FDA Adverse Event Malfunction Summary report: N

SYNCARDIA COMPANION 2 DRIVER

MDR report key: 3821351 · Received April 28, 2014

Report

Report Number
3003761017-2014-00059
Event Type
Malfunction
Date Received
April 28, 2014
Date of Event
April 15, 2014
Report Date
April 25, 2014
Manufacturer
SYNCARDIA SYSTEMS, INC.
Product Code
LOZ
PMA / PMN Number
P030011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THIS ALLEGED FAILURE MODE POSES A LOW RISK TO THE PT BECAUSE IT WAS OBSERVED WHEN THE COMPANION 2 DRIVER WAS NOT SUPPORTING A PT. IN ADDITION, THE REPORTED ISSUE WOULD NOT PREVENT THE COMPANION 2 DRIVER FROM PERFORMING ITS LIFE-SUSTAINING FUNCTIONS. THE COMPANION 2 DRIVER HAS REDUNDANT ALTERNATE POWER SOURCES OF EXTERNAL BATTERIES AND WALL POWER. AN INVESTIGATION WILL BE CONDUCTED BY SYNCARDIA, AND THE RESULT WILL BE PROVIDED IN A SUPPLEMENTAL MDR.

Description of Event or Problem · 1

THIS COMPANION 2 DRIVER WAS NOT SUPPORTING A PT. THE CUSTOMER REPORTED THAT THE COMPANION 2 DRIVER THAT WAS IN STOCK AT THE IMPLANT CENTER HAD A "DEAD EMERGENCY BATTERY." THE CUSTOMER ALSO REPORTED THAT THE COMPANION 2 DRIVER HAD NOT BEEN PLUGGED INTO EXTERNAL WALL POWER AT THE IMPLANT CENTER. THE CUSTOMER ALSO REPORTED THAT THE IMPLANT CENTER THEN ATTEMPTED TO CHARGE THE EMERGENCY BATTERY FOR ABOUT A WEEK BUT THE EMERGENCY BATTERY WOULD NOT CHARGE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
254534 SYNCARDIA COMPANION 2 DRIVER CIRCULATORY ASSIST DEVICE LOZ SYNCARDIA SYSTEMS, INC. NA NA

Patients

Seq Age Sex Outcome Treatment
1