Class 2 Device Recall Impella CP Smart Assist

• Date Initiated by Firm: August 05, 2024
• Date Posted: September 04, 2024
• Recall Status: Open, Classified
• Recall Number: Z-2966-2024
• Recall Event ID: 95129
• Product Classification: Temporary non-roller type left heart support blood pump - Product Code OZD
• Product: Impella 5.5 SmartAssist Set, JP; Product Code: 1000211
• Code Information: Product Code: 1000211; UDI-DI: 00813502012453; Serial Numbers: 378534 379682 379683 379686 379692 379693 379694 379695 381645 381249 381250 381251 381252 369147 381644 381643 379689 381642 381259 369414 381258 381260 368474 381255 381254 379589 381257 385162 381256 379684 385163 385164 377016A 379690 385157 385158 385181 385166 385167 379591 381248 385168 385169 385174 385183 385170 385177 385535 379696 385540 368769 385666 381641 385667 385555 385644 385645 379588 385557 379685 385558 385538 385552 385178 385559 385620 385553 385554 385643 385641 386021 385171 385668 385619 381262 385671 381261 385672 385673 385674 385669 385537 385675 385688 378530 385184 385689 386037 386036 379691 386025 386126 386039 385536 386130 386136 386128 373298 386133 386134 385539 385175 386135 385159 386043 386058 386142 386060 386143 386144 386145 386147 385686 386149 385616 385670 386137 385551 386131 385542 386127 387494 387513 385617 387492 385543 387514 386023 387490 386150 385176 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• Recalling Firm/ Manufacturer: Abiomed, Inc.; 24 Cherry Hill Dr; Danvers MA 01923-2575
• For Additional Information Contact: Morgaine Johnson; 612-437-5734
• Manufacturer Reason for Recall: A potential device interaction between the Shockwave Coronary IVL Catheter and left-sided Impella Pumps during coronary interventions. Currently there is no Abiomed labeling (IFU etc.) content related to this potential interaction, so Abiomed will update the IFU to include information on this potential device interaction.
• FDA Determined Cause: Under Investigation by firm
• Action: On August 5, 2024 URGENT MEDICAL DEVICE CORRECTION (NOTIFICATION) letters were sent to consignees. ACTIONS TO BE TAKEN BY CUSTOMER/USER: " Product is NOT being removed from the field and does not need to be returned. " Review, complete all fields, sign, and return the attached business response form (BRF) (refer to Attachment 2) to Abiomed2860@SEDGWICK.COM. " Forward this notice to anyone in your facility that needs to be informed (i.e., those who manage, transport, store, stock, or use the subject products). " If any of the subject products have been forwarded to another facility, contact that facility and provide them with this notice. " Post a copy of this notice in a visible area for awareness of this field safety notice. " As with any medical device, adverse reactions or quality problems experienced with the use of this product should be reported to the FDA s MedWatch Adverse Event Reporting Program using the link below: https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program/reporting-serious-problems-fda At Abiomed, our priority is to our customers and their patients, and that includes the safe and effective use of our products. If you have questions or concerns regarding this notice, please contact your local clinical field staff. Thank you for your cooperation.
• Quantity in Commerce: 788 units
• Distribution: Worldwide distribution - US Nationwide and the countries of Australia, Austria, Belgium, Brazil, Brunei Darussalam, Canada, Croatia, Czeck Republic, Denmark, Finland, France, Germany, Hong Kong, India, Ireland, Israel, Italy, Japan, Kuwait, Luxembourg, Malaysia, Mexico, Netherlands, Norway, Panama, Poland, Saudi Arabia, Serbia, Singapore, Slovenia, Spain, Sweden, Switzerland, Taiwan, U.A.E., United Kingdom.
• Total Product Life Cycle: TPLC Device Report

¹ A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
² Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
³ The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.