FDA Adverse Event
Malfunction
Summary report: N
BYTE RETAINER
MDR report key: 20248276
·
Received September 18, 2024
Report
- Report Number
- 3014845255-2024-01088
- Event Type
- Malfunction
- Date Received
- September 18, 2024
- Report Date
- October 9, 2025
- Manufacturer
- STRAIGHT SMILE, LLC
- Product Code
- KMY
- UDI-DI
- 00850017524187
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
SINCE THIS EVENT RESULTED IN A SERIOUS INJURY, IT IS REPORTABLE PER 21 CFR PART 803.
Additional Manufacturer Narrative · 0
A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.
Description of Event or Problem · 0
WHILE USING A BYTE RETAINERS, PATIENT REPORTED THAT THEIR RETAINERS CUT THE INSIDE BOTTOM OF THEIR MOUTH. THEY HAVE RAZOR SHARP EDGES THAT CAUSED CUTS AND BLISTERS. PATIENT ATTEMPTED WARM WATER TIP AND FILING BUT DID NOT HELP. ADVISED PATIENT TO GO TO MOST COMFORTABLE ALIGNER OR PURCHASE A BOIL AND BITE TO MAINTAIN PROGRESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1302306 | BYTE RETAINER | POSITIONER, TOOTH, PREFORMED | KMY | STRAIGHT SMILE, LLC | BYTERETAINER | 00850017524187 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |