• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 QUIK-STEP PACING/ECG/DEFIBRILLATION ELECTRODES; External pacing/defibrillation/ECG Electrodes

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

PHYSIO-CONTROL, INC. - 3015876 QUIK-STEP PACING/ECG/DEFIBRILLATION ELECTRODES; External pacing/defibrillation/ECG Electrodes Back to Search Results
Catalog Number 11103-000026
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/24/2026
Type of Reportable Event Malfunction
Event or Problem Description
The customer contacted stryker to report that there is a broken clip on the electrodes of their device.This issue may prevent the device from providing therapy if it were needed.There was no patient use associated with the reported event.
 
Additional Manufacturer Narrative
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.The customer will receive a replacement device.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
QUIK-STEP PACING/ECG/DEFIBRILLATION ELECTRODES
Common Device Name
External pacing/defibrillation/ECG Electrodes
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
juan salazar
11811 willows road ne
redmond, WA 98052
+1(425)867-4000
MDR Report Key24867329
Report Number0003015876-2026-00768
Device Sequence Number16089465
Product Code MKJ
UDI-Device Identifier00883873871577
UDI-Public00883873871577
Combination Product (Y/N)N
Initial Reporter CountryUS
PMA/510(K) Number
P170018
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,Followup
Report Date (Section B) 09/22/2026
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 Number11103-000026
Device Lot Number2501093692
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? No
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 03/25/2026
Supplement Date Received by Manufacturer08/28/2026
Initial Report FDA Received Date04/13/2026
Supplement Report FDA Received Date09/22/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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
Patient SexUnknown
-
-