IMPELLA
Report
- Report Number
- 1220648-2026-03810
- Event Type
- Death
- Date Received
- February 23, 2026
- Date of Event
- February 9, 2026
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- UDI-DI
- 00813502012828
- PMA / PMN Number
- P140003
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OR, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
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.
D1 REVISED BRAND NAME SINCE THE INITIAL REPORT WAS SUBMITTED. ADDITIONAL INFORMATION WAS PROVIDED THAT THE DATE OF DEATH WAS THE SAME AS EXPLANT DATE THEREFORE B2 UPDATED. THE INVESTIGATION WAS COMPLETED AND H6 CODES UPDATED. INVESTIGATION SUMMARY: PPAE (MAJOR BLEED): THE CAUSE OF THE INJURY WAS NOT DETERMINED DUE TO INSUFFICIENT CLINICAL DETAILS.
CLINICAL RATIONALE: THE PATIENT IS A 55-YEAR-OLD FEMALE WITH A HISTORY OF CARDIOMYOPATHY WHO PRESENTED IN A PRE-SUPPORT CLINICAL STATE CONSISTENT WITH SCAI CARDIOGENIC SHOCK STAGE C. AN IMPELLA 5.5 (LOT 508888) WAS SURGICALLY IMPLANTED VIA THE RIGHT AXILLARY/SUBCLAVIAN ARTERY ON (B)(6) 2026 AT 10:25 AM TO PROVIDE HEMODYNAMIC SUPPORT AS PART OF A PRE-OPERATIVE STABILIZATION STRATEGY (¿TUNE-UP¿) PRIOR TO A PLANNED SURGICAL PROCEDURE. THE PATIENT REMAINED ON IMPELLA SUPPORT FOR APPROXIMATELY ONE WEEK WITHOUT REPORTED DEVICE-RELATED COMPLICATIONS. ON (B)(6) 2026, THE PATIENT WAS BROUGHT TO THE OPERATING ROOM FOR SURGERY, WHERE SHE DEVELOPED SEVERE PULMONARY HEMORRHAGING. DESPITE INTERVENTION, THE PATIENT EXPIRED INTRAOPERATIVELY. EXPLANT TIME RECORDED AT (B)(6) 2026 AT 5:04 PM CORRESPONDS TO THE DOCUMENTED TIME OF DEATH. BASED ON AVAILABLE INFORMATION, THE PULMONARY HEMORRHAGE AND SUBSEQUENT DEATH APPEAR UNRELATED TO THE IMPELLA DEVICE OR ITS PERFORMANCE. PRODUCT RETURN IS NOT EXPECTED. THE PATIENT¿S DEATH IS CONSERVATIVELY REPORTED BUT LIKELY UNRELATED TO DEVICE PERFORMANCE BUT RATHER A SURGICAL COMPLICATION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 433537 | IMPELLA | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | 2025474858 | 00813502012828 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |