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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 LIFEPAK 15 MONITOR/DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK 15 MONITOR/DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number 15
Medical Device Problem Code Key or Button Unresponsive/not Working (4063)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/09/2025
Type of Reportable Event Malfunction
Event or Problem Description
The customer contacted stryker to report that their device's main keypad was peeling off.In this state the device may not be able to deliver defibrillation therapy if it was needed.There was no patient involvement reported with the event.
 
Additional Manufacturer Narrative
Stryker evaluated the customer's device and verified the reported issue.The device's main keypad was replaced to resolve the issue.After observing proper device operation through functional and performance testing, the device was returned to the customer for use.
 
Event or Problem Description
The customer contacted stryker to report that their device's main keypad was peeling off.In this state the device may not be able to deliver defibrillation therapy if it was needed.There was no patient involvement reported with the event.
 
Additional Manufacturer Narrative
The information in initial mdr 0003015876-2025-02316 was determined to be erroneous and a reportable malfunction did not occur.A supplemental report will not be forthcoming.
 
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Brand Name
LIFEPAK 15 MONITOR/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 Key23467938
Report Number0003015876-2025-02316
Device Sequence Number18372516
Product Code MKJ
UDI-Device Identifier00883873911631
UDI-Public00883873911631
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
K142430
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) 02/25/2026
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 Health Professional
Device Model Number15
Device Catalogue Number99577-001256
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/13/2025
Type of Report(Section G)Follow-Up
Initial Date Received by Manufacturer 10/09/2025
Supplement Date Received by Manufacturer02/13/2026
Initial Report FDA Received Date11/04/2025
Supplement Report FDA Received Date02/25/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured06/27/2013
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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