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The Latest Defective Product from China: Titanium

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Washington, DCYet another defective product issue has originated in China—and while personal injury in connection with the product has yet to be identified, the alarm bells are once again ringing over the potential for yet another defective product personal injury case. This time, the battles lines are being drawn over titanium.

TitaniumThe latter is a specialized alloy used in various products, including orthopedic implants used during surgery. As reported by the GMP Letter September 3, a device maker was unsuccessful in processing titanium through a machine used to manufacture a device (the specific device was not identified). The manufacturer approached its supplier, G&S Titanium, an importer-distributer.

According to Roger Geiser, G&S CEO, the defect was identified as alloy segregation, an indication that the metals were not melded homogenously. If the alloy is not melded properly, the metals remain unmixed.

G&S said the raw material was imported from Dalian Sunny Titanium Industry, an enterprise based in China. Geiser added that his company is no longer purchasing titanium from there.

While the US Food and Drug Administration (FDA) visited the G&S facility about two months ago, no details about the inspection were released. In the interim, the Orthopedic Surgical Manufacture's Association (OSMA) is working with affected device makers to address the problem. "It's not an easy issue," OSMA's Tom Craig told GMP.

Not easy because the defective titanium from China actually met international standards set out for titanium by ASTM, a standards organization. Second, nothing short of a destructive test could possibly identify the defect—although such a test would serve to weaken the titanium. Destructive tests are not required by the ASTM under current regulations.

What's more, says Craig, the defect could be so localized that only a small piece of one device could actually be defective.

What does that mean for a patient concerned over a defective product and personal injury? Hard to say. OSMA indicated it did not know of any defective products migrating out to patients as a result of the problem. Craig also said that a few companies have initiated pre-emptive recalls, although he did not identify the manufacturers or what those products were.

G&S tested the titanium in question, which demonstrated adequate strength and chemistry specifications. "The certification we got from the supplier said this should never happen," G&S' Geiser said. But it did—and the defect occurred further down the supply chain than what the FDA generally inspects, said Craig. "This caught everybody off-guard."

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READER COMMENTS

Posted by

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My son is now 34. He was in an accident at the age of 17. The dr inserted a titanium rod. After the 1st year he had big knot come up in his lower leg with the rod. He asked the dr he said it was a hernia. I found the best orthopedic surgeon look at his leg. He said the rod has to come out. Therefore, his was completed, the rod was so bent. The specialist so kind came out to tell me, he wouldnt have done this like it was. He said the rod had went to the knee and he would have arthritis in the knee. Nothing to do with the break in his lower leg. His knee will pop out and he'll hit the ground. My question is could the rod have been damaged or recalled. My son is now 34. The cold hurts his knee. I'm not looking to cause an issue with the original surgeon but to find out if a defective rod was placed in his lower leg. Thanks for listening. I know it's too late to do anything but if the rod was defective should the company be responsible. Again thank you. Just a concerned parent

Posted by

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I had 2 rods and about 16 screws, along with a wedge between the lower 2 disks put in May 14, 2018 and almost immediately after the operation I was getting a creaking and popping sound in my back. It was finally determined that several of the screws and one of the rods had come loose. Was operated on a second time April 29, 2019 to repair this problem. About a month later bent down to pick up a sock and heard a loud pop and instant pain. Turns out one of the rods had snapped. So the third operation was done on July 15, 2019 to have a cross bar installed to strengthen the rod. Immediately after this operation I was getting the creaking and popping noise again. It was then determined that the crossbar had come loose. I was then operated on a 4th time on December 16, 2019 to remove the crossbar and bottom screw which had been determined to be causing me pain in the lower back. Pain remained so i went for a second opinion which determined that part of the area had failed to fuse and the wedge piece had actually twisted. Presently waiting for a fifth operation to replace the wedge piece as well as the rest of the hardware removed and replaced with new rods and screws. I have been in pretty much constant pain , I am able to walk about 4 miles a day but can't stand in one spot for more than a few minutes before I have to sit down.
The doctor had come well recommended and respected and has been operating for over 30 years.

Posted by

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I had 2 rods and 20 some screws put in my back . February 16 th 2018. I leaned forward and it popped so loud that everyone in the room heard it.One rod broke. I haven’t had an accident. It just broke. I had an X-ray December 10th showing the break. Then a cat scan. Cat scan was delivered to doctor on dec 13 2019. It is now January 2nd 2020. I have yet to hear from my doctor. They said they didn’t get my cat scan. So the hospital sent one they got it like 5 days later. They had it sooner than that. Now I’m waiting for the doctor’s to read results I think something is going on. As to why they are just blowing me off. Seems like they are scared. I’m in horrible pain sometimes I can’t even walk. They just don’t seem to care.

Posted by

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My brotger leg got really infected as did his toe. They have to do sugery and they believe it is tge titanium they place in his leg after he broke it really bad. I have a plate in my arm i hope it dont cause me problems

Posted by

on
Has anyone developed an allergy to the rod? It is not pure titanium. Did not have allergies prior to having a titanium rod placed but now I am hives, rashes and require epi.
Having a very difficult time finding an attorney to sue maker of these. hypoallergenic bs

Posted by

on
I had spinal surgery and I have a broken screw in my back who is liable for that in pain everyday and every night now they have to take it back out

Posted by

on
I have someone close to me who is dealing with the same issue. I'm unsure of the type of metal rod, but it's probably a Titanium alloy. Anyway, can anyone describe the type of break bcs in her situation it was a clean line that went straight across. Like as if a samurai sword sliced it in one swipe. Wondering if that could be a clue as to why it would break.

Posted by

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Our son, a Senior in HS, won 2 top ROTC scholarships (Army and AF) earning him 6 full 4 year college scholarship, plus room and board. He also earned 2 nominations to West Point. After getting a medical waiver, he was told to get a CT scan to make sure he was completely healed from shoulder surgery a year prior. (Keep in mind, after his surgery he was cleared by several doctors ,played sports, was in an intense weight lighting class, maxed out the WP fitness test, had a lifeguarding job, etc. To everyone's shock and devastation, the CT scan showed that the Titanium screws in his shoulder broke off and so did part of his shoulder bone. He isn't in pain but said his shoulder feels weird. He went from getting into West Point or having 6 full ride college scholarships to nothing. The recovery from his first surgery was over a year. We can't even imagine him having to do it again.

Posted by

on
I also have a broken Titanium rod. I find it truss summer because pain was not going away and getting worse. My surgeon said the hardware he installed was not going anywhere but he would be more than happy to do surgery on anything else that I was to break if I didn't follow doctor's instructions. I followed then to a T. Is this just a link for attorneys to get more clients or is it actually a forum in helping victims with resolutions against defective hardware?

Posted by

on
I had back surgery and had a titanium cage put in my lower back after they had fused several of my discs in the 2002. I had a good recovery and was very happy with the results, but now for about the last 5 years, I have had pain to the point of I can't stand long for no more than 15 minutes before I have to seek somewhere to sit down. I can't lay down in bed without having to use a pillow under my legs. I always have to have a tens machine or heat pads attached to lessen the pain to get thru the day.
I recently heard there was problems with the titanium inserts and was wondering if there has been problems reported about this unit from others?

Posted by

on
I had 2 rods put in my back back in the late 80's.they both broke 2 years later.they removed one and they can't remove the 2 won.I have pain can't stand long can't lay long

Posted by

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I have had 4 back surgeries, last two was done at KU Med Center in Kansas City. To make along story short I had 3 titanium rods break in my back. The July 2015,surgery took 13 hours and I told the Dr about the pain in about 6 weeks nothing was done. I continued to tell Dr & nurse with every communication telephone or verbal and they kept saying everything is growing back. In Sept of 2016 went for check up & was told after x ray I had a broken rod. Nov of 2016 they did the same surgery again and found I had 3 broken rods. I have all the hardware that was removed from my back. I want to talk to someone who would be interested in taking my case on. Now I have permanent nerve damage as a result broken rods a continues burning, and pain medication just takes the edge off.

Posted by

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I have had yet another surgery and now the rod broke in my neck. I already had a non fda approved device called Medtronic infuse put in my neck in 2007 to cause me several more surgeries. Now this rod is painful. Can I get help???

Posted by

on
Have anyone of you that commented here found a lawyer that took you as a client and sued due to the rods or plates you had placed, breaking?

Ive had several back surgeries due to the rods breaking and would like to know if anyone can be held accountable for this happening!

Posted by

on
Yes I done had two surgery and the rod broke inside my ankle now wondering if anything could be done in a legal matter I was told I could but don't know

Posted by

on
I broke my wrist about 5 years ago, a couple months ago my extensor tendon ruptured. The screw head had broken off when the doctor put it in, it was titanium, and the screw worked its way through my bone and severed the tendon. I had the plate and screws removed and was told it happened during the surgery because they didn't find the head of the screw. I was off work for 10 weeks. I didn't titanium was suppose to break and now I am nervous since I have plates in my neck and my lower back.

Posted by

on
I had surgery in 2011 and have been in pain ever since my surgery. I had 2 titanium rods put in for a L2 & L4 fractures from a car accident. After 1 year I heard a loud explosion in my back & had numerous X-Rays before I found out I had a broken rod, & a T12 fracture. 1 year later I was told I now had another rod broken bilaterally @ L2 & L4 level. I can't stand up straight & am humped over. I was told I now have a scioliosis. I was also just admitted to a hospital because I have been in severe pain which the pain meds weren't able to help & I have also been falling over on people when I leave my house. They told me when they did a cat scan that I now have 3 more fractures in my back. The Neurosurgeon would not help me because another surgeon had operated on me so I left the hospital. I feel like Humpty Dumpty who fell off the wall trying to find an expert doctor to put me back together again.

Posted by

on
4 yrs ago I fell. I was 62yrs and had never broken a bone. spiral fracture of upper tibia and fracture fibula. a titanium rod and screws was inserted. weight bearing was started at 8 weeks. the titanium broke above my ankle. the dr. said he could take it out and start over. I am now 66yrs and some days I can feel bones grinding together and barely do any weight bearing.
what are my options at this point ?

Posted by

on
About six years ago. I had two long titanium rods side by side (over one half spine) from tailbone to shoulder. After about a year one broke at about third vertebra from bottom. The pain is bad and meds have trashed my life (constant narcotic fog) after another couple years pain increased, walking became impaired, am now hunched backed. X-ray revealed second rod broken in exact same level. I am having a repair surgery in two weeks. Can anyone help me understand.

Posted by

on
i had back surgery when i was 15 i am 28 now it was sum 13 years ago in 2002 i had 2 metal rods and screws put in my back i have had constant pain for these past 13 years i have worked so many factory wants they find out about my back they say i am a liability risk. right now i have been able to work in this one factory for three years latley my back has gotten even more severe so i decided to go to a spine doc. witch intern found out the left rod is broken in 2 places and the right one is broken in one place they are also bent thease are titanium rods. i was wondering would thease rods be a result of this article.

Posted by

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Titanium plate broke shortly after surgery in 06', I know the SOL is well past the time frame, but just last week my doctor informed me that it was the wrong plate install in the 1st place and did more damage, plate shifted and screws are starting to come loose, which he explained should not be happening, and the way the plate was installed prevented the non union fracture from healing, I'll know more once the CT scan results come in. ...

Posted by

on
as the person has stated above in the reader comments I have had a plate put in my leg and as soon as the doctor released me for work the plate broke that day and I had to have two put in and I will never be able to work again due to the fact that it shattered my leg and it will not heal properly. I feel that it is due to the defective plate that he had put in my leg in the beginning. it was a titanium plate. from my understanding.

Posted by

on
Hello, I have had two surgeries redone because the titanium plate in my leg snapped twice. Could this be caused by what was in the article? Just wondering....
Mimi

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