FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, 3.1 EDITION

MDR report key: 24531685 · Received March 6, 2026

Report

Report Number
2249723-2026-0001584
Event Type
Malfunction
Date Received
March 6, 2026
Date of Event
February 12, 2026
Report Date
March 6, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567113432
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION. H11: EVENT SITE NAME: (B)(6) HOSPITAL.

Description of Event or Problem · 0

IT WAS REPORTED BY GGJ ENGINEERS DURING A PRE DELIVERY INSPECTION THAT THE CARDIOSAVE INTRA AORTIC BALLOON PUMP (IABP) FAILED THE PIM LEAK TEST AND THE DRIVE MANIFOLD TEST. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
591583 CARDIOSAVE HYBRID, 3.1 EDITION SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-65 10607567113432

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown