FDA Adverse Event Injury Summary report: N

HYPERBYTE VIBRATION DEVICE

MDR report key: 22047107 · Received May 19, 2025

Report

Report Number
2424472-2025-00222
Event Type
Injury
Date Received
May 19, 2025
Report Date
August 29, 2025
Manufacturer
DENTSPLY LLC
Product Code
OYH
UDI-DI
D001V181151
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
DENTIST
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

SINCE THIS EVENT RESULTED IN MEDICAL/SURGICAL INTERVENTION TO PRECLUDE PERMANENT DAMAGE TO A BODY STRUCTURE OR PERMANENT IMPAIRMENT OF A BODY FUNCTION, IT MUST BE PRESUMED THAT THE MALFUNCTION WOULD BE LIKELY TO CAUSE OR CONTRIBUTE TO A SERIOUS INJURY SHOULD IT RECUR. AS SUCH, THIS EVENT MEETS THE DEFINITION OF A REPORTABLE EVENT PER 21 CFR PART 803. THE DEVICE WAS NOT RETURNED FOR EVALUATION. HOWEVER, THE LOT NUMBER WAS PROVIDED AND RETAINED-PRODUCT TESTING AND/OR DHR REVIEW ARE PLANNED. THE RESULTS WILL BE SUBMITTED AS THEY BECOME AVAILABLE.

Additional Manufacturer Narrative · 0

NO PRODUCT WILL BE RETURNED FOR THIS COMPLAINT AND NO DHR REVIEW COMPLETED BECAUSE PRODUCT LOT NUMBER IS UNKNOWN.

Description of Event or Problem · 0

IN THIS EVENT IT IS REPORTED THAT A HYPERBYTE VIBRATION DEVICE AGGRAVATED THE PATIENT'S TMJ. THEY STOPPED USING THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
158443 HYPERBYTE VIBRATION DEVICE ORTHODONTIC VIBRATORY ACCESSORY OYH DENTSPLY LLC N/A D001V181151

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention