Hospira Inc.
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Hospira was an American global
pharmaceutical Medication (also called medicament, medicine, pharmaceutical drug, medicinal product, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy ( pharmacotherapy) is an important part of the ...
and
medical device A medical device is any device intended to be used for medical purposes. Significant potential for hazards are inherent when using a device for medical purposes and thus medical devices must be proved safe and effective with reasonable assura ...
company with headquarters in
Lake Forest, Illinois Lake Forest is a city located in Lake County, Illinois, United States. Per the 2020 United States census, 2020 census, the population was 19,367. The city is along the shore of Lake Michigan, and is a part of the Chicago metropolitan area and t ...
. It had approximately 19,000 employees. Before its acquisition by Pfizer, Hospira was the world's largest producer of generic injectable pharmaceuticals, manufacturing generic acute-care and oncology injectables, as well as integrated
infusion therapy In medicine, infusion therapy deals with all aspects of fluid and medication infusion, via intravenous or subcutaneous application. A special infusion pump can be used for this purpose. A fenestrated catheter is frequently inserted into the loc ...
and medication management systems. Hospira's products are used by hospitals and alternate site providers, such as clinics, home healthcare providers and long-term care facilities. It was formerly the hospital products division of
Abbott Laboratories Abbott Laboratories is an American multinational medical devices and health care company with headquarters in Abbott Park, Illinois, in the United States. The company was founded by Chicago physician Wallace Calvin Abbott in 1888 to formulate k ...
. On September 3, 2015, Hospira was acquired by
Pfizer Pfizer Inc. ( ) is an American Multinational corporation, multinational Pharmaceutical industry, pharmaceutical and biotechnology corporation headquartered at The Spiral (New York City), The Spiral in Manhattan, New York City. Founded in 184 ...
, who subsequently sold off the medical devices portion of Hospira to
ICU Medical ICU Medical, Inc. is a medical technology company based in San Clemente, California. ICU Medical products are designed to prevent bloodstream infections and protect healthcare workers from exposure to infectious diseases or hazardous drugs. ICU ...
. Worldwide sales in 2014 were approximately $4.5 billion. Current results are now part of Pfizer's consolidated statements.


History

In January 2004, Abbott announced it was spinning off its hospital products division. Hospira's name was picked by employee vote. The name is derived from the words "hospital," "spirit," "inspire," and ''spero'', a Latin word meaning "hope." Hospira became an independent company on May 3, 2004, with 14,000 employees, 14 manufacturing sites and an estimated $2.5 billion in annual sales. In 2007, Hospira purchased Mayne Pharma Ltd., an Australian-based specialty injectable pharmaceuticals company, for $2.1 billion. In 2009, Hospira acquired the biotechnology business from Pliva-Croatia, the generic injectable pharmaceuticals business of Orchid Chemicals & Pharmaceuticals Ltd., a leading Indian pharmaceuticals company, for approximately $400 million, and TheraDoc, a clinical informatics company that develops hospital surveillance systems, in 2009. In 2010, Hospira acquired Javelin Pharmaceuticals, Inc., maker of post-operative pain management drug Dyloject, for approximately $145 million. In 2011, Hospira's board chose Mike Ball, formerly president of
Allergan Allergan plc is an American, Irish-domiciled pharmaceutical company that acquires, develops, manufactures and markets brand name drugs and medical devices in the areas of medical aesthetics, eye care, central nervous system, and gastroenterology. ...
, as Hospira's new CEO. Ball became CEO in March 2011. Hospira named John Staley its non-executive chairman with the
retirement Retirement is the withdrawal from one's position or occupation or from one's active working life. A person may also semi-retire by reducing work hours or workload. Many people choose to retire when they are elderly or incapable of doing their j ...
of former executive chairman Christopher Begley in January 2012. Begley had announced his retirement as Hospira's chief executive in August 2010, but had remained as executive chairman. In 2015,
Pfizer Pfizer Inc. ( ) is an American Multinational corporation, multinational Pharmaceutical industry, pharmaceutical and biotechnology corporation headquartered at The Spiral (New York City), The Spiral in Manhattan, New York City. Founded in 184 ...
signed an agreement to acquire Hospira. The roughly $17 billion acquisition was completed in September, 2015. A year later Pfizer sold the medical devices portion of Hospira to
ICU Medical ICU Medical, Inc. is a medical technology company based in San Clemente, California. ICU Medical products are designed to prevent bloodstream infections and protect healthcare workers from exposure to infectious diseases or hazardous drugs. ICU ...
for roughly $900 million in cash, stock, and other consideration. In 2020 through 2022, Pfizer used Hospira, Inc. as a trade name in reference to the subsidiary's involvement in as a supplier of 0.9%
Sodium chloride Sodium chloride , commonly known as Salt#Edible salt, edible salt, is an ionic compound with the chemical formula NaCl, representing a 1:1 ratio of sodium and chloride ions. It is transparent or translucent, brittle, hygroscopic, and occurs a ...
Injection USP diluent for use with the
Pfizer–BioNTech COVID-19 vaccine The Pfizer–BioNTech COVID-19 vaccine, sold under the brand name Comirnaty, is an MRNA vaccine, mRNA-based COVID-19 vaccine developed by the German biotechnology company BioNTech. For its development, BioNTech collaborated with the America ...
.


Sodium thiopental production

Sodium thiopental Sodium thiopental, also known as Sodium Pentothal (a trademark of Abbott Laboratories), thiopental, thiopentone, or Trapanal (also a trademark), is a rapid-onset short-acting barbiturate general anesthetic. It is the thiobarbiturate analog of ...
is an anesthetic discovered by Abbott Laboratories in the 1930s. Hospira manufactured the drug after splitting off from Abbott under the brand name Pentothal. The
WHO The World Health Organization (WHO) is a specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Geneva, Switzerland, and has 6 regional offices and 15 ...
considers it an essential drug. However, it is also used as part of the
lethal injection Lethal injection is the practice of injecting one or more drugs into a person (typically a barbiturate, paralytic, and potassium) for the express purpose of causing death. The main application for this procedure is capital punishment, but t ...
protocol in many US states. Though Hospira has supplied these states with the drug, it has said, "we do not support the use of any of our products in capital punishment procedures." In January 2011, the company announced that it would stop producing
sodium thiopental Sodium thiopental, also known as Sodium Pentothal (a trademark of Abbott Laboratories), thiopental, thiopentone, or Trapanal (also a trademark), is a rapid-onset short-acting barbiturate general anesthetic. It is the thiobarbiturate analog of ...
. Hospira had recently moved production of the drug from a plant in
North Carolina North Carolina ( ) is a U.S. state, state in the Southeastern United States, Southeastern region of the United States. It is bordered by Virginia to the north, the Atlantic Ocean to the east, South Carolina to the south, Georgia (U.S. stat ...
to a plant in
Liscate Liscate ( ) is a ''comune'' (municipality) in the Province of Milan in the Italian region Lombardy, located about east of Milan Milan ( , , ; ) is a city in northern Italy, regional capital of Lombardy, the largest city in Italy by urban a ...
,
Italy Italy, officially the Italian Republic, is a country in Southern Europe, Southern and Western Europe, Western Europe. It consists of Italian Peninsula, a peninsula that extends into the Mediterranean Sea, with the Alps on its northern land b ...
. However, the Italian government would only allow Hospira to manufacture it if they could guarantee it wouldn't be used in capital punishment. The Italian constitution bans the use of capital punishment. Company officials determined there was no way it could prevent sodium thiopental from being used in executions, and did not want to expose their employees to liability.


Legislation and litigation

In August 2009, Hospira introduced a generic version of
oxaliplatin Oxaliplatin, sold under the brand name Eloxatin among others, is a cancer medication (platinum-based antineoplastic class) used to treat colorectal cancer. It is given by intravenous, infusion into a vein. Common side effects include paresth ...
, originally developed by
Sanofi Sanofi S.A. is a French Multinational corporation, multinational pharmaceutical and healthcare company headquartered in Paris, France. The corporation was established in 1973 and merged with Synthélabo in 1999 to form Sanofi-Synthélabo. In 200 ...
-Aventis SA for treating
colon cancer Colorectal cancer (CRC), also known as bowel cancer, colon cancer, or rectal cancer, is the development of cancer from the colon or rectum (parts of the large intestine). Signs and symptoms may include blood in the stool, a change in bowel ...
. In April 2010, Hospira announced a legal settlement with Sanofi-Aventis, under the terms of which Hospira agreed to stop selling oxaliplatin injection in the United States by June 30, 2010, with the stipulation that they could relaunch the product on August 9, 2012. In 2010, the
U.S. Congress The United States Congress is the legislative branch of the federal government of the United States. It is a bicameral legislature, including a lower body, the U.S. House of Representatives, and an upper body, the U.S. Senate. They both ...
passed legislation that would allow the marketing of
biosimilar A biosimilar (also known as follow-on biologic or subsequent entry biologic) is a biologic medical product that is almost an identical copy of an original product that is manufactured by a different company. Biosimilars are officially approved ...
drugs in the United States. The legislation provided for 12 years of data exclusivity for brand-name biologics. Some consumer groups, like
AARP AARP, formerly the American Association of Retired Persons, is an interest group in the United States focusing on issues affecting those 50 and older. The organization, which is headquartered in Washington, D.C., said it had more than 38  ...
, oppose this provision, saying it would cause lack of access to the promise of such drugs.


Competitors

Hospira's competitors in specialty injectable pharmaceuticals include Fresenius AG,
Baxter International Inc Baxter International Inc. is an American multinational healthcare company with headquarters in Deerfield, Illinois. The company primarily focuses on products to treat chronic and acute medical conditions. The company had 2023 global net sal ...
., Bedford Laboratories,
Mylan Mylan N.V. was a global generic and specialty pharmaceuticals company. In November 2020, Mylan merged with Upjohn, Pfizer's off-patent medicine division, to form Viatris. Previously, the company was domiciled in the Netherlands, with principa ...
,
Sandoz Sandoz Group AG is a Swiss company that focuses on generic pharmaceuticals and biosimilars. Prior to October 2023, it was part of a division of Novartis that was established in 2003, when Novartis united all of its generics businesses under the ...
,
Teva Pharmaceuticals Teva Pharmaceutical Industries Ltd. (also known as Teva Pharmaceuticals) is an Israeli multinational Pharmaceutical industry, pharmaceutical company. Teva specializes primarily in generic drugs, but other business interests include branded-drug ...
as well as divisions of several multinational pharmaceutical companies. Its competitors in medication management systems include Baxter, B. Braun Melsungen AG, CareFusion and Fresenius Medical Care AG.


Infusion pump system firmware vulnerability disclosures

In 2014-2015 two security researchers independently identified what were described as severe defects in Hospira's PCA system
firmware In computing Computing is any goal-oriented activity requiring, benefiting from, or creating computer, computing machinery. It includes the study and experimentation of algorithmic processes, and the development of both computer hardware, h ...
, the
software Software consists of computer programs that instruct the Execution (computing), execution of a computer. Software also includes design documents and specifications. The history of software is closely tied to the development of digital comput ...
controlling various of their drug infusion equipment (CVE-2015-3459 and further advisory ICSA-15-125-01B). Numerous
remote exploit An exploit is a method or piece of code that takes advantage of vulnerabilities in software, applications, networks, operating systems, or hardware, typically for malicious purposes. The term "exploit" derives from the English verb "to exploit," m ...
vulnerabilities Vulnerability refers to "the quality or state of being exposed to the possibility of being attacked or harmed, either physically or emotionally." The understanding of social and environmental vulnerability, as a methodological approach, involves ...
were found, in what was believed to be the first
FDA The United States Food and Drug Administration (FDA or US FDA) is a federal agency of the Department of Health and Human Services. The FDA is responsible for protecting and promoting public health through the control and supervision of food ...
safety advisory of its kind. This was followed in July 2015 by a second FDA recommendation that hospitals discontinue use of the affected pumps entirely. The devices, extent of their flaws, and implications, were widely discussed.


References


External links

* {{authority control, state=expanded Companies formerly listed on the New York Stock Exchange American companies established in 2004 Pharmaceutical companies established in 2004 Companies based in Lake Forest, Illinois Generic drug manufacturers Pharmaceutical companies of the United States 2015 mergers and acquisitions Health care companies based in Illinois Abbott Laboratories Pfizer Corporate spin-offs American corporate subsidiaries