Howe v. Ethicon, Inc.

CourtDistrict Court, S.D. New York
DecidedJune 27, 2022
Docket7:21-cv-02031
StatusUnknown

This text of Howe v. Ethicon, Inc. (Howe v. Ethicon, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howe v. Ethicon, Inc., (S.D.N.Y. 2022).

Opinion

USDC SDNY UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ELECTRONICALLY FILED DOC #: RACHEL HOWE, DATE FILED: 6/27/2022 | Plaintiff, No. 21-CV-2031 (NSR) -against- OPINION & ORDER ETHICON, INC. and JOHNSON & JOHNSON, Defendants.

NELSON S. ROMAN, United States District Judge: Plaintiff Rachel Howe (“Plaintiff”) brings this action against Defendants Ethicon, Inc. and Johnson & Johnson (“Defendants”) for products liability, negligence, and fraud in connection with Defendants’ pelvic mesh product, Gynecare TVT. Before the Court is Defendants’ motion to partially dismiss Plaintiffs First Amended Complaint pursuant to Federal Rule of Civil Procedure Rule 12(b)(6). For the following reasons, Defendants’ motion to dismiss is granted. BACKGROUND The following facts are drawn from Plaintiff's First Amended Complaint (“FAC,” ECF No. 19) and are assumed as true for purposes of this motion. See Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). I. Pelvic Mesh Products Defendant Ethicon, Inc. (“Ethicon”) is a wholly owned subsidiary of Defendant Johnson & Johnson (“J&J”), a medical and diagnostics company based in New Jersey. (FAC [§ 6-9.) Ethicon designed, developed, promoted, marketed, tested, trained, distributed, and sold Gynecare TVT (“the Product” or “the TVT”), which is commonly known as a pelvic mesh product. (/d. □ 6.)

J&J was involved in the research, development, testing, manufacture, production, marketing, promotion, distribution, and/or sale of the Product. (Id. ¶ 10.) Pelvic mesh products used for surgical management of stress urinary incontinence in women come in primarily two designs: a transobturator sling (also known as a TOT or TVT-O) and a retropubic sling (also known as a

TVT). (Id. ¶ 32.) TOTs pass through the obturator space into the thigh, while TVTs hammock the urethra and exit out behind the public bone. (Id.) Plaintiff alleges TVTs can cause nerve injuries, including pudendal neuralgia, obturator neuralgia, ilioinguinal neuralgia, and Complex Regional Pain Syndrome Type 2. (Id. ¶ 33.) Defendant’s Product is a TVT. (Id. ¶ 32.) The Product was targeted at women who suffer from pain, discomfort, and stress urinary incontinence as a result of weakening or damage to the walls of the vagina. (Id. ¶ 25.) The Product was represented by Defendants to correct and restore normal vagina structure by implantation of polypropylene mesh in the vaginal wall tethered in place by two arms that extend up through the buttocks or to prevent stress urinary incontinence by implantation of a strip of mesh under the urethra for support. (Id.) The Product was promoted to physicians and patients as an innovative

and minimally invasive procedure with minimal local tissue reactions, trauma, or pain. (Id.) Defendants sought and obtained approval from the Food and Drug Administration (“FDA”) to market the Product under Section 510(k) of the Medical Device Amendment to the Food, Drug and Cosmetics Act. (Id. ¶ 26.) II. Complications with Pelvic Mesh Products

Defendants marketed and sold the Product through aggressive marketing and provision of cash and non-cash benefits to healthcare providers. (Id. ¶ 30.) Plaintiff alleges Defendants offered exaggerated and misleading expectations as to the safety and utility of the Product in their advertising. (Id.) The Product was marketed as a safe, effective, and reliable medical device that can be implanted by a minimally invasive surgical procedure. (Id. ¶ 29.) Plaintiff alleges that, despite Defendants’ representations and marketing, the Product and other pelvic mesh products have high failure, injury, and complication rates, fail to perform as intended, require frequent and debilitating revision surgeries, and have caused severe and irreversible injuries, conditions, and

damage to women. (Id. ¶ 31.) Plaintiff alleges the Product’s defects stem from the use of polypropylene material, design of the product to be inserted transvaginally into an area of the body with high levels of pathogens that adhere to the mesh, biomechanical issues with the design of the mesh that creates strong friction between the mesh and the underlying tissue, degradation of the mesh over time, welding of the mesh during production, and design of trocars which requires tissue penetration in nerve-rich environments. (Id. ¶¶ 27 & 31.) Although the Product was designed to be a permanent implantation, the Product contracts over time which can pull or compress important nerves, muscles, and soft issues, and can cause fibrosis of muscles, adhesions between tissues, inflammation, and chronic pelvic pain. (Id. ¶ 80.) III. FDA Notifications

Plaintiff alleges Defendants consistently underreported and withheld information about the propensity of pelvic mesh products to fail and cause injury and complications. (Id. ¶ 34.) Plaintiff alleges Defendants intentionally misrepresented the efficacy and safety of these products “through various means and media.” (Id.) On October 20, 2008, the FDA issued a Public Health Notification that described over a thousand adverse events reported over a three-year period related to pelvic mesh products. (Id. ¶ 36). The FDA’s MAUDE database indicated Defendants are some of the manufacturers of the products described by the notification. (Id.) On July 13, 2011, FDA issued a Safety Communication advising that surgical mesh used in transvaginal repair of pelvic organ prolapse was an area of “continuing serious concern” and concluding that serious complications associated with surgical mesh were “not rare.” (Id. ¶ 37.) IV. Defendants’ Alleged Role

Plaintiff alleges the information contained in the FDA’s October 2008 and July 2011 communications were known or knowable to Defendants. (Id.) Plaintiff also alleges Defendants knew that: some of the predicate devices for pelvic mesh products had high failure and complication rates; the products were not suitable for designation as predicate devices because of significant differences between them and the predicate devices; the disclosures to the FDA were incomplete or misleading; and the products were causing severe injuries and complications. (Id. ¶ 38.) Despite risk of serious injuries, Defendants continued to market their pelvic mesh devices without adequate warnings. (Id. ¶ 82.) Plaintiff alleges Defendants suppressed this information and failed to accurately and completely disseminate this information with others, including Plaintiff. (Id. ¶ 39.) Defendants allegedly failed to perform or rely on proper and adequate testing and research of the risks and

benefits of the Product. (Id. ¶ 40.) Defendants also failed to design and establish a safe and effective procedure for removal of the Product. (Id. ¶ 41.) Plaintiff alleges there existed feasible, reasonable, and suitable alternative designs and procedures and instruments for repair of stress urinary incontinence. (Id. ¶ 42.) Plaintiff alleges Defendants provided incomplete and misleading training and information to physicians to increase utility and sales of the Product. (Id. ¶ 44.) On or about January 3, 2012, FDA ordered Defendants to conduct randomized, controlled clinical testing of pelvic mesh products or be ordered to cease the manufacturing, marketing, and sales of the products. (Id. ¶ 78.) On or about June 5, 2012, Defendants announced they were withdrawing some of their pelvic mesh products from the market, and would not be conducting the testing ordered by the FDA. (Id. ¶ 79.) As of July 9, 2021, Defendants have yet to conduct any randomized, controlled clinical testing. (Id. ¶ 80.) V. Plaintiff Rachel Howe

Plaintiff Rachel Howe is a citizen and resident of New York. (Id.

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Bluebook (online)
Howe v. Ethicon, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/howe-v-ethicon-inc-nysd-2022.