inforMED
InjuryQAI

DERMAPEN (MICRONEEDLING DEVICE)

Received May 14, 2025 · Event occurred Nov 26, 2024

Report MW5170348 · MDR key 22019283

Device

Generic name

Microneedling Device For Aesthetic Use

Manufacturer

Derma Pen, Llc.

Lot number

0018524

Product problems

  • Use of Incorrect Control/Treatment Settings
  • Use of Device Problem
  • Patient-Device Incompatibility

Patient

55 YR · Female

  • Emotional Changes
  • Erythema
  • Skin Discoloration
  • Skin Erosion
  • Discomfort
  • Ptosis
  • Hyperresponsive to stimuli
  • Skin Burning Sensation
  • Unspecified Tissue Injury
  • Emotional Changes
  • Erythema
  • Skin Discoloration
  • Skin Erosion
  • Discomfort
  • Ptosis
  • Hyperresponsive to stimuli
  • Skin Burning Sensation
  • Unspecified Tissue Injury

Narrative

Description of Event or Problem

UNDERWENT TWO COSMETIC PROCEDURES AT A PRIVATE CLINIC IN (B)(6), SPAIN, WHERE PRX-T33 WAS COMBINED WITH MICRONEEDLING (DERMAPEN) IN THE SAME SESSION AND APPLIED CONSECUTIVELY. IN BOTH CASES, THE ORDER WAS AS FOLLOWS: FIRST, DIRECT APPLICATION OF PRX-T33 ONTO THE SKIN, IMMEDIATELY FOLLOWED BY MICRONEEDLING. THIS SEQUENCE WAS REPEATED -- PRX-T33 FOLLOWED BY MICRONEEDLING -- WITH PARTICULAR EMPHASIS ON SENSITIVE AREAS SUCH AS THE ORBITAL CONTOUR OF THE EYES, LIPS, THE ENTIRE FACE, AND THE NECK. A THIRD APPLICATION OF PRX-T33 ALONE WAS THEN APPLIED AND LEFT ON THE SKIN "AS LONG AS I COULD TOLERATE," WHICH BECAME UNBEARABLE. I LEFT THE SESSION WITH MY FACE EXTREMELY RED. THE DÉCOLLETÉ WAS NOT TREATED, WHICH LATER CREATED A STARK CONTRAST BETWEEN THE DAMAGED AND UNTREATED AREAS. IN ALL SESSIONS, I WAS TOLD THAT TYPE 12 WATER WAS USED, WHICH MAY HAVE CONTRIBUTED TO THE AGGRESSIVENESS OF THE PROCEDURE. SINCE THEN, I HAVE EXPERIENCED SERIOUS ADVERSE EFFECTS. IN THE FIRST MONTHS: EXTREME REDNESS, INTENSE BURNING, AND CONSTANT DISCOMFORT. OVER TIME: PERSISTENT THINNING OF THE SKIN, LOSS OF ELASTICITY AND FIRMNESS, SAGGING, VISIBLE AGING, DULLNESS, PRONOUNCED DARK CIRCLES, INCREASED SENSITIVITY, AND A SUSPICIOUS OVAL MARK ABOVE THE UPPER LIP. I BELIEVE THAT THE COLLAGEN AND ELASTIN STRUCTURE OF MY SKIN HAS BEEN SIGNIFICANTLY DAMAGED. BEFORE THE TREATMENT, I HAD HEALTHY, FINE, AND WELL-CARED-FOR SKIN. I REPEATEDLY STATED THAT I DID NOT WANT ANY INVASIVE PROCEDURES, AS I HAD NEVER UNDERGONE SUCH TREATMENTS AND DID NOT BELIEVE I NEEDED THEM. I WAS NOT INFORMED OF THE INVASIVE AND AGGRESSIVE NATURE OF THE PROCEDURE, NO BASELINE PHOTOS WERE TAKEN, AND THE PROCEDURE WAS NOT PROPERLY DOCUMENTED. THE CLINIC NOW CLAIMS IT CANNOT ASSESS THE DAMAGE DUE TO THE ABSENCE OF PRE-TREATMENT PHOTOS. HOWEVER, I HAVE PHOTOS TAKEN TWO MONTHS BEFORE THE PROCEDURE, AS WELL AS VIDEOS AND PICTURES FROM THREE MONTHS AFTER, ALTHOUGH I WAS UNABLE TO TAKE PHOTOS FOR WEEKS DUE TO THE EMOTIONAL IMPACT. NOW, FIVE MONTHS LATER, I HAVE EXPERIENCED ONLY SLIGHT IMPROVEMENT. THE CLINIC DENIES RESPONSIBILITY AND REFUSES TO OFFER A SOLUTION. I FEEL UNPROTECTED AND SERIOUSLY AFFECTED IN TERMS OF SKIN HEALTH. I AM REQUESTING CLEAR GUIDANCE AND INFORMATION ON WHETHER THIS TYPE OF COMBINED AND PROLONGED APPLICATION OF PRX-T33 AND MICRONEEDLING IS CONSIDERED SAFE OR APPROPRIATE. REFERENCE REPORT#: MW5170347.

Description of Event or Problem

ADDITIONAL INFORMATION RECEIVED ON 5/21/2025 FOR MW5170348 TO UPDATE MANUFACTURER. REF REPORT: MW5170347.