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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DEFIBTECH, L.L.C. REVIVER; AUTOMATED EXTERNAL DEFIBRILLATORS

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DEFIBTECH, L.L.C. REVIVER; AUTOMATED EXTERNAL DEFIBRILLATORS Back to Search Results
Model Number DDU-100B
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
A customer reported that their aed's battery was depleted.When tested with a spare battery pack, it powered on and prompted a service code.The customer did not report this occurring during patient use.
 
Additional Manufacturer Narrative
Troubleshooting of the device with the customer identified a lack of maintenance with the device that contributed to the depleted battery pack.The customer reported aed maintenance was only performed every 12 weeks.As a follow up with the customer, the proper maintenance of this device was reviewed.The ddu-100 series aed is designed to be very low maintenance.Simple maintenance tasks are recommended to be performed regularly to ensure its readiness.
 
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Brand Name
REVIVER
Common Device Name
AUTOMATED EXTERNAL DEFIBRILLATORS
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
nissa soto
741 boston post road
suite 201
guilford, CT 06437
2034536654
MDR Report Key23427151
Report Number3003521780-2025-01902
Device Sequence Number8241802
Product Code MKJ
UDI-Device Identifier10815098020024
UDI-Public(01)10815098020024
Combination Product (Y/N)N
Initial Reporter StateTN
Initial Reporter CountryUS
PMA/510(K) Number
P160032
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) 10/30/2025
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 NumberDDU-100B
Was Device Available for Evaluation? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/29/2025
Initial Report FDA Received Date10/30/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/19/2016
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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