LUX-DX? INSERTABLE CARDIAC MONITOR
Report
- Report Number
- 2124215-2025-70397
- Event Type
- Injury
- Date Received
- October 6, 2025
- Date of Event
- August 22, 2025
- Report Date
- February 18, 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
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THIS DEVICE HAS 2 PREMARKET APPROVALS AND DUE TO SPACING LIMITATIONS ON FIELD G4 THEY ARE K193473 AND K210608. 01 - THE SUPPLEMENTAL WAS OPENED TO REPORT THE PRODUCT ANALYSIS RESULTS OF THE DEVICE RETURNED. COMPLAINT INVESTIGATION INDICATES THE PRODUCT WAS RETURNED TO BOSTON SCIENTIFIC, BASED ON ANALYSIS OF THE RETURNED PRODUCT. ANALYSIS FOUND NO EVIDENCE OF DEVICE DEFECT, MALFUNCTION OR DAMAGE OUTSIDE THE BOUNDS OF NORMAL MEDICAL USE (VISUAL INSPECTION FOUND NO ANOMALIES, DEVICE RECEIVED WITH NO TELEMETRY AND REVIEW OF LATITUDE DATA FOUND NO SUSPICIOUS SYSTEM ERRORS OR FAULTS, DEVICE MEETS LABELED LONGEVITY). BASED ON THE RESULTS OF THE INVESTIGATION, NO ESCALATION IS REQUIRED.
THIS DEVICE HAS 2 PREMARKET APPROVALS AND DUE TO SPACING LIMITATIONS ON FIELD G4 THEY ARE K193473 AND K210608
IT WAS REPORTED THAT A PATIENT WITH A HISTORY OF CEREBROVASCULAR ACCIDENT PRESENTED WITH DISCOMFORT RELATED TO AN INSERTABLE CARDIAC MONITOR (ICM). DUE TO ONGOING SYMPTOMS, THE PATIENT REQUESTED DEVICE REMOVAL AND REQUESTED ICM REMOVAL. ADDITIONALLY, THE ICM HAD REACHED EFFECTIVE REPLACEMENT STATUS APPROXIMATELY THREE YEARS AND SIX MONTHS AFTER IMPLANTATION. BATTERY DEPLETION WAS CONSISTENT WITH THE EXPECTED SERVICE LIFE, CONFIRMING NORMAL DEVICE USAGE. THE ICM WAS EXPLANTED AND RETURNED FOR ANALYSIS. NO ADDITIONAL ADVERSE EFFECTS WERE REPORTED FOR THE PATIENT.
IT WAS REPORTED THAT A PATIENT WITH A HISTORY OF CEREBROVASCULAR ACCIDENT PRESENTED WITH DISCOMFORT RELATED TO AN INSERTABLE CARDIAC MONITOR (ICM). DUE TO ONGOING SYMPTOMS, THE PATIENT REQUESTED DEVICE REMOVAL AND REQUESTED ICM REMOVAL. ADDITIONALLY, THE ICM HAD REACHED EFFECTIVE REPLACEMENT STATUS APPROXIMATELY THREE YEARS AND SIX MONTHS AFTER IMPLANTATION. BATTERY DEPLETION WAS CONSISTENT WITH THE EXPECTED SERVICE LIFE, CONFIRMING NORMAL DEVICE USAGE. THE ICM WAS EXPLANTED AND RETURNED FOR ANALYSIS. NO ADDITIONAL ADVERSE EFFECTS WERE REPORTED FOR THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 608801 | LUX-DX? INSERTABLE CARDIAC MONITOR | INSERTABLE CARDIA MONITOR | MXD | BOSTON SCIENTIFIC CORPORATION | M301 | 140126 | 00802526607103 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 71 YR | Male | Required Intervention| H |