FDA Adverse Event Malfunction Summary report: N

SYNCARDIA COMPANION 2 DRIVER

MDR report key: 9411020 · Received December 4, 2019

Report

Report Number
3003761017-2019-00363
Event Type
Malfunction
Date Received
December 4, 2019
Date of Event
November 20, 2019
Report Date
January 3, 2020
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 · 0

THE REPORTED EMERGENCY BATTERY ERROR ALARM WAS CONFIRMED DURING REVIEW OF THE PATIENT FILE REVIEW. DURING THE BATTERY EVALUATION, A CELL UNDER VOLTAGE SAFETY FLAG (CUV) AND A PACK UNDER VOLTAGE SAFETY FLAG (PUV) WERE OBSERVED. THESE FIRMWARE SAFETY FLAGS INDICATED THAT THE BATTERY CELLS WENT BELOW THE ALLOWED VOLTAGE LEVEL WHICH OCCURS DURING A "FULL-DISCHARGE" EVENT. THE ROOT CAUSE OF THE REPORTED ALARM WAS A DEPLETION OF THE EMERGENCY BATTERY DURING AN UNDERCHARGE EVENT WHICH RESULTED IN AN UNRECOVERABLE PERMANENT FAULT. 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. CE 5089 FOLLOW-UP REPORT 1.

Additional Manufacturer Narrative · 1

THIS ALLEGED FAILURE MODE POSES A LOW RISK TO A PATIENT BECAUSE THE ISSUE WAS OBSERVED WHEN THE COMPANION 2 DRIVER WAS NOT SUPPORTING A PATIENT. THE COMPANION 2 DRIVER IS BEING EVALUATED BY SYNCARDIA. THE RESULTS OF THE INVESTIGATION WILL BE PROVIDED IN A FOLLOW-UP MDR. (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
1206865 SYNCARDIA COMPANION 2 DRIVER EXTERNAL PNEUMATIC DRIVER LOZ SYNCARDIA SYSTEMS, LLC 397002-001 00858000003107

Patients

Seq Age Sex Outcome Treatment
1