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 |