IMPELLA R. P. DEVICE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-07-09 for IMPELLA R. P. DEVICE manufactured by Unk.

Event Text Entries

[113638828] Massive hemolysis, no right heart support despite flor readings of 3 liters per minute - worsening shock. Pt was receiving from complex aortic root surgery and was on partial right heart support with ecmo (extra corporeal membrane oxygenation), for 18 hrs and slowly improving. Impella rp inserted in the cath lab while ecmo was wearing. Impella rp read flows of 2. 8 to 3. 1 liters per minute. However despite good lv function. The left ventricle was not filling (suggesting that impella rp was not working). Lactate kept going up. Blood showed hemolysis. Ldh kept going up. Urine turned black and stopped. As an emergency, the impella rp was taken out and ecmo re-instituted. When the impella rp device was shut off, and cut, there was no change to hemodynamics. Everything got better with ecmo. However, 8 hours of profound hemolysis and negative effects on the right heart caused kidney, liver and multi - organ failure and death. Complex aortic root reconstruction 2 days before impella rp came out, performed for a very heavily calcified bicuspid aortic valve with severe stenosis and a narrow aortic root. S/p aortic valve replacement and aortic root reconstruction. Dates of use: 15. 30 hrs, (b)(6) 2018; 0230 hrs, (b)(6) 2018. Diagnosis or reason for use: right heart failure. "is the product compounded: no; is the product over-the-counter: no. " event abated after use stopped or dose reduced: yes. Abiomed, inc.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5078289
MDR Report Key7673330
Date Received2018-07-09
Date of Report2018-07-02
Date of Event2018-06-21
Date Added to Maude2018-07-10
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameIMPELLA R. P. DEVICE
Generic NameRIGHT VENTRICULAR BYPASS (ASSIST) DEVICE
Product CodeOJE
Date Received2018-07-09
Returned To Mfg2018-06-22
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2018-07-09

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