FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID TYPE D PLUG

MDR report key: 23836779 · Received December 18, 2025

Report

Report Number
2249723-2025-0005163
Event Type
Malfunction
Date Received
December 18, 2025
Date of Event
November 28, 2025
Report Date
January 28, 2026
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

DUE TO CHARACTER LIMITATION, BELOW FIELD ARE ADDED FROM E1- EVENT SITE NAME-(B)(6) HOSPITAL. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

UPDATED DATA: B4, G3, G6, H1, H2, H11, D9, H3, H6. (TYPE OF INVESTIGATION, HEALTH EFFECT ¿ IMPACT CODES, INVESTIGATION FINDINGS, COMPONENT CODES, INVESTIGATION CONCLUSIONS). CORRECTED FIELD: E2, E3, E4, D5, G2. A GETINGE FIELD SERVICE ENGINEER (FSE) STATED THAT NEED FLAT CABLE (0012-00-1158) FOR TESTING PURPOSE. ON RECONNECTED ALL DISPLAY CONNECTION. UNIT OBSERVED FOR MORE THAN 4 HRS. UNIT HANDOVER TO CUSTOMER IN WORKING WELL CONDITION. AGAIN, SAME PROBLEM WAS PERSISTING. FSE VISITED THE SITE ON 16-12-2025 AND CHECKED THE DEVICE. FSE REPLACED THE (D012-00-1558) CABLE ASSY UPPER DISPLAY TO MONITOR WITH NEW ONE AND RECTIFIED THE ISSUE. DEVICE PASSED THE ALL FUNCTIONAL AND SAFETY TESTS ACCORDING TO FACTORY SPECIFICATIONS. DEVICE WAS RETURNED TO CUSTOMER AND CLEARED FOR CLINICAL USE. OBSERVED THE DEVICE FOR 3 HOURS, NO ERRORS & PROBLEMS HAD OCCURRED AGAIN.

Description of Event or Problem · 0

IT WAS REPORTED THAT CARDIOSAVEINTRA-AORTIC BALLOON PUMP (IABP) HAD FLICKERING DISPLAY. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2336633 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