FDA Adverse Event
Malfunction
Summary report: N
RHINAER STYLUS
MDR report key: 22343136
·
Received June 27, 2025
Report
- Report Number
- 3011625895-2025-00008
- Event Type
- Malfunction
- Date Received
- June 27, 2025
- Date of Event
- May 23, 2025
- Report Date
- June 26, 2025
- Manufacturer
- AERIN MEDICAL INC.
- Product Code
- GEI
- UDI-DI
- 08886479300238
- PMA / PMN Number
- K221907
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
NONE
Description of Event or Problem · 0
AERIN REPRESENTATIVE REPORTED THAT THE PHYSICIAN BENT THE STYLUS SHAFT TOO CLOSE TO THE TIP AND APPLIED TOO MUCH PRESSURE DURING USE. THE TIP BROKE. THE LOOSE COMPONENT WAS RETRIEVED FROM THE NASAL PASSAGE. NO PATIENT INJURY OR COMPLICATION WERE REPORTED. ANOTHER DEVICE WAS USED TO COMPLETE THE PROCEDURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 972880 | RHINAER STYLUS | RADIOFREQUENCY PROBE | GEI | AERIN MEDICAL INC. | CAT1394 | 39246 | 08886479300238 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |