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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION WATCHMAN FLX?; SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL

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BOSTON SCIENTIFIC CORPORATION WATCHMAN FLX?; SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL Back to Search Results
Model Number M635WU50350
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Transient Ischemic Attack (2109)
Date of Event 02/03/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
B3: bsc aware date used as event date is unknown.
 
Event or Problem Description
Reported via patient call center.It was reported that transient ischemic attack (tia) occurred.A left atrial appendage closure procedure was performed, and a 35mm watchman flx closure device was implanted in 2021.The patient experienced a recent tia.
 
Additional Manufacturer Narrative
B3: bsc aware date used as event date is unknown.The device was not returned for analysis as the device remains implanted; therefore, a technical analysis could not be performed.Based on a thorough review of the reported complaint, boston scientific has assigned an investigation conclusion code of known inherent risk of device.
 
Event or Problem Description
Reported via patient call center.It was reported that transient ischemic attack (tia) occurred.A left atrial appendage closure procedure was performed, and a 35mm watchman flx closure device was implanted in 2021.The patient experienced a recent tia.
 
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Brand Name
WATCHMAN FLX?
Common Device Name
SYSTEM, APPENDAGE CLOSURE, LEFT ATRIAL
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
ballybrit business park
galway
EI  
Manufacturer Contact
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key24390121
Report Number2124215-2026-09329
Device Sequence Number21455204
Product Code NGV
UDI-Device Identifier08714729860525
UDI-Public(01)08714729860525(17)240412(10)27130318
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
P130013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2021
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Consumer
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 03/23/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Expiration Date04/12/2024
Device Model NumberM635WU50350
Device Catalogue NumberM635WU50350
Device Lot Number0027130318
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/03/2026
Supplement Date Received by Manufacturer03/18/2026
Initial Report FDA Received Date02/19/2026
Supplement Report FDA Received Date03/23/2026
Date Device Manufactured04/13/2021
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient Age74 YR
Patient SexUnknown
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