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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 06/05/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that this insertable cardiac monitor (icm) monitoring was disable due to icm being at end of service (eos).It was indicated that device replacement is needed to continue monitoring and return original icm for analysis.The icm remains in service.No adverse patient effects were reported.
 
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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 Key25654035
Report Number2124215-2026-34496
Device Sequence Number9750106
Product Code MXD
UDI-Device Identifier00802526620713
UDI-Public(01)00802526620713(17)270826
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 Year2026
Device Explanted Year2026
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Company Representative
Initial Reporter Occupation Other
Type of Report Initial,Followup
Report Date (Section B) 07/20/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Lay User/Patient
Device Model NumberM302
Device Catalogue NumberM302
Device Lot Number127267
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/08/2026
Supplement Date Received by Manufacturer07/06/2026
Initial Report FDA Received Date06/29/2026
Supplement Report FDA Received Date07/20/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/03/2026
Is the Device Labeled for Single Use? (Y/N) Yes
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Required Intervention; Hospitalization;
Patient Age67 YR
Patient SexUnknown
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