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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DATASCOPE CORP. CS100 INTRA-AORTIC BALLOON PUMP, REFURBISHED, ENGLISH,NON-UTS,INTL; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL

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DATASCOPE CORP. CS100 INTRA-AORTIC BALLOON PUMP, REFURBISHED, ENGLISH,NON-UTS,INTL; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Catalog Number 0998-UC-3013-55
Medical Device Problem Codes Appropriate Device Problem Term/Code Not Available (3191); Unexpected Shutdown (4019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/16/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A supplemental report will be submitted upon completion of our investigation.
 
Event or Problem Description
It was reported by customer during routine check that cs100 intra aortic balloon pump (iabp) had system failure alarm and pressure port was not working.There was no patient involvement.
 
Additional Manufacturer Narrative
Updated fields: b4, g3, g4, g6, h2, h6 (type of investigation, investigation findings, component codes, investigation conclusions), h11 corrected fields: h6 (medical device problem code) a getinge field service technician (fst) inspected the unit and confirmed the system failure alarm.The technician also observed that the pressure port was not functioning.Further troubleshooting identified an issue with the compressor and the machine side pressure socket.The customer provided the required spare parts, which were subsequently replaced by the fst.After replacement, the unit was tested using a demo balloon and trainer.The system functioned normally and successfully passed operational checks.The unit is now fully functional and ready for clinical use.
 
Event or Problem Description
N/a.
 
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Brand Name
CS100 INTRA-AORTIC BALLOON PUMP, REFURBISHED, ENGLISH,NON-UTS,INTL
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 Key24531770
Report Number2249723-2026-0001585
Device Sequence Number10371704
Product Code DSP
UDI-Device Identifier10607567107875
UDI-Public(01)10607567107875
Combination Product (Y/N)N
Initial Reporter CountryIN
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 Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 04/20/2026
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 Catalogue Number0998-UC-3013-55
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 02/16/2026
Supplement Date Received by Manufacturer04/17/2026
Initial Report FDA Received Date03/06/2026
Supplement Report FDA Received Date04/20/2026
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
Concomitant Medical Products
and Therapy/Usage Dates
N/A.
Patient SexUnknown
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