Mogen: Difference between revisions

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  |date=2011-04-08
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}}</ref> The Mogen clamp's name derives from the Hebrew word "magain," or shield, and it was invented in an effort to standardize circumcision equipment then in use by both doctors and mohels without medical training who perform the procedure in private homes and other locations.<ref name="hennessy-fiske2011" /> The device is designed to "shield" the glans, as the name implies, while the mohel slices off the [[foreskin]]. A user must first rip the foreskin from the glans, then pull it through the clamp and slices it off with a single motion.<ref name="hennessy-fiske2011" /> Some orthodox Jews only recognize circumcisions performed with devices based on the traditional design,<ref name="hennessy-fiske2011" /> and for this reason it is preferred by traditional mohels.<ref name="hennessy-fiske2011" />
}}</ref> The Mogen clamp's name derives from the Hebrew word "magain," or shield, and it was invented in an effort to standardize [[circumcision]] equipment then in use by both doctors and ''mohelim'' without medical training who perform the procedure in private homes and other locations.<ref name="hennessy-fiske2011" /> The device is designed to "shield" the [[glans]], as the name implies, while the [[mohel]] slices off the [[foreskin]].<ref name="kaweblum1984">{{REFjournal
|last=Kaweblum
|first=Yosef
|init=Y
|author-link=
|last2=Press
|first2=Shirley
|init2=S
|author2-link=
|last3=Kogan
|first3=Leib
|init3=L
|author3-link=
|etal=yes
|title=Circumcision using the mogen clamp
|trans-title=
|language=English
|journal=Clin Pediatr (Phila.)
|location=
|date=1984-12
|volume=23
|issue=
|pages=679-82
|url=http://www.cirp.org/library/procedure/mogen/
|archived=
|quote=
|pubmedID=6499347
|pubmedCID=
|DOI=10.1177/000992288402301204
|accessdate=2020-08-06
}}</ref> A user must first rip the [[foreskin]] from the [[glans]], then pull it through the clamp and slices it off with a single motion.<ref name="hennessy-fiske2011" /> Some orthodox Jews only recognize circumcisions performed with devices based on the traditional design,<ref name="hennessy-fiske2011" /> and for this reason it is preferred by traditional [[mohel| mohelim]].<ref name="hennessy-fiske2011" />


== Injury reports ==
== Injury reports ==


The Mogen clamp has a critical design flaw: It does not allow doctors or mohels to see what they are cutting.<ref name="hennessy-fiske2011" /> As far back as August 2000, the [[FDA|U.S. Food and Drug Administration]] issued a public health notice about the Mogen and [[Gomco]] clamps<ref name="hennessy-fiske2011" /> after receiving approximately 20 injury reports a year since 1996,<ref name="hennessy-fiske2011" /> including lacerations, hemorrhaging, penile amputation and urethral damage.<ref name="hennessy-fiske2011" /> Instead of recalling the devices, the [[FDA]] advised users to make sure they were using the clamps according to manufacturer's specifications.<ref name="hennessy-fiske2011" /> In the 11 years following the FDA warnings, the agency had received 21 reports related to Mogen clamps, all but one of which involved injuries.<ref name="hennessy-fiske2011" /> Mogen continued to publish in its instructional brochure that "no injury to the glans is possible, even after other glans amputations were reported.<ref name='Law.com 2010-07-29'>{{REFnews
The Mogen clamp has a critical design flaw: It does not allow doctors or ''mohelim'' to see what they are cutting.<ref name="hennessy-fiske2011" /> As far back as August 2000, the [[FDA|U.S. Food and Drug Administration]] issued a public health notice about the Mogen and [[Gomco]] clamps<ref name="hennessy-fiske2011" /> after receiving approximately 20 injury reports a year since 1996,<ref name="hennessy-fiske2011" /> including lacerations, hemorrhaging, penile [[amputation]] and urethral damage.<ref name="hennessy-fiske2011" /> Instead of recalling the devices, the [[FDA]] advised users to make sure they were using the clamps according to manufacturer's specifications.<ref name="hennessy-fiske2011" /> In the 11 years following the FDA warnings, the agency had received 21 reports related to Mogen clamps, all but one of which involved injuries.<ref name="hennessy-fiske2011" /> Mogen continued to publish in its instructional brochure that "no injury to the glans is possible, even after other glans [[amputation]]s were reported.<ref name='Law.com 2010-07-29'>{{REFnews
  |last=Hayes Tucker
  |last=Hayes Tucker
  |first=Katheryn
  |first=Katheryn
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  |publisher=
  |publisher=
  |website=Law.com
  |website=Law.com
  |quote=She noted an instructional brochure accompanying the Mogel clamp stating that "no injury to glans is possible," even though other amputations had been reported.
  |quote=She noted an instructional brochure accompanying the Mogen clamp stating that "no injury to glans is possible," even though other [[amputation]]s had been reported.
  |date=2010-07-29
  |date=2010-07-29
  |accessdate=2011-04-08
  |accessdate=2011-04-08
}}</ref> Full or partial glans amputations have been reported for the Mogen clamp, even among experienced conductors of circumcision.<ref name='Journal of Perinatology April/May 2002'>{{REFjournal
}}</ref> Full or partial glans [[amputation]]s have been reported for the Mogen clamp, even among experienced conductors of circumcision.<ref name='Journal of Perinatology April/May 2002'>{{REFjournal
  |last=Taeusch
  |last=Taeusch
  |first=H William
  |first=H. William
|init=HW
|last2=Martinez
  |first2=Alma M.
  |first2=Alma M.
  |last2=Martinez
  |init2=AM
|last3=Partridge
  |first3=J. Colin
  |first3=J. Colin
  |last3=Partridge
  |init3=JC
|last4=Sniderman
  |first4=Susan
  |first4=Susan
  |last4=Sniderman
  |init4=S
|last5=Armstrong-Wells
  |first5=Jennifer
  |first5=Jennifer
  |last5=Armstrong-Wells
  |init5=J
|last6=Fuentes-Afflick
  |first6=Elena
  |first6=Elena
  |last6=Fuentes-Afflick
  |init6=E
  |title=Pain During Mogen or PlastiBell Circumcision
  |title=Pain During Mogen or PlastiBell Circumcision
  |journal=Journal of Perinatology
  |journal=Journal of Perinatology
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  |issue=3
  |issue=3
  |pages=214-218
  |pages=214-218
  |url=http://www.nature.com/jp/journal/v22/n3/full/7210653a.html
  |url=https://www.nature.com/articles/7210653
  |quote=...approximately 10% of the glans of a newborn was amputated (it was reattached surgically) during a Mogen circumcision carried out by two of our most experienced physicians.
  |quote=...approximately 10% of the glans of a newborn was amputated (it was reattached surgically) during a Mogen circumcision carried out by two of our most experienced physicians.
  |pubmedID=
  |pubmedID=
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  |DOI=
  |DOI=
  |date=2002-04
  |date=2002-04
  |accessdate=2011-04-08
  |accessdate=2020-12-30
}}</ref><ref name="tagami2010">{{REFnews
}}</ref><ref name="tagami2010">{{REFnews
  |last=Tagami
  |last=Tagami
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== Mogen goes out of business ==
== Mogen goes out of business ==
   
   
Mogen went out of business in July of 2010<ref name="tagami2010" /> after losing a 10.8 million dollar law suit,<ref name="tagami2010" /> after a mohel<ref name="tagami2010" /> severed the end of a baby's glans<ref name="tagami2010" /> using one of their clamps. Mogen claimed that injury was impossible with its use.<ref name="tagami2010" /><ref name='Law.com 2010-07-29'>{{REFnews
Mogen went out of business in July of 2010<ref name="tagami2010" /> after losing a 10.8 million dollar law suit,<ref name="tagami2010" /> after a [[mohel]]<ref name="tagami2010" /> severed the end of a baby's glans<ref name="tagami2010" /> using one of their clamps. Mogen claimed that injury was impossible with its use.<ref name="tagami2010" /><ref name='Law.com 2010-07-29' /> The injury behind a prior lawsuit in Fulton County Superior Court had already put Mogen on notice about the danger of the device,<ref name="tagami2010" /> and they were already in default on a $7.5-million judgment in Massachusetts.<ref name="hennessy-fiske2011" />
|last=Hayes Tucker
|first=Katheryn
|url=http://www.law.com/jsp/article.jsp?id=1202464033969&Atlanta_Lawyer_Takes_on_Botched_Circumcision_Claims_Nationwide&slreturn=1&hbxlogin=1
|title=Atlanta Lawyer Takes on Botched Circumcision Claims Nationwide
|publisher=
|website=Law.com
|quote=She noted an instructional brochure accompanying the Mogel clamp stating that "no injury to glans is possible," even though other amputations had been reported.
|date=2010-07-29
|accessdate=2011-04-08
}}</ref> The injury behind a prior lawsuit in Fulton County Superior Court had already put Mogen on notice about the danger of the device,<ref name="tagami2010" /> and they were already in default on a $7.5-million judgment in Massachusetts.<ref name="hennessy-fiske2011" />


In a different case, at South Fulton Medical Center, another law suit was won in 2009.<ref name="tagami2010" /> In that case, a child lost a third of his glans, and the plaintifs were awarded 2.3 million dollars.<ref name="tagami2010" />
In a different case, at South Fulton Medical Center, another law suit was won in 2009.<ref name="tagami2010" /> In that case, a child lost a third of his glans, and the plaintifs were awarded 2.3 million dollars.<ref name="tagami2010" />
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Mogen clamps were made by other manufacturers, including Miltex, which stopped distributing the devices in 1994.<ref name="hennessy-fiske2011" /> Even then, Miltex's then-president Saul Kleinkramer defended the device, placing the blame on "possible mishandling" instead of the design of the device.<ref name="hennessy-fiske2011" /> Despite having stopped distributing the devices in 1994, some Miltex manufactured Mogen clamps are still in use<ref name="hennessy-fiske2011" />, and Miltex, along with their parent company, Integra Life Sciences Holding Corp., were recently involved (July 2011) in a $4.6-million settlement.<ref name="hennessy-fiske2011" /> Miltex reached a confidential settlement with a North Hollywood couple for another Mogen-related circumcision botch in 2000.<ref name="hennessy-fiske2011" /> In its response to the lawsuit, Integra maintained that the Mogen clamp was safe, carried adequate warnings and users should be held liable for any harm caused.<ref name="hennessy-fiske2011" />
Mogen clamps were made by other manufacturers, including Miltex, which stopped distributing the devices in 1994.<ref name="hennessy-fiske2011" /> Even then, Miltex's then-president Saul Kleinkramer defended the device, placing the blame on "possible mishandling" instead of the design of the device.<ref name="hennessy-fiske2011" /> Despite having stopped distributing the devices in 1994, some Miltex manufactured Mogen clamps are still in use<ref name="hennessy-fiske2011" />, and Miltex, along with their parent company, Integra Life Sciences Holding Corp., were recently involved (July 2011) in a $4.6-million settlement.<ref name="hennessy-fiske2011" /> Miltex reached a confidential settlement with a North Hollywood couple for another Mogen-related circumcision botch in 2000.<ref name="hennessy-fiske2011" /> In its response to the lawsuit, Integra maintained that the Mogen clamp was safe, carried adequate warnings and users should be held liable for any harm caused.<ref name="hennessy-fiske2011" />
== Usage in Africa ==
== Usage in Africa ==


Despite going out of business in America, and despite its notoriety for glans amputations, Mogen clamps are being used in a pilot project to have male children circumcised at birth under the pretext of HIV prevention.<ref name='Capital News 2010-09'>{{REFnews
Despite going out of business in America, and despite its notoriety for glans [[amputation]]s, Mogen clamps are being used in a pilot project to have male children [[circumcised]] at birth under the pretext of [[HIV]] prevention.<ref name='Capital News 2010-09'>{{REFnews
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  |first=
  |first=
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}}</ref>
}}</ref>


== Comparison Mogen vs Gomco ==
The ''Good Samaritan Hospital''' in Cincinnati, Ohio, was the scene of a notorious circumcision experiment from 2012 to 2014 which compared the [[Gomco]] and [[Mogen]] penis clamps, to determine which was least painful for newborn boys.<ref>{{REFjournal
|url=https://www.ncbi.nlm.nih.gov/pubmed/25794628?dopt=Abstract
|title=The GoMo study: a randomized clinical trial assessing neonatal pain with Gomco vs Mogen clamp circumcision
|last=Sinkey
|init=RG
|last2=Eschenbacher
|init2=MA
|last3=Walsh
|init3=PM
|last4=Doerger
|init4=RG
|last5=Lambers
|init5=DS
|last6=Sibai
|init6=BM
|last7=Habli
|init7=MA
|journal=Am J Obstet Gynecol
|date=2015-05
|volume=212
|issue=5
|pages=664.e1-8
|DOI=10.1016/j.ajog.2015.03.029
|accessdate=2020-03-09
}}</ref>
== Video ==
* {{REFweb
|url=https://med.stanford.edu/newborns/professional-education/circumcision/mogen-clamp-technique.html
|title=Mogen Clamp Technique
|last=Duterte
|first=Brendan
|init=
|publisher=Stanford School of Medicine
|date=2023
|accessdate=2023-12-02
}}
{{SEEALSO}}
* [[Pain]]
* [[Trauma]]
{{LINKS}}
* {{REFnews
|title=Circumcision Atrocity Suit Filed Against Coles County Hospital
|url=https://www.cirp.org/news/2007/2007-07-18_earthtimes.php
|last=Anonymous
|first=
|init=
|author-link=
|publisher=Earthtimes
|website=
|date=2007-07-18
|accessdate=
|format=
|quote=Due to negligence, Dr. Malek severed the entire glans, commonly termed the head, of the infant's penis.
}}
{{REF}}
{{REF}}


[[Category:Circumcision products]]
 
[[Category:Circumcision]]
[[Category:Male circumcision]]
[[Category:Circumcision product]]
[[Category:Lawsuit]]


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