FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 24219658 · Received January 30, 2026

Report

Report Number
2249723-2026-0000995
Event Type
Malfunction
Date Received
January 30, 2026
Date of Event
January 8, 2026
Report Date
March 9, 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
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AFTER FURTHER REVIEW, AN INITIAL EMDR FOR THIS COMPLAINT WAS INCORRECTLY SUBMITTED. IN THIS COMPLAINT, BALLOON PUMP LATCH ON THE LOWER BIN IS BROKEN, THAT IS A COSMETIC DAMAGE, MAKING IT NON REPORTABLE TO THE FDA. AS A RESULT, NO FOLLOW UP EMDR IS NECESSARY. PLEASE CANCEL 2249723-2026-0000995 IN YOUR DATABASE.

Additional Manufacturer Narrative · 0

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 THE LATCH ON THE LOWER BIN CARDIOSAVE INTRA AORTIC BALLOON PUMP (IABP) WAS BROKEN. THERE WAS NO PATIENT HARM OR INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
596925 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 UNKNOWN.