FDA Adverse Event Injury Summary report: N

LUX-DX? INSERTABLE CARDIAC MONITOR

MDR report key: 23526296 · Received November 11, 2025

Report

Report Number
2124215-2025-81943
Event Type
Injury
Date Received
November 11, 2025
Date of Event
October 21, 2025
Report Date
May 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
NY, 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 AND K210608 WHOSE CHARACTER LIMIT PREVENTED BOTH ENTRIES FROM THE FIELD. THIS PRODUCT HAS NOT BEEN RETURNED TO BOSTON SCIENTIFIC, AND AS A RESULT, LABORATORY ANALYSIS COULD NOT BE CONDUCTED. PRODUCT RECORD REVIEWS DID NOT IDENTIFY A PRODUCT QUALITY ISSUE OR NEW PATIENT HARM. THE PRIMARY REPORTED OBSERVATION IS ADDRESSED IN PRODUCT LABELING (I.E. INSTRUCTIONS FOR USE). A REVIEW OF THE DEVICE HISTORY RECORD (DHR) WAS PERFORMED. THE REVIEW OF THE DHR IDENTIFIED THAT THERE WERE NO PROCESS RELATED NON-CONFORMANCES, SCRAP, OR REWORK PERFORMED DURING THE PRODUCTION THAT COULD EXPLAIN THE EVENT. THE REVIEWS ENSURE EACH DEVICE MEETS SPECIFICATION PRIOR TO RELEASE FOR USE. A RISK REVIEW WAS COMPLETED AND CONFIRMED THAT THE EVENT OF INFECTION WAS DEFINED IN THE RISK DOCUMENTATION. THIS EVENT TYPE HAS BEEN ACCOUNTED FOR DURING PRODUCT RISK ANALYSIS TO SUPPORT ACCEPTABLE RISK BENEFIT FOR THE PRODUCT. REVIEW OF LABELING DETERMINED THAT THE COMPLAINT SITUATION WAS LISTED IN THE MANUAL. THERE WAS NO INDICATION IN THE COMPLAINT THAT THE PRODUCT WAS NOT USED IN ACCORDANCE TO LABELING. THE MANUAL WAS UNLIKELY TO BE THE CAUSE OF THE REPORTED COMPLAINT; TRANSLATION, WORDING, OR GRAPHICS DOES NOT REQUIRE FURTHER REVIEW. BASED ON A THOROUGH REVIEW OF THE REPORTED COMPLAINT, BOSTON SCIENTIFIC HAS ASSIGNED AN INVESTIGATION CONCLUSION CODE OF "KNOWN INHERENT RISK OF DEVICE."

Additional Manufacturer Narrative · 0

FIELD G4 PREMARKET/510K, FROM SECTION G ALL MANUFACTURERS, CONTAINS BOTH DOCUMENTS K193473 AND 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) WAS EXPLANTED DUE TO INFECTION. NO NEW ICM 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 DUE TO INFECTION. NO NEW ICM WAS IMPLANTED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
477380 LUX-DX? INSERTABLE CARDIAC MONITOR INSERTABLE CARDIAC MONITOR MXD BOSTON SCIENTIFIC CORPORATION M301 112720 00802526607103

Patients

Seq Age Sex Outcome Treatment
1 67 YR Unknown Required Intervention| H