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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 Detachment of Device or Device Component (2907)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/29/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
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¿s lid magnet was missing from the lid.As a result, the device may not automatically power on when the lid is opened.This may lead to defibrillation therapy being delayed or unavailable, if needed.There was no report of patient use associated with the reported event.
 
Additional Manufacturer Narrative
The initial medwatch report was submitted in error and is a duplicate of report # 0003015876-2024-03368.The device serial number was confirmed to be (b)(6).D4 serial number has been updated.
 
Event or Problem Description
The customer contacted stryker to report that their device¿s lid magnet was missing from the lid.As a result, the device may not automatically power on when the lid is opened.This may lead to defibrillation therapy being delayed or unavailable, if needed.There was no report of patient use associated with 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 Key21494550
Report Number0003015876-2025-00402
Device Sequence Number19863761
Product Code MKJ
UDI-Device Identifier00883873824122
UDI-Public00883873824122
Combination Product (Y/N)N
Initial Reporter CountryNL
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,Followup
Report Date (Section B) 06/10/2025
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? Yes
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 01/30/2025
Supplement Date Received by Manufacturer06/02/2025
Initial Report FDA Received Date02/28/2025
Supplement Report FDA Received Date06/10/2025
Was Device Evaluated by Manufacturer? (Y/N) No
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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