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