FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID TYPE D PLUG

MDR report key: 23601766 · Received November 20, 2025

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

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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