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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-A1000
Medical Device Problem Code Failure to Charge (1085)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
The customer reported that the automated compression arm failed to charge its battery pack, rendering the device inoperable.They reported that this did not occur during patient use.
 
Additional Manufacturer Narrative
Although requested, the arm unit has not been returned and the cause of the complaint is not known.Should additional information become available, a follow-up mdr shall be submitted.
 
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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 Key21426824
Report Number3003521780-2025-00084
Device Sequence Number7913449
Product Code DRM
UDI-Device Identifier10815098020536
UDI-Public(01)10815098020536
Combination Product (Y/N)N
Initial Reporter StateNY
Initial Reporter CountryUS
PMA/510(K) Number
K141809
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial
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-A1000
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/24/2025
Initial Report FDA Received Date02/20/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/04/2024
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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