Jury Orders J & amp;J to Pay Woman $80M in Vaginal Mesh Case

A jury has ordered Johnson &Johnson to pay $80 million to a Philadelphia woman injured by its Ethicon subsidiary’s vaginal mesh implants, according to the Philadelphia Inquirer. The 75-year-old had Ethicon’s Prolift mesh implanted in 2008 and the device eroded causing her pelvic pain, infection, inflammation, and scar tissue, according to the suit. Physicians were not able to remove the device from her. According to the Philadelphia Inquirer, the jury found that Ethicon’s Prolift vaginal mesh product was defective adding that J&J had failed to adequately describe the device’s risks when treating pelvic organ prolapse. J&J has faced some hefty penalties in its vaginal mesh cases. In April, the New Brunswick, NJ-based company lost a lawsuit when another Philadelphia jury awarded a woman $120 million. The woman had mesh implanted to treat incontinence. The Jury’s May decision comes nearly a month after FDA ordered Boston Scientific and Coloplast to stop selling surgical mesh intended for transvaginal repair of pelvic organ prolapse. One of the first major transvaginal lawsuits MD+DI reported on occurred in 2012 and resulted in a in Bakersfield, CA awarding Christine Scott $5 million. Scott had been treated with C.R. Bard’s Avaulta mesh to treat a bladder problem.  
Source: MDDI - Category: Medical Devices Authors: Tags: Cardiovascular Implants Source Type: news

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Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): KW Fan, MK Shu, A Eddib, C TysonStudy ObjectiveTo compare perioperative outcomes of patients undergoing standard oncology staging versus combined oncology staging and urogynecologic procedures for pelvic floor dysfunction repair.DesignA retrospective cohort study of two gynecologic oncology patients groups who underwent robotic assisted surgical staging versus surgical staging with concomitant pelvic floor repair.SettingMany women diagnosed with a gynecologic malignancy may have comorbid ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
AbstractIntroduction and hypothesisOur aim was to investigate the efficacy of the EndoFast Reliant ™ system, which is a novel trocarless mesh technology for the treatment of pelvic organ prolapse (POP).MethodsThis was a retrospective cohort study including 31 female patients with POP who underwent vaginal repair. Total follow-up duration was 24  months. All patients were evaluated with a clinical history, POP-Q measures, pelvic ultrasound, body mass index (BMI), questionnaires on symptoms, and quality of life scoring system.ResultsThe mean age was 53  ± 9.7 years, and the mean BMI was 2...
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
ConclusionIn our experience, global sexual function doesn’t seem to be affected by TVMR when performed by expert surgeons. Despite being a confounding factor, lost at follow up rate was low, thus affecting only in a mild way surgical outcomes. Also ageing might be a confounding factor during follow up to establish real mesh impact on sexual function. Dyspareunia was a rare complication in patients during follow-up and pain was not a major complaint.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Authors: Lee D, Zimmern PE Abstract Introduction: Stress urinary incontinence and pelvic organ prolapse are major quality of life conditions affecting millions of individuals. Transvaginal mesh materials have been proposed to supplant native tissue repairs. However, these materials have opened a new field, meshology, devoted to the management of mesh complications. Areas covered: This review highlights some of the recent developments in this subspecialty which often requires a multidisciplinary approach. With better imaging, the preoperative assessment of mesh complications has been enhanced. Specialized centers wi...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research
Purpose of review The present article reviews the history of mesh-related complications and regulations in SUI and POP repair settings, clinical outcomes associated with the use of biologic and synthetic mesh materials, and novel approaches using modified mesh materials. Recent findings Treatment of pelvic floor disorders, such as stress urinary incontinence (SUI) and pelvic organ prolapse (POP) commonly involves implantation of synthetic surgical mesh materials like polypropylene. Many synthetic mesh materials, however, are associated with a foreign body response upon implantation, which is characterized by fibrotic ...
Source: Current Opinion in Urology - Category: Urology & Nephrology Tags: TISSUE ENGINEERING AND STEM CELLS: Edited by Christopher R. Chapple and Sheila MacNeil Source Type: research
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; &AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regio...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research
ConclusionsThe results suggestthat the Calistar system offers similar efficacy in the treatment of anterior and both anterior and apical POP as compared to the Elevate. The use of anterior Calistar is associated with some additional benefits, i.e. SUI treatment in patients with concomitant anterior and both anterior and apical POP and SUI symptoms.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
In conclusion, we have demonstrated PET imaging of CD11b+ macrophage recruitment to an implanted surgical mesh utilizing pre-clinical PET with a Zr-89-anti-CD11b Mab. ImmunoPET quantification of CD11b levels is a promising approach for inflammation imaging of surgical mesh implants.
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Preclinical Probes for Cardiovascular Posters Source Type: research
AbstractPurpose of ReviewTethered cord syndrome (TCS) due to adhesion defect of the spinal cord is one of the major causes of lower urinary tract dysfunction (LUTD) in children. The aim of this article is to evaluate the association, diagnosis, and treatment of TCS with LUT disorders in children.Recent FindingsTCS is divided into two groups as primary and secondary depending on whether it is congenital or acquired. TCS can manifest with gait disturbance, pain, orthopedic deformities, and LUT symptoms. LUT symptoms may be the only symptom in some cases. TCS may cause neurogenic LUTD characterized by detrusor sphincter dyssy...
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research
This study aimed to assess the long-term (5 years) outcomes of the Uphold Vaginal Support System for symptomatic vaginal apical prolapse with or without anterior colporraphy. Methods In total, 164 (81.2%) of 202 women operated on in 24 centers were reached for follow-up. Outcomes were assessed by using the Pelvic Organ Prolapse Quantification, the Pelvic Floor Distress Inventory 20, and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire questionnaires. Pain on pelvic area was evaluated using a visual analog scale. Adverse events and secondary procedures were recorded. Results An optimal outcome at th...
Source: Female Pelvic Medicine and Reconstructive Surgery - Category: OBGYN Tags: Original Articles Source Type: research
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