FDA Adverse Event Malfunction Summary report: N

RHINAER STYLUS

MDR report key: 23459547 · Received November 3, 2025

Report

Report Number
3011625895-2025-00014
Event Type
Malfunction
Date Received
November 3, 2025
Date of Event
September 5, 2025
Report Date
November 3, 2025
Manufacturer
AERIN MEDICAL INC.
Product Code
GEI
UDI-DI
08886479300238
PMA / PMN Number
K221907
Product Problem
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 DUE TO LIMITED AVAILABLE DATA. DEVICE WAS RECEIVED FOR INVESTIGATION ON 22-SEP-2025 AND THE INVESTIGATION WAS COMPLETED ON 28-OCT-2025. UPON COMPLETION OF THE INVESTIGATION, THE EVENT WAS DETERMINED TO BE REPORTABLE AND REPORTED ON 03-NOV-2025.

Description of Event or Problem · 0

THE BACK OF THE RHINAER STYLUS TIP DETACHED FROM THE DEVICE DURING THE PROCEDURE CAUSING THE TIP TO SLIGHTLY SLIDE. THE PHYSICIAN SCOPED AND SUCTIONED THE NASAL AIRWAY. THE DETACHED COMPONENT WAS NOT RECOVERED. THE RHINAER STYLUS WAS REPLACED AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY. NO PATIENT INJURY OR COMPLICATION WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1533830 RHINAER STYLUS RADIOFREQUENCY PROBE GEI AERIN MEDICAL INC. FG1393 10245 08886479300238

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown