MAUDE Adverse Event Report: ALIGN TECHNOLOGY, INC. INVISALIGN GO; ALIGNER, SEQUENTIAL

Model Number	9014
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Tooth Loss (4831)
Date of Event	01/01/2026
Type of Reportable Event	Serious Injury
Event or Problem Description
The treating doctor reported the symptom of tooth extraction of lr6; however, review of patient records shows that the extracted tooth corresponds to ll6.No additional details were provided regarding the clinical procedure or medications that may have been prescribed.It is unknown if the patient required additional medical intervention beyond the extraction to alleviate the reported symptom.The patient did not report taking or being prescribed any medication to alleviate the reported symptom.It is unknown if the treatment was discontinued or if the patient is still using the aligners, and the patient's current condition is unknown.
Additional Manufacturer Narrative
The current instructions for use (ifu) contains the following: "precautions - a tooth that has been previously traumatized or significantly restored may be aggravated.In rare instances, the life of the tooth may be reduced, the tooth may require additional dental treatment such as endodontic and/or additional restorative work, and/or the tooth may be lost." a potential root cause not provided.Align's clinical review of available records indicates that tooth ll6 presented with a radiolucent lesion consistent with dental caries extending toward the pulp chamber prior to treatment.There is no conclusive evidence provided that supports or opposes whether the invisalign system aligners caused or contributed to the reported extraction.Based on the available information and based on align's clinical assessment, the treating doctor reported that the patient required tooth extraction, and the invisalign system aligners were being used.Therefore, an mdr is being filed in the united states per 21 cfr 803.There is no conclusive evidence to confirm the date of the event, and the date (b3) is based on the timelines reported to align and compared to patient information.

• Brand Name: INVISALIGN GO
• Common Device Name: ALIGNER, SEQUENTIAL
• Manufacturer (Section D): ALIGN TECHNOLOGY, INC.; 2820 orchard parkway; san jose CA 95134
• Manufacturer (Section G): ALIGN TECHNOLOGY, INC.; 2820 orchard parkway; san jose CA 95134
• Manufacturer Contact: janier duarte santana ; 2820 orchard parkway; san jose, CA 95134
• MDR Report Key: 24250513
• Report Number: 2953749-2026-00214
• Device Sequence Number: 9970416
• Product Code: NXC
• UDI-Device Identifier: 00816063020424
• UDI-Public: (01)00816063020424(10)0208048273(13)250113(91)2387586815N
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• PMA/510(K) Number: K241412
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Dentist
• Type of Report: Initial
• Report Date (Section B): 02/03/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Operator of Device: Lay User/Patient
• Device Model Number: 9014
• Device Lot Number: 208048273
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/15/2026
• Initial Report FDA Received Date: 02/03/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 01/13/2025
• Is the Device Labeled for Single Use? (Y/N): No
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Disability
• Patient Age: 15 YR
• Patient Sex: Female