MAUDE Adverse Event Report: DATASCOPE CORP. CS300 INTRA-AORTIC BALLOON PUMP, PORTUGUESE, 220V; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL

Model Number	0998-00-3023-68
Medical Device Problem Code	Inability to Auto-Fill (1044)
Health Effect - Clinical Codes	Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	07/24/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
Updated fields: b3, b4, d8, d9 (device available for eval), e2, e3, e4, g1(contact person ¿ mfg site), g3, g6, h2, h3, h6(type of investigation, investigation findings, component codes, investigation conclusions), h11.Corrected field: d10 (concomitant products).A getinge field service engineer (fse) was dispatched to evaluate the unit.Fse states, displacement to verify the anomaly.Equipment presents autofill error.Equipment with blood detector damaged.Replaced tubing, blood detect, iabp.Functional tests.Equipment suitable for clinical use.
Event or Problem Description
N/a.
Additional Manufacturer Narrative
Updated fields: b4, e1(initial reporter, event site email), g3, g6, h2, h6(investigation conclusions), h11.
Event or Problem Description
N/a.
Additional Manufacturer Narrative
Updated fields- b4, b5, g3, g6, h2, h11 corrected fields-e1 (event site telephone, initial reporter name).
Additional Manufacturer Narrative
A supplemental report will be submitted upon completion of our investigation.Due to character limitation in e1 for event site address: (b)(6).
Event or Problem Description
It was reported that before use, the cs300 intra-aortic balloon pump (iabp) unit had an autofill failure issue.There was no patient involvement reported.

• Brand Name: CS300 INTRA-AORTIC BALLOON PUMP, PORTUGUESE, 220V
• 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 Key: 22724682
• Report Number: 2249723-2025-0003387
• Device Sequence Number: 8884484
• Product Code: DSP
• UDI-Device Identifier: 10607567108353
• UDI-Public: (01)10607567108353
• Combination Product (Y/N): N
• Initial Reporter Country: PO
• PMA/510(K) Number: K063525
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,User Facility,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup,Followup,Followup
• Report Date (Section B): 09/22/2025

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 Number: 0998-00-3023-68
• Device Catalogue Number: 0998-00-3023-68
• 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: 07/24/2025
• Supplement Date Received by Manufacturer: 08/18/2025; 09/19/2025; 09/19/2025
• Initial Report FDA Received Date: 08/06/2025
• Supplement Report FDA Received Date: 08/22/2025; 09/19/2025; 09/22/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Is the Device Labeled for Single Use? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown