FDA Adverse Event
Injury
Summary report: N
BYTE DAY ALIGNERS
MDR report key: 22301491
·
Received June 20, 2025
Report
- Report Number
- 3031789024-2025-02962
- Event Type
- Injury
- Date Received
- June 20, 2025
- Report Date
- November 14, 2025
- Manufacturer
- STRAIGHT SMILE LLC
- Product Code
- NXC
- UDI-DI
- 00850017524163
- PMA / PMN Number
- K230199
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GA, US
- Reporter Occupation
- DENTIST
- Health Professional
- Yes
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
MEDICAL DEVICE PROBLEM CODE ADDED-UNINTENDED MOVEMENT.
Additional Manufacturer Narrative · 0
A DHR REVIEW WAS CONDUCTED WITH NO DISCREPANCIES NOTED.
Description of Event or Problem · 0
PATIENT REPORTED THEIR TEETH CANNOT CLENCH TOGETHER; THEY DO NOT TOUCH. THEY HAVE AN OPEN BITE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1807196 | BYTE DAY ALIGNERS | ALIGNER, SEQUENTIAL | NXC | STRAIGHT SMILE LLC | MD3171JCRF | 00850017524163 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |