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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 Battery Problem (2885)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The customer reported receiving this battery pack from a distributor.Records indicate the battery was originally shipped on june 12, 2023.According to the device user manual, a battery pack should not remain in ship mode for more than 12 months before being fully charged.In this case, it appears likely that the battery pack remained in ship mode for approximately 2 years, significantly exceeding the recommended storage duration and resulting in the battery pack's inability to power on the device.
 
Event or Problem Description
A customer reported their arm battery will not charge or power on.They reported that this battery pack has bever been used.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
Manufacturer Contact
nissa soto
741 boston post road
suite 201
guilford, CT 06437
2034536654
MDR Report Key22569529
Report Number3003521780-2025-00749
Device Sequence Number17142293
Product Code DRM
UDI-Device Identifier10815098020536
UDI-Public(01)10815098020536
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
K141809
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 07/22/2025
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 06/24/2025
Initial Report FDA Received Date07/22/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/30/2016
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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