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http://yukonmom47.tripod.com/id5.html
Bristol Meyer Squibb-Surgitek chemical list: introduced into U.S.Dist.
Court of MN.
4th Division, Judge David S. Doty, in May 1992. Dow entered a permanent order to preserve evidence at that time. The breast implant examined for this case was used in a 1989 surgery.
INVENTORY OF PRODUCTION SAMPLES
EXHIBIT B
RAW MATERIALS
ACETONE ACS REAGENT SOLVENT
ALUMINA, ACTIVATED FILLER
CAB-O-SIL S-170 SILICA-BAG FILLER
CHLORETHENE-BULK SOLVENT
CHLORETHENE-DRUM SOLVENT
CHLOROPLATINIC ACID 0.4% PLATINUM
DIETHYLENE BLYCOL MBE ACETATE SOLVENT
MEDICAL ADHESIVE A.MISC. ADHESIVE
ETCH ETHYNYL CYCLOHEXANOL PROCESS AID
ZINC STEARATE SURFACTANT
Intermediate materials
Name Description
SGM-26 GUM
SGM-33 GUM
SGM-35 GUM
MDF-0069 CATALYST
DC2FLUID O.65CST FLUID
LS 422 BASE
DC 1107 FLUID
Q1-0043 FLUID
F1-0049 FLUID
Q1-2287 ME VI CYOLLOS
3-8015 PLATINUM II
Q4-2782 FLUID
Q4-2826 PR FLLUID
Q4-2839 PL FLUID
6-3570 CL FLUID
7-2046A ELASTOMER
7-2046B ELASTOMER
Q7-2127 BASE STOCK
Q7-2146 GEL FLUID
Q7-2150 GEL FLUID
Q7-2151 FIRM GEL
Q7-2159A STANDARD GEL
Q7-2167 GEL FLUID
Q7-2168 GEL FLUID
Q7-2317 1000CST FLUID
Q7-2420 BASE
Q7-2424A BASE
Q7-2424B BASE
Q7-2553 BASE
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Q7-2198 ADHESIVE
Q7-2373 SHEETING
Q7-2423 DISPERSION
Q7-2551 DISPERSION
Q7-2868 SHEETING
Q7-2869 SHEETING
Q7-2503 INFILTRATION VALVE
Q7-2517 FILL TUBE ASSEMBLY
Q7-2316 MAMMARY ENVELOPE, LPR
Q7-2595 MAMMARY ENVELOPE, TDP
Q7-3062 MAMMARY ENVELOPE, HPR
Q7-3063 MAMMARY ENVELOPE, TDP-UPE
Q7-3024 MAMMARY ENVELOPE, LPE-UPE
Q7-3028 MAMMARY ENVELOPE, TEX INNER
8-0102 MAMMARY ENVELOPE, MSI-UPE
8-0104 FILL TUBE ASSEMBLY
FILL TUBE NOZZLE COMPONENT
SLS CONNECTOR COMPONENT
SLS NEEDLE COMPONENT
TUBING, MDF-0108 COMPONENT
FINISHED PRODUCTS (in sterile packaging)
NAME QUALITY TO BE RETAINED
SILASTIC II-LOW PROFILE ROUND 50
SILASTIC II-HIGH PROFILE ROUND 50
SILASTIC II-TEARDROP 50
SILASTIC II-GEL/SALINE 50
SILASTIC MSI-LOW PROFILE ROUND 50
SILASTIC MSI-HIGH PROFILE ROUND 50
SILASTIC MSI-MODERATE PROFILE ROUND 50
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CHEMICAL PROFILE for BREAST IMPLANTS
1. Methyl Ethyl Ketone
2. Cyclohexanone
3. Isopropyl alcohol
4. Denatured Alcohol
5. Acetone
6. Urethane
7. Polyvinyl Chloride (Liquid vinyl) This ingredient was used in all medical devices made at Edwards Lab, from tubing to gel.
8. Lacquer Thinner
9. Ethyl Acetate
10. Epoxy Resin
11. Epoxy Hardener - both 10 & 11 are chemically known as glycosides Ether of Bisphenol A.
12. Amine
13. Printing Ink
14. Toluene
15. Dichloromethan (Methylene Chloride) This breaks down in the body so blood cannot carry oxygen: Metabolizes carbon monoxide poisoning. Causes CSN depression.
16. Freon
17. Silicone
18. Flux
19. Solder
20. Metal cleaning Acid
21. Lofol (Formaldehyde)
22. Talcum Powder
23. Color Pigments as Release Agents
24. Oakite (Cleaning Solvent)
25. Eastman 910 glue (Cyanoacyrylates)
26. Ethylene Oxide (ETO)
27. Carbon Black
28. Xylene
29. Hexone
30. Hexanone2
31. Thixon-OSN-2
32. Antioxidant (Rubber)
33. Acid stearic
34. Zinc Oxide
35. Naptha (Rubber Solvent)
36. Phenol
37. Benzene - Known Carcinogen!!!!!
KNOWN TO CAUSE IMMUNE DISEASE!!!!!!
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Page 5 McGhan Implants Ingredients from FDA ~ Chief of PS Devices Date: Sunday, December 05, 1999 10:20 AM Subject: McGhan Implants Ms. Pyron: Your e-mail dated November 25 regarding McGhan Medical breast implants was forwarded to me. You had two inquiries: when your implants were manufactured and what are the material constituents. For the former, FDA does not have information on the date of manufacture of implants based on lot numbers. For this you can contact McGhan Medical in Santa Barbara, CA, 1-800-624-4261. Regarding the materials, this style of implant has a silicone rubber shell and is filled with silicone gel. The silicone rubber contains the following substances: 1. small amounts (parts per million) of various smaller silicones. 2. small amounts (50 - 100 parts per million) of metals like tin and platinum and very trace amounts of other metals. 3. trace amounts of volatile materials like xylene and other organic compounds. 4. considerable amounts (approximately 20 parts per hundred) of finely powdered silica that is tightly bound to silicone rubber pouch. The filler material contains silicone oil and silicone gel in addition to the four materials (chemicals) listed above. I hope this answers your questions. Sincerely, Stephen Rhodes Chief, Plastic and Reconstructive Surgery Devices Page 6 Beagle Implant Studies.... from Bristol 1978 ~ 7/23/99
View this article only Newsgroups: alt.support.breast-implant Date: 1999/07/23 The 11th Circuit Court of Appeals in Atlanta, GA has affirmed upheld) the decision rendered by Federal Judge Patricia C. Fawsett in the Barrow vs. BMS/MEC case in Orlando, Florida October, 19, 1998 for $750,000+. Judge Fawsett found MEC guilty of fraud for concealing gel bleed and for hiding the beagle studies that indicated some of the dogs died and silicone was found in multiple organs including lungs, kidneys, ovaries, etc. Bristol Myers Squibb was released by Denise Dunleavy of Weitz & Luxemborg one minute before closing arguments on the last day of trial WITHOUT the consent or agreement of Ms. Barrow. In 1992, Bristol Myers Squibb presented this same false data to the FDA on these now infamous "beagle studies." Bristol Myers Squibb was denied Summary Judgement releasing them from breast implant liability on April 25, 1995, according to Judge Sam Pointer's orders According to the court documents, BMS purchased MEC in 1982. Ms. Barrow received her implants in 1985. Page 7 BMS000069953/1142
Beagle Implant Studies ~ 3/28/1978 ~ Bristol
March 28, 1978 To: JERRY HELMER CC: D. SANDERS M. HANSEN FROM: W. STITH SUBJECT: BEAGLE IMPLANT STUDIES I have reviewed the material in the file on the Beagle Implant Studies performed by Industrial Bio-Test or Cape Laboratories. A summary of the studies performed and also those in-progress is shown in Table 1. The animals implanted, the implant sites, and the type of implant are shown in Figures 1 - 19. No sheets are available on animals 738H, 722H and 736H. A list of the materials implanted, implant size(where available), and material use is shown in Table 2. My impression in going through the studies is that the majority of the implant studies concern materials that have, been discontinued, such as MEC 114 and MEC 127. These materials wire used for mammary prosthesis. The gel they contained, I understand, has also been discontinued. Interestingly, tissue inflammation was observed with the MEC 114 prosthesis but not with the MEC 114 shell material. Some hemorrhage into the surrounding tissues also appeared to be present. No studies were performed to establish whether the reaction was due to the gel material or the Dacron attachment on the back of the prosthesis intended for tissue in-growth. Examination of other organs also revealed instances of possible pneumonia of the lung and hyperplasia of lymphoid tissue, in the large intestine. The cause and significance of these findings were not discussed by the veterinary pathologists. The findings are further complicated by the presence of different materials in the same animal. One wouldn't be able to pin the effect to a specific material or whether the effect might have resulted from a combination or synergistic effect of both materials. I submitted Dacron felt, presently in use as attachment to mammary prosthesis to North American Science Associates. They found the material to be toxic to cells in tissue culture. This may explain the inflammatory response seen in our studies. Smahel 1 examined the histology of 9 capsules around silicone implants from 7 patients. Page 8 The implants were removed because of breast pain and constrictive fibrosis. He found chronic inflammatory infiltration of qreat1y varying intensity in areas surrounding he Dacron attachment. Currently there are five animals St. Wedge Creek with MEC implants. These animals (Fig. 15-19) all contain more than one type of implanted material. This will make interpretation of organ data difficult. Three of the animals (CC-74, 273 and 669M) also contain Plastigel. I met with L. Christensen and S. Aperavich and found that there is no traceability on this material. Both agree that it is probably GE material. As you know we now purchase Plastigel precursor material from Dow Corning. I discussed our dog studies with R. Wallin, Scientific Director of North American Science Assoc. He was of the opinion that unless we had good material traceability, the study should be discontinued. He also stated that as much information could be gained from 90 day rabbit studies as from long-term dog studies. I feel that our present long-term beagle-study (5 animals) should be discontinued without histopathology examinations. My reasons are as follows: No traceability on Plastigel samples in 3 animals. Other material used for implants in the animals has been discontinued. 2) The other 2 animals contain multiple materials—any deleterious effects couldn't be linked to a specific material. 3) The animals presently cost $425 month to maintain. 4) USP XIX calls out rabbits for evaluation of a plastic material in direct contact with living tissue. (Implant Studies) 5) According to R. Wallin, 90 day rabbit studies will give the information we need, in a shorter time and at a lower cost than the long-term beagle studies. 6) The data we have and will obtain from Industrial Bio-Test is questionable as you, the FDA and everyone else knows. As you know, I have outlined testing procedures that I think should be performed on new materials and also additional lots of a previously tested material. I am also looking at other implantable devices to see what testing has been performed on their component materials. I suspect that many of these materials will also require implant studies. I would recommend that long-term dog studies not be performed on these materials and instead use 90 day rabbit implants. I would also recommend not using different material in the same animal unless we only are interested in the local effect of the materials. In order to perform such a study, it would be necessary to separate imp1ant sites so as to preclude the possibility of cross-reactions occurring. REFERENCES Smahel, J., HISTOLOGY OF THE CAPSULES CAUSING CONSTRICTIVE FIBROSIS AROUND BREAST IMPLANTS. 8r~.t. Journal of Plastic Surgery, 30:324-329, 1977.
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1977/Dr Jenny warns FDA regarding liquid siliconeThanks to Pam Dowd for sending us the following letter from Dr. Jenny to the FDA regarding liquid silicone.
This letter was part of the evidentiary files of breast implant litigation. . .Myrl
HENRY JENNY, M.D.
HENRY JENNY M.D., INC.
PLASTIC AND COSMETIC SURGERY
TELEPHONE: 714.327.1117
12 December, 1977
Mr. Rudolf Apodaca HFD-316
Compliance Evaluation Branch
Bureau or Drugs
5600 Fishers Lane
Rockville, MD 20852
Dear Mr. Apodaca:
On October 31, 1974 I sent to you a scientific paper with photographs and slides
on the harmful effects of liquid silicone injected into the human body.
I then asked you to please review the paper and the slides and send
them to Mr. Harry E. Butts, HFX-100 Division of Compliance, Bureau of
Medical Devices and Diagnostic Products, 5600 Fishers Lane, Rockville,
MD 20852. As of this date, I have not heard from you nor from Mr. Harry
Butts.
I think that I might expect the courtesy of a response as well as return of my work.
Since that date I have collected further information on the transgression of liquid silicone particles through the gel-filled prosthetic shell into surrounding tissues and some of my observations have been confirmed by a Doctor Shamel who is a scientific worker at the University of Zurixh, Switzerland.
I am amazed that no action has been taken, nationwide, against the injection of liquid silicone and I am also amazed that you have not taken a closer look at the possible dangerous effects of the liquid silicone portions of the gel transgressing through the shell and then being absorbed into the human body.
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Yours Sincerely,
Henry Jenny, M.D.
HENRY JENNY, M.D., INC
HJ:LM
CC: Mr. Harry Butts
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