Gotta side with the corps on this

iVillage Member
Registered: 10-25-2006
Gotta side with the corps on this
3
Wed, 10-12-2011 - 11:47am

Sell anything but single-use vials and you get sued.

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http://www.pnhp.org/news/2009/october/meet_the_new_health_.php

http://www.youtube.com/watch?v=DQTBYQlQ7yM

iVillage Member
Registered: 05-03-2011
Wed, 10-12-2011 - 12:14pm
This happened in my city. The pharmaceutical companies should not have been selling large vials to a gastroenterology group who use small amounts of propofol. There was no need whatsoever for a practice that does colonoscopies and esophagogastroduodenoscopies to use large vials of propofol. The pharmaceutical companies are culpable, just as that criminal, Desai, is culpable.

The doctor who perpetrated the crimes may finally be going on trial. He faked incompetency, but was sent to the state psychiatric facility for a three month stay where doctors determined he was indeed competent to stand trial. It's about time.
Avatar for songwright
iVillage Member
Registered: 06-28-1997
Thu, 10-13-2011 - 11:39am
ITA - In this case the companies are merely guilty of selling a product in 'bulk' to the clinics to help the clinics keep their costs down, and it is TOTALLY the responsibility of the clinics to see that the products their employees use on their patients are safely handled and administered. Such cross contamination could ONLY have happened through re-use of a contaminated syringe in the large vial. Only an idiot would use a syringe on a (potentially contaminated)patient and then re-insert it into a vial of medicine that might be used on other patients. It's ridiculous to hold the companies liable for such blatant disregard of proper Medical Sterile Procedures by the clinic staff.

~ SW

iVillage Member
Registered: 05-03-2011
Thu, 10-13-2011 - 12:05pm

"DIPRIVAN Injectable Emulsion should be prepared for single-patient use only." http://www.globalrph.com/propofol_dilution.htm

"STRICT ASEPTIC TECHNIQUE MUST ALWAYS BE MAINTAINED DURING HANDLING. DIPRIVAN INJECTABLE EMULSION IS A SINGLE-USE PARENTERAL
PRODUCT WHICH CONTAINS 0.005% DISODIUM EDETATE TO RETARD THE RATE OF GROWTH OF MICROORGANISMS IN THE EVENT OF ACCIDENTAL
EXTRINSIC CONTAMINATION. HOWEVER, DIPRIVAN INJECTABLE EMULSION CAN STILL SUPPORT THE GROWTH OF MICROORGANISMS AS IT IS NOT AN
ANTIMICROBIALLY PRESERVED PRODUCT UNDER USP STANDARDS. ACCORDINGLY, STRICT ASEPTIC TECHNIQUE MUST STILL BE ADHERED TO. DO
NOT USE IF CONTAMINATION IS SUSPECTED. DISCARD UNUSED PORTIONS AS DIRECTED WITHIN THE REQUIRED TIME LIMITS (SEE DOSAGE AND
ADMINISTRATION, HANDLING PROCEDURES). THERE HAVE BEEN REPORTS IN WHICH FAILURE TO USE ASEPTIC TECHNIQUE WHEN HANDLING
DIPRIVAN INJECTABLE EMULSION WAS ASSOCIATED WITH MICROBIAL CONTAMINATION OF THE PRODUCT AND WITH FEVER, INFECTION/SEPSIS,
OTHER LIFE-THREATENING ILLNESS, AND/OR DEATH." http://www1.astrazeneca-us.com/pi/diprivan.pdf

The company is selling a specific drug to physicians. I'm quite sure they ensure the physicians are duly licensed. Since they are doing that, they have the obligation to also ensure that the correct dosage (packaging) is going to physicians for specific uses.