FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID W/ E/F PLUG

MDR report key: 19881964 · Received August 1, 2024

Report

Report Number
2249723-2024-03076
Event Type
Malfunction
Date Received
August 1, 2024
Date of Event
July 11, 2024
Report Date
January 10, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, D8, D9, G3, G6, H2, H3, H10 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES, INVESTIGATION CONCLUSION), H11. IT WAS REPORTED BEFORE USE THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) COULD NOT BE SWITCHED ON. A MEDITEC MEDICAL ENGINEERING TEAM EVALUATED THE DEVICE AND CONFIRMED THE ISSUE. MEDITEC REPLACED THE POWER MANAGEMENT BOARD TO RESOLVE THE ISSUE AND SOFTWARE UPDATE TO VERSION D.01. AFTER THE REPAIR, MAINTENANCE AND STK WERE CARRIED OUT ACCORDING TO THE MANUFACTURER'S SPECIFICATIONS. MEDITEC CONFIRMED CALIBRATIONS, FUNCTION TEST AND TEST RUN OK. DEVICE IS READY FOR USE. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT BEFORE USE, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) CAN NOT BE SWITCHED ON. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) CAN NOT BE SWITCHED ON. THERE WERE NO KNOWN INJURIES.

Description of Event or Problem · 0

N/A

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2066123 CARDIOSAVE HYBRID W/ E/F PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-55

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown