Depuy Hip Replacement Lawsuit Richardson

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Depuy Hip Replacement Lawsuit Richardson:Research Links Metal-on-Metal Hp Replacement Systems to Mental Health Issues

Research Links Metal-on-Metal Hip Replacement Systems to Psychological Health Conditions
The writers of a first-of-its-kind research project suggested physicians treating patients who have had hip replacement surgery involving a metal-on-metal joint system to keep track of the patients’ neuropsychiatric state due to possible heavy metals making their way into the blood.
According to the research, the presence of these heavy metals could lead to psychological issues such as major depression and dementia like symptoms.
The research, published by the National Center for Biotechnology Information and beneath the umbrella of the National Institutes of Health chronicles patients in the United Kingdom who had the surgery and received a metal-on-metal hip replacement system, for example DePuy Orthopaedic’s Pinnacle system, that's since been recalled.
Thus far, the maker of the Pinnacle system, has been found accountable for hundreds of millions of dollars in damages to patients who encountered difficulties after their implantation. The Pinnacle system was discovered to have both design and manufacturing defects, resulting in the failure. DePuy Orthopaedics is a subsidiary of Johnson & Johnson. Metal-on-metal hip replacement systems use a metal ball and joint, rather than plastic or ceramic joint. However, these systems have failed at a higher than normal rate, necessitating revision surgery or surgeries and causing other concerns, such as irritation at the implantation site. Another problem has been the heavy metal particles that could lead to bleeding at the implant site or leech into the patient’s circulatory system. This condition is referred to as “metallosis.”
Metal-on-metal hip replacement systems use cobalt and chromium, each of which might cause several health issues.
The NIH study found that the cobalt and chromium particles were having mental health problems on the patients: “We present the first case series suggestive of clinically significant depressed mood and neurocognitive impairment following MoM hip failure with concomitant chromium and cobalt toxicity.”
The study established that some of the psychological health issues could have stemmed from worry about the hip replacement system failure and potential ramifications. However, the researchers figured out that there was more at play: “Neurocognitive abnormalities however might be mediated by either static brain damage caused by chromium and cobalt toxicity or could represent a dynamic process, that is an early onset dementia triggered by metallosis. If the latter is the case it might have major, as yet unrecognised, implications for public health.”
The researchers concluded that metal-on-metal hip replacement systems should be removed even if they haven't yet failed: “Other than revision surgery there is no effective adsorption or chelation therapy for chromium and cobalt, and if such therapies could be safely designed, it could prevent the need for further surgery. In the meantime, to safeguard neurocognitive function implant removal conceivably need to be as soon as possible after toxicity is found.”
Though the research workers mentioned the possible effect on defective products cases continuing and in the future, they commented that patient health is more important than commercial worries: “There are additionally potential public health implications for the care needed by many thousands of patients who have potentially suffered MoM related cobalt and chrome toxicity, should progressive cognitive decline be found in this group and the associated requirements for dementia care. This has some relevance to product liability litigation worldwide. However we believe that any commercial factors should be set aside in the interest of public safety and the bioethical principle of social justice.”
The study focused on patients in the United Kingdom who underwent hip replacement systems with a metal-on-metal ball and joint. The researchers reduced their patient list to 10 patients whose systems had failed. They found that before revision surgery, nine of the 10 were suffering from dangerous amounts of chromium and cobalt in their blood.
All nine of these patients met clinical criteria for depressive disorders at a “moderately severe” level.
Seven of the nine exhibited short-term memory loss.
Other psychological issues seen in the patients included disorientation, problems with tests of concentration and word finding problems.
--authored by Rick Fahr.


DePuy Pinnacle Metal-on-Metal Hip Replacement System Found at Fault in Texas Lawsuit

DePuy Pinnacle Metal-on-Metal Hip Replacement System Found at Fault in Texas Lawsuit Johnson & Johnson has been ordered to repay nearly a quarter-billion dollars to six victims in a so-called “bellwether” lawsuit. The case, in a Texas federal court, pitted the defendants against the company for Johnson & Johnson’s faulty DePuy Orthopaedics’ Pinnacle metal-on-metal hip replacement system. DePuy Orthopaedics is a subsidiary of Johnson & Johnson. According to a Reuters story on the case, jurors granted the victims $247 million in damages. Metal-on-metal hip replacement systems use a metal ball and joint system, as opposed to other hip replacement systems which use ceramic materials. The metal-on-metal systems fail at a higher rate than other types of systems. The failures result in joint pain and blood loss in the hip area and can lead to metallosis, an issue that occurs when metals enter the blood stream. Many of the metal-on-metal system failures lead to corrective surgery. Hip replacement surgeries have boomed in recent years, with upward of 300,000 such surgeries being performed in the USA yearly. The condition called osteoarthritis is a major cause of hip failure. Based on the Reuters story, jurors saw that DePuy’s Pinnacle system had a defective design. Jurors also determined that the companies did not warn consumers about the risks of such systems. The story noted that nearly 10,000 lawsuits have been filed in the United States against Johnson & Johnson for use of the DePuy Pinnacle hip replacement system. The combined trial is another in a group of “bellwether” trials in connection with DePuy Pinnacle metal-on-metal hip replacement system. The objective of the trials is to assist the trial judge decide if similar cases should go forward and provide the defendants a sense of their future liability. The Texas suit was the fourth “bellwether” trial in connection with DePuy Pinnacle system. The defendants won one trial, but plaintiffs have won the last three - two in Texas and one in California. Currently, Johnson & Johnson has been ordered to pay for hundreds of millions of dollars in damages to victims of the faulty hip replacement systems. --written by Rick Fahr.

MOM Link to Dementia/Heart Disease

Metal Hip

Metal-on-metal hip replacement systems have been known to cause various problems — including painful revision surgeries and the accompanying physical rehabilitation — but researchers have recently discovered a potentially new and devastating side effects — a link between metal-on-metal hip replacement systems and dementia and heart disease. According to a story published by the Daily Mail in London, Great Britain’s Medicines and Healthcare products Regulatory AgencyBritain’s Medicines and Healthcare products Regulatory Agency recently notified the public that patients who have had metal-on-metal hip replacement systems implanted will be “called in” for X-rays and blood testing to determine if the heavy metals in the systems are causing any “adverse reactions.” The medical personnel will be trying to determine chromium and cobalt levels in the patient’s blood. Those two heavy metals have been linked to both dementia and heart disease. Metal-on-metal hip replacement systems, such as Johnson & Johnson’s DePuy Orthopaedics Pinnacle system, use a metallic ball joint to replace the hip. Other systems use ceramics, plastics or other materials. The problems associated with metal-on-metal hip replacement systems stem from wear on the joint. That wear may cause the system to fail entirely at much higher rates than hip replacement systems made of other materials, which leads to surgery to fix the system. Additionally, the metal shavings can lead to irritation at the implant site and to the metals entering the blood system, a condition known as metallosis . Hip replacement surgeries have become popular in the United States, with surgeons performing upward of 300,000 such operations each year. Several thousand lawsuits have been filed against Johnson & Johnson for its metal-on-metal hip replacement system failures. DePuy’s Pinnacle system has had a particularly long string of issues, starting with its design and production. Testimony in trials in the United States and abroad has revealed that the Pinnacle systems were not correctly manufactured and that a design flaw led to a higher-than-normal failure rate. Johnson & Johnson no longer sells the Pinnacle system, but tens of thousands of people have had it implanted. Regarding the Great Britain cases, the Daily Mail story quoted Dr. Neil McGuire, clinical director of medical devices for the regulatory agency as saying that prudence mandates checking the overall health of patients to ensure that the hip replacements aren’t causing other problems. “We’re always balancing depriving people of the benefits of these devices versus protecting people from harm,” he told the newspaper. “We don't want to set a lot of hares running if there's nothing to find. It may be at the end of it we say, ‘There's nothing to see here folks.’ --authored by Rick Fahr.


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