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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 Mechanical Problem (1384)
Health Effect - Clinical Code Insufficient Information (4580)
Date of Event 04/21/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Analysis of the provided event summary report from the device identified that the battery pack was expired at the time of the reported event.Additionally, the report confirmed the customer's account, as it documented warnings related to motor malfunction (failure to move).A review of the device's service history revealed that the unit had not been maintained in accordance with the instructions for use (ifu).Defibtech recommends periodic maintenance every 18 months to ensure optimal device performance.An investigation into the reported arm unit is ongoing, and the root cause of the issue has not yet been determined.
 
Event or Problem Description
A customer reported that their arm unit would not perform compressions during a rescue attempt, and manual cpr was performed.It was also reported that the patient was not resuscitated.
 
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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 Key22079926
Report Number3003521780-2025-00445
Device Sequence Number9363630
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)Y
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 04/23/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
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 04/23/2025
Initial Report FDA Received Date05/23/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/20/2019
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
Patient Sequence Number1
Outcome Attributed to Adverse Event Death;
Patient SexUnknown
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