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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 LIFEPAK CR(R) PLUS DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK CR(R) PLUS DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number CRPLUS
Medical Device Problem Code No Audible Prompt/Feedback (2282)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/04/2023
Type of Reportable Event Malfunction
Event or Problem Description
A customer contacted stryker to report that their device would not provide audio voice prompts.Without voice prompts, a lay user would not receive the audible instructions on how to properly use the device on a patient which could delay therapy.There was no patient involvement in this event.
 
Additional Manufacturer Narrative
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.H3 other text : not returned to manufacturer.
 
Additional Manufacturer Narrative
The device was not returned to stryker for evaluation.The customer confirmed that the device presented a fault condition due to old age.As such, the device could not be repaired and the customer was advised to replace the device.The reported issue was unable to be verified and unable to be duplicated.A cause of the reported issue could not be determined.
 
Event or Problem Description
A customer contacted stryker to report that their device would not provide audio voice prompts.Without voice prompts, a lay user would not receive the audible instructions on how to properly use the device on a patient which could delay therapy.There was no patient involvement in this event.
 
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Brand Name
LIFEPAK CR(R) PLUS DEFIBRILLATOR
Common Device Name
AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)
Manufacturer (Section D)
PHYSIO-CONTROL, INC. - 3015876
11811 willows road ne
redmond WA 98052
Manufacturer (Section G)
PHYSIO-CONTROL, INC. - 3015876
11811 willows road ne
redmond WA 98052
Manufacturer Contact
dara friedman
11811 willows road ne
redmond, WA 98052
4258674000
MDR Report Key16856410
Report Number0003015876-2023-00788
Device Sequence Number7637411
Product Code MKJ
UDI-Device Identifier00883873820254
UDI-Public00883873820254
Combination Product (Y/N)N
Initial Reporter StatePA
Initial Reporter CountryUS
PMA/510(K) Number
K033275
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 07/21/2023
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
Operator of Device Lay User/Patient
Device Model NumberCRPLUS
Device Catalogue Number99403-000004
Was Device Available for Evaluation? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 04/04/2023
Supplement Date Received by Manufacturer06/27/2023
Initial Report FDA Received Date05/02/2023
Supplement Report FDA Received Date07/22/2023
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/22/2006
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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