SYNCARDIA FREEDOM DRIVER 595000-001

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2020-03-26 for SYNCARDIA FREEDOM DRIVER 595000-001 manufactured by Syncardia Systems, Llc.

Event Text Entries

[186718111] The report from the hospital indicates the actions taken to resolve the freedom driver alarm were consistent with the information provided in the freedom driver system guidebook for patients and caregivers which refers to driveline kinks in several places including: glossary: a kink is caused when a driveline is bent resulting in decreased or no air flow through the driveline. Section 4. Warnings: caution box - failure to adhere to the warnings listed below may cause the freedom driver system to malfunction or not perform the life-sustaining functions as designed. Do not allow the drivelines (or cannulae) to become kinked. If there is a fault alarm, immediately inspect the drivelines for kinks. Section 5. Precautions and recommendations caution box - failure to adhere to the precautions and recommendations listed below may cause the freedom driver system to malfunction or not perform the life-sustaining functions as designed. A sudden drop in cardiac output may be caused by a kink in the drivelines. Section 10. Additional information 10. 1. 1 things you should never do caution box - do not kink, twist, step on or place objects on drivelines or cannulae. This may cause loss of air that is necessary to pump your tah-t. Activities that may cause pulling, twisting or kinking of the cannulae or drivelines. This issue will continue to be monitored and trended as part of the customer experience process. Syncardia has completed is evaluation of this complaint and is closing this file. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[186718112] The customer, a syncardia certified hospital, reported that while pushing the patient into the hospital in her wheelchair, the patient lost consciousness and the freedom driver alarmed and showed **** on the display. The vad coordinator pushed past the paramedics who were around the wheelchair and she pulled the driveline to check that there were no kinks or disconnects. As she did this, the patient spontaneously awoke and was reported to be fine. The customer also reported that the freedom driver was performing as intended as the vad coordinator checked all the connectors and drivelines. It was not determined if the drivelines had become kinked while moving the patient into the er.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3003761017-2020-00096
MDR Report Key9883785
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2020-03-26
Date of Report2020-03-24
Date of Event2020-03-12
Date Mfgr Received2020-03-12
Device Manufacturer Date2017-10-16
Date Added to Maude2020-03-26
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. KERRI HENSLEY
Manufacturer Street1992 E. SILVERLAKE ROAD
Manufacturer CityTUCSON, AZ
Manufacturer CountryUS
Manufacturer Phone5451234144
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSYNCARDIA FREEDOM DRIVER
Generic NameEXTERNAL PNEUMATIC DRIVER
Product CodeLOZ
Date Received2020-03-26
Returned To Mfg2020-03-18
Model Number595000-001
Catalog Number595000-001
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSYNCARDIA SYSTEMS, LLC
Manufacturer Address1992 E. SILVERLAKE ROAD TUCSON, AZ US


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-03-26

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