McGUAN v. Endovascular Technologies, Inc.

182 Cal. App. 4th 974, 106 Cal. Rptr. 3d 277
CourtCalifornia Court of Appeal
DecidedFebruary 9, 2010
DocketH033287, H033290
StatusPublished
Cited by17 cases

This text of 182 Cal. App. 4th 974 (McGUAN v. Endovascular Technologies, Inc.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McGUAN v. Endovascular Technologies, Inc., 182 Cal. App. 4th 974, 106 Cal. Rptr. 3d 277 (Cal. Ct. App. 2010).

Opinion

Opinion

MIHARA, J.

The Food and Drug Administration (FDA) approved the Ancure Endograft System (Ancure Device) for use by surgeons to treat abdominal aortic aneurysms. Plaintiffs Michael J. McGuan and Lillian Johnson, who suffered severe injuries after they were implanted with this device, brought products liability and personal injury actions against defendants Endovascular Technologies, Inc. (EVT), Guidant Corporation (Guidant), Advanced Cardiovascular Systems, Inc., and Origin Medsystems, Inc. 1 The trial court granted defendants’ motions for summary judgment on the ground *977 that plaintiffs’ claims were preempted by federal law. The trial court also denied plaintiffs’ motions to amend their complaints, and granted defendants’ motions to seal portions of the record. Plaintiffs have filed timely appeals from the judgments of dismissal. 2 For the reasons stated below, we affirm.

I. Federal Regulation of Medical Devices

In enacting the Medical Device Amendments of 1976 (MDA) (21 U.S.C. § 360c et seq.) to the Federal Food, Drug, and Cosmetic Act (21 U.S.C. § 301 et seq.), Congress sought to “ ‘to provide for the safety and effectiveness of medical devices intended for human use.’ ” (Medtronic, Inc. v. Lohr (1996) 518 U.S. 470, 474 [135 L.Ed.2d 700, 116 S.Ct. 2240] (Lohr).) The MDA divides medical devices into three classifications: class I, class II, and class HI. (21 U.S.C. § 360c(a)(l).) A class HI device, such as the Ancure Device, receives the most federal oversight, and requires premarket approval by the FDA. 3 (Riegel v. Medtronic, Inc. (2008) 552 U.S. 312, 315-318 [169 L.Ed.2d 892, 128 S.Ct. 999, 1003-1004] (Riegel).) This “rigorous” process requires an applicant to submit “full reports of all studies and investigations of the device’s safety and effectiveness that have been published or should reasonably be known to the applicant; a ‘full statement’ of the device’s ‘components, ingredients, and properties and of the principle or principles of operation’; ‘a full description of the methods used in, and the facilities and controls used for, the manufacture, processing, and, when relevant, packing and installation of, such device’; samples or device components required by the FDA; and a specimen of the proposed labeling. (§ 360e(c)(l).)” (Riegel, at p. 318 [128 S.Ct. at p. 1004].)

The FDA spends an “average of 1,200 hours” on each premarket approval application. (Lohr, supra, 518 U.S. at p. 477.) In determining whether to grant premarket approval of a class III device, the FDA must, among other things, “weig[h] any probable benefit to health from the use of the device against any probable risk of injury or illness from such use.” (21 U.S.C. § 360c(a)(2)(C).) The FDA will also “rely on the conditions of use included in the proposed labeling as the basis for determining whether or not there is a reasonable assurance” of the device’s “safety and effectiveness.” (21 U.S.C. § 360e(d)(l)(A).) In the event that the FDA grants premarket approval, it may condition its approval on adherence to various requirements. (21 U.S.C. §§ 360e(d), 360j(e)(l).) After approval, “the MDA forbids the manufacturer *978 to make, without FDA permission, changes in design specifications, manufacturing processes, labeling, or any other attribute, that would affect safety or effectiveness.” (Riegel, supra, 552 U.S. at p. 319 [128 S.Ct. at p. 1005].)

II. Statement of Facts 4

In the spring of 1999, defendants filed a premarket approval application for the Ancure Device. On September 28, 1999, the FDA approved the Ancure Device for commercial distribution, subject to certain conditions and requirements.

Within the first year after the premarket approval of the Ancure Device, several serious problems arose. They included: a limited recall of some units due to a “monofilament” problem; nonunique serial numbers; “Figure 8” problem involving wire controls; the Cassini Project involving several changes to the device; off-label promotion to the medical services group; jacket retraction problem; handle breaking technique to be used to retract device if it became stuck after the graft was implanted; need for medical device report (MDR) policy; aneurysm rupture; nonvalidated processes; and labeling mixups. In October 2000, several employees informed Guidant about these problems. In response, Guidant initiated both an internal investigation and one by outside auditors.

As of December 14, 2000, Guidant was informed of “significant weaknesses in the quality systems” by the outside auditor. Outside counsel also gave its opinion to Guidant that the Ancure Devices “currently being manufactured” were “at least ‘technically’ adulterated” under federal law, presented “a potential risk to the public health,” and Guidant’s “continued distribution of certain devices . . . expose[d] the devices, the Company and responsible individuals to potential FDA regulatory action.”

Guidant assembled a team of employees under the supervision of Steve Wirkus to investigate the safety of the Ancure Device. The team reviewed Ancure case experience forms (E-Forms), voice mail, and complaints. Over 7,600 patients were implanted with the Ancure Device, and approximately 4,400 E-Forms were submitted. Though the E-Forms contained check boxes for equipment malfunctions and comments, they did not contain a check box for injuries except where death was an outcome. According to Wirkus, other injuries could be listed in the comment box, but the data in the comment box *979 was sometimes missing due to the limited size of the box. 5 No one on the team contacted anyone with knowledge of the complaints. In summarizing the data, Wirkus initially acknowledged that the “E-Form data may be under-reported,” but a later report stated that the data might be “skewed.”

After Guidant became aware of an FDA investigation, outside counsel to Guidant wrote a memo indicating that Guidant would stop shipment of the Ancure Device and recall the product due to “deficiencies in the [Guidant Endovascular Systems] regulatory submission and communications with FDA.” On March 16, 2001, defendants recalled the Ancure Device.

On March 23, 2001, Guidant provided evasive, if not false, information to the FDA.

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Cite This Page — Counsel Stack

Bluebook (online)
182 Cal. App. 4th 974, 106 Cal. Rptr. 3d 277, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcguan-v-endovascular-technologies-inc-calctapp-2010.