FDA Adverse Event Injury Summary report: N

WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM

MDR report key: 16014828 · Received December 20, 2022

Report

Report Number
2124215-2022-53769
Event Type
Injury
Date Received
December 20, 2022
Date of Event
December 16, 2022
Report Date
January 6, 2023
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NGV
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DATE OF EVENT - AWARE DATE OF (B)(6) 2022 USED AS EVENT DATE IS UNKNOWN.

Description of Event or Problem · 0

IT WAS REPORTED THAT THROMBOSIS OCCURRED. A LEFT ATRIAL APPENDAGE (LAA) CLOSURE PROCEDURE WAS PERFORMED AND A 27MM WATCHMAN FLX LAA CLOSURE DEVICE WAS IMPLANTED. AT THE 45-DAY FOLLOW-UP TRANSESOPHAGEAL ECHO (TEE), A DEVICE RELATED THROMBUS WAS NOTED. THE PATIENT HAD STOPPED TAKING ALL MEDICATIONS INCLUDING ORAL ANTICOAGULATION PRIOR TO FOLLOW-UP. THE PATIENT WAS EDUCATED ON THE IMPORTANCE OF ORAL ANTICOAGULATION (OAC) REGIMEN. THE PATIENT WAS PLACED ON AN OAC REGIMEN AND IMAGING WILL ASSESS THE DEVICE RELATED THROMBUS IN THREE MONTHS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THROMBOSIS OCCURRED. A LEFT ATRIAL APPENDAGE (LAA) CLOSURE PROCEDURE WAS PERFORMED AND A 27MM WATCHMAN FLX LAA CLOSURE DEVICE WAS IMPLANTED. AT THE 45-DAY FOLLOW-UP TRANSESOPHAGEAL ECHO (TEE), A DEVICE RELATED THROMBUS WAS NOTED. THE PATIENT HAD STOPPED TAKING ALL MEDICATIONS INCLUDING ORAL ANTICOAGULATION PRIOR TO FOLLOW-UP. THE PATIENT WAS EDUCATED ON THE IMPORTANCE OF ORAL ANTICOAGULATION (OAC) REGIMEN. THE PATIENT WAS PLACED ON AN OAC REGIMEN AND IMAGING WILL ASSESS THE DEVICE RELATED THROMBUS IN THREE MONTHS. IT WAS FURTHER REPORTED THAT THE THROMBUS COVERED A LARGE PORTION OF THE FACE OF THE DEVICE. THE THROMBUS LOOKED TO BE LAMINAR, NON-MOBILE AND DID NOT APPEAR TO BE BIASED TOWARD THE LIMBUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2908480 WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL NGV BOSTON SCIENTIFIC CORPORATION 10390

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other