FDA Adverse Event Injury Summary report: N

ALFAPUMP SYSTEM

MDR report key: 25132011 · Received May 9, 2026

Report

Report Number
3010817031-2026-00008
Event Type
Injury
Date Received
May 9, 2026
Date of Event
April 8, 2026
Report Date
May 8, 2026
Manufacturer
SEQUANA MEDICAL NV
Product Code
SDQ
PMA / PMN Number
P230044
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

OPENED BLADDER CATHETER INCISION. CUT ABOUT 1.5CM FROM EDGE OF CUFF ON PUMP SIDE. REMOVED OLD CUFF AND PIGTAIL INTACT. USED NEEDLE AND DILATORS TO ENTER BLADDER AT PRIOR ACCESS SITE. CONFIRMATION OF BLADDER WITH CONTRAST. REPLACEMENT BLADDER CATHETER PREPPED BY CUTTING SAME DISTANCE FROM CUFF. TITANIUM CONNECTOR TO ATTACH, STITCHES TO SECURE. STITCH THROUGH CUFF TO SECURE TO FASCIA. PLACEMENT FLURO CONFIRMED. ZOSYN IV GIVEN. 50G ALBUMIN GIVEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
339096 ALFAPUMP SYSTEM ALFAPUMP SYSTEM SDQ SEQUANA MEDICAL NV BLADDER CATHETER

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization