Difference between revisions of "Mogen"

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  |date=
 
  |date=
 
  |accessdate=2011-04-08
 
  |accessdate=2011-04-08
}}</ref> by a Rabbi Harry Bronstein.<ref>{{REFnews
+
}}</ref> by a Rabbi Harry Bronstein.<ref name="hennessy-fiske2011">{{REFnews
 
  |last=Hennessy-Fiske
 
  |last=Hennessy-Fiske
 
  |first=Molly
 
  |first=Molly
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  |date=2011-04-08
 
  |date=2011-04-08
 
  |accessdate=2011-04-08
 
  |accessdate=2011-04-08
}}</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>{{REFnews
+
}}</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=Hennessy-Fiske
+
  |last=Kaweblum
|first=Molly
+
  |first=Yosef
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
+
  |init=Y
|title=Injuries linked to circumcision clamps
+
|author-link=
|publisher=Los Angeles Times
+
  |last2=Press
|quote=The Mogen clamp's name derives from the Hebrew word "magain," or shield...
+
  |first2=Shirley
|date=2011-09-26
+
  |init2=S
|accessdate=2011-09-25
+
  |author2-link=
}}</ref> 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>{{REFnews
+
  |last3=Kogan
  |last=Hennessy-Fiske
+
|first3=Leib
  |first=Molly
+
  |init3=L
  |url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
+
|author3-link=
  |title=Injuries linked to circumcision clamps
+
  |etal=yes
  |publisher=Los Angeles Times
+
  |title=Circumcision using the mogen clamp
  |quote=A user first loosens the foreskin, then pulls it through the clamp and clips it off with a single cut.
+
  |trans-title=
  |date=2011-09-26
+
  |language=English
  |accessdate=2011-09-25
+
  |journal=Clin Pediatr (Phila.)
}}</ref> Some orthodox Jews only recognize circumcisions performed with devices based on the traditional design,<ref>{{REFnews
+
|location=
  |last=Hennessy-Fiske
+
  |date=1984-12
  |first=Molly
+
  |volume=23
  |url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
+
  |issue=
  |title=Injuries linked to circumcision clamps
+
  |pages=679-82
  |publisher=Los Angeles Times
+
  |url=http://www.cirp.org/library/procedure/mogen/
  |quote=...some orthodox Jews recognize only circumcisions performed with devices based on the traditional design...
+
  |archived=
  |date=2011-09-26
+
|quote=
  |accessdate=2011-09-25
+
  |pubmedID=6499347
}}</ref> and for this reason it is preferred by traditional mohels.<ref>{{REFnews
+
  |pubmedCID=
  |last=Hennessy-Fiske
+
  |DOI=10.1177/000992288402301204
  |first=Molly
+
  |accessdate=2020-08-06
  |url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
+
}}</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" />
  |title=Injuries linked to circumcision clamps
 
  |publisher=Los Angeles Times
 
  |quote=...the clamp is popular with mohels...
 
  |date=2011-09-26
 
  |accessdate=2011-09-25
 
}}</ref>
 
  
 
== 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>{{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=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=...the Mogen clamp, unlike others, has a critical design flaw: It does not allow doctors or mohels to see what they are cutting.
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> 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>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=As far back as August 2000, the U.S. Food and Drug Administration issued a public health notice about the Mogen...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> after receiving approximately 20 injury reports a year since 1996,<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=...after receiving approximately 20 injury reports a year since 1996...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> including lacerations, hemorrhaging, penile amputation and urethral damage.<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=...including lacerations, hemorrhaging, penile amputation and urethral damage...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> Instead of recalling the devices, the [[FDA]] advised users to make sure they were using the clamps according to manufacturer's specifications.<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=Instead of recalling the devices, the FDA advised users...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> 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>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=In the 11 years between the FDA warnings and the Hall settlement, the agency has received 21 reports related to Mogen...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> 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
 
 
  |last=Hayes Tucker
 
  |last=Hayes Tucker
 
  |first=Katheryn
 
  |first=Katheryn
Line 131: Line 71:
 
  |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
Line 152: Line 98:
 
  |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=
Line 158: Line 104:
 
  |DOI=
 
  |DOI=
 
  |date=2002-04
 
  |date=2002-04
  |accessdate=2011-04-08
+
  |accessdate=2020-12-30
}}</ref><ref>{{REFnews
+
}}</ref><ref name="tagami2010">{{REFnews
 
  |last=Tagami
 
  |last=Tagami
 
  |first=Ty
 
  |first=Ty
Line 172: Line 118:
 
== Mogen goes out of business ==
 
== Mogen goes out of business ==
 
   
 
   
Mogen went out of business in July of 2010<ref>{{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=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=The company is going out of business, according to a woman who answered the phone at its Brooklyn headquarters Monday.
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref> after losing a 10.8 million dollar law suit,<ref>{{REFnews
 
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=...after an infant lost a portion of his penis during an operation with the Mogen clamp, a judge awarded $10.8 million in damages against the company.
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref> after a mohel<ref>{{REFnews
 
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=In this case, a New York mohel, or Jewish ritual circumcisor, performed the operation in the baby's home...
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref> severed the end of a baby's glans<ref>{{REFnews
 
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=The baby in the current case, identified in court documents only as L.G., lost the entire glans, or head, of his penis ...
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref> using one of their clamps. Mogen claimed that injury was impossible with its use.<ref>{{REFnews
 
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=The maker of an instrument used in circumcisions claimed that injury was impossible with its use...
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref><ref name='Law.com 2010-07-29'>{{REFnews
 
|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>{{REFnews
 
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=Attorney David Llewellyn won a similar case in Atlanta last year and the injury behind that prior lawsuit in Fulton County Superior Court put the New York clamp manufacturer on notice about the danger of the device...
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref> and they were already in default on a $7.5-million judgment in Massachusetts.<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=Mogen Circumcision Instruments of New York, already was in default on a $7.5-million judgment in Massachusetts.
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref>
 
  
In a different case, at South Fulton Medical Center, another law suit was won in 2009.<ref>{{REFnews
+
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" />
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=Llewellyn won another circumcision case in 2009 over an operation at South Fulton Medical Center.
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref> In that case, a child lost a third of his glans, and the plaintifs were awarded 2.3 million dollars.<ref>{{REFnews
 
|last=Tagami
 
|first=Ty
 
|url=http://www.ajc.com/news/nation-world/atlanta-lawyer-wins-11-573890.html
 
|title=Atlanta lawyer wins $11 million lawsuit for family in botched circumcision
 
|publisher=The Atlanta Journal-Constitution
 
|quote=The jury found that both the pediatrician and the physician who performed the circumcision were negligent, and awarded $2.3 million to the plaintiffs.
 
|date=2010-07-19
 
|accessdate=2011-04-08
 
}}</ref>
 
  
 
== Other law suits involving Mogen ==
 
== Other law suits involving Mogen ==
  
Mogen clamps were made by other manufacturers, including Miltex, which stopped distributing the devices in 1994.<ref>{{REFnews
+
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" />
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=Miltex, one of several Mogen clamp manufacturers, stopped distributing the devices in 1994.
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> 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>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=...though no obvious defect has been found with the clamp's design or manufacturing we have concerns over the possible mishandling of the instrument by practitioners...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> Despite having stopped distributing the devices in 1994, some Miltex manufactured Mogen clamps are still in use<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=But some of its devices are still in use.
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref>, and Miltex, along with their parent company, Integra Life Sciences Holding Corp., were recently involved (July 2011) in a $4.6-million settlement.<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=Miltex Inc. and its parent company, Integra Life Sciences Holding Corp., agreed this summer to a $4.6-million settlement.
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> Miltex reached a confidential settlement with a North Hollywood couple for another Mogen-related circumcision botch in 2000.<ref>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=In 2000, Miltex reached a confidential settlement with a North Hollywood couple...
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref> 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>{{REFnews
 
|last=Hennessy-Fiske
 
|first=Molly
 
|url=http://www.latimes.com/health/la-he-circumcision-20110926,0,4367816.story
 
|title=Injuries linked to circumcision clamps
 
|publisher=Los Angeles Times
 
|quote=Integra argued that the Mogen clamp was safe, carried adequate warnings and that those who used it should be held responsible for any harm caused.
 
|date=2011-09-26
 
|accessdate=2011-09-25
 
}}</ref>
 
  
 
== 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
 
  |last=
 
  |last=
 
  |first=
 
  |first=
Line 338: Line 139:
 
}}</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
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|last=Anonymous
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|publisher=Earthtimes
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|date=2007-07-18
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|quote=Due to negligence, Dr. Malek severed the entire glans, commonly termed the head, of the infant's penis.
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[[Category:Circumcision products]]
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[[Category:Male circumcision]]
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[[Category:Lawsuit]]
  
 
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Latest revision as of 17:05, 28 July 2024

Pictured: Mogen Clamp
Pictured: Barzel Tool

The Mogen clamp was invented in 1954[1] by a Rabbi Harry Bronstein.[2] It is actually one of many successors to the much older, traditional barzel device.[3] 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.[2] The device is designed to "shield" the glans, as the name implies, while the mohel slices off the foreskin.[4] A user must first rip the foreskin from the glans, then pull it through the clamp and slices it off with a single motion.[2] Some orthodox Jews only recognize circumcisions performed with devices based on the traditional design,[2] and for this reason it is preferred by traditional mohelim.[2]

Injury reports

The Mogen clamp has a critical design flaw: It does not allow doctors or mohelim to see what they are cutting.[2] As far back as August 2000, the U.S. Food and Drug Administration issued a public health notice about the Mogen and Gomco clamps[2] after receiving approximately 20 injury reports a year since 1996,[2] including lacerations, hemorrhaging, penile amputation and urethral damage.[2] Instead of recalling the devices, the FDA advised users to make sure they were using the clamps according to manufacturer's specifications.[2] 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.[2] Mogen continued to publish in its instructional brochure that "no injury to the glans is possible, even after other glans amputations were reported.[5] Full or partial glans amputations have been reported for the Mogen clamp, even among experienced conductors of circumcision.[6][7]

Mogen goes out of business

Mogen went out of business in July of 2010[7] after losing a 10.8 million dollar law suit,[7] after a mohel[7] severed the end of a baby's glans[7] using one of their clamps. Mogen claimed that injury was impossible with its use.[7][5] The injury behind a prior lawsuit in Fulton County Superior Court had already put Mogen on notice about the danger of the device,[7] and they were already in default on a $7.5-million judgment in Massachusetts.[2]

In a different case, at South Fulton Medical Center, another law suit was won in 2009.[7] In that case, a child lost a third of his glans, and the plaintifs were awarded 2.3 million dollars.[7]

Other law suits involving Mogen

Mogen clamps were made by other manufacturers, including Miltex, which stopped distributing the devices in 1994.[2] Even then, Miltex's then-president Saul Kleinkramer defended the device, placing the blame on "possible mishandling" instead of the design of the device.[2] Despite having stopped distributing the devices in 1994, some Miltex manufactured Mogen clamps are still in use[2], and Miltex, along with their parent company, Integra Life Sciences Holding Corp., were recently involved (July 2011) in a $4.6-million settlement.[2] Miltex reached a confidential settlement with a North Hollywood couple for another Mogen-related circumcision botch in 2000.[2] 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.[2]

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.[8]

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.[9]

Video

See also

External links

References

  1. REFweb Use of the Mogen clamp for neonatal circumcision. Retrieved 8 April 2011.
    Quote: The Mogen clamp was invented in 1954 by Rabbi Harry Bronstein, a Brooklyn mohel.
  2. a b c d e f g h i j k l m n o p q r REFnews Hennessy-Fiske, Molly (26 September 2011)."Injuries linked to circumcision clamps", Los Angeles Times. Retrieved 25 September 2011.
    Quote: It was invented in 1954 by Rabbi Harry Bronstein...
  3. REFweb (8 April 2011). Methods of circumcision, circumstitions.com. Retrieved 8 April 2011.
    Quote: The barzel (Hebrew for iron) also known as a mogen (Hebrew for shield) is a slotted shield ...
  4. REFjournal Kaweblum Y, Press S, Kogan L, et al. Circumcision using the mogen clamp. Clin Pediatr (Phila.). December 1984; 23: 679-82. PMID. DOI. Retrieved 6 August 2020.
  5. a b REFnews Hayes Tucker, Katheryn (29 July 2010)."Atlanta Lawyer Takes on Botched Circumcision Claims Nationwide", Law.com. Retrieved 8 April 2011.
    Quote: She noted an instructional brochure accompanying the Mogen clamp stating that "no injury to glans is possible," even though other amputations had been reported.
  6. REFjournal Taeusch HW, Martinez AM, Partridge JC, Sniderman S, Armstrong-Wells J, Fuentes-Afflick E. Pain During Mogen or PlastiBell Circumcision. Journal of Perinatology. April 2002; 22(3): 214-218. Retrieved 30 December 2020.
    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.
  7. a b c d e f g h i REFnews Tagami, Ty (19 July 2010)."Atlanta lawyer wins $11 million lawsuit for family in botched circumcision", The Atlanta Journal-Constitution. Retrieved 8 April 2011.
    Quote: In this case, a New York mohel, or Jewish ritual circumcisor, performed the operation in the baby's home...
  8. REFnews (September 2010)."Infants targeted in Kenya circumcision project", Capital News. Retrieved 8 April 2011.
    Quote: He explained that the nurses will use special gadgets known as a Mogen clamp to perform the circumcision at birth.
  9. REFjournal Sinkey RG, Eschenbacher MA, Walsh PM, Doerger RG, Lambers DS, Sibai BM, Habli MA. The GoMo study: a randomized clinical trial assessing neonatal pain with Gomco vs Mogen clamp circumcision. Am J Obstet Gynecol. May 2015; 212(5): 664.e1-8. DOI. Retrieved 9 March 2020.