. During the "Ambient State" the ventilator will alarm audibly and visually displayed on the screen and would result in no active ventilation being provided to patients.
Instructions for Customers:
Required user actions if failure occurs: In such a case, perform the following actions steps:
1. Provide alternative ventilation immediately.
2. You must switch off ventilator power to exit the Ambient State .
3. Once patient safety is ensured, it is required to have the ventilator serviced. (After passing the service software the device can be returned to use.)
For further information see chapter Ambient State in the respective Operator s Manual:
HAMILTON-C1/T1 SW version d2.2.X Section 7.6.2 (pg. 130)
HAMILTON-C2 SW version d2.2.X section B.8 (pg. 330)
HAMILTON-C3 SW version d2.0.X section 7.7.3 (pg. 123)
Mandatory periodic, preventive action: To avoid this malfunction, perform the following:
The device needs to be restarted regularly.
Note: Switching into standby is not sufficient.
It is recommend to perform the restart of the device during the regular exchange of the breathing circuits (usually every 28 days).
Preventing the failure from occurring through a software update: For HAMILTON-C1/T1: Update the devices to SW version 3.0.0 or higher.
-Until the malfunction is corrected as part of this Medical Device Correction, please continue to follow the instructions in this Medical Device Correction.
-Clearly display this correction notice at your site.
For Questions: Hamilton Medical AG Technical Support at Tel. +41 58 610 10 20
Email: techsupport@hamilton-medical.com
Added 08/30/2023 - Firm notified customers in Puerto Rico on ****
|
Quantity in Commerce | 399 systems |
Distribution | U.S.:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Added 08/30/2023 - Puerto Rico
O.U.S.: Bahamas, Japan and Mexico |
Total Product Life Cycle | TPLC Device Report |
|
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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510(K) Database | 510(K)s with Product Code = CBK
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