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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-U2000
Medical Device Problem Code Mechanical Problem (1384)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Although requested, the arm has not been returned and the cause of the complaint is not known.
 
Event or Problem Description
An customer reported their arm battery release button will not return to the correct position.They further reported 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 Key21859097
Report Number3003521780-2025-00328
Device Sequence Number7917310
Product Code DRM
UDI-Device Identifier10815098020819
UDI-Public(01)10815098020819
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K211289
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Consumer,Distributor
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 03/18/2025
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-U2000
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 03/18/2025
Initial Report FDA Received Date04/17/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/14/2025
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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