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. |