| Brand Name | LUCAS 2 CHEST COMPRESSION SYSTEM |
| Common Device Name | Compressor, Cardiac, External |
| Manufacturer (Section D) |
| Physio-Control, Inc. - 3015876 |
| 11811 willows road ne |
| redmond WA 98052 |
|
| Manufacturer (Section G) |
| Jolife AB - 3005445717 |
| scheelevagen 17 |
| ideon science park |
| lund SE-22 3 70 |
|
SW
SE-223 70
|
|
| Manufacturer Contact |
|
juan
salazar
|
| 11811 willows road ne |
| redmond, WA 98052
|
|
+1(425)867-4000
|
|
| MDR Report Key | 50170810 |
| Report Number | 0003015876-2026-01580 |
| Device Sequence Number | 9880013 |
| Product Code |
DRM
|
| UDI-Device Identifier | 00883873904565 |
| UDI-Public | 00883873904565 |
| Combination Product (Y/N) | N |
| Initial Reporter State | GA |
| Initial Reporter Country | US |
| PMA/510(K) Number | K090422 |
| Number of Events Summarized | 1 |
| 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) |
09/29/2026 |
| 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 Model Number | Lucas 2 |
| Device Catalogue Number | 99576-000024 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 07/01/2025 |
| Is the Reporter a Health Professional? |
No
|
| Initial Date Received by Manufacturer | 07/01/2025 |
| Supplement Date Received by Manufacturer | 09/03/2026
|
| Initial Report FDA Received Date | 08/07/2026 |
| Supplement Report FDA Received Date | 09/29/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 11/02/2015 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|