IMPELLA
Report
- Report Number
- 1220648-2026-04189
- Event Type
- Malfunction
- Date Received
- February 27, 2026
- Date of Event
- February 17, 2026
- Report Date
- March 4, 2026
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- UDI-DI
- 00813502012828
- PMA / PMN Number
- P140003
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
CORRECTED INFORMATION HAS BEEN PROVIDED IN D1 BRAND NAME. H6 INVESTIGATION: TYPE, FINDINGS, AND CONCLUSION CODES AND H6 COMPONENT CODES WERE UPDATED ACCORDINGLY BASED ON THE COMPLETED INVESTIGATION. THE CAUSE OF PURGE PRESSURE HIGH WAS UNABLE TO BE DETERMINED AS LIMITED CLINICAL DETAILS WERE PROVIDED AND NO PRODUCT WAS RETURNED FOR REVIEW.
UPDATED INFORMATION: D6B EXPLANT DATE ADDED.
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.
THE COMPLAINANT REPORTED THAT A PATIENT WAS IMPLANTED WITH AN IMPELLA 5.5 VIA RIGHT SURGICAL INNOMINATE ARTERY FOR MECHANICAL CIRCULATORY SUPPORT. A NURSE REPORTED A HIGH PURGE PRESSURE/PURGE SYSTEM BLOCKED ALARM AND CHECKED ALL TUBING AND NO KINKS, LOOPS OR RESTRAINTS WERE NOTED. THE PATIENT WAS ON BIVALIRUDIN AND WAS THERAPEUTIC FOR DAYS. NO CHANGES IN MOTOR CURRENT WERE NOTICED BY THE NURSE. IT HAS BEEN AND WAS ABOUT 270/211 ON P5 WITH FLOWS OF 3.5. THE MEDICAL OFFICE IS REACHING OUT TO RESIDENT WITH PROTOCOL AND THEY PLAN TO START TISSUE PLASMINOGEN ACTIVATOR (TPA) SHORTLY. ADDITIONAL INFORMATION WAS RECEIVED. THE REGISTERED NURSE CALLED ABOUT THE ABOVE ALARM (PURGE SYSTEM BLOCKED) AND NOTED THAT THEY ARE CURRENTLY RUNNING TPA IN THE PURGE. THE PURGE FLOW IS STILL LESS THAN ONE. THE PURGE PRESSURE ALARM RESOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 304961 | IMPELLA | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | 2026801120 | 00813502012828 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |