inforMED
MalfunctionDXT

MEDICAL IMAGING SOLUTIONS INTL.

Received Oct 29, 2025 · Event occurred Jan 10, 2025

Report 23413330 · MDR key 23413330

Device

Generic name

Injector And Syringe, Angiographic

Model number

400109

Catalog number

400109

Lot number

2410174

Product problems

  • Material Fragmentation
  • Noise, Audible

Patient

90 YR · Female

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

Narrative

Description of Event or Problem

WHILE INJECTING CONTRAST FOR CT PERFUSION STUDY ON A CODE STROKE PT, I HEARD A LOUD POP. THE INJECTOR CONTINUED TO ACT APPROPRIATELY FOR THE REMAINDER OF THE EXAM. WHEN COMPLETED, WE ENTERED THE CT ROOM TO RETURN PT TO HER BED AND NOTICED THE CONTRAST SYRINGE HAD BROKEN AT THE BASE, WITH A FEW PIECES STUCK UNDER THE PLUNGER.