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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PHYSIO-CONTROL, INC. - 3015876 LIFEPAK CR® PLUS DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)

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PHYSIO-CONTROL, INC. - 3015876 LIFEPAK CR® PLUS DEFIBRILLATOR; AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) Back to Search Results
Model Number CRPLUS
Medical Device Problem Code No Audible Prompt/Feedback (2282)
Health Effect - Clinical Code No Patient Involvement (2645)
Date of Event 06/22/2018
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
(b)(4).Physio-control provided the customer with technical assistance.The customer removed the device's lid and reinstalled it, which resolved the reported issue.The device was not returned to physio-control for evaluation.The cause of the reported issue could not be determined.
 
Event or Problem Description
The customer contacted physio-control to report that their device did not provide any voice prompts when the device was powered on.Without voice prompts, a lay user would not receive the audible instructions on how to properly use the device on a patient.There was no patient use associated with the reported event.There was no patient use associated with the reported event.
 
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Brand Name
LIFEPAK CR® PLUS DEFIBRILLATOR
Common Device Name
AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE)
Manufacturer (Section D)
PHYSIO-CONTROL, INC. - 3015876
11811 willows road ne
redmond WA 98052
MDR Report Key7687224
Report Number0003015876-2018-01104
Device Sequence Number16493437
Product Code MKJ
UDI-Device Identifier00885074440330
UDI-Public00885074440330
Combination Product (Y/N)N
Initial Reporter StateTX
Initial Reporter CountryUS
PMA/510(K) Number
K033275
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source user facility
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 07/13/2018
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 NumberCRPLUS
Device Catalogue Number99403-000157
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/22/2018
Initial Report FDA Received Date07/13/2018
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Patient Sequence Number1
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