| 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 Key | 50937080 |
| Report Number | 2124215-2026-51764 |
| Device Sequence Number | 18828782 |
| Product Code |
NGV
|
| UDI-Device Identifier | 00191506004613 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | HK |
| PMA/510(K) Number | P130013 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Device Implanted Year | 2026 |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Foreign,Study,Health Professional |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial |
| 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 Number | M635WU60310 |
| Device Catalogue Number | M635WU60310 |
| Device Lot Number | 0037579057 |
| 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 | 06/03/2026 |
| Initial Report FDA Received Date | 09/29/2026 |
| Date Device Manufactured | 09/30/2025 |
| 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 Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
Hospitalization;
|
| Patient Age | 69 YR |
| Patient Sex | Male |
| Patient Weight | 107 LB |
|
|