FDA Adverse Event Malfunction Summary report: N

SYNCARDIA COMPANION EXTERNAL BATTERY

MDR report key: 11832363 · Received May 17, 2021

Report

Report Number
3003761017-2021-00093
Event Type
Malfunction
Date Received
May 17, 2021
Date of Event
March 30, 2021
Report Date
July 22, 2021
Manufacturer
SYNCARDIA SYSTEMS, LLC
Product Code
LOZ
PMA / PMN Number
P030011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE CUSTOMER-REPORTED ISSUE WAS CONFIRMED AS THE COMPANION 2 DRIVER DISPLAY SHOWED A RED X OVER THE BATTERY ICON WHEN THE EXTERNAL BATTERY WAS PLACED IN THE DRIVER. DURING EVALUATION, THE EXTERNAL BATTERY WAS NOT ABLE TO CHARGE AND COULD NOT COMMUNICATE WITH THE BATTERY'S SYSTEM MANAGEMENT (SMBUS). THIS INDICATES THAT THE EXTERNAL BATTERY WAS TOO FAR DEPLETED TO BE RECOGNIZED BY THE DRIVER OR ACCEPT A CHARGE. THE ROOT CAUSE WAS MOST LIKELY A DEEP DISCHARGE EVENT LEADING TO A PERMANENT FAULT BY EXTERNAL BATTERY'S INTERNAL SAFETY CIRCUITRY. ALTHOUGH THE CAUSE OF THE DEEP DISCHARGE EVENT COULD NOT BE CONCLUSIVELY DETERMINED, IT IS POSSIBLE THE EXTERNAL BATTERY WAS STORED FOR LONG PERIODS OF TIME WITHOUT CONNECTING TO A POWER SOURCE. THIS ISSUE WILL BE MONITORED AND TRENDED AS PART OF THE CUSTOMER EXPERIENCE PROCESS. SYNCARDIA HAS COMPLETED ITS INVESTIGATION AND IS CLOSING THIS FILE. (B)(4) FOLLOW-UP REPORT 1.

Additional Manufacturer Narrative · 1

THE COMPANION EXTERNAL BATTERY HAS BEEN RETURNED TO SYNCARDIA FOR EVALUATION. THE RESULTS WILL BE SUBMITTED IN A FOLLOW-UP MDR. (B)(4) INITIAL.

Description of Event or Problem · 1

THE COMPANION EXTERNAL BATTERY WAS NOT SUPPORTING A PATIENT. THE CUSTOMER, A SYNCARDIA CERTIFIED HOSPITAL, REPORTED THAT COMPANION EXTERNAL BATTERY DID NOT CHARGE IN THE COMPANION 2 DRIVER AND THE DRIVER DISPLAY SHOWED A RED X OVER THE BATTERY ICON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
734632 SYNCARDIA COMPANION EXTERNAL BATTERY BATTERY PACK LOZ SYNCARDIA SYSTEMS, LLC

Patients

Seq Age Sex Outcome Treatment
1