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