FDA Adverse Event
Malfunction
Summary report: N
VIGILANT? X4 CRT-D
MDR report key: 24100641
·
Received January 16, 2026
Report
- Report Number
- 2124215-2026-03287
- Event Type
- Malfunction
- Date Received
- January 16, 2026
- Date of Event
- December 19, 2025
- Report Date
- January 16, 2026
- Manufacturer
- BOSTON SCIENTIFIC CORPORATION
- Product Code
- NIK
- UDI-DI
- 00802526589287
- PMA / PMN Number
- P010012
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THIS CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR (CRT-D) APPROPRIATELY BLANKED A PREMATURE VENTRICULAR CONTRACTION (PVC) AND THE LEFT VENTRICULAR PROTECTION PERIOD (LVPP) INHIBITED THE LEFT VENTRICULAR PACE. TECHNICAL SERVICES (TS) RECOMMENDED POTENTIAL PROGRAMMING OPTIONS. THIS CRT-D REMAINS IN SERVICE. NO ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 162976 | VIGILANT? X4 CRT-D | CARDIAC RESYNCHRONIZATION THERAPY DEFIBRILLATOR | NIK | BOSTON SCIENTIFIC CORPORATION | G247 | 302481 | 00802526589287 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Female |