FDA Adverse Event Injury Summary report: N

TERA HARZ CLEAR

MDR report key: 22213172 · Received June 16, 2025

Report

Report Number
MW5171504
Event Type
Injury
Date Received
June 16, 2025
Date of Event
April 26, 2025
Report Date
June 4, 2025
Manufacturer
GRAPHY INC.
Product Code
NXC
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
EZ
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

SUBMITTED THIS REPORT BY (B)(6) ON BEHALF OF (B)(6) (ORTHODONTIST PRACTICING IN (B)(6)). DR. (B)(6) STATED THAT HE ATTENDED THE (B)(6) ANNUAL SESSION 2025 HELD IN (B)(6) FROM (B)(6) 2025. DURING THE CONFERENCE, HE PERSONALLY REPORTED PATIENT SAFETY CONCERNS TO A REPRESENTATIVE FROM GRAPHY INC., THE MANUFACTURER OF THE TERA HARZ CLEAR (510K # K240597; PRODUCT CODE NXC) MODELS TC-85DAC, TR-07, AND TA-28. ACCORDING TO DR. (B)(6), APPROXIMATELY 1 IN EVERY 4 TO 5 OF HIS PATIENTS TREATED WITH THE TERA HARZ CLEAR ALIGNER MEDICAL DEVICE EXPERIENCED ADVERSE REACTIONS SHORTLY AFTER BEGINNING USE. THE REPORTED SYMPTOMS BY HIS PATIENTS INCLUDED: DYSPNEA, LIP SWELLING/EDEMA, GUM SWELLING/EDEMA, AND SORE THROAT/THROAT DISCOMFORT. THE AFFECTED PATIENTS REPORTEDLY SELF-MEDICATED WITH OVER-THE-COUNTER ANTIHISTAMINES TO MANAGE THESE SYMPTOMS. DR. (B)(6) CONVEYED THESE FINDINGS DIRECTLY TO A GRAPHY INC. REPRESENTATIVE DURING THE (B)(6) CONFERENCE. THE REPRESENTATIVE COLLECTED DR. (B)(6) CONTACT INFORMATION AND INFORMED HIM THAT THE COMPANY WOULD FOLLOW-UP REGARDING THESE REPORTED INCIDENTS. REFERENCE REPORTS: MW5171505, MW5171506.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
33490 TERA HARZ CLEAR ALIGNER, SEQUENTIAL NXC GRAPHY INC. TC-85DAC

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other| R