SynCardia Therapy
Ecosystem
Giving the
Gift of Time
Life-saving support today.
A continuum of care designed around the patient journey.
SynCardia develops and manufactures total artificial heart technologies for transplant-eligible patients at risk of imminent death from biventricular failure. Our FDA-approved systems are designed to support patients from implant through in-hospital recovery and, when clinically appropriate, transition to outpatient mobility while awaiting donor heart transplantation.
The SynCardia Therapy Ecosystem
The SynCardia product portfolio includes:
One therapy pathway.
Multiple support systems.
The SynCardia ecosystem is designed to support eligible patients through each phase of treatment. While every patient experience is unique and determined by the treating clinical team, many therapy journeys may include the following progression:
Implant with the SynCardia Total Artificial Heart
The SynCardia Total Artificial Heart replaces both failing ventricles and all four native heart valves while preserving the atria and roots of the great vessels. It is intended for use as a bridge to transplant in eligible patients at risk of imminent death from biventricular failure.
At implant, patients are supported by the Companion 2 Driver.
In-Hospital Recovery with Companion 2 Driver (C2)
The Companion 2 Driver is an in-hospital pneumatic driver system used to power the implanted SynCardia Total Artificial Heart following surgery.
It is designed for use in:
Operating room settings
Intensive care recovery
Step-down care
In-hospital mobility and rehabilitation
Transition to Freedom® Driver
(When Clinically Appropriate)
For certain clinically stable patients, the treating team may determine eligibility to transition from the Companion 2 Driver to the Freedom® Driver.
The Freedom® Driver is a portable pneumatic driver that may allow discharge from the hospital while the patient awaits transplant, in accordance with approved labeling and physician direction.
Potential benefits may include:
Increased mobility
Greater independence
Home discharge eligibility
Continued bridge-to-transplant support
Individual patient outcomes and candidacy vary.

Awaiting Heart Transplant
Patients supported by the SynCardia ecosystem remain under close medical supervision while awaiting donor heart transplantation.
Treatment timing, discharge status, and transplant candidacy are determined solely by qualified healthcare professionals.
EMPEROR (Future Technology)
Next-Generation Actuation for the
SynCardia Total Artificial Heart
Picard Medical and SynCardia are developing the Emperor Drive System (EDS), a new electromechanical actuation platform for the SynCardia Total Artificial Heart (STAH), preserving its established blood-contacting architecture while advancing toward a fully implantable system. Emperor is an investigational technology under development and is not approved for commercial sale. Future regulatory milestones, timing, and commercialization plans remain subject to development progress and required approvals. Learn more →
Why the Ecosystem Matters
The SynCardia therapy pathway is designed to support continuity of care—from implant surgery through recovery and potential discharge—using integrated systems developed specifically for total artificial heart patients. This continuum can help hospitals manage advanced heart failure patients while supporting appropriate transplant pathways.








