MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2020-03-26 for CARDIOSAVE HYBRID TYPE B PLUG N/A 0998-00-0800-53 manufactured by Datascope Corp. - Mahwah.
[186006131]
The production device history record (dhr) for this intra-aortic balloon pump (iabp) is not required to be reviewed per getinge standard operating procedure since the iabp was manufactured more than a year before the date of event. A getinge field service engineer (fse) was dispatched to evaluate this unit and determined the failure to be a damaged optical switch. To resolve the issue, the fse installed a new optical switch. The fse confirmed that the unit would switch between hybrid and rescue modes. The fse performed a full system check and esi. All tests passed to factory specifications. The unit was returned to the customer and cleared for clinical use.
Patient Sequence No: 1, Text Type: N, H10
[186006132]
It was reported that the during an on-site in-service training the cardiosave intra-aortic balloon pump (iabp) would not switch to rescue mode when removed from the cart. There was no patient involvement, thus no adverse report was reported.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 2249723-2020-00509 |
MDR Report Key | 9886442 |
Report Source | COMPANY REPRESENTATIVE |
Date Received | 2020-03-26 |
Date of Report | 2020-03-25 |
Date of Event | 2020-03-05 |
Date Mfgr Received | 2020-03-05 |
Device Manufacturer Date | 2012-12-01 |
Date Added to Maude | 2020-03-26 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Reporter Occupation | BIOMEDICAL ENGINEER |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Street | 1300 MACARTHUR BLVD |
Manufacturer City | MAHWAH NJ 07430 |
Manufacturer Country | US |
Manufacturer Postal | 07430 |
Manufacturer G1 | DATASCOPE CORP. - MAHWAH |
Manufacturer Street | 1300 MACARTHUR BLVD |
Manufacturer City | MAHWAH NJ 07430 |
Manufacturer Country | US |
Manufacturer Postal Code | 07430 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | CARDIOSAVE HYBRID TYPE B PLUG |
Generic Name | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL |
Product Code | DSP |
Date Received | 2020-03-26 |
Model Number | N/A |
Catalog Number | 0998-00-0800-53 |
Lot Number | N/A |
Operator | HEALTH PROFESSIONAL |
Device Availability | Y |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | DATASCOPE CORP. - MAHWAH |
Manufacturer Address | 1300 MACARTHUR BLVD MAHWAH NJ 07430 US 07430 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-03-26 |