BYTE DAY ALIGNERS
Report
- Report Number
- 3014845255-2024-02443
- Event Type
- Malfunction
- Date Received
- November 6, 2024
- Report Date
- October 10, 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
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.
A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.
PATIENT REPORTED THEIR ALIGNERS CUTTING INTO THEIR GUMS AND THEY ARE SUPER TIGHT ANC CAUSING THEIR GUMS TO TURN WHITE. PATIENT'S UPPER AND LOWER ALIGNER FIT ARE WITH IN NORMAL LIMITS, BLANCHING IS PRESENT. PROVIDED INFORMATION ON BLANCHING DURING TREATMENT AND HH TIPS. REQUESTED UPDATED PHOTOS AFTER TRYING HH TIPS AND IF FIT IS MORE COMFORTABLE. ADVISED TO ALSO TRY NEXT STEP ALIGNERS TO SEE IF THEY ARE MORE COMFORTABLE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1460126 | BYTE DAY ALIGNERS | ALIGNER, SEQUENTIAL | NXC | STRAIGHT SMILE, LLC | HBYTE TRAY | 00850017524163 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |