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