Hansen v. Baxter Healthcare Corp.

723 N.E.2d 302, 309 Ill. App. 3d 869, 243 Ill. Dec. 270, 1999 Ill. App. LEXIS 865
CourtAppellate Court of Illinois
DecidedDecember 15, 1999
Docket1-98-3494
StatusPublished
Cited by23 cases

This text of 723 N.E.2d 302 (Hansen v. Baxter Healthcare Corp.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hansen v. Baxter Healthcare Corp., 723 N.E.2d 302, 309 Ill. App. 3d 869, 243 Ill. Dec. 270, 1999 Ill. App. LEXIS 865 (Ill. Ct. App. 1999).

Opinion

JUSTICE WOLFSON

delivered the opinion of the court:

In the 1880s, in Germany, Otto Luer came up with the idea of a 6% taper as a way of putting a stopper in a bottle, keeping it there, and then getting it out again. Many years later, Luer’s taper was used by hospital equipment manufacturers to ensure that one piece of IV set tubing would fit into another.

This case is about the IV sets manufactured by Baxter Healthcare Corporation (Baxter). And it is about the injuries and death suffered by Andrina Hansen (Andrina) when Baxter’s IV set tubing came apart.

Andrina’s estate and her survivors sued Baxter under a products liability theory. The jury found for the plaintiffs and returned a total verdict of $18,047,000.

Baxter raises several issues on appeal. We find sufficient evidence to support the jury’s verdict as to liability and damages. We do, however, reduce the judgment to reflect a $2,800,000 setoff of a pretrial settlement.

FACTS

In March 1991, Andrina was admitted to Mt. Sinai Hospital for stomach ulcer surgery. In preparation for surgery, Dr. Ricky Maddox (Dr. Maddox) inserted a catheter into Andrina’s jugular vein. This catheter would allow doctors to transfuse blood or other fluids to Andrina. Andrina’s catheter was connected to an IV tube manufactured by Baxter.

Baxter designs, manufactures, and distributes IV sets to hospitals nationwide. IV sets include tubing and connectors which link segments of tubing to medical devices or catheters placed into a patient’s circulatory system. In 1991, Baxter offered two types of connectors: “friction fit” or “luer slip” connectors and “luer lock” connectors.

A luer slip connector consists of a tapered, “male” fitting which slips into a wider, “female” fitting to create a secure, leakproof connection. Baxter defined a luer slip connector as a product which, “when properly inserted, must provide a reasonably secure friction fit that will not leak or easily slide out of the catheter.”

A luer lock connector consists of a luer slip connector with a threaded collar on the male fitting and a threaded flange on the female fitting which screw together to create a more secure connection. Baxter defined a luer lock connector as a product which “would provide a secure lock such that non-intentional separation of the Luer adapter from catheter *** could not occur.”

Industry standards require luer slip connectors withstand 5V2 pounds of separation force before disconnecting, and luer lock connectors must withstand eight pounds of force. _ __

Luer slip connectors have been used for more than 40 years, and luer lock connectors were introduced within the last 20 years. After luer lock connectors became available, IV set producers, including-Baxter, made all female fittings with flanges so these fittings could accommodate either luer slip or luer lock male fittings. At the time of Andrina’s injury, Mt. Sinai used only luer slip connectors.

Dr. Henry Roztoczynski (Dr. Roztoczynski) successfully performed Andrina’s surgery on March 7, 1991, and described her condition following surgery as excellent. Dr. Norbert Strohmayer (Dr. Strohmayer) assisted Dr. Roztoczynski with the surgery and saw Andrina on his morning rounds the day after her surgery. She was responsive with good vital signs.

Later that morning, Dr. Strohmayer and Dr. Maddox heard a commotion and rushed to Andrina’s room. The attending nurse, Colleen Golden (Golden), announced Andrina was having a seizure. As Dr. Strohmayer administered Valium to stop the seizure, he noticed blood pooling on Andrina’s pillow. Andrina’s catheter had become disconnected from the IV tube. As a result of this disconnection, an air embolism occurred. Air entered into Andrina’s catheter and traveled to her brain, causing brain damage. Andrina became paralyzed. She died on June 4, 1995.

In 1991, Andrina’s son, Thomas Hansen (Thomas), filed a medical malpractice claim against Mt. Sinai and Golden. Thomas later added survival and wrongful death claims against Baxter based on a products liability theory. Shortly before trial, all defendants except Baxter settled for $2,880,000. The trial court allocated 85% of the settlement, $2,448,000, to Thomas’ wrongful death claims and 15% of the settlement, $432,000, to his survival claims.

On December, 24, 1997, Thomas filed an amended complaint against Baxter alone, presenting survival and wrongful death claims under both products liability and negligence theories. These claims proceeded to trial.

At trial, Dr. Roztoczynski testified he received a telephone call at home around 11 a.m. on the morning after Andrina’s surgery and proceeded to the hospital. At the hospital Dr. Roztoczynski spoke with the intensive care unit chairman, Dr. Philip Zaret, and read Andrina’s records. Dr. Roztoczynski learned Andrina’s seizure began when Golden raised her from a prone to a sitting position. Dr. Roztoczynski described Golden’s reaction:

“Well, what happened, the nurse during the dangling [of] the patient as I said from flat to upright position patient becomes dizzy. Suddenly, you know, [Andrina] was short of the breath and becomes hypotensive so [Golden] knew that something happened.
And in this time she was not exactly sure what’s happened so she call [sic] Dr. Strohmayer, who came and he immediately find [sic] out that the patient had dislodged of [sic] IV tubing from the central venous catheter. And he put the patient in the left side position to put the right side up, he did the [head-below-feet] Trendelenburg position and start aspiration of the air which was inserted through the syringe.”

Baxter did not object to this testimony.

Dr. Roztoczynski said the luer slip connector came apart when Golden moved Andrina because “when the nurses would dangle [the patient’s feet off the bed] under the tension [the] catheter got disconnected.” Dr. Roztoczynski acknowledged luer slip connectors can easily disconnect. He testified he had seen such disconnections a “few times” and “quite often so many times” before Andrina’s accident, though these previous disconnections carried less severe consequences.

While on staff at Our Lady of Resurrection Hospital two to three months before Andrina’s accident, Dr. Roztoczynski noticed the hospital had started using luer lock connectors. Dr. Roztoczynski said he began using luer lock connectors “because I thought they were safe. *** [W]hen I saw this I said that’s a great modernization to this [luer lock connectors], what we had before.” Dr. Roztoczynski advocated luer lock connectors:

“[I]f you have a patient and the patient needs to be moved from one place to move and some tension is happened [szc], you know, taking the patient out of the bed and the tension will happen. These things happen many times, believe me. If you just have this kind of thing [luer lock connectors], and I’ll say that this only one to prevent it just to change it for the luer lock adaption [szc], this thing will not happen.”

However, Dr.

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Bluebook (online)
723 N.E.2d 302, 309 Ill. App. 3d 869, 243 Ill. Dec. 270, 1999 Ill. App. LEXIS 865, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hansen-v-baxter-healthcare-corp-illappct-1999.