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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-A2300
Medical Device Problem Code Connection Problem (2900)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Log file review confirmed the reported issue and indicated that the device should be returned for further investigation.Upon receipt, the device underwent bench testing.Testing confirmed the reported service code, and the device successfully passed shock testing.Further evaluation identified a ribbon cable connection issue at the main board j6 socket.Manipulation of the ribbon cable could result in a graphics display module (gdm) failure.Although the original customer report did not involve patient use and was not initially considered reportable, the returned device evaluation confirmed a malfunction that could delay or prevent delivery of defibrillation therapy if it were to occur during normal use.Accordingly, 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
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 Key25693140
Report Number3003521780-2026-00958
Device Sequence Number18564020
Product Code MKJ
UDI-Device Identifier00815098020195
UDI-Public(01)00815098020195
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) 07/02/2026
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-A2300
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/23/2025
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/01/2026
Initial Report FDA Received Date07/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/12/2023
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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