FDA Adverse Event
Malfunction
Summary report: N
FIGULLA FLEX II ASD OCCLUDER
MDR report key: 23232511
·
Received October 7, 2025
Report
- Report Number
- 3014616394-2025-00023
- Event Type
- Malfunction
- Date Received
- October 7, 2025
- Date of Event
- August 29, 2025
- Report Date
- November 11, 2025
- Manufacturer
- OCCLUTECH GMBH
- Product Code
- OZG
- PMA / PMN Number
- P200032
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- VM
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Additional Manufacturer Narrative · 0
THE DEVICE WAS RETURNED BY THE CUSTOMER FOR EVALUATION. THE VISUAL AND FUNCTIONAL INVESTIGATION DID NOT CONFIRM THE SHAPE DEVELOPMENT FAILURE. THEREFORE, THE ROOT CAUSE FOR THE REPORTED 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 THE OCCLUDER WAS DEFORMED UPON DEPLOYMENT DURING THE INITIAL CHECK. THE DEVICE HAD NOT YET COME INTO CONTACT WITH THE PATIENT. IT WAS REPLACED WITH ANOTHER DEVICE OF THE SAME SIZE, AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1650632 | FIGULLA FLEX II ASD OCCLUDER | ASD OCCLUDER | OZG | OCCLUTECH GMBH | 29ASD30 | 2435293019 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |