FDA Adverse Event Death Summary report: N

IMPELLA CP

MDR report key: 23897224 · Received December 26, 2025

Report

Report Number
1220648-2025-49443
Event Type
Death
Date Received
December 26, 2025
Date of Event
September 19, 2025
Report Date
December 26, 2025
Manufacturer
ABIOMED, INC.
Product Code
OZD
UDI-DI
00813502011876
PMA / PMN Number
P140003
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION SUMMARY : DATA REVIEW: DATA LOGS SHOWED PUMP RAN WITHOUT ISSUE DURING SUPPORT. THERE WERE NO ALARMS TRIGGERED DURING THE CASE. THERE WERE NO MC SPIKES, ABNORMAL PS OR PURGE ISSUES OBSERVED DURING SUPPORT. MECHANICAL INTERACTION WITH BLOOD: PRODUCT WAS NOT RETURNED FOR REVIEW. THE CAUSE OF MECHANICAL INTERACTION WITH BLOOD WAS UNABLE TO BE DETERMINED AS LIMITED CLINICAL DETAILS WERE PROVIDED AND NO PRODUCT WAS RETURNED FOR REVIEW. DEVICE HISTORY LOT : DEVICE LOT #: 1760495. DEVICE HISTORY BATCH : SUBCOMPONENT LOT#: N/A. DEVICE HISTORY REVIEW : PUMP SN: (B)(6) PASSED ALL POST STERILE INSPECTION CHECKS.

Description of Event or Problem · 0

THE COMPLAINANT REPORTED A PATIENT WAS IMPLANTED WITH AN IMPELLA CP FOR MECHANICAL CIRCULATORY SUPPORT. DURING SUPPORT, THE PATIENT EXPERIENCED HEMOLYSIS AND THE PUMP WAS REPOSITIONED. NO FURTHER INFORMATION WAS PROVIDED; HOWEVER, IT WAS LATER REPORTED THAT CARE WAS WITHDRAWN AND THE PATIENT DIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1785897 IMPELLA CP TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP OZD ABIOMED, INC. IMPELLA CP 2024422240 00813502011876

Patients

Seq Age Sex Outcome Treatment
1 76 YR Female Required Intervention| D