FDA Adverse Event Malfunction Summary report: N

BYTE DAY ALIGNERS

MDR report key: 20619850 · Received November 6, 2024

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

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 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