FDA Adverse Event
Injury
Summary report: N
WATCHMAN FLX? PRO
MDR report key: 23378591
·
Received October 24, 2025
Report
- Report Number
- 2124215-2025-76356
- Event Type
- Injury
- Date Received
- October 24, 2025
- Date of Event
- September 30, 2025
- Report Date
- October 24, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NGV
- UDI-DI
- 00191506004606
- PMA / PMN Number
- P130013
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
REPORTED VIA CLINICAL STUDY. IT WAS REPORTED THAT THROMBOSIS OCCURRED. A LEFT ATRIAL APPENDAGE (LAA) CLOSURE PROCEDURE WAS PERFORMED AND A 27MM WATCHMAN FLX PRO CLOSURE DEVICE WAS IMPLANTED. THE PATIENT WAS PLACED ON ASPIRIN AND CLOPIDOGREL. AFTER (B)(6) 2025, THE PATIENT WAS CHANGED TO APIXABAN AND ASPIRIN. AT THE 45-DAY ROUTINE FOLLOW UP, TRANSESOPHAGEAL ECHOCARDIOGRAM (TEE) IMAGING REVEALED A LAMINAR, NON-MOBILE DEVICE RELATED THROMBUS (DRT) IN REGARD TO THE CLOSURE DEVICE. COMPLETE SEAL AROUND THE CLOSURE DEVICE WAS NOTED. THE PHYSICIANS STOPPED THE PATIENTS' PLAVIX MEDICATION AND HAD THE PATIENT RESTART APIXABAN IN RESPONSE TO THE EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1403512 | WATCHMAN FLX? PRO | SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL | NGV | BOSTON SCIENTIFIC CORPORATION | M635WU60270 | 0036581493 | 00191506004606 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Female | Required Intervention |