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U.S. Department of Health and Human Services

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

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DEFIBTECH, L.L.C. LIFELINE; AUTOMATED CARDIAC COMPRESSOR Back to Search Results
Model Number RMC-E1000
Medical Device Problem Codes Device Alarm System (1012); Mechanical Problem (1384)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Analysis of the log files from the arm is ongoing and the cause of the complaint is not known.Should additional information become available a follow-up mdr shall be submitted.
 
Event or Problem Description
An international distributor reported upon powering on the device displayed an exclamation mark alarm and could not be used.The customer reported a warning of "motor didn't move in time" found in the history report.They reported that this did not occur during patient use.
 
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Brand Name
LIFELINE
Common Device Name
AUTOMATED 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.
14 commercial st.
branford CT 06405
Manufacturer Contact
ian white
741 boston post road
suite 201
guilford, CT 06437
2034536654
MDR Report Key21338947
Report Number3003521780-2024-01364
Device Sequence Number8459304
Product Code DRM
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
K141809
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Consumer,Distributor
Type of Report Initial,Followup
Report Date (Section B) 01/24/2025
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 Model NumberRMC-E1000
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer04/08/2025
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 01/24/2025
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date02/07/2025
Supplement Report FDA Received Date09/15/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/07/2020
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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