FDA Adverse Event
Malfunction
Summary report: N
FIGULLA FLEX II ASD OCCLUDER
MDR report key: 23232879
·
Received October 7, 2025
Report
- Report Number
- 3014616394-2025-00025
- Event Type
- Malfunction
- Date Received
- October 7, 2025
- Date of Event
- September 11, 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
- GM
- 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, A DEFINITVE ROOT CAUSE COULD NOT BE ESTABLISHED.
Additional Manufacturer Narrative · 0
A2 AND 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 CHANGED SHAPE DURING DEPLOYMENT IN THE PATIENT. MULTIPLE ATTEMPTS WERE MADE TO POSITION AND REDEPLOY, BUT EACH TIME IT DID NOT ACHIEVE THE CORRECT SHAPE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2716519 | FIGULLA FLEX II ASD OCCLUDER | ASD OCCLUDER | OZG | OCCLUTECH GMBH | 29ASD24 | 2309292403 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male |