PUMP 381 PUMP SET (US)
Report
- Report Number
- 1220648-2026-03371
- Event Type
- Death
- Date Received
- February 17, 2026
- Date of Event
- December 24, 2025
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- UDI-DI
- 00813502012279
- PMA / PMN Number
- P140003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, 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.
ADDITIONAL INFORMATION HAS BEEN PROVIDED IN B5 (EVENT DESCRIPTION), INCLUDING FURTHER DETAILS REGARDING [SEQUENCE OF EVENTS/CLINICAL COURSE/DEVICE INTERACTION]. E1. UPDATED ZIP CODE EXTENSION.
A 64-YEAR-OLD MALE WITH ACUTE MYOCARDIAL INFARCTION COMPLICATED BY CARDIOGENIC SHOCK (SCAI STAGE E) REQUIRED TEMPORARY MECHANICAL CIRCULATORY SUPPORT WHILE RECEIVING MULTIPLE INOTROPIC MEDICATIONS, VASOPRESSORS, AND MECHANICAL VENTILATION. BASELINE EVALUATION DEMONSTRATED METABOLIC COMPROMISE, INCLUDING A LACTATE OF 8.5 MILLIMOLES PER LITER, PULMONARY CAPILLARY WEDGE PRESSURE OF 21 MILLIMETERS OF MERCURY, AND LEFT VENTRICULAR END DIASTOLIC PRESSURE OF 21 MILLIMETERS OF MERCURY. A PULMONARY ARTERY CATHETER WAS IN PLACE BEFORE IMPELLA SUPPORT. ON DAY 1 LEFT FEMORAL ARTERIAL ACCESS WAS OBTAINED USING A PERCUTANEOUS, ULTRASOUND GUIDED APPROACH FOR IMPELLA CP IMPLANTATION. THE DEVICE WAS INITIATED, AND THE PATIENT WAS TRANSFERRED TO THE INTENSIVE CARE UNIT ON MECHANICAL CIRCULATORY SUPPORT. ON DAY 12 (ACTUAL COMPLAINT ¿ PUMP FLOW ISSUE): DURING ROUTINE ASSESSMENT, STAFF OBSERVED FLOW SATURATION AND DECLINING EFFECTIVE PUMP OUTPUT AFTER NEARLY TWO WEEKS OF CONTINUOUS IMPELLA CP SUPPORT. GIVEN THE DURATION OF USE AND THE RISK OF PUMP STOP, THE CLINICAL CONSULTANT RECOMMENDED DEVICE EXCHANGE. THE IMPELLA CP REMAINED IN USE WHILE THE TEAM ASSESSED NEXT STEPS. THE PATIENT CONTINUED TO DETERIORATE DUE TO CARDIOGENIC SHOCK AND MULTIORGAN DYSFUNCTION. SUPPORT ENDED FOLLOWING WITHDRAWAL OF CARE, AND THE PATIENT SUBSEQUENTLY EXPIRED ON DAY 14 OF SUPPORT. IMPELLA SUPPORT WAS CONTINUED BEYOND THE RECOMMENDED 4 DAY DURATION (OFF-LABEL USE); PROLONGED USE CAN INCREASE THE RISK OF COMPLICATIONS AND THEREFORE MAY HAVE PLAYED A CONTRIBUTORY ROLE IN THIS ADVERSE EVENT THE OBSERVED PUMP FLOW DISTURBANCE IS DEVICE ASSOCIATED BY TIMING AND OCCURRED AFTER AN EXTENDED SUPPORT PERIOD. BASED ON THE AVAILABLE INFORMATION, THE PATIENT¿S SEVERE OVERALL CRITICAL ILLNESS WERE THE MOST LIKELY CONTRIBUTORS TO THE CLINICAL DETERIORATION, FLOW SATURATION, AND EVENTUAL DECISION TO WITHDRAW CARE. DEATH WAS CONSERVATIVELY CODED TO THE IMPELLA CP BY TIMING, WHILE MOST LIKELY CAUSED BY THE UNDERLYING DISEASE AND UNRELATED TO IMPELLA, AS THE DEVICE FUNCTIONED AS EXPECTED IN THE SETTING OF THIS CRITICALLY ILL PATIENT.
ADDITIONAL INFORMATION INDICATES THAT PUMP WAS SWAPPED FOR A NEW ONE. INTERVENTIONS WERE SUCCESSFUL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 431454 | PUMP 381 PUMP SET (US) | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | PUMP 381 PUMP SET (US) | 2026731857 | 00813502012279 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Male | Death |