FDA Adverse Event Injury Summary report: N

BYTE DAY ALIGNERS

MDR report key: 20670374 · Received November 12, 2024

Report

Report Number
3014845255-2024-01773
Event Type
Injury
Date Received
November 12, 2024
Report Date
November 6, 2025
Manufacturer
STRAIGHT SMILE, LLC
Product Code
NXC
UDI-DI
00850017524163
PMA / PMN Number
K230199
Adverse Event
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 21CFR PART 803. 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 05/17/2021 THROUGH 05/31/2024.

Additional Manufacturer Narrative · 0

A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.

Description of Event or Problem · 0

CUSTOMER REPORTED "I`M CONCERNED WITH MY ACTUAL BITE. NOT THE STRAIGHTNESS OF MY TEETH. WHEN I SMILE MY TEETH DO NOT TOUCH. THERE'S A GAP IN MY BITE, I DON'T THINK ALIGNERS WILL FIX IT."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
976038 BYTE DAY ALIGNERS ALIGNER, SEQUENTIAL NXC STRAIGHT SMILE, LLC HBYTE TRAY NA 00850017524163

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown