Paula Donalds v. Ethicon, Inc.

Court of Appeals for the Fourth Circuit·Decided March 10, 2023·No. 22-1737·Unpublished

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 22-1737

PAULA M. DONALDS, Plaintiff - Appellant,

v.

ETHICON, INC.; JOHNSON & JOHNSON, Defendants - Appellees.

Appeal from the United States District Court for the District of Maryland, at Baltimore. George L. Russell, District Judge. (1:20-cv-01659-GLR)

Submitted: January 18, 2023 Decided: March 10, 2023

Before AGEE and DIAZ, Circuit Judges, TRAXLER, Senior Circuit Judge.

Affirmed by unpublished per curiam opinion.

ON BRIEF: Kevin P. Sullivan, SALSBURY SULLIVAN, LLC, Baltimore, Maryland, for Appellant. Amy M. Pepke, Susanna M. Moldoveanu, Memphis, Tennessee, M. Elizabeth Roper, BUTLER SNOW LLP, Ridgeland, Mississippi; Shannon E. Beamer, VENABLE LLP, Los Angeles, California, for Appellees.

Unpublished opinions are not binding precedent in this circuit.

PER CURIAM:

Paula Donalds brought this diversity products-liability suit against defendants Ethicon, Inc. and Johnson & Johnson (collectively “Ethicon”), seeking damages for injuries she claims were caused by a TVT Abbrevo pelvic mesh device produced by Ethicon. Donalds appeals the district court’s decision excluding the testimony of her expert witness on causation, granting summary judgment to Ethicon on her design defect claims, and denying her motion for reconsideration. 1 We affirm.

I.

On July 17, 2014, Donalds’ treating physician, Dr. Christine O’Connor, implanted a TVT Abbrevo device to treat Donalds’ urinary incontinence. In 2016, Donalds began experiencing bladder spasms, pain, burning sensations, and a recurrence of her urinary incontinence. On July 25, 2016, Dr. Richard Ellerkmann removed portions of the TVT Abbrevo device, and, on October 3, 2016, he implanted Donalds with the TVT Exact device, another mesh device produced by Ethicon. 2 On April 3, 2017, Donalds filed suit against Ethicon in the United States District Court for the Southern District of West Virginia, as part of a multi-district litigation

1

Donalds voluntarily withdrew several of her counts during the district court proceedings. The district court granted summary judgment on the remaining counts, which included her design defect claims, failure to warn claims, breach of warranty claims, fraud and negligent misrepresentation claims, and consumer protection law claims. Donalds appeals only the district court’s ruling on her design defect claims under the theories of negligence (Count I), gross negligence (Count XIV), and strict liability (Count V).

2

Donalds’ lawsuit only raised claims pertaining to the TVT Abbrevo device.

captioned In Re: Ethicon Inc., Pelvic Repair System Products Liability Litigation, MDL No. 2327 (the “MDL litigation”). Donalds alleged, inter alia, that the TVT Abbrevo device was defectively designed. Pursuant to the Pretrial Order issued in the MDL litigation, Donalds’ Rule 26 expert disclosures were due by July 13, 2018; Ethicon’s expert disclosures were due by August 13, 2018; and Donald’s rebuttal expert disclosures were due by August 20, 2018.

Donalds designated four retained expert witnesses. Three of the retained experts were offered to testify generally as to alleged defects in the TVT Abbrevo. 3 The fourth was Richard L. Luciani, M.D., and he was the only expert designated to testify as to case- specific causation. In his one-and-a-half-page report, Dr. Luciani summarily set forth his qualifications, Donalds’ surgical history and symptoms, and offered the following one- sentence opinion on causation:

It is my opinion to a reasonable degree of medical probability that the complications Ms. Donalds endured following implantation of the TVT ABBREVO mesh product, as described above, were proximately caused by the erosion of the mesh product.

J.A. 909. Ethicon designated Nina Bhatia, M.D., as its expert witness on causation. Dr. Bhatia took issue with Dr. Luciani’s failure to address and rule out other causes of Donalds’ symptoms, including a scissor puncture that occurred when Dr. O’Connor implanted the TVT Abbrevo device on July 17, 2014, and a work-related accident that Donalds suffered

3

The three expert witnesses designated were Jerry Blaivas, M.D.; Uwe Klinge, Ph.D., M.D.; and Vladamir Iakovlev, M.D.

on August 9, 2014. 4 Donalds filed no rebuttal disclosures. The deadline to complete discovery was October 4, 2018.

On June 8, 2020, the MDL judge remanded Donalds’ case to the United States District Court for the District of Maryland. The MDL court order noted that discovery had been completed in the MDL litigation and “urg[ed] the receiving court to immediately set the[] case[] for trial without reopening discovery.” J.A. 330. The MDL court explained that “[f]urther discovery will only result in unjust delay. Extensive development of these cases over a period of years has made such further action completely unnecessary.” J.A. 330 (emphasis in original).

On June 23, 2021, after mediation efforts failed, Ethicon sought summary judgment.

Ethicon argued that Donalds could not establish her design defect claim because Dr. Luciani had not performed a proper differential diagnosis on causation but instead ipse dixit concluded that the TVT Abbrevo was the cause of Donalds’ injuries. Ethicon also pointed out that Dr. Luciani had failed to specify any defect in the design of the TVT Abbrevo, and had offered no opinion that Donalds’ injuries were caused by a design defect. Shortly thereafter, Donalds filed her memorandum in opposition.

On November 17, 2021, the district court directed supplemental briefing on the question of whether Dr. Luciani’s opinion was admissible under Federal Rule of Evidence 702. Donalds filed her supplemental brief on November 29, 2021, and attached a

4

Donalds, a flight attendant, was injured when the pilot engaged the emergency brake on the runway, causing her to bang against areas of the plane and fall. As a result of her injuries, Donalds was awarded Social Security disability benefits.

supplemental affidavit from Dr. Luciani. The affidavit expounded on Dr. Luciani’s initial opinion in an obvious attempt to address the alleged deficiencies in his initial report. Ethicon argued that the supplemental affidavit was grossly untimely and that it, in fact, bolstered their argument that Dr. Luciani should not be permitted to testify because the original disclosure was insufficient.

The district court excluded Dr. Luciani from testifying under Rule 702 and Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579 (1993), and declined to consider Dr. Luciani’s belated affidavit. And because Donalds could not establish that an alleged design defect was the proximate cause of her injuries, the district court granted summary judgment to Ethicon. Donalds then filed a motion for reconsideration arguing, for the first time, that the district court should have considered Dr. Ellerkmann to be a causation expert before granting summary judgment. The district court denied the motion for reconsideration. This appeal followed.

II.

Under her products-liability theory of recovery, Donalds was required to “show three product litigation basics—defect, attribution of defect to the seller, and a causal relationship between the defect and the injury.” Laing v. Volkswagen of Am., Inc., 949 A.2d 26, 39 (Md. Ct. Spec. App. 2008) (cleaned up). It is undisputed that Maryland law governs this diversity action, and that expert testimony was required to establish a design defect and its causal connection to Donalds’ alleged injuries. See Wood v. Toyota Motor Corp., 760 A.2d 315, 319 (Md. Ct. Spec. App. 2000).

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