The Estate of Michael Ludwick, by and Through Its Duly Appointed Legal Representative, Jean Sorsen v. Stryker Corporation, a Corporation Stryker Biotech LLC, a Corporation and a Wholly Owned Subsidiary of Stryker Corporation Various Unknown Subsidiaries of Stryker Corporations Catholic Health Initiatives-Iowa, Corp., D/B/A Mercy Hospital Medical Center in Des Moines, Iowa, a Corporation And Iowa Orthopaedic Center, P.C., a Corporation

Court of Appeals of Iowa·Decided October 29, 2014·No. 13-0754·Published

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 13-0754

Filed October 29, 2014

THE ESTATE OF MICHAEL LUDWICK, by and through its Duly Appointed Legal Representative, Jean Sorsen, Plaintiff-Appellant,

vs.

STRYKER CORPORATION, a Corporation; STRYKER BIOTECH LLC, a Corporation and a Wholly Owned Subsidiary of Stryker Corporation; Various unknown subsidiaries of Defendant Stryker Corporations; CATHOLIC HEALTH INITIATIVES-IOWA, CORP., d/b/a Mercy Hospital Medical Center in Des Moines, Iowa, a Corporation; and IOWA ORTHOPAEDIC CENTER, P.C., a Corporation, Defendants-Appellees.

Appeal from the Iowa District Court for Polk County, Douglas F. Staskal, Judge.

The plaintiff appeals from the dismissal of its wrongful-death lawsuit by the district court as a sanction for failure to disclose evidence to the defendants. AFFIRMED.

Marc A. Humphrey of Humphrey Law Firm P.C., Des Moines; Justin K.

Swaim, Des Moines; and Stuart L. Higgins of Higgins Law Firm, PLLC, Des Moines, for appellant.

David N. May of Bradshaw, Fowler, Proctor & Fairgrave, P.C., Des Moines; Robert M. Connolly, Douglass Farnsley, and Jamie K. Neal of Stites & Harbison, PLLC, Louisville, Kentucky; and Joshua Levy of Ropes & Gray, LLP, Boston, Massachusetts, for appellees Stryker Corporation and Stryker Biotech LLC.

Connie L. Diekema and Jeffrey A. Craig of Finley, Alt, Smith, Scharnberg, Craig, Hilmes & Gaffney, P.C., Des Moines, for appellee Catholic Health Initiatives-Iowa Corp., d/b/a Mercy Hospital Medical Center in Des Moines, Iowa.

Robin L. Hermann of Patterson Law Firm, L.L.P., Des Moines; and Maja C. Eaton and Tacy F. Flint of Sidley Austin LLP, Chicago, Illinios, for appellee Iowa Orthopaedic Center.

Heard by Vaitheswaran, P.J., and Doyle and McDonald, JJ.

PER CURIAM.

The district court dismissed the Estate of Michael Ludwick’s wrongful-

death action as a sanction for violating its duty to provide and supplement discovery as set forth in the Iowa Rules of Civil Procedure. The Estate appeals, contending, among other things: (1) the court lacked authority to dismiss its claims as a sanction because it did not violate a court order, since there was no court order in existence compelling discovery for it to violate; and (2) even if it did have authority, the court abused its discretion in ordering dismissal as a sanction. Because we conclude the district court possessed the requisite authority to impose the sanction of dismissal under the facts of this case and it did not abuse its discretion, we affirm the dismissal.

I. Background Facts and Relevant Proceedings.

In June 2006, Michael Ludwick severely fractured his right leg while working out of state. Immediate surgery was required, and pins and a rod were utilized in an attempt to repair the fracture. Ludwick returned to Iowa, and he saw Dr. Craig Mahoney, an orthopedic surgeon with the Iowa Orthopaedic Center, for follow-up care of his leg.

After several months of care, Dr. Mahoney determined Ludwick’s fractured bones were not healing properly, a complication called a “nonunion,” and he concluded that an additional surgery would be necessary. In March 2007, Dr. Mahoney performed the surgery to treat the nonunion at Mercy Hospital. In the surgery, Dr. Mahoney used the Stryker Biotech product “OP-1 Implant,” a naturally-occurring protein that promotes new bone growth.

Two and a half months after the surgery, Ludwick collapsed at his girlfriend’s house, and he was later pronounced dead at the hospital. The chief medical examiner for the State of Iowa, Dr. Julia Goodwin, performed an autopsy and obtained blood samples from Ludwick’s heart and femoral artery. In dissecting Ludwick’s right lung, Dr. Goodwin discovered foreign body pulmonary emboli she described as rubbery, white protrusions. Additionally, Ludwick’s femoral blood was tested and revealed the presence of methamphetamine. Dr. Goodwin ultimately concluded Ludwick’s death was caused by “[m]ethamphetamine intoxication complicated by multiple pulmonary emboli.”

In 2009, Ludwick’s estate filed a wrongful-death action, asserting claims against the defendants of products liability, medical negligence, breach of implied and express warranties, fraud, and conspiracy. The Estate alleged, among other things, Ludwick’s death was caused solely by the foreign body pulmonary emboli. The Estate further asserted the foreign body pulmonary emboli resulted from the migration of Stryker Biotech’s OP-1 Implant product from the fracture site, through the bloodstream, and then to Ludwick’s lungs.

After the Estate’s action was filed, the defendants propounded customary discovery requests to the Estate. One interrogatory requested the identity of the Estate’s expert witnesses and “the substance of the facts and opinions to which each expert [was] expected to testify.” Additionally, a request for production of documents requested the Estate to produce expert witness files, including “test results . . . in the possession of or generated by said expert witness.”

As the litigation progressed, the Estate came to focus on Stryker’s alleged off-label promotion of the use of its OP-1 Implant product in combination with

another of its products, Calstrux, in treating nonunion fractures. With regard to the methamphetamine found in Ludwick’s blood, the Estate contended it played no part in his death, contrary to the opinion of the state medical examiner. Rather, the Estate asserted two theories concerning the positive methamphetamine test: (1) the methamphetamine detected in Ludwick’s blood could have come from Ludwick’s use of over-the-counter products containing a non-illicit form of methamphetamine, such as a nasal decongestant, a Vicks inhaler, diet pills, herbs, and epinephrine; and (2) the amount of methamphetamine detected in Ludwick’s blood would not cause death.

In support of its two theories, the Estate in 2010 obtained the opinions of toxicologists Dr. Saaed Jortani and Dr. Michael Rehberg in the form of affidavits. Both toxicologists explained in their affidavits there are two isomeric forms of methamphetamine: Levo-methamphetamine (“L methamphetamine”) and Dextro- methamphetamine (“D methamphetamine”). The “[D methamphetamine] isomer is pharmacologically more active, has a high potential for abuse, and is typically found in illicit preparations while [L methamphetamine] is less centrally acting and found in pharmaceutical preparations such as over-the-counter nasal decongestants.”1 Dr. Jortani cited his own published work concerning the use of

1 For more in-depth discussions on this topic, see, e.g., United States v. Bogusz, 43 F.3d 82, 88-89 (3d Cir. 1994) (discussing the chemical distinctions of the two methamphetamine isomers and noting L methamphetamine “is a compound that produces little or no physiological effect when ingested”), superseded by regulation as recognized in United States v. DeJulius, 121 F.3d 891, 894 (3d Cir. 1997); see also Reece v. United States, 119 F.3d 1462, 1469 (11th Cir. 1997) (noting the sentencing guidelines at that time made distinctions between the two isomeric forms because L methamphetamine “is rarely seen and is not made intentionally, but rather results from a botched attempt to produce” the other form, citing U.S.S.G. App. C., amend. 518, at 423 (Nov. 1, 1995)); Francis M. Esposito, et al., Evaluation of the 20% D-Methamphetamine Requirement for Determining Illicit Use of Methamphetamine in Urine, 36 J. Analytical

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The Estate of Michael Ludwick, by and Through Its Duly Appointed Legal Representative, Jean Sorsen v. Stryker Corporation, a Corporation Stryker Biotech LLC, a Corporation and a Wholly Owned Subsidiary of Stryker Corporation Various Unknown Subsidiaries of Stryker Corporations Catholic Health Initiatives-Iowa, Corp., D/B/A Mercy Hospital Medical Center in Des Moines, Iowa, a Corporation And Iowa Orthopaedic Center, P.C., a Corporation, (iowactapp 2014).

The Estate of Michael Ludwick, by and Through Its Duly Appointed Legal Representative, Jean Sorsen v. Stryker Corporation, a Corporation Stryker Biotech LLC, a Corporation and a Wholly Owned Subsidiary of Stryker Corporation Various Unknown Subsidiaries of Stryker Corporations Catholic Health Initiatives-Iowa, Corp., D/B/A Mercy Hospital Medical Center in Des Moines, Iowa, a Corporation And Iowa Orthopaedic Center, P.C., a Corporation (The Estate of Michael Ludwick, by and Through Its Duly Appointed Legal Representative, Jean Sorsen v. Stryker Corporation, a Corporation Stryker Biotech LLC, a Corporation and a Wholly Owned Subsidiary of Stryker Corporation Various Unknown Subsidiaries of Stryker Corporations Catholic Health Initiatives-Iowa, Corp., D/B/A Mercy Hospital Medical Center in Des Moines, Iowa, a Corporation And Iowa Orthopaedic Center, P.C., a Corporation) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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