IMPELLA
Report
- Report Number
- 1220648-2026-03929
- Event Type
- Death
- Date Received
- February 25, 2026
- Date of Event
- February 16, 2026
- Report Date
- March 27, 2026
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- UDI-DI
- 00813502012279
- PMA / PMN Number
- P140003
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
INVESTIGATION SUMMARY. HEMODYNAMIC INSTABILITY: THE CAUSE OF THE INJURY WAS NOT DETERMINED DUE TO INSUFFICIENT CLINICAL DETAILS. DEVICE IN WRONG POSITION: THE CAUSE OF THE POSITIONING ISSUE MOST LIKELY USE RELATED TO PATIENT MOVEMENT AS DEVICE WAS NOTED TO BE OUT OF POSITION POST HOSPITAL TRANSFER.
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 DEVICE WAS INSERTED VIA THE RIGHT FEMORAL ARTERY IN A 66-YEAR-OLD MALE PATIENT PRESENTING WITH ACUTE MYOCARDIAL INFARCTION COMPLICATED BY CARDIOGENIC SHOCK (AMI/CGS), SCAI SHOCK STAGE E. THE PATIENT HAD A HISTORY OF CORONARY ARTERY DISEASE AND WAS TRANSFERRED TO (B)(6) HOSPITAL FOR A HIGHER LEVEL OF CARE. ON ARRIVAL, IMPELLA CP POSITIONING WAS VERIFIED, AND THE INLET WAS NOTED TO BE IN THE MITRAL STRUCTURE. LABORATORY VALUES SHOWED LDH GREATER THAN 7500 AND PLASMA FREE HEMOGLOBIN OF 58, THOUGH SAMPLES WERE NOT HEMOLYZING AND NO HEMATURIA WAS OBSERVED. IN THE SETTING OF WORSENING CARDIOGENIC SHOCK AND SUBOPTIMAL IMPELLA CP POSITIONING, THE TEAM ELECTED TO ESCALATE SUPPORT TO AN IMPELLA 5.5. THE IMPELLA CP WAS REMOVED. AFTER ESCALATION TO THE IMPELLA 5.5, CARE WAS SUBSEQUENTLY WITHDRAWN, AND THE PATIENT EXPIRED. THE REPORTED EVENTS ARE POSITIONING ISSUE, MEDICAL DEVICE REMOVAL, DEVICE REVISION OR REPLACEMENT, HEMODYNAMIC INSTABILITY, AND DEATH. THE DEATH IS CONSERVATIVELY BEING REPORTED TO THE IMPELLA CP BUT IS UNLIKELY A CONTRIBUTING FACTOR AND IS MOST LIKELY ATTRIBUTED TO THE PATIENT¿S UNDERLYING CRITICAL CONDITION AS THEY PRESENTED IN SCAI STAGE E SHOCK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 507147 | IMPELLA | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | 2026811967 | 00813502012279 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Male | Death |