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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 Audible Prompt/Feedback Problem (4020)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/21/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The customer has received a replacement device.Stryker continues to investigate the reported failure and will submit a supplemental report on this event to the fda as provided by 21 cfr 803.56.
 
Event or Problem Description
The customer contacted stryker to report that their device did not provide voice prompts as expected.This can lead to a use error resulting in a failure to deliver defibrillation.There was no patient involvement reported with the event.
 
Additional Manufacturer Narrative
The device was returned to stryker for evaluation.The reported issue could not be duplicated or verified.The cause of the reported issue could not be determined.This device was archived by stryker.
 
Event or Problem Description
The customer contacted stryker to report that their device did not provide voice prompts as expected.This can lead to a use error resulting in a failure to deliver defibrillation.There was no patient involvement reported with the 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 Key18903031
Report Number0003015876-2024-00543
Device Sequence Number21095003
Product Code MKJ
UDI-Device Identifier00883873824085
UDI-Public00883873824085
Combination Product (Y/N)N
Initial Reporter StateNC
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) 04/02/2024
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 Number99512-001266
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 02/21/2024
Supplement Date Received by Manufacturer03/28/2024
Initial Report FDA Received Date03/14/2024
Supplement Report FDA Received Date04/02/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/16/2022
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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