Roeder v. American Medical Systems, Inc.

CourtDistrict Court, D. Kansas
DecidedOctober 15, 2021
Docket6:20-cv-01051
StatusUnknown

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

Bluebook
Roeder v. American Medical Systems, Inc., (D. Kan. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS

CLEMENTINA ROEDER and RONALD ROEDER, JR.,

Plaintiffs,

v. Case No. 20-1051-JWB

AMERICAN MEDICAL SYSTEMS, INC.,

Defendant.

MEMORANDUM AND ORDER

This matter comes before the court on Defendant’s motion for summary judgment (Doc. 85). The motion has been fully briefed and the court is prepared to rule. (Docs. 86, 91, 98.) For the reasons stated herein, Defendant’s motion is GRANTED IN PART and DENIED IN PART. I. Facts and Procedural History This is a products liability action filed by Plaintiff Clementina Roeder (individually, “Plaintiff”) and her husband Ronald Roeder, Jr. (together with Plaintiff, hereinafter referred to as “Plaintiffs”) involving injuries allegedly sustained by Plaintiffs due to Defendant’s products. On September 2, 2015, Plaintiffs filed a short form complaint against Defendant in an MDL action involving Defendant. See In re: American Medical Systems, Inc., Pelvic Repair Systems Products Liability Litigation, Case No. 12-MD-2325 (“MDL”). In that action and as raised in the pretrial order in this case, Plaintiffs seek damages on the basis that Plaintiff suffered significant injuries due to the implantation of Defendant’s products. The following facts are uncontroverted for the purpose of this motion. On January 6, 2011, Plaintiff complained to her physician Dr. Darrell Werth of stress incontinence and discomfort. Plaintiff had previously suffered from stress urinary incontinence (“SUI”) and pelvic organ prolapse (“POP”). Plaintiff was diagnosed with a large cystocele (bladder prolapse) with associated uterine prolapse and urethral hypermobility. Dr. Werth recommended a hysterectomy with anterior mesh cystocele repair and sling suspension of the bladder neck. The proposed treatment involved implanting two vaginal mesh products (“the products”), the MiniArc Precise

(“MiniArc”) for SUI and the Elevate Anterior Apical System with IntePro Lite (“Elevate”) for POP. Defendant American Medical Systems, Inc., manufactured and sold the products. (Docs. 66 at 3-5; 86 at 8-9; 91 at 7.) Dr. Werth testified that he believed that the products were the best options for Plaintiff at the time of treatment. (Doc. 86-2 at 58:23-59:1.) At the time of treatment, Dr. Werth had implanted over 100 mesh devices for the treatment of POP and over 500 mesh slings. Dr. Werth testified that he was aware at the time of Plaintiff’s procedure of risks of infection, chronic pain, vaginal bleeding, dyspareunia (pain with intercourse), and continued incontinence. (Doc. 86-2 at 24:23-27:8, 30:2-24.) Both products have Instructions for Use (“IFUs”) that include associated risks with the products. Dr. Werth does not recall relying

on the IFUs but he was aware of the risks listed in the IFUs prior to Plaintiff’s procedure. Dr. Werth testified that he did not tell Plaintiff about the possibility of painful sex and that she could experience chronic pain after implantation of the products. (Doc. 91-2 at 73:21-74:13.) Plaintiff told Dr. Werth that she did not want to be implanted with a product that would be “faulty later on.” (Doc. 91-1 at 102:22-103:1.) Plaintiff did some internet research on mesh implants and found that some women were having trouble but Plaintiff did not see any evidence of lawsuits regarding the mesh. (Id. at 102:11-17.) Dr. Werth allegedly told Plaintiff that he implanted the mesh into his wife, so it was safe. (Id. at 103:6-9.) This information resulted in Plaintiff deciding to go ahead with the implant procedure. (Id.) Plaintiff signed an informed consent form stating that she understood that the procedure involved some risks including pain or difficulty with sexual intercourse. (Id. at 95:6-96:9.) The facts surrounding the communication by Dr. Werth of the risks of the mesh to Plaintiff are in dispute here. Although Dr. Werth testified that his routine is to provide a patient with the pamphlet with the risks, which was provided by Defendant, Dr. Werth didn’t document this in

Plaintiff’s case and Plaintiff disputes that she was provided with pamphlets regarding the mesh. (Id. at 93:19-21; 86-2 at 19:9-24.) Dr. Werth has also testified that he reviewed the risks of the procedure and the potential for mesh erosion, infection, and bleeding with Plaintiff. (Doc. 86-2 at 18:23-19:8.) Plaintiff has testified, however, that she was not informed of the risks or complications associated with the mesh but that she was only told about the risks associated with surgery. (Doc. 91-1 at 92:21-93:11.) Plaintiff further testified that had she been told that the products would make her more susceptible to urinary tract infections, bleeding, and pain during intercourse, she would not have consented to the procedure. (Id. at 132:22-133:10.) On June 9, 2011, Plaintiff underwent the implant procedure in which the Elevate and

MiniArc mesh products were implanted by Dr. Werth to treat Plaintiff’s conditions. Immediately after, Plaintiff complained of pain, vaginal bleeding, and worsening incontinence. (Docs. 86 at 4; 91 at 5.) Plaintiff also noticed dyspareunia upon resuming intercourse. Plaintiff also experienced four to five urinary tract infections per year following the implant procedure. (Docs. 86 at 10; 91 at 9-10.) On August 15, 2011, Plaintiff had a follow-up appointment with Dr. Werth. Plaintiff’s medical records show that she reported that she had good bladder control and no discomfort. (Doc. 91-4 at 2.) Her pelvic examination on that date showed good suspension of her cystocele and bladder neck and no sign of mesh erosion. (Id.) On November 1, 2012, Plaintiff had a follow-up appointment with Dr. Werth. The medical records note that Plaintiff had seen advertisements on television regarding mesh repairs. (Doc. 91- 5 at 2.) Plaintiff testified that at the time she believed something was wrong with her mesh. (Doc. 91-1 at 125:6-9.) She also testified that she didn’t know if there was a problem at that time. (Id. at 100:25-101:6.) Plaintiff wanted Dr. Werth to check out the mesh to make sure it was healing

okay because she didn’t think it was. (Id.) Dr. Werth testified that he told Plaintiff that her mesh was doing fine and healing properly. He noted in her records that she had “good support” and no “signs of erosion.” (Docs. 91-2 at 49:21-50:2; 91-5 at 2.) The medical records note that Dr. Werth “explained to [Plaintiff] that the mesh itself is not an issue, that it is not toxic. The lawsuits are revolving [sic] some complications that occurred with some of the earlier mesh kits and some apparent complications that developed with poorly trained surgeons but in itself this repair should continue to give her good support and not pose any health problems. She seems comfortable with this.” (Doc. 91-5 at 2.) After November 2012, Plaintiff did not see Dr. Werth as a provider. On July 1, 2015, Plaintiff saw Dr. Brian Flynn and complained of constant vaginal pain

and burning, painful sexual intercourse, bleeding, infections, and frequent/urgent urination. Dr. Flynn diagnosed Plaintiff with SUI, cystocele, urinary tract infections, dyspareunia, and complication of genitourinary device. (Doc. 91-6 at 3.) Dr. Flynn believed that Plaintiff’s mesh exposure was the cause of her pain and dyspareunia and advised Plaintiff to undergo a near total mesh explant due to her chronic exposure to the mesh and his concern that the mesh was contaminated because bacteria was growing on the mesh. (Doc. 91-7 at 76:23-78:16.) Plaintiff testified that it was at this appointment when she first attributed her pain and other symptoms to the mesh. (Doc. 91-1 at 133:24-134:3.) The material used in the products, polypropylene mesh, was recommended by its manufacturer for use in carpet backing, ropes, and cordage products. Plaintiff has offered evidence from the manufacturer, Total Petrochemicals, and Dr.

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