FDA Adverse Event Death Summary report: N

LIFELINE

MDR report key: 24251232 · Received February 3, 2026

Report

Report Number
3003521780-2026-00007
Event Type
Death
Date Received
February 3, 2026
Date of Event
December 23, 2025
Report Date
February 2, 2026
Manufacturer
DEFIBTECH, L.L.C.
Product Code
MKJ
UDI-DI
00815098020003
PMA / PMN Number
P160032
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ALTHOUGH THE CUSTOMER REPORTED THAT THE AED ALERTED SERVICE CODE 5300 PRIOR TO THE RESCUE ON (B)(6) 2025, ANALYSIS OF THE LOG FILES DETERMINED THAT THE SERVICE CODE FIRST OCCURRED ON 01/02/26. THE ALERT WAS TRIGGERED DUE TO THE PADS USED DURING THE RESCUE BEING STUCK TOGETHER AFTER THE EVENT. LOG FILE ANALYSIS CONFIRMED A RESCUE EVENT ON (B)(6) 2025 LASTING 244 SECONDS, DURING WHICH NO SHOCKS WERE ADVISED OR DELIVERED. ALTHOUGH REQUESTED, THE AED HAS NOT BEEN RETURNED AND THE CAUSE OF THE COMPLAINT IS NOT KNOWN.

Description of Event or Problem · 0

A CUSTOMER REPORTED THAT THEY POWERED ON THEIR AED PRIOR TO A RESCUE ATTEMPT AND RECEIVED SERVICE CODE 5300. THE PADS WERE CONNECTED TO THE PATIENT; HOWEVER, THE AED CONTINUED TO ANNOUNCE "ANALYZING PATIENT" AND DID NOT PROGRESS BEYOND THAT MESSAGE. THE CUSTOMER REPORTED CPR WAS PERFORMED FOR APPROXIMATELY 45 MINUTES WITH THE USE OF AN AUTOMATED CARDIAC COMPRESSION DEVICE. THE PATIENT DID NOT SURVIVE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
311623 LIFELINE AUTOMATED EXTERNAL DEFIBRILLATOR MKJ DEFIBTECH, L.L.C. DDU-100A 00815098020003

Patients

Seq Age Sex Outcome Treatment
1 NA Male Death