LaBarbera v. New York Eye & Ear Infirmary

230 A.D.2d 303, 657 N.Y.S.2d 664, 1997 N.Y. App. Div. LEXIS 5179
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMay 15, 1997
StatusPublished
Cited by7 cases

This text of 230 A.D.2d 303 (LaBarbera v. New York Eye & Ear Infirmary) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
LaBarbera v. New York Eye & Ear Infirmary, 230 A.D.2d 303, 657 N.Y.S.2d 664, 1997 N.Y. App. Div. LEXIS 5179 (N.Y. Ct. App. 1997).

Opinions

OPINION OF THE COURT

Milonas, J.

In May 1986, defendant Dr. Jack Martin Shapiro performed a total nasal reconstruction on plaintiff at the New York Eye and Ear Infirmary to correct deformities in plaintiff’s nose. At the conclusion of the operation, Dr. Shapiro packed the nasal cavity with Bacitracin gauze and inserted a silastic stent, a shaped piece of plastic, within plaintiff’s nose. The purpose of the stent was to provide temporary support, promote healing and prevent scarring; after approximately 10 days the packing material and the stent were to be removed by Dr. Shapiro. At the appointed time, the packing material was removed, but the stent was not.

For the next six years, plaintiff experienced persistent nasal and respiratory problems. Neither Dr. Shapiro, whom plaintiff last contacted in September 1988, nor other doctors subsequently consulted were able to diagnose or successfully treat these complaints. Finally, in 1992, a different doctor performed an endoscopic rhinoscopy to try to determine the cause of plaintiff’s persistent ailments; he discovered the presence of the stent and removed it. Plaintiff’s medical problems ceased almost immediately, and, within a year, he brought this action.

CPLR 214-a provides that an action for medical malpractice "must be commenced within two years and six months of the act, omission or failure complained of or last treatment where there is continuous treatment for the same illness, injury or condition which gave rise to the said act, omission or failure; provided, however, that where the action is based upon the discovery of a foreign object in the body of the patient, the ac[305]*305tion may be commenced within one year of the date of such discovery or of the date of discovery of facts which would reasonably lead to such discovery, whichever is earlier. * * * For the purpose of this section the term 'foreign object’ shall not include a chemical compound, fixation device or prosthetic aid or device.” The IAS Court dismissed the action as untimely, concluding that the stent was a fixation device, and plaintiff therefore could not avail himself of the one year from discovery rule. The question before us is whether the stent is in fact a fixation device or whether, as plaintiff maintains, it is a foreign object, in which case the action was timely brought.

We conclude that the stent is indeed a fixation device, and we therefore affirm the order of the IAS Court. While this result is troublesome to the Court, we find that to hold otherwise would conflict with those cases in which the Court of Appeals has not only defined what constitutes a "foreign object” but also consistently cautioned against judicial extension of the foreign object exception of CPLR 214-a.

The Court of Appeals first adopted a different accrual standard for negligence cases involving foreign objects in 1969, prior to the enactment of CPLR 214-a, in Flanagan v Mount Eden Gen. Hosp. (24 NY2d 427), where surgical clamps were discovered in plaintiff’s abdomen eight years after surgery. In such circumstances, the Court reasoned, the claim of negligence is based "solely on the presence of a foreign object,” and the usual factors justifying the preclusion of late negligence claims are notably absent: there is no risk of a "belated, false or frivolous” claim; no "possible causal break” between the negligence and the injury; no issue of diagnosis, judgment or discretion; and, because an object such as a clamp retains its identity over time, no undue impairment of the ability to defend the claim (24 NY2d, supra, at 430-431). Absent these compelling considerations, the majority concluded, there was insufficient justification to apply the traditional rule of accrual in such instances, where it worked harsh consequences on plaintiffs who often discovered the presence of the foreign object long after the Statute of Limitations had run.

In the wake of Flanagan, however, some courts broadened the application of the discovery rule to encompass other circumstances so long as the underlying rationale (the Flanagan factors listed above) seemed to apply, notwithstanding that the case did not involve a foreign object, or indeed any object at all (see, e.g., Murphy v St. Charles Hosp., 35 AD2d 64; Merced v New York City Health & Hosps. Corp., 56 AD2d 553, read 44 [306]*306NY2d 398). In response, when the Legislature codified the foreign object discovery rule articulated in Flanagan and enacted CPLR 214-a, it explicitly provided that the rule was for foreign objects only and, to further limit its application only to things never meant to remain inside a patient, excluded fixation devices, chemical compounds and prosthetic aids from its purview.

That the express intent of the legislation was to curtail judicial expansion of the discovery rule is clearly stated in the Governor’s Program Bill Memorandum (Bill Jacket, L 1975, ch 109, at 4), the Practice Commentaries to CPLR 214-a (Alexander, 1993 and 1991 Supp Practice Commentaries, McKinney’s Cons Laws of NY, Book 7B, CPLR C214-a:3, 1997 Pocket Part, at 139, 142-143), and numerous decisions interpreting and applying the new statute (see, e.g., Rockefeller v Moront, 81 NY2d 560; Rodriguez v Manhattan Med. Group, 77 NY2d 217; Goldsmith v Howmedica, Inc., 67 NY2d 120; Matter of Beary v City of Rye, 44 NY2d 398; Cooper v Edinbergh, 75 AD2d 757). Thus, even where presented with cases in which the Flanagan rationale for the discovery rule could be said to apply, courts refrained from extending the rule, however harsh the result, based on the Legislature’s expressed intent that Flanagan "not be broadened beyond its existing confines” (Matter of Beary v City of Rye, 44 NY2d 398, 415, supra).

We find ourselves in precisely such circumstances. While the stent in this case was inexplicably left in plaintiffs nose, and while it is undisputed that it should have been removed within days following the surgery, it nevertheless fails to come within the "confines” of CPLR 214-a; only objects temporarily used in the course of surgery qualify as foreign objects (Rockefeller v Moront, 81 NY2d 560, supra), and a fixation device, once deliberately placed and left in a patient, cannot be transformed into a foreign object such that it comes within the discovery rule (Rodriguez v Manhattan Med. Group, 77 NY2d 217, supra).

In Rodriguez, a doctor retained to remove an intrauterine device (IUD) was unable to locate the device, and even X rays failed to disclose its presence. Only a sonogram taken years later detected the IUD embedded in the uterus wall. While earlier cases had held that the failure to remove an IUD transformed what was concededly a fixation device into a foreign object (see, e.g., Sternberg v Gardstein, 120 AD2d 93; Ooft v City of New York, 80 AD2d 888), the Court of Appeals rejected this analysis in Rodriguez. To the contrary, the Court found, an IUD deliberately placed in the patient’s body with a [307]*307specific medical purpose is — and remains — a fixation device; if a doctor later fails to remove it, it does not become a foreign object within the meaning of CPLR 214-a.

The attribute on which the distinction seems to rest is whether the object was deliberately left inside the patient in the first instance.

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Bluebook (online)
230 A.D.2d 303, 657 N.Y.S.2d 664, 1997 N.Y. App. Div. LEXIS 5179, Counsel Stack Legal Research, https://law.counselstack.com/opinion/labarbera-v-new-york-eye-ear-infirmary-nyappdiv-1997.