Meshy Business

May 26th, 2018

You’ve heard the expression – always go with your gut feeling.  If your gut tells you something is wrong, even if you can’t figure out what it is, check it out.

Back in June we talked about Johnson & Johnson’s subsidiary Ethicon and that they were withdrawing their Physiomesh product from the market. The Physiomesh is a fabric inserted into the body to help repair hernias. The Physiomesh was withdrawn for high revision rates. If you recall, the revision rate is measurement of how often a medical procedure such as surgery has to be redone. So if two out of every hundred procedure needed to be done the revision rate would be 2%.

In defending itself in a Georgia lawsuit regarding the failure of the Physiomesh to do an adequate job, one of the defenses Ethicon is putting forth is the physician instructions.

Let’s think about this.

Let say I make 300 peanut butter and jelly sandwiches, 100 each with three different brands of bread. If the jelly squirts out the sandwich needs to be remade – we’ll call that the revision rate. So if the jelly squirts out twice with brand A bread, brand A has a 2 % revision rate. If the jelly squirts out four times with brand B, brand B has a 4% revision rate. Let’s say that the jelly squirts out twenty times with brand C. 

Now explain this to me – Did the instructions of how to make a PBJ really affect how often the jelly squirted out of the sandwich? Or was it the bread?

I know this is oversimplifying things, but in this instance the jelly squirting out is someone’s innards and probably pretty darn painful. And redoing abdominal surgery is a lot more pain and expense than making a sandwich.

Instructions? My gut says otherwise. How about yours?

If you are having complications due to Physiomesh, give us a call.

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