IMPELLA CP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-11-05 for IMPELLA CP manufactured by .

MAUDE Entry Details

Report Number9278441
MDR Report Key9278441
Date Received2019-11-05
Date of Report2019-10-28
Date of Event2019-10-10
Report Date2019-10-28
Date Reported to FDA2019-10-28
Date Reported to Mfgr2019-11-05
Date Added to Maude2019-11-05
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIMPELLA CP
Generic NameTEMPORARY CARDIAC SUPPORT BLOOD PUMP
Product CodePBL
Date Received2019-11-05
Returned To Mfg2019-10-10
Model NumberIMPELLA CP
Lot Number17877869
Device AvailabilityR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
Manufacturer AddressUS


Patients

Patient NumberTreatmentOutcomeDate
10 2019-11-05

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