Doctors seek national registry of implants
Private doctors from reputed hospitals have called for the establishment of a national joint replacement registry for better record-keeping of medical implants and drugs. The demand follows the Johnson and Johnson (J&J) ASR hip implant fiasco.

Dr. Raju Vaishya, Senior Joint Replacement Surgeon, Indraprastha Apollo Hospital, and President of the Indian Cartilage Society (ICS), said it was an irony that although about 4,700 patients received the ‘faulty hip implants’ in India, over 3,600 of them remain untraceable.

Of all patients who were implanted with metal-on-metal prosthesis, which is believed to have caused leaching of metal ions in a sizeable chunk, four have died till date, the central expert committee has noted. The committee report was made public earlier this month.

“Incidentally, there is no government body like national joint replacement registry in our country, though the formation of such a body was suggested many years ago. The Central Drugs Standard Control Organization (CDSCO) did not take any timely action on this matter, despite knowing the problems related to these implants since at least 2010. It is, therefore, a gross regulatory failure,” said Dr. Vaishya.

Also, doctors consider the US Food and Drug Administration (US-FDA) approval for an implant to be the gold standard and use it without a second thought, as domestic data on success or failure of implants in Indian patients is unavailable.

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