FDA Adverse Event Injury Summary report: N

LUX-DX? INSERTABLE CARDIAC MONITOR

MDR report key: 22801304 · Received August 13, 2025

Report

Report Number
2124215-2025-56717
Event Type
Injury
Date Received
August 13, 2025
Date of Event
July 24, 2025
Report Date
August 13, 2025
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MXD
UDI-DI
00802526607103
PMA / PMN Number
K193473
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

G4: PMA/510(K) # FIELD ON 3500A FORM IS K193473 & K210608; REPORTED HERE AS IT EXCEEDED CHARACTER LIMIT FOR DESIGNATED FIELD.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS INSERTABLE CARDIAC MONITOR (ICM) WAS EXPLANTED AS IT REACHED THE END OF SERVICE (EOS) AFTER 2 YEARS OF BEING IMPLANTED. THE ICM IS NOT EXPECTED TO BE RETURNED AS IT WAS DISCARDED. NO NEW DEVICE WAS IMPLANTED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
956146 LUX-DX? INSERTABLE CARDIAC MONITOR INSERTABLE CARDIAC MONITOR MXD BOSTON SCIENTIFIC CORPORATION M301 186504 00802526607103

Patients

Seq Age Sex Outcome Treatment
1 80 YR Unknown Hospitalization| R