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U.S. Department of Health and Human Services

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

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DATASCOPE CORP. CS300 INTRA-AORTIC BALLOON PUMP, CHINESE, 220V; SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL Back to Search Results
Model Number 0998-00-3023-45
Medical Device Problem Codes Inability to Auto-Fill (1044); Gas/Air Leak (2946)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/08/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Due to character limit: e1(telephone) (b)(6).A supplemental report will be submitted upon completion of our investigation.
 
Event or Problem Description
It was reported that during use of the cs300 intra aortic balloon pump (iabp) the customer encountered an alarm indicating automatic inflation had failed.There were no patient harm or injury was reported.
 
Additional Manufacturer Narrative
A getinge field service engineer (fse) was dispatched to evaluate the unit.The fse entered the device¿s backend interface and perform an inspection of all valves.The fse observed excessive readings on the safety disc within the side leakage test, deviating from factory specifications.The safety disc is determined to be damaged causing the air leakage in the loop.The safety disc was also discovered to be expired.After replacing the safety disc.The equipment successfully passed all factory required performance and safety tests.
 
Event or Problem Description
It was reported that during use, the cs300 intra-aortic balloon pump (iabp) experienced an alarm loop leak indicating automatic inflation failure.There was patient involvement but no harm reported.
 
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Brand Name
CS300 INTRA-AORTIC BALLOON PUMP, CHINESE, 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 Key24711652
Report Number2249723-2026-0001900
Device Sequence Number5989197
Product Code DSP
UDI-Device Identifier10607567108575
UDI-Public(01)10607567108575
Combination Product (Y/N)N
Initial Reporter CountryCH
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 Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 04/18/2026
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 Number0998-00-3023-45
Device Catalogue Number0998-00-3023-45
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 03/08/2026
Supplement Date Received by Manufacturer04/16/2026
Initial Report FDA Received Date03/30/2026
Supplement Report FDA Received Date04/19/2026
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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