FDA Adverse Event Other Summary report: N

BRAIN STATE CONDITION

MDR report key: 1132904 · Received August 25, 2008

Report

Report Number
MW5008067
Event Type
Other
Date Received
August 25, 2008
Date of Event
June 1, 2008
Report Date
August 25, 2008
Manufacturer
BRAIN STATE CONDITION
Product Code
HCC
Report Source
Voluntary report
Reporter Location
NV, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REPORTER STATES THAT SHE IS UNABLE TO SLEEP AND FEELS LIKE SHE IS IN A COMA AFTER USING THE BRAIN STATE CONDITION DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BRAIN STATE CONDITION BRAIN STATE CONDITION HCC BRAIN STATE CONDITION

Patients

Seq Age Sex Outcome Treatment
1 56 YR