FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, 3.1 EDITION

MDR report key: 23765578 · Received December 10, 2025

Report

Report Number
2249723-2025-0005013
Event Type
Malfunction
Date Received
December 10, 2025
Date of Event
November 18, 2025
Report Date
April 2, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567113432
PMA / PMN Number
K112372
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, B5, D8, D9, G3, G6, H2, H3 , H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES , INVESTIGATION CONCLUSIONS), H11. CORRECTED FIELDS: D10. A GETINGE FIELD SERVICE ENGINEER (FSE) EVALUATED THE UNIT AND REPLACED THE UPPER DISPLAY BEZEL (D380-00-0559), UPPER HINGE COVER (D380-00-0561), UPPER INSIDE BADGE LABEL (D334-00-1809) AND PROD ID LABEL (D334-00-1810-01) DUE TO DAMAGE. ALL WORK WAS PERFORMED IN ACCORDANCE WITH THE INSTRUCTIONS AND PROCEDURES OUTLINED IN THE SERVICE MANUAL.

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION. (B)(6). TO CHARACTER LIMITATION IN E1 FOR EVENT SITE CITY: 5-7-1 KOJIDAI, NISHI-KU, KOBE CITY

Description of Event or Problem · 0

IT WAS REPORTED THAT AFTER USE, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) THE DISPLAY FELL WHEN THE MAIN UNIT WAS DOCKED WITH THE CART. ACCORDING TO THE CUSTOMER, THE ISSUE OCCURRED WHILE ATTEMPTING TO RETURN THE SYSTEM TO HYBRID MODE AFTER OPERATING IN RESCUE MODE. NO PATIENT WAS INVOLVED, AND NO HARM WAS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) UNIT HAD AN THE DISPLAY FELL OFF WHEN THE MAIN UNIT AND CART WERE DOCKED. THERE WAS NO PATIENT INVOLVEMENT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
69176 CARDIOSAVE HYBRID, 3.1 EDITION SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-65 10607567113432

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown