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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Datascope Corp. TRANS-RAY PLUS 7.5Fr 35cc IAB WITH ACCESSORIES; System, Balloon, Intra-Aortic And Control

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Datascope Corp. TRANS-RAY PLUS 7.5Fr 35cc IAB WITH ACCESSORIES; System, Balloon, Intra-Aortic And Control Back to Search Results
Model Number 0684-00-0607
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/31/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that blood was observed within the extender tubing during clinical use of a transray plus 35cc balloon catheter.No blood was entering the concomitant iabp unit.As the patient remained in stable condition, iabp therapy was completed without further issues.No harm to the patient was reported.
 
Additional Manufacturer Narrative
E1 - (b)(6).Upon completion of the investigation into this event a follow up report will be submitted.
 
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Brand Name
TRANS-RAY PLUS 7.5Fr 35cc IAB WITH ACCESSORIES
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 Key50815794
Report Number2248146-2026-0001550
Device Sequence Number13423950
Product Code DSP
UDI-Device Identifier10607567111711
UDI-Public(01)10607567111711(17)280801(10)3000494740(11)280801
Combination Product (Y/N)N
Initial Reporter CountryJA
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
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date (Section B) 09/18/2026
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 Number0684-00-0607
Device Catalogue Number0684-00-0607
Device Lot Number3000494740
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer09/10/2026
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/31/2026
Initial Report FDA Received Date09/18/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/01/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Concomitant Medical Products
and Therapy/Usage Dates
Intra-Aortic Balloon Pump.
Patient Age57 YR
Patient SexMale
Patient Weight132 LB
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