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