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MAUDE Adverse Event Report: STRAIGHT SMILE LLC Night Aligner Byte; aligner, sequential
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STRAIGHT SMILE LLC Night Aligner Byte; aligner, sequential
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Catalog Number
PRS-0063
Medical Device Problem Code
Unintended Movement (3026)
Health Effect - Clinical Code
Deformity/ Disfigurement (2360)
Type of Reportable Event
Serious Injury
Event or Problem Description
It was reported that the night aligner byte caused misaligned bite.
Additional Manufacturer Narrative
Since this event resulted in a serious injury, it is reportable per 21 cfr part 803.
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Brand Name
Night Aligner Byte
Common Device Name
aligner, sequential
Manufacturer
(Section D)
STRAIGHT SMILE LLC
3301 n thanksgiving way
lehi UT 84043
Manufacturer Contact
dan edgar
221 w. philadelphia st.
suite 60w
york, PA 17401
+1(717)845-7511
MDR Report Key
50334152
Report Number
3031789024-2026-07816
Device Sequence Number
14820155
Product Code
nxc
UDI-Device Identifier
00850017524170
UDI-Public
00850017524170
Combination Product (Y/N)
N
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)
08/19/2026
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 Catalogue Number
PRS-0063
Device Lot Number
MN2170AHSD
Was Device Available for Evaluation?
No
Is the Reporter a Health Professional?
No
Type of Report(Section G)
Thirty-Day
Initial Date Received by Manufacturer
Not provided
Initial Report FDA Received Date
08/19/2026
Was Device Evaluated by Manufacturer? (Y/N)
No
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
Patient Sex
Unknown
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