FDA Adverse Event
Injury
Summary report: N
WATCHMAN FLX? PRO
MDR report key: 22922156
·
Received August 29, 2025
Report
- Report Number
- 2124215-2025-60736
- Event Type
- Injury
- Date Received
- August 29, 2025
- Date of Event
- July 15, 2025
- Report Date
- August 29, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NGV
- UDI-DI
- 00191506004620
- PMA / PMN Number
- P130013
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- WI, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
REPORTED VIA CLINICAL STUDY IT WAS REPORTED THAT A DEVICE LEAK OCCURRED. A LEFT ATRIAL APPENDAGE (LAA) CLOSURE PROCEDURE WAS PERFORMED AND A 35MM WATCHMAN FLX PRO CLOSURE DEVICE WAS IMPLANTED ON (B)(6) 2025. THE PATIENT WAS DISCHARGED. DURING A CORE LAB 45-DAY COMPUTED TOMOGRAPHY (CT) SCAN REVIEW, A 6.39 MM PERI DEVICE LEAK WAS NOTED. NO CORRECTIVE ACTIONS OR DIAGNOSTIC TESTS ARE ASSOCIATED WITH THIS FINDING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2838114 | WATCHMAN FLX? PRO | SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL | NGV | BOSTON SCIENTIFIC CORPORATION | M635WU60350 | 0035905005 | 00191506004620 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 58 YR | Female | Other |