FIGULLA FLEX II ASD
Report
- Report Number
- 3014616394-2025-00030
- Event Type
- Injury
- Date Received
- November 7, 2025
- Date of Event
- October 16, 2025
- Report Date
- November 7, 2025
- Manufacturer
- OCCLUTECH GMBH
- Product Code
- OZG
- UDI-DI
- 04260182520734
- PMA / PMN Number
- P200032
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TH
- Reporter Occupation
- 003
Narratives
THE REVIEW OF THE BATCH RECORDS AND INSPECTION PROTOCOLS REVEALED NO DEVIATION. DEVICE INVESTIGATION DID NOT REVEAL ANY DEVIATIONS OR PROBLEM WITH IT. MEDICAL EXPERT ASSESSMENT: BALLOON SIZING WAS NOT DONE BUT IS REQUIRED BEFORE IMPLANTATION TO · MAKE THE MOSTLY OVAL HOLES ROUND AND · PRESS THE FLOPPY PART AWAY AND · SHOW THE STABLE PART IF VERY FLOPPY RIMS SHOW TEARS ETC. THIS IS NOT A PROBLEM OF A DEVICE BUT DUE TO THE FLOPPINESS OF THE TISSUE. ACCORDING TO THE TREATING PHYSICIAN, THIS MAY HAVE RESULTED FROM ANATOMICAL FACTORS PARTICULARLY A FLOPPY RIM, WHICH COULD HAVE CONTRIBUTED TO TISSUE TEARING DURING THE PROCEDURE. BASED ON THE INFORMATION PROVIDED BY THE CUSTOMER, THE COMPLEXITY OF THE PATIENT ANATOMY CANNOT BE EXCLUDED AS CONTRIBUTING FACTOR OF THIS PARTICULAR COMPLAINT CASE. IN THE LIGHT OF ALL AVAILABLE INFORMATION, THE ROOT CAUSE HAS BEEN TRACED TO NON-DEVICE RELATED FACTORS.
TISSUE DAMAGE: - PATIENT HAD A POSTERIOR RIM AND SHORT / NEARLY ABSENT AORTIC RIM - DEFECT SIZE OF 24MM MEASURED BY MEANS OF TEE AND TTE - ASD27 SELECTED BUT COULD NOT BE POSITIONED PROPERLY IN DEFECT - DEVICE REMOVED - VERY FLOPPY POSTERIOR RIM WAS IDENTIFIED, MAKING DEVICE STABILIZATION DIFFICULT - DEGREE OF RIM LAXITY WAS NOT CLEARLY IDENTIFIABLE ON PREPROCEDURAL IMAGING (TEE) - ASD30 SELECTED BUT COULD ALSO NOT BE POSITIONED PROPERLY - DEVICE REMOVED - DEFECT RE-ASSESSMENT REVEALED DEFECT SIZE OF 34MM (DEFECT ENLARGED) - ASSUMPTION IS POSTERIOR RIM MAY HAVE TORN DURING THE PREVIOUS ATTEMPTS - PATIENT WAS SENT TO SURGERY FOR DEFECT CLOSURE ACCORDING TO THE PHYSICIAN, THIS MAY HAVE RESULTED FROM ANATOMICAL FACTORS PARTICULARLY A FLOPPY RIM, WHICH COULD HAVE CONTRIBUTED TO TISSUE TEARING DURING THE PROCEDURE. EVENT REFLECTS MISMATCH BETWEEN ANATOMICAL CONDITION BEFORE AND DURING PROCEDURE IMAGING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 186408 | FIGULLA FLEX II ASD | ASD OCCLUDER | OZG | OCCLUTECH GMBH | 29ASD30 | 2448293006 | 04260182520734 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 57 YR | Female | Other |