FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE G PLUG

MDR report key: 24186342 · Received January 27, 2026

Report

Report Number
2249723-2026-0000884
Event Type
Malfunction
Date Received
January 27, 2026
Date of Event
January 5, 2026
Report Date
April 14, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108438
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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

Additional Manufacturer Narrative · 0

UPDATED FIELDS - B4,G3, G6, H3, H11. AFTER FURTHER REVIEW, AN INITIAL EMDR FOR THIS COMPLAINT WAS INCORRECTLY SUBMITTED. THE COMPLAINT WAS CREATED IN ERROR, THE SAFETY DISK WAS DUE FOR REPLACEMENT , THERE WAS NO REPORTED CUSTOMER DISSATISFACTION RELATED TO THIS EVENT, MAKING IT NON-REPORTABLE TO THE FDA. AS A RESULT, NO FOLLOW UP EMDR IS NECESSARY. PLEASE CANCEL IN YOUR DATABASE.

Additional Manufacturer Narrative · 0

UPDATED DATA: B4, G3, G6, H1, H2, H11. CORRECTED DATA: H6 (TYPE OF INVESTIGATION).

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, G3, G6, H2, H6 (TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODE, CONCLUSION), H11. A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE (FSE) CONFIRMED THE FAILURE AND REPLACED THE SAFETY DISK. THE UNIT PASSED ALL FUNCTIONAL AND SAFETY TESTS AS PER FACTORY SPECIFICATIONS.

Additional Manufacturer Narrative · 0

AS PER THE INFORMATION PROVIDED BY GETINGE (FIELD SERVICE ENGINEER) FSE, THIS RECORD IS REPORTABLE. KINDLY DISREGARD THE PREVIOUS REPORT NUMBER 2249723-2026-0000884. WHICH WAS SENT IN ERROR.

Description of Event or Problem · 0

IT WAS REPORTED THAT, DURING A ROUTINE CUSTOMER CHECK, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP GENERATED A ¿SAFETY DISK REPLACEMENT¿ MESSAGE. THERE WAS NO PATIENT INVOLVED AT THE TIME.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

N/A.

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
250048 CARDIOSAVE HYBRID, TYPE G PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-52 10607567108438

Patients

Seq Age Sex Outcome Treatment
1