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U.S. Department of Health and Human Services

Class 2 Device Recall CS 100 and CS300 IntraAortic Balloon Pump

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  Class 2 Device Recall CS 100 and CS300 IntraAortic Balloon Pump see related information
Date Initiated by Firm November 19, 2007
Date Posted January 31, 2008
Recall Status1 Terminated 3 on May 20, 2008
Recall Number Z-0567-2008
Recall Event ID 45957
510(K)Number K03166636  K063525  
Product Classification Intra-Aortic and Control Balloon System - Product Code DSP
Product Datascope CS 100 Intra-Aortic Balloon Pump and Datascope
CS 300 Intra-Aortic Balloon Pump, Datascope Corp. Mahwah, NJ 07430
Code Information Serial Numbers: S805991-C2 S805993-C2 SA02504-C4 S806332-G2 S82934-H9 SA03941-F5 S82416-D9 S805969-C2 S806909-B3 S806924-B3 SA03395-A5 SA03407-A5 SI101373-H7 S805404-H1 S81758-K8 S807356-F3 S807013-C3 S806289-F2 S806308-G2 S806282-F2 S806306-G2 S806284-F2 S806292-F2 S806297-G2 SA04871-A6 S806286-F2 S806926-B3 S804246-J0 S805797-A2 S804934-D1  S806155-E2 SI101367-H7 SI100417-H7 S807506-J3 S807042-C3 S81471-I8  SA02801-G4  S8233778-E0 S82518-E9 S803467-B0 SA03469-B5 S806229-F2 S804255-J0 S806193-E2 S806025-D2 S806012-D2 S806019-D2 S806045-D2 S806017-D2 S806024-D2 S805992-C2 S806009-D2 S805581-I1 S82350-C9 S804783-B1 S804793-B1 S804799-B1 S806859-A3 SA01430-A4 SA01152-I3 SA01421-A4 SA01412-A4 S803857-F0 S803775-E0 SA02521-D4 SI01410-E7  S807446-G3 S807470-H3 S806225-F2  and S806259-F2  (These serial numbers do not differentiate between CS100 and CS300, just the board contained within.)  
Recalling Firm/
Manufacturer
Datascope Corp
800 MacArthur Blvd
Mahwah NJ 07430-2001
For Additional Information Contact Tim Krauskopf
201-995-8025
Manufacturer Reason
for Recall
Defective Circuit Board -- A defect in the Printed Circuit Board's (PCB) in the CS 100 and CS300 Intra-Aortic Balloon Pump may cause the pump to exhibit intermittent malfunctions, which include failure to start-up or reset of the display screen during therapy.
FDA Determined
Cause 2
Other
Action Datascope sent a Product Field Correction notification letters to Hospital Administrators, via certified mail, on November 19, 2007. The letter informed them of a defect in the circuit board. It described the possible malfunction and provided instructions should malfunctioning occur. Datascope will be replacing the defective circuit boards in all affected IABP units. A Service Representative will be contacting the hospital to arrange for the replacement of the defective board.
Quantity in Commerce 70 units US
Distribution Worldwide Distribution
Total Product Life Cycle TPLC Device Report

1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 §7.55.
510(K) Database 510(K)s with Product Code = DSP and Original Applicant = DATASCOPE CORP.
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