FDA Adverse Event Malfunction Summary report: N

FIGULLA FLEX II ASD OCCLUDER

MDR report key: 23232323 · Received October 7, 2025

Report

Report Number
3014616394-2025-00022
Event Type
Malfunction
Date Received
October 7, 2025
Date of Event
August 25, 2025
Report Date
November 18, 2025
Manufacturer
OCCLUTECH GMBH
Product Code
OZG
UDI-DI
04260182520710
PMA / PMN Number
P200032
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS OF THE REPORTED DEVICE REVEALED NO DEVIATION. ALL QC CRITERIA WERE WITHIN SPECIFICATION ACCORDING TO THE BATCH RECORD. DURING THE VISUAL AND FUNCTIONAL DEVICE INVESTIGATION THE REPORTED FAILURE IN SHAPE DEVELOPMENT COULD NOT BE REPRODUCE. ACCORDING TO THE INFORMATION THE DEVICE COULD NOT DEVELOP ITS INTERNET SHAPE IN THE SEPTUM WE CAN ASSUME THAT THE PATIENT'S ANATOMY COULD PLAY A CRUCIAL ROLE IN THE DEPLOYMENT. BASED ON THE AVAILABLE INFORMATION THE FINAL ROOT CAUSE FOR THE FAILURE IN SHAPE DEVELOPMENT REMAINS UNKNOWN

Additional Manufacturer Narrative · 0

A1-A4 IS UNKNOWN. THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS OF THE REPORTED DEVICE REVEALED NO DEVIATION. ALL QC CRITERIA WERE WITHIN SPECIFICATION ACCORDING TO THE BATCH RECORD.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN DEPLOYING THE DEVICE IN THE PATIENT THE DEVICE WOULDN'T ALIGN WITH THE SEPTUM AND APPEARED A GLOBULAR SHAPE AND DIDN'T FLATTEN. IT WAS REMOVED FROM THE PATIENT WITHOUT RELEASE. ON EXAMINATION ON THE TABLE WHEN EXTENDED FROM THE LOADER THE DEVICE DIDN'T FORM UP CORRECTLY. ANOTHER OCCLUTECH DEVICE WAS USED AND THE ASD WAS SUCCESSFULLY CLOSED.

Description of Event or Problem · 0

IT WAS REPORTED THAT WHEN DEPLOYING THE DEVICE IN THE PATIENT THE DEVICE WOULDN'T ALIGN WITH THE SEPTUM AND APPEARED A GLOBULAR SHAPE AND DIDN'T FLATTEN. IT WAS REMOVED FROM THE PATIENT WITHOUT RELEASE. ON EXAMINATION ON THE TABLE WHEN EXTENDED FROM THE LOADER THE DEVICE DIDN'T FORM UP CORRECTLY. ANOTHER OCCLUTECH DEVICE WAS USED AND THE ASD WAS SUCCESSFULLY CLOSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2690619 FIGULLA FLEX II ASD OCCLUDER ASD OCCLUDER OZG OCCLUTECH GMBH 29ASD24 2411292414 04260182520710

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown