FDA Adverse Event Injury Summary report: N

UNK_IMPELLA CP

MDR report key: 24568909 · Received March 11, 2026

Report

Report Number
1220648-2026-05036
Event Type
Injury
Date Received
March 11, 2026
Date of Event
November 19, 2025
Manufacturer
ABIOMED, INC. - 1220648
Product Code
OZD
PMA / PMN Number
P140003
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

H6 MEDICAL DEVICE PROBLEM CODE WAS UPDATED FROM A24 TO A01.

Additional Manufacturer Narrative · 0

H6: UPDATED CODES BASED ON THE RESULTS OF THE INVESTIGATION. H11: UPDATED BASED ON THE RESULTS OF THE INVESTIGATION. THE CAUSE OF THE INJURY WAS NOT DETERMINED DUE TO INSUFFICIENT CLINICAL DETAILS.

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

A 72-YEAR-OLD MAN HAD UNDERGONE IMPELLA CP SUPPORT TREATMENT FOR AMICS. HE WAS ALSO BEING SUPPORTED WITH VA ECMO. PROFUSE BLEEDING WAS NOTED FROM THE RIJ ECMO INSERTION SITE WHICH REQUIRED BLOOD TRANSFUSION. IMPELLA CP NOT IMPLICATED IN BLEEDING - THIS IS AN ECMO VENOUS CANNULA RELATED ISSUE, BUT EVENT IS CONSERVATIVELY REPORTED SINCE IMPELLA CP WAS IN PLACE AT TIME OF BLEEDING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
136066 UNK_IMPELLA CP TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP OZD ABIOMED, INC. - 1220648

Patients

Seq Age Sex Outcome Treatment
1