FDA posted an early alert on September 23 covering three Automated Impella Controller configurations from Abiomed: 0042-0000-US, 0042-0010-US and 0042-0040-US.
A retrospective review of servicing records identified controllers that need hardware, firmware or software updates. The listed failures are not recognizing purge cassettes, unreliable buttons during menu selection, unstable startup and software defects. Each can delay therapy or cause a loss of hemodynamic support.
No serious injuries or deaths had been reported as of September 8. FDA says hospitals can keep using inventory while they arrange service with Abiomed, and points facilities to the Abiomed field service team. An early alert is not a classified recall, so the classification can still move.
The trigger here was a look back at service records rather than complaint files. A postmarket surveillance procedure that only mines complaints and MDRs would have missed this signal entirely.