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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 04/08/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Although requested, the device nor the event logs have been returned and the cause of the complaint is not known.Analysis identified that the device was not maintained in accordance with the manufacturer's recommendations.Per the device's instructions for use (ifu), defibtech recommends periodic maintenance every 18 months of use.Improper maintenance can cause the rmu-1000 acc not to function.
 
Event or Problem Description
A customer reported that during a rescue attempt, their arm device ceased delivering chest compressions and began flashing a warning indicator.In response, the device was removed from the patient and manual cpr was initiated.The patient was not resuscitated.Following the event, the customer conducted functional testing using a manikin.During testing, it was observed that the device's piston failed to adjust downward to contact the manikin's chest, thereby preventing the initiation of compressions.
 
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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 Key22137021
Report Number3003521780-2025-00438
Device Sequence Number7425198
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) 05/05/2025
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
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/05/2025
Initial Report FDA Received Date06/03/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/06/2022
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 Age42 YR
Patient SexMale
Patient Weight82 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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