510(k) Report

510(k) · Cleared

Recalled · 2005

Lifepak 12

K040775510(k) SpecialCleared Apr 23, 200428-day reviewClass III21 CFR 870.5310Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Medtronic Physio-Control Corp. · MKJ Automated External Defibrillators (Non-Wearable)

Cleared on Apr 23, 2004 as substantially equivalent to K033275 (Medtronic Physio-Control Corp., 2003) and 5 other predicates after a 28-day review. Its family tree reaches back 6 generations to 1993. 2 of the 38 devices in its family, counting itself, have a Class I recall. 10 later devices descend from it. It has been recalled once.

Decided
Apr 23, 2004
Review
28 days
Class
Class III
Product code
MKJ
Recalls
1
Predicates
6

Its longest line of descent runs back 6 generations to K921669 (1993). 27 ancestors in all, the oldest K802288 (1980). 10 later devices descend from it, 5 citing it directly. 2 of the 38 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2001: 4 other ancestors1999: 2 other ancestors1998: 2 other ancestors1996: 2 other ancestors1995: 4 other ancestors1992: 2 other ancestors1991: 1 other ancestor1994: 1 other ancestor1990: 1 other ancestor1984: 1 other ancestor1980: 1 other ancestor2009: 1 descendant cleared2010: 1 descendant cleared2004: 1 descendant cleared2007: 2 descendants cleared2013: 1 descendant cleared, 1 with a Class I recall12014: 1 descendant cleared, 1 with a Class I recall12011: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant clearedK921669 · Marquette SL Series Transport Remote Acquisition · Marquette Electronics, Inc. · 1993K964750 · Eagle 4000 Patient Monitor · Marquette Electronics, Inc. · 1997K973486 · Life Pak 12 · Physio-Control Corp. · 1998 · recalledK991910 · Lifepak 12 Biphasic · Physio-Control Corp. · 1999 · recalledK012274 · Medtronic Physio-Control Lifepak 20 Defibrillator/Monitor/Pacemaker · Medtronic Physio-Control Corp. · 2002 · recalledK033275 · Lifepak 12, 20, 500, CR Plus · Medtronic Physio-Control Corp. · 2003 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 11 other ancestors3 generations back: 5 other ancestors4 generations back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 3 descendants, 2 with a Class I recall23 generations forward: 1 descendant4 generations forward: 1 descendant K033275 · Lifepak 12, 20, 500, CR Plus · Medtronic Physio-Control Corp. · 2003 · recalledK012274 · Medtronic Physio-Control Lifepak 20 Defibrillator/Monitor/Pacemaker · Medtronic Physio-Control Corp. · 2002 · recalledK991910 · Lifepak 12 Biphasic · Physio-Control Corp. · 1999 · recalledK973486 · Life Pak 12 · Physio-Control Corp. · 1998 · recalledK964750 · Eagle 4000 Patient Monitor · Marquette Electronics, Inc. · 1997K921669 · Marquette SL Series Transport Remote Acquisition · Marquette Electronics, Inc. · 1993−50
  1. Root · 6 generations backK921669 Marquette SL Series Transport Remote AcquisitionMarquette Electronics, Inc. · 1993
  2. 5 generations backK964750 Eagle 4000 Patient MonitorMarquette Electronics, Inc. · 1997
  3. 4 generations backK973486 Life Pak 12Physio-Control Corp. · 1998 · Recalled
  4. 3 generations backK991910 Lifepak 12 BiphasicPhysio-Control Corp. · 1999 · Recalled
  5. 2 generations backK012274 Medtronic Physio-Control Lifepak 20 Defibrillator/Monitor/PacemakerMedtronic Physio-Control Corp. · 2002 · Recalled
  6. 1 generation backK033275 Lifepak 12, 20, 500, CR PlusMedtronic Physio-Control Corp. · 2003 · Recalled
  7. This deviceK040775 Lifepak 12Medtronic Physio-Control Corp. · 2004
  8. Descendant · cites it directly · 9 of its ownK041459 Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc. · 2004
  9. Descendant · cites it directly · 7 of its ownK063510 Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc. · 2007 · Recalled
  10. Descendant · cites it directly · 5 of its ownK082937 Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc. · 2009 · Recalled
  11. Descendant · 2 generations on · 4 of its ownK103567 Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc. · 2011
  12. Descendant · 2 generations on · 2 of its ownK142430 LIFEPAK 15 monitor/defibrillatorPhysio-Control, Inc. · 2014 · Recalled (Class I)

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2004: 12007: 22009: 12010: 12011: 12013: 12014: 12024: 12025: 1
2004high 2 (2007) · low 0 (2005)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 10 · See all
  • K041459Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc. · 2004 · cites it directly9descendants
  • K063510Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc. · 2007 · cites it directly7descendants
  • K082937Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc. · 2009 · cites it directly5descendants
  • K103567Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc. · 2011 · 2 generations on4descendants
  • K142430LIFEPAK 15 monitor/defibrillatorPhysio-Control, Inc. · 2014 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K921669Marquette SL Series Transport Remote AcquisitionMarquette Electronics, Inc.1993—
−5K964750Eagle 4000 Patient MonitorMarquette Electronics, Inc.1997—
−4K973486Life Pak 12Physio-Control Corp.19983
−3K991910Lifepak 12 BiphasicPhysio-Control Corp.19993
−2K012274Medtronic Physio-Control Lifepak 20 Defibrillator/Monitor/PacemakerMedtronic Physio-Control Corp.200217
−1K033275Lifepak 12, 20, 500, CR PlusMedtronic Physio-Control Corp.20031
0 (this device)K040775Lifepak 12Medtronic Physio-Control Corp.2004—
+1K041459Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc.2004—
+1K063510Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc.20072
+1K082937Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc.20093
+2K103567Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc.2011—
+2K142430LIFEPAK 15 monitor/defibrillatorPhysio-Control, Inc.2014Class I

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198410
199010
199110
199220
199410
199540
199620
199820
199920
200140

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200720
200910
201010
201110
201311
201411
202410
202510
FIG. 1 — Lineage of K040775, 1993–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

2 devices in this family have a Class I recall. A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
Get a 510(k) Report

What was it cleared against? (6)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K033275Lifepak 12, 20, 500, CR Plus
Summary page 1
…d functions of the modified LIFEPAK® 12 defibrillator are substantially equivalent to the previously cleared LIFEPAK 12 defibrillator, 510(k) numbers K033275 (11/06/03), K010918 (03/26/01), K002445 (01/31/01), K990338 (09/01/99), K991910 (06/03/99), K973486 (01/09/98). Descr…
Medtronic Physio-Control Corp.20031
*K010918Lifepak 12 Defibrillator/Monitor System
Summary page 1
…odified LIFEPAK® 12 defibrillator are substantially equivalent to the previously cleared LIFEPAK 12 defibrillator, 510(k) numbers K033275 (11/06/03), K010918 (03/26/01), K002445 (01/31/01), K990338 (09/01/99), K991910 (06/03/99), K973486 (01/09/98). Description:…
Medtronic Physio-Control Corp.20014
*K002445Lifepak 12DEFIBERLLATOR/Monitor Series
Summary page 1
…defibrillator are substantially equivalent to the previously cleared LIFEPAK 12 defibrillator, 510(k) numbers K033275 (11/06/03), K010918 (03/26/01), K002445 (01/31/01), K990338 (09/01/99), K991910 (06/03/99), K973486 (01/09/98). Description: The LIFEPAK® 12 defi…
Medtronic Physio-Control Corp.20011
*K990338Nibp and CO2 Options for the Physio-Control Lifepak 12 Defibrillator/Monitor System
Summary page 1
…bstantially equivalent to the previously cleared LIFEPAK 12 defibrillator, 510(k) numbers K033275 (11/06/03), K010918 (03/26/01), K002445 (01/31/01), K990338 (09/01/99), K991910 (06/03/99), K973486 (01/09/98). Description: The LIFEPAK® 12 defibrillator/Monitor/Pacemaker is…
Physio-Control Corp.19991
*K991910Lifepak 12 Biphasic
Summary page 1
…nt to the previously cleared LIFEPAK 12 defibrillator, 510(k) numbers K033275 (11/06/03), K010918 (03/26/01), K002445 (01/31/01), K990338 (09/01/99), K991910 (06/03/99), K973486 (01/09/98). Description: The LIFEPAK® 12 defibrillator/Monitor/Pacemaker is a complete acute…
Physio-Control Corp.19993
*K973486Life Pak 12
Summary page 1
…cleared LIFEPAK 12 defibrillator, 510(k) numbers K033275 (11/06/03), K010918 (03/26/01), K002445 (01/31/01), K990338 (09/01/99), K991910 (06/03/99), K973486 (01/09/98). Description: The LIFEPAK® 12 defibrillator/Monitor/Pacemaker is a complete acute cardiac res…
Physio-Control Corp.19983

Also cleared against K033275: 9 other devices →

What descends from it? (10)

5 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K041459Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc.20049
K063510Lifepak 12 Defibrillator/MonitorMedtronic Emergency Response Systems, Inc.20077
K082937Lifepak 15 Monitor/DefibrillatorPhysio-Control, Inc.20095
K102972Lifepak 12Physio-Control, Inc.20100
K062331Highpak-12Ad Elektronik GmbH20070

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jan 15, 2005Not classifiedZ-0495-05Software designThe LIFEPAK 12 biphasic defibrillator/ monitors may deliver inappropriate energy levels and fail to escalate energy levels when configured to do so.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K130454Lifepak 20 Defibrillator/Monitor, Lifepak 20E Defibrillator/MonitorPhysio-Control, Inc. · 2013 · 2 generations on · ◆ in the 2013 descendants bar of FIG. 11 Class I recall
  • K142430LIFEPAK 15 monitor/defibrillatorPhysio-Control, Inc. · 2014 · 2 generations on · ◆ in the 2014 descendants bar of FIG. 13 Class I recalls

What does this lineage say?

  • The line of descent spans 11 years and passes through 3 companies; a new generation was cleared every 1.7 years on median.
  • 12 of the 27 ancestors have a recall of any class.
  • Of its descendants, K041459 (Medtronic Emergency Response Systems, Inc., 2004) has gone furthest, with 9 descendants of its own.
  • 9 other devices also cite its predicate K033275.

How does its category compare?

All MKJ devices

MKJ Automated External Defibrillators (Non-Wearable): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MKJ

48in 2025

2007: 72008: 132009: 82010: 42011: 112012: 102013: 72014: 112015: 62017: 42018: 202019: 252020: 522021: 412022: 192023: 242024: 272025: 482026 (partial year): 31
2007high 52 (2020) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MKJ

156in 2015

2007: 69 days median2008: 141 days median2009: 165 days median2010: 250 days median2011: 36 days median2012: 197 days median2013: 191 days median2014: 196 days median2015: 156 days median
2007high 250 (2010) · low 36 (2011)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MKJ

1in 2025

2007: 122008: 242009: 372010: 352011: 72012: 5, 1 Class I2013: 42014: 24, 15 Class I2015: 12016: 2, 1 Class I2017: 6, 4 Class I2018: 32019: 6, 2 Class I2020: 22021: 42022: 32023: 112024: 52025: 12026 (partial year): 3
2007high 37 (2009) · low 1 (2015)2026

Class I (23 since 2007) Class II/III not classified

Adverse event reports per year · MKJ

13,315in 2025

2007: 3,9582008: 4,7522009: 6,7822010: 7,3992011: 8,1702012: 9,7322013: 14,9552014: 15,3992015: 16,1292016: 17,0622017: 16,6842018: 16,5912019: 16,8612020: 16,1972021: 16,3002022: 14,8672023: 13,7662024: 15,1092025: 13,315
2007high 17,062 (2016) · low 3,958 (2007)2025

MAUDE reports naming product code MKJ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007769123,958
200813141244,752
20098165376,782
20104250357,399
2011113678,170
2012101975 (1)9,732
20137191414,955
20141119624 (15)15,399
20156156116,129
20160—2 (1)17,062
20174—6 (4)16,684
201820—316,591
201925—6 (2)16,861
202052—216,197
202141—416,300
202219—314,867
202324—1113,766
202427—515,109
202548—113,315
202631—3—

What is it indicated for?

AEF) mode is to be used only on patients in cardiopulmonary arrest. The patient must be unconscious, pulseless. and not breathing spontaneously before using the defibrillator to analyze the patient's ECG rhythm. In AED mode, the LIFEPAK 12 defibrillator/monitor is not intended for use on pediatric patients less than 8 years old. Manual D)elibrillation is indicated for the termination of certain potentially fat3al arrhythmias, such as ventricular…

Read the full statement (293 words)

AEF) mode is to be used only on patients in cardiopulmonary arrest. The patient must be unconscious, pulseless. and not breathing spontaneously before using the defibrillator to analyze the patient's ECG rhythm. In AED mode, the LIFEPAK 12 defibrillator/monitor is not intended for use on pediatric patients less than 8 years old.

Manual D)elibrillation is indicated for the termination of certain potentially fat3al arrhythmias, such as ventricular fibrillation and symptornatic ventricular tachycardia. Energy delivered in the synchronized mode is a method for treating atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, and, in relatively stable patients, ventricular tachycardia.

Noninvasive Pacing is indicated for patients with symptomatic bradycardia or asystole.

12-Lead ElectrocardiopraphN, Y is useful in the early detection and prompt treatment of patients with acute myocardial infarction.

Pulse Oxinmetry is used ito check the saturation of oxygen in arterial blood. It is indicated for use in any p:1iient who is ai risk of developing hypoxemia.

Noninvasive Blood Pressure MonitorinLt is indicated for detection in trends of hypertension or hypotension. These include patient conditions indicated by abnormalities in various physiologic parameters such as shock, evaluation of perfusion during dysrhythmias, major fluid shifts, evaluation of response to fluid therapy, and titration of vasoactive and cardiotonic drugs. Noninvasive blood pressure monitoring may be useful during ECG monitoring or for post-defibrillation recovery analysis.

End-Tidal C02 monitoring is indicated for detection of trends in the level of expired C02. It is used for monitoring breathing efficacy in acute cardiopulmonary care, for example, to determine if adequate compressions are being performed during CPR or to rapidly detect whether an endotracheal tube has been placed successfully.

Invasive Pressure Monitoring is indicated for use in measuring arterial, venous, intracranial and other physiological pressures using an invasive catheter system with a compatible transducer.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040775: Lifepak 12.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K040775

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026