FDA Adverse Event
Malfunction
Summary report: N
IMPELLA CP
MDR report key: 23991842
·
Received January 7, 2026
Report
- Report Number
- 1220648-2026-00221
- Event Type
- Malfunction
- Date Received
- January 7, 2026
- Date of Event
- January 2, 2026
- Report Date
- January 14, 2026
- Manufacturer
- ABIOMED, INC.
- Product Code
- OZD
- UDI-DI
- 813502013344
- PMA / PMN Number
- P140003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
H6 MEDICAL DEVICE PROBLEM CODE: A150206 WAS ERRONEOUSLY ENTERED ON THE INITIAL MANUFACTURER DEVICE REPORT.
Additional Manufacturer Narrative · 0
D9 UPDATED; THE PRODUCT HAS BEEN RETURNED. THE INVESTIGATION IS STILL ONGOING.
Additional Manufacturer Narrative · 0
A5 AND A6 ARE UNKNOWN. 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.
Description of Event or Problem · 0
IT WAS REPORTED THAT DURING IMPLANTATION OF AN IMPELLA CP THE SHEATH KINKED AFTER THE DILATOR WAS REMOVED AND THE IMPELLA COULD NOT ADVANCE. IMPLANTATION OF THE IMPELLA PUMP WAS ABORTED. NO PATIENT HARM WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 52642 | IMPELLA CP | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. | IMPELLA CP | 2026760224 | 813502013344 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 91 YR | Male |