The MDI unit in my Vision 46, D2-55 failed the DAY we were heading out on our 5 week trip up north (Great Lakes). Volvo sent the part for next day delivery and their local dealer stopped by the boat the same day we reported the issue. They then received the part and installed the unit the day it arrived. Took 15 minutes to swap the MDI unit and it started immediately.
Our failure was the engine would not start. Funny thing was that it did start the day the part arrived. But, it started with it in forward, at half throttle! Good thing I had the dock lines tight.
I suggest changing it immediately, before the failure, as the failure allows for starting the engine in gear. I also read that the engine could fail under power.
If you need service on Lake Erie, Lake Sinclair or Lake Huron (possibly Lake Michigan), I highly recommend Burts Deisel. Family business with fantastic response.