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
Manufacturer
Baxter Healthcare CorporationModel number
GEM2752Catalog 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.