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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-C2300
Medical Device Problem Code Audible Prompt/Feedback Problem (4020)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Analysis of the log files from the aed identified a history of service code 5310, which is related to the speaker functionality of the aed.The unit was requested for return and further evaluation.Upon return, the device underwent bench testing.The reported issue was confirmed.During functional testing of the aed, the device provided intermittent audio prompts.Further investigation traced the intermittent audio to a connection issue between the speaker and the main board.Although the original customer report was not considered reportable, evaluation confirmed a malfunction that could delay or prevent therapy delivery in a clinical situation.As such, this event is being reported in accordance with 21 cfr 803.50.
 
Event or Problem Description
A customer reported that their aed's asi is flashing red, and the device is reporting a service code.The customer did not report this occurring during patient use.
 
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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
Manufacturer Contact
nissa soto
741 boston post road
suite 201
guilford, CT 06437
2034536654
MDR Report Key25222439
Report Number3003521780-2026-00763
Device Sequence Number9778569
Product Code MKJ
UDI-Device Identifier00815098020225
UDI-Public(01)00815098020225
Combination Product (Y/N)N
Initial Reporter StateNY
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 Other
Type of Report Initial
Report Date (Section B) 05/19/2026
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-C2300
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/24/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 05/08/2026
Initial Report FDA Received Date05/19/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured10/24/2022
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
Usage of Device Unknown
Patient Sequence Number1
Patient SexUnknown
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