FDA Adverse Event Malfunction Summary report: N

MISI-MEDICAL IMAGING SOLUTIONS INTERNATIONAL

MDR report key: 23973718 · Received January 6, 2026

Report

Report Number
23973718
Event Type
Malfunction
Date Received
January 6, 2026
Date of Event
December 3, 2025
Report Date
December 9, 2025
Manufacturer
CANADIAN HOSPITAL SPECIALTIES LIMITED
Product Code
DXT
UDI-DI
00628725095141
Product Problem
Yes
Report Source
User Facility report
Reporter Location
AZ
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Description of Event or Problem · 0

DURING THE INJECTION OF CONTRAST DURING A CTA [COMPUTED TOMOGRAPHY ANGIOGRAPHY] CHEST EXAM, THE RING POPPED OFF THE CONTRAST SIDE OF THE POWER INJECTOR AND SEPARATED FROM THE BASE OF THE SYRINGE. THE SYRINGE WAS UNLOADED, AND A NEW SET OF POWER INJECTABLE SYRINGES WERE LOADED, AND THE EXAM WAS CONTINUED WITHOUT FURTHER INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
34169 MISI-MEDICAL IMAGING SOLUTIONS INTERNATIONAL INJECTOR AND SYRINGE, ANGIOGRAPHIC DXT CANADIAN HOSPITAL SPECIALTIES LIMITED 400109 208676 00628725095141

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown