FDA Adverse Event
Death
Summary report: N
PURGE CASSETTE, STERILE, NON-QSK
MDR report key: 24019460
·
Received January 9, 2026
Report
- Report Number
- 1220648-2026-00433
- Event Type
- Death
- Date Received
- January 9, 2026
- Date of Event
- January 4, 2026
- Report Date
- January 21, 2026
- Manufacturer
- ABIOMED, INC.
- Product Code
- OZD
- PMA / PMN Number
- P140003
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FR
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
H6. UPDATED. THE INVESTIGATION IS STILL ONGOING.
Additional Manufacturer Narrative · 0
B: ADDED MALFUNCTION. D6A AND D6B: UPDATED IMPLANT AND EXPLANT INFORMATION. D9: UPDATED DEVICES RETURN INFORMATION. THE IMPELLA DEVICE WAS RETURNED, AND AN EVALUATION/ANALYSIS IS UNDERWAY. UPON COMPLETION OF THE ANALYSIS, A SUPPLEMENTAL REPORT WILL BE FILED.
Additional Manufacturer Narrative · 0
A2, A4, 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 A PATIENT IMPLANTED WITH AN IMPELLA PUMP EXPERIENCED A PURGE CASSETTE LEAK. THE PATIENT EXPIRED ON IMPELLA SUPPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 81113 | PURGE CASSETTE, STERILE, NON-QSK | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. | PURGE CASSETTE, STERILE, NON-QSK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Death |