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U.S. Department of Health and Human Services

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

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DEFIBTECH, L.L.C. LIFELINE; AUTOMATED EXTERNAL DEFIBRILLATORS Back to Search Results
Model Number DDU-120E
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
Although requested, the aed has not been returned and the cause of the complaint is not known.
 
Event or Problem Description
An international distributor reported a customer's battery pack will not stay latched in their aed.The customer did not report this occurring during patient use.
 
Additional Manufacturer Narrative
Upon return, the device underwent bench testing, it was confirmed that the battery pack could not be securely latched into the battery well.The issue was caused by broken battery latch, which are intended to assist in securing the battery in place.Despite the damaged latch, the device is able to function when the battery is manually held in position.
 
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Brand Name
LIFELINE
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 Key24052889
Report Number3003521780-2025-02236
Device Sequence Number21187533
Product Code MKJ
UDI-Device Identifier10815098020079
UDI-Public(01)10815098020079
Combination Product (Y/N)N
Initial Reporter CountryUK
PMA/510(K) Number
K113787
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,Followup
Report Date (Section B) 01/13/2026
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-120E
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/05/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date01/13/2026
Supplement Report FDA Received Date05/01/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/16/2019
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
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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