FDA Adverse Event
Malfunction
Summary report: N
CARDIOSAVE HYBRID, TYPE I PLUG
MDR report key: 24868450
·
Received April 14, 2026
Report
- Report Number
- 2249723-2026-0002263
- Event Type
- Malfunction
- Date Received
- April 14, 2026
- Date of Event
- March 22, 2026
- Report Date
- April 10, 2026
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DSP
- UDI-DI
- 10607567108421
- PMA / PMN Number
- K112372
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
DUE TO CHARACTERIZATION LIMIT E1 EVENT SITE NAME IS WUHAN HOSPITAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE; EVENT SITE TELEPHONE NUMBER IS: (B)(6).A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE CARDIOSAVE INTRA AORTIC BALLOON PUMP(IABP) HAD SUDDENLY LOST ITS BACK PULSE DURING USE. NO HARM OR INJURY TO THE PATIENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 939106 | CARDIOSAVE HYBRID, TYPE I PLUG | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL | DSP | DATASCOPE CORP. | 0998-00-0800-45 | 10607567108421 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |