FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 24727269 · Received March 30, 2026

Report

Report Number
2249723-2026-0001929
Event Type
Malfunction
Date Received
March 30, 2026
Date of Event
March 4, 2026
Report Date
April 6, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

OTHER CONTACT PHONE NUMBER: (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

UPON FURTHER REVIEW, IT WAS DETERMINED THAT THE FAILURE MODE INVOLVED IN THE EVENT DID NOT LEAD TO AND DOES NOT HAVE POTENTIAL TO LEAD TO THE OUTCOMES OF A SERIOUS INCIDENT. PLEASE CANCEL MFG REPORT NUMBER 2249723-2026-0001929 IN YOUR DATABASE.

Description of Event or Problem · 0

IT WAS REPORTED BY THE CUSTOMER THAT DURING USE THE CARDIOSAVE HYBRID INTRA-AORTIC BALLOON PUMP (IABP) HAD A GAS LOSS ALARM. THERE WAS NO PATIENT INVOLVEMENT REPORTED.

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
786991 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 N/A.