FDA Adverse Event
Injury
Summary report: N
LUX-DX? INSERTABLE CARDIAC MONITOR
MDR report key: 23786433
·
Received December 12, 2025
Report
- Report Number
- 2124215-2025-90533
- Event Type
- Injury
- Date Received
- December 12, 2025
- Date of Event
- November 12, 2025
- Report Date
- December 12, 2025
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- MXD
- PMA / PMN Number
- K193473
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
G4: PMA/510(K) # FIELD ON 3500A FORM CONTAINS AN ADDITIONAL CODE - 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 DUE TO PRODUCT PERFORMANCE ISSUE AS THE DEVICE REACHED THE END OF SERVICE (EOS) STATUS. IT WAS INDICATED THAT THE ICM WAS NO LONGER NEEDED, NO REPLACEMENT WAS IMPLANTED. NO ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2769239 | LUX-DX? INSERTABLE CARDIAC MONITOR | INSERTABLE CARDIAC MONITOR | MXD | BOSTON SCIENTIFIC CORPORATION | M301 | 162237 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 86 YR | Unknown | Hospitalization| R |