BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    INTRA-AORTIC BALLOON PUMP

    MDR report key: 173815 · Received June 19, 1998

    Report

    Report Number
    2248146-1998-00667
    Event Type
    Malfunction
    Date Received
    June 19, 1998
    Report Date
    June 10, 1998
    Manufacturer
    DATASCOPE CORP.
    Product Code
    DSP
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    THE INTRA AORTIC BALLOON WOULD NOT INFLATE ON THE PUMP. THE INTRA AORTIC BALLOON WAS NOT RETURNED TO DATASCOPE FOR EVALUATION. THE INTRA AORTIC BALLOON WAS DISCARDED BY THE FACILITY. EVENT COMPLICATIONS: UNKNOWN- REPORTED 6/10/1998. PT'S CURRENT STATUS: UNK- REPORTED 6/10/1998.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTRA-AORTIC BALLOON PUMP INTRA-AORTIC BALLOON PUMP DSP DATASCOPE CORP. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN