CARDIOSAVE HYBRID TYPE D PLUG
Report
- Report Number
- 2249723-2025-0004762
- Event Type
- Malfunction
- Date Received
- November 20, 2025
- Date of Event
- October 29, 2025
- Report Date
- December 22, 2025
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DSP
- UDI-DI
- 10607567109008
- PMA / PMN Number
- K112372
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- BIOMEDICAL ENGINEER
- Health Professional
- Yes
Narratives
A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.
DUE TO CHARACTER RESTRICTION IN BLOCK E1. E1 EVENT SITE NAME IS (B)(6). UPDATED FIELDS: B4, G3, G6, H2,H3, H6(INVESTIGATION FINDINGS, TYPE OF INVESTIGATION, INVESTIGATION CONCLUSIONS, COMPONENT CODE, HEALTH EFFECT ¿ IMPACT CODES), H11. A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE LOWER LCD INPUT CABLE WAS DISCONNECTED AND RECONNECTED. IT RESOLVED THE ISSUE, AND THE UNIT WAS WORKING PROPERLY. TO PREVENT THE SAME PROBLEM FROM RECURRING, THE LOWER LCD INPUT CABLE WAS REPLACED (0012-00-1558). THE DISPLAY WORKING PROPERLY, AND ALL FUNCTIONAL TEST PASSED. THE UNIT HANDED OVER TO THE CUSTOMER IN GOOD WORKING CONDITION. CORRECTED FIELD : E1 ( EVENT SITE EMAIL ) , D1.
IT WAS REPORTED BY COSTUMER THAT DURING ROUTINE CHECK THE DISPLAY OF CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) WAS BLINKING. THERE WAS NO PATIENT INVOLVEMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 314826 | CARDIOSAVE HYBRID TYPE D PLUG | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL | DSP | DATASCOPE CORP. | 0998-00-0800-33 | 10607567109008 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |