FDA Adverse Event
Injury
Summary report: N
RHINAER STYLUS
MDR report key: 22465346
·
Received July 9, 2025
Report
- Report Number
- 3011625895-2025-00009
- Event Type
- Injury
- Date Received
- July 9, 2025
- Date of Event
- June 10, 2025
- Report Date
- July 9, 2025
- Manufacturer
- AERIN MEDICAL INC.
- Product Code
- GEI
- UDI-DI
- 08886479300238
- PMA / PMN Number
- K221907
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PATIENT UNDERWENT UNCOMPLICATED TREATMENT WITH RHINAER STYLUS. 2.5 WEEKS POST-PROCEDURE THE PATIENT PRESENTED TO LOCAL EMERGENCY ROOM WITH BLEEDING INTO THE OROPHARYNX AND OUT THE LEFT NARIS. A SYNCOPAL EPISODE AND CONCERNS OF HEMODYNAMICS WERE NOTED. THE PATIENT WAS PACKED WITH A BALLOON, GIVEN 1 UNIT OF BLOOD AND TRANSFERRED TO ANOTHER HOSPITAL. PATIENT WAS TAKEN TO THE OR. SPHENOPALATINE ARTERY LIGATION WAS PERFORMED TO ACHIEVE HEMOSTASIS. ENDOSCOPIC INSPECTION OF CONTRALATERAL (RIGHT) SIDE SHOWED NO SIGNS OF MUCOSAL INTERRUPTION OR TRAUMA IN THE AREA OF AN ACCESSORY ARTERIAL BRANCH WITH VERY HEALTHY TISSUE SURROUNDING IT AND GOOD VIABLE MUCOSA. PATIENT WAS SEEN 5 DAYS POST-PROCEDURE AND NO FURTHER ISSUES REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1119981 | RHINAER STYLUS | RADIOFREQUENCY PROBE | GEI | AERIN MEDICAL INC. | CAT1394 | 08886479300238 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female | Other| H |