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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Datascope Corp. MEGA 8Fr. 50cc IAB; System, Balloon, Intra-Aortic And Control

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Datascope Corp. MEGA 8Fr. 50cc IAB; System, Balloon, Intra-Aortic And Control Back to Search Results
Model Number 0684-00-0498-01
Medical Device Problem Codes Difficult to Insert (1316); Material Integrity Problem (2978)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that during insertion of mega 50cc balloon catheter the customer noticed that balloon shaft section was too soft, making it impossible to advance smoothly through the sheath over the guidewire.After replacing it with another balloon catheter, the device was successfully inserted.No harm to the patient reported.
 
Additional Manufacturer Narrative
Event site name: (b)(6).Event site postal code: (b)(6).Upon completion of the investigation into this event a follow up report will be submitted.
 
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Brand Name
MEGA 8Fr. 50cc IAB
Common Device Name
System, Balloon, Intra-Aortic And Control
Manufacturer (Section D)
Datascope Corp.
15 law drive
fairfield NJ 07004
Manufacturer (Section G)
Datascope Corp.
15 law drive
fairfield NJ 07004
Manufacturer Contact
ewelina chorlowska
15 law drive
fairfield, NJ 07004
MDR Report Key50784766
Report Number2248146-2026-0001535
Device Sequence Number21193056
Product Code DSP
UDI-Device Identifier10607567107301
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K091449
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,User Facility,Company Representative
Type of Report Initial
Report Date (Section B) 09/16/2026
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 Number0684-00-0498-01
Device Catalogue Number0684-00-0498-01
Device Lot Number3000467585
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/26/2026
Initial Report FDA Received Date09/16/2026
Date Device Manufactured04/07/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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