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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 CR2
Medical Device Problem Code Unexpected Shutdown (4019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/29/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The customer was advised to remove the device from service and replace the unit.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 had unexpectedly lost power.In this state the device may not be able to deliver defibrillation therapy, if needed.There was no patient use associated with the reported event.
 
Event or Problem Description
The customer contacted stryker to report that their device had unexpectedly lost power.In this state the device may not be able to deliver defibrillation therapy, if needed.There was no patient use associated with the reported event.
 
Additional Manufacturer Narrative
A stryker service representative performed an evaluation of the customer¿s device and was unable to verify and duplicate the reported issue.The technician determined that the device is unrepairable as it is beyond its 8 year service life and some parts may be unavailable for repair.The technician advised the customer to replace the device.
 
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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 Key24066789
Report Number0003015876-2026-00104
Device Sequence Number18738488
Product Code MKJ
UDI-Device Identifier00883873911631
UDI-Public00883873911631
Combination Product (Y/N)N
Initial Reporter StateCT
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) 05/05/2026
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 NumberCR2
Device Catalogue Number99577-001256
Was Device Available for Evaluation? Device Returned to Manufacturer
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 12/29/2025
Supplement Date Received by Manufacturer05/05/2026
Initial Report FDA Received Date01/14/2026
Supplement Report FDA Received Date05/05/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/10/2014
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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