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U.S. Department of Health and Human Services

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

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DATASCOPE CORP. CS300 INTRA-AORTIC BALLOON PUMP, ITALIAN, 220V; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Model Number 0998-00-3023-67
Medical Device Problem Code Display or Visual Feedback Problem (1184)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/29/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the cs300 intra-aortic balloon pump (iabp) unit observed problem with display does not work.There was no patient harm or injury reported.
 
Additional Manufacturer Narrative
A supplemental report will be submitted upon completion of the investigation.
 
Additional Manufacturer Narrative
Updated fields - b4, g3, g6, h2, h11.Corrected field - b5, b6, b7, h6 (investigation findings, component codes, health effect impact codes).
 
Event or Problem Description
It was reported by the customer that the cs300 intra-aortic balloon pump display was not working while the device was in standby mode.No patient was involved at the time of the event.
 
Event or Problem Description
N/a.
 
Additional Manufacturer Narrative
Correction field: d1, d3, g1, h6(component codes).Updated field: b4, d9, g3, g6, h2, h3, h6(type of investigation, investigation findings, investigation conclusions), h11.A getinge field service engineer fse was dispatched to the site to evaluate the unit.Upon arrival, fse discovered that the display is out of synchronization.Fse cleaned and deoxidated the spiral cable connector display.The repair was completed and the device passed all functional and safety tests with a positive outcome.The device has been returned to the customer for clinical use.
 
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Brand Name
CS300 INTRA-AORTIC BALLOON PUMP, ITALIAN, 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 Key24399461
Report Number2249723-2026-0001354
Device Sequence Number13198601
Product Code DSP
UDI-Device Identifier10607567112619
UDI-Public(01)10607567112619
Combination Product (Y/N)N
Initial Reporter CountryIT
PMA/510(K) Number
K063525
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Nurse
Type of Report Initial,Followup,Followup
Report Date (Section B) 04/13/2026
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
Device Model Number0998-00-3023-67
Device Catalogue Number0998-00-3023-67
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 01/29/2026
Supplement Date Received by Manufacturer03/22/2026
04/13/2026
Initial Report FDA Received Date02/20/2026
Supplement Report FDA Received Date03/24/2026
04/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured02/13/2008
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device Reuse
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
NA.
Patient SexUnknown
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