FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID TYPE D PLUG

MDR report key: 24762798 · Received April 2, 2026

Report

Report Number
2249723-2026-0001971
Event Type
Malfunction
Date Received
April 2, 2026
Date of Event
March 10, 2026
Report Date
April 14, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567109008
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UPDATED FIELDS: B4, G3, G6, H3, H6(INVESTIGATION FINDINGS, TYPE OF INVESTIGATION, INVESTIGATION CONCLUSIONS, COMPONENT CODE), H11. A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT. THE (FSE) CHECKED AND CONFIRMED THE MENTIONED ISSUE. THE FSE RESET THE CONNECTIONS OF THE UPPER DISPLAY CABLE TO LCD MONITOR, VIDEO GENERATOR BOARD AND RESET THE COILED CABLE. THE PROBLEM STILL PERSISTED. THE FSE STATED THAT THE UPPER DISPLAY MONITOR TO LCD CABLE ASSEMBLY WAS DEFECTIVE. THE FSE REPLACED THE UPPER DISPLAY MONITOR TO LCD CABLE ASSEMBLY (0012-00-1558) AND THE DEVICE PASSED ALL SAFETY AND FUNCTIONAL CHECKS. THE DEVICE WAS RETURNED TO THE CUSTOMER AND CLEARED FOR CLINICAL USE.

Additional Manufacturer Narrative · 0

DUE TO CHARACTERIZATION LIMIT, E1: EVENT SITE NAME: (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

IT WAS REPORTED BY THE CUSTOMER THAT DURING ROUTINE CHECK THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) DISPLAY WAS FLICKERING WHEN SWITCHING ON. THERE WAS NO PATIENT INVOLVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
830248 CARDIOSAVE HYBRID TYPE D PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0800-33 10607567109008

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown N/A.