MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-05-10 for IMPELLA CP SET manufactured by Abiomed.
[75162276]
During procedure, impella device was inserted and once inserted, the device would not pump. A new device was inserted and functioned fine. No harm to pt.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5069718 |
| MDR Report Key | 6562812 |
| Date Received | 2017-05-10 |
| Date of Report | 2017-05-10 |
| Date of Event | 2017-05-05 |
| Date Added to Maude | 2017-05-12 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 0 |
| Brand Name | IMPELLA CP SET |
| Generic Name | CP SET |
| Product Code | PBL |
| Date Received | 2017-05-10 |
| Returned To Mfg | 2017-05-05 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | R |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ABIOMED |
| Manufacturer Address | DANVERS MA 01923 US 01923 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Required No Informationntervention | 2017-05-10 |