RA 2600240 – Lifepak CR2 IFU Product Defect Correction

Product Defect Correction Direct Customer & Distributor Notification Response Form

RA 2600240 – LIFEPAK® CR2 IFU Product Defect Correction
Country*
Account type*
Business / Facility Name*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Serial Number Information
Please provide your device information by filling adding the serial numbers below in the applicable category OR by adding them to this spreadsheet. Please ensure to reattach your spreadsheet by clicking “Browse Files” below.
Category A (Non conforming)
Category B (Conforming)
Category C (Additional Devices- not listed above)
Category A (Non conforming)
Category B (Conforming)
Category C (Additional devices- not listed above)
Once you’ve filled in and saved your spreadsheet,please click “Browse Files” below to attach it to this form.

Browse Files
Attach here Cancelof
Disclaimer
Name

First NameLast Name
Position / Role
Email
Phone
Signature*

Clear
If you have any questions with regards to filling in this form, please contact:

Stryker Technical Operations:

Email: ssptechservices@stryker.com
Tel. AU: 1800 667 558
Tel. NZ: 0508 667 558

OR

Stryker Post Market:

Email: postmarketssp@stryker.com
and Stryker will provide assistance.
Should be Empty:

Product Defect Correction Direct Customer & Distributor Notification Response Form