inforMED
MalfunctionDXT

FASTLOAD¿ CTA DUAL SYRINGE PACK WITH SPIKES

Received Nov 8, 2023 · Event occurred Sep 17, 2023

Report 18091967 · MDR key 18091967

Device

Generic name

Injector And Syringe, Angiographic

Model number

017355

Catalog number

017355

Lot number

240898

Patient

13505 DA · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

WHILE INJECTING A PATIENT WITH IV CONTRAST, THE BRACCO INJECTOR SYRINGE BROKE COMPLETELY FREE FROM THE HEAD UNIT AND THE PLUNGER SEPARATED THE SYRINGE CYLINDER FROM THE LOCKING DISC AT THE BASE. THIS FAILURE SENT THE SYRINGE HURTLING TOWARD THE PATIENT LIKE A PROJECTILE. THE ATTACHED EXTENSION TUBING PREVENTED IT FROM STRIKING THE PATIENT