FDA Adverse Event Injury Summary report: N

FIGULLA FLEX II ASD OCCLUDER

MDR report key: 23473987 · Received November 5, 2025

Report

Report Number
3014616394-2025-00029
Event Type
Injury
Date Received
November 5, 2025
Date of Event
October 2, 2025
Report Date
December 10, 2025
Manufacturer
OCCLUTECH GMBH
Product Code
OZG
UDI-DI
04260182521564
PMA / PMN Number
P200032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS REVEALED NO DEVIATION. THE DEVICE WAS NOT RETURNED FOR INVESTIGATION. THE CORRESPONDING IFU COVERS ALL WARNING AND PREVENTIVE MEASURES TO AVOID THE OCCURRENCE OF EMBOLIZATION EVENTS. NEVERTHELESS, "EMBOLIZATION (PERI & POST PROCEDURAL)" IS LISTED AS A POTENTIAL ADVERSE EVENT IN THE IFU. THE FOLLOWING STATEMENT FROM THE CUSTOMER WAS ALSO CONSIDERED FOR THE INVESTIGATION CONCLUSION: "APPROXIMATELY 24 HOURS AFTER IMPLANTING THE DEVICE, IT CAME LOOSE FROM ONE SIDE OF THE SEPTUM AND WAS THEN REMOVED VIA SURGERY. THIS WAS NOT A FAILURE OF THE DEVICE."IN THE LIGHT OF ALL INVESTIGATION FINDINGS, NO DEVICE RELATED ROOT CAUSE COULD BE IDENTIFIED. THE ROOT CAUSE WAS TRACED BACK TO NON-DEVICE RELATED FACTORS.

Additional Manufacturer Narrative · 0

THE REVIEW OF THE BATCH RECORD AND INSPECTION PROTOCOLS OF THE REPORTED DEVICE REVEALED NO DEVIATION. NO OTHER COMPLAINT EXISTS FROM THE REPORTED LOT REGARDING THE SAME COMPLAINT REASON. ALL QC CRITERIA WERE WITHIN SPECIFICATION ACCORDING TO THE BATCH RECORD. A1-A4 IS UNKNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT APPROXIMATLY 24 HOURS AFTER IMPLANTING THE DEVICE, IT CAME LOOSE FROM ONE SIDE OF THE SEPTUM AND WAS THEN REMOVED VIA SURGERY. THERE WAS NO HARM TO THE PATIENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT APPROXIMATLY 24 HOURS AFTER IMPLANTING THE DEVICE, IT CAME LOOSE FROM ONE SIDE OF THE SEPTUM AND WAS THEN REMOVED VIA SURGERY. THERE WAS NO HARM TO THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2649217 FIGULLA FLEX II ASD OCCLUDER ASD OCCLUDER OZG OCCLUTECH GMBH 37ASD09 2512370924 04260182521564

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Life Threatening| R