Do no Harm a Dateline Special
Resumo
TLDRO vídeo apresenta uma investigação sobre uma catástrofe médica envolvendo a Solzer Orthopedics, onde implantes de quadril defeituosos levaram milhares de pacientes a cirurgias repetidas e dolorosas. A empresa, ao tentar economizar custos, alterou o processo de fabricação de seus implantes, removendo uma etapa crucial de limpeza, o que resultou em contaminação por óleo. Pacientes vivenciaram dor insuportável e precisaram de revisões cirúrgicas. A Solzer foi acusada de saber dos problemas meses antes do recall e de recolocar implantes defeituosos no mercado após uma limpeza inadequada. Alguns pacientes morreram devido às complicações dos procedimentos repetidos. Eventualmente, a empresa enfrentou ações judiciais, resultando em um acordo financeiro substancial com as vítimas. Solzer desde então mudou seu nome para Center Pulse e alega ter corrigido os problemas encontrados.
Conclusões
- ⚠️ Os implantes de quadril da Solzer eram defeituosos, causando dor e repetidas cirurgias.
- 🔍 A Solzer teria escondido informações dos médicos, pacientes e do FDA.
- 💰 A empresa enfrentou processos legais e pagou indenizações significativas às vítimas.
- 📉 Tentativas de cortar custos levaram à remoção de etapas vitais no processo de fabricação.
- 🔄 A Solzer reprocessou implantes defeituosos e os recolocou no mercado.
- 😷 Alguns pacientes morreram devido às complicações dos implantes.
- 📜 Documentos internos mostraram que a empresa sabia dos problemas meses antes do recall público.
- 🔨 Um ex-empregado relatou manipulações nos registros dos processos de limpeza dos implantes.
- 🤝 A Solzer alcançou um acordo financeiro com milhares de pacientes afetados.
- 💼 A empresa mudou de nome para Center Pulse após o desastre.
Linha do tempo
- 00:00:00 - 00:05:00
Susie, uma paciente, foi submetida a uma cirurgia de substituição de quadril três vezes devido a um implante defeituoso. A Dateline investiga um desastre médico onde uma empresa ocultou informações cruciais, impactando milhares de pessoas.
- 00:05:00 - 00:10:00
Os pacientes com implantes de quadril defeituosos sofreram dores intensas e, em alguns casos, perderam a vontade de viver. Apesar de várias queixas, a empresa demorou a agir, enquanto os implantes defeituosos continuavam a ser usados.
- 00:10:00 - 00:15:00
Antes do recall, a empresa sabia de várias falhas e se preocupava mais com as vendas do que com os pacientes. O óleo nos implantes, resultado de cortes na limpeza para economizar custos, impedia a fixação óssea.
- 00:15:00 - 00:20:00
Mesmo após o recall, as falhas continuaram. A empresa reprocessou e reinseriu implantes que ainda eram problemáticos. Documentos internos e testemunhas sugerem práticas enganosas, inclusive falsificação de registros.
- 00:20:00 - 00:28:59
Apesar dos recalls de quadris, a empresa não fez o mesmo com os joelhos contaminados. A falta de comunicação e respostas inadequadas da empresa e da FDA deixaram muitos pacientes sofrendo por anos.
Mapa mental
Vídeo de perguntas e respostas
Quantos implantes defeituosos foram retirados de pacientes?
Quase 4.000 implantes defeituosos foram removidos de pacientes.
Por que os implantes não funcionaram?
Os implantes continham resíduos de óleo deixados pela falta de um processo de limpeza adequado, impedindo que o osso se fixasse corretamente no implante.
Qual foi a resposta legal das pacientes afetadas?
Três mulheres ganharam um processo com uma indenização de 15 milhões de dólares contra Solzer por fabricar um produto defeituoso.
O que a Solzer fez com os implantes não implantados durante o recall?
Solzer recuperou, limpou novamente e revendeu os implantes não implantados, alegando que estavam limpos e seguros.
Qual foi a reação da empresa perante o FDA?
Solzer não forneceu informações completas e precisas ao FDA sobre quando recebeu as primeiras queixas sobre falhas nos implantes.
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- 00:00:00[Music]
- 00:00:00do no harm it's the first rule of
- 00:00:03medicine
- 00:00:04did they break it
- 00:00:07she needed major surgery but never
- 00:00:09imagined she'd have to go through the
- 00:00:11same operation three times oh well i was
- 00:00:14in pain oh my gosh
- 00:00:17behind the nightmare crucial information
- 00:00:20that a trusted corporation kept from
- 00:00:22doctors and patients for months you
- 00:00:24believe there was a cover-up here
- 00:00:26now dateline reveals what triggered a
- 00:00:29medical catastrophe affecting thousands
- 00:00:32they let me tell you lee thompson with a
- 00:00:34dateline investigation
- 00:00:36[Music]
- 00:00:38and now
- 00:00:39do no harm
- 00:00:41here is stone phillips
- 00:00:45good evening it's major surgery that
- 00:00:47many consider a minor miracle allowing
- 00:00:49thousands to walk again but what if you
- 00:00:52had to go through the operation not once
- 00:00:54not twice but three times
- 00:00:57it's what happened to patients you're
- 00:00:58about to meet and dateline has learned
- 00:01:00that it may not have had to happen at
- 00:01:02all
- 00:01:02after months of pouring over documents
- 00:01:04we've uncovered a story of corporate
- 00:01:06secrets a company's evasions
- 00:01:09and the devastating impact it has had on
- 00:01:11thousands of lives
- 00:01:13here's chief consumer correspondent lee
- 00:01:14thompson with a dateline investigation
- 00:01:17okay ready grab it right there for me
- 00:01:20come up here a little bit
- 00:01:22give me some scissors
- 00:01:24you're inside the operating room where a
- 00:01:27surgeon is implanting an artificial hip
- 00:01:30in one of his patients
- 00:01:32it's long invasive traumatic surgery
- 00:01:37you have to learn how to walk all over
- 00:01:39again but it works hip replacement is
- 00:01:42one of the most successful surgical
- 00:01:44advances in the last 50 years
- 00:01:47once patients recover they usually have
- 00:01:50a new lease on life i've had young
- 00:01:52patients and i've had old patients both
- 00:01:54but imagine finding out the artificial
- 00:01:57hip already implanted in your body was
- 00:02:00defective it didn't work
- 00:02:03imagine
- 00:02:04finding out you had to go through the
- 00:02:06operation all over again it was horrible
- 00:02:10i couldn't imagine anybody having a
- 00:02:12surgery like that
- 00:02:14but it gets worse
- 00:02:16imagine finding out the company that
- 00:02:18made that hip implant knew it was
- 00:02:20defective before you ever went to the
- 00:02:23hospital
- 00:02:24i don't think companies out there should
- 00:02:26do what they did they shouldn't get away
- 00:02:27with it it happened to this woman
- 00:02:30and thousands more here in the u.s and
- 00:02:32around the world
- 00:02:34tonight the results of a six-month
- 00:02:36investigation into a medical catastrophe
- 00:02:39dateline reviewed hundreds of documents
- 00:02:42documents that show one of the largest
- 00:02:44manufacturers of medical devices was
- 00:02:46keeping information from the government
- 00:02:49from doctors
- 00:02:50and from patients
- 00:02:52are you going to help mama get up yeah
- 00:02:55patients like susie [ __ ] a 37 year old
- 00:02:58mother of two small children for her it
- 00:03:01all started with a bad fall i slept
- 00:03:05and that's when
- 00:03:07i felt pain just go up my leg
- 00:03:10surgery was supposed to restore susie's
- 00:03:13active lifestyle
- 00:03:15i used to play tennis my husband would
- 00:03:18take me fishing
- 00:03:20we would go hunting susie's doctor chose
- 00:03:22an innovative top of the line implant
- 00:03:25called the interop hip made by salzer
- 00:03:27orthopedics of austin texas
- 00:03:30you went into surgery
- 00:03:32worried apprehensive i was really
- 00:03:34excited because
- 00:03:36i was in so much pain
- 00:03:39what we see is a stem her surgeon
- 00:03:42michael britt had used the soldier
- 00:03:44implant successfully dozens of times i
- 00:03:47felt it was very trustworthy product
- 00:03:49here's how the hip works a metal rod
- 00:03:52called a stem is inserted into the thigh
- 00:03:55bone then a metal ball which replaces
- 00:03:57the old joint goes onto the stem and a
- 00:04:00titanium shell with a porous coating
- 00:04:03replaces the old hip socket the bone is
- 00:04:06supposed to literally
- 00:04:08grow into this rough surface i can
- 00:04:10probably grow onto it as a more accurate
- 00:04:12description dr britt told susie her new
- 00:04:15hip was expected to last up to 30 years
- 00:04:18but it only took a few weeks to figure
- 00:04:20out something wasn't right susie wasn't
- 00:04:22getting any better oh i was in pain
- 00:04:26oh my gosh i had a burning pain in my
- 00:04:30hip
- 00:04:31that you could not imagine
- 00:04:36and
- 00:04:37i was just taking pills after pills
- 00:04:39realizing she was getting hooked on pain
- 00:04:41pills and thinking maybe she wasn't
- 00:04:43working hard enough at her rehab
- 00:04:46susie a former athlete really kicked in
- 00:04:48on her physical therapy but the pain
- 00:04:51only got worse
- 00:04:53that's the type of pain they could make
- 00:04:55i guess you could say somebody go crazy
- 00:04:57did you feel at times you were going
- 00:04:59crazy
- 00:05:00yes
- 00:05:02susie wasn't alone it turns out
- 00:05:05thousands of patients all over the
- 00:05:06country were going through the same
- 00:05:09torment it's like someone stabbing you
- 00:05:11in the leg arthritis patients like naomi
- 00:05:16lillian helen and joel were all
- 00:05:18wondering why am i having all this pain
- 00:05:21why why can't i function you knew pretty
- 00:05:23quickly i mean this hip wasn't working
- 00:05:26yes i did i couldn't walk without pain
- 00:05:29after months of torturous therapy naomi
- 00:05:33like the others just couldn't take it
- 00:05:35anymore i became so despondent
- 00:05:38i told my daughter i don't care whether
- 00:05:40i live or not if i have to go through
- 00:05:42this
- 00:05:43joel once an agile rancher thought a new
- 00:05:46hip would put him back in the saddle
- 00:05:48again but after surgery he felt it was
- 00:05:51hopeless
- 00:05:53if they have to take my leg off
- 00:05:55you know then let's take it off let's
- 00:05:57get it done and get it over with i want
- 00:06:00out of this pain his doctor told him
- 00:06:02while it almost never happened his body
- 00:06:04must have rejected the implant he'd have
- 00:06:07to go through the same surgery all over
- 00:06:10again he took an x-ray and said joel
- 00:06:13it's loose
- 00:06:16i said loose
- 00:06:17and he said yes he said we're going to
- 00:06:19have to do a revision so joel went in
- 00:06:22for a second surgery and i'm saying you
- 00:06:25know was there an error in surgery did
- 00:06:27the doctor make a mistake
- 00:06:28living on pain pills resigned to a life
- 00:06:31of misery joel and the others were soon
- 00:06:34stunned by a startling announcement i'm
- 00:06:37gary sabins president of souls
- 00:06:39orthopedics seemingly out of the blue
- 00:06:42solzer the maker of all those hip
- 00:06:44implants said it was not the doctor's or
- 00:06:46patient's fault the implants were
- 00:06:49defective on december 5th 2000
- 00:06:52our company began a voluntary recall of
- 00:06:55specific lots of our interop acetabular
- 00:06:57shells
- 00:06:58used in hip implants
- 00:07:0040 000 artificial hips were recalled the
- 00:07:04problem was 17
- 00:07:07500 of them were already inside patients
- 00:07:11when she got the news from her doctor
- 00:07:13susie was horrified and then i panicked
- 00:07:17on the phone and he said no no no wait a
- 00:07:19minute
- 00:07:20don't worry susie
- 00:07:22some patients were simply in denial i
- 00:07:24said no way jose i don't have one i'm
- 00:07:27just not going to have it don't let me
- 00:07:29think that you're going to tell me this
- 00:07:31it has to be done again he said yes it
- 00:07:33does
- 00:07:34lillian was still in the hospital
- 00:07:35recovering from her first hip surgery
- 00:07:38when the doctor gave her the bad news
- 00:07:40dr britt had tears in his eyes
- 00:07:43and i felt so bad for him
- 00:07:46that i couldn't think about myself
- 00:07:49that's because dr britt was shocked to
- 00:07:52find out why the soldier hip wasn't
- 00:07:54working and many of his 64 patients who
- 00:07:57received them the interface between
- 00:08:00the bone and the prosthesis
- 00:08:03never matured and the bone never grew
- 00:08:06into the prosthesis so this surface
- 00:08:09was rubbing on somebody's raw bone yes
- 00:08:13but the patient's tears would soon turn
- 00:08:15to anger as some of them began to hear
- 00:08:17whispers that soldier had known about
- 00:08:19problems with its hip implants
- 00:08:22long before it told anybody what they
- 00:08:25heard was right
- 00:08:26while soldier was telling patients in
- 00:08:28this video release it took action as
- 00:08:31soon as it saw a problem we began to act
- 00:08:33immediately as soon as we received the
- 00:08:35first complaint dateline has put
- 00:08:37together a timeline that shows the
- 00:08:40company knew far more than it led on
- 00:08:42publicly months before it announced the
- 00:08:45recall
- 00:08:46in the summer of 2000 at least seven
- 00:08:49months before the recall solzer started
- 00:08:51getting reports from doctors that its
- 00:08:53interop hips were failing
- 00:08:56one doctor an actual designer of the hip
- 00:08:58saying something strange was going on
- 00:09:01by late september seven doctors were
- 00:09:04reporting 21 failed implants but the
- 00:09:07company didn't say anything
- 00:09:09so surgeons were replacing defective
- 00:09:12soldier implants in people like joel
- 00:09:14with incredibly enough another saucer
- 00:09:17hip made in exactly the same way how do
- 00:09:20you explain that how can you justify
- 00:09:23that more than a month and a half before
- 00:09:25the recall that same designer was
- 00:09:28telling the company
- 00:09:29i have a bit of an epidemic here
- 00:09:32a month before the recall 14 doctors
- 00:09:36were reporting hip failures but still no
- 00:09:39warning bulletins to doctors instead the
- 00:09:41company was writing memos to sales
- 00:09:43agents giving them kudos on hitting an
- 00:09:46all-time sales record
- 00:09:481500 implants sold in the past month
- 00:09:52two weeks before the recall
- 00:09:5429 doctors were reporting problems and
- 00:09:56internal documents revealed the company
- 00:09:58suspected a cleaning problem with the
- 00:10:01implants
- 00:10:02but doctors were still putting them
- 00:10:04inside people's bodies
- 00:10:06they knew what was wrong inside they
- 00:10:09just didn't reveal it in fact just days
- 00:10:11before the recall dateline has
- 00:10:14discovered a soldier supervisor was
- 00:10:16still contending i don't feel that the
- 00:10:18hip investigation needs to be discussed
- 00:10:20with the fda the food and drug
- 00:10:23administration the agency responsible
- 00:10:25for regulating medical devices by the
- 00:10:28time of the december recall seven months
- 00:10:30after the first complaint soldier knew
- 00:10:33of 110 hip failures including 61 cases
- 00:10:36where the implant had to be removed this
- 00:10:39woman is outraged by that they were
- 00:10:42concerned about the competition about
- 00:10:44their impression with the physicians but
- 00:10:46not about the patients
- 00:10:48dr suzanne parisian is the former chief
- 00:10:50medical officer for the fda's medical
- 00:10:52device section who now does consulting
- 00:10:55work for medical device manufacturing
- 00:10:57companies but sometimes testifies
- 00:10:59against them in court if you're not
- 00:11:01selling a safe and effective product
- 00:11:02then you're not in compliance with the
- 00:11:04law and what is the law
- 00:11:07the law says if a company gets a serious
- 00:11:10complaint about a medical device it must
- 00:11:12investigate and report the problem to
- 00:11:15the fda
- 00:11:16if a company knows a product puts
- 00:11:18patients at risk the law says it must
- 00:11:21stop selling the device
- 00:11:23even if it doesn't know why it's failing
- 00:11:26but former fda medical officer parisian
- 00:11:29says based on her reading of the
- 00:11:31documents in this case that is not what
- 00:11:34solzer did they were doing everything
- 00:11:36they could to try to
- 00:11:38hide that there was an issue going on
- 00:11:40with their device they were trying to
- 00:11:41sell more hips irresponsible i believe
- 00:11:44it was she's angry but not as angry as
- 00:11:47the patients if this would have been
- 00:11:49corrected my life would be a whole
- 00:11:51different story today and if they were
- 00:11:54aware that there may be a problem with
- 00:11:56this
- 00:11:58then for goodness sakes let's don't put
- 00:12:00it into somebody's body so how could a
- 00:12:03company allow this to happen what went
- 00:12:05wrong
- 00:12:07for years soldier hips were made by a
- 00:12:09subcontractor who had a good track
- 00:12:11record that may explain why so many
- 00:12:13doctors were later caught off guard
- 00:12:16after all why would a part that for
- 00:12:18years was reliable suddenly become
- 00:12:21defective but what the doctors didn't
- 00:12:24know was that in order to cut costs
- 00:12:26solzer decided to change the
- 00:12:28manufacturing process
- 00:12:30first it decided to make all the hips
- 00:12:32in-house no more subcontractor
- 00:12:35then to save money solzer cut out a key
- 00:12:38step on the assembly line a key step in
- 00:12:41the cleaning process that would have
- 00:12:43removed lubricating oil used in the
- 00:12:45machining of parts from the surface of
- 00:12:48the implants
- 00:12:49and how much did that save the company
- 00:12:52ironically dropping that procedure only
- 00:12:54saved one dollar fifteen cents per
- 00:12:57implant on a device for which patients
- 00:13:00are billed more than nine thousand
- 00:13:02dollars they were never satisfied with
- 00:13:04what their profits were michael frolick
- 00:13:07worked as an inspector for salzer at the
- 00:13:09time it was an ineffective process they
- 00:13:12used the wrong cleaning process from the
- 00:13:14beginning dateline has discovered salzer
- 00:13:17never did any testing for oil
- 00:13:19contamination after it dropped the
- 00:13:21cleaning step a clear violation of fda
- 00:13:24rules and frolic says a company engineer
- 00:13:27told him oil contamination on the
- 00:13:30implants might have also come from
- 00:13:32another source they were handled
- 00:13:34improperly
- 00:13:36by machinists who were handling these
- 00:13:38parts with contaminated
- 00:13:41dirty oily gloves this internal salzer
- 00:13:45report confirms workers dropped implants
- 00:13:48on the floor got oil on their hands and
- 00:13:51did not use gloves while handling parts
- 00:13:54in the manufacturing process it's left
- 00:13:56on the back side of this cup wherever it
- 00:13:59came from once inside the patients that
- 00:14:02oil residue kept the pelvic bone from
- 00:14:05properly bonding to the hip implant
- 00:14:07leaving thousands of people limping and
- 00:14:10in excruciating pain it was like a
- 00:14:12nightmare
- 00:14:13as a result of this medical disaster
- 00:14:16people like susie kuhn would have to
- 00:14:18have their failed hip implants removed
- 00:14:21and go through more nightmarish surgery
- 00:14:24and what brand of new hip was likely to
- 00:14:27be implanted believe it or not
- 00:14:29another soldier
- 00:14:31that's because soldier brought back all
- 00:14:33those contaminated hips not yet
- 00:14:36implanted in patients re-cleaned them
- 00:14:38and promised doctors a safe product
- 00:14:41no more oil
- 00:14:43no more problems
- 00:14:45guess again what did you eventually find
- 00:14:48out about that second hip implant
- 00:14:52i could no longer walk
- 00:14:56the agony increases along with the
- 00:14:59problems he says i got to take those
- 00:15:01knees out and put new ones in more
- 00:15:03implants are failing while the company
- 00:15:05maintains its silence when do no harm
- 00:15:08continues
- 00:15:12we now continue with do no harm
- 00:15:18returning to our story a company has
- 00:15:20recalled the hip implants that have left
- 00:15:22thousands of people in pain and promised
- 00:15:24to fix the problems
- 00:15:26but what the company did next would
- 00:15:28prolong the medical nightmare for many
- 00:15:30here again
- 00:15:32lee thompson
- 00:15:34it was a medical disaster of enormous
- 00:15:37proportion who would ever think that a
- 00:15:40medical device implanted in thousands of
- 00:15:42people would be contaminated and have to
- 00:15:45come out
- 00:15:46for anguished patients like susie kuhn
- 00:15:49it meant more
- 00:15:50surgery more unbearable pain and another
- 00:15:53heart-wrenching talk with her doctor i
- 00:15:56told him i i just couldn't
- 00:15:58i'd i'd rather be dead and bury than
- 00:16:01have to go through a surgery like the
- 00:16:03first surgery you know
- 00:16:08and then he said
- 00:16:10he got real upset
- 00:16:13and i asked him if i was gonna die
- 00:16:16i was i'm scared
- 00:16:19did you really think you would die
- 00:16:22i
- 00:16:24i think these days you just never know
- 00:16:28when
- 00:16:33a complication or something can happen
- 00:16:37susie's fears were not unfounded
- 00:16:39dateline has uncovered several cases
- 00:16:41where patients did die of complications
- 00:16:44as a result of having defective soldier
- 00:16:46implants removed
- 00:16:48the company meanwhile was trying to cut
- 00:16:50its losses rather than destroying the
- 00:16:52recalled hips solzer had those not yet
- 00:16:55implanted in patients returned to the
- 00:16:57plant
- 00:16:58it announced it could re-clean them with
- 00:17:01a new improved process that would get
- 00:17:04rid of the oil
- 00:17:05michael frohlich worked as a parts
- 00:17:07inspector at the solser plant if we
- 00:17:09could just get the all of the parts from
- 00:17:12the field that may have been
- 00:17:14contaminated back into the plant and
- 00:17:16enough volunteers to come in during
- 00:17:18their christmas vacation to re-clean the
- 00:17:20parts and repackage them we would get
- 00:17:22them all out and no one would know the
- 00:17:24difference and that's exactly what souls
- 00:17:26are dead assuring doctors the recalled
- 00:17:29hips were now clean and safe
- 00:17:32dr michael britt susie coon's doctor
- 00:17:34believed if the hip was now clean it was
- 00:17:37still the best choice for his patient
- 00:17:39doctor why would you put in a hip
- 00:17:42that had been recalled and reprocessed
- 00:17:45at that time you'd have faith in what
- 00:17:47you were being told i just looked at him
- 00:17:49and i said i i trust you and and you're
- 00:17:52my doctor so do what you think we need
- 00:17:54to do
- 00:17:55so dr britt and surgeons all around the
- 00:17:58world went back to the operating room
- 00:18:01but soon after her second soldier
- 00:18:03implant susie knew something was wrong
- 00:18:07her hip began to fail just as the first
- 00:18:10one had and i couldn't sleep at night
- 00:18:13it just seemed like i was just miserable
- 00:18:15all day and all night unbelievable as it
- 00:18:18may sound susie's supposedly oil-free
- 00:18:21hip implant failed in exactly the same
- 00:18:24way as the first hip
- 00:18:26michael frolick isn't surprised he says
- 00:18:29the company at least initially never
- 00:18:31changed the cleaning process on the
- 00:18:33recalled hips a process it knew by then
- 00:18:37was faulty
- 00:18:38when they did bring in all the parts and
- 00:18:40tried to reclaim them they immediately
- 00:18:42encountered problems the plan that they
- 00:18:44set out to reclaim the parts failed in
- 00:18:47fact there have been at least 138 cases
- 00:18:51in which the supposedly fixed hips had
- 00:18:53to be removed from patients when i found
- 00:18:56out this part was bad
- 00:18:58i just
- 00:18:59couldn't understand how
- 00:19:02you know
- 00:19:02they promised my doctor a good part
- 00:19:06and they let him down and they let me
- 00:19:08down
- 00:19:09solzer says it never skipped any of the
- 00:19:11cleaning steps on the reprocessed hips
- 00:19:14and disputes there ever was any problem
- 00:19:16with them the company says the initial
- 00:19:19results of a study it sponsored show the
- 00:19:21failure rate with those reprocessed hips
- 00:19:24was no greater than would be expected
- 00:19:26with any hip implant
- 00:19:28these people hadn't learned any lessons
- 00:19:31but former salzer employee michael
- 00:19:33frolick differs with salzer's account he
- 00:19:36says for instance he was told by a
- 00:19:38supervisor to lie on company records we
- 00:19:41falsified records we falsified test
- 00:19:45results falsifying records is illegal it
- 00:19:48probably is at the time i wasn't
- 00:19:49informed of that i understand it is now
- 00:19:52why did you do it
- 00:19:53i did it because the environment there
- 00:19:55in the plant
- 00:19:57was so pervasive
- 00:20:00with this kind of behavior
- 00:20:03that
- 00:20:04there just wasn't any dissent
- 00:20:07frolick says he finally went over the
- 00:20:09heads of his supervisors to top company
- 00:20:11management and told them what was going
- 00:20:14on and he was fired
- 00:20:16salzer says its investigation found
- 00:20:18frolic violated company procedures and
- 00:20:20falsified records on his own not at the
- 00:20:23direction of supervisors
- 00:20:26but who falsified what doesn't much
- 00:20:28matter to susie kuhn as unimaginable as
- 00:20:31it seems she had to go in for a third
- 00:20:34surgery to remove that second bad hip
- 00:20:37implant
- 00:20:38all in less than a year
- 00:20:40as they wheeled you in
- 00:20:42a third time
- 00:20:45what was going through your mind
- 00:20:47i was real scared
- 00:20:49and i need to make it through this
- 00:20:52today just looking through a mountain of
- 00:20:54medical records and bills is enough to
- 00:20:56relive the agony all over again
- 00:21:01but wait there's even more
- 00:21:03solzer also made artificial knees at
- 00:21:06that austin plant but at the time of the
- 00:21:09hip recall the company said the oil
- 00:21:12problem did not extend to any of its
- 00:21:14other products and told the government
- 00:21:16it was confident in the safety of its
- 00:21:19knees right here on its website it said
- 00:21:22no other soldier orthopedics products
- 00:21:24are suspect
- 00:21:26our other products do not go through the
- 00:21:28same manufacturing process
- 00:21:31but as dateline has discovered the
- 00:21:33company knew that wasn't true when i
- 00:21:36came out of the navy
- 00:21:38i went to work on the river roger porter
- 00:21:40was a commercial fisherman for 50 years
- 00:21:43it took a physical toll on his body just
- 00:21:46two months after salzer recalled its
- 00:21:48hips roger entered the hospital for a
- 00:21:51double knee implant he remembers talking
- 00:21:54to his doctor i go oh you're scared i
- 00:21:57said yeah yeah i'm scared
- 00:21:59it was a gruesome ordeal they cut it
- 00:22:02open
- 00:22:03and then they cut off this kneecap
- 00:22:06and lay it down
- 00:22:08then they have a machine that fits onto
- 00:22:10the lower part and then they trim the
- 00:22:12bone off square what roger didn't know
- 00:22:15was that months before his implant a
- 00:22:18soldier vice president was telling his
- 00:22:20staff that word is beginning to spread
- 00:22:23of loose knee implants
- 00:22:25and emails from doctors were alerting
- 00:22:27soldier that failed knee implants
- 00:22:30appeared to have the same symptoms as
- 00:22:32the recalled hips
- 00:22:34when soldier recognized that it had a
- 00:22:36problem with hip implants
- 00:22:38did it also by definition have a problem
- 00:22:40with knee implants the knee implants
- 00:22:42which were
- 00:22:44produced in the same way as the hip
- 00:22:46implants they should have definitely
- 00:22:49known that there would be a
- 00:22:50contamination risk with those lots of
- 00:22:53knees
- 00:22:54roger's knees weren't healing and then
- 00:22:57came the call from his doctor he says
- 00:22:59you've got oil in him you got to come
- 00:23:01right back he says i got to take those
- 00:23:02knees out and put new ones in
- 00:23:05period roger's verdict that's really
- 00:23:08criminal what really makes him furious
- 00:23:10is just a month after his first surgery
- 00:23:13the company abruptly stopped selling
- 00:23:15that knee implant yet never called his
- 00:23:18doctor
- 00:23:19the big word is
- 00:23:20why why would you do something like this
- 00:23:25you know
- 00:23:26because this is affecting people all
- 00:23:27over the country
- 00:23:29according to court records of the over
- 00:23:311300 souls or knees implanted after it
- 00:23:34changed its cleaning process at least
- 00:23:37600 had to be removed
- 00:23:40still there has never been any recall
- 00:23:43the company says for business reasons
- 00:23:46not safety it pulled them off the market
- 00:23:48so there were no knees left to recall
- 00:23:51and that is what salzer also told the
- 00:23:53fda
- 00:23:55but internal documents obtained by
- 00:23:57dateline show at about the time salzer
- 00:23:59stopped selling knees it knew of at
- 00:24:01least 20 failed knee implants already
- 00:24:04removed from patients and knew of more
- 00:24:06than 35 other suspect cases
- 00:24:10dr suzanne parisian used to be chief
- 00:24:12medical officer for the medical devices
- 00:24:14section at the fda
- 00:24:17surely nobody in this company
- 00:24:19wanted to hurt anybody
- 00:24:22that's not what this is about i don't
- 00:24:24think you would take anyone from salzer
- 00:24:26and and they would want to go out and
- 00:24:28hurt people like this but it's so easy
- 00:24:30when you make a product to forget that
- 00:24:32there's a human being involved and you
- 00:24:35have to wonder where was the food and
- 00:24:37drug administration during all of this
- 00:24:39it is supposed to regulate medical
- 00:24:41devices
- 00:24:43we asked the head of the fda's medical
- 00:24:45device section for an on-camera
- 00:24:47interview he declined
- 00:24:49but he told us he felt sulzer acted in a
- 00:24:52responsible and timely manner in
- 00:24:54recalling its hips
- 00:24:56based on the stories you've just heard
- 00:24:59how could he say that
- 00:25:01well it appears the fda's file in this
- 00:25:04case obtained by dateline simply doesn't
- 00:25:07contain much of the information in our
- 00:25:10report
- 00:25:11typical of cases involving a voluntary
- 00:25:13recall the government relied heavily on
- 00:25:16information supplied by the company
- 00:25:19was soldier honest with the fda
- 00:25:22not from the documentation i've seen
- 00:25:24they were not you believe there was a
- 00:25:26cover-up here yes there was a cover-up
- 00:25:29by salzer to keep the information from
- 00:25:32the physician and the public and the fda
- 00:25:35one reason dr parisian believes there
- 00:25:37was a cover-up was because the company
- 00:25:39told the fda it only heard about hip
- 00:25:42failures two and a half months before
- 00:25:44the recall not seven months as dateline
- 00:25:47has found
- 00:25:49and why didn't solzer notify doctors and
- 00:25:51the fda sooner solzer contends it needed
- 00:25:54time to figure out the problem and until
- 00:25:57it knew the cause alerting the public
- 00:25:59and the medical community would have
- 00:26:01been irresponsible and caused widespread
- 00:26:04panic
- 00:26:04dr parisian says that's no excuse and
- 00:26:08the minute they knew that this product
- 00:26:10was not performing the way it was
- 00:26:11supposed to that's when they should have
- 00:26:13said stop using this product we're doing
- 00:26:15a recall the law doesn't say you have to
- 00:26:17have the fix
- 00:26:19it was a hideous two years
- 00:26:21it hurt physically
- 00:26:23it hurt emotionally it makes you sick
- 00:26:26just sick to think that you've gone
- 00:26:28through all this
- 00:26:29at least some people agreed in august
- 00:26:312001 in corpus christi texas a jury
- 00:26:34awarded these three women lillian naomi
- 00:26:37and helen damages of 15 million dollars
- 00:26:41asserting soldier was guilty of
- 00:26:43manufacturing a defective product guilty
- 00:26:46of malice and that it knowingly caused
- 00:26:48injury to elderly patients they later
- 00:26:51settled
- 00:26:52it's hard to imagine but between them
- 00:26:55this small group of patients has
- 00:26:57undergone more than a dozen hip
- 00:26:59surgeries in just two years susie and
- 00:27:02joel endured three surgeries each
- 00:27:05have any of you
- 00:27:07ever gotten a letter of apology from
- 00:27:09salsa no
- 00:27:10have you ever gotten a phone call no
- 00:27:13the company says in letters to dateline
- 00:27:16it deeply regrets the pain and
- 00:27:18discomfort our implants caused some of
- 00:27:20our patients that the well-being of
- 00:27:22patients who receive our products is of
- 00:27:25the highest priority to us and we have
- 00:27:27done our best to be proactive in
- 00:27:29supporting everyone affected by the
- 00:27:31recall
- 00:27:33as for those manufacturing changes which
- 00:27:36led to the defective hips the company
- 00:27:38says in addition to being a
- 00:27:40cross-cutting move it removed steps from
- 00:27:42the cleaning process because at the time
- 00:27:44it didn't think they were necessary
- 00:27:47also says it was trying to cut down on
- 00:27:49the use of hazardous chemicals in the
- 00:27:51plant
- 00:27:53so far almost 4 000 defective implants
- 00:27:57have been removed from patients
- 00:27:59salzer which has since changed its name
- 00:28:01to center pulse tells dateline in the
- 00:28:04two years since the problems occurred a
- 00:28:06new management team has taken aggressive
- 00:28:08action to make sure nothing like this
- 00:28:10happens again the company says its
- 00:28:13products are now clean and safe are you
- 00:28:16in pain i still have pain
- 00:28:19and as i look back at all the time i
- 00:28:21missed out with my kids
- 00:28:26and my family
- 00:28:28you can't bring it back to me
- 00:28:30susie is one of 4 000 patients who
- 00:28:33recently reached a financial settlement
- 00:28:35with the company
- 00:28:36because of the repeated surgeries
- 00:28:39susie's tennis days are over and sadly
- 00:28:42her recovery may be a lifelong struggle
- 00:28:46i only hope
- 00:28:47that
- 00:28:48this doesn't happen to anybody else in
- 00:28:50the future
- 00:28:59you
- implantes de quadril
- desastre médico
- Solzer Orthopedics
- recall
- cirurgias repetidas
- complicações
- contaminação por óleo
- mudança de processo
- registro médico
- indemnização