FDA Adverse Event Malfunction Summary report: N

BYTE DAY ALIGNER

MDR report key: 20316570 · Received September 26, 2024

Report

Report Number
3014845255-2024-01239
Event Type
Malfunction
Date Received
September 26, 2024
Report Date
November 28, 2025
Manufacturer
STRAIGHT SMILE , LLC
Product Code
NXC
UDI-DI
00850017524163
PMA / PMN Number
K230199
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 DAY ALIGNERS, PATIENT REPORTED BOTTOM ALIGNER CUTTING INTO THEIR TONGUE. PROVIDED FILING TIPS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1739231 BYTE DAY ALIGNER ALIGNER, SEQUENTIAL NXC STRAIGHT SMILE , LLC HBYTE TRAY 00850017524163

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention