CARDIOSAVE HYBRID W/ E/F PLUG
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
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.
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.
N/A.
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 |