Sims v. Atrium Med. Corp.
This text of 349 F. Supp. 3d 628 (Sims v. Atrium Med. Corp.) is published on Counsel Stack Legal Research, covering District Court, W.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
Joseph H. McKinley, Jr., Chief Judge United States District Court
This matter is before the Court on Plaintiff's Motion for Leave to File First Amended Complaint. [DN 16]. Fully briefed, this matter is ripe for decision. For the following reasons, the Plaintiff's motion is GRANTED IN PART and DENIED IN PART.
I. BACKGROUND
In early 2015, Plaintiff Joseph J. Sims suffered a bilateral inguinal hernia in his lower abdomen. On or about May 27, 2015, Dr. Anthony Kaiser performed a bilateral laparoscopic hernia repair on Sims at Deaconess Health System in Evansville, Indiana. Dr. Kaiser used tacks and two identical pieces of surgical mesh. The mesh was ProLite Mesh made by Defendant Atrium Medical Corp. ("Atrium"). Following the initial surgery, Sims suffered chronic pain. After initial efforts failed to resolve Sims' chronic pain and other symptoms, Dr. Kaiser performed a laparoscopic removal of one of the pieces of mesh on or about February 24, 2017, at the same hospital in Evansville. Dr. Kaiser noted in his operative report that Sims suffered significant adhesions of the mesh, eventually requiring cauterization of the mesh from Sims' bone. Later, on or about September 29, 2017, Dr. Kaiser performed an additional repair surgery during which he removed more mesh which had adhered to Sims' intestines. Despite both reparative surgeries, Sims was unable to continue working at his job due to chronic pain and he remains unable to work today.
On December 14, 2017, Sims filed a Complaint alleging six causes of action against Atrium-Negligence (Count I), Strict Products Liability (Count II), Negligence Per Se (Count III), Breach of Implied Warranty (Count IV), Breach of Express Warranty (Count V), and Negligent Misrepresentation (Count V). [DN 1]. Thereafter, Atrium filed a Motion to Dismiss stating that Sims' Complaint failed for three independent reasons: "(1) the ProLite Mesh Instructions for Use, cited and relied upon by Plaintiff in the Complaint, contain the very warnings Plaintiff alleges were not provided; (2) each of the claims asserted fails to satisfy the pleading standards articulated in Twombly and *635Iqbal ; and (3) Plaintiff cannot adequately plead causation." [DN 8 at 2]. In response, Sims refuted Atrium's claims and requested that the Motion to Dismiss be denied, or, in the alternative, that he be given leave to amend his Complaint. [DN 13]. Atrium replied, stating that Sims' failure to respond to arguments in the Motion to Dismiss constituted admissions and, as such, granting leave to amend would be futile. [DN 14]. On July 16, 2018, the Court issued an Order stating that Sims' prior request for leave to amend was deficient and that if he wished to amend his complaint "he must file a proper motion to amend and tender the proposed amended complaint within 15 days of the entry of this order." [DN 15 at 2]. The Order further stated that the Court would not rule on Atrium's Motion to Dismiss until it decided whether to allow the amended complaint. On July 31, 2018, 15 days after the Court's Order, Sims filed a Motion for Leave to File First Amended Complaint and attached a Proposed Amended Complaint asserting the same causes of action. [DN 16, 16-1]. Atrium responded on August 21, 2018, asserting that Sims' motion should be denied because Sims waived his arguments, amendment would cause undue delay, and amendment would be futile. [DN 18].
II. STANDARD OF REVIEW
Upon a motion to dismiss for failure to state a claim pursuant to Fed. R. Civ. P. 12(b)(6), a court "must construe the complaint in the light most favorable to plaintiffs," League of United Latin Am. Citizens v. Bredesen ,
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Joseph H. McKinley, Jr., Chief Judge United States District Court
This matter is before the Court on Plaintiff's Motion for Leave to File First Amended Complaint. [DN 16]. Fully briefed, this matter is ripe for decision. For the following reasons, the Plaintiff's motion is GRANTED IN PART and DENIED IN PART.
I. BACKGROUND
In early 2015, Plaintiff Joseph J. Sims suffered a bilateral inguinal hernia in his lower abdomen. On or about May 27, 2015, Dr. Anthony Kaiser performed a bilateral laparoscopic hernia repair on Sims at Deaconess Health System in Evansville, Indiana. Dr. Kaiser used tacks and two identical pieces of surgical mesh. The mesh was ProLite Mesh made by Defendant Atrium Medical Corp. ("Atrium"). Following the initial surgery, Sims suffered chronic pain. After initial efforts failed to resolve Sims' chronic pain and other symptoms, Dr. Kaiser performed a laparoscopic removal of one of the pieces of mesh on or about February 24, 2017, at the same hospital in Evansville. Dr. Kaiser noted in his operative report that Sims suffered significant adhesions of the mesh, eventually requiring cauterization of the mesh from Sims' bone. Later, on or about September 29, 2017, Dr. Kaiser performed an additional repair surgery during which he removed more mesh which had adhered to Sims' intestines. Despite both reparative surgeries, Sims was unable to continue working at his job due to chronic pain and he remains unable to work today.
On December 14, 2017, Sims filed a Complaint alleging six causes of action against Atrium-Negligence (Count I), Strict Products Liability (Count II), Negligence Per Se (Count III), Breach of Implied Warranty (Count IV), Breach of Express Warranty (Count V), and Negligent Misrepresentation (Count V). [DN 1]. Thereafter, Atrium filed a Motion to Dismiss stating that Sims' Complaint failed for three independent reasons: "(1) the ProLite Mesh Instructions for Use, cited and relied upon by Plaintiff in the Complaint, contain the very warnings Plaintiff alleges were not provided; (2) each of the claims asserted fails to satisfy the pleading standards articulated in Twombly and *635Iqbal ; and (3) Plaintiff cannot adequately plead causation." [DN 8 at 2]. In response, Sims refuted Atrium's claims and requested that the Motion to Dismiss be denied, or, in the alternative, that he be given leave to amend his Complaint. [DN 13]. Atrium replied, stating that Sims' failure to respond to arguments in the Motion to Dismiss constituted admissions and, as such, granting leave to amend would be futile. [DN 14]. On July 16, 2018, the Court issued an Order stating that Sims' prior request for leave to amend was deficient and that if he wished to amend his complaint "he must file a proper motion to amend and tender the proposed amended complaint within 15 days of the entry of this order." [DN 15 at 2]. The Order further stated that the Court would not rule on Atrium's Motion to Dismiss until it decided whether to allow the amended complaint. On July 31, 2018, 15 days after the Court's Order, Sims filed a Motion for Leave to File First Amended Complaint and attached a Proposed Amended Complaint asserting the same causes of action. [DN 16, 16-1]. Atrium responded on August 21, 2018, asserting that Sims' motion should be denied because Sims waived his arguments, amendment would cause undue delay, and amendment would be futile. [DN 18].
II. STANDARD OF REVIEW
Upon a motion to dismiss for failure to state a claim pursuant to Fed. R. Civ. P. 12(b)(6), a court "must construe the complaint in the light most favorable to plaintiffs," League of United Latin Am. Citizens v. Bredesen ,
If "matters outside the pleadings are presented to and not excluded by the court" when ruling upon a motion under Rule 12(b)(6), the Federal Rules require that "the motion must be treated as one for summary judgment under Rule 56." Fed. R. Civ. P. 12(d). This Rule does not require the Court to convert a motion to dismiss into a motion for summary judgment every time the Court reviews documents that are not attached to the complaint. Greenberg v. Life Ins. Co. of Va. ,
III. DISCUSSION
A. Motion to Dismiss for Failure to State a Claim
Atrium challenged Sims' Complaint and moved for dismissal under Fed. R. Civ. P. 12(b)(6) for failure to state a claim. [DN 8]. According to Atrium, Sims' Complaint fails for the three independent reasons stated above. [DN 8-1 at 2]. In response, Sims states that his claims are sufficiently pled, and, in the alternative, asks the Court for leave to file an amended complaint. [DN 13]. Sims filed a Motion for Leave to File an Amended Complaint, which if granted, would make Atriums' argument of lack of factual allegations moot. [DN 16]. As Sims filed a Motion for Leave to File an Amended Complaint to cure any deficiencies in the original Complaint, the Court must first address whether it will grant Sims' Motion for Leave to File an Amended Complaint. [DN 16].
B. Motion to Amend
A motion for leave to file an amended complaint is governed by Fed. R. Civ. P. 15(a)(2) which states that "a party may amend its pleading only with the opposing party's written consent or the court's leave." A district court should freely grant a plaintiff leave to amend a pleading "when justice so requires." Fed. R. Civ. P. 15(a)(2). However, a district court may deny a motion to amend where there is "undue delay, bad faith or dilatory motive on the part of the movant, repeated failure to cure deficiencies by amendments previously allowed, undue prejudice to the opposing party by virtue of allowance of the amendment, futility of amendment, etc." Foman v. Davis ,
1. Waiver of Arguments
In Atrium's Response to Sims' Motion to Amend, Atrium argues that the motion should be denied "because amendment is futile where Plaintiff has waived opposition to Atrium's dismissal arguments by failing to address them in his response to Atrium's motion to dismiss." [DN 18 at 2]. As per the Court's July 16, 2018 Order, if the Court grants Sims' Motion to Amend, Atrium's Motion to Dismiss will be moot. [DN 15]. As such, Sims' response in his Opposition to the Motion to Dismiss is of no consequence to his Motion to Amend. [DN 13].
2. Undue Delay
As further support for denial of the Motion for Leave to Amend, Atrium states that "Plaintiff makes no effort to show how the publicly available medical literature, as well as adverse event reporting, was not known to him at the time the original complaint was filed. This delay is undue and compels denial of Plaintiff's motion." [DN 18 at 5]. "Ordinarily, delay alone, does not justify denial of leave to amend." Morse v. McWhorter ,
3. Futility of Amendment
Finally, as support for denial of the Motion for Leave to Amend, Atrium argues that the amendment of the counterclaim is futile. "A proposed amendment is futile if the amendment could not withstand a Rule 12(b)(6) motion to dismiss." Rose v. Hartford Underwriters Ins. Co. ,
a. Count I - Negligence
In Sims' first count of his Proposed Amended Complaint, he alleges that Atrium was negligent. To plead a plausible negligence claim in Kentucky, a plaintiff must establish that: (1) Defendant owed a duty of care to Plaintiff; (2) Defendant breached its duty; and (3) the breach proximately caused Plaintiff's damages. Mullins v. Commonwealth Life Ins. Co. ,
i. Negligent Design
According to Sims, Atrium negligently designed its ProLite surgical mesh and, because of the negligent design, he suffered extensive injuries and chronic pain. Sims alleges that Atrium owed a duty to individuals, including himself to exercise reasonably and ordinary care in the design of the ProLite mesh. [DN 16-1 at 11]. Further, Sim argues that Atrium breached its duty by failing to design the ProLite mesh so as to avoid an unreasonable risk of harm. Specifically, Sims claims Atrium was negligent in its design of the mesh because it produced the mesh with "hundreds of polypropylene loops ... [which] increase[ ] the intensity and duration of the inflammatory response." According to the Amended Complaint, the use of such material "in turn increases mesh contracture, mesh migration, hernia recurrence, foreign body reaction, chronic severe pain, *638and more." [DN 16-1 at 13]. Sims alleges that Atrium was aware that the material used would cause adverse reactions and employed the design "in reckless disregard for the safety of patients, including Plaintiff." [DN 16-1 at 14]. Finally, Sims' alleges that the negligently designed product caused him damage and that Atrium knew that the product presented an unacceptable risk to consumers that would result in damage. [DN 16-1 at 15]. Despite Atrium's arguments to the contrary, viewing the amended complaint in the light most favorable to Sims, the Court finds that the allegations are sufficient to withstand a motion to dismiss. As such, Sims' motion to amend as to this claim is GRANTED.
ii. Negligent Manufacturing
Sims alleges that Atrium negligently manufactured its ProLite surgical mesh. With respect to this claim, the Court finds that Sims has not included any factual allegations as to how Atrium breached the duty of care as to manufacturing of ProLite surgical mesh or how the ProLite surgical mesh deviated from Atrium's intended design. See Bosch v. Bayer Healthcare Pharmaceuticals, Inc. ,
iii. Negligent Failure to Warn
Sims alleges that Atrium negligently failed to warn patients, the public, and medical professionals about the gravity and severity of the risks associated with the use of its ProLite surgical mesh. Specifically, Sims claims that Atrium owed a duty to individuals, including himself, to exercise reasonable and ordinary care in the instructions and warnings of the ProLite mesh. Further, Sims alleges that Atrium's duty was breached by its willful failure to warn physicians of the potential risks [DN 16-1 at 12-15], and the negligent failure to test and study those associated risks. [DN 16-1 at 12, 14]. Finally, Sims' alleges that the product caused him damage-and that Atrium knew that the product presented an unacceptable risk to consumers that would result in damage. [DN 16-1 at 14-15]. The Court finds that the allegations in the amended complaint are sufficient to satisfy a motion to dismiss and Sims' motion to amend as to this claim is GRANTED.
b. Count II - Strict Products Liability
Sims asserts three strict liability claims-Atrium's surgical mesh was defective in design and manufacture and Atrium failed to warn of the risk of injury caused by the surgical mesh. Although Sims combines these claims into one category, the Court notes that these are separate causes of action in Kentucky. See, e.g. , CertainTeed Corp. v. Dexter ,
Under Kentucky law, to plead a plausible strict products liability claim, a plaintiff must show: "(1) that there is a product, which is (2) in a defective condition unreasonably dangerous to the user or consumer or his property, and (3) which reaches the user or consumer without substantial change in the condition in which it is sold; (4) that the product is sold by one who is engaged in the business of selling *639such a product which (5) results in physical harm to the ultimate user or consumer or his property." Radcliff Homes, Inc. v. Jackson ,
i. Design Defect
Atrium first argues that, because of comment k to section 402A of the Restatement (Second) of Torts, it is not subject to design defect liability, and thus the Court should deny Sims' motion to amend for this subsection of Count II. Kentucky follows the Restatement (Second) of Torts, including comment k to section 402A. Prather v. Abbott Labs. ,
"In Kentucky, the scope of comment k is determined on a case-by-case basis."
Atrium also argues that Sims' strict liability defective design allegations are deficient. According to Atrium, Sims has not identified what aspect of the mesh's design was allegedly defective, instead simply "parrot[ing] the elements of a design-defect claim, utilizing buzz words and phrases such as 'in a defective and unreasonably dangerous condition,' 'unreasonably dangerous and more dangerous than an ordinary consumer would expect,' 'without substantial change in condition,' 'foreseeable risks exceeded the benefits associated,' [and] 'safer alternative designs' ..." [DN 8 at 13]. Further, Atrium claims that Sims fails to allege how any defect in the mesh's design caused his injuries. Finally, Atrium argues that Sims "fails to allege what safer, alternative, and practicable designs existed." [DN 8 at 14].
The Court disagrees with Atrium's arguments. The allegations in the Amended Complaint state a plausible claim for relief for a strict liability design defect claim. Sims sufficiently alleges that the mesh was defective because of "the use of non-medical grade polypropylene." [DN 16-1 at 16]. Sims alleges that such material "utilizes hundreds of polypropylene loops that increase surface area [of the mesh] and inflammation." [DN 16-1 at 16]. In so doing, Sims identifies the aspect of the mesh's design that is defective and how that alleged defect caused his injuries, satisfying the causal element of the claim. The Court agrees with Atrium that courts in Kentucky generally require a plaintiff to prove that a safer, feasible alternative design *640was available when it made the product. Naiser v. Unilever U.S., Inc. ,
ii. Manufacturing Defect
Sims alleges that Atrium can be held liable for his injuries under a strict products liability manufacturing defect cause of action. Atrium argues that Sims' strict liability manufacturing defect claim as amended is insufficiently pleaded. Under Kentucky law, a plaintiff alleging a manufacturing defect must show that the product was "in a defective condition because it was not manufactured or assembled in accordance with its specifications" and that the condition caused the alleged injuries. See Greene v. B.F. Goodrich Avionics Sys., Inc. ,
In this case, Atrium avers that Sims failed to allege facts to support a manufacturing defect claim, instead offering "only a formulaic recitation of various elements of the claim, devoid of any factual enhancements." [DN 8 at 15]. Consequently, Atrium claims that allowing Sims to amend would be futile and thus the motion should be denied. Although Sims alleges that "the ProLite surgical mesh manufactured ... by Atrium was defective in ... formulation, because when the mesh left the hands of Atrium ... it was unreasonably dangerous and more dangerous than an ordinary consumer would expect" [DN 16-1 at 15-16], Sims fails to allege specific facts to support the manufacturing defect claim. He does not allege any specific manufacturing *641defect or failure that occurred with Atrium's product. He similarly does not allege how Atrium deviated from the product's specifications. Due to the lack of factual allegations, the Court holds that Sims failed to properly state a plausible manufacturing defect claim. Thus, Sims' Motion to Amend as to this claim is DENIED.
iii. Failure to Warn
To plead a failure to warn claim under Kentucky law, a plaintiff must allege facts for the Court to infer that (1) the manufacturer failed to provide his prescribing physician with adequate warnings about risks of which it knew or should have known and (2) the inadequate warnings proximately caused his injuries. Prather v. Abbott Labs. ,
c. Count III - Negligence Per Se
In Count III, Sims alleges that Atrium was negligent per se regarding the ProLite mesh. Specifically, Sims avers that Atrium's acts and omissions constitute a violation of both the Federal Food, Drug, and Cosmetic Act ("FDCA"),
Atrium responds that Sims' allegation fails for two reasons. "First , Kentucky *642law does not recognize negligence per se claims based upon alleged violations of federal law. Second , Plaintiff has failed to satisfy the pleading standards articulated in Twombly and Iqbal as to the state law portion of the claim." [DN 8 at 18]. Atrium correctly states Kentucky's treatment of negligence per se claims premised upon violations of federal law. Kentucky courts limit the common-law claim of negligence per se and decline to extend it to federal statutes and regulations. See Waltenburg v. St. Jude Med., Inc. ,
Regarding Sims' state law-based negligence per se claim, Sims states that he is within the class of persons the statute was designed to protect and that his injuries are the type of harm the statute was designed to prevent. [DN 16-1]. However, Sims fails to make any statement regarding whether the cited statute is penal in nature or whether the statute provides for a civil remedy. By failing to provide any factual content on those elements, Sims cannot satisfy the pleading requirement of Twombly and Iqbal. Further, Sims relies on a statute that is definitional. See K.R.S. § 411.300 (defining "product liability action" and "plaintiff"). "Statutory definitions ... are not penal statutes." K.F. v. Jefferson Cty. Sch. Dist. ,
d. Count IV - Breach of Implied Warranty
In Count IV, Sims alleges that Atrium breached an implied warranty. To plead a plausible breach of implied warranty claim in Kentucky, a plaintiff must provide evidence that the seller is a merchant with respect to the goods involved in the sale. K.R.S. § 355.2-314. Specifically, Kentucky law makes clear that a plaintiff asserting "a claim based upon an implied warranty must establish that it enjoyed privity of contract with the defendant-seller against whom the implied warranty claim is asserted." Brown Sprinkler Corp. v. Plumbers Supply Co. ,
*643e. Count V - Breach of Express Warranty
Sims next claims that Atrium expressly warranted that the ProLite surgical mesh was safe, effective, and fit and proper for its intended use. To plead a plausible claim for breach of express warranty, the plaintiff must prove more than there was simply a warranty. The plaintiff must prove: (1) the seller made an affirmation of fact or promise; (2) that related to the goods; and (3) became part of the basis of the bargain between the parties. K.R.S. § 355.2-313(1)(a). A warranty is the basis of the bargain if it has been relied upon as one of the inducements for purchasing the product. Overstreet v. Norden Labs., Inc. ,
Sims asserts that Atrium "expressly warranted" that the ProLite surgical mesh was "safe, effective, fit and proper for its intended use." [DN 16-1 at 19]. Sims further alleges that he and his physician relied on Atrium's representations in allowing the implantation of the mesh, including those representations made in its labeling and Instructions for Use. According to Sims, Atrium breached these express warranties because the mesh was not safe and was unfit for the uses for which it was intended. Specifically, Sims states that Atrium breached its warranty by "continuing sales and marketing campaigns highlighting the safety and efficacy of their product, while they knew or should have known of the defects and risk of product failure and resulting patient injuries" as well as by "not disclosing that [the mesh] was made of dangerous non-medical grade polypropylene that is toxic to the human body." [DN 16-1 at 19-20].
The Court concludes these allegations are insufficient to withstand a motion to dismiss because they offer nothing more than "a formulaic recitation" of the elements of a claim for breach of express warranty. Bell Atlantic Corp. v. Twombly ,
Additionally, Sims cannot base his express warranty claim on allegations that Atrium failed to disclose and fraudulently concealed that the surgical mesh was "made of dangerous non-medical grade polypropylene that is toxic to the human body." [DN 16-1 at 20]. "An express warranty is created by an 'affirmation of fact or promise,' not an omission."
*644House ,
f. Count VI - Negligent Misrepresentation
Finally, Sims alleges that Atrium negligently misrepresented the risks associated with its ProLite mesh. Under Kentucky law, to assert a negligent misrepresentation claim a plaintiff must identify the false or misleading information provided by the specific defendant. See Gaunce v. CL Med. Inc. ,
A plaintiff alleging a negligent misrepresentation claim under Kentucky law must meet the heightened pleading requirements of Rule 9(b). Republic Bank & Trust Co. v. Bear Stearns & Co., Inc. ,
IV. CONCLUSION
As per the Court's July 16, 2018 order, for those claims which the Court has granted Sims' Motion for Leave to Amend, Atriums' Motion to Dismiss is moot. Concerning the claims which the Court has denied Sims' Motion for Leave to Amend, it is necessary to address Atrium's Motion to Dismiss. As previously stated, the futility standard for considering a motion to amend is the same standard used to assess a motion to dismiss. Rose v. Hartford Underwriters Ins. Co. ,
For the reasons set forth above, IT IS HEREBY ORDERED that Defendant's *645Motion to Dismiss [DN 8] is GRANTED as to Plaintiff's Negligent Manufacture, Strict Products Liability Manufacturing Defect, Negligence Per Se, Breach of Implied Warranty, Breach of Express Warranty, and Negligent Misrepresentation claims and is moot as to Plaintiff's Negligent Design, Negligent Failure to Warn, Strict Products Liability Design Defect, and Strict Products Liability Failure to Warn claims. Plaintiff's Motion for Leave to File First Amended Complaint [DN 16] is GRANTED as to his Negligent Design, Negligent Failure to Warn, Strict Products Liability Design Defect, and Strict Products Liability Failure to Warn claims and DENIED as to his Negligent Manufacture, Strict Products Liability Manufacturing Defect, Negligence Per Se, Breach of Implied Warranty, Breach of Express Warranty, and Negligent Misrepresentation claims.
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