inforMED
InjuryMVR

COUPLER

Received Oct 17, 2025

Report 1416980-2025-05163 · MDR key 23328855

Device

Generic name

Device, Anastomotic, Microvascular

Model number

NI

Catalog number

NI

Lot number

NI

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

NA · Unknown

  • Thrombosis/Thrombus
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
  • Thrombosis/Thrombus
  • Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available

Narrative

Additional Manufacturer Narrative

H11: 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.

Description of Event or Problem

DURING A SURVEY, AN UNSPECIFIED HEALTHCARE WORKER RESPONDED THAT DURING THE ANASTOMOSIS OF VEINS AND ARTERIES IN MICRO-SURGICAL AND/OR VASCULAR RECONSTRUCTIVE PROCEDURE WITH A COUPLER OR UP TO 12 WEEKS POST-SURGICAL THAT AN UNKNOWN QUANTITY OF PATIENTS HAD COMPROMISED ANASTOMOTIC PATENCY. ADDITIONALLY, THE RESPONDENT STATED, ¿NO¿ FOR THE QUESTION DID THE DEVICE ALLOW FOR SALVAGE OF A COMPROMISED FREE FLAP. THE RESPONDENT ADDITIONALLY STATED ¿INTRISIC ISSUE. CLOTTED. PATIENT WITH ISSUE.¿ FURTHERMORE, THE RESPONDENT ANSWERED NO TO QUESTION REGARDING FLAP SURVIVAL. THESE EVENTS LIKELY REQUIRED MEDICAL/SURGICAL 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.