FDA Adverse Event Malfunction Summary report: N

ALFAPUMP SYSTEM

MDR report key: 24582632 · Received March 12, 2026

Report

Report Number
3010817031-2026-00005
Event Type
Malfunction
Date Received
March 12, 2026
Date of Event
February 12, 2026
Report Date
March 12, 2026
Manufacturer
SEQUANA MEDICAL NV
Product Code
SDQ
PMA / PMN Number
P230044
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION INITIATED.

Description of Event or Problem · 0

PRIOR TO THE IMPLANT PUMP SN (B)(6) WAS POWERED ON BY MY COLLEAGUE (B)(6). IT REMAINED IN STERILE PACKAGING AND INSIDE PACKING BOX, COMMUNICATION WITH THE PUMP WAS DONE VIA RADIO WAVES USING THE WIRELESS CHARGER. IN ATTEMPTING TO PERFORM TEST CYCLES TYLER HAD A RED "X" ON THE SCREEN AND "MOTOR COMM" IN RED SCRIPT. THIS IS ADDRESSED IN OUR WORK INSTRUCTIONS, AND THE OPTIONS WERE TO CHARGE THE SYSTEM OR USE THE BACKUP SYSTEM. AS INTERROGATION SOFTWARE WAS DISPLAYING A HEALTHY VOLTAGE ON THE BATTERY, WE DECIDED TO USE THE BACKUP SYSTEM (SN (B)(6)) AFTER A PHONE CALL WITH OUR TECHNICAL SUPPORT STAFF. REMEDIAL ACTION TAKEN BY THE HEALTHCARE FACILITY RELEVANT TO THE CARE OF THE PATIENT: PATIENT WAS ENTERING THE ROOM AT THE TIME OF PUMP SN (B)(6) POWER ON. TWO COMPLETE SYSTEMS ARE BROUGHT TO EACH IMPLANT. TYLER AND I SWITCHED OUR ATTENTION TO THE BACKUP SYSTEM AND PROVIDED THIS EQUIPMENT TO THE IMPLANTING STAFF FOR THE PATIENT. I DO NOT BELIEVE ANY DELAY OF CARE RESULTED FOR THIS PATIENT AS WE WERE ABLE TO ARRANGE OUR SUPPLIES AND PREPARE THE PUMP WHILE THE IR STAFF WERE DOING OTHER ACTIVITIES TO PREPARE THE PATIENT FOR THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
639681 ALFAPUMP SYSTEM ALFAPUMP SDQ SEQUANA MEDICAL NV 01473

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization