IMPELLA
Report
- Report Number
- 1220648-2026-03044
- Event Type
- Injury
- Date Received
- February 12, 2026
- Date of Event
- December 9, 2025
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- UDI-DI
- 00813502012279
- PMA / PMN Number
- P140003
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
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.
H6 MEDICAL DEVICE PROBLEM CODE WAS ERRONEOUSLY ENTERED WITH A140501 AND HAS BEEN UPDATE TO INCLUDE A01.
B1: ADDED PRODUCT PROBLEM, THIS WAS OMITTED IN THE INITIAL REPORT IN ERROR.
THE PATIENT IS A 74-YEAR-OLD INDIVIDUAL WITH AN ACUTE MYOCARDIAL INFARCTION SUPPORTED BY AN IMPELLA CP WITH SMARTASSIST. DURING SUPPORT, A "MOTOR CURRENT HIGH" ALARM OCCURRED. SHORTLY AFTERWARDS, THE IMPELLA STOPPED, AND A RETROGRADE FLOW ALARM WAS TRIGGERED. ATTEMPTS TO RESTART OR RAMP UP THE PUMP WERE UNSUCCESSFUL, AND THE CLINICAL TEAM ELECTED TO REMOVE THE PUMP. THE PATIENT ALSO UNDERWENT A MITRACLIP PROCEDURE DURING WHICH A SENTINEL CEREBRAL PROTECTION DEVICE WAS USED. AT THE CONCLUSION OF THE PROCEDURE, THE PATIENT DEVELOPED A RIGHT RADIAL HEMATOMA AT THE ARTERIAL ACCESS SITE. THIS EVENT WAS DETERMINED TO BE UNRELATED TO THE IMPELLA DEVICE ALTHOUH ANTICOAGULATION FOR IMPELLA MIGHT HAVE INFLUENCED THE EVENT. THE CLINICAL TEAM MANAGED THE HEMATOMA BY APPLYING TWO TR BANDS TO ACHIEVE HEMOSTASIS. NO ADDITIONAL IMPELLA-RELATED CONCERNS OR DEVICE ISSUES WERE REPORTED FOR THE REMAINDER OF THE PROCEDURE. THE IMPELLA CP IS CONSERVATIVELY CODED FOR HEMATOMA ALTHOUGH THIS IS TO BE ATTRIBUTED TO THE PROCEDURE USING RADIAL ACCESS. NEVERTHELESS, IMPELLA REQUIRED ANTICOAGULATION AND THIS MIGHT HAVE CONTRIBUTED TO AN ELEVATED RISK FOR BLEEDING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 142683 | IMPELLA | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | PUMP 381 PUMP SET (US) | 2026776817 | 00813502012279 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |