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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 Overheating of Device (1437); Unexpected Shutdown (4019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/01/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Updated fields: b4, d9, e1(event site address), g3, g6, h2, h3, h6 (type of investigation, investigation findings, component codes, investigation conclusions), h11.Getinge fse was dispatched to evaluate the unit.Fse replaced scroll compressor assembly.Performed all calibration and leak tests.Suitable to use.Ran the system overnight and the checked the temperature at the end, which only rose to 34 degrees (alarm is only activated when 80 degrees).Shipped the device back to the customer from the office.
 
Event or Problem Description
N/a.
 
Additional Manufacturer Narrative
Due to character limitation, below field are added from e1- initial reporter- (b)(6).Additional event site telephone - (b)(6).A supplemental report will be submitted upon completion of our investigation.
 
Event or Problem Description
It was reported that during reoutine check, cardiosave intra-aortic balloon pump (iabp) was overheated and switched off.There was no patient involvement.
 
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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 Key23863376
Report Number2249723-2025-0005191
Device Sequence Number21344207
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) 03/12/2026
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 12/01/2025
Supplement Date Received by Manufacturer03/12/2026
Initial Report FDA Received Date12/22/2025
Supplement Report FDA Received Date03/12/2026
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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