FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE G PLUG

MDR report key: 23627350 · Received November 23, 2025

Report

Report Number
2249723-2025-0004800
Event Type
Malfunction
Date Received
November 23, 2025
Date of Event
November 3, 2025
Report Date
December 28, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108438
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
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

UPDATED FIELDS- B4, D9, D10, E1 (INITIAL REPORTER, EVENT SITE EMAIL), G3, G6, H2, H3, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES, INVESTIGATION CONCLUSIONS), H11. A GETINGE FIELD SERVICE ENGINEER (FSE) EVALUATED THE UNIT AND FOUND THAT THE UNIT SCREEN HAVING INTERMITTENT PROBLEMS. CHECKED THE LOGS AND NOTHING CAN BE FOUND. THE SCREEN WAS REPLACED PREVIOUSLY, BUT ISSUE CAME BACK. THE FSE EXTRACTED THE LOGS AND ESCALATED THE ISSUE TO THE FACTORY. AS PER THE QUOTATION PROVIDED TO CUSTOMER, THE EXEC PROCESSOR (0670-00-0770) AND BACKPLANE PCBA (0670-00-1163) WERE REPLACED, AND THE UNIT WAS PLACED UNDER MONITORING. AFTER A FEW DAYS, THE USER CONFIRMED THAT THE UNIT IS OK.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) UNIT HAD SCRREN WAS BEEN FUZZY. THERE WAS NO PATIENT INVOLVEMENT REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING A PRE-USE CHECK, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HAD A FAULTY SCREEN. THERE WAS NO PATIENT INVOLVEMENT OR ADVERSE EVENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2361639 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