inforMED
MalfunctionMVR

COUPLER

Received Apr 8, 2024 · Event occurred Feb 27, 2024

Report 1416980-2024-01581 · MDR key 19067230

Device

Generic name

Device, Anastomotic, Microvascular

Model number

NA

Catalog number

511100200060

Lot number

SP23D191856673

Product problems

  • Difficult to Open or Close
  • Difficult to Open or Close

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS RECEIVED FOR EVALUATION WITH JAW ASSEMBLY AND COUPLER RINGS. VISUAL INSPECTION DID NOT IDENTIFY ANY ABNORMALITIES THAT COULD HAVE CONTRIBUTED TO THE REPORTED CLOSING ISSUE; THE RINGS AND PINS WERE ALL INTACT WITH NO DAMAGE OR VISIBLE BENT TIPS. THE REPORTED CONDITION WAS NOT VERIFIED. A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Additional Manufacturer Narrative

SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

IT WAS REPORTED THAT THE RINGS OF A 2.0MM COUPLER WAS UNABLE TO FULLY ATTACH (CLOSE). THIS ISSUE WAS IDENTIFIED DURING USE. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.