510(k) Report

510(k) · Cleared

Cleared

Enso for Migraine

K254216510(k) TraditionalCleared Apr 16, 2026108-day reviewClass II21 CFR 882.5891

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Hinge Health, Inc. · PCC Stimulator, Nerve, Electrical, Transcutaneous, For Migraine

Cleared on Apr 16, 2026 as substantially equivalent to K234029 (Cefaly Technology, 2024) after a 108-day review. Its family tree reaches back 7 generations to 2014.

Decided
Apr 16, 2026
Review
108 days
Class
Class II
Product code
PCC
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to DEN120019 (2014). No later device cites it as a predicate yet.

  1. Root · 7 generations backDEN120019 CefalyStx-Med Sprl · 2014
  2. 6 generations backK160237 CefalyCefaly Technology · 2016
  3. 5 generations backK171446 Cefaly AcuteCefaly Technology · 2017
  4. 4 generations backK173006 Cefaly DualCefaly Technology · 2017
  5. 3 generations backK201895 Cefaly DualCefaly Technology · 2020
  6. 2 generations backK212071 Cefaly Dual Enhanced with RFID - OTC, Cefaly Dual Enhanced with RFID…Cefaly Technology · 2022
  7. 1 generation backK234029 CEFALY Connected - OTC, CEFALY Connected - RxCefaly Technology · 2024
  8. This deviceK254216 Enso for MigraineHinge Health, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7DEN120019CefalyStx-Med Sprl2014—
−6K160237CefalyCefaly Technology2016—
−5K171446Cefaly AcuteCefaly Technology2017—
−4K173006Cefaly DualCefaly Technology2017—
−3K201895Cefaly DualCefaly Technology2020—
−2K212071Cefaly Dual Enhanced with RFID - OTC, Cefaly Dual Enhanced with RFID - Rx…Cefaly Technology2022—
−1K234029CEFALY Connected - OTC, CEFALY Connected - RxCefaly Technology2024—
0 (this device)K254216Enso for MigraineHinge Health, Inc.2026—
FIG. 1 — Lineage of K254216, 2014–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in PCC? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new PCC device

  1. #1 K201895 Cefaly Dualscore 16.0 · 4 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K234029CEFALY Connected - OTC, CEFALY Connected - Rx
Summary page 5
…Transcutaneous electrical nerve stimulator to treat headache Product Code PCC Panel Neurology Proposed Predicate K234029 Device CEFALY Connected – OTC 21 CFR 882.5891, PCC, Class II Device Descri…
Cefaly Technology2024—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 12 years and passes through 3 companies; a new generation was cleared every 1.7 years on median.
  • None of the 7 ancestors has a recall.

How does its category compare?

All PCC devices

PCC Stimulator, Nerve, Electrical, Transcutaneous, For Migraine: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · PCC

5in 2024

2014: 12016: 12017: 22018: 12019: 12020: 12021: 42022: 12024: 52026 (partial year): 1
2007high 5 (2024) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PCC

211in 2024

2021: 88 days median2024: 211 days median
2007high 211 (2024) · low 88 (2021)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · PCC

No recall names PCC since 2007.

Adverse event reports per year · PCC

2in 2025

2014: 22016: 22017: 22019: 22020: 12021: 72023: 22024: 62025: 2
2007high 7 (2021) · low 0 (2007)2025

MAUDE reports naming product code PCC, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20141—02
20150—00
20161—02
20172—02
20181—00
20191—02
20201—01
202148807
20221—00
20230—02
2024521106
20250—02
20261—0—

What is it indicated for?

Enso for Migraine is indicated for patients 18 years of age or older for acute treatment of migraine with or without aura

and preventative treatment of migraine.

Enso for Migraine is for patients diagnosed with migraine by a physician.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K254216: Enso for Migraine.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K254216

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026