Scalpel Weekly News

Week of: March 12, 2018

IN THE NEWS


Defibrillator Recall; Error Prevents Electrical Shock Delivery

On February 27, 2018, Medtronic recalled certain implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) due to a defect in the manufacturing process. This defect causes a gas mixture inside the device that does not meet the device’s specifications and may prevent the device from delivering the electrical shock needed to pace a patient’s heartbeat or revive a patient in cardiac arrest. Click title to continue reading...


 
MEDICAL ALERTS


Risk of Common Anti-Diarrhea Medicine Misuse and Abuse

On March 1, 2018, Theresa M. Michele, M.D., director of the Division of Nonprescription Drug Products, of the FDA’s Center for Drug Evaluation and Research (CDER), discussed why the FDA took steps to implement packaging limitations for the common anti-diarrhea medicine loperamide. Click title to continue reading...



Preliminary Injunction to Stop Compounding Pharmacy

On March 1, 2018, the Department of Justice, in conjunction with the FDA, filed a preliminary injunction asking the U.S. District Court in the Eastern District of Arkansas to order Cantrell Drug Company of Little Rock, Arkansas, to stop manufacturing, processing, packing, labeling, holding, and/or distributing any drugs until the company complies with the Federal Food, Drug, and Cosmetic Act and its implementing regulations. Click title to continue reading...



Hazards From Harvesting and Processing Cannabis

On March 2, 2018, the CDC published a report that evaluated potential hazards associated with the harvesting and processing of cannabis. Although the possession, use, and sale of all forms of cannabis are illegal under U.S. federal law, since 2012, multiple states have legalized the retail sale of cannabis for medical and recreational use. Click title to continue reading...


  CASE ALERTS


No Same Specialty Requirement for Expert Affidavit; Vascular Surgeon, Emergency Specialist

A man suffered from a blockage and aneurysm of the left iliac artery, one of the two large blood vessels that originate from the aorta. The man sought treatment from a primary care physician. Later, the man presented to the emergency room (ER) where the man was treated by an emergency medicine specialist. Click title to continue reading...



Off-Label Marketing Metal-to-Metal Total Hip Replacement

In a healthy hip (a ball-and-socket joint), the bones are covered with smooth cartilage that enables the femoral head (the ball) and acetabulum (the socket) to glide painlessly against each other. A man underwent total hip replacement surgery, a procedure in which the femoral head and the acetabulum are both removed and replaced with a prosthetic device. Click title to continue reading...



Not Disabled: Pain, Obesity, Diabetes, Hypertension; Residual Capacity

A 40-year-old woman with a high school education suffered from morbid obesity, diabetes mellitus, hypertension, osteoarthritis of the left hip and left leg, and diffuse disc bulges of the lumbar spine resulting in mild foraminal stenosis (narrowing of the openings between the vertebrae that allow the nerves to exit the spinal cord). Click title to continue reading...


FEATURE


Petition: Advance Health Care Directive Proxy Authority

As a special feature for our Premium subscribers we have included this feature containing an illustrative complaint related to an advance directive for medical care. In this illustrative situation, a woman executed an advance directive designating the woman’s daughter as health care proxy. Click title to continue reading...