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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION WATCHMAN FLX Pro; system, appendage closure, left atrial

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BOSTON SCIENTIFIC CORPORATION WATCHMAN FLX Pro; system, appendage closure, left atrial Back to Search Results
Model Number M635WU60270
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes Dyspnea (1816); Pericardial Effusion (3271)
Date of Event 08/31/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that pericardial effusion occurred.A left atrial appendage closure (laac) procedure was performed and a 27mm watchman flx pro laa closure device and delivery system (wds) was implanted on (b)(6) 2026.The wds was deployed and protruded approximately one half at the 135-degree angle in the posterior.The device was recaptured.The device was deployed from deep within the anterior on the second deployment.The protrusion in the posterior was approximately one third at the 135-degree angle.The compression rate was 16.7% to 21.5% and there was no leak noted around the device.An accessory left atrial appendage was identified.The physician determined that it could not be sealed with a single watchman implant and decided to release the device.The patient was discharged.At a routine follow up on (b)(6) 2026, a pericardial effusion was identified and a drain was performed.There was no additional information provided.
 
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Brand Name
WATCHMAN FLX Pro
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 H91 Y 868
EI   H91 Y868
Manufacturer Contact
mary crawford
4100 hamline ave n
arden hills, MN 55112
+1(651)440-0979
MDR Report Key50736220
Report Number2124215-2026-48751
Device Sequence Number10620218
Product Code NGV
UDI-Device Identifier00191506004606
UDI-Public(01)00191506004606(17)281002(10)37614075
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
P130013
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/29/2026
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 Model NumberM635WU60270
Device Catalogue NumberM635WU60270
Device Lot Number0037614075
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/01/2026
Supplement Date Received by Manufacturer09/27/2026
Initial Report FDA Received Date09/11/2026
Supplement Report FDA Received Date09/29/2026
Date Device Manufactured10/03/2025
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 Required Intervention;
Patient SexUnknown
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