The customer, a syncardia certified hospital, reported that while the patient was being moved to the step-down unit, the companion 2 driver exhibited a sudden drop in cardiac output while supporting the patient.The customer also reported that the patient was switched to a backup companion 2 driver.There was no reported adverse patient impact.
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The customer-reported drop in cardiac output and "flat" right pressure waveform was confirmed via review of the driver alarm history and logged waveform data.The "flat" right pressure waveform and the drop in cardiac output could not be reproduced during investigation testing.However, during the driver's observation run a slight timing delay manifested in the right flow waveform.The root cause of the drop in cardiac output and "flat" right pressure waveform was determined to be a malfunction of the right pilot valve, which caused a right pressure and flow waveform delay.Over time, these waveform delays likely increased, resulting in a decreased filling time and therefore a decrease in cardiac output.Syncardia has a corrective and preventive action (capa) to for issues related to pilot valve performance.Syncardia has completed its evaluation of this complaint and is closing this file.(b)(4) follow-up report 1.
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