{"id":525,"date":"2017-02-14T14:37:49","date_gmt":"2017-02-14T14:37:49","guid":{"rendered":"https:\/\/www.groupactionlawyers.co.uk\/blog\/?p=525"},"modified":"2017-02-14T14:37:49","modified_gmt":"2017-02-14T14:37:49","slug":"mirena-inserters-incorrectly-mounted-class-4-mhra-alert","status":"publish","type":"post","link":"https:\/\/www.groupactionlawyers.co.uk\/blog\/mirena-inserters-incorrectly-mounted-class-4-mhra-alert","title":{"rendered":"Class 4 MHRA alert: Mirena inserters incorrectly mounted"},"content":{"rendered":"<p>Bayer plc, a global pharmaceutical company, has received two complaints with regards to its Mirena inserters. The complaints detail that the insertion tube was mounted inversely to the handle, and this has led to an inversion of the insertion depth scale, which may lead to incorrect insertion depth; consequently reducing the efficacy and\/or causing injuries.<\/p>\n<p>An investigation has shown that both complaints involve one batch of inserters and a Mirena batch number TU01BPE. The affected batch was first distributed on 29<sup>th<\/sup> August 2016, with an expiry in June 2019.<br \/>\n<!--more--><\/p>\n<h2>Advice from Bayer<\/h2>\n<p>Bayer issued and distributed a letter to healthcare professionals. The pharmaceutical company note that any stock from the named batch should be thoroughly inspected to ensure the tube is mounted onto the handle correctly.<\/p>\n<p>Bayer enclosed a photograph of both the defective and correctly mounted inserters, and below the photograph, additional guidance is given. This is in hope there will not be any further errors and to ensure any of the incorrectly mounted inserters can be rectified.<\/p>\n<p>In the letter, Bayer gives detailed notes to Healthcare Professionals to follow in order to check if the Mirena inserters they hold are within the &#8216;defective&#8217; batch. They must:<\/p>\n<div class=\"well\">\n<ul>\n<li>Check the batch number before use.<\/li>\n<li>If the batch number is TU01BPE, ensure the insertion tube is correctly mounted (a picture is enclosed for guidance).<\/li>\n<li>Only use Mirena with a correctly mounted insertion tube.<\/li>\n<li>The use of a Mirena with an inversely mounted insertion tube may potentially lead to incorrect insertion depth (either too deep or not deep enough) and an incorrect position of Mirena. This in turn, may decrease the effectiveness of Mirena or result in adverse events. Bayer gives an example that if the inserter is advanced too far, injuries to surrounding blood vessels or viscera such as the bladder or intestine may occur (also known as uterine perforation).<\/li>\n<\/ul>\n<\/div>\n<h3>Level of risk classification<\/h3>\n<p>To date, only two of the inserters have been affected globally. The Medicines and Healthcare products Regulatory Agency (MHRA), who is responsible for protecting and improving public health, also doesn&#8217;t seem to be too concerned with the defect. The regulatory agency classified it under Class 4 &#8220;Caution in Use&#8221;.<\/p>\n<p>The MHRA uses an internationally renowned classification system for medicines recalls:<\/p>\n<ul class=\"list-group\">\n<li class=\"list-group-item list-group-item-warning\"><strong>Class 1<\/strong>: the defect presents a life threatening or serious risk to health<\/li>\n<li class=\"list-group-item list-group-item-warning\"><strong>Class 2<\/strong>: the defect may cause mistreatment or harm to the patient, but it\u2019s not life threatening or serious.<\/li>\n<li class=\"list-group-item list-group-item-warning\"><strong>Class 3<\/strong>: the defect is unlikely to cause harm to the patient, and the recall is carried out for other reasons, such as non-compliance with the marketing authorisation or specification.<\/li>\n<li class=\"list-group-item list-group-item-warning\"><strong>Class 4<\/strong>: the defect doesn\u2019t pose a threat to patients or no serious defect likely to impair product use or efficacy.<\/li>\n<\/ul>\n<p>According to the classification system, the Mirena insertion tubes don&#8217;t pose a serious risk of injury to the users. Class 4 is the least serious of notifications and are used for minor defects for example, in relation to packaging or other printed materials. Sometimes due to supply concerns, the products or medicines can&#8217;t be recalled. In this case, the supplier can issue and distribute alerts to advise healthcare professionals.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bayer plc, a global pharmaceutical company, has received two complaints with regards to its Mirena inserters. The complaints detail that the insertion tube was mounted inversely to the handle, and this has led to an inversion of the insertion depth scale, which may lead to incorrect insertion depth; consequently reducing the efficacy and\/or causing injuries. &hellip; <a href=\"https:\/\/www.groupactionlawyers.co.uk\/blog\/mirena-inserters-incorrectly-mounted-class-4-mhra-alert\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Class 4 MHRA alert: Mirena inserters incorrectly mounted<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":328,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[5],"tags":[11],"class_list":["post-525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical","tag-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - 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The German manufacturer of the product, Bayer, are currently facing legal actions\u2026","rel":"","context":"In &quot;Medical&quot;","block_context":{"text":"Medical","link":"https:\/\/www.groupactionlawyers.co.uk\/blog\/category\/medical"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":406,"url":"https:\/\/www.groupactionlawyers.co.uk\/blog\/chewy-calcium-vitamin-d-tablets-being-recalled-for-impurities","url_meta":{"origin":525,"position":2},"title":"Chewy calcium and vitamin-D tablets are being recalled for impurities","author":"Admin","date":"28th December 2016","format":false,"excerpt":"Teva U.K. Limited - a global pharmaceutical company - has recalled a batch of class 2 medicines due to a possible metal contamination. The pharmaceutical company has recently made a precautionary batch recall for a 'small number' of Evacal D3 chewable tablets. The tablets are a calcium-vitamin D supplement used\u2026","rel":"","context":"In &quot;Medical&quot;","block_context":{"text":"Medical","link":"https:\/\/www.groupactionlawyers.co.uk\/blog\/category\/medical"},"img":{"alt_text":"drugs","src":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":234,"url":"https:\/\/www.groupactionlawyers.co.uk\/blog\/teva-uk-ltd-has-recalled-progestogen-only-pill-drug","url_meta":{"origin":525,"position":3},"title":"&#8220;Progestogen-only Pill Drug Recalls&#8221; &#8211; Teva UK Ltd has recalled drugs due to impurities showing in their routine testing","author":"Author","date":"17th November 2016","format":false,"excerpt":"Teva UK Limited are one of the latest pharmaceutical manufacturers that have recalled a batch of their drugs. The Nacrez 75 mg film-coated tablets have been recalled due to impurities found as part of their routine testing. The recall is said to be a precautionary measure taken by the company\u2026","rel":"","context":"In &quot;Medical&quot;","block_context":{"text":"Medical","link":"https:\/\/www.groupactionlawyers.co.uk\/blog\/category\/medical"},"img":{"alt_text":"drugs","src":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":517,"url":"https:\/\/www.groupactionlawyers.co.uk\/blog\/arthritis-tablets-may-adversely-affect-braille-users","url_meta":{"origin":525,"position":4},"title":"Arthritis tablets may adversely affect users who rely solely on Braille","author":"Admin","date":"6th February 2017","format":false,"excerpt":"The Medicines and Healthcare products Regulatory Agency (MHRA) recently issued a caution relating to a drug that treats adult patients with active rheumatoid arthritis or active psoriatic arthritis. Global pharmaceutical company\u00a0Sanofi informed the medical agency of the error on the Braille on the packaging of some batches of the Arava\u2026","rel":"","context":"In &quot;Medical&quot;","block_context":{"text":"Medical","link":"https:\/\/www.groupactionlawyers.co.uk\/blog\/category\/medical"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/xarelto-concerns.png?fit=725%2C250&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":838,"url":"https:\/\/www.groupactionlawyers.co.uk\/blog\/alvogen-recalls-24-lots-hypertension-due-chemical-contamination","url_meta":{"origin":525,"position":5},"title":"Alvogen recalls 24 lots of hypertension drug off the market due to chemical contamination","author":"Admin","date":"24th July 2017","format":false,"excerpt":"A medical drug manufacturer has initiated a voluntary recall on 3rd July 2017 after concerns their Nifedipine tablets have become contaminated with other medication ingredients. The company, based in Iceland, makes the hypertension drug under the brand name Adalat, which is supplied to Bayer HeathCare. It's used for channel blocking\u2026","rel":"","context":"In &quot;Medical&quot;","block_context":{"text":"Medical","link":"https:\/\/www.groupactionlawyers.co.uk\/blog\/category\/medical"},"img":{"alt_text":"drugs","src":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/www.groupactionlawyers.co.uk\/blog\/wp-content\/uploads\/2016\/11\/drugs-recall-750x250.png?fit=750%2C250&ssl=1&resize=700%2C400 2x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/posts\/525","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/comments?post=525"}],"version-history":[{"count":2,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/posts\/525\/revisions"}],"predecessor-version":[{"id":527,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/posts\/525\/revisions\/527"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/media\/328"}],"wp:attachment":[{"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/media?parent=525"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/categories?post=525"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.groupactionlawyers.co.uk\/blog\/wp-json\/wp\/v2\/tags?post=525"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}