FDA Adverse Event Malfunction Summary report: N

BYTE DAY ALIGNERS

MDR report key: 20569902 · Received October 30, 2024

Report

Report Number
3014845255-2023-00623
Event Type
Malfunction
Date Received
October 30, 2024
Report Date
October 30, 2024
Manufacturer
STRAIGHT SMILE, LLC
Product Code
NXC
UDI-DI
00850017524163
PMA / PMN Number
K180346
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

"THIS MDR IS BEING SUBMITTED AS A PART OF A RETROSPECTIVE REVIEW AND REMEDIATION EFFORT BASED ON ENHANCEMENTS AND HARMONIZATION MADE TO THE COMPANY'S COMPLAINT HANDLING PROCESSES. THERE IS NO CHANGE TO DEVICE PERFORMANCE OR TO THE DEVICE RISK PROFILE. A CAPA (2023-487) HAS BEEN OPENED TO MANAGE THE ACTIONS RELATED TO REMEDIATION OF COMPLAINT FILES AND ANY REQUIRED MDR REPORTING. THIS RETROSPECTIVE REVIEW INCLUDES THE DATE RANGE OF (B)(6) 2021 THROUGH (B)(6) 2024."

Description of Event or Problem · 0

WHILE USING DAY ALIGNERS THE PATIENT REPORTED, "CUTTING INTO MOUTH".

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1042365 BYTE DAY ALIGNERS ALIGNER, SEQUENTIAL NXC STRAIGHT SMILE, LLC HBYTE TRAY NA 00850017524163

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown