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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-E2400
Medical Device Problem Code Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Following analysis of the device logs, the unit was requested for return and further evaluation.Upon receipt, the device underwent bench testing, during which a manual self-test and shock test could not be completed.Further evaluation identified an intermittent connection issue associated with the aed's graphics display module circuit board as the cause of the observed behavior.Although the original customer report was not considered reportable based on the information initially available, evaluation of the returned device confirmed a malfunction that could delay or prevent therapy delivery if it were to occur during a clinical use scenario.Therefore, this event is being reported in accordance with 21 cfr 803.50.
 
Event or Problem Description
An international distributor reported that their customer's aed 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
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 Key25631126
Report Number3003521780-2026-00994
Device Sequence Number9736135
Product Code MKJ
UDI-Device Identifier00815098020270
UDI-Public(01)00815098020270
Combination Product (Y/N)N
Initial Reporter CountryNL
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 Foreign,Consumer,Distributor
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 06/24/2026
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-E2400
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/02/2026
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/02/2026
Initial Report FDA Received Date06/25/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/14/2016
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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