FDA Adverse Event Injury Summary report: N

IMPELLA 5.5

MDR report key: 23063508 · Received September 16, 2025

Report

Report Number
1220648-2025-46518
Event Type
Injury
Date Received
September 16, 2025
Date of Event
June 13, 2023
Report Date
November 6, 2025
Manufacturer
ABIOMED, INC.
Product Code
OZD
UDI-DI
00813502012828
PMA / PMN Number
P140003
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A.4 IS UNKNOWN. THE IMPELLA DEVICE WAS DISCARDED BY THE CUSTOMER AND THEREFORE, AN EVALUATION OF THE DEVICE WAS NOT POSSIBLE. SHOULD ANY NEW INFORMATION BE RECEIVED, A SUPPLEMENTAL REPORT WILL BE FILED. LITERATURE CITATION: FRENKEL, M., FAJARDO, R., DOLLERSCHELL, J., BABER, A., HERMSEN, J., & XIA, Y. (2025). ECPELLA BRIDGE TO HEART TRANSPLANTATION FOR A LARGE ISCHEMIC VENTRICULAR SEPTAL DEFECT AND REFRACTORY VENTRICULAR ARRHYTHMIAS. JHLT OPEN, 9, 100288. HTTPS://DOI.ORG/10.1016/J.JHLTO.2025.100288.

Additional Manufacturer Narrative · 0

THE INVESTIGATION OF THE REPORTED FAILURE MODES HAS BEEN COMPLETED. THE PRODUCT WAS NOT RETURNED FOR INVESTIGATION. ARRYTHMIA/TACHYCARDIA: THE ROOT CAUSE OF THE INJURY WAS UNABLE TO BE DETERMINED DUE TO INSUFFICIENT CLINICAL DETAILS. LOW PUMP FLOW: DATA LOG REVIEW SHOWED NO MOTOR CURRENT SPIKES. THE FLOW LEVELS ARE ON THE LOWER END OF SPECIFICATION OR SLIGHTLY BELOW. THE CAUSE OF THE LOW PUMP FLOW WAS MOST LIKELY PATIENT RELATED, WHICH IS CONFIRMED BY THE LOW PULSATILITY SEEN IN THE DATA LOGS. DEVICE HISTORY REVIEW: THE DEVICE PASSED ALL THE POST STERILE INSPECTION CHECKS.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT WITH ISCHEMIC VENTRICULAR SEPTAL DEFECT (VSD) HAD AN IMPELLA 5.5 IMPLANTED DUE TO ONGOING PULMONARY CONGESTION AND TO ALLOW FOR REHABILITATION PRIOR TO VSD REPAIR. PER THE PUBLICATION, THE IMPELLA 5.5 HAD LOWER THAN EXPECTED FLOWS DESPITE OPTIMAL POSITIONING DUE TO SMALL LEFT VENTRICLE CAVITY (CONTEXT: ELEVATED RIGHT-SIDED FILLING PRESSURES) AS WELL AS EPISODES OF INCREASING ECTOPY THAT DEGENERATED INTO AN EPISODE OF UNSTABLE VENTRICULAR TACHYCARDIA LOCALIZED TO THE SAME REGION AS THE VSD. THE IMPELLA 5.5 WAS ESCALATED TO VENO-ARTERIAL EXTRACORPOREAL MEMBRANE OXYGENATION AND THE PATIENT SURVIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2668553 IMPELLA 5.5 TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP OZD ABIOMED, INC. IMPELLA 5.5 2024309067 00813502012828

Patients

Seq Age Sex Outcome Treatment
1 58 YR Male Other