FDA Adverse Event
Malfunction
Summary report: N
BYTE NIGHT ALIGNERS
MDR report key: 20577722
·
Received October 31, 2024
Report
- Report Number
- 3014845255-2024-02347
- Event Type
- Malfunction
- Date Received
- October 31, 2024
- Report Date
- October 12, 2025
- Manufacturer
- STRAIGHT SMILE, LLC
- Product Code
- NXC
- UDI-DI
- 00850017524170
- PMA / PMN Number
- K230199
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
THERE HAS BEEN A PREVIOUS REPORT RECEIVED WHERE THIS MALFUNCTION RESULTED IN A SERIOUS INJURY. THEREFORE, IT MUST BE PRESUMED THAT RECURRENCE OF THIS MALFUNCTION COULD POSSIBLY CAUSE OR CONTRIBUTE TO A SERIOUS INJURY OR REQUIRE MEDICAL OR SURGICAL INTERVENTION TO PRECLUDE SUCH. AS SUCH, THIS EVENT IS REPORTABLE PER 21CFR PART 803.
Additional Manufacturer Narrative · 0
A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.
Description of Event or Problem · 0
PATIENT REPORTED THE ALIGNERS CUTTING INTO THEIR CHEEKS CAUSING PAIN. THEIR GUMS BELOW THEIR TWO BOTTOM TEETH ARE SUPER SENSITIVE AND TENDER TO THE TOUCH. PROVIDED INFORMATION ON GUM DISCOMFORT, RECOMMENDED FILING TIPS FOR CUTTING AND ADVISED A 14 DAY IN WEAR FOR COMFORTABLE LOWER ALIGNER. CURRENT ALIGNERS FIT ARE WITH IN NORMAL LIMITS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2011342 | BYTE NIGHT ALIGNERS | ALIGNER, SEQUENTIAL | NXC | STRAIGHT SMILE, LLC | NBYTE TRAY | 00850017524170 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |