FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE G PLUG

MDR report key: 22662634 · Received July 30, 2025

Report

Report Number
2249723-2025-0003244
Event Type
Malfunction
Date Received
July 30, 2025
Date of Event
July 15, 2025
Report Date
September 16, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108438
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, B5, B6, B7, D9, D10, E1(INITIAL REPORTER, EVENT SITE EMAIL), G3, G6, H2, H3, H6(TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES, HEALTH EFFECT ¿ IMPACT CODES, INVESTIGATION CONCLUSIONS), H11. A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO INVESTIGATE THE ISSUE. THE FSE REPLACED THE AC POWER CORD REEL (D012-00-1688-24), THE CART BULK POWER SUPPLY (D014-00-0258) TO RESOLVE THE ISSUE AND IMPLEMENTED THE FA358 AND UNIT TESTED TO BE OK. THE FSE ALSO NOTICED THAT THE THERMAL ARRAY CHART PAPER NEEDS TO BE REPLACED (D683-00-0422-02) SO HE REPLACED IT. THE THERMAL PAPER WILL BE CHARGED TO GETINGE SERVICE AS THIS IS FOR INTERNAL TESTING PURPOSES. THE UNIT PASSED ALL SAFETY AND FUNCTIONAL TESTS AND WAS RETURNED TO THE CUSTOMER FOR CLINICAL USE.

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING PRE-USE CHECK, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) WAS NOT ABLE TO CHARGE. THERE WAS NO PATIENT INVOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) NOT ABLE TO CHARGE. NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
49796 CARDIOSAVE HYBRID, TYPE G PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-52 N/A NOT REQUIRED FOR HARDWARE 10607567108438

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown N/A.| UNKNOWN.