Mitchell v. Ethicon, Inc.

CourtDistrict Court, E.D. Kentucky
DecidedAugust 6, 2020
Docket5:20-cv-00157
StatusUnknown

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

Bluebook
Mitchell v. Ethicon, Inc., (E.D. Ky. 2020).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF KENTUCKY CENTRAL DIVISION (at Lexington)

NORA MITCHELL, et al., ) ) Plaintiffs, ) Civil Action No. 5: 20-157-DCR ) V. ) ) ETHICON INC., et al., ) MEMORANDUM OPINION ) AND ORDER Defendants. )

*** *** *** *** Plaintiffs Nora and Arthur Mitchell claim they were harmed as a result of Nora’s implantation with a TVT-Secur (“TVT-S”), a pelvic mesh product used to treat stress urinary incontinence. The device allegedly was manufactured by the defendants. The defendants have filed a motion for partial summary judgment, which will be granted because the plaintiffs have failed to produce evidence from which a jury could conclude that the defendants’ warning was inadequate or that an inadequate warning caused the plaintiffs’ alleged harm. The defendants also have filed a motion to dismiss the Amended Complaint, which will be denied, as moot. I. Procedural History This matter recently was transferred from multidistrict litigation (“MDL”) in the United States District Court for the Southern District of West Virginia. In re Ethicon, Inc., Pelvic Repair Systems Products Liability Litigation, 2: 12-md-2327. The MDL involves claims of harm resulting from implantation with various polypropylene-based mesh products, including TVT-S. Judge Joseph Goodwin presided over the MDL, which began in 2012. Numerous cases were filed directly in the Southern District of West Virginia and many were transferred from other jurisdictions. On August 22, 2012, Judge Goodwin entered Pretrial Order Number 12,

which included a plan for streamlining the pleading process. A 63-page Master Long-Form Complaint was filed, which was described an “administrative device to set forth potential claims individual Plaintiffs may assert against Defendants” in the litigation. [S.D. W.Va. 2: 12-md-2327, Record No. 220] A draft Short-Form Complaint also was filed, which was a template individual plaintiffs would complete to set out their individual allegations and to indicate which counts of the Master Complaint they intended to assert against one or more pelvic mesh producers. Id. at Record No. 219.

Plaintiffs Nora and Arthur Mitchell filed their Short-Form Complaint on June 22, 2015. [S.D. W.Va. 2: 15-cv-8094] Nora alleged that she had been implanted with the defendants’ TVT-S product on December 6, 2010, in Lexington, Kentucky. She indicated that she wished to proceed against the defendants on all counts raised in the Master Complaint, which include: negligence (count I); strict liability—manufacturing defect (count II); strict liability—failure to warn (count III); strict liability—defective product (count IV); strict liability—design defect (count V); common law fraud (count VI); fraudulent concealment (count VII); constructive

fraud (count VIII); negligent misrepresentation (count IX); negligent infliction of emotional distress (count X); breach of express warranty (count XI); breach of implied warranty (count XII); violation of consumer protection laws (count XIII); gross negligence (count XIV); unjust enrichment (count XV); loss of consortium (count XVI); punitive damages (count XVII); and discovery rule and tolling (count XVIII). The plaintiffs’ case was placed in “Wave 8” of the MDL. [S.D. W.Va. 2: 12-md-2327, Record No. 5235] The court entered Pretrial Order 280 on January 30, 2018, which included deadlines for completing discovery and filing dispositive and Daubert motions. Id. Discovery

closed in September 2018 and dispositive and Daubert motions were due shortly thereafter pursuant to the Order. The parties were instructed to file dispositive and Daubert motions (with the exception of Daubert motions regarding general causation) in the applicable member cases—not in the Ethicon MDL. The defendants filed a motion for partial summary judgment in October 2018, which remains pending. [Record No. 17] Judge Goodwin elected to transfer the case to this Court in April 2020, noting that discovery was complete and the time to file dispositive motions had

expired. He recommended that the case be set for trial without reopening discovery, as doing so was “completely unnecessary” and would “result in unjust delay.” [Record No. 25] Upon transfer, this Court reviewed the plaintiffs’ Short-Form Complaint, as well as the Amended Master Long-Form Complaint, and observed that the plaintiffs had not alleged facts sufficient to establish by a preponderance of the evidence that federal subject matter jurisdiction exists. While the Court did not have serious doubts that diversity jurisdiction is present, it has an obligation to ensure that it has subject matter jurisdiction over any case before

it. Accordingly, the plaintiffs were permitted to file an Amended Complaint to correct the jurisdictional allegations. In so doing, the plaintiffs resubmitted their Short Form Complaint, but corrected the factual allegations concerning the parties’ citizenship and the amount in controversy. [Record No. 63] The parties tendered a Joint Status Report in May 2020, indicating that the MDL Court did not decide all challenges raised within the parties’ Daubert motions and that it expressly reserved some determinations for the trial court. [Record No. 57] However, the parties did not identify the particular Daubert issues that remain unresolved and agreed that the defendants’ motion for partial summary judgment should be immediately submitted to the

Court for resolution. II. Factual Background Plaintiff Nora Mitchell (“Nora”) saw Clarissa Beiting, M.D., a board-certified obstetrician/gynecologist, for the first time on October 29, 2010. She complained of urinary incontinence when coughing, sneezing and laughing; vaginal/pelvic pressure; and “tissue falling through the vaginal opening.” [Beiting Deposition, Record No. 17-1, pp. 18-19] Beiting performed a pelvic examination and concluded that Nora’s bladder had prolapsed

through the anterior wall of her vagina and that her rectum had prolapsed through the posterior wall of her vagina, to a lesser degree. Id. at p. 19. Beiting also noted that Nora’s urethra was hypermobile. Beiting and Nora discussed surgical repair of these problems, the alternatives, and some of the risks involved, including urinary retention, bladder complications, urinary tract infections, mesh erosion, incontinence, and future prolapse with surgery needed for repair. Id. Nora returned to Beiting’s office on November 11, 2010. That day, Beiting performed

tests that confirmed the diagnosis of stress urinary incontinence (“SUI”). Id. at p. 20. Beiting explained that SUI is a condition in which patients lose support in the urethral plane with age or after childbirth, causing leakage of urine with activities such as coughing, sneezing, or laughing. Id. at p. 14. Beiting examined Nora again during that visit and staged her anterior vaginal prolapse as “third degree midline.” She advised that the posterior prolapse “didn’t seem very large,” but told Nora that she could assess it at the time of surgery and repair it if necessary. Id. at p. 20. Seventy-one-year-old Nora elected to undergo surgery, which Beiting performed on

December 6, 2010. [Record No. 19-2, p. 2] Correction of the anterior and posterior vaginal prolapses took about one hour. Although the operative report does not specify the length of the incisions, Beiting testified that the incisions for these procedures typically are four to five centimeters long. [Record No. 17-1 at p. 22] Beiting used TVT-S or “mini sling” to treat the SUI. She explained that TVT is synthetic tape which is implanted between the vaginal wall and the urethra to provide urethral support to those suffering from SUI. Id. at p. 15. Once implanted, the tape limits urethral mobility so that urine does not leak upon stress provocation

such as coughing, sneezing, or exercising. Id.

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