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