FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID W/ E/F PLUG

MDR report key: 23787169 · Received December 12, 2025

Report

Report Number
2249723-2025-0005053
Event Type
Malfunction
Date Received
December 12, 2025
Date of Event
November 19, 2025
Report Date
January 29, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108414
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

DUE TO CHARACTERIZATION LIMIT E1 EVENT SITE NAME: (B)(6). DUE TO CHARACTERIZATION LIMIT E1 EVENT SITE ADDRESS: (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

DUE TO CHARACTERIZATION LIMIT E1: INITIAL REPORTER: (B)(6). UPDATED FIELDS - B5, D9, B4, G3, G6, H3, H2, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, INVESTIGATION CONCLUSIONS), H11. CORRECTED FIELDS: D5, E2, E3, E4, E1, G2. IT WAS REPORTED THAT DURING FSCA PROCESS THE CARDIOSAVE INTRA AORTIC BALLOON PUMP (IABP) SHUTS DOWN WHEN UNPLUGGED. THE DEVICE WAS INSPECTED FOR FSCA PROCEDURES NUMBERED 2249723-05/05/2023-008-C AND 2249723-06/02/2023-013-C / (B)(4). HOWEVER, THE MALFUNCTIONS WERE NOT RELATED TO FSCA.THERE WAS NO PATIENT INVOLVEMENT AND NO ADVERSE EVENT REPORTED. IT WAS DETERMINED THAT THE DEVICE SHUTS DOWN WHEN UNPLUGGED DURING THE FSCA PROCEDURE. SERVICE SCHEDULING IS REQUIRED FOR FAULT DIAGNOSIS. THE DEVICE IS NOT SUITABLE FOR CLINICAL USE. THE SERVICE ORDER WAS CLOSED DUE TO TIMEOUT BECAUSE THE INFRASTRUCTURE REQUIREMENTS NOTIFIED BY GETINGE TECHNICAL SERVICE WERE NOT MET BY THE ORGANIZATION. THE CUSTOMER DOES NOT HAVE AN AGREEMENT WITH GETINGE. A PAID SERVICE PRICE QUOTE WAS SENT FOR FAULT DIAGNOSIS, BUT THE CUSTOMER DID NOT APPROVE IT. IN FUTURE IF WE RECEIVE ANY UPDATE WILL REOPEN AND UPDATE THE INVESTIGATION.

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, G3, G6, H2, H11. CORRECTED FIELDS: H6 (INVESTIGATION FINDINGS).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) EXPERIENCED A DEVICE SHUTDOWN WHEN UNPLUGGED. THERE WAS NO PATIENT INVOLVEMENT. NO HARM OR INJURY TO THE PATIENT WAS REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) EXPERIENCED A DEVICE SHUTDOWN WHEN UNPLUGGED. THERE WAS NO PATIENT INVOLVEMENT.

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2712277 CARDIOSAVE HYBRID W/ E/F PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-55 10607567108414

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown