FDA Adverse Event Malfunction Summary report: N

PURGE CASSETTE GEN 2, STERILE, NON QSK

MDR report key: 24438435 · Received February 24, 2026

Report

Report Number
1220648-2026-03962
Event Type
Malfunction
Date Received
February 24, 2026
Date of Event
February 12, 2026
Manufacturer
ABIOMED, INC. - 1220648
Product Code
OZD
UDI-DI
00813502012477
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D3 (MANUFACTURER FAX) HAS BEEN ADDED. D6A (IMPLANTATION) AND D6B (EXPLANTATION) DATES HAS BEEN ADDED. E4 (REPORTER ALSO SENT REPORT TO FDA?) HAS UPDATED TO UNKNOWN. G1 (MANUFACTURER CONTACT FAX NUMBER) HAS BEEN ADDED AS THIS WAS BEEN OMITTED FROM THE INITIAL MW. PURGE PRESSURE LOW: THE CAUSE OF PURGE PRESSURE LOW WAS UNABLE TO BE DETERMINED AS LIMITED CLINICAL DETAILS WERE PROVIDED AND NO PRODUCT WAS RETURNED FOR REVIEW.

Additional Manufacturer Narrative · 0

A4 IS UNKNOWN. 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.

Description of Event or Problem · 0

THE COMPLAINANT REPORTED THAT A PATIENT WAS IMPLANTED WITH AN IMPELLA CP DEVICE FOR MECHANICAL CIRCULATORY SUPPORT. BEFORE INITIATION OF MECHANICAL CIRCULATORY SUPPORT, THE IMPELLA PURGE SYSTEM ¿OPEN¿ ALARM WAS NOTED TO BE ACTIVE. THE PURGE CASSETTE WAS EXCHANGED, AFTER WHICH THE ALARM RESOLVED AND THE SYSTEM FUNCTIONED APPROPRIATELY WITHOUT FURTHER ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
498947 PURGE CASSETTE GEN 2, STERILE, NON QSK TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP OZD ABIOMED, INC. - 1220648 2031851 00813502012477

Patients

Seq Age Sex Outcome Treatment
1 75 YR Female