inforMED
MalfunctionMVR

GEM MICROVASCULAR ANASTOMOTIC COUPLER

Received Jul 1, 2025 · Event occurred May 20, 2025

Report 2183816-2025-00038 · MDR key 22375032

Device

Generic name

Device,anastomotic,microvascular

Model number

GEM2753

Catalog number

511100250060

Lot number

SP24D29-2062991

Product problems

  • Detachment of Device or Device Component
  • Detachment of Device or Device Component

Patient

NA · Unknown

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

Narrative

Description of Event or Problem

IT WAS REPORTED THAT A 2.5MM COUPLER HAD FAULTY MATERIAL DURING THE HOOKING STAGE OF THE TWO RINGS. A NEW BATCH WAS USED TO RESOLVE THIS ISSUE. THERE WAS NO REPORT OF PATIENT INJURY OR MEDICAL INTERVENTION ASSOCIATED WITH THIS EVENT. NO ADDITIONAL INFORMATION IS AVAILABLE.

Additional Manufacturer Narrative

E1: INITIAL REPORTER ADDRESS: (B)(6). 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

CORRECTION: B5. B5: IT WAS INFORMED THAT THE DEVICE WAS BROKEN. THE MATERIAL WAS CHANGED TWO TIMES AND THEN THE ENTIRE BATCH WAS CHANGED TO RESOLVE THE ISSUE. ADDITIONAL INFORMATION: D4, H4, H11. H11: SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.