ALPHA-STIM 100 ALPA-STIM 100 A103136

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2003-08-24 for ALPHA-STIM 100 ALPA-STIM 100 A103136 manufactured by Electromedical Products International Inc..

Event Text Entries

[20194262] Using alpha stim microcurrent for pain control in a pt with fibromyalgia and seizure disorder. The pt had a headache. The microcurrent was being tried to see if this pt would have a favorable response as several other fibromyalgia pts have experienced. Instead the ha got worse. The pt had increase in seizure activitiy and also depression - often occurring with the increased seizure activity in the past- their spouse reported this. Addition of a second antiseizure medication was necessary to return control as well as shift in anti depressant. Two other events occurred during this time per the pt. It was the anniversary of several important deaths for the pt. Secondly forest fires and smoke causing severe respiratory problems, that required hospitalization and testing for mi also occurred in the weeks of the increased seizures.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1029542
MDR Report Key486965
Date Received2003-08-24
Date of Report2003-08-24
Date of Event2003-08-01
Date Added to Maude2003-10-07
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameALPHA-STIM 100
Generic NameMICROCURRENT
Product CodeJXK
Date Received2003-08-24
Model NumberALPA-STIM 100
Catalog NumberA103136
Lot Number*
ID Number*
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key475853
ManufacturerELECTROMEDICAL PRODUCTS INTERNATIONAL INC.
Manufacturer Address2201 GARRETT MORRIS PKWY MINERAL WELLS TX 760679484 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2003-08-24

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