On Monday, a jury in Illinois State Court in Chicago determined that Janice DiCosolo, 38, died in February 2004 because the patch she was wearing delivered a fatal dose of the narcotic fentanyl.   The Duragesic patch is made by Alza Corporation which is owned by Johnson & Johnson; the patch is distributed by Janssen Pharmaceutica, another Johnson & Johnson company.   The jury awarded her family 16.6 million dollars.

“We disagree with the jury’s verdict,” said Greg Panico, a spokesman for the Johnson & Johnson units, in an e-mailed statement. “We are considering our options for an appeal.”

Defense lawyers cited an autopsy report that indicated DiCosolo died from the interaction of at least 5 drugs including fentanyl that were found in her system.

At trial plaintiff’s lawyers said that Fentanyl is a drug that is 100 times more potent than morphine and is contained in a patch that is intended to be worn for 72 hours, then discarded.  Jim Orr, a plaintiff’s attorney, said that each patch contained enough fentanyl to kill 10 men, each weighing 150 pounds.

Janssen recalled one lot of Duragesic patches in February 2004, a day after DiCosolo died, because of improper sealing of the adhesive backing of the devices, defense lawyer David Sudzus wrote in a court filing. The patch worn by DiCosolo was from that lot, he said.

The patches generated $1.16 billion  dollars in sales for Johnson & Johnson last year but the company has still lost each case that has gone to a jury.

In July 2006, a state court jury in Houston ordered Janssen and Alza to pay $772,500 to the family of a Texas woman who died after her patch leaked.  Johnson & Johnson in July 2007 agreed to pay the family of a Florida man $2.5 million to resolve claims that Adam Hendelson, 28, had died after using one of the patches.  A jury in Sanford, Florida, awarded more than $13 million to the family of Susan Hodgemire, a 34-year-old mother of five who died after using a Duragesic patch in 2002.

On January 12th Johnson & Johnson will be facing another pain patch trial in federal court in Chicago.

This case looks to be all about whether the child was adequately watched. When you hand over your child to another for care such as this, the caregiver is many times subject to a higher level of scrutiny. We see this in many states with schools as well.

Timothy Burke was fine when his father dropped him off at the YMCA Childcare Center in Marblehead on the morning of June 9, 2005.

Even though his best buddy wasn’t there that day, Timothy, 3, happily played alone, filling a toy dump truck with mulch, pushing it across the yard and then emptying it. He ended up inside a playhouse built against the side of the Humphrey Street center.

No one’s sure what happened next, but about 15 minutes later, the little boy was found unconscious, face down against the back of the toy truck. Less than a week later, on June 15, his parents “reluctantly” made the decision to take him off life support.

Now his parents have filed a wrongful death suit against the Marblehead-Swampscott YMCA, six of its employees and Northshore Ambulance of Salem.

The lawsuit, filed Monday in Salem Superior Court, three years to the day after Timothy’s death, alleges that both the YMCA and its employees and the ambulance company and its workers were negligent. The suit charges that day care center employees failed to watch the child and, when they found him unconscious, failed to provide proper emergency care. It also charges that the ambulance company was negligent by failing to properly train its employees or provide them with proper supplies to treat the child. The ambulance workers never used a defibrillator on the boy.