FDA Adverse Event
Malfunction
Summary report: N
LIFELINE
MDR report key: 19838867
·
Received July 26, 2024
Report
- Report Number
- 3003521780-2024-00797
- Event Type
- Malfunction
- Date Received
- July 26, 2024
- Report Date
- June 28, 2024
- Manufacturer
- DEFIBTECH, L.L.C.
- Product Code
- MKJ
- UDI-DI
- 10815098020239
- PMA / PMN Number
- P160032
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TH
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 0
THIS AED NOR ITS ELECTRONIC LOG FILES WERE RETURNED AND THUS THE ROOT CAUSE COULD NOT BE DETERMINED. ALTHOUGH REQUESTED, THE AED AND BATTERY PACK HAVE NOT BEEN RETURNED AND THE CAUSE OF THE COMPLAINT IS NOT KNOWN. SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE, A FOLLOW-UP MDR SHALL BE SUBMITTED.
Description of Event or Problem · 0
A CUSTOMER STATED THAT THE BATTERY EXPIRED EARLIER THAN THE EXPIRATION DATE. BATTERY EXPIRATION DATE IS ON 29-02-2028. THE UNIT HAS A WARNING OF BATTERY LOW. THE UNIT IS SOFTWARE VERSION 2.9 AND IT WAS UNABLE TO RETRIEVE DATA FILES. WHEN INSERTING THE CARD TO RETRIEVE DATA, IT FOUND "DATA CARD DEFECT / ERROR". THEY DID NOT REPORT THAT THIS EVENT OCCURRED DURING PATIENT USE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1529662 | LIFELINE | AUTOMATED EXTERNAL DEFIBRILLATOR | MKJ | DEFIBTECH, L.L.C. | DDU-2300 | 10815098020239 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |