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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 LIFEPAK CR2 DEFIBRILLATOR; AUTOMATIC EXTERNAL DEFIBRILLATOR

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK CR2 DEFIBRILLATOR; AUTOMATIC EXTERNAL DEFIBRILLATOR Back to Search Results
Model Number CR2
Medical Device Problem Code Failure to Deliver Energy (1211)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/17/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Stryker product assessment center (pac) evaluated the device and verified the issue.The device was disassembled and it was found that the red energy capacitor wire was disconnected from the j17 spade connector.A disconnected capacitor wire will cause the device to not deliver defibrillation energy.The device was archived by stryker and the customer received a replacement.
 
Event or Problem Description
The customer contacted stryker to report a non-critical issue with their device.During evaluation it was found that the device would not deliver defibrillation energy.There was no patient involvement reported with the event.
 
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Brand Name
LIFEPAK CR2 DEFIBRILLATOR
Common Device Name
AUTOMATIC EXTERNAL DEFIBRILLATOR
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 Key24626897
Report Number0003015876-2026-00571
Device Sequence Number9201390
Product Code MKJ
UDI-Device Identifier00883873824061
UDI-Public00883873824061
Combination Product (Y/N)N
Initial Reporter StateMI
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
Report Date (Section B) 03/12/2026
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 Model NumberCR2
Device Catalogue Number99512-001268
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/05/2026
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/12/2026
Initial Report FDA Received Date03/18/2026
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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