Heart Pump Controller Correction: Abiomed Updates Use Instructions for Automated Impella Controllers
This recall involves updating instructions for using devices and does not involve removing them from where they are used or sold. The FDA has identified this recall as the most serious type. This device may cause serious injury or death if you continue to use it without following the updated instructions. The Reason for Correction section has been updated for clarity. The affected products and recommendations for what to do with the device below have not changed.
Affected Product
The FDA is aware that Abiomed has issued an Urgent Medical Device Recall (Correction) notice to affected customers recommending updated use instructions for all Automated Impella Controllers (AIC).
Affected devices:
| Product Code | Product Description | UDI-DI |
|---|---|---|
| 0042-0000-US | Impella Controller, Packaged, US | 00813502010022 |
| 0042-0010-US | Impella Optical Controller, Packaged, US | 00813502010985 |
| 0042-0040-US | Optical, AIC, Impella Controller, Pkgd, US | 00813502011401 |
What to Do
Be aware that a software error may cause the AIC to restart when used in conjunction with left ventricular Impella devices.
On May 14, Abiomed sent all affected customers a letter recommending the following actions:
- In the scenario of extended (>80 min) lack of pulsatility (< 12 mmHg), followed by a sudden change in LV pressure an AIC console restart will occur during support levels greater than P-3. Additional hemodynamic support may be required in this hemodynamically compromised population.
- If such an episode is encountered, a console exchange is unnecessary as the phenomenon will recur on the exchange device.
- In patients additionally supported with veno-arterial ECMO, unloading of the ventricle at a level of support of P-3 or lower will avoid the restart from happening as the LVP calculator causing the issue is off.
- Forward Abiomed’s notice to anyone in your facility that needs to be informed and post a copy of the notice in a visible area for awareness.
- If any of the subject products have been forwarded to another facility, contact that facility and provide them with this notice.
Reason for Correction
Abiomed has identified that when a patient is treated with a left ventricular Impella device and experiences an extended period (>80 minutes) with no residual pulsatility (<12 mmHg on the aortic placement signal), the Automated Impella Controller (AIC) may be forced to restart because of an internal software error. This can occur if there is a sudden change in left ventricular (LV) pressure while the left ventricular pressure (LVP) calculation is active (level of support above P-3). Disabling the aortic placement signal and the LVP display does not prevent the AIC from restarting.
During the restart, the AIC screen will turn black without further alert and the pump will stop, during which the patient is unsupported by the Impella system and regurgitation via the cannula may occur. After the AIC restarts, the pump will automatically resume at the previous P-level. The total time from pump stop to reach previous P-level may take up to 75 seconds based on preliminary data. Replacement of the AIC with another AIC would not resolve the potential for an AIC restart.
Patients without alternate mechanical support in place could be at increased risk for serious injury or death due to the resulting lack of hemodynamic support in the event of system reboot.
Product is not being removed, and hospital inventory can continue to be used. Abiomed is working on a software update to the AIC to address this issue.
As of April 27, Abiomed has reported two serious injuries and one death associated with this issue.
Device Use
The Automated Impella Controller is the primary user control interface for the Impella Catheters. It controls the Impella Catheter and monitors the catheter for alarms. Impella therapy aims to reduce the work of the heart and provide support for the circulatory system so the heart has time to recover.
Contact Information
Customers in the U.S. with adverse reactions, quality problems, or questions about this issue should contact Abiomed at OneMD-Field-Actions@its.jnj.com.
Additional FDA Resources
Unique Device Identifier (UDI)
The unique device identifier (UDI) helps identify individual medical devices sold in the United States from distribution to use. The UDI allows for more accurate reporting, reviewing, and analyzing of adverse event reports so that devices can be identified more quickly, and as a result, problems potentially resolved more quickly.
- How do I recognize a UDI on a label?
- AccessGUDID database - Identify Your Medical Device
- Benefits of a UDI System
How do I report a problem?
Health care professionals and consumers may report adverse reactions or quality problems they experienced using these devices to MedWatch: The FDA Safety Information and Adverse Event Reporting Program.
Timeline of Communication Updates
| Date | Actions |
|---|---|
| 06/22/2026 | The FDA updated this communication to clarify the reason for the correction and to inform the public that this issue has been classified as a Class I Recall. |
| 05/21/2026 | The FDA issued an Early Alert communication to notify the public of a potentially high-risk device issue. |