inforMED
MalfunctionMVR

GEM MICROVASCULAR ANASTOMOTIC COUPLER

Received Apr 4, 2025 · Event occurred Feb 27, 2025

Report 1416980-2025-01876 · MDR key 21774409

Device

Generic name

Device,anastomotic,microvascular

Model number

GEM2752

Catalog number

511100200060

Lot number

SP24B26-2027706

Product problems

  • Material Twisted/Bent
  • Material Twisted/Bent

Patient

NA · Unknown

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

Narrative

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: H6, H11. H11: A BATCH REVIEW WAS CONDUCTED AND THERE WERE NO DEVIATIONS FOUND RELATED TO THIS REPORTED CONDITION DURING THE MANUFACTURE OF THIS LOT. THE DEVICE WAS NOT RECEIVED FOR EVALUATION; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. 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 A 2.0MM COUPLER HAD A BENT PIN; FURTHER DESCRIBED AS "ONE OF THE PRONGS WAS BENT". THIS WAS OBSERVED DURING INSPECTION, BEFORE USE IN A BILATERAL BREAST DIEP FLAP RECONSTRUCTION PROCEDURE. A NEW COUPLER WAS USED TO CONTINUE WITH THE PREPARATION. THERE WAS NO PATIENT INVOLVEMENT. NO ADDITIONAL INFORMATION IS AVAILABLE.