The Hem-o-lok Polymer Ligating Clip is not designed for use as a tissue marker. The functionality is limited to basic scrolling. An official website of the United States government. Please enable it to take advantage of the complete set of features! This case series describes late-onset Hem-o-Lok clip migration into the bladder more than 1 year after robot-assisted radical . Contact customer service to confirm availability in your region. The Weck Hem-o-Lok Ligating Clip is a V-shaped clip made from a non-absorbable material that comes in various sizes. Watch our scientific video articles. Note: If you need help accessing information in different file formats, see Home; Thank you for your submission! TESTIMONIALS. government site. Already signed up? Provide some details about your potential case, which will be submitted for review by a lawyer. All Rights Reserved. J Endourol. In our view, further studies are needed to establish more effective and safe methods to prevent complications after LC and LCBDE. Epub 2014 Nov 10. The Hem-o-lok product line is an innovative cold ligation system that combines the security of a 2.0 suture with the speed of a metal clip for open and laparoscopic surgery. ERCP is a superior approach to manage the complication with a high success rate of about 85% [3]. Informacin detallada del sitio web y la empresa: kafkasgarden.com, +15238563563 Kafkas Garden - Bahe Mobilyalar reticiden Ucuz Kampanya Fiyatlar Side effects of the Gardasil HPV vaccine have been linked to reports of serious and debilitating autoimmune injuries. Magnetic resonance cholangiopancreatography (MRCP) showed a slightly dilated common bile duct with a low signal filling-defect in the distal common bile duct, considering CBD stone, with the filling-defect being represented by a red arrow. . We report a case with a complaint of severe abdominal pain for the previous 20 days. By: Martha Garcia, An estimated 4,000 surgical errors occur every year involving never events, which are medical mistakes widely accepted as avoidable problems. Endoscopic retrograde cholangiopancreatography demonstrates the filling-defect in the common bile duct. Robotic Left Hepatectomy Using Indocyanine Green Fluorescence Imaging For An Intrahepatic Complex Biliary Cyst - Video. Protect your arms, hands, head, and torso from swarms of insects with Ben's? GRAFT SURGICAL INGUINAL HERNIA REPAIR MESH PATCH 11CMW X 14CML MEDIUM OVAL EPTFE COATED POLYPROPYLENE NON-ABSORBABLE TISSUE INGROWTH KUGEL . The listed Teleflex item(s) are not in every case completely identical to the item illustrated but are the closest match available. All rights reserved. Absorbable clips can burden a higher weight and intraluminal pressure. Clinics and Research in Hepatology and Gastroenterology. Magnetic resonance cholangiopancreatography (MRCP) showed a slightly dilated common bile duct with a low signal filling-defect in the distal common bile duct, considering CBD stone, with the filling-defect being represented by a red arrow. Contact customer service to confirm availability in your region. These cookies do not store any personal information. Preoperative Imaging. Several in vitro studies [30,41,45,49,50] showed that Hem-o-Lok clips and titanium clips did not slip or lead to leakage from the end of vessel cuff under the physiological pressures. 52028992AC Fan Clutch Radiator Cooling New for Dodge Durango Chrysler Aspen, 0445110279 Diesel Fuel Injektor 0445 110 279 for HYUNDAI 338004A150 33800-4A100. System. Extraordinary Black Onyx Gemstone 925 Sterling Silver Handmade Ring All Size, FORUM LEOPARD PRINT FOOTED PANTY HOSE ADULT COSTUME ACCESSORY 63176, NEW Boutique Halloween Hocus Pocus Girls Smocked Embroidered Dress, Outdoor EDC Multi Tools Mini Pocket Folded Keychain Key Holder Clip Organizer CA, Parka Uomo Blu Nero Invernale Imbottito Giubbotto . A Data Day presentation scheduled for Thursday will include a presentation on hearing loss statistics potentially linked to 3M Combat Arms earplugs. December 21, 2012 Laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) is currently a widely use technology for patients with gallstone and choledocholithiasis. Testing pressures range beyond physiological pressures. This paper is supported by Incubating Program for Clinical Research and Innovation of Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University (Grant no. Accident Attorneys. Contact customer service to confirm availability in your region. Leukemia, lymphoma and other cancer may be caused by benzene in Neutrogena, Aveeno, Coppertone and other sunscreens. Soga K., Kassai K., Itani K. Duodenal ulcer induced by Hem-o-Lok clip after reduced port laparoscopic cholecystectomy. In this case, one of the possible complications of the postoperative period is the migration of the clip into the urinary tract. doi: 10.1016/j.ijscr.2019.03.024. catalog number 544240, all lots. Clip migration tends to develop from 11 days to 20 years; the median time was 26 months [3]. Patients are warned that if they are considering donating a kidney, to talk to their health care provider about the potential for surgical complications; the methods used during living donor surgery, and the advantages and disadvantages of each method; and the risks and benefits associated with donating a kidney. Our firm has extensive experience. Department of Urology, Rabin Medical Center, Beilinson Hospital, Petach-Tiqwa, affiliated with Sackler Medical School, Tel-Aviv University, Israel (Dekel) Unable to load your collection due to an error, Unable to load your delegates due to an error. of Weck clips and have not been repaired by unauthorized personnel. Not all products are available in all regions. During ERCP, only a single filling-defect was seen in the common bile duct (Figure 2). The operation had been performed without difficulty and we had used 2 Hem-o-lok for the duct/artery. In our case, pure abdominal pain made us consider the postcholecystectomy syndrome at first. Also, the Organ Procurement and Transplantation Network (OPTN) and the American Society of Transplant Surgeons both issued separate safety notifications reinforcing the contraindication to their members and to all OPTN-approved living-donor kidney transplant programs. Open Endoscopic. A 54-year-old woman had undergone a successful LC+LCBDE in our hospital on December, 2015. This medical device, said the FDA, is contraindicated for ligation of the renal artery during laparoscopic living donor nephrectomy, known as kidney removal for kidney donor transplant surgery. Weck Hem-o-Lok XL Extra Large (544250) Following . Weck Hem-o-lok appliers have been designed for exclusive use with Weck Hem-o-lok ligating clips. Epub 2019 Jan 7. This article describes a case of 51-year-old man with a complaint of left flank pain. This case demonstrates the importance of having experienced surgical error attorneys to navigate the court systems procedural rules. 2023 Teleflex Incorporated. FOIA Ganpule A, Patil A, Singh A, Sabnis R, Desai M. J Endourol Case Rep. 2020 Mar 11;6(1):22-25. doi: 10.1089/cren.2019.0087. 2021-02-06 19:57. By: Irvin Jackson, Attaching pictures to patients electronic medical records could significantly reduce the number of medical mistakes that occur throughout the United States, preventing nurses from giving patients the wrong drugs and, June 05, 2012 doi: 10.1136/bcr-2019-230178. Bike Accident Lawyer Unable to load your collection due to an error, Unable to load your delegates due to an error. The FDA wrote that it notified health care providers that Weck Hem-o-Lok Ligating Clips should not be used for the this purpose due to concerns of serious risks to the organ donor. Kavlakoglu B., Pekcici R., Oral S. Clipless cholecystectomy: which sealer should be used? This site needs JavaScript to work properly. The sliding-clip renorraphy technique using Hem-o-lok clips for parenchymal closure in partial nephrectomy is largely used in laparoscopic, robotic and sometimes open surgery. In the present case, a primary closure of CBD was performed after LC+LCBDE. Bicycle, Scooter, and Electric Bike Accidents, Cerebral Palsy Malpractice Injury Lawsuits, Stevens Johnson Syndrome (SJS) Disease Injury Lawyers, Clergy Sexual Abuse Lawyers | Priest Abuse Attorneys, Pennsylvania Sexual Abuse Lawsuit Lawyers, FDA Issues Warning for Weck Hem-O-Lok Ligating Clips, Bicycle, Scooter, and Electric Bike Accident, Stevens Johnson Syndrome (SJS) Disease Injury. She has a history of LC and had a LCBDE surgery 2 mo ago. Clear All . Hem-o-lok polymer clips provide unparalleled security Hem-o-lok Clips Migration: An Easily Neglected Complication after Laparoscopic Biliary Surgery. After surgery, the plaintiff began experiencing abdominal pain, diarrhea, infections, and other complications. The plaintiffs expert opined that he believed the clip was inserted during the first procedure performed by the defendants, traveled to the bladder, and was not located or retrieved prior to closure. Unusual cause of abdominal pain after laparoscopic cholecystectomy. This is the first report of delayed small bowel obstruction after conventional or robotic laparoscopic surgery caused by the Hem-o-lok clip, and it is strongly recommend removal of all Hem-i-loks that are not adequately deployed at the time of surgery. Free shipping for many products! 2022 Jul 6;10 (19):6548 . We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Hem-o-lok Clip Found in Common Bile Duct after Laparoscopic Cholecystectomy and Common Bile Duct Exploration: A Clinical Analysis Of 8 Cases. As the #1 The daily Pittsburgh gazette. catalog, Ordering Create profitable strategy to export District map from Swaziland with Top District map exporting importing countries, Top District map importers & exporters based on 0 export shipment records till Mar - 23 with Ph, Email & Linkedin. Thus, it emphasizes the importance of early recognition of this complication when patients present with upper abdominal pain or symptoms of biliary obstruction after LC. The postoperative period and follow-up were uneventful. Unfortunately, case law reveals that this happens far October 18, 2017. Please use the "Sign Up" button below to create an account. Hem-o-lok clip migration into the bile duct can lead to stone formation and granulation tissue hyperplasia. She was reported to have an 11 mm right renal calculus (570 HU) on CT scan. It could act as nidus for stone formation under extended exposure to urine. Material Description Packaging; HUD523111: Weck Hemoclip Traditional Ligating Clip Applier for Medium Clips, 11" Curved: . doi: 10.1111/ases.12384. Ifyou suffered serious injury as a result of medical malpractice in Massachusetts or in another U.S. state, you should promptly find a Massachusetts medical malpractice lawyer, or a medical malpractice lawyer in your state, who may investigate your medical malpractice claim for you and represent you in a medical malpractice case, if appropriate. The Non-Absorbable polymer clip is inert, nonconductive, radiolucent, and does not interfere with CT or X-ray diagnostics. 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Learn how the Hem-o-lok System can and cost-savings in The plaintiffs medical expert opined that the defendant surgeons had breached the standard of care when they failed to properly apply the clip, recognize and appreciate the loose clip, actively search for the clip, locate the clip in the plaintiffs bladder, and retrieve the clip during surgery prior to closing the bladder neck, which led to a Hem-o-Lok clip being left behind in the plaintiffs bladder that was undiagnosed for approximately eighteen months resulting in pain, infection, stone formation, worsening incontinence and the need for otherwise unnecessary treatment including surgery to remove the stone and clip. While there are published journal articles that appear to endorse the continued use of Weck Hem-o-Lok Ligating Clips for ligating the renal artery during laparoscopic living donor nephrectomies, the FDA and HRSA are stressing to health care providers that the clips are contraindicated for this use because of potential life-threatening complications. Clip migration into the common bile duct (CBD) is a rare complication of laparoscopic biliary surgery. Hem O Lok Clips Teleflex 544240. Background: Hem-o-lok clips (HOLCs) are a useful tool in mini-invasive surgery, especially for renal surgery. To prevent the incidence of clip migration, all the technical factors in the surgery should be considered: confirming the relationship of Calot's triangle during dissection, minimizing the number of clips, and avoiding unnecessary surgical procedures [10]. doi: 10.1136/bcr-2019-231201. 'Caution': The clip must be latched to ensure proper ligation of the vessel or tissue. Sun J, Zhao LW, Wang XL, Huang JG, Fan Y. Always refer to the instructions for use. Military service members between 2003 and 2015 may be eligible for a 3M earplug lawsuit payout over hearing damage or tinnitus. sharing sensitive information, make sure youre on a federal The Non-Absorbable polymer clip is inert, nonconductive, radiolucent, and does not interfere with CT or X-ray diagnostics. a A nephroscopy, Intraoperative Images. Clip III in three common clip failure modes. The plaintiffs medical expert opined that the clip had been inserted during the prostatectomy performed by the defendants surgeons, traveled to the plaintiffs bladder when the bladder neck was open during that procedure, and that the clip had not been located or retrieved prior to closure. Some surgeons continue to use Weck Hem-o-Lok surgical clips for kidney transplant operations, despite warnings and a number of patient deaths, federal health officials warn. Morrisville, NC 27560, Toll Free: 866-246-6990 Bosses are designed to retain clip in applier jaws. Based on an ex-vivo study*, Weck System gives surgeons the confidence of knowing theyve locked securely on the patient vessel. -, Ganpule A, Patil A, Singh A, Sabnis R, Desai M. Migration of Hem-O-Lok in pelvicaliceal system mimicking renal calculus following robotic nephron-sparing surgery: a case report with review of literature. The first investigation might be MRCP and then ERCP for subsequent management. This case series describes the authors' experience of using the Hem-o-lok Polymer Locking Ligation System (XL clip size) for Rarely is a product so perfectly matched with an indication as exists with the Hem-o-Lok and Cholecystectomy. Clinical performance cannot be A former resident of Camp Lejeune has filed a lawsuit claiming water contamination on the base led to the development of breast cancer. Water contamination at Camp Lejeune in North Carolina between 1953 and 1987 caused cancers, birth defects, miscarriages and other side effects for U.S. Marines and their family members. Unauthorized use of these marks is strictly prohibited. The number of Hem-o-lok clip failures (defined as intraoperative or postoperative clip dislodgement necessitating reoperation) was recorded. He had a medical history of ipsilateral retroperitoneal laparoscopic . Free Consultation / Available 24/7Tap Here To Call Us. 2x TYC Left Right Headlight Assembly For Mercedes-Benz GL550 2008~2012. You may also save the PDF for future browsing on your device. We Advin Health Care Manufacturer Of Hem O Lok Clip Applicator With International Quality. , Applicateur de clips Hem O Lok, Hem O Lok. PYZY16-011). Bard Davol 0010105 KuGEL Hernia Patch 2/case. Int J Med Sci. This category only includes cookies that ensures basic functionalities and security features of the website. and transmitted securely. The .gov means its official. clinical and financial outcomes. As an example, an appeals court recently overturned a trial court decision in which the plaintiffs case was dismissed, even though he alleged that medical clamps were left inside him after undergoing a surgical procedure. The expert further attributed the plaintiffs later symptoms, including the bladder stone formation, to the negligence of the defendants. By: Austin Kirk, A panel of federal judges is scheduled to hear oral arguments next week on whether all federal product liability lawsuits filed over problems with the da Vinci surgical robot should, June 25, 2012 Currently, Hem-o-lok clip is widely applied in the controlling of the cystic duct and artery. As a result, according to the plaintiffs expert, the defendants violated the standard of care of the average qualified urologist when they failed to retrieve the loose clip before ending the surgery. government site. We hope that this case draws laparoscopic surgeon's attention to this rare phenomenon. as the appliers are used as intended for application of Weck clips and have eCollection 2018 Mar. Raoul J. L., Bretagne J. F., Siproudhis L., Heresbach D., Campion J. P., Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy treated by endoscopic biliary sphincterotomy. Product. Non-absorbable polymer locking clip is inert, non-conductive, CT / MRI compatible. 2014 Jan-Feb;40(1):123-4;discussion 124. doi: 10.1590/S1677-5538.IBJU.2014.01.18. It is mandatory to procure user consent prior to running these cookies on your website. . You may notice problems with Featuring a first-of-its-kind locking mechanism and distinct tactile feedback, the Hem-o-lok Shu-Xiong Z, Zhen-Sheng Z, Xiao-Wen Y, Hui-Zhen L, Xin L, Ying-Hao S, Chuan-Liang X. Exposure to the toxic herbicide Paraquat has been linked to a risk of Parkinson's disease. Bicycle, Scooter, and Electric Bike Accidents. Conclusion. Bookshelf A 61-year-old female presented with right flank . Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Backed by 84 peer-reviewed articles, no other polymer clip stands on so much evidence to support Locking Style. Clipboard, Search History, and several other advanced features are temporarily unavailable. December 27, 2011 June 21, 2012 Product Description. Product. Eight patients, 6 males and 2 females (mean age of 56.3 years; range of 35 to 76 years), who underwent LC and LCBDE, were included in this retrospective, non-randomized trial. Medium, Medium-Large, Large, and Extra-Large. Gastroenterologia y Hepatologia. ZK2021380/the Science and Technology Department of Guizhou Province, 81960148/National Natural Science Foundation of China, KY2017045/Department of Education of Guizhou Province, 201801/the Doctoral Foundation of the Affiliated Hospital of Zunyi Medical University, Iizuka J, Hashimoto Y, Kondo T, Takagi T, Hata K, Kanzawa T, Tachibana H, Yoshida K, Tanabe K. Incidental detection of asymptomatic migration of Hem-o-lok clip into the bladder after laparoscopic radical prostatectomy. by unauthorized personnel. In our case, limited endoscopic sphincterotomy with balloon dilation (ESBD) was performed to extract the Hem-o-lok clips. the display of certain parts of an article in other eReaders. Case . information in catalog, Download The endoscopic applier system enables surgeons to ligate up to 10 mm vessels through a 5 mm port or up to 16 mm vessels through a 10 mm port. The appeals court denied this argument because the plaintiffs expert had provided a factually based statement by a qualified expert, which was sufficient to meet the plaintiffs burden of proof at that stage of the pre-trial proceedings. and transmitted securely. We discuss the imaging characteristics of those clips: not visible on plain X-ray, low density on computed tomography, before . After the plaintiffs 2012 surgery and continuing into 2014, the plaintiff suffered from abdominal pain, incontinence, infection, and other problems. Search and browse yearbooks online! With regard to robot assisted and laparoscopic radical prostatectomies, the Weck clips are used to control the lateral pedicles. Weck Hem-o-Lok L Large (544240) -. Clinical research of renal vein control using Hem-o-lok clips in laparoscopic nephrectomy. Laboratory examination showed no abnormal parameters. Premature infants fed Similac or Enfamil cow's milk formula faced increased risk of necrotizing enterocolitis (NEC) or wrongful death. 14):9598. We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. . extrapolated from the data. Migration of HOLCs into the collecting system is a fairly rare complication after laparoscopic pyelolithotomy. BMJ Case Rep. 2020 Jan 21;13(1):e231201. FOIA Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Not all products are available in all regions. Find trusted Medical Supplies Disposable Buyers. PDF | On Jan 20, 2015, Philip G. Wong and others published Delayed Hem-o-Lok Clip Erosion Following Salvage Radical Prostatectomy | Find, read and cite all the research you need on ResearchGate Choledochoduodenal fistula caused by migration of endoclip after laparoscopic cholecystectomy. 42312007. After the hem-o-lok clip removed out of the collecting system, with some Stone fragments By: Austin Kirk, Intuitive Surgical, Inc., the manufacturers of the da Vinci surgical robot, which has been the subject of several product liability lawsuits filed by individuals who have experienced complications following robotic, May 25, 2012 Absorbable clips seem to be a safe and effective method in providing hemostasis in the cystic artery and during ligation of the cystic duct [11]. Please use the "Log In" button below to continue. The rare complications of laparoscopic partial nephrectomy consist of the clip migrating into the renal pelvis and acting as a nidus for stone formation. Free Consultation 800-295-3959. A meta-analysis of single-stage versus two-stage management for concomitant gallstones and common bile duct stones. In the case the Massachusetts Appeals Court was deciding, the plaintiffs offer of proof consisted of the medical records relating to his robotic-assisted laparoscopic radical prostatectomy with lymph node dissection performed by the defendant surgeons as well as an opinion letter and curriculum vitae of a board-certified urologist (plaintiffs medical expert). Department of Biliary-Pancreatic Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, No. Not Applicable. Endoscopic Surgical Appliers Weck Hem-o-lok manual load endoscopic appliers are covered World J Clin Cases. The Weck Hem-o-lok Closure Systems unique design and flexible hinge keep the clip firmly seated in applier jaws. 2016 doi: 10.1016/j.gastrohep.2016.08.007. Mr. Zekowski is always on top of his game. As the #1 selling locking polymer clip, the Hem-o-lok System offers quality, reliability, and performance in clip security. Tsai C.-H., Tsai M.-C., Lin C.-C. Client Reviews; Verdicts & Settlements; Practice Areas. and workmanship and a three year repair service on tip alignment and refurbishment as long There are a few reports of hem-o-lok clip migration into the bladder or vesico-urethral anastomosis and only four cases of hem-o-lok clip migration resulting into bladder neck contracture. by Weck Closure Systems, Research Triangle Park, NC 27709; REF 544240. We present a clinical case of the formation of concretion in the bladder as a result of migration of the Hem-o-lok clip after . doi: 10.1093/ehjcr/yty018. However, in rare cases they could migrate into the collecting system and be calculogenic. through a 5 mm port, Available in 32 cm or extended-length 45 cm, 35 cm shaft, the longest available among automatic endoscopic clip appliers, for better The etiology and exact incidence of clip migration are both unclear. b, MeSH You may switch to Article in classic view. Click on the Contact Us Now tab to the right,visit our website,or call us toll-free in the United States at 800-295-3959 to find medical malpractice attorneys in your state who may assist you. Traduo Context Corretor Sinnimos Conjugao. Weck Hem-o-lock Polymer Ligating Since 2007, weve collaborated with Intuitive Surgical to provide the Hem-o-lok System for use Kou K, Liu X, Hu Y, Luo F, Sun D, Wang G, Li Y, Chen Y, Lv G. J Int Med Res. Learn basic information about Weck Hem-o-lok Take apart Ligation appliers. Ultrasonography is cheap, widely available, and safe and is recommended for patients with suspected foreign body. Case. Apart from choledocholithiasis, clip migration may also lead to acute pancreatitis [4], duodenal ulcer [5], biliary-colonic fistula [6], subdiaphragmatic abscess [7], and so forth. 2023 Copyright AboutLawsuits.com. 2006;13(8):1147-1149. April 11, 2012 JoVE is the world-leading producer and provider of science videos with the mission to improve scientific research . Epub 2017 Sep 14. Women diagnosed with cancer may be eligible for settlement benefits. Hem-o-lok clip migration to the common bile duct after laparoscopic common bile duct exploration: A case report World J Clin Cases. In three studies, application of absorbable clips brings fewer complications compared to nonabsorbable clips [1214]. Case 1 was . Please use the "Log In" button below to continue. You may also save the PDF for future browsing on your device. National Library of Medicine The mechanism and exact incidence of clip migration are both poorly understood. The https:// ensures that you are connecting to the The reporting of this study conforms to the CARE guidelines. Weck Hem-o-lok L Polymer Ligating Clips; Rx, sterile, large size, non-absorbable polymer ligation clips; 6 clips per cartridge, 14 cartridges per sales unit, 12 sales units per case; Mfg. Instructions for Downloading Viewers and Players. Multifactor may contribute to the process: the first possible pathogenesis is inappropriate application of clips including incomplete closure of cyst duct and incorrect placement of clips that result in biloma. Clipboard, Search History, and several other advanced features are temporarily unavailable. The Hem-o-Lok clip (Weck Closure Systems, Research Triangle Park, NC, USA), first introduced in 1999 (), is a nonabsorbable polymer clip with a lock engagement feature and teeth in the jaws that provide good security.These clips are frequently used to ligate the renal hilum vessels during minimally invasive nephrectomy, as well as for other laparoscopic procedures [5 6]. An Illinois jury has awarded $17.5 million in amedical malpractice lawsuit filedagainst a doctor and hospital for perforating a mans bowel during hernia surgery. On January, 2017, this patient was readmitted for intermittent upper abdominal pain for a month without fever and jaundice. Hinge allows flexibility in clip placement prior to clip locking. 2008 Mar;22(3):463-4. doi: 10.1089/end.2007.0318. The authors declare that there are no conflicts of interest regarding the publication of this article. Teleflex sent follow-up Important Product Correction Notice letters dated 8/2/06 to all of their Hem-o-lok Ligating Clips customers via registered mail on 8/7/06. A bile leakage was detected on postoperative day 2 and spontaneously resolved after 18 days of conservative treatment. We present a rare case of clip migration 8 years after robotic NSS. -, Soga K., Kassai K., Itani K. Duodenal ulcer induced by Hem-o-Lok clip after reduced port laparoscopic cholecystectomy. The Commonwealth of Massachusetts Appeals Court (Massachusetts Appeals Court) held in its Memorandum and Order entered on October 13, 2017 that the dismissal of the plaintiffs medical malpractice case after a medical malpractice tribunal determined that the plaintiffs offer of proof failed to raise a legitimate question of liability appropriate for judicial inquiry was in error, and therefore vacated the dismissal and remanded the case. 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