Weaver et al v. Johnson & Johnson, Ethicon, Inc. et al
Filing
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ORDER Granting Defendant's 26 Motion to Dismiss. The Court grants Plaintiffs' request for leave to file a second amended complaint. This shall be Plaintiffs' final opportunity to amend. A second amended complaint shall be filed within 14 days of the filing of this order. The hearing date set for August 26, 2016 shall be vacated. Signed by Judge Gonzalo P. Curiel on 8/22/16. (dlg)
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UNITED STATES DISTRICT COURT
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SOUTHERN DISTRICT OF CALIFORNIA
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KIMBERLY WEAVER AND JAMES
WEAVER,
v.
Plaintiffs,
CASE NO. 16cv257-GPC(BGS)
ORDER GRANTING
DEFENDANT’S MOTION TO
DISMISS
[Dkt. No. 26.]
ETHICON, INC.; and DOES 1
through 20, inclusive,
Defendants.
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Before the Court is Defendant Ethicon, Inc.’s motion to dismiss pursuant to
Federal Rule of Civil Procedure (“Rule”) 12(b)(6). (Dkt. No. 26.) Plaintiffs filed an
opposition, and Defendant filed a reply. (Dkt. Nos. 34, 35.) For the reasons set forth
below, this Court GRANTS Defendant’s motion to dismiss and GRANTS Plaintiffs’
request for leave to file a second amended complaint.
Background
Plaintiffs Kimberly Weaver and James Weaver filed a form complaint in state
court which was removed to this Court on February 1, 2016 against Defendants
Johnson & Johnson (“J&J”), and its subsidiary, Ethicon, Inc. (“Ethicon”). (Dkt. No.
1.) J&J filed a motion to dismiss for lack of personal jurisdiction pursuant to Federal
Rule of Civil Procedure (“Rule”) 12(b)(2) and failure to state a claim pursuant to Rule
12(b)(6). (Dkt. No. 3.) The Court denied J&J’s Rule 12(b)(2) motion to dismiss
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1 without prejudice and granted Plaintiffs’ request for jurisdictional discovery, denied
2 J&J’s 12(b)(6) motion as premature, and granted Plaintiffs’ leave of court to file an
3 amended complaint once jurisdictional discovery is completed. (Dkt. No. 22.)
4 Subsequently, the parties filed a joint motion to dismiss J&J. (Dkt. No. 23.)
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Then, Plaintiffs filed a first amended complaint (“FAC”) against Ethicon for
6 negligence, strict liability, and loss of consortium. (Dkt. No. 25.) Ethicon filed a
7 motion to dismiss arguing Plaintiffs’ state law claims are expressly preempted by the
8 Medical Device Amendment (“MDA”). Plaintiffs oppose arguing it falls under a
9 narrow exception announced in Riegel v. Medtronic, Inc., 552 U.S. 312 (2008).
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Factual Background
Ethicon manufactures, designs, constructs, assembles, distributes and inspects
12 the Sugiflo Hemostatic Matrix Kit (“Surgiflo”). (Dkt. No. 25, FAC ¶ 2.) The Surgiflo
13 is sold to hospitals for use by surgeons during surgeries similar to the one performed
14 on Plaintiff Kimberly Weaver. (Id. ¶ 2.)
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On or about November 25, 2014, Plaintiff Kimberly Weaver underwent sinus
16 surgery in San Diego, CA. (Id. ¶ 4.) The doctor used Surgiflo as a self-absorbing
17 packing in her sinus area during the sinus surgery. (Id.) The purpose of the packing
18 was to control bleeding following the surgery, to treat potential chronic nosebleeds
19 after surgery, and to provide support to the septum after surgery. (Id.) On December
20 5, 2014, Kimberly had a second sinus surgery and it was determined that the Surgiflo
21 did not self-absorb as warranted and represented by the manufacturer. (Id. ¶ 5.)
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Plaintiffs allege that Ethicon negligently and carelessly designed, manufactured,
23 constructed, assembled, inspected and sold Surgiflo making it dangerous and unsafe
24 for its intended use. (Id. ¶ 6.) Ethicon breached its duty to Plaintiff Kimberly as the
25 product was used as it was intended but did not reabsorb as planned. (Id. ¶ 7.)
26 Plaintiffs contend that Surgiflo and its components were defective as to their design,
27 manufacture and warnings causing the kit and its components to be in a dangerous and
28 defective condition, that being the inability to reabsorb as intended, that made them
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1 unsafe for their intended use. (Id. ¶¶ 12, 13.) Kimberly’s husband, James Weaver
2 suffered significant emotional distress from witnessing his wife’s injury and suffered
3 loss of society and comfort, and loss of consortium in the relationship. (Id. ¶10.)
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The Surgiflo is a Class III medical device and requires premarket approval
5 (“PMA”). See 21 C.F.R. § 878.4490. On January 22, 2009, Ethicon submitted a PMA
6 application for its Surgifoam Absorbable Gelatin Sponge (“Surgifoam”). (Dkt. No. 26,
7 D’s RJN1, Ex. 1 at 232.) Surgifoam is used in “surgical procedures (other than
8 neurological, urological and ophthalmological surgery) as an adjunct to hemostatis
9 when control of capillary, venous and arteriolar bleeding by pressure, litgature and
10 other conventional procedures is ineffective or impractical.” (Id. at 29.) On September
11 30, 1999, the FDA found Surgifoam safe and effective as designed, manufactured and
12 labeled and issued an Approval Order. (Id. at 23; Dkt. No. 26, D’s RJN, Ex. 2.) Since
13 then, the application of Surgifoam has been supplemented, re-evaluated, and re14 approved 28 separate times, including most recently on February 5, 2016. (Dkt. No.
15 26, D’s RJN, Ex. 3.)
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On May 5, 2005, the FDA approved a supplement and allowed Ethicon to market
17 the Surgiform as a pre-filled paste from the powdered form as the Surgiflo Hemostatic
18 Matrix. (Id., Ex. 4.) Another supplement was approved on October 2, 2009 granting
19 Ethicon approval to market the Surgiflo Hemostatic Matrix Kit, which consists of
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Defendant filed a request for judicial notice of documents concerning the FDA’s
premarket approval of the Sugiflo which are available on the FDA’s website. (Dkt. No.
27.) Plaintiffs do not oppose. In ruling on a motion to dismiss pursuant to Rule
12(b)(6), a Court may consider exhibits attached to the complaint, matters subject to
judicial notice, or documents necessarily relied on by the complaint whose authenticity
no party questions. See Swartz v. KPMG LLP, 476 F.3d 756, 763 (9th Cir. 2007); Lee
v. City of Los Angeles, 250 F.3d 668, 688-89 (9th Cir. 2001); United States v. Ritchie,
342 F.3d 903, 908 (9th Cir.2003) (“A court may, however, consider certain
materials-documents attached to the complaint, documents incorporated by reference
in the complaint, or matters of judicial notice-without converting the motion to dismiss
into a motion for summary judgment.”). Here, Defendant requests judicial notice of
public record documents on the FDA’s website. (Dkt. No. 11-1.) The Court may take
judicial notice of “matters of public record.” Lee, 250 F.3d at 688-89. As such, the
Court GRANTS Defendant’s request for judicial notice.
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Page numbers are based on the CM/ECF pagination.
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1 Surgiflo Hemostatic Matrix and “evithrom lyophilized human thrombin.” (Id., Ex. 5.)
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Discussion
3 A.
Legal Standard on Federal Rule of Civil Procedure 12(b)(6)
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Federal Rule of Civil Procedure 12(b)(6) permits dismissal for “failure to state
5 a claim upon which relief can be granted.” Fed. R. Civ. P. 12(b)(6). Dismissal under
6 Rule 12(b)(6) is appropriate where the complaint lacks a cognizable legal theory or
7 sufficient facts to support a cognizable legal theory. See Balistreri v. Pacifica Police
8 Dep’t., 901 F.2d 696, 699 (9th Cir. 1990). Under Rule 8(a)(2), the plaintiff is required
9 only to set forth a “short and plain statement of the claim showing that the pleader is
10 entitled to relief,” and “give the defendant fair notice of what the . . . claim is and the
11 grounds upon which it rests.” Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555
12 (2007).
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A complaint may survive a motion to dismiss only if, taking all well-pleaded
14 factual allegations as true, it contains enough facts to “state a claim to relief that is
15 plausible on its face.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Twombly,
16 550 U.S. at 570). “A claim has facial plausibility when the plaintiff pleads factual
17 content that allows the court to draw the reasonable inference that the defendant is
18 liable for the misconduct alleged.” Id. “Threadbare recitals of the elements of a cause
19 of action, supported by mere conclusory statements, do not suffice.” Id. “In sum, for
20 a complaint to survive a motion to dismiss, the non-conclusory factual content, and
21 reasonable inferences from that content, must be plausibly suggestive of a claim
22 entitling the plaintiff to relief.” Moss v. U.S. Secret Serv., 572 F.3d 962, 969 (9th Cir.
23 2009) (quotations omitted). In reviewing a Rule 12(b)(6) motion, the Court accepts as
24 true all facts alleged in the complaint, and draws all reasonable inferences in favor of
25 the plaintiff. al-Kidd v. Ashcroft, 580 F.3d 949, 956 (9th Cir. 2009). The court
26 evaluates lack of statutory standing under the Rule 12(b)(6) standard. Maya v. Centex
27 Corp., 658 F.3d 1060, 1067 (9th Cir. 2011).
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Where a motion to dismiss is granted, “leave to amend should be granted ‘unless
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1 the court determines that the allegation of other facts consistent with the challenged
2 pleading could not possibly cure the deficiency.’” DeSoto v. Yellow Freight Sys., Inc.,
3 957 F.2d 655, 658 (9th Cir. 1992) (quoting Schreiber Distrib. Co. v. Serv-Well
4 Furniture Co., 806 F.2d 1393, 1401 (9th Cir. 1986)). In other words, where leave to
5 amend would be futile, the Court may deny leave to amend. See Desoto, 957 F.2d at
6 658; Schreiber, 806 F.2d at 1401.
7 B.
Express Preemption
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Defendant argues that the state law claims fail in light of the express preemption
9 provision provided by the MDA.3 Plaintiffs argue that their complaint falls within the
10 narrow exception left open in Riegel v. Medtronic, Inc., 552 U.S. 312 (2008), holding
11 that state law claims are not preempted if they are parallel with federal law.
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The Medical Device Amendments (“MDA”) to the Food, Drug, and Cosmetic
13 Act (“FDCA”) was enacted to “extend the coverage of the FDCA to medical devices.”
14 Stengel v. Medtronic Inc., 704 F.3d 1224, 1226 (9th Cir. 2013) (en banc). The MDA
15 establishes different levels of oversight for medical devices which is dependent on the
16 risks they present which range from Class I devices which is subject to the lowest level
17 of oversight to Class III involving the most oversight. Riegel, 551 U.S. at 316-17. A
18 Class III device is subject to a rigorous pre-market approval process of the FDA. Id.
19 317 (citing 21 U.S.C. § 360c(a)(1)(C)). The FDA conducts a risk-benefit analysis of
20 the medical device to determine the adequacy of the manufacturer’s proposed label, and
21 then the FDA either denies, approves or approves with conditions on the distribution,
22 marketing or sale. Stengel, 704 F.3d at 1226.
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The MDA’s preemption provision provides:
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Except as provided in subsection (b) of this section, no State or
political subdivision of a State may establish or continue in effect with
respect to a device intended for human use any requirement (1) which
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In addition, Defendant argues that the FAC failed to allege facts with
27 particularity to support their causes of action and leave to amend should be denied
because Plaintiffs were already afforded leave to amend and failed to remedy the
28 deficiencies. Since the Court GRANTS Defendant’s motion to dismiss with leave to
amend, the Court need not address whether the FAC failed to comply with Rule 8.
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is different from, or in addition to, any requirement applicable under
this chapter to the device, and (2) which relates to the safety or
effectiveness of the device or to any other matter included in a
requirement applicable to the device under this chapter.
4 21 U.S.C. § 360k. Riegel established a two step analysis to determine whether a claim
5 is expressly preempted under the MDA. Riegel, 552 U.S. at 321-22. First, the court
6 must decide whether the FDA has established requirements specific to the device at
7 issue. Id. at 321. Second, the court must determine whether the state-law claim would
8 impose any requirements that are “different from or in addition” to the federal ones,
9 and relate to safety or effectiveness. Id. at 321-22. State “requirements” include
10 common law duties. Houston v. Medtronic, Inc., 957 F. Supp. 2d 1166, 1174 (C.D.
11 Cal. 2013) (citing Riegel, 552 U.S. at 324-25).
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As to step one, the Court is to determine “whether the Federal Government has
13 established requirements applicable to [Surgifoam].” Id. at 321. In this case, step one
14 has been met as the Surgifoam underwent a rigorous review process and obtained
15 premarket approval on September 30, 1999 and underwent supplemental, re-evaluation
16 and re-approval twenty eight times and include Surgiflo. See Herron v. Smith &
17 Nephew, Inc., 7 F. Supp. 3d 1043, 1048 (E.D. Cal. 2014) (quoting Riegel, 552 U.S. at
18 322-23) (PMA “imposes ‘requirements’ under the MDA” and they are “specific to
19 individual devices”).
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As to the second step, the question is whether Plaintiffs’ state law claims are
21 based on “any requirement” of California law with respect to the device that is
22 “different from, or in addition to” federal requirements and “relate to safety or
23 effectiveness.” Riegel, 552 U.S. at 321-22.
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In Riegel, the United States Supreme Court held that common law claims of
25 strict liability, negligence and implied warranty claims impose requirements that are
26 different from the federal requirements. Id. at 323-24. The Court explained that
27 common law duties are based on state law obligations that are different from the
28 requirements under the FDA. Id. at 324.
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1
In Riegel, the plaintiff and his wife brought claims of strict liability, negligence
2 and breach of implied warranty under New York common law against manufacturer of
3 catheter that ruptured in the plaintiff’s coronary artery during heart surgery causing
4 severe and permanent injuries. Id. at 320. The district court held that the MDA
5 preempted the plaintiff’s claims of strict liability, breach of implied warranty and
6 negligence in the design, testing, inspection, distribution, labeling, marketing and sale
7 of the catheter. Id. The court also concluded that the MDA preempted plaintiff’s
8 wife’s claim for “loss of consortium to the extent it was derivative of the pre-empted
9 claims.” Id. at 321. The Second Circuit and the United States Supreme Court affirmed.
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Id. at 321, 330.
Here, Plaintiffs’ allegations of negligence, strict liability and loss of consortium
12 are similar to the ones brought in Riegel and concern solely the safety and effectiveness
13 of Surgiflo. The FAC alleges that Ethicon was negligent in designing, manufacturing,
14 constructing, assembling, inspecting and selling Surgiflo as it was dangerous and
15 unsafe to use because it did not reabsorb as planned. (Dkt. No. 25, FAC ¶¶ 6, 7.) As
16 to strict liability, Plaintiffs allege Surgiflo was “defective as to their design,
17 manufacture, and warnings, causing the matrix kit and its components to be in a
18 dangerous and defective condition that made them unsafe for their intended use.” (Id.
19 ¶ 12.) The Surgiflo was dangerous because it did not reabsorb as intended. (Id. ¶ 13.)
20 Based on the Riegel two part inquiry, the Court concludes the state law claims in the
21 FAC are preempted by the MDA and subject to dismissal.
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However, Riegel left open a narrow exception asserting that the MDA “does not
23 prevent a State from providing a damages remedy for claims premised on a violation
24 of FDA regulations; the state duties in such a case ‘parallel,’ rather than add to, federal
25 requirements.” Riegel, 552 U.S. at 330; Stengel, 704 F.3d at 1228 (“the MDA does not
26 preempt a state-law claim for violating a state-law duty that parallels a federal-law duty
27 under the MDA.”); In re Medtronic, Inc. Sprint Fidelis Leads Prods. Liab. Litig., 592
28 F. Supp. 2d 1147, 1152 (D. Minn. Jan. 5, 2009) (“Riegel left open a back door for
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1 plaintiffs: claims alleging that a manufacturer failed to adhere to the specifications
2 imposed by a device’s PMA are not preempted.”) Claims asserting a violation of FDA
3 regulations or requirements “parallel” federal requirements and are not preempted. In
4 re Medtronic, Inc., 592 F. Supp. 2d at 1152. “To properly plead parallel claims that
5 survive preemption, a plaintiff must allege facts (1) showing an alleged violation of
6 FDA regulations or requirements related to [the device], and (2) establishing a causal
7 nexus between the alleged injury and the violation.” Houston v. Medtronic, Inc., 957
8 F. Supp. 2d 1166, 1174 (C.D. Cal. 2013) (quoting Erickson v. Boston Scientific Corp.,
9 846 F. Supp. 2d 1085, 1092 (C.D. Cal. 2011). In Erickson, the court noted that a
10 plaintiff cannot simply allege that the defendant violated FDA regulations in order to
11 avoid preemption. Erickson, 846 F. Supp. 3d at 1092. Instead, “a plaintiff must allege
12 that the defendant ‘violated a particular federal specification referring to the device at
13 issue,’ . . . or identify specific PMA requirements that have been violated.” Id.; but see
14 Bausch v. Stryker Corp., 630 F.3d 546, 553, 560 (7th Cir. 2010) (if plaintiffs can prove
15 harm due to a violation of federal law, plaintiffs are not required to plead a violation
16 of a specific regulatory requirement since much of the critical information for Class III
17 medical devices are kept confidential as a matter of federal law).
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Here, the amended complaint makes no allegations concerning any violations of
19 federal law, including violations of the FDA or any requirements related to the Surgiflo
20 and does not allege a causal nexus between the violation and the injury.4 Plaintiffs’
21 citation to Bausch, 630 F.3d at 560 is unavailing. Citing to Bausch, Plaintiffs assert
22 that they are not required to plead the specific regulatory requirements violated.
23 However, in Bausch, the plaintiff alleged state law claims of negligence and strict
24 liability alleging violations of federal “regulatory” standards. Bausch, 630 F.3d at 549,
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Plaintiffs also seek discovery prior to the Court’s ruling on preemption citing
26 Bausch. Bausch held that because information concerning the PMA process is
confidential and not public, a complaint should not be dismissed for failing to allege
27 specific details concerning the precise defect or the specific federal regulatory
requirements under Rule 8. Bausch, 630 F.3d at 560. Here, the ruling in Bausch is not
28 applicable as Plaintiffs have failed to allege any violation of federal regulations or
requirements.
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1 559-60. Here, Plaintiffs has not asserted any violation of a regulatory requirement or
2 standard.
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In the event the Court grants Defendant’s motion to dismiss, Plaintiffs seek leave
4 to file a second amended complaint in order to plead their parallel claims with more
5 specificity. While Defendant argues that dismissal should be with prejudice because
6 Plaintiffs failed to cure the deficiencies from the original complaint, dismissal on the
7 original complaint was as to J&J, not Ethicon and the preemption defense is being
8 raised for the first time in the instant motion. The Court does not find Defendant’s
9 argument persuasive. Accordingly, the Court GRANTS Defendant’s motion to dismiss
10 with leave to amend as it would not be futile to allow amendment. See Desoto, 957
11 F.2d at 658.
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Conclusion
Based on the above, the Court GRANTS Defendant’s motion to dismiss as the
14 claims are preempted as plead, and GRANTS Plaintiffs’ request for leave to file a
15 second amended complaint. This shall be Plaintiffs’ final opportunity to amend. A
16 second amended complaint shall be filed within 14 days of the filing of this order. The
17 hearing date set for August 26, 2016 shall be vacated.
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IT IS SO ORDERED.
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20 DATED: August 22, 2016
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HON. GONZALO P. CURIEL
United States District Judge
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