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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DATASCOPE CORP. - MAHWAH CARDIOSAVE HYBRID, TYPE B PLUG; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL

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DATASCOPE CORP. - MAHWAH CARDIOSAVE HYBRID, TYPE B PLUG; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Model Number 0998-00-0800-53
Device Problem Communication or Transmission Problem (2896)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/23/2022
Event Type  malfunction  
Manufacturer Narrative
During the call with the getinge emergency support coordinator, the unit's screen was verified not locked and unit was suggested to be switched out.The console was switched successfully and there was not another alarm since.The affected console was tagged for biomed.A getinge field service engineer (fse) was dispatched and evaluated the iabp, but was unable to reproduce the reported gas loss alarm issue.The fse confirmed multiple "gas loss in iab circuit" alarms in the log file as well as a few "augmentation" alarms preceding the gas loss in iab circuit alarms.It is suspected that the catheter was the cause of the gas loss alarms.There were no electrical faults reported, and the fse reloaded the b.17 software as recommended in three of the faults.The fse then performed all functional and safety checks to meet factory specifications.Unit passed all functional and safety test per factory specifications.The iabp was then released to the customer and cleared for clinical service.A supplemental report will be submitted upon completion of our investigation.The full name of the initial reporter that is abbreviated in is (b)(6).
 
Event Description
It was reported to the emergency support coordinator that during use on a patient, the screen for the cardiosave intra-aortic balloon pump (iabp) would not respond following a gas loss alarm.The end user followed the help screen but was unable to start the iabp unit as the keys were greyed out.The esc verified that the screen was not locked and suggested switching the console, which was done successfully.No additional alarms were reported to occur.There was no patient harm or injury and no adverse event was reported.This medwatch is for the reported touch screen issue , the gas loss alarm issue has been reported in a separate medwatch.
 
Event Description
N/a.
 
Manufacturer Narrative
A getinge field service engineer (fse) evaluated the iabp, but was unable to reproduce the reported issue.The fse confirmed multiple "gas loss in iab circuit" alarms in the log file as well as a few "augmentation" alarms preceding the gas loss in iab circuit alarms.It is suspected that the catheter was the cause of the gas loss alarms.There were no electrical faults reported, and the fse reloaded the b.17 software as recommended in three of the faults.The fse then performed all functional and safety checks to meet factory specifications.Unit passed all functional and safety test per factory specifications.The iabp was then released to the customer and cleared for clinical service.
 
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Brand Name
CARDIOSAVE HYBRID, TYPE B PLUG
Type of Device
SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL
Manufacturer (Section D)
DATASCOPE CORP. - MAHWAH
1300 macarthur blvd
mahwah NJ
Manufacturer (Section G)
DATASCOPE CORP. - MAHWAH
1300 macarthur blvd
mahwah NJ
Manufacturer Contact
arelean guzman
1300 macarthur blvd
mahwah, NJ 
MDR Report Key14140296
MDR Text Key289495886
Report Number2249723-2022-00887
Device Sequence Number1
Product Code DSP
UDI-Device Identifier10607567108391
UDI-Public10607567108391
Combination Product (y/n)N
PMA/PMN Number
K112372
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,User Facility,Company Representative
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 01/30/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number0998-00-0800-53
Device Catalogue Number0998-00-0800-53
Device Lot NumberN/A
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Initial Date Manufacturer Received 03/23/2022
Initial Date FDA Received04/19/2022
Supplement Dates Manufacturer Received01/23/2024
Supplement Dates FDA Received01/30/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/10/2019
Is the Device Single Use? No
Type of Device Usage Reuse
Patient Sequence Number1
Treatment
INTRA-AORTIC BALLOON CATHETER.
Patient Age64 YR
Patient SexFemale
Patient Weight30 KG
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