MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION INGEVITY? MRI; IMPLANTABLE LEAD

Model Number	7732
Medical Device Problem Code	High impedance (1291)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/10/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
If pertinent information is provided in the future, a supplemental report will be submitted.
Event or Problem Description
It was reported that during a request to program this pacemaker system into magnetic resonance imaging (mri) protection mode it was discovered that there was pacing impedance measurements out of range on the right atrial (ra) and right ventricular (rv) leads.The scan was then not complete as the system was deemed not conditional.Technical services (ts) provided troubleshooting options.This lead remains in service.No adverse patient effects were reported.
Event or Problem Description
It was reported that during a request to program this pacemaker system into magnetic resonance imaging (mri) protection mode it was discovered that there was pacing impedance measurements out of range on the right atrial (ra) and right ventricular (rv) leads.The scan was then not complete as the system was deemed not conditional.Technical services (ts) provided troubleshooting options.This lead remains in service.No adverse patient effects were reported.
Additional Manufacturer Narrative
Updated record with the email for the initial reporter.If pertinent information is provided in the future, a supplemental report will be submitted.

• Brand Name: INGEVITY? MRI
• Common Device Name: IMPLANTABLE LEAD
• Manufacturer (Section D): BOSTON SCIENTIFIC CORPORATION; 4100 hamline avenue north; saint paul MN 55112
• Manufacturer (Section G): BOSTON SCIENTIFIC CORPORATION; road 698, lot no. 12; dorado PR 00646 -260; * 00646-2602
• Manufacturer Contact: timothy degroot ; 4100 hamline avenue north; saint paul, MN 55112 ; 6515826168
• MDR Report Key: 23936309
• Report Number: 2124215-2025-94018
• Device Sequence Number: 5626091
• Product Code: NVN
• UDI-Device Identifier: 00802526523335
• UDI-Public: (01)00802526523335(17)221007
• Combination Product (Y/N): Y
• Initial Reporter State: AL
• Initial Reporter Country: US
• PMA/510(K) Number: P150012
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2022
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 01/07/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Lay User/Patient
• Device Expiration Date: 10/07/2022
• Device Model Number: 7732
• Device Catalogue Number: 7732
• Device Lot Number: 1027559
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 12/10/2025
• Supplement Date Received by Manufacturer: 12/10/2025
• Initial Report FDA Received Date: 12/31/2025
• Supplement Report FDA Received Date: 01/08/2026
• Date Device Manufactured: 10/07/2020
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Age: 72 YR
• Patient Sex: Female