MAUDE MDR 8555743

MDR report key
8555743
Report number
MW5086211
Event key
0
Event type
3
Date of event
2019-04-13
Date received
2019-04-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
305
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CEFALY PREVENTSTIMULATOR, NERVE, ELECTRICAL, TRANSCUTANEOUS, FOR MIGRAINECEFALY TECHNOLOGIESPCCI Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12019-04-2501. L; 2. S

Event Narratives#

D

Patient 1

I WAS USING THE CEFALY DEVICE WITH A NEW ELECTRODE, AS I NORMALLY DO. THE ELECTRODE WAS PLACED IN THE PROPER POSITION ON MY FOREHEAD, AND APPROX 5 MINS INTO THE SESSION THE DEVICE MALFUNCTIONED AND BEGAN ELECTROCUTING MY FOREHEAD WHERE THE ELECTRODE WAS PLACED. THE DEVICE ELECTROCUTED AND BURNED ME, AND LEFT MY VISION BLURRED FOR ABOUT AN HOUR AND TERRIBLE PAIN BEHIND MY EYES. THE UNIT ACTUALLY PHYSICALLY BURNED ALL THE WAY THROUGH THE ELECTRODE. I USE THE CEFALY UNIT FOR MIGRAINES AND THIS EVENT HAS TRIGGERED A MIGRAINE THAT HAS BEEN PERSISTENT SINCE THE EVENT. I AM WAITING TO GET INTO SEE MY PCP TO GET EVALUATED FURTHER. SINCE THE EVENT, THE MFR HAS TRIED TO CONVINCE ME TO REUSE THE MALFUNCTIONING UNIT, AND IS NOW PREVENTING MY ACCESS TO THIS MEDICAL TREATMENT TO WHICH I HAVE A PRESCRIPTION. THIS COMPANY SEEMS TO BE SUSPECT AS ALL THE EMPLOYEES THAT WORK IN THE USA SAY THEY CANNOT DO ANYTHING WITHOUT APPROVAL FROM (B)(4) AND INFUSE TO GIVE ME THE DIRECT CONTACT INFO FOR THE "SUPERVISOR" IN (B)(4). I HAVE A PICTURE OF THE PRODUCT. FDA SAFETY REPORT ID# (B)(4).