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