The customer, a syncardia certified hospital, reported that the patient was found unresponsive, not breathing with pupils fixed and dilated, at his home in (b)(6).The freedom driver supporting the patient was alarming and the daughter exchanged to a back-up freedom driver.The customer and ems were on phone together and confirmed that the freedom driver was not alarming and there were no air leaks in the cannulae/drivelines.Ems intubated the patient and was instructed to bring patient to (b)(6) hospital as it was closer than his care facility (b)(6).En route the freedom driver began to alarm and once at (b)(6), the patient was switched to another backup freedom driver.The customer also reported that while at (b)(6), a head ct scan was performed and loss of grey-white matter consistent with anoxic brain injury- no bleeding was found.The attending physician made an initial diagnosis of anoxic brain injury.The patient was transferred (b)(6) via air and the ct films were reviewed and customer agreed with the diagnosis made at (b)(6).The patient was unstable overnight requiring multiple pressors, no sedation, non-responsive not breathing over ventilator.Patient was switched to a companion 2 driver.The customer also reported that the next day, there was no change in mental status.A nuclear medicine brain scan was completed and cerebral blood flow imaging revealed absent activity in cerebral hemisphere.The customer continued supportive care while the family had time to process and make arrangements.The customer also reported that on the third day, a repeat nuclear medicine brain scan repeat imaging revealed no flow in cerebellum and brain death was called.The customer stated that the tah-t did not cause or contribute to the patient's death and it was not explanted and no autopsy was performed.
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