FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE I PLUG

MDR report key: 21524525 · Received March 5, 2025

Report

Report Number
2249723-2025-0001006
Event Type
Malfunction
Date Received
March 5, 2025
Date of Event
February 14, 2025
Report Date
August 26, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108421
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

DUE TO CHARACTER RESTRICTIONS IN BLOCK E1 EVENT SITE NAME: (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

AFTER FURTHER REVIEW, AN INITIAL EMDR FOR THIS COMPLAINT WAS INCORRECTLY SUBMITTED. THE PARENT COMPLAINT (B)(4) IS BEING CANCELLED AS IT WAS CREATED IN ERROR AS IT IS DUPLICATE TO COMPLAINT # (B)(4). THE INCIDENT WAS DETERMINED TO BE A DUPLICATE REPORT TO COMPLAINT 1220021 (AUTHORITY MFG REPORT NUMBER (2249723-2025-0000781). AS A RESULT, NO FOLLOW UP EMDR IS NECESSARY. PLEASE CANCEL IN YOUR DATABASE. REVERT ALL SECTIONS TO BLANK : B. ADVERSE EVENT OR PRODUCT PROBLEM D. SUSPECT MEDICAL DEVICE E. INITIAL REPORTER G. ALL MANUFACTURERS H. DEVICE MANUFACTURERS ONLY

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP), THE BACKUP BATTERY STORAGE CAPACITY OF THE DEVICE IS LOW AFTER CHARGING.

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2275869 CARDIOSAVE HYBRID, TYPE I PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-45 10607567108421

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN.