FDA Adverse Event Injury Summary report: N

WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM

MDR report key: 16755842 · Received April 17, 2023

Report

Report Number
2124215-2023-17075
Event Type
Injury
Date Received
April 17, 2023
Date of Event
April 9, 2023
Report Date
July 11, 2023
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NGV
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT - AWARE DATE OF (B)(6) 2023 USED AS EVENT DATE IS UNKNOWN. H6: IMPACT CODES - UPDATED F1001 ABSENCE OF TREATMENT TO F2303 MEDICATION REQUIRED.

Additional Manufacturer Narrative · 0

DATE OF EVENT - AWARE DATE OF (B)(6) 2023 USED AS EVENT DATE IS UNKNOWN.

Description of Event or Problem · 0

IT WAS REPORTED VIA SOCIAL MEDIA THAT BLOOD LOSS OCCURRED. A LEFT ATRIAL APPENDAGE (LAA) CLOSURE PROCEDURE WAS ATTEMPTED USING A WATCHMAN FLX LAA CLOSURE DEVICE WITH DELIVERY SYSTEM (WDS). DURING THE PROCEDURE, A HEMORRHAGE OCCURRED AND THE PROCEDURE WAS ABORTED. THE PATIENT RECOVERED AND WAS PLACED ON ANTICOAGULANT MEDICATION.

Description of Event or Problem · 0

IT WAS REPORTED VIA SOCIAL MEDIA THAT A HEMORRHAGE OCCURRED. A LEFT ATRIAL APPENDAGE (LAA) CLOSURE PROCEDURE WAS ATTEMPTED USING A WATCHMAN FLX LAA CLOSURE DEVICE WITH DELIVERY SYSTEM (WDS). DURING THE PROCEDURE, A HEMORRHAGE OCCURRED AND THE PROCEDURE WAS ABORTED. THE PATIENT RECOVERED AND WAS PLACED ON ANTICOAGULANT MEDICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1808258 WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL NGV BOSTON SCIENTIFIC CORPORATION

Patients

Seq Age Sex Outcome Treatment
1 Female Other