Cindy Nickerson v. G.D. Searle & Company and Ortho Pharmaceutical Corporation

900 F.2d 412, 29 Fed. R. Serv. 1185, 1990 U.S. App. LEXIS 4792, 1990 WL 36258
CourtCourt of Appeals for the First Circuit
DecidedApril 3, 1990
Docket89-1833
StatusPublished
Cited by32 cases

This text of 900 F.2d 412 (Cindy Nickerson v. G.D. Searle & Company and Ortho Pharmaceutical Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cindy Nickerson v. G.D. Searle & Company and Ortho Pharmaceutical Corporation, 900 F.2d 412, 29 Fed. R. Serv. 1185, 1990 U.S. App. LEXIS 4792, 1990 WL 36258 (1st Cir. 1990).

Opinion

BOWNES, Senior Circuit Judge.

This is an appeal by plaintiff-appellant Cindy Nickerson from an unfavorable jury verdict. Plaintiff had brought a product liability suit against G.D. Searle & Company (Searle) and Ortho Pharmaceutical Corporation (Ortho), alleging that two distinct intrauterine devices (IUDs) manufactured by Searle and Ortho and used by plaintiff at different times caused or contributed to cause her to become infertile. After a ten day trial, four special questions on liability were submitted to the jury. The first was on causation: “Did the defendant’s IUD *415 cause or substantially contribute to cause the plaintiffs infertility.” The jury answered “no” as to each defendant. Pursuant to the district court’s instructions, the jury did not answer the other questions.

Appellant seeks a new trial on a number of grounds: that the verdict was against the weight of the evidence; that there is newly discovered evidence; that the district court made erroneous rulings in excluding and admitting evidence; that the district court’s conduct of the trial showed bias and prejudice against the plaintiff and deprived her of a fair trial; and that there were errors in the court’s instructions to the jury. We hold that a new trial is not warranted.

I. THE EVIDENCE

Our review of the evidence is, of course, limited to the issue of causation. On February 1, 1977, the plaintiff, an unmarried high school senior who was just shy of eighteen, had an IUD inserted in her uterus at the Bill Baird Center in Boston. The IUD was manufactured by Searle and was sold under the trademark of Cu-7. Plaintiff testified that she wanted the IUD so she could be sexually active without becoming pregnant and that she intended having only one sex partner. She had some intermittent pain on the left and right side after the insertion and consulted with Dr. Zol-man Helfland, who found nothing wrong.

In April 1978, plaintiff was examined by Dr. Max Bulian who found that she had venereal warts, the medical term for which is condylomata. Venereal warts are usually, but not necessarily, sexually transmitted.

In June or July of 1978, plaintiff had the Cu-7 removed at the Family Planning Center of the Visiting Nurses Association in Newport, Rhode Island. She obtained oral contraceptives but stopped using them after about two weeks because she had some bleeding. She then had a Saf-T-Coil IUD inserted; this was removed in two weeks because of discomfort. Plaintiff then had a Lippes Loop IUD inserted. This IUD was manufactured by the other defendant, Ortho.

Plaintiff used the Lippes Loop until September of 1980, when it fell out. In September of 1980, she was examined by Dr. Alan Altman who detected a right ovarian cyst and prescribed medication for it. Plaintiff did not use an IUD after the Lippes Loop fell out in September of 1980.

On April 10, 1983, plaintiff was married to Edward Nickerson. She has used no contraceptives since her marriage. In 1984 plaintiff complained to Dr. Michael Dean of vaginal itching. She had consulted with Dr. Dean previously because she was not getting pregnant. In June of 1985, plaintiff consulted Dr. Merle J. Berger, an infertility specialist. Dr. Berger performed a laparoscopy which showed that one fallopian tube was completely blocked, and the other was partially blocked. In December of 1985, Dr. Berger removed plaintiff’s right ovary and right fallopian tube. He also attempted to repair the left ovary and left fallopian tube in the hope of saving plaintiff’s fertility. This was not accomplished.

There is no question that plaintiff is permanently infertile. It is also beyond dispute that the direct cause of the infertility was Pelvic Inflammatory Disease (PID). The causation issue was whether either or both IUDs manufactured by defendants caused or contributed to cause the PID that resulted in plaintiff’s infertility. The evidence on the causation issue came mainly from the testimony of two expert witnesses, Dr. Merle J. Berger, who testified on behalf of plaintiff, and Dr. David A. Grimes, who was called by defendant Searle.

It was Dr. Berger’s opinion, based on plaintiff’s medical history and his own considerable experience and knowledge, that both the Cu-7 IUD and the Lippes-Loop IUD caused or contributed to cause the PID that resulted in plaintiff’s infertility. There is no point in detailing the basis for Dr. Berger’s opinion; suffice to say it was adequate to withstand defendants’ motions for a directed verdict.

On cross-examination, Dr. Berger acknowledged that PID could originate from *416 sources other than the use of IUDs. There was evidence that PID could result from an infection precipitated by abdominal surgery. Plaintiffs medical history showed that she had a cyst and her appendix removed in an operation performed in 1975. Dr. Berger testified that he did not know when plaintiffs PID started. As already noted, the plaintiffs medical history showed that in 1978 she had condylomata (venereal warts). Dr. Berger agreed that the relative risk of PID was greater with those who had a previous infection, such as condylomata, than those who did not. He admitted that some medical studies showed that there was a relationship between tubal infertility and prior genital or pelvic infections. Dr. Berger was questioned about a medical study indicating there is no significant risk of PID from the use of an IUD by those who have only one sex partner. Dr. Berger agreed that it was difficult to estimate accurately the relative risk of PID by users of IUDs and that women who do not use IUDs get PID.

Dr. Grimes, the expert witness for defendant, mounted a general attack on the methodology and validity of the studies connecting the use of IUDs to PID on which Dr. Berger had relied. It was Dr. Grimes’ opinion that if PID develops in an IUD user, it is caused by the contamination of the uterine cavity with bacteria at the time of the insertion of the IUD. He opined that it was not the IUD but the insertion process that “appears to be the culprit.” Dr. Grimes testified, on the basis of certain medical studies, that IUD users who had only one sex partner were not exposed to a significant risk of tubal infertility. It was his opinion that reliable studies showed that women with a past history of minor genital infections, such as venereal warts, run an increased risk of tubal infertility. According to Dr. Grimes, genital warts indicate the presence of other sexually transmitted diseases, most notably chlamydia, that can cause PID. It was Dr. Grimes’ opinion that sexually transmitted diseases cause PID, resulting in tubal infertility. Dr. Grimes stated that in his opinion plaintiff’s PID was caused by a sexually transmitted disease, not the use of IUDs, and that the most likely source of plaintiff’s infection was a bacterium called chlamydia trachomatous. We think this is a fair distillation of the essence of the causation evidence. 1

II. SUFFICIENCY OF THE EVIDENCE

Having surveyed the evidence, we next consider whether it was sufficient for the jury finding of no causation. “Denial of a motion for a new trial will be reversed only for abuse of discretion.” Conway v. Electro Switch Corp.,

Related

Cite This Page — Counsel Stack

Bluebook (online)
900 F.2d 412, 29 Fed. R. Serv. 1185, 1990 U.S. App. LEXIS 4792, 1990 WL 36258, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cindy-nickerson-v-gd-searle-company-and-ortho-pharmaceutical-ca1-1990.