BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BYTE DAY ALIGNERS

    MDR report key: 20702761 · Received November 17, 2024

    Report

    Report Number
    3014845255-2024-02630
    Event Type
    Malfunction
    Date Received
    November 17, 2024
    Report Date
    November 13, 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 EXPERIENCING CONSTANT DISCOMFORT, FREQUENT HEADACHES, TEETH HURT WHEN THEY EAT, GUMS BLEED AND CUTS ON THE INSIDE OF THEIR MOUTH AT THE TOP OF THEIR GUMS. ALIGNERS ARE WITH IN NORMAL LIMITS. PROVIDED WARM WATER TIPS, PROVIDED INFORMATION ON BLEEDING, DISCOMFORT AND HEADACHES. REQUESTED PHOTOS OF STEPS 1 AND 2.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2609328 BYTE DAY ALIGNERS ALIGNER, SEQUENTIAL NXC STRAIGHT SMILE, LLC HBYTE TRAY 00850017524163

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown