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Guide to Buying Medical Products Online

Part 4 of 5 - Buying Medical Devices Online

By Carol & Richard Eustice, About.com

Updated: July 16, 2007

About.com Health's Disease and Condition content is reviewed by Kate Grossman, MD

Use Caution Buying Medical Devices Online

What are they?

Medical devices are:

  • pieces of equipment
  • apparatus
  • machines
  • implants
  • test kits
  • Medical devices include all other similar articles intended to diagnose, heal, manage, or prevent diseases or conditions.

    Problem sites

    Examples of unlawful device sales include:

  • Selling contact lenses or other prescription devices without a prescription or fitting by a qualified health care professional.
  • Or a site may be selling an unapproved device and making fraudulent claims about it, such as promoting magnets to treat carpal tunnel syndrome and arthritis pain.
  • Some over-the-counter tests, such as pregnancy tests, are approved for consumer use, but most tests should be used by health professionals only.

    And some companies claim you can rely on in-home results when results should be confirmed in a doctor's office.

    Other Web sites advertise services on the Internet that entice consumers to come into a storefront to have questionable procedures. It could be that the use of the device is unapproved or the device itself is unapproved. For example:

    Some companies promote full-body computed tomography (CT) scans as a way to detect early disease in people who have no symptoms of a problem. But the FDA has approved them only as a tool to diagnose disease when someone is experiencing symptoms or there is some reason for testing.

    Risks

    Consumers risk missing out on necessary medical treatment or being harmed if they use devices illegally marketed or sold through the Internet.

  • The FDA has received reports of sight-threatening corneal ulcers from using non-corrective decorative contact lenses that were distributed without a prescription.
  • Patients developed perforated colons as a result of a procedure advertised through the Internet.
  • The companies were performing what they called "colonic hydrotherapy" without physician involvement. They claimed to be able to use a device to clean the colon as a way to prevent serious diseases. People came in to get the procedure. In Internet ads, they claimed to:

  • cure disease
  • re-energize life
  • According to the FDA, prescription colonic cleansing systems can be used only for medical purposes such as before a radiological examination.

    Because of the nature of the Internet, it can be hard to know who is promoting a device. Someone can claim to be a health professional, but that's no guarantee of device safety.

    In the case of classified ads in which people are selling items over the Internet, consumers should consider the risks that may come with used devices.

  • The FDA has received questions from Internet services about parents wanting to advertise and sell sleep apnea monitors, prescription devices sometimes used to monitor babies at risk for sudden infant death syndrome.
  • But you can't sell a prescription device without a prescription and without physician involvement.

    Regulation

    CDRH regulates the safety and effectiveness of medical devices. Medical devices are categorized into Class I, II, and III, with the degree of regulatory control increasing with each ascending level.

  • The FDA's CBER regulates medical devices related to blood collection and processing procedures, such as HIV test kits.
  • The FTC regulates device advertising.
  • The FDA works with the FTC, the U.S. Department of Justice, and state attorneys general to crack down on devices that violate the FD&C Act.
  • Enforcement activities include:

  • cease-and-desist orders that stop the illegal marketing of devices
  • warning letters and cyber letters.
  • Depending on the outcome of a case, companies may have to pay penalties and consumer refunds.

    Tips

    The FDA recommends checking with your health care provider before buying a medical device or before obtaining services that have been promoted on the Internet.

  • There are so many devices, it's hard for consumers to tell what is a prescription device and what isn't, or what is legitimate and what's not.
  • But just like a prescription drug, if a device requires a prescription, it's because it should only be used under the supervision of a physician.

    Be wary if a device claims to diagnose more than one illness or promises a miracle cure.

    Consumers who want to find out if a medical device has been cleared by the FDA, cleared for home use, or cleared for use in the United States can visit the FDA's device databases at www.fda.gov/cdrh/ or call CDRH at (800) 638-2041.

  • Back To: Part 1 --- Buying Medical Products --->

  • Back To: Part 2 --- Buying Prescription Drugs --->

  • Back To: Part 3 --- Buying Dietary Supplements --->

  • Go On To: Part 5 --- FDA Enforcement Examples --->

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