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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION LUX-DX II?; INSERTABLE CARDIAC MONITOR

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BOSTON SCIENTIFIC CORPORATION LUX-DX II?; INSERTABLE CARDIAC MONITOR Back to Search Results
Model Number M302
Medical Device Problem Code Premature Discharge of Battery (1057)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/19/2026
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 the boston scientific field representative attempted to interrogate the insertable cardiac monitor (icm) using the clinic mobile monitor but was unable to activate the icm with the magnet.The icm had already been unpaired from bluetooth settings.Technical services reviewed the case and identified instability and decline in battery voltage of the icm, suggesting possible full battery depletion.A device replacement was recommended and return of the icm was advised for further analysis.The representative planned to coordinate next steps with the clinic.No adverse patient effects were reported.This icm remains in service.
 
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Brand Name
LUX-DX II?
Common Device Name
INSERTABLE CARDIAC MONITOR
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
4100 hamline avenue north
saint paul MN 55112
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
cashel road
clonmel
EI  
Manufacturer Contact
timothy degroot
4100 hamline avenue north
saint paul, MN 55112
6515826168
MDR Report Key25612025
Report Number2124215-2026-33636
Device Sequence Number5520878
Product Code MXD
UDI-Device Identifier00802526620713
UDI-Public(01)00802526620713(17)260912
Combination Product (Y/N)N
Initial Reporter StateMA
Initial Reporter CountryUS
PMA/510(K) Number
K231328
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 07/13/2026
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 Date09/12/2026
Device Model NumberM302
Device Catalogue NumberM302
Device Lot Number114607
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/19/2026
Supplement Date Received by Manufacturer07/10/2026
Initial Report FDA Received Date06/24/2026
Supplement Report FDA Received Date07/13/2026
Date Device Manufactured03/27/2025
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 Number1
Patient Age71 YR
Patient SexFemale
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