PURGE CASSETTE, STERILE, NON-QSK
Report
- Report Number
- 1220648-2026-06039
- Event Type
- Malfunction
- Date Received
- March 30, 2026
- Date of Event
- October 3, 2025
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
Narratives
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.
A PURGE CASSETTE WAS IDENTIFIED AS DEFECTIVE DUE TO PURGE LEAKAGE OBSERVED AROUND THE CASSETTE, WHICH TRIGGERED A DEFECTIVE PURGE CASSETTE ALARM. THE CASSETTE WAS REPLACED, AND THE ISSUE WAS RESOLVED FOLLOWING REPLACEMENT. PATIENT HAD NO HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 773120 | PURGE CASSETTE, STERILE, NON-QSK | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 | PURGE CASSETTE, STERILE, NON-QSK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 66 YR | Female |