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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: HAMILTON MEDICAL AG Breathing Circuit Set, Coaxial

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HAMILTON MEDICAL AG Breathing Circuit Set, Coaxial Back to Search Results
Model Number 260128
Medical Device Problem Code Obstruction of Flow (2423)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/12/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Hamilton medical ag reference number: (b)(4).Investigation is ingoing hmag reference number: (b)(4).Fda reference: (b)(4).
 
Event or Problem Description
It was reported to hamilton medical ag, that: the hamilton-t1 ventilator (pn 161006 / sn 512288) and the breathing circuit set (pn 260128 / ln unknown) experienced intermittent "exhalation obstruction" alarm.No patient involvement, medical intervention or patient, user or third party harm was reported.
 
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Brand Name
Breathing Circuit Set, Coaxial
Common Device Name
Breathing Circuit Set, Coaxial
Manufacturer (Section D)
HAMILTON MEDICAL AG
via crusch 8
bonaduz 7402
SZ  7402
Manufacturer Contact
jan schaufelberger
via crusch 8
bonaduz 7402
SZ   7402
MDR Report Key25329640
Report Number3001421318-2026-00339
Device Sequence Number9675761
Product Code BZO
UDI-Device Identifier07630002802963
Combination Product (Y/N)N
Initial Reporter CountryUS
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility,Distributor
Remedial Action Recall
Type of Report Initial,Followup
Report Date (Section B) 09/02/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number260128
Device Catalogue Number260128
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/12/2026
Supplement Date Received by Manufacturer09/02/2026
Initial Report FDA Received Date05/29/2026
Supplement Report FDA Received Date09/02/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
HAMILTON-T1 SN (B)(6) PN 161006
Patient SexUnknown
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