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