Mogen: Difference between revisions
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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 | }}</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 | 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 | |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 | }}</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. | ||
| | |init2=AM | ||
|last3=Partridge | |||
|first3=J. Colin | |first3=J. Colin | ||
| | |init3=JC | ||
|last4=Sniderman | |||
|first4=Susan | |first4=Susan | ||
| | |init4=S | ||
|last5=Armstrong-Wells | |||
|first5=Jennifer | |first5=Jennifer | ||
| | |init5=J | ||
|last6=Fuentes-Afflick | |||
|first6=Elena | |first6=Elena | ||
| | |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= | |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= | |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' | 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" /> | ||
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 | 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 | |||
[[Category:Circumcision]] | |||
[[Category:Male circumcision]] | |||
[[Category:Circumcision product]] | |||
[[Category:Lawsuit]] | |||
[[Category:From CircLeaks]] | [[Category:From CircLeaks]] | ||
[[Category:From IntactWiki]] | [[Category:From IntactWiki]] | ||
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