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
Manufacturer
Baxter Healthcare CorporationModel number
GEM2753Catalog 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.