MAUDE Adverse Event Report: Ortho Dental Lab, LLC SmileDirectClub; SmileDirectClub Water Flosser

Medical Device Problem Code	Overheating of Device (1437)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	01/12/2026
Type of Reportable Event	Malfunction

• Brand Name: SmileDirectClub
• Common Device Name: SmileDirectClub Water Flosser
• Manufacturer (Section D): Ortho Dental Lab, LLC; 1530 antioch pike; antioch TN 37013
• Manufacturer (Section G): ORTHO DENTAL LAB, LLC; 1530 antioch pike; antioch TN 37013
• Manufacturer Contact: josh kessler ; 1530 antioch pike; antioch, TN 37013
• MDR Report Key: 50555983
• Report Number: 3032193293-2026-00023
• Device Sequence Number: 10651161
• Product Code: EFS
• UDI-Device Identifier: 00860012825578
• Combination Product (Y/N): N
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Consumer
• Type of Report: Initial
• Report Date (Section B): 09/01/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Lay User/Patient
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/12/2026
• Initial Report FDA Received Date: 09/02/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown