COUPLER
Received Oct 15, 2025
Report 1416980-2025-05054 · MDR key 23294572
Device
Generic name
Device, Anastomotic, Microvascular
Manufacturer
Baxter Healthcare CorporationModel number
NICatalog number
NI
Lot number
NI
Product problems
- Defective Component
- Defective Component
Patient
NA · Unknown
- Hemorrhage/Blood Loss/Bleeding
- Failure of Implant
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
- Hemorrhage/Blood Loss/Bleeding
- Failure of Implant
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
Narrative
Description of Event or Problem
DURING A SURVEY, AN UNSPECIFIED HEALTHCARE WORKER RESPONDED TO THE QUESTION REGARDING ANY ADVERSE EVENTS OCCURRED EITHER DURING THE ANASTOMOSIS OF VEINS AND ARTERIES IN MICRO-SURGICAL AND/OR VASCULAR RECONSTRUCTIVE PROCEDURE WITH A COUPLER OR UP TO 12 WEEKS FOLLOWING THE PROCEDURE AS ¿AT THE TIME OF THE PROCEDURE - DIFFICULTY WITH BLEEDING NOTED AT THE ANASTOMOTIC SITE, PARTLY IATROGENIC, PARTLY ALSO BECAUSE THE DEVICE DID NOT SEAL PROPERLY DURING INSERTION.¿ WHEN ASKED IF THE SURGEON ACHIEVED PATENCY USING THE COUPLER, THE RESPONDENT STATED, ¿GRAFT FAILED FOR REASONS STATED.¿ THE FOLLOWING QUESTION DID THE FLAP CREATED USING THE SYNOVIS GEM FLOW COUPLER SURVIVE? THE RESPONDENT REPLIED ¿NO, A LOT OF BLEEDING NOTED AT THE ANASTOMOTIC SITE; PARTLY SURGICAL ERROR, BUT ALSO IT MAY BE THAT THE DEVICE DID NOT SEAL PROPERLY DURING PLACEMENT - AGAIN A RECOGNIZED COMPLICATION." THESE EVENTS LIKELY REQUIRED MEDICAL INTERVENTION IN ORDER TO PRECLUDE PERMANENT IMPAIRMENT. THE RESPONDENT ANSWERED ANONYMOUSLY; THEREFORE, FOLLOW UP INFORMATION WAS NOT ABLE TO BE OBTAINED. NO FURTHER INFORMATION WAS AVAILABLE AT THE TIME OF THIS REPORT.
Additional Manufacturer Narrative
THE DEVICE WAS NOT RETURNED AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.