JONES v. ETHICON INC

CourtDistrict Court, M.D. Georgia
DecidedSeptember 30, 2020
Docket7:20-cv-00128
StatusUnknown

This text of JONES v. ETHICON INC (JONES v. ETHICON INC) is published on Counsel Stack Legal Research, covering District Court, M.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
JONES v. ETHICON INC, (M.D. Ga. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF GEORGIA VALDOSTA DIVISION

ELIZABETH JONES,

Plaintiff, v. Civil Action No. 7:20-CV-128 (HL) ETHICON, INC., et al.,

Defendants.

ORDER This case originated in the Southern District of West Virginia as a part of MDL 2327 (“Ethicon MDL”), 2:12-md-2327, one of seven MDLs totaling over 100,000 cases involving the use of transvaginal surgical mesh to treat pelvic organ prolapse (“POP”) and stress urinary incontinence (“SUI”). By Transfer Order dated June 17, 2020, the case was transferred from the MDL to this Court for final resolution. (Doc. 53). Discovery in this matter is complete. Prior to transfer, the parties filed dispositive and Daubert motions, responses, and replies. Now before the Court are Defendants Ethicon, Inc. and Johnson & Johnson’s Motion for Partial Summary Judgment (Doc. 41); Plaintiff Elizabeth Jones’ Motion to Exclude Certain Opinions and Testimony of C. Bryce Bowling, M.D. (Doc. 42); and Defendants’ Motion to Limit the Case-Specific Opinions and Testimony of Brian Raybon, M.D. (Doc. 44). I. BACKGROUND On April 25, 2011, Plaintiff Elizabeth Jones underwent surgery at Archbold

Medical Center in Thomasville, Georgia to address a Grade 3 to 4 bulging cystocele, or prolapsed bladder, and urinary incontinence. (Doc. 14, p. 5; Doc. 47-1, p. 23, 79). Her surgeon, Dr. Timothy Grayson, implanted two mesh devices, the Prolift+M and TVT-O, which are manufactured by Defendants Ethicon, Inc. and Johnson & Johnson. (Doc. 14, p. 5; Doc. 47-1, p. 9-10). The

surgery went well, and Plaintiff experienced no major complications. (Doc. 47-1, p. 93-95, 97; Doc. 47-3, p. 83). In January 2015, Dr. Steven Petrou at the Mayo Clinic in Jacksonville, Florida diagnosed Plaintiff with erosion of the mesh. (Doc. 47-5, p. 15-16). Dr. Petrou conducted four subsequent operations to remove the eroded mesh on March 6, 2015; October 19, 2015; April 15, 2016; and June 20, 2017. (Id. at p. 17, 21-22, 27-29). Following the June 20, 2017 surgery, Plaintiff

underwent surgery again after Dr. Petrou discovered that the mesh had eroded into Plaintiff’s bowel, necessitating emergent bowel surgery. (Id. at p. 31-32, 102- 103). Dr. Brian Raybon, an urogynecologist retained by Plaintiff to provide expert testimony in this case, opines that as a direct result of the 2011 implantation of the TVT-O and/or Prolift+M, Plaintiff suffered

mesh erosion, multiple surgeries[,] including an associated bowel perforation, vaginal discomfort, pain, recurrent urinary tract infections, pain with intercourse, [and] heavy bleeding and discharge.

2 (Doc. 47-4, p. 8). II. DAUBERT MOTIONS

A. Legal Standard An expert witness may testify in the form of an opinion if: “(a) the expert’s scientific, technical, or other specialized knowledge will help the trier of fact to understand the evidence or to determine a fact in issue; (b) the testimony is based on sufficient facts or data; (c) the testimony is the product of reliable

principles and methods; and (d) the expert has reliably applied the principles and methods to the facts of the case.” Fed. R. Evid. 702; see also Daubert v. Merrell Dow Pharms., Inc., 509 U.S. 579, 597 (1993). The party relying on the testimony of a proposed expert witness bears the burden of laying, by a preponderance of the evidence, a foundation for the admission of its expert’s testimony. Corvey v. Baxter Healthcare Corp., 298 F.3d 1253, 1256 (11th Cir. 2002) (quoting Allison v.

McGhan Med. Corp., 184 F.3d 1300, 1306 (11th Cir. 1999)). The trial court functions as a “gatekeeper,” testing the reliability and relevancy of the proposed expert’s scientific opinions. Daubert, 509 U.S. at 589– 93. The court must consider at the outset whether: (1) a proposed expert is qualified to competently testify concerning his opinions; (2) his methodology is

sufficiently reliable; and (3) his testimony would assist the jury, through the application of scientific, specialized, or technical expertise, to determine a fact in

3 issue or understand the evidence. United States v. Fazier, 387 F.3d 1244, 1260 (11th Cir. 2004) (quoting City of Tuscaloosa v. Harcros Chems., Inc., 158 F.3d

548, 562 (11th Cir. 1998)). However, this inquiry is “a flexible one,” focusing “on the principles and methodology, not on the conclusions that they generate.” Daubert, 509 U.S. at 595. “A district court’s gatekeeper role under Daubert is not intended to supplant the adversary system or the role of the jury.” Maiz v. Virani, 253 F.3d

641, 665 (11th Cir. 2001) (internal quotation and citation omitted). Rather the objective of the gatekeeping requirement “is to make certain that an expert, whether basing testimony upon professional studies or personal experience, employs in the courtroom the same level of intellectual rigor that characterizes the practice of an expert in the relevant field.” Kumho Tire Co., Ltd. v. Carmichael, 526 U.S. 137, 152 (1999). And the district court has “substantial

discretion in deciding how to test an expert’s reliability and whether the expert’s relevant testimony is reliable.” United States v. Majors, 196 F.3d 1206, 1215 (11th Cir. 1999). Where the expert testimony generally satisfies Rule 702, “[v]igorous cross-examination, presentation of contrary evidence, and careful instruction on the burden of proof are the traditional and appropriate means of

attacking shaky but admissible evidence.” Daubert, 509 U.S. at 596.

4 B. Plaintiff’s Motion to Exclude C. Bryce Bowling, M.D. Plaintiff moves to exclude certain testimony and opinions offered by

Defendants’ expert witness C. Bryce Bowling. Specifically, Plaintiff moves the Court to prohibit Dr. Bowling from testifying or offering his opinion regarding (1) the adequacy of the relevant Instructions for Use (“IFU”), or what warnings the instructions should or should not include; and (2) unsupported opinions about complication rates and causation by unskilled surgeons.

As discussed below, the Court concludes that Defendants are entitled to summary judgment as to Plaintiff’s failure to warn claims. Accordingly, the Court finds as moot Plaintiff’s motion to exclude Dr. Bowling’s opinions concerning the adequacy of the IFUs. Plaintiff next seeks to exclude the following opinions offered by Dr. Bowling regarding complication rates as conclusory and lacking factual support:

• “The vast majority of mesh exposures are small and asymptomatic. And those that do require treatment are typically easy to resolve in the right hands.” (Doc. 42-1, p. 49). • “The overwhelming majority of patients experience a complete

resolution of their symptoms following a quick revision procedure.” (Id. at p. 50).

5 • “[C]omplications from mesh procedures are many times related to the skill level of the surgeon.” (Id.).

Dr. Bowling is a Board Certified Urogynecologist, a gynecologist with advanced training in the treatment of women with complex pelvic floor issues, and a Pelvic Reconstructive Surgeon. (Doc. 42-1, p. 2). He currently serves as Director for the Division of Female Pelvic Medicine and Reconstructive Surgery at the University of Tennessee Medical Center. (Id. at p. 3). He regularly treats

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

Related

City of Tuscaloosa v. Harcros Chemicals, Inc.
158 F.3d 548 (Eleventh Circuit, 1998)
United States v. Majors
196 F.3d 1206 (Eleventh Circuit, 1999)
Charles McCorvey v. Baxter Healthcare Corp.
298 F.3d 1253 (Eleventh Circuit, 2002)
Donna Ellis v. C. R. Bard, Inc.
311 F.3d 1272 (Eleventh Circuit, 2002)
United States v. Richard Junior Frazier
387 F.3d 1244 (Eleventh Circuit, 2004)
Dietz v. Smithkline Beecham Corp.
598 F.3d 812 (Eleventh Circuit, 2010)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
Kumho Tire Co. v. Carmichael
526 U.S. 137 (Supreme Court, 1999)
Battersby v. Boyer
526 S.E.2d 159 (Court of Appeals of Georgia, 1999)
Singleton v. Airco, Inc.
314 S.E.2d 680 (Court of Appeals of Georgia, 1984)
McCombs v. Synthes (USA)
553 S.E.2d 17 (Court of Appeals of Georgia, 2001)
Banks v. ICI Americas, Inc.
450 S.E.2d 671 (Supreme Court of Georgia, 1994)
Chrysler Corp. v. Batten
450 S.E.2d 208 (Supreme Court of Georgia, 1994)
Miller v. Ford Motor Co.
653 S.E.2d 82 (Court of Appeals of Georgia, 2007)
Frazier v. Mylan Inc.
911 F. Supp. 2d 1285 (N.D. Georgia, 2012)
Avirgan v. Hull
932 F.2d 1572 (Eleventh Circuit, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
JONES v. ETHICON INC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-ethicon-inc-gamd-2020.