• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

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

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

PHYSIO-CONTROL, INC. - 3015876 LIFEPAK(R) CR2 DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number CR2
Medical Device Problem Code Failure to Power Up (1476)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/08/2024
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The customer will receive a replacement device.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.
 
Event or Problem Description
The customer contacted stryker to report that their device does not power on when the lid is opened. in this state, a delay in defibrillation may occur, as the user has to push the power button underneath the lid to turn the device on.  there was no patient use associated with the reported event.
 
Event or Problem Description
The customer contacted stryker to report that their device does not power on when the lid is opened. in this state, a delay in defibrillation may occur, as the user has to push the power button underneath the lid to turn the device on.  there was no patient use associated with the reported event.
 
Additional Manufacturer Narrative
Stryker evaluated the customer¿s device and battery at the product assessment center (pac) and was able to verify the reported issue.The cause of the reported issue was determined to be depleted battery.The electronic records were downloaded for further investigation.The device logs shows that the battery shut down due to the persistent beeping from the device being in a "not ready" status.The root cause of "not ready" status and battery depletion was a service code logged in the device.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
LIFEPAK(R) 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 Key18994073
Report Number0003015876-2024-00635
Device Sequence Number7604763
Product Code MKJ
UDI-Device Identifier00883873824078
UDI-Public00883873824078
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) 04/30/2024
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 Number99512-001267
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 03/08/2024
Supplement Date Received by Manufacturer04/24/2024
Initial Report FDA Received Date03/28/2024
Supplement Report FDA Received Date04/30/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/29/2022
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
-
-