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STATE OF FLORIDA DEPARTMENT OF HEALTH
DEPARTMENT OF HEALTH,
PETITIONER,
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MYLES RUBIN SAMOTIN, M.D.,
RESPONDENT,
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COMES NOW, Petitioner, Department of Hea'lth, by and
t hrough its
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undersigned counsel, and files this Administrative Complaint Ibefore the
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Board of Medicine against the Respondent, Myles RU.bin Samotiri, M.D., and
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in support thereof alleges:
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l. Petitioner is the state agency chargel!f with reg lating the
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practice of medicine pursuant to Section 20.43, Fldrlda Statut s; Chapter 456, Florida Statutes; and Chapter 458, Florida Statutes.
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At all times material to this Complaint, Respondent was a
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licensed physician within the State of Florida, having been issyed license number ME 72517.
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Respondent's address of record is 870 111th Avenue North
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Suite 4, Naples, Florida, 34108.
On or about April 4, 2007, Patient M.O., then a thiriv·nine (39)
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year-old male, presented to Respondent to undergo ian arthroscppy surgery
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of a medial meniscal tear in his left knee. IOurlng the ! procedure,
Respondent utilized an Arthro-Care surgical wand to debride a't shave the
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cartilage and tissue within the knee.
Subsequent to the procedure, Patient M.O. underwent a
postoperative x-ray, which revealed a small metal ftagment within Patient M.O.'s left knee that was approximately the size of tihe tip of a iarge spinal
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needle. The operative report indicates that the forei n body wa the metal tip of a 90-degree Arthro-Care wand, which is the instrument Respondent used in the arthroscopy surgery performed on or aLl:,ut April 4,:I 2007. The
operative report also indicates that the tip of an Arthro•Care! wand had
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detached during a previous surgery of a different patient, but
was able to remove that foreign body successfully.
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' spondent
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On or about April 16, 2007, Patient M.O. pr sented to
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Respondent to undergo a procedure to locate and, remove the f1reign body. During the procedure, the object shifted from its original lqcation and
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became lodged in an e:xtraarticular space behind the left kneel Ultimately,
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Respondent was unable to remove the foreign body.
Section 456.072(1)(cc), Florida Statutes (2006),: allows the
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Board of Medicine to impose disciplh1e against a: licensee fQr leaving a
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foreign body in a patient, such as a sponge, clamp, forceps, surgical
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needle, or other paraphernalia commonly used in surgical, ex mination or
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other diagnostic procedures. For the purposes of this paragrap , it shall be
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legally presumed that retention of a foreign body is:not in the ijest interest
of the patient and is not within the standard of care of the! profession, regardless of the intent of the professional.
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s. Respondent left a foreign body in a patient by leaving the metal
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tip of a 90wdegree Arthro-C1;1re wand in Patient M.O.• during an rthroscopy surgery on or about April 4, 2007, and during a procedure to temove the
foreign body on or about April 16, 2007.
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9. Based on the foregoing, Respondent has violat d Section 456.072(1)(cc), Florida Statutes (2006), by leaving a foreign! body in a patient.
WHEREFORE, the Petitioner respectfully requ sts that th Board of
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Medicine enter an order imposing one or more of tl!le following'1 penalties:
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permanent revocation or suspension of Responderit's license, striction of
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practice, imposition of an administrative fine, issuance of al reprimand,
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placement of the Respondent on probation, correictive actior'j, refund of
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fees billed or collected, remedial education and/or any other relief that the
Board deems appropriate.
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cN=elNl---'X>:\""-'- .. 2(,110.
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Ana M. Viamonte1Ros, M.D., .P.H. tate Surgeon G neral ·
tiLt:D
OEPAFITMENT OF HEAL!•'
PUiY 9LER CLERK: 1,#"-?;;: ...
'OATe_=-nµs}.Lo
gdb
PCP Date: November 12, 2010
Gavin D. Burg s . 1
Assistant General 1 Counsel 1
DOH Prosecution Services Un& 4052 Bald Cypress Way, Bin •65 Tallahassee, Flori a, 32399·3 65 Florida Bar# 013S11 1
(850) 245·4640 '
(850) 245·4681 FAX
PCP Members: Leon, Bearison, Goersch
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DOH vs. Myles Rubin Samotin, M.D. Case No.: 2010t01741
NOTICE OF RIGHTS
Respondent has the right to reque.. a heari g to be conducted in accordance with Section 12p.s&9 an 12 .57, Florida Statutes, to be represented by counsiel or othe qualified representative, to present evidence and argument, call and cross-examine witnesses and to have subpcl,ena and ubpoena duces tecum issued on his or her behalf if a h9iirlng is recjluested.
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NOTICE REGARDING ASSESSMENT (>F COSTS 1
Respondent is placed on notice that Petltioner ha incurred costs related to the Investigation and prosecijtion of th s matter, Pursuant to Section 456.072(4), Florida Stat_., the B ard shall assess costs related to the investigation and prosecu ion of a disciplinary matter, which· may Include attorn y hours nd costs, on the Respondent in addition any other disci,-ine impos • .
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