FDA Adverse Event
Injury
Summary report: N
LUX-DX? INSERTABLE CARDIAC MONITOR
MDR report key: 23159214
·
Received September 26, 2025
Report
- Report Number
- 2124215-2025-68186
- Event Type
- Injury
- Date Received
- September 26, 2025
- Date of Event
- September 4, 2025
- Report Date
- September 26, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- MXD
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MS, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
FIELD G4 PREMARKET/510K, FROM SECTION G ALL MANUFACTURERS, CONTAINS BOTH DOCUMENTS K193473 & K210608 WHOSE CHARACTER LIMIT PREVENTED BOTH ENTRIES FROM THE FIELD.
Description of Event or Problem · 0
IT WAS REPORTED THAT THIS INSERTABLE CARDIAC MONITOR (ICM) REACHED THE END OF SERVICE (EOS) STATUS, THUS THE PHYSICIAN WAS UNABLE TO INTERROGATE THE DEVICE. BOSTON SCIENTIFIC TECHNICAL SERVICES (TS) INDICATED THAT THE ONLY SOLUTION WAS TO REPLACE THE DEVICE AND RETURN IT FOR FURTHER ANALYSIS. THE ICM REMAINS IN SERVICE AND NO ADVERSE PATIENT EFFECTS WERE REPORTED. THE ICM HAS BEEN EXPLANTED. A NEW ICM HAS BEEN RETURNED. NO ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1936616 | LUX-DX? INSERTABLE CARDIAC MONITOR | INSERTABLE CARDIAC MONITOR | MXD | BOSTON SCIENTIFIC CORPORATION | M301 | 182865 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Unknown | Required Intervention| H |