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Procedure of the Month

This is the case of a 68 year-old male suffering from severe back pain for 3 months. Patient failed conservative treatment with high doses of analgesics. MRI was performed, as shown in Figure 1 below. This T2-weighted image clearly revealed evidence of acute fracture with bone marrow edema at the L1 level. Which choice do you think best describes the patient's treatment options (click on the x-ray below to take the multiple choice/guess test)?

Figure 1: Preoperative T2-weighted sagittal MRI showed evidence of bone marrow edema indicative of acute fracture at the L1 level (arrow).

Case review and x-rays courtesy of
Dr. Bassem A Georgy.
Interventional Radiologist Valley Radiology Consultants Assistant Clinical Professor University of California, San Diego

SPONSORED BY:


Procedure of the Month Sponsored by DePuy Spine, Inc.


 

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Legal and Regulatory News

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Alphatec Ponies Up $11 Million Settlement for ‘678 Patent
By Walter Eisner (posted May 9, 2008)
"Alphatec can now achieve some certainty." That's what Alphatec's President and CEO, Dirk Kuyper, told us at the SAS annual meeting in Miami Beach. He was referring to his company's announcement that its 2006 lawsuit with Biedermann and DePuy over the ‘678 pedicle screw patent is settled.

Biologic Bummer for Stryker in Beantown
By Walter Eisner (posted May 5, 2008)
Stryker's stock stopped trading for 16 minutes before resuming on Friday, May 2. The reason was because Stryker was about to announce that its Biotech division, in the Boston suburb of Hopkinton, had received a warning letter from the U.S. Food and Drug Administration (FDA) related to quality systems and compliance issues.

Physician Disciplinary Actions Decline 22% Since 2004
By Walter Eisner (posted April 24, 2008)
With the current hyper-vigilant focus on surgeon and industry relationships, it begs the question: Are disciplinary actions against physicians increasing or decreasing?

Let the Lawyerin’ Begin. Lawsuits Filed Against ArthroCare
By Walter Eisner (posted April 11, 2008)
That didn't take long. Four law firms (and counting) have now announced that they are starting class action lawsuits against ArthroCare Corp. and are currently searching for lead plaintiffs for the case.

Chan's Sentence, Industry's Lessons
By Walter Eisner (posted April 8, 2008)
Dr. Patrick Chan didn't have to go to jail or pay huge fines, but his role as witness for federal prosecutors and the continuing civil lawsuits may affect orthopedic companies for years. Will it change industry and surgeon relationships? Who is still on the hot seat? Read our take here."

Chan Sentenced To Canada, Probation and Light Fine
By Walter Eisner (posted April 3, 2008)
Dr. Patrick Chan, the Arkansas neurosurgeon who pled guilty to bribery in January for demanding kickbacks for using specific medical equipment, has now been sentenced by U.S. Federal Judge Susan Webber Wright.

Bill Overturning “Federal Preemption” Drafted in Congress
By Walter Eisner (posted March 28, 2008)
When the U.S. Supreme Court ruled in Riegel v. Medtronic in February that Congress intended federal law to preempt state law, we reported that it might be a short-term victory for the medical device industry.

China Announces Draft Recall Law
By Walter Eisner (posted March 28, 2008)
The Chinese news agency Xinhua reported on March 21 that China will “revoke licenses of the producers of unqualified medical devices with disastrous results, according to a draft on the administration of medical device recalls.”

TriMed Wins Round Two v. Stryker
By Walter Eisner (posted March 24, 2008)
Rack up a court victory for the David, TriMed, over the Goliath, Stryker. Stryker and TriMed have been involved in a patent dispute over the last couple of years. Stryker won the first round; TriMed has won the second.

Post-Settlement Era at AAOS ‘08
By Walter Eisner (posted March 18, 2008)
Thirty thousand orthopedic surgeons and industry reps gathered at AAOS for their first meeting in the Post-Settlement Era. Have business practices and surgeon/industry relationships changed? Find out.

Stryker Discloses SEC Inquiry of Foreign Sales
By Walter Eisner (posted March 17, 2008)
In a February 28 10-K filing, Stryker disclosed that the U.S. Securities and Exchange Commission has made an informal inquiry of the company regarding possible violations of the Foreign Corrupt Practices Act (FCPA) in connection with the sale of medical devices in certain foreign countries.

Surgeons for Sale: The Musical
By Walter Eisner (posted March 11, 2008)
The U.S. Senate held a hearing recently about industry and orthopedic surgeon relationships. What do the accused and the accusers have to say? Read our review of the public theater they call congressional hearings here.

The Unintended Consequences of Riegel
By Walter Eisner (posted March 4, 2008)
The Supreme Court ruled that Congress protected device manufacturers from being sued if they have FDA approval for their products. Sounds good for manufacturers, and celebrations broke out. But is it really a victory?

New Jersey Issues Subpoenas Over Synthes’ ProDisc™
By Walter Eisner (posted February 12, 2008)
Dueling prosecutors in New Jersey are competing to see who is tougher on the medical device industry. First the U.S. attorney settles with hip and knee makers, and now the state’s attorney general investigates Synthes Spine and clinical researchers.

TriMed® Patent Lawsuit Against Stryker to Be Reheard
By Walter Eisner (posted February 1, 2008)
TriMed® vs. Stryker. Round one to Stryker, round two to TriMed. The patent lawsuit between TriMed of Valencia, California, and Stryker has been sent back to the U.S. District Court for the Central District of California for a rehearing.

Stryker Responds to FDA Warnings—Recalls County Cork Hip Products
By Walter Eisner (posted February 1, 2008)
They say the squeaky wheel gets the grease. At Stryker the squeaky hip got the President and CEO’s undivided attention.

December 2007 PMAs Approved by FDA
By Walter Eisner (posted January 30, 2008)
Two Zimmer knees and a Synthes cervical disc all had favorable premarket approval (PMA) decisions rendered by the FDA in December.

FDA Homes in on Postmarket Off-Label Marketing in Spine
By Walter Eisner (posted January 22, 2008)
Staff shifting at the FDA from premarket to postmarket offices has raised the agency’s expertise level to monitor off-label marketing of spine devices. What’s it mean for you?

Squeaky Hips Land Stryker in Hot Water With FDA
By Walter Eisner (posted January 21, 2008)
Squeaky hips have gotten Stryker in trouble with the FDA, which has sent the company a series of warning letters. We reported on the squeaky hips in December 2006 from the 23rd annual Current Concepts in Joint Replacement meeting. Three patients, called "Squeakers," were shown and heard in a video with the noisy hips. We know, it made us chuckle, too, as we imagined Uncle Charlie trying to sneak into the kitchen for a midnight snack.

Tentative 2008 FDA Meeting Dates for Ortho Panel
By Walter Eisner (posted January 18, 2008)
Thanks to some of our readers who noticed that we had given you the 2008 tentative meeting dates for the FDA’s Ophthalmic Devices Panel instead of the Orthopaedic and Rehabilitation Device Panel dates for 2008.

FDA Issues New Guidance for Review of Medical Devices. Ortho Panel Tentative Dates Released
By Walter Eisner (posted January 17, 2008)
The FDA’s new informal review process for medical device applications, intended to speed review times, is clarified in a guidance advising applicants of when and how to contact the agency during a review cycle.

 

   

News Shorts
Complete Issue - PDF Past Issues

Scient'x Doubles 510(k) Clearance With DUO™ Dynamic Stabilization System
First there was one level...now there are two. Scient'x announced on May 6 that it had received FDA 510(k) clearance to market its new Isobar DUO™ Dynamic Stabilization System.

Alphatec Ponies Up $11 Million Settlement for ‘678 Patent
"Alphatec can now achieve some certainty." That's what Alphatec's President and CEO, Dirk Kuyper, told us at the SAS annual meeting in Miami Beach. He was referring to his company's announcement that its 2006 lawsuit with Biedermann and DePuy over the ‘678 pedicle screw patent is settled.

Abbott Spine’s Universal Clamp™ Now Available Stateside
The Universal Clamp™ spinal fixation system, developed by Abbott Spine, may now be enjoyed by Americans. The implant, which has been available in Europe for over a year, can be used to correct a wide variety of complex spinal pathologies including sagittal and coronal malalignment, as well as degenerative conditions of the thoracolumbar spine.

Facet Solutions, Inc. Completes Combination Facet Joint and Disc Replacement Study
It’s the motion in Miami…Facet Solutions, Inc. is announcing the successful completion of a scientific evaluation for a total joint reconstruction in the lumbar spine. The study evaluated the combination of Facet Solutions’ Anatomic Facet Replacement System (AFRS™) with a semi-constrained disc replacement device in a finite element model.

Biologic Bummer for Stryker in Beantown
Stryker's stock stopped trading for 16 minutes before resuming on Friday, May 2. The reason was because Stryker was about to announce that its Biotech division, in the Boston suburb of Hopkinton, had received a warning letter from the U.S. Food and Drug Administration (FDA) related to quality systems and compliance issues.

MAKO’s Robot Zaps 1st Quarter Expectations
MAKO Surgical Corp. reported 2008 first quarter revenues of $500,000. Analysts had expected revenues of only $300,000. The company markets its Tactile Guidance System™ (TGS™), an advanced robotic-arm solution, and its implants for minimally invasive orthopedic knee procedures, known as MAKOplasty®.

Shake Up at Medtronic Sofamor Danek
We were frankly surprised as were many people both inside and outside the company to hear of Pete Wehrly’s sudden departure from Medtronic Sofamor Danek day before yesterday. Mr. Wehrly, 49, was the President of Medtronic Sofamor Danek and the abruptness of his departure followed by Medtronic’s extreme caution in commenting adds additional mystery to the circumstances of Pete’s leaving.

DePuy Puts 3 Million Sq. Ft. to Work in China
DePuy products have gone into production in Suzhou, China. Tradingmarkets.com reported on April 25 that Johnson & Johnson Medical (DePuy-Suzhou) Ltd. has started operations at its first Chinese facility to produce medical equipment in the Suzhou Industrial Park in eastern China.

Smith & Nephew Endoscopy Launches FOOTPRINT PK Suture
Just try to follow in their footsteps! Smith & Nephew's Endoscopy Division has announced the launch of the FOOTPRINT PK Suture Anchor, a system used to attach rotator cuff tissue to bone in the shoulder.

Put on Your Futuristic Headgear: Immersion Medical and GMV Sign Agreement for Reality Arthroscopy Simulation System
So much for skiddishness about minimally invasive surgery…Immersion Corporation, a touch feedback technology firm, and GMV, an engineering firm, have announced that Immersion Medical, a wholly owned subsidiary of Immersion, and GMV have signed an agreement whereby Immersion Medical will market and sell GMV's insightArthroVR® virtual reality arthroscopy surgical simulator in most countries around the world.

Zimmer Revenues On Target for First Quarter. Disappoints Investors
Zimmer reported first quarter 2008 revenues (constant currency) on April 24. Total Revenues: up 6.2% to $1.06 billion. The company also announced a $1.25 billion stock repurchasing program and reaffirmed earlier guidance for the year of 6%–7% revenue growth (in constant currency).

Physician Disciplinary Actions Decline 22% Since 2004
With the current hyper-vigilant focus on surgeon and industry relationships, it begs the question: Are disciplinary actions against physicians increasing or decreasing?

Frost & Sullivan Shines Light on Raymedica
Feelin’ hot, hot, hot! Frost & Sullivan has named Raymedica, LLC, as winner of the 2008 Frost & Sullivan Hot Investment Opportunity Award.

NuVasive Revenues Break Expectations, Lukianov Waives HIPAA
The NuVasive Chairman and CEO waived all his HIPAA rights during a first quarter 2008 conference call with analysts on April 22 when asked about his own back surgery. He said he's doing very well after his two-level XLIF® procedure, thank you very much.

Good News for Lower Extremities: Archus Completes First Human Implant of TFAS-C™ System
They’ve come to a conclusion: Some patients can be done with fusion. The reconstructive implant aficionados at Archus Orthopedics, Inc. have announced the successful completion of the first human implant of their TFAS-C™ system, the newest addition to the company's product line for treating spinal stenosis.

DePuy Launches Spine System for Small-Stature Patients
DePuy Spine has launched a titanium and stainless steel hook, rod and screw system designed to treat complex spinal deformities in small-stature patients.

BoundaryMedical Inc. Launches Orthopedic Outcome Measurement Software
BoundaryMedical, Inc. may be able to streamline things. It has just introduced the new Outcome Enterprise™ Study Manager platform for measuring outcomes relating to orthopedic treatments.

People in the News

Jack Maertens Joins Theken Family of Companies as VP of Marketing

Mike McCarthy Joins Board at Facet Solutions

Patrick O’Donnell Joins Medical Capital Advisors

St. Francis Founder Joins Active Implants’ Board

Upcoming Conferences

SpineWeek
May 26 - 31, 2008 – Geneva, Switzerland

CMSA's 18th Annual Conference & Expo
June 17 - 20, 2008 – Orlando, Florida

 

   

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