FDA Adverse Event
Injury
Summary report: N
WATCHMAN FLX? PRO
MDR report key: 23425915
·
Received October 30, 2025
Report
- Report Number
- 2124215-2025-77896
- Event Type
- Injury
- Date Received
- October 30, 2025
- Date of Event
- September 11, 2025
- Report Date
- October 30, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NGV
- UDI-DI
- 00191506004620
- PMA / PMN Number
- P130013
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, 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 35MM WATCHMAN FLX PRO CLOSURE DEVICE WAS IMPLANTED. A CORE LAB REVIEW OF THE 45-DAY FOLLOW-UP IMAGING IDENTIFIED A GRADE 1 DEVICE RELATED THROMBUS. NO CORRECTIVE ACTIONS OR DIAGNOSTIC TESTS WERE PERFORMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2297233 | WATCHMAN FLX? PRO | SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL | NGV | BOSTON SCIENTIFIC CORPORATION | M635WU60350 | 0035919736 | 00191506004620 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 81 YR | Male | Other |