Reported Reactions

Devices › Temporary non-roller type right heart support blood pump

Device brand name · Temporary non-roller type right heart support blood pump

Impella RP Flex: medical device reports filed with FDA

558 reports name it, 2023–2026. Manufacturer given most often on reports: Abiomed. Product code PYX.

558
device reports naming the brand
0% of all MAUDE reports · about 192 a year
173
reports, 12 months to August 2026
297 in the 12 months before
34.9%
classified as malfunction
38.4% across the product code
19.5%
classified as death, as reported
109 reports · not verified by FDA

558 medical device reports received by FDA name the brand "Impella RP Flex" (temporary non-roller type right heart support blood pump); the manufacturer given most often on reports is Abiomed; received from August 2023 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

173 reports arrived in the 12 months to August 2026, down 42% from 297 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (45.5%), malfunction (34.9%) and death (19.5%); across all temporary non-roller type right heart support blood pump reports (product code PYX) death is recorded in 19% and malfunction in 38.4%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are device sensing problem (25.8%), restricted flow rate (23.7%) and increase in pressure (9.1%). The patient problems coded most often are hemorrhage/blood loss/bleeding, hemolysis and thrombosis/thrombus. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

02652Sep 2021: 0Oct 2021: 0Nov 2021: 0Dec 2021: 02022Jan 2022: 0Feb 2022: 0Mar 2022: 0Apr 2022: 0May 2022: 0Jun 2022: 0Jul 2022: 0Aug 2022: 0Sep 2022: 0Oct 2022: 0Nov 2022: 0Dec 2022: 02023Jan 2023: 0Feb 2023: 0Mar 2023: 0Apr 2023: 0May 2023: 0Jun 2023: 0Jul 2023: 0Aug 2023: 1Sep 2023: 0Oct 2023: 1Nov 2023: 0Dec 2023: 42024Jan 2024: 4Feb 2024: 6Mar 2024: 12Apr 2024: 20May 2024: 8Jun 2024: 10Jul 2024: 9Aug 2024: 13Sep 2024: 19Oct 2024: 10Nov 2024: 22Dec 2024: 332025Jan 2025: 25Feb 2025: 21Mar 2025: 17Apr 2025: 23May 2025: 31Jun 2025: 46Jul 2025: 26Aug 2025: 24Sep 2025: 52Oct 2025: 47Nov 2025: 23Dec 2025: 272026Jan 2026: 22Feb 2026: 0Mar 2026: 0Apr 2026: 1May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 1

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

01813622023: 620232024: 16620242025: 36220252026: 242026

Event type and report source

Event type, as classified on the report

Death19.5%109
Injury45.5%254
Malfunction34.9%195
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.8%557
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.2%1

Grey bar: all 2,190 reports carrying product code PYX. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Device sensing problem14425.8%19.9%
Restricted flow rate13223.7%16.1%
Increase in pressure519.1%7.3%
Pumping stopped366.5%5.7%
Patient device interaction problem213.8%6.3%
Positioning failure193.4%3.5%
Failure to advance162.9%4.4%
Patient-device incompatibilitythe device did not suit the patient162.9%7.5%
Failure to sense122.2%1.4%
Improper flow or infusion122.2%1.8%
Malposition of device122.2%2.6%
Deformation due to compressive stress81.4%2.3%
Activation, positioning or separation problem61.1%0.7%
Decrease in pressure61.1%0.5%
Defective devicethe device was defective40.7%0.8%
Difficult to advance40.7%0.5%
Failure to pump40.7%0.6%
Pressure problem40.7%0.2%
Difficult to removethe device was hard to remove30.5%0.6%
Insufficient flow or under infusion30.5%0.5%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Hemorrhage/blood loss/bleeding10719.2%
Hemolysis9116.3%
Thrombosis/thrombus8815.8%
Renal failurekidney failure203.6%
Arrhythmia193.4%
Tachycardiafast heart rate162.9%
Hematuria142.5%
Thrombocytopenialow platelets132.3%
Cardiovascular dysfunction/insufficiency122.2%
Hemodynamic instability112%
Ischemia112%
Sepsisa severe body-wide response to infection112%
Hematomaa collection of blood under the skin or in tissue101.8%
Cardiac arrestthe heart stopped91.6%
Perforation of vessels81.4%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureImpella RP FlexProduct code PYXAll MAUDE reports
Reports5582,19026,136,888
Share of that pool—25.5%0%
Classified as death, per 1,000 reports1951909
Classified as injury45.5%42.6%36.2%
Classified as malfunction34.9%38.4%62.3%
Filed by the manufacturer99.8%99.5%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code PYX

BrandReportsLatest 12 monthsClassified as death
Impella Rp1,1359414.9%
Impella8,4578,25115.2%
Automated Impella Controller3,7924555.6%
Impella CP20,6242,46312.9%
Automated Impella Controller Aic22403.6%
Purge Cassette Gen 2, Sterile, Non QSK1831838.7%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Impella RP Flex reports

How many FDA reports name Impella RP Flex?

558 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 173 in the latest 12 months.

What kinds of events are reported?

injury (45.5%), malfunction (34.9%) and death (19.5%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

device sensing problem (25.8%), restricted flow rate (23.7%), increase in pressure (9.1%), pumping stopped (6.5%) and patient device interaction problem (3.8%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.8%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Impella RP Flex was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.