FDA Adverse Event Injury Summary report: N

WATCHMAN FLX LEFT ATRIAL APPENDAGE CLOSURE DEVICE WITH DELIVERY SYSTEM

MDR report key: 19392306 · Received May 24, 2024

Report

Report Number
2124215-2024-31625
Event Type
Injury
Date Received
May 24, 2024
Date of Event
April 2, 2024
Report Date
May 24, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NGV
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: ESTIMATED AS 04/02/22024 AS THE ONLINE PUBLISHED DATE FOR THE ARTICLE IS NOTED AS 2 APRIL 2024. CITATION: DHALIWAL, S., TAO, M., GIER, C., KIM, P.M., MALEKI, N.D., NOVOTNY, H.S., BENSON, D., RASHBA, E.J., MANN, N.N. & KORT, S. (2024). INTRADEVICE LEAK: A RARE BUT IMPORTANT COMPLICATION AFTER LEFT ATRIAL APPENDAGE OCCLUSION, JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, VOLUME 83, ISSUE 13, SUPPLEMENT A, PAGE 2886. ISSN 0735-1097. HTTPS://DOI.ORG/10.1016/S0735-1097(24)04876-9. HTTPS://WWW.SCIENCEDIRECT.COM/SCIENCE/ARTICLE/PII/S0735109724048769).

Description of Event or Problem · 0

REPORTED VIA JOURNAL ARTICLE. IT WAS REPORTED A CLOSURE DEVICE DID NOT SEAL. A 71-YEAR-OLD FEMALE WITH ATRIAL FIBRILLATION (AF) UNDERWENT 24MM WATCHMAN FLX LAA CLOSURE DEVICE IMPLANTATION GIVEN HISTORY OF SUBDURAL HEMATOMA REQUIRING EVACUATION. THERE WAS NO INITIAL LEAK AFTER IMPLANT. 45 DAYS POST-IMPLANTATION, TRANSESOPHAGEAL ECHOCARDIOGRAPHY DEMONSTRATED A 2.1 MM INTRADEVICE LEAK (IDL) WITH BIDIRECTIONAL FLOW ADJACENT TO A WELL SEATED DEVICE, AND A SMALL DISCONTINUITY. AFTER MULTIDISCIPLINARY SHARED DISCUSSION WITH THE PATIENT, THE PATIENT WAS CONTINUED ON ANTIPLATELET AGENTS AND REINITIATED ON ORAL ANTICOAGULATION (OAC) MEDICATION WITH CLOSE MONITORING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2320456 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 71 YR Female Other