FDA Adverse Event
Injury
Summary report: N
ENCORE SYSTEM
MDR report key: 25124891
·
Received May 8, 2026
Report
- Report Number
- 3008792120-2026-00002
- Event Type
- Injury
- Date Received
- May 8, 2026
- Date of Event
- April 10, 2026
- Report Date
- May 8, 2026
- Manufacturer
- SIESTA MEDICAL, INC.
- Product Code
- ORY
- UDI-DI
- 0086221100206
- PMA / PMN Number
- K213159
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
THE PHYSICIAN TREATED THE PATIENT WITH A HYOID SUSPENSION USING THE ENCORE SYSTEM. THE PATIENT LATER DEVELOPED AN INFECTION IN THE UPPER INCISION SITE OF THE BONE ANCHOR PLACEMENT. THE PATIENT WAS GIVEN A COURSE OF ANTIBIOTICS AND A LAYERED CLOSURE WAS MADE TO ISOLATE THE INFECTION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 31428 | ENCORE SYSTEM | INTRAORAL DEVICE FOR SNORING OR SLEEP APNEA | ORY | SIESTA MEDICAL, INC. | FG0002 | 0086221100206 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other| R |