FDA Adverse Event Malfunction Summary report: N

REVIVER

MDR report key: 22350024 · Received June 27, 2025

Report

Report Number
3003521780-2025-00667
Event Type
Malfunction
Date Received
June 27, 2025
Report Date
March 27, 2025
Manufacturer
DEFIBTECH, L.L.C.
Product Code
MKJ
UDI-DI
10815098020222
PMA / PMN Number
K081259
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
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.

Description of Event or Problem · 0

A CUSTOMER REPORTED THEIR AED WILL NOT SPEAK. THEY REPORTED THIS DID NOT OCCUR DURING PATIENT USE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1127675 REVIVER AUTOMATED EXTERNAL DEFIBRILLATORS MKJ DEFIBTECH, L.L.C. DDU-C2300 10815098020222

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown