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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 LIFEPAK® CR2 DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK® CR2 DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number CR2
Medical Device Problem Code Key or Button Unresponsive/not Working (4063)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/01/2024
Type of Reportable Event Malfunction
Event or Problem Description
The customer contacted stryker to report that their device's buttons became inoperable.In this state the device may not be able to deliver defibrillation therapy if needed.There was no report of patient use associated to the reported event.
 
Additional Manufacturer Narrative
The device was not returned to stryker for evaluation.The root cause could not be established.The customer received a replacement device to resolve the reported issue.H3 other text : device not returned for evaluation.
 
Additional Manufacturer Narrative
Stryker evaluated the customer's device and verified the reported issue.The root cause was attributed to the operator interrupting the software update by opening the lid.The device was archived by stryker.
 
Event or Problem Description
The customer contacted stryker to report that their device's buttons became inoperable.In this state the device may not be able to deliver defibrillation therapy if needed.There was no report of patient use associated to the reported event.
 
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Brand Name
LIFEPAK® CR2 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
brian blakeslee
11811 willows road ne
redmond, WA 98052
4258674000
MDR Report Key18776957
Report Number0003015876-2024-00422
Device Sequence Number8383035
Product Code MKJ
UDI-Device Identifier00883873824092
UDI-Public00883873824092
Combination Product (Y/N)N
Initial Reporter StateTN
Initial Reporter CountryUS
PMA/510(K) Number
P170018
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) 03/26/2024
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 NumberCR2
Device Catalogue Number99512-001265
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/01/2024
Supplement Date Received by Manufacturer02/28/2024
Initial Report FDA Received Date02/26/2024
Supplement Report FDA Received Date03/26/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/26/2021
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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