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 |