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MAUDE Adverse Event Report: STRAIGHT SMILE LLC BYTE DAY ALIGNERS; ALIGNER, SEQUENTIAL
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STRAIGHT SMILE LLC BYTE DAY ALIGNERS; ALIGNER, SEQUENTIAL
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Model Number
HBYTETRAY
Medical Device Problem Code
Patient-Device Incompatibility (2682)
Health Effect - Clinical Codes
Deformity/ Disfigurement (2360); Tissue Breakdown (2681)
Type of Reportable Event
Serious Injury
Additional Manufacturer Narrative
Since this event resulted in a serious injury, it is reportable per 21 cfr part 803.
Event or Problem Description
Patient stated that they experienced worsening of bite, tmj, and recession due to byte aligner.
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Brand Name
BYTE DAY ALIGNERS
Common Device Name
ALIGNER, SEQUENTIAL
Manufacturer
(Section D)
STRAIGHT SMILE LLC
3301 n thanksgiving way
lehi UT 84043
Manufacturer
(Section G)
STRAIGHT SMILE LLC
3301 n thanksgiving way
lehi UT 84043
Manufacturer Contact
dan eagar
221 west philadelphia st.
york, PA 17401
7178457511
MDR Report Key
25748520
Report Number
3031789024-2026-02816
Device Sequence Number
13294331
Product Code
NXC
UDI-Device Identifier
00850017524163
UDI-Public
00850017524163
Combination Product (Y/N)
N
Initial Reporter State
NY
Initial Reporter Country
US
PMA/510(K) Number
K230199
Number of Events Summarized
1
Summary Report (Y/N)
N
Serviced by Third Party (Y/N)
N
Reporter Type
Manufacturer
Report Source
Consumer
Initial Reporter Occupation
Non-Healthcare Professional
Type of Report
Initial
Report Date
(Section B)
07/08/2026
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
HBYTETRAY
Device Catalogue Number
PRS-0063
Device Lot Number
MD2651MSSD
Was Device Available for Evaluation?
No
Distributor Facility Aware Date
07/01/2026
Type of Report(Section G)
Thirty-Day
Initial Date Received by Manufacturer
07/01/2026
Initial Report FDA Received Date
07/08/2026
Was Device Evaluated by Manufacturer? (Y/N)
No
Date Device Manufactured
08/30/2024
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
Reuse
Patient Sequence Number
1
Outcome Attributed to Adverse Event
Required Intervention;
Patient Sex
Unknown
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