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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DATASCOPE CORP. CS100 INTRA-AORTIC BALLOON PUMP, SPANISH, 220V; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL

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DATASCOPE CORP. CS100 INTRA-AORTIC BALLOON PUMP, SPANISH, 220V; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Model Number 0998-00-3013-58
Medical Device Problem Code Charging Problem (2892)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/15/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported by the customer that the cs100 intra-aortic balloon pump (iabp) batteries do not hold for transport.There was no patient harm or injury reported.
 
Additional Manufacturer Narrative
A supplemental report will be submitted upon completion of our investigation.
 
Additional Manufacturer Narrative
After further review, an initial emdr for this complaint was incorrectly submitted.This was a preventive maintenance and there was no other malfunction observed related to the device.As a result, no follow up emdr is necessary.Please cancel in your database.
 
Event or Problem Description
N/a.
 
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Brand Name
CS100 INTRA-AORTIC BALLOON PUMP, SPANISH, 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 Key23973472
Report Number2249723-2026-0000219
Device Sequence Number9338317
Product Code DSP
UDI-Device Identifier10607567107622
UDI-Public(01)10607567107622
Combination Product (Y/N)N
Initial Reporter CountrySP
PMA/510(K) Number
K031636
Number of Events Summarized1
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
Report Date (Section B) 02/10/2026
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 Number0998-00-3013-58
Device Catalogue Number0998-00-3013-58
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 12/15/2025
Supplement Date Received by Manufacturer02/10/2026
Initial Report FDA Received Date01/06/2026
Supplement Report FDA Received Date02/25/2026
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device Reuse
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
UNKNOWN.
Patient SexUnknown
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