FDA Adverse Event
Malfunction
Summary report: N
CS100 INTRA-AORTIC BALLOON PUMP, CHINESE, 220V
MDR report key: 24826889
·
Received April 9, 2026
Report
- Report Number
- 2249723-2026-0002116
- Event Type
- Malfunction
- Date Received
- April 9, 2026
- Date of Event
- March 19, 2026
- Report Date
- April 9, 2026
- Manufacturer
- DATASCOPE CORP.
- Product Code
- DSP
- UDI-DI
- 10607567107790
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
(B)(6). A GETINGE FIELD SERVICE ENGINEER (FSE) EVALUATED THE UNIT ONSITE AND IDENTIFIED THAT THE ISSUE WAS RELATED TO EXPIRED SAFETY DISK (0997-00-0985-15) AND 5000HR MAINTENANCE KIT (0040-00-0147). THE SAFETY DISK AND MAINTENANCE KITS WERE REPLACED, AFTER WHICH THE DEVICE UNDERWENT FUNCTIONAL AND SAFETY TESTING, ALL OF WHICH PASSED AND MET FACTORY SPECIFICATIONS. THE REPLACED COMPONENTS WERE RETAINED BY THE CUSTOMER AND NOT RETURNED.
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING USE THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) DISPLAYED AN ¿AUTOMATIC CHARGING FAILED¿ ALARM, RENDERING THE DEVICE UNUSABLE. NO HARM OR INJURIES WERE REPORTED. A BACKUP DEVICE WAS PROVIDED TO CONTINUE THERAPY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 885800 | CS100 INTRA-AORTIC BALLOON PUMP, CHINESE, 220V | SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL | DSP | DATASCOPE CORP. | 0998-00-3013-45 - CS100 CHINESE | 10607567107790 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |