FDA Adverse Event Injury Summary report: N

FIGULLA FLEX II ASD

MDR report key: 23356446 · Received October 22, 2025

Report

Report Number
3014616394-2025-00028
Event Type
Injury
Date Received
October 22, 2025
Date of Event
September 30, 2025
Report Date
October 22, 2025
Manufacturer
OCCLUTECH GMBH
Product Code
OZG
UDI-DI
04260182521618
PMA / PMN Number
P200032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS REVEALED NO DEVIATION. THE DEVICE WAS NOT RETURNED FOR INVESTIGATION. FROM THE USER THE FOLLOWING WAS CONCLUDED: IMMEDIATELY PRECEDING DEVICE EMBOLIZATION, ECHOCARDIOGRAPHY DOCUMENTED THAT THE RIGHT ATRIUM WAS DILATING AND THE ATRIAL SEPTUM WAS BOWING INTO THE LEFT ATRIUM. WE SURMISED THAT LIKELY, THE PATIENT HAD LOST THEIR "POP-OFF VALVE" AND THAT BECAUSE OF THE DEGREE OF TRICUSPID REGURGITATION AND PULMONIC INSUFFICIENCY, THE RIGHT ATRIAL PRESSURE MUST HAVE RISEN STRETCHING THE ATRIAL SEPTUM LEADING TO DEVICE EMBOLIZATION. A DEVICE RELATED CAUSE COULD NOT BE IDENTIFIED.

Description of Event or Problem · 0

DEVICE EMBOLIZATION: - PATIENT WITH COMPLICATED CARDIAC HISTORY - ASD12 PLACED; BUT FAILED TUG TEST - ASD12 REPLACED BY ASD16; SUCCESSFUL TUG TEST + DEFECT COMPLETELY CLOSED - DEVICE RELEASE FROM PUSHER AS IT WAS POSITIONED PERFECTLY - SHORTLY AFTER RELEASE DEVICE EMBOLIZED TO LA THEN LV AND SUBSEQUENTLY TO APEX OF ASCENDING AORTA - DEVICE REMOVAL BY MEANS OF SNARE - HEMOSTASIS IN RIGHT GROIN ACHIEVED BY MEANS OF A PERCLOSE DEVICE

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
229273 FIGULLA FLEX II ASD ASD OCCLUDER OZG OCCLUTECH GMBH 37ASD16 2243371611 04260182521618

Patients

Seq Age Sex Outcome Treatment
1 28 YR Male Life Threatening| R