PACHECO v. JOHNSON & JOHNSON

District Court, M.D. Georgia·Decided July 1, 2024·No. 3:24-cv-00002·Unknown

Opinion

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

YARY PACHECO, Plaintiff, CIVIL ACTION NO. v. 3:24-cv-00002-TES JOHNSON & JOHNSON, et al., Defendants.

ORDER GRANTING IN PART AND DENYING IN PART DEFENDANTS’ MOTION TO DISMISS

Before the Court is Defendants Johnson & Johnson and Ethicon, Inc.’s Partial Motion to Dismiss [Doc. 25], requesting that the Court consolidate several of Plaintiff’s claims and limit her suit to a few causes of action. Right now, Plaintiff’s Amended Complaint alleges six causes of action: (1) negligence in “the design, manufacture, testing, inspection, processing, advertising, marketing, labeling, assembling, packaging, distribution, detailing, promotion and sale of the Product”; (2) design defect based on a theory of strict liability; (3) manufacturing defect based on a theory of strict liability; (4) inadequate warning based on a theory of strict liability; (5) breach of express warranty; and (6) gross negligence, also in “the design, manufacture, testing, inspection, processing, advertising, marketing, labeling, assembling, packaging, distribution, detailing, promotion and sale of the Product.”1 [Doc. 24, pp. 13, 21, 23, 25, 28, 34].

Defendants’ request is a little tricky and requires much explanation, but in the simplest terms possible for purposes of this brief introduction, Defendants essentially request that the Court limit Plaintiff’s product defect claims to design defect and

failure-to-warn (now Counts II and IV), and consolidate her claims for negligence and gross negligence (now Counts I and IV) into the design-defect and failure-to-warn claims (which the Amended Complaint pleads under only a theory of strict liability),

thus allowing her to pursue those two claims under strict liability, negligence, and gross negligence theories.2 [Doc. 25-1, pp. 9–10]. The Court agrees in part and disagrees in part, as it will explain further below. BACKGROUND3

To treat her stress urinary incontinence (“SUI”), Plaintiff underwent a surgery

1 Under her claim for gross negligence (Count VI), Plaintiff reincorporates the paragraphs from her negligence claim (Count I). [Doc. 24, ¶ 157]. Therefore, her gross negligence claim is based on the same actions or inactions as her negligence claim—e.g., errors in the design, manufacture, testing, and inspection, among others. See [id.]; [Doc. 24, ¶ 55].

2 Additionally, in their Motion to Dismiss, Defendants originally asked the Court to dismiss Plaintiff’s breach of express warranty claim as untimely, but after Plaintiff responded, Defendants withdrew (at this stage in the proceedings only) that argument and consented to the claim going forward for now. [Doc. 25-1, pp. 12–13]; [Doc. 28, p. 1]. Therefore, Plaintiff’s breach of express warranty claim will proceed for further factual development.

3 The following facts are taken from Plaintiff’s Complaint [Doc. 1] and are assumed to be true for the purpose of ruling on the Motion before the Court. Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007) (holding that when ruling on a 12(b)(6) motion, courts must accept the facts set forth in the complaint as true). on June 18, 2010, in which her doctor, Dr. Mark Adams, implanted with the Product at issue, a TVT-O pelvic mesh product “designed, manufactured, packaged, labeled,

and sold by Defendants” and was marketed as a permanent implant for long-term use within the human body. [Doc. 24, ¶¶ 19–21, 40–41, 100, 128, 140]. The surgery went off without a hitch, with no intraoperative complications and remained in

Plaintiff’s body for many years. [Id. at ¶ 42]. But then, on March 8, 2022, Plaintiff came to Oconee Surgery Center in Watkinsville, Georgia, complaining of vaginal pain, dyspareunia (pain with sex), frequent urinary tract infections, difficulty urinating,

and pelvic pain, and that same day, underwent a revision surgery, in which Dr. Brian Raybon surgically removed as much of the TVT-O sling material as possible. [Id. at ¶¶ 44–45]. He was unable to remove all of the mesh. [Id. at ¶ 49]. In that surgery, Dr. Raybon found evidence of an old infection/abscess and

significant scarring near the sling and also noticed that the sling was rolled into a tubular structure. [Id. at ¶¶ 46, 49]. Plaintiff continues to suffer vaginal pain, dyspareunia, frequent urinary tract infections, difficulty urinating, pelvic pain, mesh

erosion, and exposed mesh. [Id. at ¶ 47]. She alleges that although she has undergone one correction surgery, she will likely need another, as well as further treatments. [Id. at ¶ 47]. Plaintiff alleges multiple defects and notes that it is “impossible to isolate a

single defect as the cause, as these defects work in conjunction with one another to cause injuries to users.” [Id. at ¶ 48]. However, the results of the explant surgery helped Plaintiff identify some defects, including the use of polypropylene material (a

material prone to causing injuries), the tendency of the mesh to contract and deform once inside the body, its inelasticity, and its propensity to degrade over time. [Id. at ¶ 49].

Despite these defects and risks, Plaintiff alleges that Defendants marketed the product as safe (describing it in a brochure provided to Plaintiff as a minimally invasive procedure involving a “soft, flexible mesh”), withheld information from the

medical community and general public, and failed to conduct tests ensuring the Product’s safety. [Id. at ¶¶ 49, 74, 76–77, 135–138, 141]. Had Plaintiff and Dr. Adams known of the risks, Dr. Adams would not have recommended the Product, and/or Plaintiff would not have consented to it. [Id. at ¶¶ 49, 68–69].

LEGAL STANDARD When ruling on a Rule 12(b)(6) motion to dismiss for failure to state a claim, it is a cardinal rule that district courts must accept the factual allegations set forth in a

complaint as true. Bell Atl. Corp. v. Twombly, 550 U.S. 544, 572 (2007). In accepting the factual allegations as true, courts are to construe the reasonable inferences from them in the light most favorable to the plaintiff. Hawthorne v. Mac Adjustment, Inc., 140 F.3d 1367, 1370 (11th Cir. 1998).

However, through Rule 12(b)(6), a defendant may “test the facial sufficiency” of a complaint by way of a motion to dismiss. Ghee v. Comcast Cable Commc’ns, LLC, No. 22- 12867, 2023 WL 3813503, at *2 (11th Cir. June 5, 2023) (quoting Brooks v. Blue Cross &

Blue Shield, 116 F.3d 1364, 1368 (11th Cir. 1997)). Such a “motion is an ‘assertion by a defendant that, even if the facts alleged by a plaintiff are true, the complaint still fails as a matter of law to state a claim upon which relief may be granted.’” Barreth v. Reyes 1,

Inc., No. 5:19-cv-00320-TES, 2020 WL 4370137, at *2 (M.D. Ga. July 29, 2020) (citation omitted). A complaint survives a Rule 12(b)(6)-based motion only if it alleges sufficient factual matter (accepted as true) that states a claim for relief that is plausible on its face.

McCullough, 907 F.3d at 1333 (citing Ashcroft v. Iqbal, 556 U.S. 662, 678–79 (2009)). Now, whether a complaint states a claim for relief is measured by reference to the pleading standard of Federal Rule of Civil Procedure 8—a “short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P.

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PACHECO v. JOHNSON & JOHNSON, (M.D. Ga. 2024).

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