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U.S. Department of Health and Human Services

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

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK(R) 15 MONITOR/DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number 15
Medical Device Problem Code Failure to Analyze Signal (1539)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/01/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Stryker evaluated the customer¿s device and observed the logged event code, verifying the reported issue.Stryker replaced the therapy pcb assembly 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 a non-critical issue with their device.Upon evaluation of the customer¿s device, stryker observed that the device had logged an event code in the memory which indicates that the aed function of the device may be inoperable.In this state the device may not be able to analyze a patient's rhythm and provide defibrillation therapy while in aed mode, if necessary.There was no patient use associated with the reported event.
 
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Brand Name
LIFEPAK(R) 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 Key23602730
Report Number0003015876-2025-02431
Device Sequence Number9259236
Product Code MKJ
UDI-Device Identifier00883873911648
UDI-Public00883873911648
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
K142430
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) 11/20/2025
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 Health Professional
Device Model Number15
Device Catalogue Number99577-001255
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/31/2025
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 10/31/2025
Initial Report FDA Received Date11/20/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/25/2014
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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