FDA Adverse Event Malfunction Summary report: N

SYNCARDIA COMPANION 2 DRIVER

MDR report key: 9130690 · Received September 27, 2019

Report

Report Number
3003761017-2019-00276
Event Type
Malfunction
Date Received
September 27, 2019
Date of Event
August 28, 2019
Report Date
September 27, 2019
Manufacturer
SYNCARDIA SYSTEMS, LLC
Product Code
LOZ
UDI-DI
00858000003107
PMA / PMN Number
P030011
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 1

THE REPORTED EMERGENCY BATTERY ERROR ALARM WAS CONFIRMED DURING THE PATIENT DATA FILE REVIEW. DURING THE BATTERY EVALUATION, A PACK UNDER VOLTAGE (PUV) SAFETY FLAG WAS OBSERVED. HOWEVER, NO PERMANENT FAULTS WERE RECORDED FOR THE EMERGENCY BATTERY. THIS IS AN INDICATION THAT THE EMERGENCY BATTERY WAS DEPLETED AND MAY HAVE NEEDED LONGER THAN THE TYPICAL ONE HOUR TO FULLY CHARGE. THE EMERGENCY BATTERY WAS ALLOWED TO CHARGE FOR APPROXIMATELY 24 HOURS. AFTER CHARGING, THE BATTERY WAS RE-EVALUATED AND FOUND TO BE FULLY CHARGED WITH NO NEW EMERGENCY BATTERY ERROR ALARMS OBSERVED. THIS INDICATED THAT AFTER CHARGING, THE BATTERY WAS FUNCTIONING AS INTENDED. THE LIKELY CAUSE OF THE DEPLETED EMERGENCY BATTERY WHICH TRIGGERED THE EMERGENCY BATTERY ERROR ALARM WAS LACK OF SHORE POWER DURING THE TRANSPORT AND SHIPPING PROCESS. THIS ISSUE WILL CONTINUE TO BE MONITORED AND TRENDED AS PART OF THE CUSTOMER EXPERIENCE PROCESS. SYNCARDIA HAS COMPLETED ITS EVALUATION OF THIS COMPLAINT AND IS CLOSING THIS FILE. (B)(4).

Description of Event or Problem · 1

WHILE PERFORMING A ROUTINE EVALUATION, A SYNCARDIA TECHNICIAN REPORTED THAT THE COMPANION 2 DRIVER EXHIBITED AN EMERGENCY BATTERY ERROR ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
922970 SYNCARDIA COMPANION 2 DRIVER EXTERNAL PNEUMATIC DRIVER LOZ SYNCARDIA SYSTEMS, LLC 397002-001 00858000003107

Patients

Seq Age Sex Outcome Treatment
1