FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID W/ E/F PLUG

MDR report key: 23232655 · Received October 7, 2025

Report

Report Number
2249723-2025-0004157
Event Type
Malfunction
Date Received
October 7, 2025
Date of Event
September 15, 2025
Report Date
November 27, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS - B4, G3, G6, H2, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, INVESTIGATION CONCLUSIONS), H11. CORRECTED FIELD- H8. DUE TO CHARACTER LIMITATION, BELOW FIELD ARE ADDED FROM E1- EVENT SITE ADDRESS-2 (B)(6). A GETINGE FIELD SERVICE ENGINEER (FSE) CHECKED THE CARDIOSAVE #B MACHINE, EQUIPMENT NUMBER 6515-070-0001/17/66, FOUND THAT THE LOGFILE HAD FAULT CODE #37 RELATED TO THE WARNING AUTOFILL FAIL - IAB DISCONNECT. CHECKED THE MACHINE USING THE ALL MANIFOLD TEST: ALL PASS, METHOD - CALIBRATE DRIVE REGULATOR: VALUE WAS IN THE RANGE, CAN BE USED NORMALLY. RUN THE TEST THROUGH THE TRAINER. THE MACHINE CAN RUN THE TEST. NO AUTOFILL FAIL SYMPTOMS WERE FOUND.

Additional Manufacturer Narrative · 0

DUE TO CHARACTER LIMITATION, BELOW FIELD ARE ADDED FROM E1- EVENT SITE NAME : (B)(6). EVENT SITE CITY : (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

IT WAS REPORTED BY CUSTOMER THAT BEFORE USE,THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HAD AUTOFILL FAILURE ISSUE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2747353 CARDIOSAVE HYBRID W/ E/F PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-55

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown