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Mogen

498 bytes added, 02:53, 3 December 2023
Add link in SEEALSO section.
|date=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 ''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]]s.<ref name="hennessy-fiske2011" />
== Injury reports ==
The Mogen clamp has a critical design flaw: It does not allow doctors or mohels ''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 amputations [[amputation]]s were reported.<ref name='Law.com 2010-07-29'>{{REFnews
|last=Hayes Tucker
|first=Katheryn
|publisher=
|website=Law.com
|quote=She noted an instructional brochure accompanying the Mogel Mogen clamp stating that "no injury to glans is possible," even though other amputations [[amputation]]s had been reported.
|date=2010-07-29
|accessdate=2011-04-08
}}</ref> Full or partial glans amputations [[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
|first=H . William |init=HW |last2=Martinez
|first2=Alma M.
|last2init2=MartinezAM |last3=Partridge
|first3=J. Colin
|last3init3=PartridgeJC |last4=Sniderman
|first4=Susan
|last4init4=SnidermanS |last5=Armstrong-Wells
|first5=Jennifer
|last5init5=ArmstrongJ |last6=Fuentes-WellsAfflick
|first6=Elena
|last6init6=Fuentes-AfflickE |title=Pain During Mogen or r PlastiBell Circumcision
|journal=Journal of Perinatology
|volume=22
|issue=3
|pages=214-218
|url=httphttps://www.nature.com/jparticles/journal/v22/n3/full/7210653a.html7210653
|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=
|DOI=
|date=2002-04
|accessdate=20112020-0412-0830
}}</ref><ref name="tagami2010">{{REFnews
|last=Tagami
== 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 |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" />
== Usage in Africa ==
Despite going out of business in America, and despite its notoriety for glans amputations[[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
|last=
|first=
|title=The GoMo study: a randomized clinical trial assessing neonatal pain with Gomco vs Mogen clamp circumcision
|last=Sinkey
|firstinit=R.G.RG
|last2=Eschenbacher
|first2init2=M.A.MA
|last3=Walsh
|first3init3=P.M.PM
|last4=Doerger
|first4init4=R.G.RG
|last5=Lambers
|first5init5=D.S.DS
|last6=Sibai
|first6init6=B.M.BM
|last7=Habli
|first7init7=M.A.MA
|journal=Am J Obstet Gynecol
|date=2015-05
|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]]
{{REF}}
{{REF}}
[[Category:Circumcision products]][[Category:Male circumcision]][[Category:Circumcision product]][[Category:Lawsuit]]
[[Category:From CircLeaks]]
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