Following reports that Gynecare Intergel Adhesion Prevention Solution caused injury to a number of women, attorneys are looking into the possibilities of suing Ethicon Inc. During gynecological surgery, the solution was used to shield tissue as it healed. Still, in certain instances, it seriously injured patients.
Gynecare Intergel Solution was first developed to help in the postoperative setting to prevent the formation of adhesions following pelvic surgery. In layman’s words, adhesion is the development of scar tissue that can lead to internal organ adhesion following surgery.
Most women who have had pelvic surgery experience adhesions, which can also be linked to sexually transmitted diseases, endometriosis, and pelvic inflammatory disease (PID).
Adhesions can hurt and have a specific physiological effect on a woman. For instance, adhesions are estimated to be the root of 74% of all intestinal blockages in women. They account for 15-20% of infertility cases, making them a major contributor.
Three fatalities were reported in connection with Gynecare, according to 103 complaints made to the US Food and Drug Administration (FDA). Other injuries included pelvic pain, internal scarring, infertility, allergic reactions, and tissue adhesion. Gynecare injuries in some women necessitated extra surgery to address the issues.
Gynecare Worldwide sent a letter to doctors on March 28, 2003, with the subject line “Urgent Voluntary Market Withdrawal of Gynecare Intergel Adhesion Prevention Solution.” In the letter, Gynecare urged physicians to stop using the medicine right away while it evaluated complaints of “onset of discomfort, non-infectious foreign body responses, and tissue adhesion.”
Lifecore Biomedical Inc. was named as a defendant in 80 product liability claims in which the plaintiffs alleged they sustained injuries as a result of the use of Gynecare Intergel during their surgeries, according to a filing with the Securities and Exchange Commission (SEC) of the United States.
Ethicon, Inc., Johnson & Johnson, and Vital Pharma, the contract packager for Intergel Solution, were all named as defendants in the lawsuits.
According to the filing, settlement agreements for 79 of the claims have been signed as of September 20, 2006. Even if those lawsuits were settled, other lawsuits might still be brought.
Gynecare Intergel was misbranded, and Lifecore failed to submit required Medical Device Reports (MDRs) for 11 complaints involving device malfunctions that resulted in serious injury or death, according to a letter Lifecore received from the FDA Center for Devices and Radiological Health (CDRH) in 2004.
“Specifically, for 11 separate events…you failed to submit an MDR to the Food and Drug Administration within 30 days of receiving information that reasonably suggested that one of your commercially distributed devices may have caused or contributed to a death or serious injury,” the FDA warned in its warning letter.
The letter continued by citing the instance of a patient who experienced significant abdominal pain along with tachycardia, a fever, and shortness of breath.
Gynecare Intergel received market approval in 1998 and was voluntarily discontinued in 2003. It was used off-label for laparoscopic surgery and hysterectomies but was FDA-approved for use in open gynecologic procedures.
Studies indicated that the use of the solution was connected with a higher infection rate; hence it was not approved for laparoscopic surgery. Laparoscopy and hysterectomy experiments did not demonstrate the safety or efficacy of Gynecare Intergel.
Surgical procedures used Gynecare Intergel to avoid adhesions. Most women who undergo abdominal surgery, particularly those for treating endometriosis and the excision of fibroid tumors, develop adhesions, which can impair fertility and clog the intestine.
Gynecare is a division of Johnson & Johnson. Lifecore Biomedical Inc. makes Intergel Solution.