Christian Medical College Ludhiana Holds 126th Annual Convocation, 260 Graduates Awarded

Ludhiana- The Christian Medical College, Christian Dental College, College of Nursing, College of Physiotherapy and Institute of Allied Health Sciences, Ludhiana recently held their 126th Annual Convocation with traditional grandeur at the college campus. Professor Vivek Lal, Director, PGIMER, Chandigarh was present as the Chief Guest at the event.

According to a TribuneIndia Media News report, Christian Medical College Director Dr William Bhatti welcomed everyone, while the Principal Dr Jayaraj D Pandian administered the Hippocratic oath to the graduates and presented the college’s annual report. The report highlighted the achievements, awards and honours earned by the faculty and students during the past year.

Addressing the gathering, Professor Vivek Lal urged the graduates to be sensitive towards the health needs of the society and fulfil their duty of providing holistic healthcare. He also encouraged them to remain lifelong learners and stay updated with the latest developments. Professor Lal hoped that many graduates would serve in the remote areas of India in line with the mission of Christian Medical College.

Meanwhile, a total of 260 graduates from Christian Medical College, Christian Dental College, College of Nursing, College of Physiotherapy and Institute of Allied Health Sciences received their degrees. Prizes and medals were presented to students who excelled in academic activities by the chief guest Professor Vivek Lal, PGI Director, report TribuneIndia.

Notable awards included the Elizabeth Gopal Krishnan Gold Medal Scholarship Merit Award for the best outgoing MBBS student in Obstetrics & Gynecology, which was presented to Diksha Arora and Jacob Jalal. Along with this, Dr Divya Handa received the Vipin Khanna Memorial Gold Medal for the best trainee and Diksha Arora was honoured as the best outgoing student for overall academic excellence.

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Sacubitril/Valsartan Delivers Safer, Stronger Blood Pressure Control in CKD: Study Finds

Japan: A recent study has revealed that replacing angiotensin II receptor blockers (ARBs) with sacubitril/valsartan can safely improve 24-hour blood pressure (BP) management in individuals with advanced chronic kidney disease (CKD). The findings, published in the American Journal of Hypertension, indicate that patients with non-dialysis CKD stages 4-5 who struggle to reach BP targets on ARBs may benefit from this therapeutic switch.

Chronic kidney disease is often associated with hypertension, which significantly contributes to disease progression and cardiovascular complications. Despite ARBs being a widely used antihypertensive option, many patients fail to achieve optimal BP control, necessitating alternative treatment strategies.

Against the above background, Hiromichi Wakui, Yokohama City University Graduate School of Medicine, Yokohama, Japan, and colleagues assessed the impact of sacubitril/valsartan, a first-of-its-kind angiotensin receptor neprilysin inhibitor (ARNI), on 24-hour blood pressure and its safety over a 12-weeks in Japanese patients with non-dialysis advanced chronic kidney disease.

For this purpose, the researchers conducted a prospective, single-arm exploratory study, enrolling patients with non-dialysis CKD stage G4-5 (eGFR <30 mL/min/1.73 m²) who failed to achieve BP targets with ARBs. These patients were switched to sacubitril/valsartan, and the study evaluated changes in 24-hour systolic BP (SBP) using ambulatory BP monitoring (ABPM) over 12 weeks. Safety outcomes, including a ≥30% rise in serum creatinine and incidence of hyperkalemia, were also assessed.

The study revealed the following findings:

  • A total of 30 patients were enrolled, with 29 switching to sacubitril/valsartan.
  • Efficacy analysis was conducted on 26 patients.
  • The baseline mean eGFR was 21.1±5.0 mL/min/1.73m².
  • Baseline office BP was 149.4±23.7/80.7±11.9 mmHg.
  • Baseline 24-hour BP was 139.6±17.7/77.0±7.8 mmHg.
  • Baseline daytime BP was 143.5±18.5/79.6±8.7 mmHg.
  • Baseline nighttime BP was 131.0±20.4/71.1±8.8 mmHg.
  • After 12 weeks, 24-hour SBP decreased by -7.1±12.4 mmHg.
  • Daytime SBP reduced by -7.7±12.9 mmHg.
  • Nighttime SBP showed a non-significant reduction of -5.8±15.8 mmHg.
  • No cases of potassium levels exceeding 6.0 mmol/L were observed.

The researchers showed that switching from ARBs to sacubitril/valsartan provides a safe and effective strategy for enhancing 24-hour blood pressure control in patients with non-dialysis CKD stage G4-5 who fail to achieve target BP levels with ARBs. Based on this, they suggested that this approach may offer better hypertension management without compromising renal function or increasing the risk of hyperkalemia.

“Given the challenges of managing hypertension in CKD patients, these findings emphasize the importance of personalized treatment approaches. By integrating sacubitril/valsartan into clinical practice, healthcare providers may be able to enhance BP control in patients who do not achieve desired outcomes with ARBs alone,” the authors concluded.

Reference:

Kinguchi, S., Ishiga, K., Wakui, H., Azushima, K., Kanaoka, T., Kobayashi, Y., Haze, T., Hirawa, N., & Tamura, K. Switching from ARBs to sacubitril/valsartan safely improves 24-hour ambulatory blood pressure in patients with advanced chronic kidney disease. American Journal of Hypertension. https://doi.org/10.1093/ajh/hpaf028

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Coronary artery calcium associated with prevalence of diastolic dysfunction: BMC

A new study published in the journal of BMC Medicine showed that coronary artery calcium (CAC) and diastolic dysfunction (DD) prevalence were significantly correlated in the general population, and both subclinical measures were linked to higher mortality.

Regardless of recognized risk variables including age, sex, ethnicity, or cardiovascular comorbidities, the CAC is an independent risk factor for coronary artery disease. On the other hand, nothing is known about how DD and CAC work together to reduce mortality in the general population. Therefore, Ki Hong Choi and team carried out this study to find out how often DD is, how it progresses based on the severity of CAC, and how they work together to reduce mortality.

This study was a cohort study based on the population. Every one of the 15,193 persons who had a health screening examination that included both a CAC scan and echocardiography at the same time was recruited. Both definite or probable DD (≥2/4) and definite DD (≥3/4 aberrant values for DD [e′, E/e′, tricuspid regurgitation velocity, and left atrial volume index]) were identified. Based on the CAC and DD, all-cause mortality was calculated.

Of the individuals in the population, 7995 had CAC = 0, 4661 had 0 < CAC < 100, and 2537 had CAC > 100. Those with CAC = 0 had considerably lower prevalence ratios for definite and definite or probable DD than those with CAC = 100. The linear relationship between CAC and E/e′ was significant.

The adjusted HRs with 95% CI for mortality of CAC ≥100 without definite DD, CAC <100 with definite DD, and CAC ≥100 with definite DD were 2.56, 3.08, and 3.91, respectively, in comparison to CAC <100 without definite DD. Significant CAC was substantially linked to quicker development in definite DD over time, with a faster elevation of E/e′ during follow-up among subjects with at least two echocardiographic measures who did not have DD at the time of CAC assessment.

Overall, there was a significant correlation between CAC and DD in a general population that had a thorough health screening examination that included both a CAC scan and echocardiography at the same time. The risk of mortality was higher for patients with both subclinical measures than for those with only one.

Source:

Choi, K. H., Kang, D., Lee, S. H., Kim, D., Cho, S. W., Choi, S.-H., Park, T. K., Lee, J. M., Song, Y. B., Hahn, J.-Y., Choi, S.-H., Gwon, H.-C., Cho, S. J., & Yang, J. H. (2025). Impact of coronary artery calcium on progression of diastolic dysfunction: a cohort study. BMC Medicine, 23(1). https://doi.org/10.1186/s12916-025-03956-9

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Revolutionary Polio Vaccine Offers Safer, More Accessible Immunization for a Polio-Free Future: Study Finds

Researchers have taken a major step towards producing a more affordable and lower-risk polio vaccine using virus-like particles (VLPs). These particles mimic the outer protein shell of poliovirus, but are empty inside. This means there is no risk of infection, but the VLP still causes the immune system to respond.
In a paper published in Nature Communications, the findings show that VLPs produced in both yeast and insect cells can perform equally or better than the current inactivated polio vaccine (IPV), which creates an immune system response by using a killed version of the poliovirus.
Professor Stonehouse, the senior author of the research said: “Any vaccine is only as effective as the number of children that it reaches. The key is to make vaccines universally accessible, as all children have a right to be protected from diseases such as polio, no matter where they live. Ultimately, VLPs would significantly contribute to vaccine equity.
Currently, IPV is relatively expensive to produce because it requires high levels of bio-containment to minimise the risk of leaks of live poliovirus, which could result in outbreaks. VLPs are non-infectious and would not need to be handled under such stringent bio-safety conditions.
Oral polio vaccine (OPV), which contains live but weakened vaccine-virus, is also used in vaccination against polio.
Non-infectious VLPs are easier to produce than current IPVs and the research has shown they are more temperature stable, thanks to genetic alteration of the outer shell. As they are non-infectious, this means they will be less expensive to produce, helping to improve equitable access to vaccination.
Ref: Sherry, L., Bahar, M.W., Porta, C. et al. Recombinant expression systems for production of stabilised virus-like particles as next-generation polio vaccines. Nat Commun 16, 831 (2025). https://doi.org/10.1038/s41467-025-56118-z

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TyG-body mass index and TyG-waist circumference may predict ischemic stroke risk, reveals research

A new study published in the journal of Diabetes Research and Clinical Practice revealed that across all glucose metabolism groups, higher triglyceride-glucose (TyG) indices, like TyG-body mass index (TyG-BMI), and TyG-waist circumference (TyG-WC), were linked to an increased risk of ischemic stroke.

Insulin resistance (IR) is a recognized risk factor for ischemic stroke, can be evaluated using triglyceride-glucose (TyG) related indices, such as TyG, TyG-body mass index (TyG-BMI), and TyG-waist circumference (TyG-WC). Early studies have demonstrated the importance of these indices in a number of metabolic conditions, yet, nothing is known about how well they predict ischemic stroke across a range of glucose metabolic states.

Using data from the UK Biobank, this study investigates the association between ischemic stroke risk and baseline TyG-related indicators across a range of glucose metabolic states. Keyu Bian and colleagues wanted to validate the use of these indicators in early identification and intervention for groups at increased risk of stroke through this comprehensive prospective cohort investigation.

Using data from the UK Biobank, this study examined 392,733 individuals who were free of ischemic stroke at baseline and were divided into groups according to the American Diabetes Association’s criteria for normal glucose, prediabetes, and diabetes. Baseline measurements of fasting blood glucose and triglycerides were used to calculate TyG-related indicators. The incidence of ischemic stroke was evaluated by tracking the participants for a median of 14.68 years. The relationships between TyG indices and stroke risk were investigated using Cox proportional hazards models that controlled for clinical and demographic factors.

The findings of this study found ischemic stroke to occur in 8033 patients throughout the follow-up period. In every group with glucose metabolism, higher TyG-related indices were linked to a higher risk of stroke. The highest correlations were shown in the groups with prediabetes and normal glucose.

Across the TyG, TyG-BMI, and TyG-WC index quartiles, the risk of stroke gradually rose. While the TyG-BMI and TyG-WC indices shown considerable predictive power in the prediabetes and normal glucose groups, this study indicated that each unit increase in the TyG index significantly increased the risk of stroke in diabetics.

Overall, the risk of ischemic stroke may be accurately predicted by TyG-related indices, specifically TyG-BMI and TyG-WC, especially in those with prediabetes and normal blood sugar levels. These results highlight the usefulness of TyG indices as instruments for early identification and preventative measures in managing the risk of stroke throughout different glucose metabolism stages.

Reference:

Bian, K., Hou, C., Jin, H., Feng, X., Peng, M., Zhao, X., Yuan, X., Sun, W., Feng, H., & Xu, G. (2025). Association between Triglyceride-Glucose indices and ischemic stroke risk across different glucose metabolism statuses. Diabetes Research and Clinical Practice, 222(112064), 112064. https://doi.org/10.1016/j.diabres.2025.112064

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Scientists Harness Bile-Converting Bacteria to Heal Damaged Colons

The human gut is home to trillions of bacteria that play vital roles in digestion, immunity, and overall health. When this microbial balance is disturbed, it can contribute to the development of chronic diseases like ulcerative colitis (UC), an inflammatory condition of the large intestine. For some patients, current treatments offer limited relief or carry significant risks, including immune suppression. Researchers are now exploring alternative ways to restore gut health, focusing on the microbiome’s ability to heal the intestinal lining.
The research teams led by Kristina Schoonjans and Rizlan Bernier-Latmani at EPFL, have identified Clostridium scindens, a bacterium that converts primary bile acids into 7α-dehydroxylated bile acids, as a key player in gut healing. Their study shows that supplementing the gut with this bacterium could improve recovery from colonic injury, offering a new potential therapy for UC and related disorders.
The researchers found that these effects were dependent on TGR5, a receptor that responds to 7α-dehydroxylated bile acids, which stimulates the proliferation and differentiation of intestinal stem cells.
To further validate their findings, they analyzed patient data to determine whether similar mechanisms were at play in humans. They found that in UC patients, the lower levels of 7α-dehydroxylated bile acids strongly correlated with impaired intestinal cell renewal. This reinforces the link between bile acid metabolism and intestinal healing. “Our findings highlight the potential of microbiome-targeted strategies to modulate bile acid metabolism and promote gut healing,” says Antoine Jalil, the first author of the study.
Ref: Jalil A, Perin A et al. (2025). Bile acid 7α-dehydroxylating bacteria accelerate injury-induced mucosal healing in the colon. EMBO Molecular Medicine 10 March 2025. DOI: 10.1038/s44321-025-00202-w

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Ultrasonographic evaluation of palatoglossal space may predict difficult mask ventilation: Study

Recent study explores the use of Modified Mallampati grading (MMG), ultrasonography at the submandibular region, and tongue thickness (TT) to predict difficult mask ventilation (DMV) and difficult laryngoscopy (DL). Unanticipated difficult mask ventilation has a high incidence rate despite various predictors for anticipating it, highlighting the need for accurate assessments. MMG and ultrasonography are discussed as potential tools to visualize airway structures and predict airway closure. The study involved adult patients undergoing elective surgery under general anesthesia, where the submandibular region was assessed using ultrasonography to measure palatoglossal space (PGS) and tongue thickness. PGS was significantly associated with DMV, with an area under the curve (AUC) of 0.989, indicating its high predictive value. A PGS cut-off value of 6.8 mm had a sensitivity of 94.4% in predicting DMV, making it a valuable tool for airway assessment.

Assessment of Tongue Thickness and Palatoglossal Space in Predicting Difficult Mask Ventilation

Tongue thickness was also assessed, with a cut-off value of 41 mm showing specificity but limited sensitivity in predicting DMV. The study emphasizes the simplicity and effectiveness of assessing PGS compared to obtaining dimensions, highlighting its utility as a rapid point-of-care ultrasound tool for predicting DMV. Additionally, the study compared PGS and TT in predicting both DMV and DL, providing insights into their respective sensitivities and specificities. The findings showed that an obliterated PGS had high sensitivity in predicting DL, indicating its potential as a robust predictor for airway difficulties.

Utility of Palatoglossal Space and Tongue Thickness in Predicting Airway Difficulties

The research also discusses previous studies that attempted to create scoring systems for identifying DMV but notes the challenges of using multiple parameters in assessments. Instead, the study suggests that PGS could serve as a valuable single parameter for predicting DMV due to its high sensitivity. The study concludes that PGS, alongside TT, can offer valuable insights into predicting airway difficulties during procedures requiring mask ventilation and laryngoscopy. Overall, the use of PGS and TT through ultrasonography presents promising avenues for enhancing the prediction of difficult airway management in clinical practice.

Key Points

– Modified Mallampati grading (MMG), ultrasonography at the submandibular region, and tongue thickness (TT) were studied to predict difficult mask ventilation (DMV) and difficult laryngoscopy (DL) in adult patients undergoing elective surgery.

– Ultrasonography was used to measure palatoglossal space (PGS) in the submandibular region, with PGS showing a significant association with DMV, indicated by an AUC of 0.989 and a sensitivity of 94.4% at a cut-off value of 6.8 mm.

– Tongue thickness was also assessed, but with limited sensitivity in predicting DMV, contrasting with the effectiveness of PGS assessment.

– An obliterated PGS was found to have high sensitivity in predicting DL, suggesting its potential as a robust predictor for airway difficulties.

– Previous studies used multiple parameters for DMV prediction, but this study suggests that PGS alone could be a valuable single parameter due to its high sensitivity.

– The study concludes that PGS, in combination with TT, offers valuable insights into predicting airway difficulties during procedures involving mask ventilation and laryngoscopy, showing promising avenues for improving difficult airway management predictions in clinical settings.

Reference –

Sekhar S, Kundra P, Mohan VK, Senthilnathan M, Ramesh A. Ultrasonographic evaluation of palatoglossal space to predict difficult mask ventilation – A prospective observational study. Indian J Anaesth 2025;69:315-8.

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Case of Knee joint synovial hemangioma treated with arthroscopic resection without hemarthrosis: A report

Intra-articular synovial hemangioma of the knee is a relatively rare benign tumor that if left undiagnosed and treated may be followed by degenerative cartilaginous changes and osteoarthritis. However, the non-specific symptoms of synovial hemangiomas limit its early diagnosis. Ryota Uemura et al reported their encounter with synovial hemangioma of the knee in which the diagnosis was based on a > 20-year history of chronic pain without joint swelling or hematoma. This case has been reported in line with the SCARE criteria in ‘International Journal of Surgery Case Reports.’

Case report

It describes a 34-year-old man who had experienced left knee joint pain since he was 14. He received symptomatic treatment at a chiropractic clinic each time he experienced the pain. However, the symptoms continued to recur even after 20 years, and the patient was referred to author’s hospital for examination. There was no history of trauma. At the time of examination, the range of motion of the left knee joint was good, and there were no obvious tumorous lesions on visual or palpation examinations. However, slight tenderness was observed at the upper edge of the patella. There was no pain at rest; however, he complained of pain at the patellar upper edge during squatting. Thigh circumference measurement revealed quadriceps femoris atrophy in the left leg (40.0 cm) compared to the right leg (43.0 cm). The authors suspected the presence of a discoid meniscus, intraarticular loose body, or intraarticular tumor and performed magnetic resonance imaging (MRI), which revealed a multilocular tumor formation on the patellar upper edge. CT scan revealed an unclear tumor in the patellar pouch, with no calcification or ossification inside the tumor. The bone cortex adjacent to the patellar upper edge was indistinct, and small bone-lucent areas were observed around it. Slightly sclerotic images were observed at the edge of the bone-lucent area, which suggested erosion. Based on these findings, pigmented villonodular synovitis was suspected.

The patient was provided with detailed information on the characteristics of the tumor and surgical treatment (arthroscopic excision or open excision). First, a portal was created on the outside of the patella. The joint was observed using arthroscopy and was shown to exhibit synovial hyperplasia. A tumorous lesion of approximately 20 mm in diameter was found, covered in fibrous tissue on the upper edge of the patella. Next, portals were created on the inside and outside of the upper patella and tumor excision was started. When an incision was made on the surface of the tumor using a sharp blade, synovium-like tissue with abundant blood flow was exposed from the inside. A shaver and a vaporizer were used to remove the tumor, expose the patellar ligament tissue, and confirm the upper edge of the patella. The tumor was observed to have infiltrated the patella bone; therefore, excavations were performed at the same site. After confirming that the entire tumor had been sufficiently excised, a portal was added on the inside of the patella, and the synovial tissue inside the joint was excised. No obvious arthritic changes were observed.

Histological examination revealed blood vessels of various sizes against a background of fibrous and adipose tissue. It had numerous vascular structures showing ERG positivity within the nodules with sclerotic changes, leading to the diagnosis of cavernous synovial hemangioma. At the 1-year follow-up, MRI revealed that the tumor was fully excised, with no signs of residual or recurrent tumors.

The authors concluded – “Accurate diagnosis and appropriate early treatment are necessary for synovial hemangiomas, similar to other tumors. In this case, the synovial hemangioma was not noted on follow-up MRI at 3 months or 1 year post-surgery. The patient’s clinical symptoms were relieved, and there was no recurrence even 1 year after the surgery. When a patient presents with recurrent knee joint pain, it is necessary to consider synovial hemangiomas as a differential diagnosis, even when knee joint swelling is absent.”

Further reading:

Knee joint synovial hemangioma treated with arthroscopic resection without hemarthrosis: A case report

Ryota Uemura et al

International Journal of Surgery Case Reports 116 (2024) 109352

https://doi.org/10.1016/j.ijscr.2024.109352

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Hallucinogen use linked to 2.6-fold increase in risk of death for people needing emergency care: Study

People seeking emergency care for hallucinogen use were at 2.6-fold higher risk of death within 5 years than the general population, according to a new study published in CMAJ.

The use of hallucinogens, such as ketamine, psychedelics, psilocybin, LSD, ayahuasca, and MDMA (Ecstasy), has rapidly increased since the mid-2010s, especially in Canada and the United States. In the US, the percentage of people reporting they used hallucinogens more than doubled from 3.8% in 2016 to 8.9% in 2021. “In Canada, an estimated 5.9% of people used a psychedelic such as LSD or psilocybin in 2023, with use as high as 13.9% in people aged 20–24,” says Dr. Daniel Myran, a family physician and public health and preventive medicine physician researcher with ICES, the Bruyère Health Research Institute, and The Ottawa Hospital.

Increasing use may partially reflect growing medical and societal interest in pairing psychedelics with psychotherapy for mental health and substance use disorders. However, although psychedelic-assisted therapy trials have generally been safe, there are few data about whether hallucinogens might increase the risk of adverse events, such as thoughts of suicide and death, when used outside of carefully controlled clinical trial settings or in populations currently excluded from trials.

“Despite the growing popularity of hallucinogen use, we know surprisingly little about potential adverse effects of hallucinogens, such as mortality risks. Contemporary clinical trials have not observed any short-term increase in risk of severe adverse events, including death, for trial participants. However, these studies involve careful supervision and therapy for trial participants and exclude people at high risk of adverse outcomes,” says Dr. Myran.

To better understand if there is an association between hallucinogen use and increased risk of death, researchers looked at health care data held by ICES on emergency department visits, hospitalizations, and outpatient physician visits for more than 11.4 million people in Ontario aged 15–105 years. Of the total group, 7954 (0.07%) sought acute care for hallucinogen use. The risk of death within 5 years for people who sought acute care for hallucinogen use was almost 10 times that of someone of the same age and sex in the general population. Individuals who received acute care for hallucinogen use had more medical comorbidities.

After accounting for other mental health conditions and substance use along with medical comorbidities (which were generally much more common in those using hallucinogens than the general population) people with acute care visits involving hallucinogens remained at elevated risk of death (2.6-fold higher).

People needing acute care for hallucinogen use were more likely to live in low-income neighbourhoods, to have been homeless at the time of a previous acute care visit, to be long-time residents of Canada, to have chronic health conditions, and/or to have received care for a mental health problem or substance use disorder in the previous 3 years. They were at higher risk of death than people who sought alcohol-related acute care, but at lower risk of death than people needing acute care for opioid or stimulant use.

“The findings highlight the need for ongoing investigation of and communication about both potential benefits and risks from hallucinogen use, particularly use outside clinical trial settings, given rapid increases in general population use,” says Dr. Marco Solmi, a psychiatrist at The Ottawa Hospital and associate professor, University of Ottawa.

Reference:

Daniel T. Myran, Jennifer Xiao, Nicholas Fabiano, Michael Pugliese, Tyler S. Kaster, Joshua D. Rosenblat, M. Ishrat Husain, Jess G. Fiedorowicz, Stanley Wong, Peter Tanuseputro and Marco Solmi, Mortality risk among people receiving acute hospital care for hallucinogen use compared with the general population, Canadian Medical Association Journal, DOI: https://doi.org/10.1503/cmaj.241191

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Johnson and Johnson Wins Rs 3.34 Crore Lawsuit Against Fake SURGICEL, ETHICON Sellers

New Delhi: The Delhi High Court has ruled in favor of Johnson & Johnson (J&J), awarding the company Rs 3.34 crore in damages against Medserve and its proprietor Pritamdas Arora, who were found guilty of counterfeiting and illegally selling J&J’s medical products, including those marketed under the ‘SURGICEL’ and ‘ETHICON’ trademarks.

Johnson & Johnson, through its subsidiary Ethicon, manufactures critical medical devices such as SURGICEL and ETHICON, widely used for wound closure and bleeding control in surgeries. However, in 2019, a neurosurgeon at the University of Kentucky Medical Center identified irregularities in a batch of SURGICEL products, which were later confirmed to be counterfeit.

Upon investigation, J&J traced the counterfeit medical products to M/s Medserve, a business operated by Pritamdas Arora in New Delhi. The counterfeit products were substandard, non-sterile, and contaminated, posing a severe risk to patient safety.

The Delhi High Court, presided over by Justice Amit Bansal, reviewed extensive evidence, including WhatsApp conversations, email correspondences, invoices, and financial transactions, confirming the defendants’ direct involvement in counterfeiting activities.

Justice Bansal emphasized the severity of the counterfeiting, stating;

“Counterfeiting of medical devices is not merely a case of trade mark infringement, it is a grave offence that endangers the lives of people. The defendants’ conduct demonstrates a deliberate effort to mislead the public, jeopardize consumer safety and exploit consumer trust for financial gain.”

The court highlighted that counterfeit medical products lacked essential sterility and quality standards required for surgical use. Further, the defendants falsified expiration dates on expired medical products, increasing the health risks for unsuspecting patients.

“The counterfeit products failed to meet the necessary oxidation levels required for proper absorption in the body. The use of such substandard medical devices during surgery could result in severe complications, including infections, foreign body reactions, and surgical adhesions.”

The court also criticized the impact of counterfeiting on J&J’s reputation, stating;

“The defendants’ deliberate and fraudulent acts have also caused irreparable harm to the plaintiff’s goodwill and market reputation. By selling substandard counterfeit products under the plaintiff’s trade marks, the defendants have misled consumers and associated the plaintiff’s name with the counterfeit goods.”

Taking a strict stance against counterfeiting, the court awarded Rs 2.34 crore as compensatory damages based on sales figures of counterfeit products and an additional Rs 1 crore as exemplary damages, citing the defendants’ deliberate and fraudulent actions.

Justice Bansal justified the award, noting;

“I am convinced with the evidence presented and submissions made by the counsel for plaintiff and conclude that a conservative profit margin of 25% can be assumed for awarding actual damages in favor of the plaintiff and against the defendants in the present case.”

“Counterfeit medical products are a direct threat to public health and safety. The defendants’ conduct demonstrates a deliberate effort to mislead consumers and exploit their trust for financial gain.”

The court-appointed Local Commissioner conducted raids on the defendants’ premises, seizing counterfeit ‘SURGICEL’ and ‘ETHICON’ products, along with falsified documentation, counterfeit labels, and substantial financial records.

The investigation revealed that the defendants laundered over Rs 9.39 crore through international transactions, diverting funds to multiple foreign bank accounts.

The court took serious note of the defendants’ refusal to cooperate, observing;

“The evidence presented before the Court, including invoices, bank receipts, and chat extracts, establishes without a doubt that defendant no. 1 has received substantial financial gains in the course of carrying out the infringing and counterfeiting activities.”

Despite multiple summons, the defendants failed to appear before the court, prompting the issuance of non-bailable warrants against Pritamdas Arora, who remained untraceable.

To prevent further consumer deception and safeguard public health, the court granted a permanent injunction restraining the defendants from using J&J’s trademarks, selling counterfeit products, or engaging in any activities that could mislead consumers into believing they were purchasing genuine J&J products.

The court also ordered the destruction of all counterfeit products seized during the proceedings, stating;

“The plaintiff is entitled to compensatory and exemplary damages, and the counterfeit products seized shall be destroyed to prevent further harm to the public.”

To view the original order, click on the link below:

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