BD Scores a Victory in Bard 's Hernia Mesh Case

Becton Dickinson, which acquired C.R. Bard at the end of 2017, scored a victory in New Jersey Superior Court this week. The court's appellate division refused to reinstate a product liability lawsuit involving Bard's 3DMax polypropylene mesh, which is used for hernia repair.  Plaintiff Kemuel Goodson was implanted with the product in 2006 and alleged that the mesh caused multiple complications that required extensive medical care, including several additional operations. Goodson claimed in his original complaint that defective design, negligence, and fraud and misrepresentation were to blame for the complications he suffered after receiving the mesh implant. The three-judge appellate panel noted in their decision that the company has continued to be in compliance with FDA requirements, and has never had to recall the 3DMax product from the market. Mark Middleton, MD, who performed Goodson's surgery in Hiram, Georgia, testified that he was aware of the risks and benefits of using synthetic mesh, including the risks of chronic pain, infertility, and nerve ingrowth. Middleton also said he discussed the risks of numbness and chronic pain with Goodson before the surgery, but did not read the instructions for use. He testified that he had experienced fewer problems with the 3DMax mesh than any other mesh products he has used and that he does not believe the device caused Goodson's complications. “In the instant case, none of the experts specifica...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Design Source Type: news

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Source: BMJ Comments - Category: General Medicine Source Type: forums
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Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: SPECIAL ARTICLE Source Type: research
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Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: EDITORIAL Source Type: research
β-Adrenergic blockade is an important mechanism for reducing morbidity and mortality in patients with hypertension and heart failure. Esmolol has been used widely for its chronotropic and antihypertensive effects. However, there has been recent inquiry regarding perioperative esmolol use and nociceptive modulation. Conventional postoperative analgesic treatment has relied primarily on opioids, which present their own adverse effects and pharmacoepidemiologic repercussions. Esmolol, to date, has not shown any direct analgesic or anesthetic properties; however, recent studies suggest that esmolol may have antinociceptiv...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: DARING DISCOURSE Source Type: research
Conclusions By using patient-specific, 3-dimensionally printed, thoracic spine models, we demonstrated a significant improvement in clinical proficiency as compared with traditional teaching models.
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
In this study, we hypothesized that the CC approach will produce faster onset of sensory blockade of the 4 major terminal nerves of the brachial plexus than the LS approach. Methods Forty patients undergoing elective upper extremity surgery under a BPB were randomized to receive either the LS (Gp-LS, n = 20) or CC approach (Gp-CC, n = 20) for infraclavicular BPB. Twenty-five milliliters of 0.5% ropivacaine was used for the BPB in both study groups. Sensory-motor blockade of the ipsilateral median, radial, ulnar, and musculocutaneous nerves was assessed by a blinded observer at regular intervals for 45 minutes after the ...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
Background and Objectives For superficial surgery of anteromedial and posteromedial surfaces of the upper arm, the medial brachial cutaneous nerve (MBCN) and the intercostobrachial nerve (ICBN) must be selectively blocked, in addition to an axillary brachial plexus block. We compared efficacy of ultrasound-guided (USG) versus conventional block of the MBCN and the ICBN. Methods Eighty-four patients, undergoing upper limb surgery, were randomized to receive either USG (n = 42) or conventional (n = 42) block of the MBCN and the ICBN with 1% mepivacaine. Sensory block was evaluated using light-touch on the upper and lowe...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
Background and Objectives Although intravenous lipid emulsion has been proved a powerful antidote for local anesthetic toxicity, there are few pharmacokinetic data on using lipid infusion as a pretreatment for other clinical applications. We assessed the influence of lipid pretreatment on the pharmacodynamics and pharmacokinetics of levobupivacaine. Methods Altogether, 12 patients undergoing below-knee surgery for a fracture were randomly assigned to 2 groups (6 patients per group): pretreatment with 1.5 mL/kg lipid infusion (lipid group) or saline infusion (control subjects) followed by complete femoral and sciatic n...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
Conclusions The MPN branches that innervate the lower part of the pectoralis major muscle are asymmetrical and variable in location and length; all located in a triangular area easily defined by sonographic landmarks, lateral to the TAA.
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
Background and Objectives The need for hospital-based acute care following outpatient surgical procedures is expensive and measured as marker for quality. However, little information is available about events leading to emergency department visit or inpatient admission after ambulatory anterior cruciate ligament (ACL) surgery. Methods We studied adult patients who underwent outpatient ACL surgery in New York State between 2009 and 2013 using the Healthcare Cost and Utilization Project database. Emergency department visits and inpatient admissions within 30 days of surgery were identified by cross-matching 2 additional...
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: REGIONAL ANESTHESIA AND ACUTE PAIN: ORIGINAL ARTICLES Source Type: research
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