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JjrkCh
1979: Swedish Hip Registry was established. Hip replacement failure rates
were 16% 2001: reduced to 8%:U.S. still at 18% JBJS Maloney #FDA
9/11/12 1:09
PM
|
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JjrkCh
2001: A national registry (cost: $10 - $20 million) through 2030 could
potentially save $13 billion. AJRR & AAOS (11 years ago) #FDA
9/11/12 1:04
PM
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JjrkCh
Discuss patient reporting to registries? Many of us would be willing to post
updates. Just as reliable as other data sources. #FDA #PCORI
9/11/12 1:00
PM
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JjrkCh
"nothing compels you to provide data than CMS withholding $$" That
is right, CMS. That data belongs to the public. #FDA
9/11/12 12:54
PM
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JjrkCh
Harmed patient EHR is not source of 'proprietary' information for AAJR. Data
must be liberated to inform public health. #FDA #PCORI #s4pm
9/11/12 12:41
PM
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JjrkCh
Orthopedic surgeons are invested in medical devices and are already paid avg
$400k/yr. 95%+ male. Power and profit incentives. #FDA
9/11/12 12:39
PM
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JjrkCh
Individual patients are at risk when providers/industry 'partner' to take
regulatory authority from our elected representatives. AAJR, no!
9/11/12 12:37
PM
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JjrkCh
Please, AAJR no! #FDA Patients are not full partners and are not given useful
information from the registry. This is a smokescreen.
9/11/12 12:36
PM
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JjrkCh
AJRR does not return repeated patient call to participate with registry team.
Medical societies are conflicted and have had 20 years. #FDA
|
JjrkCh
#FDA Mention (list) of stakeholders does not include patients. Yeah. We
this is clear!
9/11/12
10:56 AM
|
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JjrkCh
“@DCPatient: Medical device industry discussing rising role of patients
#medtechvision2012” Really!? Harmed patients, too?
9/11/12 10:54
AM
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JjrkCh
How much taxpayer money has been spent on this 4 day meeting? #Congress #FDA
9/11/12 10:45
AM
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JjrkCh
The old guard is lining up to 'reform' the system into the status quo. #PCORI
#FDA Why should harmed patients trust this plan?
9/11/12 10:42
AM
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JjrkCh
Public/private partnership is confirmed: it is not a question. Prefer public
registry. Patient protection conflicts with profit. #FDA
9/11/12 10:39
AM
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JjrkCh
Are people at risk of having implanted medical devices when their life
expectancy is short anyway? #FDA Risk/benefit/cost. Research ethics.
9/11/12 10:35
AM
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JjrkCh
Registries do not compare the medical device against other device choice or
no device. #FDA
9/11/12 10:27
AM
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JjrkCh
Most medical device registries are limited and do not provide quality of life
data. #FDA This is critical to patients.
9/11/12 10:24
AM
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JjrkCh
Webinar attendees not informed of when the broadcast will resume. #FDA
http://t.co/Y8hLUMHV A courtesy.
9/11/12 9:25
AM
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JjrkCh
Holding information (perhaps causing further patient harm) done to prevent
'hysteria'. Trust us! #FDA Those harmed would disagree.
9/11/12 9:21
AM
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JjrkCh
Clinical research: willing participants are not being engaged and physicians
do not have experience. No wonder all the blunders! #FDA
9/11/12 9:12
AM
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JjrkCh
@serious_skeptic @SpeakerLink Thank you for RT's http://t.co/Y8hLUMHV Join in
webcast.
9/11/12 9:08
AM
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JjrkCh
http://t.co/J2O3PVtV Patient harm from implanted medical devices highlighted
by media and lawyers. Regulators are stuck in neutral. #FDA
9/11/12 9:03
AM
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JjrkCh
Have I not been engaged? Why have I been ignored? #FDA http://t.co/Y8hLUMHV I
want to be at the table.
9/11/12 8:58
AM
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JjrkCh
http://t.co/Y8hLUMHV Great patient advocate speaks truth. #FDA
9/11/12 8:52
AM
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JjrkCh
Perfecting data system long term. Patient harm is first indicator. Pay
attention immediately! #FDA Conflicts from mission endanger.
9/11/12 8:48
AM
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JjrkCh
Implant patients: you are the guinea pig and the provider considers outcome
information as 'proprietary'. Your #FDA. Oh, informed consent?
9/11/12 8:42
AM
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JjrkCh
Amazing high % of women receive medical devices but "experts" are
male. Just saying. #FDA Surgical mesh http://t.co/EvRet6zf #PCORI
9/11/12 8:37
AM
|
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JjrkCh
Patients less (not more) conflicted than providers, regulators and industry.
They want safe and effective: aligned with #FDA mission.
9/11/12 8:20
AM
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JjrkCh
http://t.co/SXINe4UC The elephant in the room. #FDA Patients need to be
there. Investigative journalists/lawyers indicate patient harm.
9/11/12 8:18
AM
|
|
JjrkCh
Data mining focus allows industry/providers to remove themselves from the
patient harm (elephant) in the room. #FDA #PCORI #ptsafety #s4pm
9/11/12 8:12
AM
|
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JjrkCh
List of stakeholders, none included patients/advocates. This is wrong!
Visuals tell all. #PCORI #FDA #ptsafety #s4pm
9/11/12 8:09
AM
|
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JjrkCh
#FDA Identify what is working: none include patient advocates/consumer
organizations. Ignored again! #ptsafety #PCORI #s4pm
9/11/12 8:06
AM
|
|
JjrkCh
http://t.co/y4K6LMHC What is broken? Harmed patients would say: justice and
continued care. #FDA No one takes accountability but patient.
9/11/12 8:04
AM
|
|
JjrkCh
Join this webinar! http://t.co/y4K6LMHC Important 4 day FDA meeting on
implanted medical devices. #FDA #PCORI #s4pm #ptsafety
9/11/12 8:01
AM
|
|
JjrkCh
'the purpose of this meeting is to solicit public feedback' but panels and
audience are loaded with industry/regulator stakeholders.#FDA
9/10/12 2:40
PM
|
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JjrkCh
#FDA Public session. Medtronic cheerleader takes the microphone again.
Please, please require them to fund a harmed patient travel.
9/10/12 2:23
PM
|
|
JjrkCh
Professional society registries do not help patients find safe and effective
medical devices. Just as 'proprietary' as mfg. #FDA
9/10/12 2:22
PM
|
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JjrkCh
We may all be patients but we are not all harmed patients. They are not well
represented at this meeting. Truth. #FDA
9/10/12 2:20
PM
|
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JjrkCh
#FDA Public session. Prof society, industry rep, govt agencies. Need more
patients. Webinar participation restricted. Why? Call in # ?
9/10/12 2:17
PM
|
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JjrkCh
#FDA Public input session now. Restricted to in person/not webinar
participants. Pt: potential for prof. society bias? #ptsafety #PCORI
9/10/12 2:15
PM
|
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JjrkCh
Each patient is a case study to improve our system. Wrongheaded top-down
system reform allows this kind of circular conversation. #FDA
9/10/12 1:44
PM
|
|
JjrkCh
How many harmed patients must line up before these bureaucrats and executives
see the data? Talk, talk, talk. Get to work! #FDA
9/10/12 1:39
PM
|
|
JjrkCh
J&J metal-on-metal hips removed the halo from this corporation. Patient
harm not compensated. Not too big to criticize. #FDA
9/10/12 1:37
PM
|
|
JjrkCh
Surgical mesh, metal-on-metal hips, defibrillator leads all failed and harmed
thousands of patients. Profit justifies harm? #FDA
9/10/12 1:32
PM
|
|
JjrkCh
Harmed patients get to see J&J and Medtronic up front at #FDA meeting.
Conflicted? You bet! #ptsafety #PCORI #s4pm Mr. Cellophane
9/10/12 1:21
PM
|
|
JjrkCh
#FDA Q. Yes! I would volunteer my time for implanted medical device safety.
#ptsafety #PCORI #s4pm
9/10/12 1:10
PM
|
|
JjrkCh
Medical device industry cannot demand. It is a privilege to have access to
the US healthcare market. Play fair. #FDA #PCORI #ptsafety
9/10/12 1:07
PM
|
|
JjrkCh
#FDA must take the lead or stop saying that it regulates medical devices. No
apology for putting public health first. #ptsafety #PCORI
9/10/12 1:05
PM
|
|
JjrkCh
#PCORI Thank you for standing up for the patients in the governance of
medical device regulation. It is public health! #FDA
9/10/12 1:00
PM
|
|
JjrkCh
#FDA should hire creators of solutions that demonstrate passion/talent.
Health 2.0, DataPalooza, etc.
9/10/12 12:59
PM
|
|
JjrkCh
Governance balance must have #FDA and elected officials primary
responsibility. Private lead has been given 20+ years. Created mess.
9/10/12 12:57
PM
|
|
JjrkCh
Anna McCollister Slipp #FDA about engaging patients. "give patients more
credit/power" to benefit of all. #ptsafety #PCORI #s4pm Woot!
9/10/12 12:55
PM
|
|
JjrkCh
Knee/total hip arthroplasty are 2 of the most common surgical procedures
performed and represent the greatest Medicare expenditure #FDA
9/10/12 12:52
PM
|
|
JjrkCh
Medicare insures virtually all Americans 65 and older—a population that
consumes roughly a third of all of medical spending. WSJ 102510 #FDA
9/10/12 12:50
PM
|
|
JjrkCh
2010 While about 80% of the nearly 500,000 submissions #FDA gets already come
in electronically, on the device side it’s only about 15%.
9/10/12 12:48
PM
|
|
JjrkCh
The US government pays for so many medical devices. Require this information
to be liberated! #FDA #PCORI Private interests conflicted.
9/10/12 12:45
PM
|
|
JjrkCh
Thank you for RT @CUsafepatient @EPCoalition @JointJunk Watching FDA/CDRH
webinar at http://t.co/R6a8Hwgt
9/10/12 12:43 PM
|
|
JjrkCh
#FDA #PCORI Engaged patients must be repeatedly invited. We feel like the
last kid chosen for kick-ball. On team, but the 'dis stings.
9/10/12 12:28
PM
|
|
JjrkCh
#fda National registry was needed and discussed years ago. Profit incentives
prevailed over patient safety. #ptsafety
9/10/12 11:04
AM
|
|
JjrkCh
Industry cheerleader during #FDA public comment time. Yeah, I am fuming! Walk
the talk . . . industry and regulator love-fest. #ptsafety
9/10/12 11:00
AM
|
|
JjrkCh
Medtronic trumps a webinar patient advocate comment during public comment time.
Bad visual. #FDA #ptsafety
9/10/12 10:58
AM
|
|
JjrkCh
#FDA panel using public comment time. My webinar comment not being read by
Nathan Ivey. Handicap the patient stakeholder . . . Grrr!
9/10/12 10:55
AM
|
|
JjrkCh
Stakeholder trying to communicate what the patient wants. Is #FDA listening!?
http://t.co/pXAVDiT1
9/10/12 10:53
AM
|
|
JjrkCh
@EPCoalition I am tweeting from the webcast. Thx. for being there, too!
http://t.co/pXAVDiT1
9/10/12 10:51
AM
|
|
JjrkCh
How much more slowly can regulators go? Patient harm is mounting. #FDA
#ptsafety #PCORI #s4pm Warranties, compensation?
9/10/12 10:47
AM
|
|
JjrkCh
Patient trust fuels providers, regulators and industry. Without change,
erosion of trust is assured. 'Patients Included' not visible. #FDA
9/10/12 10:45
AM
|
|
JjrkCh
#FDA My FDA/UDI statement could be read by a staff member. Website is clunky
for submitting it. Pls be responsive to patients/advocates.
9/10/12 10:38
AM
|
|
JjrkCh
A national registry (cost: $10 - $20 million) through 2030 could potentially
save $13 billion. AJRR & AAOS 2009 #FDA #PCORI #ptsafety #s4pm
9/10/12 9:47
AM
|
|
JjrkCh
2010 American Joint Replacement Registry proposes to capture national data on
90% of hip & knee replacement and revision surgeries. #FDA
9/10/12 9:46
AM
|
|
JjrkCh
Collaboration includs patient representatives? Regulators/industry together
are not representative of the patient/consumer population.
9/10/12 9:42
AM
|
|
JjrkCh
Are any of the registry stakeholders patient representatives? Is the
information available to all stakeholders? #FDA
9/10/12 9:40
AM
|
|
JjrkCh
#FDA Ortho rehab panel patient representation is essential. Besides 'trust
us' explain how this representation is demonstrated. #PCORI
9/10/12 9:38
AM
|
|
JjrkCh
If #FDA no power to require industry to release patient information. Congress
could change the FDA Charter. 1976 regulations fail. #PCORI
9/10/12 9:33
AM
|
|
JjrkCh
Mayo Clinic has a joint replacement registry but it is not accessible to
patients. #FDA
9/10/12 9:29
AM
|
|
JjrkCh
FDA adverse event report website is clunky. Try http://t.co/cVpOf69R Much
more effective site.
9/10/12 9:26
AM
|
|
JjrkCh
Number one expenditure of Medicare is joint replacement. Free that government
data! It belongs to the public. #FDA #PCORI #ptsafety #s4pm
9/10/12 9:23
AM
|
|
JjrkCh
#FDA Admits implant device regulation not protecting patients. Mitigate
purgatory and harm caused patients before protecting profit.
9/10/12 9:21
AM
|
|
JjrkCh
How many patients could afford to be present in the room? Industry reps.
paid. Disadvantaged patient stakeholders. http://t.co/R6a8Hwgt
9/10/12 9:16
AM
|
|
JjrkCh
Medical device industry engagement not problem. Engage patients and
advocates! #FDA #ptsafety #PCORI Public health trumps 'Proprietary'
9/10/12 9:13
AM
|
|
JjrkCh
Sadly, not valued though am tenacious/respectful Patient Rep and testified at
two town hall meetings. http://t.co/R6a8Hwgt #FDA explain!
9/10/12 9:07
AM
|
|
JjrkCh
http://t.co/R6a8Hwgt Who are the patient representatives attending this
meeting? Am I represented? #ptsafety #PCORI #s4pm
9/10/12 9:02
AM
|
|
JjrkCh
Limit direct-to-consumer marketing of harmful implanted medical devices.
Accurate info. Innovation must be better than current device. #FDA
9/10/12 9:00
AM
|
|
JjrkCh
Data/sources FDA uses on registry must be accessible to patients! Stakeholder
has most meaning to those with real skin in the game. #FDA
9/10/12 8:57
AM
|
|
JjrkCh
http://t.co/R6a8Hwgt Give meeting virtual attendees a hashtag to report/meet
on Twitter. Grateful to be included today! #FDA
9/10/12 8:54
AM
|
|
JjrkCh
Patients with failed implanted medical devices are the folks that believed in
the medical device industry. Friends, not foes! #ptsafety
9/10/12 8:52
AM
|
|
JjrkCh
Stakeholders: patients? Then give us the vote! Invite us to all important
meetings/conferences. #ptsafety #PCORI #FDA
9/10/12 8:51
AM
|
|
JjrkCh
Consumers Reports for implanted medical devices. Long time coming. #ptsafety
#PCORI #FDA http://t.co/R6a8Hwgt
9/10/12 8:50
AM
|
|
JjrkCh
Oh, yeah, #FDA medical device UDI will benefit patients, but not quickly
enough. A slow start. #ptsafety Med societies: old sly promise.
9/10/12 8:48
AM
|
|
JjrkCh
When patient harmed, device industry insulated from feedback. Easy denial of
harm by judicial entitlements. Expect more harm. #FDA
9/10/12 8:46
AM
|
|
JjrkCh
#FDA Medical device industry fees lower than pharma fees. FDA understaffed
and Charter limits ability to regulate. Patients in peril.
9/10/12 8:44
AM
|
|
JjrkCh
#FDA #medicaldevice Patient Representative selected by consumer groups, not
OSHI. Must be voting stakeholder. #ptsafety #PCORI #s4pm
9/10/12 8:42
AM
|
|
JjrkCh
#FDA Patient reported adverse events would be useful to patients considering
medical device implant. Identify filtered information.
9/10/12 8:40
AM
|
|
JjrkCh
http://t.co/pXAVDiT1 Patients are at risk by poorly regulated implanted
medical devices. #FDA #medicaldevice #PCORI #ptsafety
9/10/12 8:35
AM
|
|
JjrkCh
Stop telling patients what you are going to do: do it! Patient harm is a
national shame. #ptsafety #s4pm Help harmed patients!
9/10/12 8:29
AM
|
|
JjrkCh
http://t.co/R6a8Hwgt Like Dorothy in Wizard of Oz, govt and industry already
had access to info.: "proprietary' and financial conflict.
9/10/12 8:28 AM
|
|
JjrkCh
http://t.co/R6a8Hwgt Like Dorothy in Wizard of Oz, govt and industry already
had access to info.: "proprietary' and financial conflict.
9/10/12 8:28
AM
|
|
JjrkCh
IOM 7/29/11 report stated 510(k) should not be used for implants. FDA chose
not to follow recommendations. Patient harm prompted this mtg.
9/10/12 8:26
AM
|
|
JjrkCh
"unique' medical device challenges are used as excuse. US is behind
globally because industry evades regulation by writing legislation.
9/10/12 8:24
AM
|
|
JjrkCh
Dr. Shuren 'four day public meeting'? - news to me! "collaborative"
though patient representatives restricted to public meetings. #ptsafety
9/10/12 8:22
AM
|
|
JjrkCh
http://t.co/R6a8Hwgt FDA public meeting/interactive meeting now. Safer
implanted medical devices. #ptsafety #MeshGoneWrong
9/10/12 8:19
AM
|
|
JjrkCh
#ptsafety #s4pm Mtg: To begin at 9aET the FDA/CDRH National #medicaldevice
Postmarket Surveillance System, 9/10/12 http://t.co/qsMUY1Te”
9/10/12 7:06
AM
|