FDA Adverse Event Malfunction Summary report: N

PURGE CASSETTE GEN 2, STERILE, NON QSK

MDR report key: 23199727 · Received October 2, 2025

Report

Report Number
1220648-2025-47096
Event Type
Malfunction
Date Received
October 2, 2025
Date of Event
September 5, 2025
Manufacturer
ABIOMED, INC.
Product Code
OZD
PMA / PMN Number
P140003
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ME, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PUMP AND THE PURGE CASSETTE WERE RETURNED FOR EVALUATION. A REVIEW OF THE DATA LOGS CONFIRMED THE COMPLAINT. NO ISSUES WERE IDENTIFIED ON THE RETURNED CASSETTE. A LEAK WAS IDENTIFIED ON THE RETURNED PUMP.

Additional Manufacturer Narrative · 0

A.4 IS UNKNOWN. THE PURGE CASSETTE WAS RETURNED, AND AN EVALUATION IS UNDERWAY. UPON INVESTIGATION CLOSURE, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem · 0

DURING SUPPORT OF AN IMPELLA 5.5 LOW PURGE PRESSURE AND A PURGE LEAK OCCURRED. THE PURGE WAS LEAKING BETWEEN THE PURGE RETAINER, DISC AND FILTER. THERE WAS A SUSTAINED PURGE PRESSURE LOW ALARM WITH FLUID DRIPPING ONTO THE FLOOR. ALL CONNECTION POINTS WERE CHECKED AND WERE TIGHT. LATER, THE PUMP WAS EXPLANTED. THIS IS ONE OF TWO REPORTS. THIS REPORT REPRESENTS THE PURGE CASSETTE. ANOTHER REPORT WAS SUBMITTED TO REPRESENT THE PUMP. REFER TO SECTION H.10 FOR THE RELATED REPORT NUMBER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
317803 PURGE CASSETTE GEN 2, STERILE, NON QSK TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP OZD ABIOMED, INC. PURGE CASSETTE GEN 2, STERILE, NON QSK

Patients

Seq Age Sex Outcome Treatment
1 45 YR Male