CARDIOSAVE HYBRID, TYPE G PLUG
Report
- Report Number
- 2249723-2025-0004350
- Event Type
- Malfunction
- Date Received
- October 17, 2025
- Date of Event
- September 30, 2025
- Report Date
- December 30, 2025
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DSP
- UDI-DI
- 10607567108438
- PMA / PMN Number
- K112372
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HK
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
UPDATED FIELD : B4 , G3 , G6 , H2 , H11 , E1 ( EVENT SITE EMAIL ) CORRECTED FIELD : D10 , H6 ( MEDICAL DEVICE ¿ PROBLEM CODE ).
A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.
UPDATED DATA: B4, G3, G6, H1, H2, H11, D9, H3, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, MEDICAL DEVICE ¿ PROBLEM CODE, INVESTIGATION CONCLUSIONS). FULL EVENT SITE NAME: (B)(6). A GETINGE FIELD SERVICE ENGINEER (FSE) EVALUATED THE UNIT AND CONFIRMED THE REPORTED BUT FOUND THAT THE FRONT-END BOARD IS OUT OF ORDER. THE FRONT-END BOARD (0670-00-1164) WAS REPLACED BY THE FSE AND TEST WERE PERFORMED. THE UNIT PASSED ALL PERFORMANCE ACCORDING TO FACTORY SPECIFICATIONS AND CLEARED FOR CLINICAL USE. THE FOLLOWING INVESTIGATION WAS PERFORMED BY (B)(6), TECHNICIAN OF THE MAQUET FAILURE ANALYSIS AND TESTING DEPT. (FAT) WAYNE, NJ: (B)(6) ON (B)(6) 2025. THE FAILURE ANALYSIS AND TESTING DEPT. RECEIVED PART NUMBER 0670-00-0769 WITH A REPORTED UNIT FAILURE OF SYSTEM HANGUP DURING STARTUP. THE FAT PERFORMED A VISUAL INSPECTION AND FOUND THE PART TO BE IN GOOD CONDITION. THE FAT INSTALLED THE BOARD IN CARDIOSAVE TEST FIXTURE SERIAL NUMBER: (B)(6) AND TESTED THE PART TO FACTORY SPECIFICATIONS PER THE CARDIOSAVE SERVICE MANUAL PART NUMBER: 0070-00-0639 REVISION R. ALL TESTING PASSED. NO FAILURE CAN BE CONFIRMED FOR THIS PART. RETAINING THE PART IN THE FAILURE ANALYSIS AND TESTING DEPARTMENT PER PROCEDURE NUMBER: 0002-07-D008 REV. AU.
N/A.
IT WAS REPORTED THAT DURING STARTUP, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) EXPERIENCED A SYSTEM HANG. NO PATIENT WAS INVOLVED
IT WAS REPORTED THAT DURING START UP THE CADIOSAVE INTRA AORTIC BALLOON PUMP (IABP) SYSTEM HANG UP "FROZE" ON THE "MAQUET" LOGO. IT FAILED TO ENTER "STANDBY" MODE. THERE WAS NO PATIENT INVOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2827732 | CARDIOSAVE HYBRID, TYPE G PLUG | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL | DSP | DATASCOPE CORP. | 0998-00-0800-52 | 10607567108438 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | UNKNOWN. |