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View Full Version : RECALL on Bard® Composix® Kugel® Mesh Patch for repair of ventra(incisional)hernias


slipnslide
07-26-2008, 10:40 AM
OMG!:eek::(:mad: I didn't think I could be this UNLUCKY!:eek: Out of curiosity as to how my OB/GYN can remove an ovary when there is a hernia mesh repair present in the abdominal wall, I did a search and this is what I found. When I first came across it, I figured that there was no way that I had the recalled mesh. I went and checked my surgical notes, and sure enough, it said "Composix":eek::eek::eek: I had the hernia surgery in July 2006, with a mesh repair that encompasses the entire left side of my abdomen, and problems with pain and swelling that started 3 month's after the repair, and has continued ever since:(.

http://www.fda.gov/cdrh/recalls/recall-122205.html

Class 1 Recall: Bard® Composix® Kugel® Mesh Patch - Expansion

Date Recall
Initiated:


December 22, 2005

Product:


*This recall notice was updated on January 24, 2007, to include additional product codes and lot numbers recalled by the manufacturer since the first list was issued (see previous announcements). The expanded list below includes all recalled product codes and lot numbers.*
Product Code Description Lot Numbers Recalled Date Recalled
0010206 Bard® Composix® Kugel® Extra Large Oval, 8.7” x 10.7” All Lot Numbers manufactured before January 2006 December 2005 and January 2006
0010207 Bard® Composix® Kugel® Extra Large Oval, 10.8” x 13.7”
All Lot Numbers manufactured before January 2006 December 2005 and January 2006
0010208 Bard® Composix® Kugel® Extra Large Oval, 7.7” x 9.7” All Lot Numbers manufactured before January 2006 December 2005 and January 2006
0010209 Bard® Composix® Kugel® Oval, 6.3” x 12.3” All Lot Numbers manufactured before March 2006 March, 24, 2006
0010202 Bard® Composix® Kugel® Large Oval, 5.4” x 7.0” Lot Numbers manufactured before October 2005 (see below) January 10, 2007
0010204 Bard® Composix® Kugel® Large Circle, 4.5” Lot Numbers manufactured before October 2005 (see below) January 10, 2007

Use:


The Bard® Composix® Kugel® Mesh Patch is used to repair ventral (incisional) hernias caused by thinning or stretching of scar tissue that forms after surgery. The patch is placed behind the hernia defect through a small incision. The patch is then held open by a “memory recoil ring” that allows the patch to be folded for insertion and later spring open and lay flat once it is in place.

Recalling Firm:


Davol, Inc., Sub. C.R. Bard, Inc.
100 Sockanossett Crossroad
Cranston, RI 02920

Reason for Recall:


The "memory recoil ring" that opens the Bard® Composix® Kugel® Mesh Patch can break under the stress of placement of the large sized products in the intra-abdominal (inside the belly area) space. This can lead to bowel perforations (rupture) and/or chronic (recurring) intestinal fistulae (abnormal connections or passageways between the intestines and other organs).

Public Contact:


Robin Drago
VP Regulatory & Clinical Affairs
Davol, Inc., Sub. C.R. Bard, Inc.
100 Sockanossett Crossroad
Cranston, RI 02920
401-463-7000

FDA District:


New England

FDA Comments:


* On January 10, 2007, Davol, Inc. (a subsidiary of C.R. Bard) sent letters to health care professionals and distributors notifying them of the most recent expansion of this recall of specific lots of Bard® Composix® Kugel® Large Oval and Large Circle Mesh Patches for product codes 0010202 and 0010204. Surgeons and hospitals should stop using the recalled product and return unused units to the company.

* Patients who have been implanted with one of the recalled devices should seek medical attention immediately if they experience symptoms that could be associated with ring breakage such as unexplained or persistent abdominal pain, fever, tenderness at the implant site or other unusual symptoms.

* It should be noted that product codes 0010202 and 0010204 were involved in both recall expansions. The lots manufactured prior to January 2004 were recalled during the March 2006 expansion. Since the March expansion, Davol received 4 confirmed complaints of recoil ring breakage from product code 0010202 manufactured between January 2004 and September 2005. There were no complaints for product code 0010204 . Davol is recalling the following lotsfor product codes 0010202 and 0010204:

* All lots with the letter “O” in the fourth position
* All lots with the letter “P” in the fourth position and the letters “A” through “I” in the third position.

For instance, an example of a recalled lot number is “43IPD###.”

* Davol also decided to withdraw from the market specific lots of 0010202 and 0010204 manufactured from October 2005 to October 2006. A market withdrawal is a firm’s removal or correction of a distributed product that involves a minor violation or no violation of the law and would not be subject to legal action by the FDA. Davol is withdrawing the following lots:

* All lots with the letter “P” in the fourth position and the letters “J” through “L” in the third position
* All lots with the letter “Q” in the fourth position and the letters “A” through “I” in the third position

For instance, an example of a withdrawn lot number is “43IQD###.”

* An upgraded product design for both product codes is available for replacement. Product codes and lot numbers that contain the re-designed product can easily be identified on the case or unit package with the label stating “Redesigned for improved ring integrity.” If this label is affixed to your case stock and/or individual packages, this product is not affected by this market withdrawal and need not be returned to Davol.

* Davol notified U.S. customers of the initial recall by letter on 12/27/05 via Federal Express. On March 24, 2006, Bard issued letters to hospitals and health care professionals alerting them to the additional recalled products. The letters included updated Instructions for Use (“IFU”) clarifying the proper insertion technique and Supplemental Patient Management Information. Copies of current product IFUs to be used for both Open Placement and Laparoscopic Placement for the Large Bard® Composix® Kugel® Mesh Patches are available from Davol Customer Service by calling 1-800-531-4124.

* For more information, customers can contact Davol Customer Service at 1-800-531-4124. Physicians may contact Bard’s Medical Services and Support Department at 1-800-562-0027 or to speak with the Bard Medical Director, call 1-908-277-8306. A copy of the company’s press release regarding this recall expansion can be found on the Davol website.

Nana4&cntn
07-26-2008, 11:46 AM
Kim, OMG is right! I am sure you will be talking with your Doc on Monday! Geez, I can't get over just why patients wouldn't be contacted regarding this. Could it be this has been your problem all along? I sure would be concerned and a bit peeved! I sure hope you find an answer and if it is the problem can it be safely removed? And then what?

Kim, I sure wish for you to be rid of the pain you have and hope this is possibly the fix!

Bobbi
07-26-2008, 11:56 AM
Thank you for posting about the recall.

I wonder, I've an elderly friend who had the surgery, too. Initially, she was sorta doing okay, only she's had unexplained pain, etc.

I'm going to ask her more about her surgery - now.

Gimpy
07-26-2008, 12:23 PM
I wonder why your dr. hasn't notified you of this yet? Surelly he was sent a letter about the recall.

L

slipnslide
07-26-2008, 02:33 PM
On monday, I will go to my surgeon's office and the hospital and get the records regarding what I had implanted....

In the meantime, I found this:

http://www.newsinferno.com/archives/2465#more-2465

Court Expands Kugel Mesh Hernia Patch Litigation
Date Published: Monday, January 28th, 2008
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The maker of the defective Kugel Mesh Hernia Patch will now have to face even more lawsuits over faulty hernia patches. Earlier this month, a Federal Court charged with hearing all claims related to the Kugel Mesh Hernia Patch ruled the proceedings would be expanded to include claims against any of Davol Inc’s defective mesh patches, even those that were not involved in the original Kugel Mesh Hernia Patch recall.

When it was first introduced, the Kugel Mesh Hernia Patch was heralded as an innovation in hernia treatment. Unfortunately, by 2005, the Food & Drug Administration (FDA) was receiving more and more reports of failure with the Kugel Patch. The reports were so alarming that the FDA issued a Class I recall of the Bard Composix Kugel Mesh X-Large Patch. Apparently, the recoil ring that opened the patch could break. When the ring broke, patients experienced bowel perforations and other serious problems. A Class I recall means that the recalled product poses a serious danger to patients still using it. The FDA warned doctors to quite using the patch. The FDA also warned patients who received the patch to seek medical attention if they experienced unexplained fever, persistent abdominal pain, or tenderness to the incision site. By February 2007, the Kugel Patch recall had been expanded twice to several other sizes of the device.

In April 2007, the FDA issued a warning to Davol after an inspection of its Rhode Island headquarters uncovered serious problems with the quality assurance programs used in the manufacture of the Kugel Mesh Patch. Among the problems cited during the inspection where those found in the system Davol used to track complaints. The FDA said that the system was so inadequate that Davol was unable to conduct timely complaint investigations. The FDA said that the lack of these procedures was to blame for Davol’s delays in dealing with the Kugel Mesh Patch problems.

The defective Kugel Mesh Hernia Patch spawned so many lawsuits against Davol and Bard, that last fall, the Judicial Panel on Multidistrict Litigation of the United States Courts consolidated all federal cases regarding the defective Kugel Mesh Hernia Patch and transferred them to the District of Rhode Island for all pretrial proceedings.

Now it appears that the quality problems the FDA found at Davol did not impact only Kugel Mesh patch memory recall. The FDA has received reports about problems connected with other Davol patches since at least 2000, and many lawyers involved in Kugel Patch litigation have heard complaints from people injured by some of Davol’s other hernia devices. For that reason, the Federal Court in Rhode Island has agreed to expand the Kugel Mesh proceedings to include any lawsuits that involve an injury caused by Davol patches not included in the Kugel recall, or that do not involve problems with the memory recoil ring.

This entry was posted on Monday, January 28th, 2008 at 12:33 pm and is filed under Legal News, Defective Medical Devices, Kugel Mesh Hernia Patch.

slipnslide
07-26-2008, 02:57 PM
Prior to the January 8, 2008 article, was this:

http://www.newsinferno.com/archives/2030#more-2030

Kugel Mesh Hernia Patch Defects Put Patients at Risk, Yet Davol Waited Before Issuing Recall
Date Published: Wednesday, November 14th, 2007


The recalled Kugel Mesh Hernia Patch was supposed to eliminate dangerous complications from hernia surgeries. Before the Davol Composix Kugel Mesh Hernia Patch, repair was conducted by tension repair surgery, which could cause problems if muscle tissue re-tore. Unfortunately, design flaws inherent in the defective Kugel Mesh Hernia Patch led to even more serious complications and injuries for many patients.

Over 700,000 hernia repair surgeries are performed in the U.S. annually. Hernias are areas where an organ breaks through weakened or torn tissue. The Kugel Mesh Hernia Patch—developed to reduce re-tears—is constructed of two mesh pieces surrounding a plastic ring. The surgeon makes a tension-free repair using a small incision and places the folded patch behind the hernia. The spring-like ring opens the Kugel Mesh Hernia Patch where it lays flat behind the incision allowing internal tissue to grow and repair the tear or weakness, resolving the hernia.

Bard, Davol’s parent company, knew about severe injuries caused by the device. Although they claim they acted responsibly, the Kugel Mesh Hernia Patch was not taken off the market because Bard felt the number of complaints were small given the number of patches sold and problems cited were too random.

The company received reports of up to 10 complications from the patches, with one possible fatality. The company delayed reporting a massive recall for months because initial complaints all came from Germany, with three from one doctor. Davol concluded ring breaks were due to physician error, halted production of some Kugel Mesh Hernia patches, trained German doctors, revised physician instructions, and continued distributing other patches. Davol was wrong; problems continued.

The problem with the Kugel Mesh Hernia Patch is in the ring. Tests run on a failed patch indicated a ring weld defect. This means that the ring can break, exposing shards that have caused bowel perforations and obstructions, serious infections, and chronic fistulae (abnormal connections between intestines and organs). Despite this and Class I recalls (indicating a serious danger), Davol recommended that products continuing to function properly should not be replaced as there could be greater risk in removing a properly functioning device. Requesting replacement surgery is not an option.

The Food and Drug Administration (FDA) ordered Davol to investigate and correct procedures and accused Davol of knowingly keeping defective Kugel Mesh Hernia Patches on the market and understating their severe and dangerous complications. An FDA inspection at Davol unearthed other problems: serious flaws in their complaint tracking system (systems incompatibility); shoddy procedures (an inability to handle everything from complaint investigation to recall actions determination); and an absence of testing documentation on the manufacture of Salute Reusable Fixation devices (for attaching mesh in laparoscopic and open hernia repair and pelvic floor reconstruction). The FDA said Davol’s procedures were to blame for delays in dealing with the problems; that Davol did not accurately report complaint severity; and problems found during inspection could be symptomatic of serious underlying issues in their quality assurance system.

In addition to patch recalls, the FDA recalled some of the company’s Salute devices and warned that Davol was in serious violation of the law and that they could take further regulatory steps without notice, including inventory seizure, injunctions preventing product sale, or monetary penalties.

In all, Kugel Mesh Hernia Patches have been recalled three times by the FDA who received nearly 100 reports of problems related to the patch, several involving death.

This entry was posted on Wednesday, November 14th, 2007 at 9:06 am and is filed under Legal News, Defective Medical Devices, Kugel Mesh Hernia Patch.

slipnslide
07-26-2008, 03:36 PM
All I know is that my initial surgical report states:

The entire preperitoneal space on the left side was disected to the midline. A Composix mesh was then inserted. It was secured to Cooper's ligament, to the rectus muscle, to the Linea Alba and to the transversalis musculature laterally. This fully encompassed the spigelian hernia defect as well as the inguinal floor. The peritonium was then tacked up to the mesh itself using the tacking device as well. Two contingent rings of tacks were placed along the mesh to secure it to the abdominal wall.

CT scans of my abdomen and pelvis since have shown swelling along the hernia repair, swelling along the iliac crest, and a tissue mass along the left ovary and left adnexa, abdominal swelling, fluid in my abdominal cavity and blood in my abdominal cavity. Both my OB/GYN and the ultrasound tech, who did follow-up ultrasounds, appeared confused & baffled (and they verbalized it) when viewing the monitor as to what the mass was, as if they've never seen anything similar:confused:. My doc is the head of OB/GYN at the hospital and has been practicing for decades, so you would think that he would recognize a common looking mass on an ultrasound. In light of what I've read regarding the problems caused by the hernia patch (bowel perforation, bowel obstruction, chronic intestinal fistulae (abnormal connections or passageways between the intestines and other organs), serious infection, and/or death), it just makes me question what the heck is going on in my abdomen, and why all the pain:confused:.

Nana4&cntn
07-26-2008, 05:01 PM
Kim, could this be why the RF treatments haven't worked? Man I would be so peeved, well that is an understatment!:mad: I am so hopeful you will get some answers and then file a suit with the other who have been harmed. It makes you wonder what other things we don't know about.

I am really interested to hear what your surgeon has to say. Take care sweetie! (((((((((Kim))))))))))

Mark N
07-27-2008, 12:34 AM
Kim, It is tough to find out that this is the mesh used in your surgery especially since you have been having trouble with it. I hope everything works out for you and the company covers any expenses you have dealing with this problem.

Kathi49
07-27-2008, 06:58 AM
Kim,

I am sorry I am responding so late. Wow, I wonder too if the mesh hasn't been the problem all along or at least part of it. I would really investigate this further. :( I don't know too much about mesh but have read of others having issues with it. You really did some research and hope you can get this resolved if possible.

slipnslide
07-27-2008, 12:54 PM
Kathy, Mark, & Kathi,

The more I read, The more disgusted I am. There are 1139 posts from people with their stories regarding "meshoma". They range from intermittent pain, to death:eek:. http://www.topix.com/forum/med/TE4DF83JKBNACOFNO/p57

Once I get my records, I will have to look into finding out how to tell if the mesh indeed is the catalyst or cause, and if so, can I possibly get it removed?

Nana4&cntn
07-27-2008, 11:07 PM
Kim, I read a bunch of the posts on the site in the link and the more I read the more upset I got. So many people with so many problems being brushed aside by their docs! I sure hope you get some answers and find out what can be done.:confused: I am praying you get straight answers without having to go thru a bunch of crap.

I am waiting to hear what you find out!

((((((((((((((((((((kim))))))))))))))))))))))))

slipnslide
07-28-2008, 11:28 AM
Kathy,

It's all too familiar to me... However, I'm thankful that I'm not as bad off as some of the others. It's sickening to read some of those people's stories. I had no clue other's were experiencing the same problems, and worse.

I've been on the phone all morning finding a contractor to come and check my A/C because it stopped working yesterday morning:eek:. It's already 90 here and getting hotter by the minute. I finally found someone to come out this afternoon:).

Now that I know the girls and I may not have to sweat to death too much longer;), I'm running down to the hospital and surgeon's office to get copies of my records regarding the hernia surgery.

I'll keep you posted.

Kim
Kim, I read a bunch of the posts on the site in the link and the more I read the more upset I got. So many people with so many problems being brushed aside by their docs! I sure hope you get some answers and find out what can be done.:confused: I am praying you get straight answers without having to go thru a bunch of crap.

I am waiting to hear what you find out!

((((((((((((((((((((kim))))))))))))))))))))))))

Mark N
07-28-2008, 10:44 PM
Kim, it seems that meshes just don't work out well in our bodies as spinal surgeries with cages [mesh] have been terrible for many people. I am glad you found the site even if it is infuriating to read the stories. It lets you know you aren't alone and your symptoms are real. I just don't understand doctor's reluctance to accept the problems people have with new procedures. I guess they are just afraid to be wrong but that is the only way we learn. Being wrong is far different than being incompetent but they treat it the same.