FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, 3.1 EDITION

MDR report key: 23299441 · Received October 15, 2025

Report

Report Number
2249723-2025-0004303
Event Type
Malfunction
Date Received
October 15, 2025
Date of Event
September 25, 2025
Report Date
November 24, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567113432
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION: DUE TO CHARACTERIZATION LIMIT E1 (EVENT SITE FULL NAME: (B)(6) HOSPITAL. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

UPDATED FIELDS - B4, D8, D9, E1, E2 G3, G6, H2, H3, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, INVESTIGATION CONCLUSIONS), H11 CORRECTED FIELD: D10, H6 (MEDICAL DEVICE PROBLEM CODE). A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT AND THE PROBLEM WAS UNABLE TO BE REPRODUCED REPORTED. THE FSE REPLACED THE PCBA, VIDEO GENERATOR (0670-000-1182) AS PRECAUTION AND THE DEVICE RETURNED TO EXPECTED USE. THE FSE CALIBRATED AND PASSED ALL FUNCTIONAL AND SAFETY TESTS PER FACTORY SPECIFICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HAS NOISE APPEARS ON THE TOUCH PANEL SCREE ISSUE. THERE WAS NO PATIENT HARM.

Description of Event or Problem · 0

IT WAS REPORTED THAT CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HAS NOISE APPEARS ON THE TOUCH PANEL SCREE ISSUE. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1993026 CARDIOSAVE HYBRID, 3.1 EDITION SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-65 10607567113432

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown