Weinstat v. Dentsply International, Inc.

180 Cal. App. 4th 1213, 103 Cal. Rptr. 3d 614, 70 U.C.C. Rep. Serv. 2d (West) 689, 2010 Cal. App. LEXIS 5
CourtCalifornia Court of Appeal
DecidedJanuary 7, 2010
DocketA116248
StatusPublished
Cited by146 cases

This text of 180 Cal. App. 4th 1213 (Weinstat v. Dentsply International, Inc.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Weinstat v. Dentsply International, Inc., 180 Cal. App. 4th 1213, 103 Cal. Rptr. 3d 614, 70 U.C.C. Rep. Serv. 2d (West) 689, 2010 Cal. App. LEXIS 5 (Cal. Ct. App. 2010).

Opinion

Opinion

REARDON, J.

This is an appeal from an order decertifying a class of dentists as to their causes of action under the unfair competition law (UCL) 1 *1218 and for breach of express warranty against the manufacturer of the Cavitron ultrasonic scaler (Cavitron). What prompted the decertification? An appellate court decision interpreting the Proposition 64 2 amendments to the UCL as requiring that all class members—not just the representatives—show an injury in fact. Although our Supreme Court granted review in that decision, the trial court nonetheless stood by its decertification order and denied the dentists’ request for reconsideration. Recently, the state’s high court issued its decision in In re Tobacco II Cases (2009) 46 Cal.4th 298 [93 Cal.Rptr.3d 559, 207 P.3d 20] (Tobacco II). Tobacco II rejects the legal premises underpinning the decertification order as to the UCL claim and mandates reversal.

We must also reverse the order decertifying the class as to the breach of express warranty claims. Procedurally, the order was improper because it was rendered in the absence of new law or evidence. Substantively, the order was contrary to law because it improperly grafted an element of prior reliance onto the express warranty claims; this error infected the entire ruling as to those claims.

I. BACKGROUND

A. The Device; Regulatory Framework

Respondent Dentsply International, Inc. (Dentsply), manufactures the Cavitron, a device which dentists have used for more than four decades. 3 As a class II medical device, the Cavitron comes under the purview of the Food and Drug Administration, with its sale restricted to dental professionals. The original iterations of the Cavitron predate the Medical Device Amendments of 1976 (MDA) 4 to the Federal Food, Drug, and Cosmetic Act. 5 Because the subsequent, post-MDA versions are substantially equivalent to the preexisting technology, the newer versions have been cleared for marketing by the Food and Drug Administration through a premarket notification process rather than the full premarket approval process. (See 21 U.S.C. § 360(k); 21 C.F.R. § 807.92(a)(3) (2009).)

The Cavitron works by expelling a pulsating water stream from the tiny hollow tip of a handpiece attached to the device by a flexible tube. The output stream helps dislodge plaque and calculus from teeth, thereby reducing the amount of scraping or scaling by the dental practitioner. Cavitrons commonly are used to clean teeth, but can also be used for root planing and debridement in treating periodontal disease.

*1219 Under the Federal Food, Drug, and Cosmetic Act, a medical device is deemed misbranded unless its labeling bears “adequate directions for use.” (21 U.S.C. § 352(f)(1).) “Adequate directions for use means directions under which the layman can use a device safely and for the purposes for which it is intended.” (21 C.F.R. § 801.5 (2009).) By definition, “adequate directions for use” cannot be prepared for prescription devices such as the Cavitron, because these devices must be used under the supervision of a licensed practitioner. However, such devices will escape the deemed designation of being “misbranded” where, among other conditions, “[l]abeling on or within the package from which the device is to be dispensed bears information for use, including indications, effects, routes, methods, and frequency and duration of administration, and any relevant hazards, contraindications, side effects, and precautions under which practitioners licensed by law to administer the device can use the device safely and for the purpose for which it is intended, including all purposes for which it is advertised or represented . . . .” (Id., § 801.109(c) (2009).) Dentsply accomplishes this directive by providing “Directions For Use” (Directions), which it expects the dentist to read and follow in using the Cavitron.

In 1993, Dentsply revised the Directions to indicate the Cavitron’s use for “root planing during surgery.” The Directions for these models were in effect until their production ceased. Around 1997, new Cavitron models were introduced in which the indications were stated in broader language to encompass “[a]ll general supra and subgingival scaling applications” and “[pjeriodontal debridement for all types of periodontal diseases.”

In 2003, the federal Centers for Disease Control and Prevention (CDC) issued guidelines recommending that sterile solutions be used in all oral surgical procedures. Since 1996, California dental regulations have required practitioners to use “[s]terile coolants/inigants” for “surgical procedures involving soft tissue or bone.” (Cal. Code Regs., tit. 16, § 1005, subd. (c)(15), Register 96, No. 28.) The current provision also provides that “[s]terile coolants/irrigants must be delivered using a sterile delivery system.” (Cal. Code Regs., tit. 16, § 1005, subd. (c)(15).)

B. Litigation and Discovery

In 2004 appellants, several dentists, 6 seeking to represent a class of practitioners who purchased a Cavitron for use during oral surgical procedures on their patients, sued Dentsply, alleging a violation of the UCL and other causes of action. The operative third amended complaint includes a *1220 cause of action for breach of express warranty. The crux of the complaint is that the Directions indicate that Cavitrons can be used in oral surgery, but in fact they are unsafe for such use because the device is incapable of delivering a safe water stream during oral surgical procedures. Specifically, the complaint alleged that the inner tubing of the Cavitron “was designed in a manner that was subject to the formation of a progressive biofilm coating of bacteria . . . which could harbor pathogens,” and because the inner tubing “was incapable of being sterilized before or during its use,” bacteria would be released into the output water stream, which in turn would be transmitted to the patients during oral surgical procedures. Thus, as a result of its inherent design, practitioners could not safely use the Cavitron, or satisfy state regulations or CDC guidelines, during the performance of oral surgical procedures. Further, the complaint states that appellants were not aware of the biofilm health risk when they purchased their Cavitrons, and Dentsply was aware of but concealed and misrepresented the critical facts.

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180 Cal. App. 4th 1213, 103 Cal. Rptr. 3d 614, 70 U.C.C. Rep. Serv. 2d (West) 689, 2010 Cal. App. LEXIS 5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/weinstat-v-dentsply-international-inc-calctapp-2010.