Miles v. Boston Scientific Corporation

CourtDistrict Court, S.D. Texas
DecidedJuly 9, 2020
Docket4:19-cv-04319
StatusUnknown

This text of Miles v. Boston Scientific Corporation (Miles v. Boston Scientific Corporation) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miles v. Boston Scientific Corporation, (S.D. Tex. 2020).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION GAYLE MILES, § § Plaintiff, § § v. § CIVIL ACTION H-19-4319 § BOSTON SCIENTIFIC CORPORATION, § § Defendant. § MEMORANDUM OPINION AND ORDER Pending before the court is defendant Boston Scientific Corporation’s (“Boston Scientific”) motion to dismiss. Dkt. 15. In response, plaintiff Gayle Miles (“Miles”) argues Boston Scientific’s motion should be denied, or alternatively requests leave to amend her complaint. Dkt. 20. Boston Scientific replied. Dkt. 25. After reviewing the motion, response, reply, and applicable law, Boston Scientific’s motion (Dkt. 15) should be GRANTED in part and DENIED in part. I. BACKGROUND This case involves fraud and product liability claims against Boston Scientific. On April 24, 2006, Miles was implanted with Advantage Fit, a pelvic mesh product manufactured by Boston Scientific. Dkt. 1 at 12. Advantage Fit was intended to treat her for stress urinary incontinence (“SUI”), a use for which Boston Scientific markets Advantage Fit, and Miles claims that her physician implanted her Advantage Fit properly and appropriately. Id. Miles alleges Boston Scientific failed to properly disclose inherent risks associated with Advantage Fit, which led to her injuries. Id. The Advantage Fit is a Class II medical device for which Boston Scientific obtained FDA marketing clearance to correct pelvic organ prolapse (POP) and SUI. Id. at 2-3. Since Advantage Fit’s market entry, industry and regulatory officials have issued several communications related to the product’s efficacy in treating POP: 1) a 2011 FDA Safety Communication identifying serious complications associated with the surgical mesh for transvaginal repair of POP as not rare, including mesh contraction as a previously unidentified risk associated with vaginal shortening, tightening, and pain; 2) a 2011 FDA white paper expressing “serious safety and effectiveness concerns over the use of surgical mesh for the transvaginal repair of [POP]”; and 3) a 2011 Joint Committee Opinion released by the American College of Obstetricians and Gynecologists and the American Urogynecologic Society identifying physical and mechanical changes to pelvic mesh products inside the body as a serious complication of implantation. Id. at 3-5. Also in 2011, the FDA acknowledged that the literature on SUI repair with mesh “indicates that serious complications can occur . . . [and] a case can be made for additional . . . studies to better address the risk/benefit of all mesh products used for SUI.” Id. at 5. In January 2012, the FDA subsequently issued a Section 522 order to manufacturers of pelvic mesh products used to treat SUI, which required them to begin monitoring their patients’ outcomes after implantation in order to collect useful data on potential safety risks (the “Section 522 Order”). Id. Miles claims Boston Scientific knew the risks associated with POP repair are the same as SUI repair, and it has not adequately studied the extent of the risks associated with Advantage Fit. Id. She further alleges Boston Scientific knew or should have known the risk of serious injuries from use of Advantage Fit, but continued to market it to physicians and patients, including herself, without adequate warnings. Id. at 5-6, 8. Had Boston Scientific properly disclosed the risks associated with the Advantage Fit, Miles claims she would not have used it. Id. at 12.

2 Miles identifies a multitude of Advantage Fit’s defects, including: 1) the use of polypropylene and the immune reactions that result from such material, causing adverse reactions and injuries; 2) the design of Advantage Fit to be inserted into and through an area of the body with high levels of bacteria that can adhere to the mesh causing immune reactions and subsequent tissue breakdown and adverse reactions and injuries; 3) biomechanical issues with the design of Advantage Fit, including, but not limited to its propensity to contract or shrink inside the body, that in turn cause surrounding tissue to be inflamed, become fibrotic, and contract, resulting in injury; 4) the use and design of arms and anchors, which, when placed in the patient, are likely to pass through contaminated spaces and that can injure major nerve routes in the pelvic region; 5) the propensity for “creep” or to gradually elongate and deform when subject to prolonged tension inside the body; 6) the inelasticity of Advantage Fit, causing them to be improperly mated to the delicate and sensitive areas of the vagina and pelvis where they are implanted, and causing pain upon normal daily activities that involve movement in the pelvic region (e.g., intercourse, defecation, walking); 7) the propensity of Advantage Fit for degradation or fragmentation over time, which causes a chronic inflammatory and fibrotic reaction, and results in continuing injury over time; and 8) the creation of a non-anatomic condition in the pelvis leading to chronic pain and functional disabilities when the mesh is implanting according to the manufacturers’ instructions. Id. at 13. She separately identifies the risks of which Boston Scientific failed to adequately warn her or her physician: 1) Advantage Fit’s propensities to contract, retract, and/or shrink inside the body; 2) Advantage Fit’s propensities for degradation, fragmentation and/or creep; 3) Advantage Fit’s inelasticity preventing proper mating with the pelvic floor and vaginal region; 3 4) the frequency and manner of mesh erosion or extrusion; 5) the risk of chronic inflammation resulting from Advantage Fit; 6) the risk of chronic infections resulting from Advantage Fit; 7) the risk of permanent vaginal or pelvic scarring as a result of Advantage Fit;

8) the risk of recurrent, intractable pelvic pain and other pain resulting from Advantage Fit; 9) the need for corrective or revision surgery to adjust or remove Advantage Fit; 10) the severity of complications that could arise as a result of implantation of Advantage Fit; 11) the hazards associated with Advantage Fit; 12) Advantage Fit is no more effective than feasible available alternatives; 13) treatment of pelvic organ prolapse and stress urinary incontinence with Advantage Fit exposes patients to greater risk than feasible available alternatives; 14) treatment of pelvic organ prolapse and stress urinary incontinence with Advantage Fit makes future surgical repair more difficult than feasible available alternatives; 15) use of Advantage Fit puts the patient at greater risk of requiring additional surgery than feasible available alternatives; 16) removal of Advantage Fit due to complications may involve multiple surgeries and may significantly impair the patient’s quality of life; and 17) complete removal of Advantage Fit may not be possible and may not result in complete resolution of the complications, including pain. Id. at 8. Miles filed suit against Boston Scientific on November 1, 2019. Dkt. 1. On December 23, 2019, Boston Scientific filed a motion to dismiss Miles’s claims for failure to state a claim. Dkt. 15. Miles responded on February 28, 2020. Dkt. 20. Boston Scientific replied on March 13, 2020. Dkt. 25. 4 II. LEGAL STANDARD “Federal Rule of Civil Procedure 8(a)(2) requires only ‘a short and plain statement of the claim showing that the pleader is entitled to relief.’” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). In considering a Rule 12(b)(6) motion to dismiss a complaint, courts generally must accept

the factual allegations contained in the complaint as true. Kaiser Aluminum & Chem. Sales, Inc. v. Avondale Shipyards, Inc., 677 F.2d 1045, 1050 (5th Cir. 1982).

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Bluebook (online)
Miles v. Boston Scientific Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miles-v-boston-scientific-corporation-txsd-2020.