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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DATASCOPE CORP. CARDIOSAVE HYBRID TYPE I (AU); SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL

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DATASCOPE CORP. CARDIOSAVE HYBRID TYPE I (AU); SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Model Number 0998-00-0800-31
Medical Device Problem Codes Display or Visual Feedback Problem (1184); Electrical /Electronic Property Problem (1198); Communication or Transmission Problem (2896)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/05/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Due to character limit in e1 event site name is (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) erroneous communication packets between the display and exec board which suggests a bad connection/corrupt video generator board or damaged coiled cord.No one is harmed.Connection fault 78.For technical error 63, the errors are due to erroneous communication packets between the display and exec board which suggests a bad connection, faulty video generator board, or damaged coiled cord.No patient, no harm.
 
Event or Problem Description
N/a.
 
Additional Manufacturer Narrative
Updated fields: b4, d9, g3, g6, h2, h3, h6 (investigation findings, investigation type, investigation conclusion), h11.Corrected fields: h6 (medical device ¿ problem code).It was reported that when turned on, the cardiosave intra-aortic balloon pump (iabp) had a communication issue with main display.There was no patient involvement reported.A getinge field service engineer (fse) was dispatched to evaluate the unit.The fse reviewed the technical logs from the device and discovered multiple errors that indicated the issue was with the video generator board (0670-00-1182).The faulty part was replaced and the new board was updated to the latest software revision d.01.The unit passed all the functional and safety tests as per factory specifications.
 
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Brand Name
CARDIOSAVE HYBRID TYPE I (AU)
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 Key23658771
Report Number2249723-2025-0004848
Device Sequence Number21345944
Product Code DSP
UDI-Device Identifier10607567109053
UDI-Public(01)10607567109053
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K112372
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,User Facility,Company Representative
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 01/01/2026
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 Number0998-00-0800-31
Device Catalogue Number0998-00-0800-31
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 11/05/2025
Supplement Date Received by Manufacturer12/23/2025
Initial Report FDA Received Date11/26/2025
Supplement Report FDA Received Date01/01/2026
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
N/A.
Patient SexUnknown
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