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U.S. Department of Health and Human Services

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

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DATASCOPE CORP. CARDIOSAVE HYBRID TYPE J PLUG; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Model Number 0998-00-0800-32
Medical Device Problem Codes Leak/Splash (1354); Failure to Power Up (1476)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/06/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Due to character limitation in e1, initial reporter full name: (b)(6).A supplemental report will be submitted upon completion of our investigation.
 
Event or Problem Description
It was reported that the cardiosave intra-aortic balloon pump (iabp) had failure to turn on the device.There was no harm or injury reported.
 
Event or Problem Description
N/a.
 
Additional Manufacturer Narrative
Updated data: b4, g3, g6, h1, h2, h11, e3, b3, h6.(type of investigation, investigation findings, component codes, investigation conclusions).Corrected field: g2.A getinge field service engineer (fse) stated check was performed and the equipment did not turn on and there was a leak in the cartridge o-ring.The field service resolved the problem of not turning on, but the o-ring was broken.An adjustment was made with another similar o-ring to maintain its operation.We will request the customer for the authorization to proceed with the removal of the defective part for export.The part was replaced by the customer themselves.Service completed and equipment cleared for clinical use.
 
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Brand Name
CARDIOSAVE HYBRID TYPE J PLUG
Common Device Name
SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL
Manufacturer (Section D)
DATASCOPE CORP.
1300 macarthur blvd
mahwah NJ 07430
Manufacturer (Section G)
DATASCOPE CORP.
1300 macarthur blvd
mahwah NJ 07430
Manufacturer Contact
ewelina chorlowska
1300 macarthur blvd
mahwah, NJ 07430
MDR Report Key23389856
Report Number2249723-2025-0004431
Device Sequence Number10047633
Product Code DSP
UDI-Device Identifier10607567111117
UDI-Public(01)10607567111117
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
K112372
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 01/23/2026
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
Operator of Device Health Professional
Device Model Number0998-00-0800-32
Device Catalogue Number0998-00-0800-32
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 10/06/2025
Supplement Date Received by Manufacturer01/23/2026
Initial Report FDA Received Date10/27/2025
Supplement Report FDA Received Date01/23/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device Reuse
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
NA.
Patient SexUnknown
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