FDA Adverse Event Injury Summary report: N

BYTE DAY ALIGNERS

MDR report key: 21236190 · Received January 25, 2025

Report

Report Number
3014845255-2024-03949
Event Type
Injury
Date Received
January 25, 2025
Report Date
October 30, 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 21 CFR PART 803.

Additional Manufacturer Narrative · 0

A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.

Description of Event or Problem · 0

"PERIODONTITIS: TRUE " I WAS TOLD THAT I NEEDED TO FIND OUT ABOUT TREATMENT FOR MY RECEDING GUM LINE BEFORE GETTING BOTTOM LINERS. MY DENTIST TOLD ME MY ONLY OPTIONS WOULD BE TO GET A CLEANING AND THEN POTENTIALLY ONE DAY A GUM GRAFT. I PAID GOOD MONEY FOR THESE ALIGNERS. I AM UNABLE TO GET A GUM GRAFT. I WANT MY BOTTOM TEETH TREATED. I WOULD NOT HAVE PAID FOR THESE LINERS IF I KNEW THIS WOULD BE THE CASE. I WOULD HAVE JUST WENT TO A REGULAR ORTHODONTIST. I'M EXTREMELY FRUSTRATED AND ANNOYED THAT I CONTINUE TO TRY TO REACH OUT AND GET NOTHING. MY TREATMENT PLAN GETS "UPDATED" AND IT'S THE SAME THING. UNCHANGED." EMAIL FROM CASE #(B)(4) 8/13/2024"

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2376972 BYTE DAY ALIGNERS ALIGNER, SEQUENTIAL NXC STRAIGHT SMILE, LLC HBYTE TRAY NA 00850017524163

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown