FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 23671334 · Received November 28, 2025

Report

Report Number
2249723-2025-0004878
Event Type
Malfunction
Date Received
November 28, 2025
Date of Event
November 7, 2025
Report Date
March 31, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DUE TO CHARACTER LIMITATIONS: FULL EVENT SITE NAME: (B)(6) MEDICAL CENTER. FULL INITIAL REPORTER NAME: (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, G3, G6, H2, H11. CORRECTED FIELDS: E1 (EVENT SITE TELEPHONE), H6 (TYPE OF INVESTIGATION). DUE TO CHARACTER LIMITATION IN BLOCK E1: INITIAL REPORTER: (B)(6).

Additional Manufacturer Narrative · 0

UPDATED FIELDS: A2, A4, B4,G3, G6,H2,H11.

Additional Manufacturer Narrative · 0

UPDATED DATA: B4, G3, G6, H1, H2, H11, E3, B5, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES,MEDICAL DEVICE ¿ PROBLEM CODE, INVESTIGATION CONCLUSIONS) A GETINGE FIELD SERVICE ENGINEER FSE WAS DISPATCHED TO THE SITE TO EVALUATE THE UNIT. UPON ARRIVAL, HE STATES THAT BATTERIES SHOWED POOR PERFORMANCE DURING AIR TRANSPORT. BATTERIES EXPIRED IN SEPTEMBER. REPLACED BOTH BATTERY PACKS AND COMPLETED THE PM INCLUDING ALL FUNCTIONAL AND SAFETY TESTS AS PER MANUFACTURER SPECIFICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) UNIT WOULD NOT STAY POWERED ON DURING A LIFEGUARD TRANSPORT OF PATIENT. THERE WAS NO HARM REPORTED.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HAS BATTERY MALFUNCTION ISSUE. THERE WAS PATIENT INVOLVEMENT AND NO PATIENT HARM REPORTED. UNIT WOULD NOT STAY POWERED ON DURING A LIFEGUARD TRANSPORT OF PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
311054 CARDIOSAVE HYBRID, TYPE B PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-53 10607567108391

Patients

Seq Age Sex Outcome Treatment
1