Scalpel Weekly News

Week of: April 28, 2014

IN THE NEWS


Anesthesia System Recall; Software or Cell Phone May Shut Off Delivery

Spacelabs Healthcare Ltd. recalled its ARKON Anesthesia Delivery System with Version 2.0 Software due to a software defect that may cause the system to stop working. Click title to continue reading...


 
MEDICAL ALERTS


FDA Discourages Laparoscopic Power Morcellation for Hysterectomy or Myomectomy

Laparoscopic power morcellators are medical devices used during different types of laparoscopic (minimally invasive) surgeries. These can include certain procedures to treat uterine fibroids, such as removing the uterus (hysterectomy) or removing the uterine fibroids (myomectomy). Morcellation refers to the division of tissue into smaller pieces or fragments and is often used during laparoscopic surgeries to facilitate the removal of tissue through small incision sites. Click title to continue reading...



Propofol Injectable Emulsion Recall; Visible Particulates

Seven lots of Propofol Injectable Emulsion, USP, have been recalled to the user level due to a glass defect located on the interior neck of the vial. The defect was identified during an inspection where the glass vial contained visible embedded metal particulate. Free-floating metal particulates were also identified in vials upon further analysis. Click title to continue reading...



Limited Progress in Reducing Foodborne Infections

The nation’s food safety grades are out and the results are mixed. The CDC’s annual report card shows that foodborne infections continue to be an important public health problem in the United States. Click title to continue reading...


  CASE ALERTS


Urgent Care Physician; Patient Kidney Failure; Informed Consent

A sixteen-year-old boy suffered from nausea and vomiting, and an acute headache. He sought treatment at an urgent care clinic. The treating physician diagnosed the boy with gastritis, a condition in which the stomach lining becomes inflamed and irritated. The doctor administered Phenergan, an anti-nausea medication; Rocephin, an antibiotic; and a single 60 mg injection of Ketorolac Tromethamine (“Ketorolac”), a non-steroidal anti-inflammatory drug. After receiving treatment, the boy went home. Click title to continue reading...



Informed Consent; Using Other Facility; Cesarean Hysterectomy

In the fourth or fifth month of her pregnancy, a woman began to experience pain, bleeding, and cramping. Her obstetrician-gynecologist (OB/GYN) diagnosed her with placenta previa, a condition in which the placenta is implanted in the lower segment of the uterus, thereby partially or completely obstructing the internal bone of the cervix. The woman and OB/GYN agreed that she would undergo a cesarean section when the baby was due. Click title to continue reading...



Duty to Defend Actions Arising Out of Pediatrician's Sexual Assaults

 Two former patients sued a pediatrician claiming he had sexually assaulted them when he provided medical care to them. The suits also asserted claims against the hospital and physicians’ group where the doctor worked for vicarious liability; breach of duties to report his misconduct to third parties; breach of duties to their patients in credentialing and retaining the doctor; failure to supervise and monitor the medical care he was providing; failure to maintain safe and adequate facilities; and breach of duties to promulgate standards, procedures and rules to ensure quality care and safety for patients. Click title to continue reading...