LUMIGUIDE NAVIGATION WIRE 3D ULTRA
Report
- Report Number
- 3003768277-2026-10506
- Event Type
- Injury
- Date Received
- February 16, 2026
- Date of Event
- January 29, 2026
- Report Date
- May 22, 2026
- Manufacturer
- PHILIPS MEDICAL SYSTEMS NEDERLAND B.V.
- Product Code
- DQX
- UDI-DI
- 00884838111110
- PMA / PMN Number
- K233853
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- FR
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
THIS COMPLAINT WAS REVIEWED AND INVESTIGATED ACCORDING TO THE MANUFACTURER¿S POLICY. BLOCK B6: NOT AVAILABLE FROM FACILITY. BLOCK C: NOT APPLICABLE FOR THIS DEVICE. BLOCKS D6 & D7: NOT APPLICABLE FOR THIS DEVICE. BLOCKS E1 & G2: COUNTRY IS FRANCE. BLOCKS H3: THE LUMIGUIDE WAS NOT RETURNED, THUS NO PRODUCT INVESTIGATION WAS PERFORMED. BLOCK H6: PERFORATIONS DURING THIS KIND OF PROCEDURE ARE A KNOWN RISK AND ARE COVERED BY THE DEVICE RISK MANAGEMENT. BLOCKS H7, H9 & H10: DO NOT APPLY TO THIS SUBMISSION. SUBMISSION OF THIS REPORT DOES NOT, IN ITSELF, REPRESENT A CONCLUSION BY THE MANUFACTURER AND/OR AUTHORIZED REPRESENTATIVE OR THE NATIONAL COMPETENT AUTHORITY THAT THE CONTENT OF THIS REPORT IS COMPLETE OR ACCURATE, THAT THE MEDICAL DEVICE(S) LISTED FAILED IN ANY MANNER AND/OR THAT THE MEDICAL DEVICE(S) CAUSED OR CONTRIBUTED TO AN ALLEGED DEATH OR DETERIORATION IN THE STATE OF THE HEALTH OF ANY PERSON.
IT WAS REPORTED THAT A LUMIGUIDE WIRE WAS USED WITH A NON-PHILIPS GUIDE CATHETER IN AN AORTIC PROCEDURE. DURING CANNULATION OF THE INFERIOR MESENTERIC ARTERY, A PERFORATION WAS NOTED, AND WAS TREATED WITH A VASCULAR PLUG. THE PATIENT WAS DISCHARGED WITHOUT ADDITIONAL TREATMENT REQUIRED. THIS ADVERSE EVENT IS BEING SUBMITTED BECAUSE THE LUMIGUIDE WAS IN USE WHEN A PERFORATION OCCURRED, REQUIRING INTERVENTION. THERE WAS NO ALLEGED MALFUNCTION WITH THE LUMIGUIDE WIRE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 623168 | LUMIGUIDE NAVIGATION WIRE 3D ULTRA | WIRE, GUIDE, CATHETER | DQX | PHILIPS MEDICAL SYSTEMS NEDERLAND B.V. | LGN35160A3DU | 10116865 | 00884838111110 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Male | APTUS: 7F TOURGUIDE STEERABLE SHEATH.| CORDIS: 5F BERN1 GUIDE CATHETER.| GORE: 14F DRYSEAL INTRODUCER SHEATH.| PHILIPS: LUMIGUIDE EQUIPMENT. |