FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 23874769 · Received December 23, 2025

Report

Report Number
2249723-2025-0005203
Event Type
Malfunction
Date Received
December 23, 2025
Date of Event
November 22, 2025
Report Date
March 5, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, B5, B6, B7, B8, G3, G6, H2, H6 (TYPE OF INVESTIGATION, HEALTH EFFECT CODE).

Additional Manufacturer Narrative · 0

UPDATED FIELDS - B4, 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) WAS DISPATCHED TO EVALUATE THE UNIT. THE (FSE) REPORTED THAT THE DEVICE REQUIRED THE O-RING (0354-00-0175) TO BE REPLACED. THE REPLACEMENT WAS DONE AND THE DEVICE PASSED LEAK TESTS AND WAS RETURNED TO THE CUSTOMER.

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING EQUIPMENT INSPECTION CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HELIUM GAS WAS LEAK, EVEN AFTER CYLINDER WAS EXCHANGED. THERE WAS NO PATIENT INVOLVED.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) HELIUM GAS WAS LEAK, EVEN AFTER CYLINDER WAS EXCHANGED. THERE WAS NO PATIENT HARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2759491 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 NA Unknown