Bertini v. Smith & Nephew, Inc.

8 F. Supp. 3d 246, 2014 U.S. Dist. LEXIS 35837, 2014 WL 1028950
CourtDistrict Court, E.D. New York
DecidedMarch 17, 2014
DocketNo. 13 Civ. 79(BMC)
StatusPublished
Cited by30 cases

This text of 8 F. Supp. 3d 246 (Bertini v. Smith & Nephew, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bertini v. Smith & Nephew, Inc., 8 F. Supp. 3d 246, 2014 U.S. Dist. LEXIS 35837, 2014 WL 1028950 (E.D.N.Y. 2014).

Opinion

MEMORANDUM DECISION AND ORDER

COGAN, District Judge.

This is a diversity products liability action involving a hip replacement system [250]*250manufactured by defendant. Defendant has moved to dismiss plaintiffs’ second amended complaint on the grounds that federal law regulating these devices preempts plaintiffs’ state law claims, and that beyond the preemption issue, the pleading is inadequate to state a claim.

In their initial complaints, plaintiffs attacked a particular part in the defendant’s hip replacement system as defective. Recognizing that claims against this part are preempted, they now seek to attack the system itself. But this does not solve plaintiffs’ problem, because a factfinder could not find that the system is defective without finding that the particular part is defective. Accordingly, defendant’s motion to dismiss is granted.

BACKGROUND

I. History of Defendant’s R3 Acetabu-lar System

The hip is a ball and socket joint; the femoral head is the ball and the acetabu-lum is the socket. During total hip replacement surgery, the femoral head is removed and replaced with a prosthetic ball. The acetabulum is removed and replaced with a prosthetic shell. The prosthetic femoral head attaches to the taper of a stem which is implanted in a patient’s femur.

Smith & Nephew, Inc. (“Smith & Nephew”)’s R3 Acetabular System (“R3 System”) is a hip implant system used in total hip replacement procedures. The R3 System is made up of the Acetabular Cup (shell) (“R3 acetabular shell”) and one of several possible liners. It is used in eon-junction with Smith & Nephew’s portfolio of hip stems and femoral heads. The liner’s purpose is to prevent the loosening of the hip components, which is a defect in total hip replacement systems that often results in pain and a decrease in the hip implant’s stability. The R3 locking mechanism is a feature of the R3 acetabular shell, designed to ensure that a liner remains secure within the R3 acetabular shell. Smith & Nephew received approval from the U.S. Food and Drug Administration (the “FDA”) to market and sell the R3 System.1

Smith & Nephew later developed the Birmingham Hip Resurfacing (BHR) System (“BHR System”), an implant used in hip resurfacing surgery. In contrast with total hip replacement surgery, during hip resurfacing, the femoral head is trimmed and capped with a covering, rather than replaced. The BHR System was approved for sale through the pre-market approval (“PMA”) process, which requires a device manufacturer to provide the FDA with “reasonable assurance” that its device is safe and effective. Medtronic, Inc. v. Lohr, 518 U.S. 470, 477, 116 S.Ct. 2240, 2243, 135 L.Edüd 700 (1996). The FDA granted Smith & Nephew supplemental PMA to sell its R3 acetabular metal hip liner (“R3 metal liner”) specifically with the BHR System.

II. Plaintiffs Operation

After being diagnosed with osteoarthritis, plaintiff Louis Bertini underwent total hip replacement surgery for his left hip on October 26, 2009. Mr. Bertini’s surgeon [251]*251implanted the R3 System with the R3 metal liner.

In 2011, Mr. Bertini began experiencing physical problems with his left hip, including popping and clicking sensations. Less than 16 months after Mr. Bertini’s original hip replacement surgery, he was forced to undergo revision surgery. Mr. Bertini’s surgeon discovered mechanical problems with Mr. Bertini’s R3 System. Specifically, the surgeon “was able to easily remove the R3 metal liner from the R3 shell as it had loosened within the shell.” Also, the “R3 System’s locking mechanism ... failed to hold the R3 metal liner in a secure and stable position, which allowed the R3 metal liner to become unsecure and loosen within the R3 shell....” These failures caused Mr. Bertini “pain and mechanical symptoms.”

On June 1, 2012, Smith & Nephew recalled all batches of R3 metal liners, including the type implanted in Mr. Bertini. Smith & Nephew explained that the recall was in response to a higher number of revision surgeries than expected, due in part to the premature loosening of the liner. Mr. Bertini claims that neither he nor his physicians would have used the R3 System had they known of the R3 System’s “increased rate of failure.” On August 14, 2013, Plaintiffs filed their second amended complaint against Smith & Nephew.

III. The Instant Motion

Defendant has moved to dismiss the amended complaint, arguing that plaintiffs’ claims are preempted under the Medical Device Amendments of 1976 (MDA), 21 U.S.C. § 360c (“MDA”) or, alternatively, that plaintiffs have failed to state any claims upon which relief could be granted.

DISCUSSION

I. Federal Preemption of State-Law Claims Under the MDA

The MDA established a system of federal oversight for the introduction of new medical devices. Devices are organized into three different classes, with Class III receiving the most federal oversight. See Riegel v. Medtronic, Inc., 552 U.S. 312, 317, 128 S.Ct. 999, 1003, 169 L.Ed.2d 892 (2008). A device is assigned to Class III if there are not any less stringent classifications which would reasonably assure the device’s safety and effectiveness, and the device is “ ‘purported or represented to be for a use in supporting or sustaining human life or for a use which is of substantial importance in preventing impairment of human health,’ or ‘presents a potential unreasonable risk of illness or injury.’” Id. (quoting 21 U.S.C. § 360c(a)(l)(C)(ii)).

New Class III devices must be approved through the PMA process. See Lohr, 518 U.S. at 477, 116 S.Ct. at 2246. However, if a device is “substantially equivalent” to a device which received FDA approval before the introduction of the MDA, it can avoid the PMA process and instead obtain approval through the § 510(k) process. 21 U.S.C. § 360c(f)(1)(A). Most Class III medical devices receive approval through the § 510(k) process. See Riegel, 552 U.S. at 317, 128 S.Ct. at 1004.

The MDA includes a preemption provision, 21 U.S.C. § 360k (“§ 360k”), which prevents any “State or political subdivision of a State” from establishing or continuing in effect any requirement, with respect to a device intended for human use, which “(1) is different from, or in addition to, any requirement applicable under this chapter to the device, and (2) which relates to the safety or effectiveness of the device or to any other matter included in a requirement applicable to the device under this chapter.” 21 U.S.C. § 360k.

[252]*252Since § 360k applies only to “state requirements ‘different from, or in addition to, any requirement applicable ...

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
8 F. Supp. 3d 246, 2014 U.S. Dist. LEXIS 35837, 2014 WL 1028950, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bertini-v-smith-nephew-inc-nyed-2014.