FDA Adverse Event
Injury
Summary report: N
ZQUIET
MDR report key: 22769963
·
Received August 11, 2025
Report
- Report Number
- 3008797926-2025-31001
- Event Type
- Injury
- Date Received
- August 11, 2025
- Date of Event
- March 12, 2025
- Report Date
- May 19, 2025
- Manufacturer
- SLEEPING WELL, LLC
- Product Code
- LRK
- UDI-DI
- 00858522003333
- PMA / PMN Number
- K180124
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
CUSTOMER ALLEGES DEVICE USED CAUSED DEGENERATIVE WEAR OF HIS RIGHT TEMPEROMANDIBULAR JOINT AND BITE ALIGNMENT ISSUES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1914826 | ZQUIET | ZQUIET ANTI-SNORING MOUTHPIECE | LRK | SLEEPING WELL, LLC | AA1094 | 00858522003333 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Male | Required Intervention |