FDA Adverse Event Injury Summary report: N

LUMIGUIDE NAVIGATION WIRE 3D ULTRA

MDR report key: 24345616 · Received February 16, 2026

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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.