Difference between revisions of "Mogen"
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== 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 | + | 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 [[amputation]]s were reported.<ref name='Law.com 2010-07-29'>{{REFnews |
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| − | |quote=She noted an instructional brochure accompanying the Mogel clamp stating that "no injury to glans is possible," even though other | + | |quote=She noted an instructional brochure accompanying the Mogel 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 |
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| − | |quote=She noted an instructional brochure accompanying the Mogel clamp stating that "no injury to glans is possible," even though other | + | |quote=She noted an instructional brochure accompanying the Mogel clamp stating that "no injury to glans is possible," even though other [[amputation]]s had been reported. |
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== 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 [[Circumcision and HIV| HIV]] prevention.<ref name='Capital News 2010-09'>{{REFnews |
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Revision as of 12:10, 13 November 2021
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 mohels 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 mohels.[2]
Contents
Injury reports
The Mogen clamp has a critical design flaw: It does not allow doctors or mohels 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]
References
- ↑
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.
- ↑ a b c d e f g h i j k l m n o p q r
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...
- ↑ (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 ...
- ↑
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.
- ↑ a b 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 Mogel clamp stating that "no injury to glans is possible," even though other amputations had been reported.
- ↑ 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.
- ↑ a b c d e f g h i 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...
- ↑ (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.
- ↑ 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.
