FDA Adverse Event Malfunction Summary report: N

CS300 INTRA-AORTIC BALLOON PUMP, ENGLISH, 220V

MDR report key: 23595761 · Received November 19, 2025

Report

Report Number
2249723-2025-0004757
Event Type
Malfunction
Date Received
November 19, 2025
Date of Event
October 29, 2025
Report Date
December 24, 2025
Manufacturer
DATASCOPE CORP.
Product Code
DSP
UDI-DI
10607567112541
PMA / PMN Number
K063525
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DUE TO CHARACTER LIMIT IN E1 EVENT SITE NAME IS (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

UPDATED FIELD: B4, D9, G3, G6, H2, H3, H6(MEDICAL DEVICE ¿ PROBLEM CODE, TYPE OF INVESTIGATION, INVESTIGATION FINDINGS, COMPONENT CODES, INVESTIGATION CONCLUSIONS), H11. A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE UNIT, AND THE PROBLEM WAS FOUND TO BE DUE TO A FAULT IN THE FRONTEND BOARD PCB CABLE. ECG INPUT TO FRONT-END PCB CABLE (0012-00-0976) AND ECG PATIENT TRUNK CABLE - 5 LEAD (0012-00-1155-02) HAVE BEEN REPLACED. TESTING HAS BEEN COMPLETED SUCCESSFULLY. UNIT HAS BEEN HANDED OVER TO THE USERS IN GOOD WORKING CONDITION.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING ROUTINE CHECK BY CUSTOMER THE CS300 INTRA-AORTIC BALLOON PUMP (IABP) HAD ECG PORT ISUUE. NO ONE WAS HARMED ON SITE.

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
442476 CS300 INTRA-AORTIC BALLOON PUMP, ENGLISH, 220V SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-3023-55 10607567112541

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown