SENSATION PLUS 8FR. 50CC 0684-00-0575

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-31 for SENSATION PLUS 8FR. 50CC 0684-00-0575 manufactured by Datascope Corp. - Fairfield.

Event Text Entries

[185921101] The device has not been returned to the manufacturer so we are unable to complete an evaluation. If provided we will send a supplemental report with our additional findings. Complaint record id # (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[185921102] It was reported that during intra-aortic balloon (iab) therapy, the iab would not flush and the customer could not get blood return. There was no reported injury to the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2248146-2020-00183
MDR Report Key9905047
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-31
Date of Report2020-03-31
Date of Event2020-03-13
Date Mfgr Received2020-03-13
Device Manufacturer Date2019-11-07
Date Added to Maude2020-03-31
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. DOROTA WOLPIUK
Manufacturer Street15 LAW DRIVE
Manufacturer CityFAIRFIELD NJ 07004
Manufacturer CountryUS
Manufacturer Postal07004
Manufacturer G1DATASCOPE CORP. - FAIRFIELD
Manufacturer Street15 LAW DRIVE
Manufacturer CityFAIRFIELD NJ 07004
Manufacturer CountryUS
Manufacturer Postal Code07004
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSENSATION PLUS 8FR. 50CC
Generic NameSYSTEM, BALLOON, INTRA-AORTIC AND CONTROL
Product CodeDSP
Date Received2020-03-31
Catalog Number0684-00-0575
Lot Number3000108620
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerDATASCOPE CORP. - FAIRFIELD
Manufacturer Address15 LAW DRIVE FAIRFIELD NJ 07004 US 07004


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-31

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