FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE RESCUE

MDR report key: 15624954 · Received October 18, 2022

Report

Report Number
2249723-2022-02688
Event Type
Malfunction
Date Received
October 18, 2022
Date of Event
October 10, 2022
Report Date
March 4, 2024
Manufacturer
DATASCOPE CORP. - MAHWAH
Product Code
DSP
UDI-DI
10607567108407
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

ADDITIONAL CONTACT INFORMATION : (B)(6). A GETINGE FIELD SERVICE ENGINEER (FSE) EVALUATED THE UNIT, CART HANDLE WILL NOT RETRACT. REPLACED DAMAGED PARTS.( 040-00-0458-03) SCREW KIT, CARDIOSAVE CONSOLE WHEEL,(D380-00-0561) DISPLAY, UPPER HINGE COVER ,(D997-00-0588) ASSEMBLY WHEELS ,(D997-00-0587) SLIDE HANDLE ,(D441-00-0194) COVER, CONSOLE UNIT PASSED ALL CALIBRATION, FUNCTIONAL AND SAFETY TESTS. UNIT WAS RETURNED TO CUSTOMER AND CLEARED FOR CLINICAL USE. THE EQUIPMENT WAS CLEARED FOR CUSTOMER USE.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A ROUTINE CHECK BEFORE USE, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) UNITS TRANSPORT HANDLE DOES NOT GO UP AND THE WHEELS WILL NOT OPEN. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) UNITS TRANSPORT HANDLE DOES NOT GO UP AND THE WHEELS WILL NOT OPEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2306137 CARDIOSAVE RESCUE SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. - MAHWAH 0998-00-0800-83 10607567108407

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown