FDA Adverse Event Malfunction Summary report: N

SYNCARDIA FREEDOM ONBOARD BATTERY

MDR report key: 15652020 · Received October 21, 2022

Report

Report Number
3003761017-2022-00109
Event Type
Malfunction
Date Received
October 21, 2022
Date of Event
September 27, 2022
Report Date
July 24, 2024
Manufacturer
SYNCARDIA SYSTEMS, LLC
Product Code
LOZ
UDI-DI
00858000003084
PMA / PMN Number
P030011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE FREEDOM ONBOARD BATTERY WILL BE RETURNED TO SYNCARDIA FOR EVALUATION. THE RESULTS WILL BE PROVIDED IN A FOLLOW-UP MDR. (B)(4) INITIAL (1 OF 3).

Additional Manufacturer Narrative · 0

DEVICE HISTORY RECORD (DHR) REVIEW CONFIRMED THAT FREEDOM ONBOARD BATTERY S/N (B)(6) WAS SERVICED AND PASSED ALL FUNCTIONAL TESTING PRIOR TO BEING RELEASED TO FINISHED GOODS. BATTERY S/N (B)(6) ALARM REVIEW FOUND A PERMANENT FAULT, INDICATING THE BATTERY WILL NO LONGER FUNCTION OR CHARGE/DISCHARGE. VISUAL INSPECTION OF EXTERNAL COMPONENTS FOUND SOME SEPARATION IN THE HOUSING. FREEDOM BATTERY CHARGER AND ONBOARD BATTERIES WERE ALL TESTED FOR FUNCTIONALITY. THE BATTERY CHARGER FAILED TESTING AS BAYS 1 AND 3 ARE NOT FUNCTIONAL AND DO NOT CHARGE BATTERIES. BOTH BATTERIES ALSO FAILED FUNCTIONAL TESTING DUE TO PERMANENT FAULT AND AN OUT OF SPECIFICATION CYCLE COUNT. CUSTOMER COMPLAINT WAS REPLICATED. FAILURE INVESTIGATION FOR THIS COMPLAINT CONFIRMED THE REPORTED ISSUE. THE CUSTOMER COMPLAINT WAS REPLICATED DURING INSPECTION AND TESTING; ROOT CAUSE OF THE REPORTED MALFUNCTION OF THE BATTERY CHARGER AND BATTERIES WAS DETERMINED TO BE A FAULTY FREEDOM BATTERY CHARGER AND FAULTY FREEDOM ONBOARD BATTERIES. FAILURE INVESTIGATION IDENTIFIED NO OTHER TEST FAILURES OR DAMAGE THAT COULD HAVE CONTRIBUTED TO THE COMPLAINT. SEPARATION IN THE BATTERY HOUSING WAS COSMETIC ONLY AND DID NOT AFFECT THE FUNCTIONALITY OF THE BATTERY. COMPONENTS WERE NOT IN PATIENT USE 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 REPORTED ISSUES INVOLVE THE FOLLOWING SYNCARDIA TEMPORARY TOTAL ARTIFICIAL HEART (TAH-T) SYSTEM COMPONENTS AND ARE REPORTED UNDER THREE SEPARATE MEDICAL DEVICE REPORTS: (1) FREEDOM ONBOARD BATTERY S/N (B)(4) (MFR REPORT # 3003761017-2022-00109); (2) FREEDOM ONBOARD BATTERY S/N (B)(4) (MFR REPORT # 3003761017-2022-00110); (3) FREEDOM BATTERY CHARGER S/N (B)(4)). THE FREEDOM ONBOARD BATTERIES AND FREEDOM BATTERY CHARGER WERE NOT SUPPORTING A PATIENT. THE CUSTOMER, A SYNCARDIA CERTIFIED HOSPITAL, REPORTED THE FREEDOM BATTERY CHARGER DID NOT CHARGE ANY FREEDOM ONBOARD BATTERIES. ADDITIONALLY, TWO FREEDOM ONBOARD BATTERIES WERE UNABLE TO CHARGE. THE CUSTOMER IS UNCLEAR IF THESE ISSUES ARE RELATED.

Description of Event or Problem · 0

THE REPORTED ISSUES INVOLVE THE FOLLOWING SYNCARDIA TEMPORARY TOTAL ARTIFICIAL HEART (TAH-T) SYSTEM COMPONENTS AND ARE REPORTED UNDER THREE SEPARATE MEDICAL DEVICE REPORTS: (1) FREEDOM ONBOARD BATTERY S/N (B)(6) (MFR REPORT # 3003761017-2022-00109); (2) FREEDOM ONBOARD BATTERY S/N (B)(6) (MFR REPORT # 3003761017-2022-00110); (3) FREEDOM BATTERY CHARGER S/N (B)(6)). THE FREEDOM ONBOARD BATTERIES AND FREEDOM BATTERY CHARGER WERE NOT SUPPORTING A PATIENT. THE CUSTOMER, A SYNCARDIA CERTIFIED HOSPITAL, REPORTED THE FREEDOM BATTERY CHARGER DID NOT CHARGE ANY FREEDOM ONBOARD BATTERIES. ADDITIONALLY, TWO FREEDOM ONBOARD BATTERIES WERE UNABLE TO CHARGE. THE CUSTOMER IS UNCLEAR IF THESE ISSUES ARE RELATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2462715 SYNCARDIA FREEDOM ONBOARD BATTERY BATTERY LOZ SYNCARDIA SYSTEMS, LLC 00858000003084

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown