BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP

    MDR report key: 25214991 · Received May 19, 2026

    Report

    Report Number
    1220648-2026-07978
    Event Type
    Malfunction
    Date Received
    May 19, 2026
    Date of Event
    May 13, 2026
    Manufacturer
    ABIOMED, INC. - 1220648
    Product Code
    OZD
    UDI-DI
    00813502011944
    PMA / PMN Number
    P140003
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    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.

    Additional Manufacturer Narrative · 0

    ADDITIONAL INFORMATION HAS BEEN PROVIDED IN D9 AND H6.

    Description of Event or Problem · 0

    THE COMPLAINANT REPORTED THAT A PATIENT WAS IMPLANTED WITH AN IMPELLA CP VIA LEFT PERCUTANEOUS FEMORAL ARTERY FOR MECHANICAL CIRCULATORY SUPPORT. THE IMPELLA CP IMPLANTED WAS WORKING WELL. ALL WAVEFORMS WERE PRESENT. DURING PO PERCUTANEOUS CORONARY INTERVENTION, BOTH THE AORTA AND LEFT VENTRICLE DATA DISAPPEARED. THE PATIENT WAS HEMODYNAMICALLY STABLE. THE PROCEDURE WAS COMPLETED AND THE PATIENT WAS TRANSFERRED TO THE INTENSIVE CARE UNIT ON P5.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    293896 TEMPORARY NON-ROLLER TYPE LEFT HEART SUPPORT BLOOD PUMP OZD ABIOMED, INC. - 1220648 2026700886 00813502011944

    Patients

    Seq Age Sex Outcome Treatment
    1