1970 Jetgun Nursing Instructions
|
How to use the jetgun, detailing how the
device got contaminated. |
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1990 FDA Jetgun Autoclaves Recalled |
FDA Enforcement Report- Vernitron Majestic
Table Top Sterilizers, Models 8080,
Recall...The locking hub may detach from the
unit at high pressure...compromise of
sterility... (note: these autoclaves were
used to sterilize the Ped-o-Jet Jetguns used
by the military. Sterilization could not be
guaranteed.)
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|
1999 Global Injections |
Unsafe injections in the developing world
and transmission of bloodborne pathogens: a
review-...Five studies attributed 20-80% of
all new infections to unsafe
injections...major mode of transmission of
hepatitis C... occur routinely
|
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2003 CDC Guidelines |
Nosocomial transmission of bloodborne
viruses from infected health care workers to
patients...some occupations ... higher risk
... rate of HCV in oral surgeons
|
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2004
CDC Jetgun History |
Research by the CDC on jetgun history-
Needle-Free Jet Injection Bibliography,
Device & Manufacturer Roster, and Patent
List
|
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2004 CDC Report
Finger Stick Device Lancets |
CDC and the Food and Drug Administration
(FDA) have recommended since 1990 that
fingerstick devices be restricted to
individual use
|
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2005
USA Surgical Tissue Adhesive |
Hepatitis C scare halts use of surgical
adhesive-The Health, Labor and Welfare
industry on Tuesday ordered a pharmaceutical
company to stop the sale of an imported
surgical tissue adhesive after an elderly
man ...contracted the hepatitis C virus ...
weakened following an operation...died
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|
2005 VA Surgical Clinics Investigation |
EL PASO, Tx - A Beaumont Army Hospital staff
member contracts Hepatitis "c" and now
several patients are also infected. Up to 5%
of all the patients tested so far have
tested positive...
|
|
2008
HCV Dental Implants Transmission |
Hepatitis patient sues, blames dental
implants-A woman who underwent dental
implant surgery ...suing the makers of
products ... after she learned the products
had been recalled and she had contracted
Hepatitis C.
|
|
2008 Legal Advice for Patients |
PUBLIC HEALTH CRISIS: Queries irk hepatitis
patients- Attorneys telling clients not to
reveal past drug, sexual activity- Southern
Nevada Health District's intent to
embarrass...when it determined what
questions to ask former patients of two Las
Vegas gastroenterology clinics regarding
their past risk factors for hepatitis...
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|
2008
Multi-Risk Transmission Factors |
Frequency distribution of hepatitis C virus
genotypes in different geographical regions
of Pakistan and their possible routes of
transmission- Infectious Diseases 2008,
8:69...More than 70% of the cases were
acquired in hospitals through reuse of
needles/syringes and major/minor surgery...
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|
2008 NV
State Investigation UPDATE |
So Nevada Hepatitis C Investigation
UPDATE:"Patients were put at risk, health
officials say, when a syringe would be
reused on an infected patient and then used
to draw anesthesia from vials intended for
just one patient. The vials would then be
used on other patients, potentially
spreading disease."
|
|
2008
VA Nevada Exposures |
VA Office of Inspector
General,inspectionefurbished scopes were
purchased and a scope broke... GI providers
reused syringes...contaminated medication
from vials...contracts were awarded to the
GI provider group or that senior managers
received kickbacks.
|
|
2009
CDC Report- Hemodialysis Unit |
Hepatitis C Virus Transmission at an
Outpatient Hemodialysis Unit --- New York,
2001--2008 -... negative to anti-HCV
positive in a New York City hemodialysis
unit Supervisory staff members failed to
address these breaches. Many of the direct
care staff members were unaware of ...unit's
written infection control policies,
including those pertaining to cleaning and
disinfection. Investigators also noted the
lack of a separate clean area for... has 8%
risk factor
|
2009 Congressional Probe - VA Clinics
|
Kerry urges probe of unsanitary conditions
at VA
|
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2009 GA Med
Center Endoscopes |
Columbia County Medical Center In Hot
Water-GA officials.. look at a local medical
center. Workers... not have followed proper
cleaning procedures. ..1,300 patients...
received this letter...concerns over the
sterilization process of endoscopes
|
|
2009 GA VA Ear, Nose and Throat Clinic |
The fact that it took five years for them to
catch a mistake like that....nose and throat
clinic at the VA Medical Center ...that they
may have been exposed...
|
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2009 TN
VA Wrong Valves |
VA mum extent of equipment contamination
caused by wrong valve used during
procedures... noticed wrong valve on the
tubing used in colonoscopies
|
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2009 VA-
FL Endoscopes |
The VA insists the risk of infection is
minimal and only involved tubing on
equipment, not any device that actually
touched a patient.
|
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2010 CDC
Report- Mulitple Exposures |
HCV quasispecies sequences from the patients
were nearly identical (96.9%–100%) to those
from source patients with chronic viral
hepatitis. All affected patients in both
clinics received
|
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2010 Lawsuit Nevada |
...Health officials have blamed reuse of
vials ... jury...ordered Teva ... to pay
$356 million in punitive damages..
Baxter...$144 million..
|
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2013 HCV
transmitted by biopsy forceps |
The problem at a colposcopy clinic ...began
in May 1999 and was detected on May 24 of
this year...health officials are contacting
nearly 2,500 patients after discovering that
unsterilized biopsy forceps were used
|
2015 FDA Fingerstick Risk
|
May 12, 2015 Safety Communications > Use of
Fingerstick Devices on More Than One Person
Poses Risk for Transmitting Bloodborne
Pathogens: Initial Communication (8/26/2010)
Food and Drug Administration
|
|
Dental treatmen was commonest conventional
risk factor |
Dental treatment: 278
(32.55%)...Non-conventional transmission of
hepatitis C: a true possibility ignored...
show very high risk for HCV transmission by
dental procedures.
|
|
Finger Stick
Device potential source |
In teaching patients how to administer
finger sticks and insulin shots to
themselves, the nurse changed the needle..
but reused...I don't believe this nurse was
cognizant of the possibility...was a
potential source..
|
|
HCV Detected in Dental Surgeries |
Our data indicate that there is extensive
contamination by HCV of dental surgeries
after treatment of anti-HCV patients and
that if sterilisation and disinfection are
inadequate there is the possible risk of
transmission to susceptible individuals
|
|
VA OIG
Report |
VA supply orders not equal to demand...
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