Synovis Micro Companies Alliance is dedicated to bringing the micro surgeon advancements and innovations in products and services. Our newest product, Flow COUPLER, is featured below. You can find information about all our other products in the menu to the left.
Introducing the New
GEM™ FLOW COUPLER™
The FLOW COUPLER System is the marriage of two trusted technologies: the GEM™
COUPLER™ and a 20 MHz ultrasonic Doppler. The FLOW COUPLER has been
specifically designed for use in end-to-end anastomosis for the detection of blood flow
in order to confirm vessel patency intra- and postoperatively at the anastomotic site.
The GEM COUPLER Technology You Rely On Just Got Better
The FLOW COUPLER System creates a secure anastomosis for shorter procedures
and reduced ischemia time compared to traditional suturing. The resulting intima-tointima
technique stents the vessel open which improves patency and reduces the
chance of thrombosis.
Auditory Feedback – Loss of an audible signal alerts staff that
a potential problem with perfusion may exist
A press-fit point of attachment for the 20MHz Doppler Probe ensures
secure alignment of the probe and accurate monitoring of the vessel,
reducing noise and interference of adjacent vessels. The fully
insulated silver-coated copper coaxial lead wire is less
sensitive to noise and signal interference.
Rapid Detection Through
Venous Monitoring
Monitoring of the outflow vein of the
flap will detect cessation of venous
flow almost immediately. Interruption
of arterial flow will cause a nearimmediate
loss of the venous Doppler
signal. Thus, venous monitoring clearly
offers a distinct advantage over arterial
monitoring with regard to detecting venous
thrombosis and simultaneously serves as
a monitor of arterial flow.1, 2
Early Intervention Through
Intensive Post Op Monitoring
Timing of presentation of flap compromise is
a significant predictor in flap salvage rates.3
Intensive monitoring in the initial postoperative
period by the clinician leads to early
re-exploration and more likely repair.4
Improved Outcomes Through
Doppler Monitoring
- • Reduce needless re-explorations5
- • Increase flap salvage rates6
- • Minimize flap loss7
Convenience For The Clinician
Two channels allow monitoring of multiple sites. The external lead may be disconnected
from the probe wire by pulling the Universal Connectors apart for easy patient
ambulation. Quick, easy removal of the Probe Wire during follow-up in the clinic.
See instructions for use for indications, warnings, precautions, side effects and contraindications. Rx only.
1Swartz, William, et al. Implantable Venous Doppler Microvascular Monitoring: Laboratory Investigation and Clinical Results. Plastic and Reconstructive Surgery,
Volume 93, Number 1, 1994.
2Kind, Gabriel, et al. The Effect of an Implantable Doppler Probe on Salvage of Microvascular Tissue Transplants. Plastic and Reconstructive Surgery,
Volume 101, Number 5, 1998.
3Chen, KT, et al. Timing of Presentation of the First Signs of Vascular Compromise Dictates the Salvage Outcome of Free Flap Transfers. Plastic and
Reconstructive Surgery, Volume 120, Number 1, 2007.
4Salgado, Christopher, et al. Flap Monitoring and Patient Management. Plastic and Reconstructive Surgery, Volume 124, Number 6, 2009.
5Ferguson, Robert, Yu, Peirong. Techniques of Monitoring Buried Fasciocutaneous Free Flaps. Plastic and Reconstructive Surgery, Volume 123, Number 2, 2009.
6Disa, Joseph, et al. Efficacy of Conventional Monitoring Techniques in Free Tissue Transfer: An 11-Year Experience in 750 Consecutive Cases.
Plastic and Reconstructive Surgery, Volume 104, Number 1, 1999.
7Kroll, Stephen, et al. Timing of Pedicle Thrombosis and Flap Loss After Free Tissue Transfer. Plastic and Reconstructive Surgery, Volume 98, Number 7, 1996.
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