FDA Adverse Event Malfunction Summary report: N

SYNCARDIA COMPANION HOSPITAL CART

MDR report key: 15601296 · Received October 13, 2022

Report

Report Number
3003761017-2022-00106
Event Type
Malfunction
Date Received
October 13, 2022
Date of Event
September 20, 2022
Report Date
June 26, 2024
Manufacturer
SYNCARDIA SYSTEMS, LLC
Product Code
LOZ
UDI-DI
00858000003138
PMA / PMN Number
P030011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE COMPANION HOSPITAL CART WILL BE RETURNED TO SYNCARDIA FOR EVALUATION. THE RESULTS WILL BE PROVIDED IN A FOLLOW-UP MDR.

Additional Manufacturer Narrative · 0

DEVICE HISTORY RECORD (DHR) REVIEW CONFIRMED THAT COMPANION HOSPITAL CART S/N 50062 WAS SERVICED AND PASSED ALL FUNCTIONAL TESTING PRIOR TO BEING RELEASED TO FINISHED GOODS. VISUAL INSPECTION OF EXTERNAL COMPONENTS FOUND NO ABNORMALITIES. HOSPITAL CARD FAILED FUNCTIONAL TESTING FOR ACCEPTANCE AT INCOMING INSPECTION FOR SECTIONS ALL RELATED TO INABILITY TO INTERACT WITH THE LCD SCREEN, CONFIRMING REPORTED COMPLAINT. ADDITIONAL TESTING INCLUDED REPLACING THE LCD MODULE DUE TO INABILITY TO INTERACT WITH THE LCD SCREEN. HOSPITAL CART PASSED ALL AREAS OF FUNCTIONAL TESTING WITH REPLACEMENT MODULE, INCLUDING GROUND CONTINUITY TESTING. FAILURE INVESTIGATION FOR THIS COMPLAINT CONFIRMED HE REPORTED ISSUE AT INCOMING INSPECTION. THE CUSTOMER COMPLAINT WAS REPLICATED DURING TERSTING; THE ROOT CAUSE OF THE REPORTED INABILITY TO INTERACT WITH THE LCD SCREEN WAS DETERMINED TO BE A FAULTY LCD MODULE. FAILURE INVESTIGATION IDENTIFIED NO OTHER FAILURES OR DAMAGE THAT COULD HAVE CONTRIBUTED TO THE REPORTED COMPLAINT. THE HOSPITAL CART WAS NOT SUPPORTING A PATIENT AT TIME OF COMPLAINT. THIS ISSUE WILL BE MONITORED AND TRENDED AS PART OF THE CUSTOMER COMPLAINT PROCESS. SYNCARDIA HAS COMPLETED ITS EVALUATION AND IS CLOSING THIS FILE. IF NEW OR ADDITIONAL INFORMATION IS RECEIVED IN THE FUTURE, SYNCARDIA WILL FILE A FOLLOW-UP MDR.

Description of Event or Problem · 0

THE COMPANION HOSPITAL CART WAS NOT SUPPORTING A PATIENT AT THE TIME OF THE EVENT. THE CUSTOMER, A SYNCARDIA CERTIFIED HOSPITAL, REPORTED THAT THE DISPLAY ON THE COMPANION HOSPITAL CART WAS "FROZEN", I.E., NOT RECOGNIZING TOUCH. THE HOSPITAL STAFF COULD NOT RECALIBRATE THE SCREEN.

Description of Event or Problem · 0

THE COMPANION HOSPITAL CART WAS NOT SUPPORTING A PATIENT AT THE TIME OF THE EVENT. THE CUSTOMER, A SYNCARDIA CERTIFIED HOSPITAL, REPORTED THAT THE DISPLAY ON THE COMPANION HOSPITAL CART WAS "FROZEN", I.E., NOT RECOGNIZING TOUCH. THE HOSPITAL STAFF COULD NOT RECALIBRATE THE SCREEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2601360 SYNCARDIA COMPANION HOSPITAL CART HOSPITAL CART LOZ SYNCARDIA SYSTEMS, LLC 00858000003138

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown