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