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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 Failure to Power Up (1476)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/04/2024
Type of Reportable Event Malfunction
Event or Problem Description
The customer contacted stryker to report a non-critical issue with their device.During evaluation it was found that the device would not power on when the lid was opened.In this state the device may not be able to deliver defibrillation therapy if needed.There was no patient involvement in this event.
 
Additional Manufacturer Narrative
Stryker evaluated the customer's device and confirmed the reported issue.Stryker determined that the reed switch sw5 was the cause of the reported issue.Stryker archived the device, and the customer received a replacement device.
 
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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 Key19629942
Report Number0003015876-2024-02012
Device Sequence Number8793203
Product Code MKJ
UDI-Device Identifier00883873824122
UDI-Public00883873824122
Combination Product (Y/N)N
Initial Reporter StateMI
Initial Reporter CountryUS
PMA/510(K) Number
P170018
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial
Report Date (Section B) 06/27/2024
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 Number99512-001262
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer06/01/2024
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 06/04/2024
Initial Report FDA Received Date06/27/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/23/2023
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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