Rule v. Best Industries Inc

CourtCourt of Appeals for the Fourth Circuit
DecidedAugust 25, 1997
Docket96-1624
StatusUnpublished

This text of Rule v. Best Industries Inc (Rule v. Best Industries Inc) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rule v. Best Industries Inc, (4th Cir. 1997).

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS

FOR THE FOURTH CIRCUIT

NANCY L. RULE, Plaintiff-Appellant,

v.

BEST INDUSTRIES, INCORPORATED, No. 96-1624 Defendant-Appellee,

and

ROANOKE MEMORIAL HOSPITAL, Defendant.

Appeal from the United States District Court for the Western District of Virginia, at Roanoke. James C. Turk, District Judge. (CA-92-73-R)

Argued: January 31, 1997

Decided: August 25, 1997

Before HALL and ERVIN, Circuit Judges, and CLARKE, Senior United States District Judge for the Eastern District of Virginia, sitting by designation.

_________________________________________________________________

Affirmed by unpublished per curiam opinion. Judge Ervin wrote a dissenting opinion.

_________________________________________________________________

COUNSEL

ARGUED: David Burton, BURTON & KILGORE, Princeton, West Virginia, for Appellant. Jeffery Scott Sexton, GENTRY, LOCKE, RAKES & MOORE, Roanoke, Virginia, for Appellee. ON BRIEF: Debra Kilgore, BURTON & KILGORE, Princeton, West Virginia; Mark S. Hicks, Dublin, Virginia, for Appellant. Leisa Kube Ciaffone, GENTRY, LOCKE, RAKES & MOORE, Roanoke, Virginia, for Appellee.

_________________________________________________________________

Unpublished opinions are not binding precedent in this circuit. See Local Rule 36(c).

_________________________________________________________________

OPINION

PER CURIAM:

Nancy Rule appeals an order of the district court granting summary judgment to the defendant in Rule's product liability suit. We affirm.

I.

In the fall of 1989, plaintiff Nancy Rule was diagnosed with squa- mous cell carcinoma of the cervix. She was referred to the Cancer Center of Southwest Virginia in Roanoke for radiation therapy. Dr. Robert Heath was her lead physician there.

After 25 sessions of external radiation, Dr. Heath decided to use a "cesium implant" in the uterus to apply radiation internally. Two attempts to place the implant using a "tandem" were unsuccessful.

Dr. Heath, along with Drs. Patton Saul and Thomas Stoecker, then decided to use a device Dr. Heath had learned about at the University of North Carolina, a type of thin catheter called a"Flexineedle." Defendant Best Industries, Inc., manufactures the Flexineedle that Dr. Heath ordered. The hospital's physicist, Joseph Surace, procured the Flexineedle from Best.

A Flexineedle has a needle-like metal core (called the obturator) surrounded by a thin plastic catheter. The purpose of the obturator is

2 to make the Flexineedle rigid during placement. Once the catheter is in place -- a fact usually verified by ultrasonography -- the obturator is withdrawn and the catheter is filled with the prescribed medication. It can then be left inside the patient for several weeks.

The procedure was performed on January 29, 1990, by Dr. Heath with the assistance of Drs. Stoecker and Saul. None of the doctors read the instructions or warnings that Best enclosed with the Flexi- needle. Rule is obese, and Dr. Heath had trouble seeing the Flexi- needle on the ultrasound machine. The doctors decided to remove the obturator and fill the catheter with saline. They hoped that this strata- gem would allow them to see the catheter and to wiggle and jiggle it into place.

These things were done, and, unknown to the doctors, they had manipulated the catheter into a curved position. Rather than withdraw the catheter and start over, Dr. Heath reinserted the obturator. When the metal needle encountered the curved inner surface of the fragile catheter, it simply sawed the catheter off. Nine and one-half centime- ters of the tubing were lost inside Rule's abdomen. The doctors were unable to find it.

The wayward catheter soon caused Rule great abdominal discom- fort. She eventually had to have a radical hysterectomy and resections of her urinary tract. During this surgery, the catheter was found in her bladder. She has since lost her right kidney.

Under Virginia law, claims of medical malpractice may be referred to an administrative "medical review panel" by the accused health care provider, and, if so referred, they are not cognizable in court until the review concludes. Va. Code § 8.01 581.2. Rule's claims against the doctors went this administrative route. However, out of fear that the statute of limitations on any claims against Best or the hospital might run while the medical review panel deliberated, she filed a sep- arate action against them in district court. Jurisdiction was based on diversity of citizenship. The hospital moved to dismiss the claims against it, arguing that they, too, were subject to the state administra- tive review procedure. The district court agreed and granted the hos- pital's motion.

3 After discovery, Best moved for summary judgment. The district court initially denied the motion, but granted it on Best's motion for reconsideration.1

Rule appeals.

II.

The substantive law of Virginia applies in this diversity case. We review a summary judgment de novo; consequently, we apply the same standard as did the district court -- whether the plaintiff has presented sufficient evidence that a reasonable trier of fact could return a verdict for her. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252 (1986). The plaintiff's evidence must be assumed to be true, and any disputed issues resolved in her favor, but it must nonetheless be of such quantity and character that crediting it would be rational. See Sylvia Development Corp. v. Calvert County, 48 F.3d 810, 817- 818 (4th Cir. 1995).

Rule's theory is not that the Flexineedle was itself defective in either design or manufacture. Instead, she asserts that the actions of the doctors were a foreseeable and dangerous misuse of the product, and Best therefore had a duty to warn against such misuse. See Logan v. Montgomery Ward & Co., 216 Va. 425, 219 S.E.2d 685, 687 (1975).

This theory faces several hurdles. First of all, several experts testi- fied, and none said otherwise, that reinsertion of the obturator into a fragile catheter is more or less absurd. For example, Dr. Margaret Barnes, who was an expert retained by Rule to testify against the doc- tors, stated, "I believe that it is not unreasonable to expect any modern-day physician who has ever started an IV to be familiar with that risk [breaking the catheter with a needle]." Because Best sold the Flexineedles only to medical professionals --"learned intermedi- _________________________________________________________________ 1 While this suit was pending below, the medical review panel com- pleted its work, and Rule filed a separate suit against the doctors and hos- pital. She moved to consolidate the cases; the district court denied the motion. She challenges this ruling on appeal, but, because we affirm the summary judgment for Best, the issue is moot.

4 aries" -- it is entitled to assume that these professionals have a certain modicum of basic medical knowledge. See Pfizer, Inc. v. Jones, 221 Va. 681, 272 S.E.2d 43, 44-45 (1980).

No one, not even plaintiff's expert Dr. Mahesh Varia,2 testified that removing the obturator and then reinserting it is acceptable medical practice. Rule points to portions of Dr. Varia's testimony in which he calls Dr.

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