FDA Adverse Event Injury Summary report: N

FIGULLA FLEX II ASD

MDR report key: 23347052 · Received October 21, 2025

Report

Report Number
3014616394-2025-00026
Event Type
Injury
Date Received
October 21, 2025
Date of Event
September 12, 2025
Report Date
December 11, 2025
Manufacturer
OCCLUTECH GMBH
Product Code
OZG
UDI-DI
04260182520697
PMA / PMN Number
P200032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TS
Reporter Occupation
501

Narratives

Additional Manufacturer Narrative · 0

THE COMPLAINED ASD OCCLUDER AND FLEX PUSHER WERE RETURNED FOR INVESTIGATIONS. THE OCCLUDER WAS CONNECTABLE TO THE FLEX PUSHER AND WAS WITHSTANDING A TUG TEST. ADDITIONALLY, ALL PARAMETERS WERE WITHIN SPECIFICATION. BASED ON THE AVAILABLE INFORMATION THE ASD OCCLUDER DID NOT CAUSE THE COMPLAINED EVENT.

Additional Manufacturer Narrative · 0

BATCH RECORD REVIEW OF THE COMPLAINED ASD OCCLUDER REVEALED NO DEVIATION. NO OTHER COMPLAINT EXISTS FROM THE REPORTED BATCH REGARDING THE SAME COMPLAINT REASON ACCORDING TO THE BATCH RECORD, THE COMPLAINED ASD OCCLUDER PASSED THE VISUAL AND FUNCTIONAL INSPECTION: THE RETRACTION FORCE WAS MEASURED AS 13 N. THE BALL PARAMETERS WITHIN SPECIFICATION: INVESTIGATION IS ONGOING.

Description of Event or Problem · 0

DEVICE EMBOLIZATION: DEVICE EMBOLIZATION OCCURRED DURING POSITIONING AS THE PROSTHESIS DETACHED FROM DELIVERY CABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2354677 FIGULLA FLEX II ASD ASD OCCLUDER OZG OCCLUTECH GMBH 29ASD18 2401291805 04260182520697

Patients

Seq Age Sex Outcome Treatment
1 12 YR Male Required Intervention| L