Medical Device
Manufacturing
THE TRADE PAPER OF THE FACTORY FLOOR
Z-0741-2013Class I

HAMILTON-T1 Ventilator with software versions 1.1.2 or lower. The HAMILTON T-1 Ventilator is intended to...

Hamilton Medical AG / initiated 2012-12-19 / Terminated / root cause: software

Hamilton Medical Inc began a recall of HAMILTON-T1 Ventilator with software versions 1.1.2 or lower. The HAMILTON T-1 Ventilator is intended to provide positive pressure ventilatory support to... on . FDA classified it as Class I and gives the reason as "Analysis of a customer complaint has shown that during ventilation of small pediatric patients with high airway resistance and low lung compliance, the oxygen consumption of a Hamilton T1 ventilator with software...". As of , the recall status on record is Terminated, and MDM tags the root cause as software.

Recall record

Recall number
Z-0741-2013
Classification
Class I
Status
Terminated
Initiated
Posted
Terminated
Recalling firm
Hamilton Medical AG
Product
HAMILTON-T1 Ventilator with software versions 1.1.2 or lower. The HAMILTON T-1 Ventilator is intended to provide positive pressure ventilatory support to adults and pediatrics
Product code
CBK Ventilator, Continuous, Facility Use
Reason for recall
Analysis of a customer complaint has shown that during ventilation of small pediatric patients with high airway resistance and low lung compliance, the oxygen consumption of a Hamilton T1 ventilator with software versions 1.1.2 and lower must be calculated using a larger margin than originally expected.
Root cause tag
software
FDA root cause
Software design
Action
Hamilton sent a Field Safety alert letter dated January 11, 2013 to all customers. The letter identified the affected product, explained the potential problem and a included Medical Device Safety Alert and Corrective Action document. Hamilton is working on a new software version for this issue. Customers are asked to update their operator manual with the update oxygen consumption formula page which provided revised information for calculating oxygen capacity. When the new software is available, Hamilton will provide loaner devices to each location while their unit is being upgraded. Questions should be addressed to Hamilton Medical at 800-426-6331 ext 215
Quantity in commerce
97 total ventilators; 69 of part number 161005 and 28 of part number 161006
Distribution
US Nationwide Distribution including the country of Switzerland.
Product codes and lots
Software Versions 1.1.2 and below; Part numbers 161005, 161006.

Enforcement reports

One row per recalled product line
FDA enforcement reports joined to recall event Z-0741-2013
Recall numberClassStatusVoluntary or mandatedReport dateClassified
Z-0741-2013Class ITerminatedVoluntary: Firm initiated