PUMP 381 PUMP SET (US)
Report
- Report Number
- 1220648-2026-03718
- Event Type
- Death
- Date Received
- February 20, 2026
- Date of Event
- December 16, 2025
- Manufacturer
- ABIOMED, INC.
- Product Code
- OZD
- UDI-DI
- 00813502012279
- PMA / PMN Number
- P140003
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE IMPELLA DEVICE WAS NOT RECEIVED FROM THE CUSTOMER; THEREFORE, AN INVESTIGATION OF THE DEVICE WAS NOT POSSIBLE. SHOULD THE DEVICE OR ANY NEW INFORMATION BE RECEIVED, A SUPPLEMENTAL MDR WILL BE FILED. RELATED MEDICAL DEVICE REPORTS: THIS IS ONE OF THREE DEVICES ASSOCIATED WITH THE EVENT. REFER TO THE RELATED MANUFACTURER REPORT NUMBER(S) AS NOTED IN SECTION H10.
CORRECTED INFORMATION HAS BEEN PROVIDED IN D1 BRAND NAME. CORRECTED D4 SERIAL NUMBER. CORRECTED D4 CATALOG NUMBER. H6 INVESTIGATION: TYPE, FINDINGS, AND CONCLUSION CODES AND H6 COMPONENT CODES WERE UPDATED ACCORDINGLY BASED ON THE COMPLETED INVESTIGATION. THE CAUSE OF THE INJURY WAS NOT DETERMINED DUE TO INSUFFICIENT CLINICAL DETAILS.
THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY ABIOMED INC, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, ABIOMED INC, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. CORRECTED INFORMATION WAS PROVIDED IN D4. UPON REVIEW, THE PRIMARY UDI NUMBER HAS BEEN UPDATED.
THE PATIENT WAS ON BIPELLA SUPPORT. THE 1ST IMPELLA CP HAD A POSITIONING / LOW FLOW ISSUE A COUPLE DAYS INTO SUPPORT, AND IT WAS REPLACED. BIPELLA SUPPORT CONTINUED. TWO DAYS LATER, THE PATIENT HAD PRESUMED HEPARIN-INDUCED THROMBOCYTOPENIA (HIT) ATTRIBUTED TO THE RP FLEX. HOWEVER, BEFORE THE TEST RESULTS COULD CONFIRM, CARE WAS WITHDRAWN AND THE PATIENT THEN PASSED AWAY. THE DECISION TO WITHDRAW CARE WAS NOT ATTRIBUTED TO THE HIT. IN THIS CASE THE PATIENT'S UNDERLYING CONDITION CONTRIBUTED MOST TO THE DEMISE OUTCOME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 467398 | PUMP 381 PUMP SET (US) | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. | 2026732579 | 00813502012279 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Male | Life Threatening| D |