FDA Adverse Event
Malfunction
Summary report: N
CARDIOSAVE HYBRID, TYPE I PLUG
MDR report key: 24244082
·
Received February 3, 2026
Report
- Report Number
- 2249723-2026-0001056
- Event Type
- Malfunction
- Date Received
- February 3, 2026
- Date of Event
- January 11, 2026
- Report Date
- February 11, 2026
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DSP
- UDI-DI
- 10607567108421
- PMA / PMN Number
- K112372
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NJ, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
AFTER FURTHER REVIEW, AN INITIAL 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. PLEASE CANCEL 2249723-2026-0001056 IN YOUR DATABASE.
Additional Manufacturer Narrative · 0
DUE TO CHARACTER LIMITATION IN E1 FOR EVENT SITE NAME, THE FULL EVENT SITE NAME IS (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
USER CALLED INTO EMERGENCY SUPPORT PROGRAM (ESP) LINE DURING CARDIOSAVE INTRA AORTIC BALLOON PUMP THERAPY HAD AUGMENTATION MALFUNCTION. THERE WAS PATIENT INVOLVEMENT BUT NO HARM REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 541945 | CARDIOSAVE HYBRID, TYPE I PLUG | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL | DSP | DATASCOPE CORP. | 0998-00-0800-45 | 10607567108421 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |