FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID W/ E/F PLUG

MDR report key: 21457030 · Received February 25, 2025

Report

Report Number
2249723-2025-0000886
Event Type
Malfunction
Date Received
February 25, 2025
Date of Event
February 5, 2025
Report Date
February 9, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108414
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.DUE TO CHARACTERS LIMITATIONS, E1 (EVENT SITE NAME) IS (B)(6).

Additional Manufacturer Narrative · 0

A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE FSE REPORTED THAT THEY REPLACED THE VOLUME DISK (D202-00-0142) AND SAFETY DISK (D202-00-0140) AS A PART OF PREVENTIVE MAINTENANCE. THE BEZEL (0380-00-0559), DISPLAY HINGE COVERS (0380-00-0561), AND SEAL (0354-00-0197-04) WERE REPLACED TO FIX THE ISSUE. DEVICE PASSED THE PERFORMANCE AND SAFETY CHECKS ACCORDING TO FACTORY SPECIFICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED BY THE GETINGE FIELD SERVICE ENGINEER (FSE) THAT DURING PREVENTIVE MAINTENANCE (PM) THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) WHEN THE SCREEN IS TURNED ON, THE PLASTIC SCREEN RUBBING TOGETHER MAKES A LOUD NOISE AND IT IS TIME TO CHANGE THE SAFETY DISK AND TIDAL VOLUME DISK. THERE WAS NO PATIENT INVOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING PREVENTIVE MAINTENANCE, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) PLASTIC AROUND THE SCREEN RUBS AND MADE NOISES. THERE WAS NO PATIENT INVOLVEMENT REPORTED AND NO INJURY OR HARM REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1036588 CARDIOSAVE HYBRID W/ E/F PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-55 10607567108414

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown