FDA Adverse Event
Malfunction
Summary report: N
UNK
MDR report key: 49280
·
Received September 20, 1996
Report
- Report Number
- 2242850-1996-00085
- Event Type
- Malfunction
- Date Received
- September 20, 1996
- Report Date
- August 26, 1996
- Manufacturer
- DATASCOPE CORPORATION
- Product Code
- DSP
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE "RAPID GAS LOSS" ALARM SOUNDED FROM THE PUMP. ALL CONNECTIONS WERE CHECKED BUT THE BALLOON WOULD NOT PUMP AND THE IAB WAS REMOVED. ANOTHER WAS NOT INSERTED. THE IAB WAS NOT RETURNED TO CO. FOR EVALUATION. THE IAB WAS DISCARDED BY THE FACILITY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNK | INTRA-AORTIC BALLOON CATHETER | DSP | DATASCOPE CORPORATION | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |