FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, 3.1 EDITION

MDR report key: 23130841 · Received September 24, 2025

Report

Report Number
2249723-2025-0003982
Event Type
Malfunction
Date Received
September 24, 2025
Date of Event
September 3, 2025
Report Date
March 31, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELD : B4 , G3 , D9, G6 , H2 , H11 , H6(INVESTIGATION FINDINGS, TYPE OF INVESTIGATION, INVESTIGATION CONCLUSIONS,COMPONENT CODE), CORRECTED FIELD : D5 ,E2 , E3 , E4 , E1 ( INITIAL REPORTER , EVENT SITE EMAIL , EVENT SITE ADDRESS , EVENT SITE CITY ), G2. A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE (FSE) REPORTED THAT THE UPPER DISPLAY BOARD (D670-00-1183), LABEL, UPPER INSIDE BADGE (D334-00-1809) AND LABEL, PROD ID,CARDIOSAVE HYBRID (D334-00-1810-01)WAS DEFECTIVE AND REPLACED THE PART. AFTER THE REPAIR THE ISSUE DID NOT REOCCUR AND THE UNIT WAS RETURNED TO THE CUSTOMER. THE FAILURE ANALYSIS AND TESTING DEPT. RECEIVED THE FOLLOWING PART P/N: 0670001183 C, S/N: (B)(6), PCBA UPPER DISPLAY, WITH A REPORTED UNIT FAILURE OF SCREEN DISPLAY ERROR DURING INSPECTION. THE FAT DEPT. CONDUCTED A VISUAL INSPECTION OF THE PART RECEIVED AND FOUND THAT THE PART IS IN GOOD CONDITION. THE FAT DEPARTMENT INSTALLED P/N: 0670001183 C, S/N: (B)(6), PCBA UPPER DISPLAY IN THE CARDIOSAVE TEST FIXTURE S/N: (B)(6) AND TESTED TO FACTORY SPECIFICATIONS PER CARDIOSAVE MANUAL NUMBER 0070-00-0639 REVISION R. THE FAILURE ANALYSIS AND TESTING DEPARTMENT PERFORMED THE FUNCTIONAL TEST FOR APPROXIMATELY ONE HOUR AND COULD NOT REPRODUCE OR VERIFY THE REPORTED SCREEN DISPLAY ERROR. RETAINING THE PCBA UPPER DISPLAY MONITOR IN THE FAT DEPARTMENT PER PROCEDURE.

Additional Manufacturer Narrative · 0

DUE TO CHARACTERIZATION LIMIT E1:(B)(6).

Additional Manufacturer Narrative · 0

UPDATED DATA: B4, G3, G6, H1, H2, H11, D9, H3. (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES, INVESTIGATION CONCLUSIONS). A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE (FSE) REPORTED THAT THE UPPER DISPLAY BOARD WAS DEFECTIVE AND REPLACED THE PART. AFTER THE REPAIR THE ISSUE DID NOT REOCCUR AND THE UNIT WAS RETURNED TO THE CUSTOMER.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

IT WAS REPORTED THAT IN CARDIOSAVE INTRA AORTIC BALLOON PUMP (IABP), SCREEN DISPLAY HAD AN ERROR AND APPEARED RED, THERE WAS NO PATIENT INVOLVED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING INSPECTION WORK, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HAD A SCREEN DISPLAY ERROR. THERE WAS NO PATIENT INVOLVEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
515376 CARDIOSAVE HYBRID, 3.1 EDITION SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-65

Patients

Seq Age Sex Outcome Treatment
1