FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID W/ E/F PLUG

MDR report key: 23954554 · Received January 5, 2026

Report

Report Number
2249723-2026-0000142
Event Type
Malfunction
Date Received
January 5, 2026
Date of Event
December 15, 2025
Report Date
March 18, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

AFTER FURTHER REVIEW, AN EMDR FOR THIS COMPLAINT WAS INCORRECTLY SUBMITTED. THIS IS A NON-REPORTABLE EVENT, MAKING IT NON-REPORTABLE TO THE FDA. AS A RESULT, NO FOLLOW UP EMDR IS NECESSARY. THIS REPORT 2249723-2026-0000142 PLEASE CANCEL IN YOUR DATABASE.

Additional Manufacturer Narrative · 0

CORRECTION FIELD: E1(EVENT SITE NAME, EVENT SITE ADDRESS). UPDATED FIELD: B4, D9, E1(INITIAL REPORTER NAME, PHONE, EMAIL), G3, G6, H2, H3, H6(TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES INVESTIGATION CONCLUSIONS), H11 A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE FSE REPORTED THAT THE HELIUM CAP ON THE TROLLEY WAS FOUND TO BE BROKEN AND THE AFFECTED PART WAS REPLACED. DEVICE PASSED THE PERFORMANCE AND SAFETY CHECKS ACCORDING TO FACTORY SPECIFICATIONS.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP(IABP) HELIUM CAP DOES NOT STAY IN PLACE. THERE WAS NO PATIENT HARM OR INJURY REPORTED.

Description of Event or Problem · 0

N/A

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
29445 CARDIOSAVE HYBRID W/ E/F PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-55

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN.