FDA Adverse Event Injury Summary report: N

IMPELLA RP FLEX

MDR report key: 23936492 · Received December 31, 2025

Report

Report Number
1220648-2025-49732
Event Type
Injury
Date Received
December 31, 2025
Date of Event
December 10, 2025
Report Date
February 25, 2026
Manufacturer
ABIOMED, INC.
Product Code
PYX
UDI-DI
00813502012811
PMA / PMN Number
P170011
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
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.

Additional Manufacturer Narrative · 0

CORRECTIONS TO THE FOLLOWING SECTIONS: D4 CATALOG NUMBER. H6 CLINICAL CODE E0303 REMOVED. H6 MED DEV PROB CODE ADDED A0709 AND REMOVED A01. H6 COMPONENT CODE UPDATED FROM G04105 TO G07003. ADDITIONAL INFORMATION: B1 PRODUCT PROBLEM SELECTED. THE INVESTIGATION FOR THE MAJOR BLEED, HEMATURIA, RENAL FAILURE HAS BEEN COMPLETED. THE CAUSE OF THE INJURIES WERE NOT DETERMINED DUE TO INSUFFICIENT CLINICAL DETAILS. THE INVESTIGATION FOR THE PLACEMENT SIGNAL ISSUE HAS ALSO BEEN COMPLETED. THE CAUSE OF THE PLACEMENT SIGNAL ISSUE COULD NOT BE DETERMINED AS NO PRODUCT WAS RETURNED FOR EVALUATION AND LIMITED CLINICAL DETAILS WERE PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED THAT A PATIENT IMPLANTED WITH AN IMPELLA RP FLEX EXPERIENCED BLEEDING ISSUES PRIOR TO IMPLANTATION THAT CONTINUED DURING SUPPORT, INCLUDING HEMATURIA. THE PATIENT WAS TRANSFUSED MULTIPLE UNITS OF PACKED RED BLOOD CELLS, PLATELETS, AND FRESH FROZEN PLASMA. THE PATIENT ALSO EXPERIENCED PLACEMENT SIGNAL NOT RELIABLE ALARMS. THE ALARM WAS DISABLED. THE PATIENT WAS PUT ON CONTINUOUS RENAL REPLACEMENT THERAPY AND BURMEX GTT IN RESPONSE TO RENAL FAILURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111485 IMPELLA RP FLEX TEMPORARY NON-ROLLER TYPE RIGHT HEART SUPPORT BLOOD PUMP PYX ABIOMED, INC. IMPELLA RP FLEX 2026671817 00813502012811

Patients

Seq Age Sex Outcome Treatment
1 63 YR Female Required Intervention