Beware: Medical Devices Are NOT Tested for SafetyMonday, 30 Sep 2013 08:43 AM
If you’re one of the
millions of Americans with an implanted medical device – an
artificial joint, heart stent, defibrillator, gastric band, or
others – you’re probably confident that it’s safe because it has
been tested.
In most cases, you’d
be wrong.
Manufacturers
generally need only file some paperwork and pay a $4,000 fee to the
Food and Drug Administration to start selling a product. Not until
after an implanted medical device causes widespread health
problems does the FDA act to remove faulty medical devices from the
market.
Metal Hip
Disaster
Even doctors can
fall prey to bad medical devices. Consumer Reports
documented the case of an orthopedic surgeon who received a
metal-on-metal hip replacement. Dr. Stephen Tower was convinced that
his new hip joint would be more durable than the older-generation
metal-on-plastic joints. But after developing serious pain, vision
problems, hearing loss, anxiety, and other problems, he had the hip
replaced with a different model. His symptoms drastically improved
afterward. A year later, the metal-on-metal hip was pulled from the
market and the British Medical Journal called it “one of
the biggest disasters in orthopedic history.”
Deadly
Infections
Renowned
neurosurgeon, Russell Blaylock, M.D., tells Newsmax Health: “Only if
there’s no other choice should you use implantable devices. I think
that’s probably a pretty good general rule.”
Dr. Blaylock is
especially concerned about the metals contained in many devices.
“The neurosurgeons and orthopedic surgeons are putting screws and
plates in virtually everything,” he says. “There’s a considerable
amount of literature on cobalt and nickel absorption producing
significant neurological effects as well many other effects such as
auto-immune disorders and immune dysfunction.”
With any kind of
implanted medical device, infection is always a possibility. “About
half the surgical infections are due to implantable devices,” Dr.
Blaylock says. “These can be quite complex and deadly infections.”
And when a medical device has to be removed, it can require multiple
surgeries.
Consider
Alternatives
Before getting a
medical device surgically installed in your body, Dr. Blaylock
strongly recommends that you thoroughly research possible
alternatives.
For example, to
treat bladder prolapse, some patients can be cured with simple
pelvic exercises instead of having surgical mesh implanted.
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“Most of the time,
if a doctor is making big money implanting a device, he’s not going
to suggest pelvic exercise,” adds Dr. Blaylock. “Patients need to
understand the dangers of complex surgery.”
Know the
Risks
To better comprehend
those risks, Dr. Blaylock says informed consent is essential. “Don’t
just let the doctor say, ‘We need to put this device in.’ You need
to sit down and ask, ‘What are the alternatives? What can we do
other than that? What are complications from it? Where is the
literature that shows it’s been adequately tested?’ You have to
start by questioning your physician.”
Search the FDA’s
website, FDA.gov, for the latest information about implanted medical
devices, safety warnings, complaints, and recalls. Search Internet
patient forums to find out if people are happy with the device you
are considering.
Dr. Blaylock says
there needs to be a shift away from the idea that newer and more
complex treatments are always better and a return to the
tried-and-true. “Most things can be fixed simply,” he says. “A lot
of health problems can be fixed just by changing diet, getting more
exercise, improving sleep patterns, and taking simple supplement
combinations.”
In an effort to stem
the problems caused by implants, the FDA recently instituted a new
system that requires that all medical devices be labeled so that
their performance can be tracked. The system is designed to make it
easier to identify devices being recalled, improve the accuracy of
reports of problems with devices, and provide a way to spot
counterfeit devices, according to the FDA.
Implantable medical
devices are one of the most profitable areas of the healthcare
industry, generating some $85 billion annually in the U.S. The
most-used implanted medical device in America is the artificial eye
lens, used to replace those lost to cataracts. Ear tubes, commonly
given to children who suffer ear infections, are the second most
common. Number three is coronary stents, followed by IUDs used for
birth control, and metal screws, pins, or plates used in orthopedic
procedures. Other popular devices include artificial joints, breast
implants, and pacemakers.
The complete version of this article first appeared in Health
Radar. To read more,
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