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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)

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK(R) CR2 DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number CR2
Medical Device Problem Code No Audible Prompt/Feedback (2282)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/12/2024
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 would not emit audio prompts.Without voice prompts, a lay user would not receive the audible instructions on how to properly use the device on a patient, if needed.There was no patient use associated with the reported event.
 
Additional Manufacturer Narrative
The product assessment center (pac) technician evaluated the device was able to verify the reported issue.An analysis of the electronic records showed that the issue was caused by a depleted battery.The battery became depleted due to the continuous beeping from the device being in not ready-call service status.It was observed that the device went to not ready status due to service code.But a root cause of the service code could not be determined.The customer received a replacement device.The customer's device was archived by stryker.
 
Event or Problem Description
The customer contacted stryker to report that their device would not emit audio prompts.Without voice prompts, a lay user would not receive the audible instructions on how to properly use the device on a patient, if needed.There was no patient use associated with the reported event.
 
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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 Key20358541
Report Number0003015876-2024-02790
Device Sequence Number18164266
Product Code MKJ
UDI-Device Identifier00883873824115
UDI-Public00883873824115
Combination Product (Y/N)N
Initial Reporter StateCT
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) 11/08/2024
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 Number99512-001263
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 09/12/2024
Supplement Date Received by Manufacturer11/05/2024
Initial Report FDA Received Date10/03/2024
Supplement Report FDA Received Date11/08/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/14/2020
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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