November 9th, 2010

Pryers Solicitors have been instructed by a number of patients to bring claims for compensation in relation to the failure of De Puy ASR hip implants, which have been recalled by the manufacturer.
Since the product was launched in 2003, over 10,000 people in the UK have been fitted with a De Puy ASR hip implant, either during hip replacement or hip resurfacing.
Towards the end of 2009, experts in Australia became concerned that a large number of ASR hips were failing prematurely, often requiring further surgery. Earlier this year, the UK Medicines and Healthcare Products Regulatory Authority (MHRA) issued a notice about the ASR hip, saying that there may be a problem. They began their own investigations. In September 2010, the manufacturer, De Puy, decided that the products should no longer be used; that unused stock should be returned to the manufacturer; and patients who had received an ASR device should be checked by their surgeons and, if they showed symptoms of failure of the device, revision surgery should be considered.
While the revision rate is still relatively low, at about 12 or 13% within five years, this is more than twice the rate that would be expected from other hip products. It is therefore expected that a very large number of patients will have hip pain and will require additional surgery due to the defect in the particular hip used. In many cases, such patients will be entitled to compensation from De Puy.
Pryers represent a number of people, from all over the UK, who have had problems with the De Puy ASR hip and who have required further surgery for revision, or are expected to require revision in the future. Claims for compensation will be brought against the manufacturer under the Consumer Protection Act, which requires manufacturers to pay compensation for injuries and financial losses caused by defective products. Most cases will be conducted on a “no win no fee” basis.
If you have been fitted with a De Puy ASR prosthesis, whether as a replacement or resurfacing, and are having hip pain or other hip symptoms, please contact Richard Greensit, a specialist medical solicitor at Pryers.
Richard can be contacted on 01904 556600 or at richard.starkie@pryers-solicitors.co.uk.
Update: Please see related post: DePuy ASR Hip Replacement Products
Tags: 7 September, Australia, Consumer Protection Act, David Sears, De Puy, Defective Products, Depuy, Failure, Family Member, Fee Basis, Financial Losses, Healthcare Products, Healthcare Products Regulatory Agency, Hip Implant, Hip Implants, Hip Pain, Hip Replacement, Hip Replacements, Hip Resurfacing, Hips, Investigations, Legal Advice, Litigation, Medical Device Alert, Medical Directors, Medicines, Medicines And Healthcare Products Regulatory Agency, Mhra, Regulatory Authority, Solicitors, Unused Stock
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January 31st, 2011
A patient group is to be formed, for those people affected by the failure of the DePuy ASR prosthetic hip joint.
It is hoped that the group will allow the opportunity to meet other people who have been affected, to discuss concerns and experiences on an informal basis.
While the group will be organised and run by the patients themselves, the first meeting is being arranged by Pryers Solicitors.
It is intended that the first meeting will take place in York on Saturday 12th February 2011.
If you would be interested in attending, please contact Richard Starkie or Richard Greensit at Pryers Solicitors on 0800 316 0166 or by email at richard.starkie@pryers-solicitors.co.uk or richard.greensit@pryers-solicitors.co.uk
Pryers Solicitors LLP is a York law firm specialising in medical law. Pryers acts for a large and growing group of clients in damages claims against DePuy International Ltd, in relation to the failure of the DePuy ASR hip products, which were withdrawn from the market in August 2010.
Tags: Acts, Damages, Depuy International Ltd, Email, Experiences, Failure, First Meeting, Informal Basis, Medical Law, Meeting Will Take Place, Patient Group, Patient Support Group, People, Solicitors, Specialising
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January 27th, 2012
Pryers Solicitors of York now act for over 200 patients who have suffered the premature failure of their metal-on-metal hip replacements and resurfacings. Claims for compensation are being brought against DePuy International Ltd, the UK distributor of the ASR and ASR XL hip products.
The team, headed by Richard Starkie, has been strengthened by the recruitment of two more solicitors, Lucy Macklin-Smith and Lindsay Perryman, who join Aftar Waris and Jamie Paddock.
The ASR hip was introduced in July 2003 and used extensively in a few areas of the UK, particularly York, North Tees, Surrey, Rotherham, Merseyside and Cardiff. By 2007, a number of surgeons raised concerns that they were experiencing a higher than expected failure rate with the ASR. DePuy’s response was that this was a problem with surgical technique, rather than a problem with the product. However, as concerns grew, DePuy withdrew the product form the Australian market in December 2009 and from the rest of the world in August 2010.

Since then, hospitals have been recalling patients for tests, including blood tests; ultrasound and MRI scans; and aspirations of fluid from the hip. Hundreds of people have been found to be suffering from excessive wear of the components, which can lead to damage to the soft tissues around the joint and even to the bone. Revision surgery is then required, with a lengthy recovery period. Patients frequently fail to make a full recovery and many require further surgery after revision.
Although, at the time of the product recall in August 2010, DePuy put the 5 year failure rate at 12-13%, some surgeons now estimate the 6 year failure rate as being as high as 49%. If that is correct, it is likely that several thousand people in the UK alone will require further surgery.

Over the last 18 months, Pryers have worked with some of the world’s leading biomechanical engineers, biotribologists, metallurgists, metrologists, surgeons, toxicologists, epidemiologists, histopathologists and microbiologists.
We have been one of the leading law firms in the investigation of these claims and in the discussions with DePuy.
We have carried out extensive work the following: -
- the precise nature of the design defect;
- the testing procedures and how they failed;
- the manufacturer’s delay in recalling the product;
- establishing causation in individual cases and excluding other potential causes of joint failure;
- determining prognosis after an ASR failure;
- establishing causation of cobalt and chromium toxicity;
- and the long-term health risks posed by exposure to these metals.
We have also been instrumental in establishing and co-ordinating a patient support group for the North of England, called Altogether ASR, which has had several meetings and will shortly be launching a website. The group’s next meeting will be in March 2012. Please contact Pryers for details.
If you or a relative has suffered the premature failure of a metal-on-metal hip replacement or resurfacing, particularly the DePuy ASR, please contact Pryers Solicitors on 0800 316 0166 or by email at hips@pryers.co.uk.
Tags: Aftar, Asr, Blood Tests, Depuy International Ltd, Excessive Wear, Failure Rate, Hip Patients, Hip Replacements, Lengthy Recovery, Macklin, Mri Scans, North Tees, Perryman, Premature Failure, Product Recall, Recovery Period, Soft Tissues, Toxicologists, Uk Distributor, Waris
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December 1st, 2011
Pryers Solicitors of York now act for over 200 patients who have suffered the premature failure of their metal-on-metal hip replacements and resurfacings. Claims for compensation are being brought against DePuy International Ltd, the UK distributor of the ASR and ASR XL hip products.
The team, headed by Richard Starkie, has been strengthened by the recruitment of two more solicitors, Lucy Macklin-Smith and Lindsay Perryman.
The ASR hip was introduced in July 2003 and used extensively in a few areas of the UK, particularly York, North Tees, Surrey, Rotherham, Merseyside and Cardiff. By 2007, a number of surgeons raised concerns that they were experiencing a higher than expected failure rate with the ASR. DePuy’s response was that this was a problem with surgical technique, rather than a problem with the product. However, as concerns grew, DePuy withdrew the product form the Australian market in December 2009 and from the rest of the world in August 2010.
Since then, hospitals have been recalling patients for tests, including blood tests; ultrasound and MRI scans; and aspirations of fluid from the hip. Hundreds of people have been found to be suffering from excessive wear of the components, which can lead to damage to the soft tissues around the joint and even to the bone. Revision surgery is then required, with a lengthy recovery period. Patients frequently fail to make a full recovery and many require further surgery after revision.
Although, at the time of the product recall in August 2010, DePuy put the 5 year failure rate at 12-13%, some surgeons now estimate the 6 year failure rate as being as high as 49%. If that is correct, it is likely that several thousand people in the UK alone will require further surgery.
If you or a relative has suffered the premature failure of a metal-on-metal hip replacement or resurfacing, particularly the DePuy ASR, please contact Pryers Solicitors on 0800 316 0166 or by email at hips@pryers.co.uk.
Tags: Asr, Blood Tests, Depuy International Ltd, Excessive Wear, Failure Rate, Hip Replacement, Hip Replacements, Lengthy Recovery, Macklin, Mri Scans, North Tees, Perryman, Premature Failure, Product Recall, Recovery Period, Rotherham, Several Thousand, Soft Tissues, Solicitors, Uk Distributor
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November 25th, 2011
*Jane* sustained a dog bite wound to her hand and wrist after trying to stop a Staffordshire bull terrier from attacking her own dog. She attended A&E at her local hospital where an x-ray was taken to ensure there was no fracture or foreign body within the wound. Jane was told that the x-ray showed no fracture or foreign body.
The wound was stitched closed in A&E and she was given antibiotics tablets before being allowed home.
Unfortunately, Jane began to feel unwell after sleeping through the night. The following morning she had a fever and her arm felt very painful and heavy. She also noticed there was an area of redness spreading out from underneath the dressing. She went back to the A&E department at her local hospital.
A plastic surgeon examined her wrist and explained that the wound should have been left open for at least five days in order to prevent infection. Jane was admitted to hospital immediately and given intravenous fluids and antibiotics. She underwent a further 3 operations to thoroughly clean and debride the wound. Jane now has extensive scarring and struggles to use her dominant hand without pain.
In August 2010, Jane approached Pryers Solicitors and investigations were begun by Richard Starkie, a Solicitor specialising in Clinical Negligence. In October of the same year, having obtained copies of Jane’s medical records and x-rays, Richard wrote to the Hospital Trust setting out the allegations of negligence. The Trust responded and denied any liability.
Richard then instructed an expert in accident and emergency medicine, who supported Jane’s case unreservedly. The expert stated that the wound should not have been stitched in the A&E department. The wound should only have been stitched closed once a plastic surgeon had performed a thorough cleaning and debridement of the wound.
A hand surgeon was then instructed in order to provide a view on the effect of the failure and how Jane’s wrist was at the time. The expert stated that if the wound had not been stitched closed in the A&E department then the risk of developing a serious infection would have been less than half. The hand plastic surgeon also stated that Jane’s injury and infection had caused considerable short term pain and disability, and pain, weakness and stiffness in the long term.
These points were put to the Defendant but it maintained its denial of liability so Court proceedings were issued and served on the Trust.
The Defendant then made an initial settlement offer of £7,500. This was rejected and Richard entered into negotiations with the Defendant. Jane’s case was settled for £20,000.
The case was funded by a conditional fee agreement and Jane kept all of her compensation, with nothing to pay towards legal costs.
Tags: Accident And Emergency, Bull Terrier, Clinical Negligence, Debridement, Dog Bite, Dominant Hand, Emergency Medicine, Fracture, Hand Surgeon, Hospital Trust, Intravenous Fluids, Local Hospital, Medical Records, Plastic Surgeon, Sleeping Through The Night, Solicitor Specialising, Staffordshire Bull Terrier, Unwell, X Ray, X Rays
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August 26th, 2011
In August 2009 *Rachel* underwent a breast enlargement procedure at a private cosmetic clinic in London.
Unfortunately, during the procedure the performing surgeon removed excessive tissue when forming the left implant pocket. This occurred when electrically induced heat was used to seal a bleed within the pocket. The removal of the excessive tissue did not perforate the skin but it did reduce the underlying tissue.
Although the burn that resulted on the surface of the skin healed after approximately three months, Rachel was left with a small round visible scar on the upper inner side of her left breast, directly on her cleavage. The scar was similar in appearance to a cigarette burn and measured 1.5 centimetres in diameter.
In September 2009, Rachel contacted Laura Turner, a solicitor specialising in clinical negligence at Pryers Solicitors.
Investigations into the case were made and an expert opinion from a Consultant Plastic Surgeon was sought. The expert evidence was supportive of the case and critical of the way in which the procedure had been carried out.
In July 2011, the Defendant put forward an offer to settle for £2,500 plus costs, which started negotiations. The Defendant eventually settled the claim for £4,250 plus costs.
Tags: Appearance, Breast Enlargement, Cigarette Burn, Cleavage, Clinical Negligence, Consultant Plastic Surgeon, Defendant, Diameter, Expert Evidence, Investigations, Laura Turner, Left Breast, London, Negotiations, Solicitor Specialising, Solicitors, Three Months, Visible Scar
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August 24th, 2011
* Richard* sustained an injury to his Achilles tendon which required a plaster cast to be fitted. He complained to his local hospital in Newcastle of suffering from a hot, itchy and painful leg so his plaster was then changed. At this stage it was noted that his leg was bruised and extremely swollen. Richard requested that the hospital perform a scan of his leg but he was reassured that there was no need as his symptoms were normal for Achilles injuries.
Unknown to Richard, he had at this point developed a DVT which went undiagnosed for nine days until he collapsed and was rushed to his local hospital. As a result of the hospital’s failure to diagnose the pulmonary embolism (PE), he had to have a filter inserted for fourteen months and suffered with ongoing shortness of breath.
In September 2008, Richard approached Pryers Solicitors and investigations were commenced. Then in October 2009, Laura Turner, a solicitor specialising in clinical negligence, sent a letter to the Defendant’s setting out the allegations of negligence. In the Letter of Response, the Defendant admitted a breach of duty for failing to diagnose the DVT. However, the Defendant denied that there was any significant injury caused by this failure as Richard had a contra indication to anticoagulation.
Laura Turner undertook research into this area and discovered that some people with contra indication to anticoagulation can be preventively treated for a PE developing. She also found medical evidence to support the argument that at the very least all patients should be admitted and monitored carefully.
In 2011 these further allegations were put to the Defendant followed by an offer to settle the case for £5,000 plus costs, which was accepted.
Tags: Achilles Tendon, Allegations, Anticoagulation, Breach Of Duty, Clinical Negligence, Defendant, Dvt, Failure, Investigations, Laura Turner, Local Hospital, Medical Evidence, Newcastle, Nine Days, Painful Leg, Plaster, Pulmonary Embolism, Shortness Of Breath, Solicitor Specialising, Solicitors
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