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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-100A
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 asi is flashing red, and reporting a service code.The customer did not report this occurring during patient use.
 
Additional Manufacturer Narrative
Although the customer initially reported a service code, review of the aed's internal log files determined that the service code after battery replacement was due to the previous battery fully depleting within the unit.Analysis of battery pack sn (b)(6) and the log files confirmed the battery sn (b)(6) had depleted but did not identify a cause for the depleted battery pack.
 
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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
Manufacturer Contact
nissa soto
741 boston post road
suite 201
guilford, CT 06437
2034536654
MDR Report Key24159819
Report Number3003521780-2026-00097
Device Sequence Number9000620
Product Code MKJ
UDI-Device Identifier10815098020000
UDI-Public(01)10815098020000
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)Y
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Nurse
Type of Report Initial
Report Date (Section B) 01/22/2026
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-100A
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer05/28/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/19/2026
Initial Report FDA Received Date01/23/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/24/2019
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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