FDA Adverse Event Malfunction Summary report: N

FIGULLA FLEX II ASD OCCLUDER

MDR report key: 22563545 · Received July 22, 2025

Report

Report Number
3014616394-2025-00009
Event Type
Malfunction
Date Received
July 22, 2025
Date of Event
June 12, 2025
Report Date
July 22, 2025
Manufacturer
OCCLUTECH GMBH
Product Code
OZG
UDI-DI
04260182520758
PMA / PMN Number
P200032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BR
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS RETURNED FOR INVESTIGATION. IT WAS FOUND THAT THE INHOMOGENEITY OF THE WIRE MESH WAS CAUSED BY THE INSERTION OF THE DEVICE INTO AN UNAPPROVED SHEATH. THE ACCOMPANYING UNAPPROVED SHEATH WAS SIGNIFICANTLY MORE RIGID IN TERMS OF MATERIAL PROPERTIES COMPARED TO THE RECOMMENDED SHEATH. DURING INSERTION, THE LA ATRIAL DISC SHIFTED, RESULTING IN AN INHOMOGENEOUS MESH STRUCTURE. THEREFORE, THE IDENTIFIED ROOT CAUSE WAS NOT FOLLOWING THE IFU.

Additional Manufacturer Narrative · 0

A1-A4 IS UNKNOWN. THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS OF THE REPORTED DEVICE REVEALED NO DEVIATION. NO OTHER COMPLAINT EXISTS FROM THE REPORTED LOT REGARDING THE SAME COMPLAINT REASON. ALL QC CRITERIA WERE WITHIN SPECIFICATION ACCORDING TO THE BATCH RECORD.

Description of Event or Problem · 0

IT WAS REPORTED THAT AN N 36 PROSTHESIS WAS PREPARED AND INSERTED INTO THE 12 F SHEATH. THE LEFT DISC WAS RELEASED AND DID NOT ASSUME A FLAT DISC-LIKE SHAPE BUT RATHER BULGED LIKE A BALLOON. IT WAS INSTRUCTED THAT THE PROSTHESIS BE REMOVED AND WE OBSERVED THAT THE CENTRAL PART OF THE RIGHT DISC WAS COMPLETELY OPEN, PREVENTING THE NORMAL CONFIGURATION OF THE DISC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
802232 FIGULLA FLEX II ASD OCCLUDER ASD OCCLUDER OZG OCCLUTECH GMBH 29ASD36P 2436293614 04260182520758

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown