FDA Approves Impella Devices for Treating Cardiogenic Shock
FDA has approved an Abiomed PMA for its Impella 2.5, Impella CP, Impella 5.0 and Impella LD heart pumps to provide treatment of ongoing cardiogenic shock. “In this setting, the Impella heart pumps stabilize the patient's hemodynamics, unload the left ventricle, perfuse the end organs and allow for recovery of the native heart,” the company says. Previously, the devices were approved for high risk percutaneous coronary intervention (PCI), or protected PCI.
The Impella devices are intended for short-term use (less than four days for the Impella 2.5 and Impella CP and less than six days for the Impella 5.0 and Impella LD) and indicated for treating ongoing cardiogenic shock that occurs immediately (less than 48 hours) following acute myocardial infarction or open heart surgery as a result of isolated left ventricular failure that is not responsive to optimal medical management and conventional treatment measures with or without an intra-aortic balloon pump, according to the company. The devices are designed to reduce ventricular work and to provide the circulatory support necessary to allow heart recovery and early assessment of residual myocardial function. The product labeling also allows for the clinical decision to leave the devices in place beyond the intended duration of four to six days due to unforeseen circumstances.