IMPELLA
Report
- Report Number
- 1220648-2026-03997
- Event Type
- Death
- Date Received
- February 25, 2026
- Date of Event
- February 17, 2026
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- UDI-DI
- 00813502012279
- PMA / PMN Number
- P140003
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THE DEVICE WAS NOT RETURNED; THEREFORE, EVALUATION AND ANALYSIS COULD NOT BE PERFORMED. A DEVICE HISTORY RECORD REVIEW WAS CONDUCTED AND CONFIRMED THE PUMP PASSED ALL POST STERILE INSPECTION CHECKS. THE CAUSE(S) OF THE REPORTED HEMATOMA (ACCESS SITE ADVERSE EVENT) COULD NOT BE DETERMINED DUE TO INSUFFICIENT CLINICAL INFORMATION. H6 COMPONENT CODING AND INVESTIGATION TYPE, FINDINGS AND CONCLUSION CODING HAVE BEEN UPDATED BASED ON THE COMPLETED INVESTIGATION. CORRECTION. D1 BRAND NAME WAS CORRECTED ACCORDINGLY.
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.
CLINICAL RATIONALE: AN IMPELLA CP WAS INSERTED VIA THE RIGHT FEMORAL ARTERY IN AN 81-YEAR-OLD MALE PATIENT WITH ACUTE MYOCARDIAL INFARCTION AND CARDIOGENIC SHOCK (AMI/CGS) WHO PRESENTED IN SCAI STAGED SHOCK. DURING THE CASE, THE CLINICAL TEAM REPORTED THAT THE PATIENT RECEIVED ONE UNIT OF BLOOD IN THE CATH LAB AND THAT A SMALL HEMATOMA WAS PRESENT AT THE ACCESS SITE. NO ALLEGATIONS OF IMPELLA MALFUNCTION WERE MADE, AND NO DEVICE RELATED CONCERNS WERE DOCUMENTED. THE DEVICE WAS NOT REMOVED DUE TO THE HEMATOMA. THE PATIENT REMAINED PROFOUNDLY ILL AND ULTIMATELY EXPIRED DESPITE ONGOING CRITICAL CARE SUPPORT. BASED ON THE AVAILABLE INFORMATION, THE PATIENT¿S DEATH APPEARS CLINICALLY ATTRIBUTABLE TO THE SEVERITY OF UNDERLYING AMI/CGS AND CARDIOGENIC SHOCK, RATHER THAN TO ANY MALFUNCTION OR PERFORMANCE ISSUE OF THE IMPELLA CP. THE SMALL ACCESS SITE HEMATOMA IS CONSISTENT WITH KNOWN VASCULAR ACCESS RISKS AND SHOWS NO EVIDENCE OF DEVICE CAUSALITY. THE DEATH IS CONSERVATIVELY BEING REPORTED ON THE IMPELLA CP BUT IS UNLIKELY A CONTRIBUTING FACTOR TO THE CAUSE OF DEATH AND IS MORE LIKELY DUE TO THE PATIENT¿S DECLINING CLINICAL CONDITION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 510923 | IMPELLA | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | 2027828825 | 00813502012279 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Male | Death |