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Tuesday, 27 November 2018

Who is responsible for undermining lives of thousands of Hip implanted patients?

HIP IMPLANT DEVICE
DePuy, Hospitals and the Government of India failed to protect patients

J&J’s DePuy recalled its Hip implant device (ASR Hip System) on 26th August 2010 due to reports of faults in its devices. However, by that time DePuy sold and fixed the device among 4700 patients from 2004 to 2010. Till date, they could trace only 1080 patients and still stated to be finding it difficult to trace around 3600 patients in order to compensate for the damages already done to the patients due to faulty devices.

Is Johnson & Johnson doing enough to reach out to patients?
J&J in its one of the advertisement claims that “Your safety and health are important to DePuy International Ltd and we are assisting the Government to address concerns of ASR patients.” However, the fact it does not have information of patients to whom it has sold its medical device, which was to work for (shelf life) at least 15 years is itself shows that the company does not have concern for its patients or consumers. And even now the company failed to take serious steps to reach out to the remaining patients. If they were to market their product, they would have happily spent lakhs and crores in the expectation of reaching potential customers.
I am not able to understand how the company of J&J’s stature is getting difficult to reach out to its 4700 consumers, who might be suffering through various complications due to faulty device. In spite of having strong networking, how come they are unable to reach out to their old consumers? What is stopping them to reach out to the Hospitals in order to get the details of the patients? The company was not able to address all these questions. J&J cannot wash away its responsibility by simply opening the helpline number to address the calls of a few patients. It has to do something concrete. It should not have the luxury to say that “we tried but could not reach 3600 patients”. After all, it has the duty to maintain the data or information regarding the life-saving device which were sold to its consumers.

What about Hospitals?
At the least, the hospital which conducted surgery to fit the DePuy’s Hip implant device on the patient should have the details about what device has been put by them in a patient’s body. They cannot absolve responsibility by stating that under the Professional Ethics Code, 2002 they are supposed to maintain the records of patients only till three years in the cases of surgical treatment. After all, the normal shelf life of the Hip implant device is 15 years, and therefore, it is the hospital’s duty to maintain medical records of such patients till that time.
Moreover, even as per the Profession Ethics Code, 2002, whenever the patients request his medical records with the hospital, it has to provide it within 72 hours of making a request.
Hospitals should also realize that refusal to give information about what device has been put in the body of the patient amounts to negligence as well as a deficiency in services.

Is the Government doing enough to find the patients affected by the ASR hip system?
To its part the Central Government also failed in its duty to protect its citizens from the MNC, which sold faulty medical devices. It took more than 8 years to decide that Rs.35 lakh to 1.20 crores to be paid by the company to the affected patients. All these years, the government did not press the company to find out the remaining patients neither the government did anything concrete to reach out to the affected patients except announcing Central Level Committee & State Level Committees to address patients' queries. Even those committees also not working actively to reach out to the patients. They address only those patients who reach them. Besides that, no effort is put by them to reach out to the patients.
I am wondering why the Central Government is not taking assistance from the Customs Department in checking the imported details of those 4700  medical devices, which will be having the name of the patients/hospitals to whom the devices were sold. I am sure this task can be done within a few days if the Customs Department and Central Drugs Standard Control Organisation in respective states given the task of checking imported details. After all medical devices (DePuy’s ASR Hip System) were supposed to have been imported as per the guidelines provided in Drugs and Cosmetics Act Rules, 1945.
So, reaching out to the remaining 3600 affected patients not at all that tough task to do. The only thing required is the intention to search. Johnson & Johnson, concerned hospitals, and the Government have to take some serious steps in order to save the life of the patients affected due to faulty HIP implant devices.

Note: If you or your loved one has been implanted with an artificial hip instrument device during the year between 2004 to 2010, then it might be DePuy’s ASR System. In such cases, kindly contact your state’s Drugs Controllers’ Zonal Office or Legal Cell, Central Drugs Standard Control Organization, FDA Bhavan, Kotla Road, New Delhi or call on 011-23216367 (Ext.315) or email: legalcell@cdsco.nic.in to seek further assistance.

About Author: C.Prabhu is a practicing Advocate based in Chennai. He is also assisting one of the affected patient due to faulty Hip implant.

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