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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEFIBTECH, L.L.C. LIFELINE; CARDIAC COMPRESSOR

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DEFIBTECH, L.L.C. LIFELINE; CARDIAC COMPRESSOR Back to Search Results
Model Number RMU-1000
Device Problem Mechanical Problem (1384)
Patient Problem Cardiac Arrest (1762)
Event Date 07/22/2022
Event Type  malfunction  
Manufacturer Narrative
Analysis of the device's electronic history file showed the device was manufactured in december 2020 and during its service, had performed 32,059 compressions.Analysis of the returned device identified the cause of the reported problem was caused by the loosening of the compression module's bottom screw.
 
Event Description
An international distributor relayed a report from a professional user that the compression device stopped performing compressions during use.It was also reported that there was no death or serious injury associated with the reported device problem.No other patient or event details were provided.
 
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Brand Name
LIFELINE
Type of Device
CARDIAC COMPRESSOR
Manufacturer (Section D)
DEFIBTECH, L.L.C.
741 boston post rd.
suite 201
guilford CT 06437
Manufacturer (Section G)
DEFIBTECH, L.L.C.
741 boston post road
suite 201
guilford CT 06437
Manufacturer Contact
ian white
741 boston post road
suite 201
guilford, CT 06437
2034536654
MDR Report Key15986500
MDR Text Key308234502
Report Number3003521780-2022-00010
Device Sequence Number1
Product Code DRM
UDI-Device Identifier10815098020628
UDI-Public10815098020628
Combination Product (y/n)N
Reporter Country CodeTH
PMA/PMN Number
K141809
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Consumer,Health Professional,Distributor
Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date 12/08/2022
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
Device Operator Health Professional
Device Model NumberRMU-1000
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer03/26/2021
Initial Date Manufacturer Received 12/01/2022
Initial Date FDA Received12/15/2022
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/26/2020
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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