FDA Adverse Event
Malfunction
Summary report: N
LIFEPAK 15
MDR report key: 17200127
·
Received June 23, 2023
Report
- Report Number
- MW5118794
- Event Type
- Malfunction
- Date Received
- June 23, 2023
- Date of Event
- June 20, 2023
- Report Date
- June 20, 2023
- Manufacturer
- PHYSIO CONTROL (STRYKER), INC.
- Product Code
- MKJ
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
MANUFACTURING DEFECT WITH DEFIBRILLATOR CHARGER/POWER SUPPLY. AFFECTING 16 DEFIBRILLATORS SO FAR. THEY WILL NOT CHARGE AND ALSO PREVENTS THE DEFIBRILLATOR FROM BEING TURNED ON WHEN PLUGGED IN. THERE HAS NOT BEEN PATIENT IMPACTS TO DATE BUT DOES WARRANT POSSIBLE RECALL. REFERENCE REPORTS: MW5118787, MW5118788, MW5118789, MW5118790, MW5118791, MW5118792, MW5118793, MW5118795, MW5118796, MW5118797, MW5118798, MW5118799, MW5118800, MW5118801, MW5118802.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 80252 | LIFEPAK 15 | AUTOMATED EXTERNAL DEFIBRILLATORS (NON-WEARABLE) | MKJ | PHYSIO CONTROL (STRYKER), INC. | LIFEPAK 15 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |