FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 19217209 · Received April 30, 2024

Report

Report Number
2249723-2024-01789
Event Type
Malfunction
Date Received
April 30, 2024
Date of Event
April 19, 2024
Report Date
February 3, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

**UDI RELATED DATA QUALITY UPDATES ONLY** PROVIDING UPDATED DEVICE IDENTIFICATION INFORMATION IN ALIGNMENT WITH GUDID.

Additional Manufacturer Narrative · 0

CORRECTED FIELDS: E1(INITIAL REPORTER). ADDITIONAL CONTACT INFORMATION: (B)(6). A GETINGE FIELD SERVICE ENGINEER (FSE) STATED THAT HE SPOKE WITH BEN CHAN, BWH BIOMED. HE IS FACTORY TRAINED AND WILL COMPLETE THE SERVICE CALL IN-HOUSE.CLINICAL STAFF MISTAKENLY CALLED GETINGE SERVICE INSTEAD OF CALLING IN HOUSE BIOMED.NO FURTHER INFORMATION IS AVAILABLE. THIS SO IS CLOSED. H3 OTHER TEXT : BIOMEDICAL ENGINEERING IS FACTORY TRAINED AND WILL BE HANDLING THIS REPAIR.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE ON A PATIENT, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) PRINTER IS NOT PRINTING CLEAR. THERE WAS NO HARM TO PATIENT REPORTED.

Description of Event or Problem · 0

N/A

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2068228 CARDIOSAVE HYBRID, TYPE B PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-53 10607567108391

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN.