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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 Codes Leak/Splash (1354); Gas/Air Leak (2946)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/03/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the cs300 intra-aortic balloon pump(iabp) had helium leak.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
Due to characterization limit e1: intial reporter name:(b)(6).Updated fields: b4, b5, b6, b7, b8, d9, e1 (initial reporter name and mail id), e3, g3, g6, h2, h3, h6(investigation type, investigation findings, investigation conclusion, component code), h11.A getinge field service engineer (fse) was dispatched to evaluate the unit.The fse reported that the safety disk was expired and there was a leak at the helium cylinder connection.To remediate this, the fse replaced the safety disk and eliminated the leak.Upon repair, the unit passed all functional and safety tests per manufacturer specifications.
 
Event or Problem Description
It was reported by the customer that, during functional testing prior to patient use, the cs300 intra-aortic balloon pump exhibited a helium leak.There was no patient involvement at the time of the incident.
 
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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 Key24430531
Report Number2249723-2026-0001398
Device Sequence Number18718101
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,User Facility,Company Representative
Initial Reporter Occupation Nurse
Type of Report Initial,Followup,Followup
Report Date (Section B) 05/12/2026
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 Number0998-00-3023-67
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 02/03/2026
Supplement Date Received by Manufacturer05/07/2026
05/12/2026
Initial Report FDA Received Date02/24/2026
Supplement Report FDA Received Date05/12/2026
05/12/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Usage of Device Reuse
Patient Sequence Number1
Patient SexUnknown
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