FDA Adverse Event Malfunction Summary report: N

SYSTEM 98XT, ENGLISH, 110V

MDR report key: 24245339 · Received February 3, 2026

Report

Report Number
2249723-2026-0001070
Event Type
Malfunction
Date Received
February 3, 2026
Date of Event
January 13, 2026
Report Date
February 3, 2026
Manufacturer
DATASCOPE CORP.
Product Code
DSP
PMA / PMN Number
K961509
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DUE TO CHARACTERIZATION LIMIT E1 EVENT SITE NAME: (B)(6). UNIQUE IDENTIFIER (UDI) #: KEPT AS BLANK AS NO DETAILS AVAILABLE. SYS98 UPGRADED TO CS300 INTRA AORTIC BALLOON PUMP. THE UPGRADED DEVICE DETAILS ARE BELOW: BRAND NAME: CS300 INTRA-AORTIC BALLOON PUMP, PORTUGUESE, 220V, CATALOG NUMBER: 0998-00-3023-68. UDI NUMBER: (B)(4). 510K: K063525. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT CS300 INTRA AORTIC BALLOON PUMP (IABP) HAD FAULT CODE 50, SAYS ELECTRICAL FAILURE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
305262 SYSTEM 98XT, ENGLISH, 110V SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. 0998-00-0479-53

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown N/A.