FDA Adverse Event Malfunction Summary report: N

IABP (INTRA AORTIC BALLOON PUMP) UNKNOWN

MDR report key: 22920417 · Received August 29, 2025

Report

Report Number
2249723-2025-0003623
Event Type
Malfunction
Date Received
August 29, 2025
Date of Event
August 7, 2025
Report Date
September 29, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

UDI # IS INCOMPLETE AS THE CATALOG#, SERIAL # WERE NOT PROVIDED. THIS INFORMATION WAS REQUESTED FROM THE CUSTOMER. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

AFTER FURTHER INVESTIGATION, IT WAS IDENTIFIED THAT THIS COMPLAINT EVENT HAS BEEN REPORTED ALREADY UNDER MFG REPORT NUMBERS 2249723-2025-0003601 AND 2249723-2025-0003612. PLEASE REFER TO MFG REPORT NUMBER 2249723-2025-0003601 AND 2249723-2025-0003612 FOR ALL INFORMATION FOR THIS COMPLAINT EVENT. PLEASE CANCEL MFG REPORT NUMBER 2249723-2025-0003623 IN YOUR DATABASE.

Description of Event or Problem · 0

IT WAS REPORTED BY CUSTOMER THAT DURING USE ON PATIENT, WATER KEPT FILLING UP THE TUBING OF IABP (INTRA AORTIC BALLOON PUMP) AND THEN IT WAS REMOVED, BUT IT KEPT COMING BACK. IABP WAS SWITCHED OUT WITH A NEW ONE. THE SAME EXACT ISSUE HAPPENED, BUT IT READ "INTERNAL COMMUNICATION FAIL". THEN IT WAS SHUT OFF AND TURNED BACK ON AND GOT A TON OF ERROR MESSAGES. THERE WAS NO PATIENT HARM OR INJURY REPORTED.

Description of Event or Problem · 0

N/A

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2130377 IABP (INTRA AORTIC BALLOON PUMP) UNKNOWN SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP.

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown SENSATION PLUS 50CC.