FDA Adverse Event Malfunction Summary report: N

FIGULLA FLEX II ASD OCCLUDER

MDR report key: 22456747 · Received July 9, 2025

Report

Report Number
3014616394-2025-00008
Event Type
Malfunction
Date Received
July 9, 2025
Date of Event
March 6, 2025
Report Date
July 9, 2025
Manufacturer
OCCLUTECH GMBH
Product Code
OZG
UDI-DI
04260182520710
PMA / PMN Number
P200032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

INITIAL INFORMATION RECEIVED ON THIS EVENT STATED THAT THE AFFECTED DEVICE WAS A PFO OCCLUDER. ADDITIONAL INFORMATION WAS RECEIVED ON 2025-06-17 STATING THE DEVICE WAS AN ASD OCCLUDER. THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS REVEALED NO DEVIATIONS. ALL QC CRITERIA WERE WITHIN SPECIFICATION ACCORDING TO THE BATCH RECORD. THE DEVICE WAS NOT RETURNED FOR FURTHER INVESTIGATION. ACCORDING TO THE CUSTOMER THE OCCLUDER DID NOT DEVELOP THE INTENDED SHAPE DURING DEVICE PREPARATION. AS THE DEVICE WAS NOT RETURNED, NO INVESTIGATION COULD BE PERFORMED. BASED ON THE AVAILABLE INFORMATION THE FINAL ROOT CAUSE FOR THE FAILURE IN SHAPE DEVELOPMENT COULD NOT BE DETERMINED.

Description of Event or Problem · 0

DURING THE PREPARATION PROCESS FOR THE OCCLUDER, THE DEVICE DID NOT COLLAPSE ON MULTIPLE ATTEMPTS. COULD NOT GET THE DEVICE TO TAKE THE NECESSARY SHAPE TO FIT INSIDE THE LOADER/DELIVERY SYSTEM. NO CONSEQUENCES TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
702621 FIGULLA FLEX II ASD OCCLUDER ASD OCCLUDER OZG OCCLUTECH GMBH 29ASD24 2327292403 04260182520710

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown