Devices › Device, anastomotic, microvascular
Device brand name · Anastomotic coupler
GEM Microvascular Anastomotic COUPLER: medical device reports filed with FDA
286 reports name it, 2008–2026. Manufacturer given most often on reports: Synovis Surgical Innovations. Product code MVR.
- 286
- device reports naming the brand
- 0% of all MAUDE reports · about 16 a year
- 57
- reports, 12 months to August 2026
- 44 in the 12 months before
- 83.2%
- classified as malfunction
- 74.5% across the product code
- 0%
- classified as death, as reported
- 0 reports · not verified by FDA
286 medical device reports received by FDA name the brand "GEM Microvascular Anastomotic COUPLER" (anastomotic coupler); the manufacturer given most often on reports is Synovis Surgical Innovations; received from August 2008 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.
57 reports arrived in the 12 months to August 2026, up 30% from 44 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (83.2%), injury (15.4%) and other (1.4%); across all device, anastomotic, microvascular reports (product code MVR) death is recorded in 0% and malfunction in 74.5%. Event type is the reporter's classification of the report, not a verified outcome.
The device problems coded most often are device operates differently than expected (12.9%), detachment of device or device component (10.5%) and disconnection (9.4%). The patient problems coded most often are thrombosis, failure to anastomose and tissue damage. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."
Reports by month, five years
Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.
By year received
Event type and report source
Event type, as classified on the report
Who filed the report
Grey bar: all 604 reports carrying product code MVR. Event type is the filer's classification and is not verified by FDA.
Device problems coded
| Device problem (FDA code) | Reports | Share | Share across product code |
|---|---|---|---|
| Device operates differently than expectedthe device behaved unexpectedly | 37 | 12.9% | 12.4% |
| Detachment of device or device componentpart of the device came off | 30 | 10.5% | 7.6% |
| Disconnection | 27 | 9.4% | 9.6% |
| Difficult to open or close | 23 | 8% | 7.6% |
| Device slipped | 21 | 7.3% | 4.3% |
| Material twisted/bent | 16 | 5.6% | 8.1% |
| Failure to align | 15 | 5.2% | 4.1% |
| Detachment of device component | 14 | 4.9% | 2.6% |
| Component falling | 12 | 4.2% | 2.2% |
| Device dislodged or dislocated | 11 | 3.8% | 4% |
| Insufficient device problem information | 10 | 3.5% | 2.5% |
| Breakthe device broke | 9 | 3.1% | 3.6% |
| Fitting problem | 8 | 2.8% | 2.5% |
| Activation, positioning or separation problem | 5 | 1.7% | 1% |
| Bent | 5 | 1.7% | 1.3% |
| Material separation | 4 | 1.4% | 1.3% |
| Misconnection | 4 | 1.4% | 1.3% |
| Positioning failure | 3 | 1% | 0.7% |
| Difficult to removethe device was hard to remove | 2 | 0.7% | 0.3% |
| Inadequacy of device shape and/or size | 2 | 0.7% | 0.5% |
FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.
Patient problems coded
| Patient problem (FDA code) | Reports | Share |
|---|---|---|
| Thrombosis | 15 | 5.2% |
| Failure to anastomose | 13 | 4.5% |
| Tissue damage | 7 | 2.4% |
| Hematomaa collection of blood under the skin or in tissue | 5 | 1.7% |
| Necrosis of flap tissue | 5 | 1.7% |
| Necrosisdeath of tissue | 4 | 1.4% |
| Appropriate clinical signs, symptoms and conditions term/code not available | 3 | 1% |
| Foreign body in patientpart of a device left in the patient | 2 | 0.7% |
| Hemorrhage/blood loss/bleeding | 2 | 0.7% |
| Perforation of vessels | 2 | 0.7% |
| Thrombus | 2 | 0.7% |
| Vascular system (circulation), impaired | 2 | 0.7% |
| Aortic insufficiency | 1 | 0.3% |
| Erosion | 1 | 0.3% |
| Failure of implant | 1 | 0.3% |
Patient problem codes are present mainly in reports filed since 2019 and are often blank.
In context
| Measure | GEM Microvascular Anastomotic COUPLER | Product code MVR | All MAUDE reports |
|---|---|---|---|
| Reports | 286 | 604 | 26,136,888 |
| Share of that pool | — | 47.4% | 0% |
| Classified as death, per 1,000 reports | 0 | 0 | 9 |
| Classified as injury | 15.4% | 24.5% | 36.2% |
| Classified as malfunction | 83.2% | 74.5% | 62.3% |
| Filed by the manufacturer | 98.6% | 96.5% | 94.9% |
Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."
Other brands with product code MVR
| Brand | Reports | Latest 12 months | Classified as death |
|---|---|---|---|
| Coupler | 171 | 37 | 0% |
Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."
Questions about GEM Microvascular Anastomotic COUPLER reports
How many FDA reports name GEM Microvascular Anastomotic COUPLER?
286 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 57 in the latest 12 months.
What kinds of events are reported?
malfunction (83.2%), injury (15.4%) and other (1.4%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.
What device problems are coded?
device operates differently than expected (12.9%), detachment of device or device component (10.5%), disconnection (9.4%), difficult to open or close (8%) and device slipped (7.3%). These are FDA's device problem codes as entered on the report.
Who files these reports?
manufacturer reports (98.6%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.
Do these reports show that GEM Microvascular Anastomotic COUPLER was at fault?
No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."
How do I report a problem with a medical device?
Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.