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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 QUIK-STEP PACING/ECG/DEFIBRILLATION ELECTRODES; ELECTRODE, ELECTROCARDIOGRAPH

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PHYSIO-CONTROL, INC. - 3015876 QUIK-STEP PACING/ECG/DEFIBRILLATION ELECTRODES; ELECTRODE, ELECTROCARDIOGRAPH Back to Search Results
Catalog Number 11101-000021
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/06/2026
Type of Reportable Event Malfunction
Event or Problem Description
The customer contacted stryker to report that their defibrillation pads were broken.In this state the device may not be able to deliver defibrillation therapy if needed.There was no patient involvement reported with the event.
 
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.
 
Additional Manufacturer Narrative
The electrode tray was replaced under warranty and returned to product analysis center (pac) for evaluation.The pac technician verified the reported issue.The cause of the reported issue was determined to be customer abuse.The device remains with the customer.Electrode tray was archived by stryker.
 
Event or Problem Description
The customer contacted stryker to report that their defibrillation pads were broken.In this state the device may not be able to deliver defibrillation therapy if needed.There was no patient involvement reported with the event.
 
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Brand Name
QUIK-STEP PACING/ECG/DEFIBRILLATION ELECTRODES
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 Key24442838
Report Number0003015876-2026-00438
Device Sequence Number10211998
Product Code MKJ
UDI-Device Identifier00883873867808
UDI-Public00883873867808
Combination Product (Y/N)N
Initial Reporter StateHI
Initial Reporter CountryUS
PMA/510(K) Number
P170018
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) 03/09/2026
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 Lay User/Patient
Device Catalogue Number11101-000021
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/16/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/06/2026
Supplement Date Received by Manufacturer03/09/2026
Initial Report FDA Received Date02/25/2026
Supplement Report FDA Received Date03/09/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
LIFEPAK CR2 DEFIBRILLATOR, MKJ.
Patient SexUnknown
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