CS300 INTRA-AORTIC BALLOON PUMP, ENGLISH, 220V
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
DUE TO CHARACTER LIMIT IN E1 EVENT SITE NAME IS (B)(6). A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.
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.
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.
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 |