FDA Adverse Event Malfunction Summary report: N

LUX-DX? INSERTABLE CARDIAC MONITOR

MDR report key: 23865370 · Received December 22, 2025

Report

Report Number
2124215-2025-92322
Event Type
Malfunction
Date Received
December 22, 2025
Date of Event
December 2, 2025
Report Date
May 7, 2026
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MXD
PMA / PMN Number
K193473
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THIS DEVICE HAS 2 PREMARKET APPROVALS AND DUE TO SPACING LIMITATIONS ON FIELD G4 THEY ARE K193473 & K210608. SUPLEMENTAL 01: REPORT THE RESULTS OF THE DEVICE EVALUATION: THIS PRODUCT HAS NOT BEEN RETURNED TO BOSTON SCIENTIFIC, AND AS A RESULT, LABORATORY ANALYSIS COULD NOT BE CONDUCTED. 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. THERE IS NO INDICATION THE DEVICE MANUFACTURING PROCESS CONTRIBUTED TO THE REPORTED COMPLAINT. A RISK REVIEW WAS COMPLETED AND CONFIRMED THAT THE EVENT OF PREMATURE DISCHARGE OF BATTERY 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. AND 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 "CAUSE NOT ESTABLISHED".

Additional Manufacturer Narrative · 0

THIS DEVICE HAS 2 PREMARKET APPROVALS AND DUE TO SPACING LIMITATIONS ON FIELD G4 THEY ARE K193473 & K210608.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE INSERTABLE CARDIAC MONITOR (ICM) REACHED END OF SERVICE, LEADING TO A SUSPENSION OF TRANSMISSIONS EVENT DUE TO POSSIBLE EARLY DEPLETION OF THE ICM. CONNECTIVITY ATTEMPTS THROUGH THE PMM APP WERE UNSUCCESSFUL, AND THE APPLICATION STATUS SHOWED 'SUSPENDED.' THE SITUATION REMAINS UNRESOLVED AND HAS BEEN REFERRED TO THE CLINIC FOR DIRECT EVALUATION OF THE ICM. THE ICM REMAINS IN SERVICE, AND NO ADVERSE PATIENT EFFECTS HAVE BEEN REPORTED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE INSERTABLE CARDIAC MONITOR (ICM) REACHED END OF SERVICE, LEADING TO A SUSPENSION OF TRANSMISSIONS EVENT DUE TO POSSIBLE EARLY DEPLETION OF THE ICM. CONNECTIVITY ATTEMPTS THROUGH THE PMM APP WERE UNSUCCESSFUL, AND THE APPLICATION STATUS SHOWED 'SUSPENDED.' THE SITUATION REMAINS UNRESOLVED AND HAS BEEN REFERRED TO THE CLINIC FOR DIRECT EVALUATION OF THE ICM. THE ICM REMAINS IN SERVICE, AND NO ADVERSE PATIENT EFFECTS HAVE BEEN REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
229776 LUX-DX? INSERTABLE CARDIAC MONITOR INSERTABLE CARDIAC MONITOR MXD BOSTON SCIENTIFIC CORPORATION M301 193458

Patients

Seq Age Sex Outcome Treatment
1