FDA Adverse Event Injury Summary report: N

LUX-DX? INSERTABLE CARDIAC MONITOR

MDR report key: 22919607 · Received August 28, 2025

Report

Report Number
2124215-2025-60796
Event Type
Injury
Date Received
August 28, 2025
Date of Event
July 16, 2025
Report Date
January 21, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MXD
UDI-DI
00802526607103
PMA / PMN Number
K193473
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, 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 PMA # EXCEEDED CHARACTER LIMIT FOR DESIGNATED FIELD.

Additional Manufacturer Narrative · 0

G4: PMA/510(K) # FIELD ON 3500A FORM IS K193473, K210608 - REPORTED HERE AS PMA # EXCEEDED CHARACTER LIMIT FOR DESIGNATED FIELD. UPON RECEIPT AT OUR POST MARKET QUALITY ASSURANCE LABORATORY, THE INSERTABLE CARDIAC MONITOR (ICM) WAS INSPECTED AND ANALYZED. VISUAL EXAMINATION NOTED NO ANOMALIES. THE CURRENT DRAIN WAS MEASURED AND FOUND TO BE NORMAL. DETAILED ANALYSIS DID NOT REVEAL ANY ABNORMALITIES THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED CLINICAL OBSERVATIONS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS INSERTABLE CARDIAC MONITOR (ICM) WAS EXPLANTED AS PATIENT REQUESTED DUE TO SKIN DISCOMFORT. NO NEW DEVICE WAS IMPLANTED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS INSERTABLE CARDIAC MONITOR (ICM) WAS EXPLANTED AS PATIENT REQUEST DUE TO SKIN DISCOMFORT. NO NEW DEVICE WAS IMPLANTED. NO ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
314680 LUX-DX? INSERTABLE CARDIAC MONITOR INSERTABLE CARDIAC MONITOR MXD BOSTON SCIENTIFIC CORPORATION M301 129715 00802526607103

Patients

Seq Age Sex Outcome Treatment
1 36 YR Unknown Hospitalization| R