FDA Adverse Event
Malfunction
Summary report: N
PURGE CASSETTE, STERILE, NON-QSK
MDR report key: 24738463
·
Received March 31, 2026
Report
- Report Number
- 1220648-2026-06051
- Event Type
- Malfunction
- Date Received
- March 31, 2026
- Date of Event
- October 5, 2025
- Report Date
- March 30, 2026
- Manufacturer
- ABIOMED, INC. - 1220648
- Product Code
- OZD
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- OTHER
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
A PURGE CASSETTE WAS IDENTIFIED AS DEFECTIVE DUE TO LEAKAGE. 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 |
|---|---|---|---|---|---|---|---|
| 800241 | PURGE CASSETTE, STERILE, NON-QSK | TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP | OZD | ABIOMED, INC. - 1220648 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Male |