FDA Adverse Event Malfunction Summary report: N

RP FLEX W SMART ASSIST SET, US

MDR report key: 24518835 · Received March 5, 2026

Report

Report Number
1220648-2026-04521
Event Type
Malfunction
Date Received
March 5, 2026
Date of Event
March 26, 2026
Manufacturer
ABIOMED, INC. - 1220648
Product Code
PYX
UDI-DI
00813502012811
PMA / PMN Number
P170011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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 PLACEMENT SIGNALS WERE NOT RELIABLE. THE DEVICE INVOLVED WAS AN IMPELLA RP FLEX SYSTEM THAT HAD BEEN IMPLANTED FOR CIRCULATORY SUPPORT. THE PATIENT REMAINED ON SUPPORT DURING THE TIME OF THE REPORT, AND SURVIVAL OUTCOME AT EXPLANT WAS NOT YET DETERMINED. THE IMPELLA ACCESS WAS OBTAINED VIA THE RIGHT FEMORAL VEIN USING A PERCUTANEOUS APPROACH. AT THE TIME OF THE EVENT, THE PATIENT CONTINUED TO RECEIVE SUPPORT, AND NO FINAL OUTCOME HAD BEEN DOCUMENTED. A PRODUCT RETURN WAS EXPECTED BUT HAD NOT BEEN CONFIRMED. NO PATIENT DEATH WAS ASSOCIATED WITH THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582216 RP FLEX W SMART ASSIST SET, US TEMPORARY NON-ROLLER TYPE RIGHT HEART SUPPORT BLOOD PUMP PYX ABIOMED, INC. - 1220648 2025564017 00813502012811

Patients

Seq Age Sex Outcome Treatment
1 77 YR Female