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 |