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As reported by the New York Times, Johnson & Johnson/DePuy was aware of massive failures of its ASR metal-on-metal hip replacement system by 2011.

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This information is coming from internal J&J documents as part of a trial expected to begin to today in Los Angeles. The internal analysis showed that nearly 40% of the ASR hips failed within five years of implant. The analysis also suggests that the implant is likely to fail prematurely in thousands of more patients in the next few years. Those patients will have to undergo costly and pain revision surgery.

If you or a loved one have a DePuy ASR hip implant, please call us at 1-800-557-8176 or contact us through our website at hendricksonlaw.com. You may be entitled to a substantial damages award.

For more information on the DePuy implants, see here, here and here.

Johnson & Johnson’s DePuy division may be facing more than $3 billion in damages for its ASR and Pinnacle metal-on-metal hip implants, reports Reuters. Not a surprise to those of us involved in the metal-on-metal implant litigation.

DePuy recalled the ASR metal-on-metal implant in 2010, years after evidence in Europe and Australia showed that these implants were being revised at a rate drastically hirer than traditional ceramic or poly implants. DePuy was forced to recall its ASR implants here in the U.S. after it became clear that a significant percentage of patients with these implants were experiencing metal debris reaction, which included pseudo tumors, infection-like reactions, loss of bone and muscle due to metallosis, early loosening and early failure.

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Shortly after the ASR was recalled, it became clear to many that DePuy’s Pinnacle line was having similar problems. As calls poured in to attorneys around the country regarding the recalled ASR, a significant percentage of the calls were for DePuy Pinnacle implants with nearly identical problems.

Multi-district litigation cases are on-going for both the ASR and Pinnacle implants. MDL cases are contemplated regarding other metal-on-metal implants from other manufacturers. In recent weeks, Stryker has issued a recall on its modular stem system, the first non-bearing surface recall. (The DePuy and Pinnacle cases involve the weight-bearing implant surfaces, namely the artificial ball and cup joint that replaces the natural hip mechanism–Stryker’s implant is a modular femoral stem system that appears to be causing similar reactions as the bearing surface metal-on-metal implants, but due to corrosion at the connection of the modular components, rather than wear due to use of the bearing surfaces.) You can read about the Stryker recall here.

It is clear that there is trouble brewing for many, if not all, metal-on-metal hip implants. If you have experienced any of the following problems as a result of your metal-on-metal implant, please call our office at 1-800-557-8176:
Early Revision
Loosening
Pseudotumor
Metallosis
Implant Failure
Loss of Surrounding Muscle
Continuing Pain

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Another hip implant has been recalled. Stryker Orthopaedics has recalled two brands of its devices, as reported here. Unlike previous recalls by DePuy which were of the metal-on-metal implant contact surfaces, consisting of a metal ball and a metal hip socket, the Stryker recall is of femur stem implants.

Post-implant complications indicate that the Rejuvenate and ABG II modular-neck systems are experiencing fretting and corrosion at the modular neck junction. This corrosion and fretting appears to be leading to the same kind of patient reactions as the metal-on-metal head implants.

It would appear that patients may expect to encounter metalosis, pseudo tumors, aseptic loosening and other problems.

If you or a loved one have Stryker implant and have experienced any problems, please call our office at 314-721-8833.

The New York Times has reported that a Johnson & Johnson/DePuy hip implant that was sold overseas, was rejected by the FDA in 2009.

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The implant was new hip resurfacing implant. Unlike traditional hip implants, in which the ball portion of thigh bone or femur is removed and a replacement stem and ball are implanted, this particular implant left the femur largely intact and placed a ball shaped cap over the existing femoral head. Most importantly for U.S. medical consumers, the same pelvic (or ace tabular) cup portion of the implants, was used in both the ASR resurfacing system and the ASR system which was approved and sold in the U.S. That ASR implant was eventually the subject of a recall in August 2010–a full year after the FDA had rejected the sister-product.

Both systems are so-called metal-on-metal hip implants because they involve a metal ball and a metal socket. The apparent problem with the implants is that the design of the metal sockets are such that the friction between the two components creates metal debris which reacts in many patients and causes infection-like responses, destroying bone, muscle, ligament and soft-tissues, leading to pain and dislocations of the hips. The metal can also seep into the blood and, in effect, cause a type of metal blood poisoning. The only way to stop the effects is to remove the metal cup and replace it with a traditional plastic lined cup.

The DePuy ASR implants are the subjects of thousands of lawsuits around the country. Most have been consolidated into a multi-district litigation based in the U.S. District Court for the Northern District of Ohio. However, many cases remaining pending in state courts throughout the U.S.

In related litigation, another DePuy metal-on-metal hip implant, the Pinnacle, has also seen cases consolidated in a multi-district litigation, this one in the Northern District of Texas. Generally, the same metal debris problems are occurring with the DePuy Pinnacle implants as occurred with the ASR implants.

For more information on the DePuy ASR Hip Implants, see my previous posts listed below. If you or a loved one have a DePuy ASR or DePuy Pinnacle implant, or suspect you have any metal-on-metal implant, call our offices immediately at 1-800-557-8176.

DePuy ASR Hip Implants Recalled

Hip Implants Withdrawn From Market

Metal on Metal Hip Components Linked to Early Failures

The New York Times has a recent article on The High Cost of Failing Artificial Hips that does a good job of outlining the the cost related to the seemingly epidemic failure of the metal-on-metal hip implants from DePuy and others. If you’ve had a hip replacement in the last 10 years, I would recommend that you read it here.

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If you have a DePuy ASR or Pinnacle metal-on-metal hip implant, I would strongly urge you to contact me to discuss your rights. Even if you are not currently experiencing problems with your hip replacement, you should be aware of the pending litigation and what you should do.

To be clear, there is no class action currently pending for these implants and I don’t anticipate that there will be. What is in place is called a Multi-District Litigation that has some of the characteristics of a class action, but differs in many ways. The most important difference is this: If you don’t file a lawsuit, your interests will not be protected and you will not receive a settlement. In the typical class-action anyone who can be identified as having received the defective product will receive notice of a settlement. That is not true in a Multi-District Litigation.

If you have had a DePuy ASR or Pinnicle, a Zimmer Duron or any other metal-on-metal implant, please contact me immediately at 1-800-557-8176 or see my website at www.stlmedicalmalpractice.com.

DePuy, a division of Johnson & Johnson that manufactures orthopedic implants, including hip implant replacement systems, has withdrawn its ASR metal-on-metal implants, reports the New York Times. DePuy has touted this as its way of protecting patient safety, but in truth, evidence suggests that DePuy has known of this problem for years.

DePuy has informed doctors in a letter that the ASR had a higher-than-expected failure rate in certain types of patients. Data from a study out of Australia suggests that small statured patients, such as women, are at the highest risk. DePuy seems to indicate that the problem lies in how surgeons are installing the implants.

However, evidence suggests that the metal-an-metal implants can generate large amounts of metallic debris as they wear. This debris can cause severe inflammatory responses in some patients, damage muscles, soft tissue and bone. These reactions can lead to early need to replace the implants through revision surgery, in some cases in as little as 2 years. The normal expected life of such implants is 15 years and more.

Many implant manufactures began offering metal-on-metal implants a number of years ago as alternatives to the polyethylene (plastic) or ceramic components. With the metal-on-metal, both the ball and the cup (socket) are made from metal and, as they wear, they give off metal shavings and residue.

At this time it appears that DePuy and possibly other manufacturers did not sufficiently test these implant materials and, even after learning of unusually high failure rates, continued to actively market and promote the product. If you have had an implant fail within a few years after your surgery, you should immediately contact Todd N. Hendrickson. Our office specializes in medical malpractice and medical product liability claims and can help you fight for your rights. Call our office at 314-721-8833 for a free consultation.