FDA Adverse Event Malfunction Summary report: N

IMPELLA RP

MDR report key: 20238993 · Received September 17, 2024

Report

Report Number
1220648-2024-18140
Event Type
Malfunction
Date Received
September 17, 2024
Date of Event
July 20, 2021
Report Date
September 17, 2024
Manufacturer
ABIOMED, INC.
Product Code
PYX
UDI-DI
04260113630273
PMA / PMN Number
P170011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE IMPELLA DEVICE WAS NOT RECEIVED FROM THE CUSTOMER, THEREFORE, INVESTIGATION OF THE DEVICE WAS NOT POSSIBLE. SHOULD THE DEVICE OR ANY NEW INFORMATION BE RECEIVED, A SUPPLEMENTAL MDR WILL BE FILED. IMPELLA RP SYSTEM WITH THE AUTOMATED IMPELLA CONTROLLER INSTRUCTIONS FOR USE FOR THE RELATED EVENT ARE AS FOLLOWS: SECTION: USING THE AUTOMATED IMPELLA CONTROLLER WITH THE IMPELLA RP WITH SMARTASSIST SYSTEM CATHETER ¿UNRESOLVED PURGE PRESSURE HIGH ALARM IF NOT RESOLVED BY THE RECOMMENDATIONS PROVIDED, HIGH PURGE PRESSURE¿WHICH TRIGGERS THE ¿PURGE PRESSURE HIGH¿ ALARM MESSAGE¿COULD BE AN INDICATION OF A KINK IN THE IMPELLA RP WITH SMARTASSIST SYSTEM CATHETER. IN THIS CASE, THE MOTOR IS NO LONGER BEING PURGED AND MAY EVENTUALLY STOP. MONITOR MOTOR CURRENT AND CONSIDER REPLACING THE IMPELLA RP WITH SMARTASSIST SYSTEM CATHETER WHENEVER A RISE IN MOTOR CURRENT IS SEEN.¿ THIS REPORT IS BEING FILED AS PART OF A RETROSPECTIVE REVIEW OF HISTORICAL RECORDS.

Description of Event or Problem · 0

THE COMPLAINANT REPORTED A PATIENT, OF UNKNOWN RACE OR ETHNICITY, WITH RECURRENT RIGHT HEART FAILURE WAS IMPLANTED WITH AN IMPELLA RP FOR MECHANICAL CIRCULATORY SUPPORT AS A BRIDGE TO LONG TERM THERAPY. IT WAS REPORTED DURING IMPELLA RP SUPPORT, THE PUMP HAD LOWER THAN EXPECTED FLOWS WITH ALARMS FOR SUCTION AND HIGH PURGE PRESSURE. TISSUE PLASMINOGEN ACTIVATOR WAS ADDED TO THE PURGE SOLUTION AND PURGE FLOW WAS RESTORED, AND THE PUMP WAS ABLE TO RUN AT P6 WITH FLOWS OF 3.0 L/MIN. THE PATIENT WAS SUCCESSFULLY ESCALATED TO EXTRACORPOREAL MEMBRANE OXYGENATION FOR INCREASED SUPPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1740526 IMPELLA RP TEMPORARY NON-ROLLER TYPE RIGHT HEART SUPPORT BLOOD PUMP PYX ABIOMED, INC. IMPELLA RP EU 2022054251 04260113630273

Patients

Seq Age Sex Outcome Treatment
1 75 YR Male