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 |