PHYSIO-CONTROL, INC. - 3015876 LIFEPAK(R) 15 MONITOR/DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)
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Model Number 15 |
Device Problems
Failure to Deliver Energy (1211); Inappropriate/Inadequate Shock/Stimulation (1574); Inappropriate Waveform (2536)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/18/2022 |
Event Type
malfunction
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Manufacturer Narrative
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Stryker performed an initial evaluation of the customer¿s device and verified the reported issue.Stryker isolated the issue to the therapy pcb assembly.Stryker continues to investigate the reported issue and will submit a supplemental report on this event to the fda as provided by 21 cfr 803.56.
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Event Description
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The customer contacted stryker to report that their device displays "abnormal energy delivery message." in this state, wrong defibrillation therapy may be delivered to the patient.There was no patient use associated with the reported event.Upon evaluation of the customer's device, stryker observed that the customer¿s device was unable to deliver defibrillation energy.In addition, the device logged an event code in the device's memory that is indicative of a device failure that could result in a partial loss of defibrillator output energy due to a loss of the negative portion of the biphasic output waveform, resulting in a monophasic shock.Additionally, the defibrillator output energy may be reduced by up to approximately 20% from the selected energy level.As a result, the wrong defibrillation therapy would be delivered, if it were necessary.
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Manufacturer Narrative
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Stryker further evaluated the customer's device and replaced the therapy pcb assembly.Thereafter proper device operation was observed through functional and performance testing and the device was returned to the customer for use.Stryker further evaluated the removed therapy pcb assembly.It was observed that transistor, designator q8 was electrically shorted.
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Event Description
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The customer contacted stryker to report that their device displays "abnormal energy delivery message." in this state, wrong defibrillation therapy may be delivered to the patient.There was no patient use associated with the reported event.Upon evaluation of the customer's device, stryker observed that the customer¿s device was unable to deliver defibrillation energy.In addition, the device logged an event code in the device's memory that is indicative of a device failure that could result in a partial loss of defibrillator output energy due to a loss of the negative portion of the biphasic output waveform, resulting in a monophasic shock.Additionally, the defibrillator output energy may be reduced by up to approximately 20% from the selected energy level.As a result, the wrong defibrillation therapy would be delivered, if it were necessary.
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