FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 21238329 · Received January 27, 2025

Report

Report Number
2249723-2025-0000293
Event Type
Malfunction
Date Received
January 27, 2025
Date of Event
January 3, 2025
Report Date
April 30, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
110607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS- B4, B5, B6, B7, D10, G3, G6, H2, H6 CODES (HEALTH EFFECT), H11.

Additional Manufacturer Narrative · 0

UPDATED FIELDS- B4, B5, D8, G1(CONTACT PERSON-MFG SITE), G3, G6, H1, H2, H3, H6 CODES (INVESTIGATION TYPES, FINDINGS, CONCLUSION, PROBLEM CODE, COMPONENT CODE, HEALTH IMPACT), H11. GETINGE FSE VISTITED THE SITE AND EVALUATED THE PUMP AND FOUND TOUCH SCREEN NOT WORKING. CHANGED THE TOUCH SCREEN ASSEMBLY AND ISSUE WAS RESOLVED. FOR COMPLAINTS THAT WERE CONFIRMED TO HAVE NO TOUCH INPUT CAPA 802446 WAS INITIATED TO INVESTIGATE THE FAILURE OF NO TOUCH INPUT. THE CAPA IS CURRENTLY IN "ROOT CAUSE INVESTIGATION" STATE.

Additional Manufacturer Narrative · 0

DUE CHARACTER LIMIT E1 EVENT SITE NAME: (B)(6). SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT BEFORE USE CARDIOSAVE INTRA AORTIC BALLOON PUMP(IABP), TOUCH SCREEN WAS NOT WORKING. THERE WAS NO PATENT INVOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE CARDIOSAVE INTRA AORTIC BALLOON PUMP(IABP), TOUCH SCREEN WAS NOT WORKING.

Description of Event or Problem · 0

IT WAS REPORTED CARDIOSAVE INTRA AORTIC BALLOON PUMP (IABP), TOUCH SCREEN WAS NOT WORKING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
466943 CARDIOSAVE HYBRID, TYPE B PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-53 110607567108391

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown