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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 EDGE SYSTEM RTS (RADIOTRANSPARENT) ELECTRODES WITH QUIK-COMBO CONNECTOR; ELECTRODE, ELECTROCARDIOGRAPH

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PHYSIO-CONTROL, INC. - 3015876 EDGE SYSTEM RTS (RADIOTRANSPARENT) ELECTRODES WITH QUIK-COMBO CONNECTOR; ELECTRODE, ELECTROCARDIOGRAPH Back to Search Results
Catalog Number 11996-000090
Medical Device Problem Code Device Sensing Problem (2917)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/19/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Stryker contacted the customer to request additional information on the patient.Stryker requests patient information necessary for regulatory compliance, strictly adhering to hipaa's privacy rule.The customer informed stryker that no further patient information is available.Patient fields in which information is not provided were intentionally left blank.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
A customer contacted stryker to report that they were unable to connect the defibrillation electrodes to their device when attempted.There was no harm to the patient as a result of the reported event.
 
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Brand Name
EDGE SYSTEM RTS (RADIOTRANSPARENT) ELECTRODES WITH QUIK-COMBO CONNECTOR
Common Device Name
ELECTRODE, ELECTROCARDIOGRAPH
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 Key24387582
Report Number0003015876-2026-00371
Device Sequence Number10518738
Product Code MKJ
UDI-Device Identifier00883873784938
UDI-Public00883873784938
Combination Product (Y/N)N
Initial Reporter CountryCA
PMA/510(K) Number
P190007
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other
Initial Reporter Occupation Risk Manager
Type of Report Initial,Followup
Report Date (Section B) 06/29/2026
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 Catalogue Number11996-000090
Device Lot Number522339
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/22/2026
Supplement Date Received by Manufacturer06/26/2026
Initial Report FDA Received Date02/19/2026
Supplement Report FDA Received Date06/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
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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