FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 23939367 · Received January 1, 2026

Report

Report Number
2249723-2026-0000030
Event Type
Malfunction
Date Received
January 1, 2026
Date of Event
December 5, 2025
Report Date
March 15, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, D9 (RETURN TO MANUFACTURE DATE), G3, G6, H2, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, INVESTIGATION CONCLUSIONS, COMPONENT CODE), H11. CORRECTED FIELDS: E1 (INITIAL REPORTER). A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE (FSE) REPORTED THAT THE FIBER OPTIC CONNECTION WAS BROKEN. TO REMEDIATE THIS THE FSE REPLACED THE CABLE ASSY, FIBER OPTIC AND FIBER OPTIC JUMPER CABLE. THE UNIT PASSED ALL SAFETY AND FUNCTIONAL TESTS AS PER MANUFACTURING SPECIFICATIONS. THE FAILURE ANALYSIS AND TESTING DEPT. RECEIVED CBL, ASSY, FO SENSOR EXTENSION WITH A REPORTED UNIT FAILURE OF FIBER OPTIC NOT WORKING. THE FAILURE ANALYSIS AND TESTING DEPT. PERFORMED A VISUAL INSPECTION AND OBSERVED THE CONNECTOR WAS DAMAGED. PROBABLE CAUSE OF THE FIBER OPTIC NOT WORKING IS THE DAMAGED CONNECTOR. RETAINING THE CABLE IN THE FAT DEPT. PER PROCEDURE.

Additional Manufacturer Narrative · 0

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

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT PRIOR TO USE THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP(IABP) FIBER OPTIC IS NOT WORKING. THERE WAS NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
7 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 NOT APPLICABLE.