FDA Adverse Event Malfunction Summary report: N

RHINAER STYLUS

MDR report key: 23040019 · Received September 12, 2025

Report

Report Number
3011625895-2025-00011
Event Type
Malfunction
Date Received
September 12, 2025
Date of Event
December 10, 2024
Report Date
September 12, 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

Additional Manufacturer Narrative · 0

THE EVENT WAS INITIALLY ASSESSED TO BE NOT REPORTABLE GIVEN THE FAILURE WAS DETECTABLE AND NO INJURY OCCURRED. ON AUGUST 21, 2025, AN INTERNAL REVIEW OF SIMILAR MALFUNCTIONS CONCLUDED THAT THE EVENT WAS REPORTABLE CONSIDERING THAT A SERIOUS INJURY COULD OCCUR IF THE MALFUNCTION WERE TO RECUR IN A FUTURE SIMILAR EVENT. THIS DATE IS INDICATED AS THE "DATE RECEIVED BY MANUFACTURER".

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PHYSICIAN BENT THE STYLUS SHAFT TOO CLOSE TO THE TIP AND APPLIED PRESSURE TO TIP. DURING THE PROCEDURE, THE STYLUS TIP BROKE AND A FRAGMENT DETACHED FROM THE STYLUS TIP. THE LOOSE COMPONENT WAS RETRIEVED FROM THE NASAL PASSAGE. NO PATIENT INJURY OR COMPLICATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2070407 RHINAER STYLUS RADIOFREQUENCY PROBE GEI AERIN MEDICAL INC. FG1393 10229 08886479300238

Patients

Seq Age Sex Outcome Treatment
1 NA Male