MAUDE Adverse Event Report: MEDLINE INDUSTRIES, LP MEDLINE; LEX NEURO ANGIOGRAPHY

Catalog Number	DYNJ902025
Medical Device Problem Code	Break (1069)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	02/11/2026
Type of Reportable Event	Malfunction
Event or Problem Description
According to the customer contact on (b)(6) 2026, syringe broke while using.Customer contact reported, "syringe broke into several pieces" and "syringe was being used to inject ½ contrast, ½ saline into catheter".
Additional Manufacturer Narrative
According to the customer contact on (b)(6) 2026, syringe broke while using.Customer contact reported, "syringe broke into several pieces" and "syringe was being used to inject ½ contrast, ½ saline into catheter." no serious injuries or medical interventions were reported.No further information is available at this time.A sample has been requested for evaluation.To date, no information has been received to indicate that a user or a patient experienced a death, serious injury, medical intervention, follow-up care, or other adverse health impact associated with the reported problem/issue.In an abundance of caution, and in response to an fda 483 issued for cfn 1417592 on 22-jan-2024, this medwatch is being filed for the reported problem/issue.If additional relevant information becomes available a supplemental medwatch will be filed.
Additional Manufacturer Narrative
Update to h6: investigation findings (c).

• Brand Name: MEDLINE
• Common Device Name: LEX NEURO ANGIOGRAPHY
• Manufacturer (Section D): MEDLINE INDUSTRIES, LP; three lakes drive; northfield IL 60093 2753
• Manufacturer Contact: alexa huskisson ; three lakes drive; northfield, IL 60093-2753
• MDR Report Key: 24546053
• Report Number: 1423395-2026-00040
• Device Sequence Number: 17573976
• Product Code: OJG
• UDI-Device Identifier: 10888277888913
• UDI-Public: 10888277888913
• Combination Product (Y/N): N
• Initial Reporter State: KY
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 04/07/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: DYNJ902025
• Device Lot Number: 25HMG608
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/11/2026
• Supplement Date Received by Manufacturer: 04/03/2026
• Initial Report FDA Received Date: 03/09/2026
• Supplement Report FDA Received Date: 04/07/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 08/21/2025
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Age: 47 YR
• Patient Sex: Male