Ballard v. Zimmer, Inc.
Filing
79
MEMORANDUM Opinion and Order. Signed by the Honorable Rebecca R. Pallmeyer on 1/7/2015. Mailed notice(etv, )
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ILLINOIS
EASTERN DIVISION
PAMELA M. BALLARD,
Plaintiff,
v.
ZIMMER, INC.,
Defendant.
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No. 11 C 6786
Judge Rebecca R. Pallmeyer
MEMORANDUM OPINION AND ORDER
Plaintiff Pamela Ballard brings this products liability action against Defendant Zimmer,
Inc., alleging that her hip replacement had a manufacturing defect, which caused severe injuries
to her femur and surrounding muscles. She presented the opinions and testimony of Dana J.
Medlin, Ph.D. in an initial report. One day before the court-ordered deadline for dispositive
motions, Plaintiff filed a supplemental expert disclosure.
The next day, Zimmer moved to
exclude all of Dr. Medlin's testimony and opinions [44], arguing that his methodology is
unreliable. Zimmer also moved for summary judgment. In response to these two motions,
Plaintiff submitted two additional affidavits from Dr. Medlin, presenting new opinions in response
to Zimmer's expert report. Zimmer moves to strike those affidavits [68] as untimely and argues
alternatively that, even if the court considers them, they are unreliable and should be excluded
along with the remainder of Dr. Medlin's testimony.
Currently before the court are Zimmer's motion to strike the two affidavits and its motion
to exclude the remaining testimony of Dr. Medlin.
The court disagrees with Zimmer that
considering the disputed affidavits would be prejudicial and denies the motion to strike. The
court, however, cannot conclude on the current record whether the methodology employed in
Dr. Medlin's affidavit in response to the motion for summary judgment is reliable and requires a
hearing before it will determine whether the affidavit is admissible under Federal Rule of
Evidence 702.
BACKGROUND 1
Pamela Ballard suffered degenerative arthritis in her hip and underwent hip replacement
surgery in 2003. (Pl.'s Resp. to Def.'s Local R. 56.1 Statement [53], hereinafter "Pl.'s Resp. to
Def.'s SOF," ¶ 2.) Her doctor implanted a Zimmer-manufactured VerSys Hip System Femoral
Head ("Head") and a VerSys Hip System Beaded Fullcoat Femoral Stem ("Stem"). (Id. ¶ 2.)
The outside of the Head is spherical; it replaces the rounded head of the patient's femur, which
fits into the hip socket, and the bottom of the Stem attaches to the patient's femur. (Medlin
Dep., Ex. A to Pl.'s Resp. to Mot. to Exclude [55-1], hereinafter "Medlin Dep.," 15:25–16:8,
100:17–19.) The Head and the Stem fit together to form a "modular junction." (Mem. of Law in
Supp. of Zimmer Inc.'s Mot. for Summ. J. [41], 2.) The interior of the Head is a hollow cone
formed in such a way that the cone-shaped Stem will fit inside it. (Medlin Dep. at 66:13–67:3.)
As Dr. Medlin explained in his deposition, the Head sits on top of the Stem and the two are
pressed together so that friction holds the components together: how tightly the two pieces fit
together is referred to as the "press-fit." (Id. at 65:19–25.) The press-fit is based on how similar
the dimensions of the Head and Stem are: there will be a better fit and a more even distribution
of weight on the junction if the diameter of the Stem matches the diameter of the interior of the
Head, and if the angles of Stem and interior of the Head are the same, so that the two pieces fit
closely together.
A better press-fit leads to a more stable hip, but when inadequate,
microscopic movement ("micro-motion") of the Stem inside the Head can result.
(Dana J.
Medlin Investigative Report, Ex. I to Zimmer Inc.'s Statement of Undisputed Facts in Supp. of Its
Mot. for Summ. J. [43-9], hereinafter "Medlin Rep.," 3.)
Some amount of micro-motion is
inevitable with modular junction implants (Medlin Dep. at 133:12–134:13), but severe micromotion can cause the Stem to rock inside the Head with enough force that, over time, small
1
The court does not address Zimmer's motion for summary judgment in this
Memorandum Opinion and Order, but draws relevant background information from the
Statements of Facts submitted as part of the parties' summary judgment briefing. (See
Zimmer's Statement of Undisputed Facts [43], hereinafter "Zimmer's SOF"; Pl.'s Resp. to Def.'s
Local R. 56.1 Statement [53].)
2
amounts of metal wear off, potentially causing corrosion. (Medlin Rep. at 3; Medlin Dep. at
115:12–117:5.)
After her surgery, Plaintiff successfully completed physical therapy, and for several years
was able to exercise regularly, travel, and hike. (Pl.'s Resp. to Def.'s SOF ¶¶ 5–7.) In October
2009, Plaintiff's hip dislocated. (Pl.'s Resp. to Def.'s SOF ¶ 8.) After a second dislocation in
December 2009, her doctor decided to remove part of the implanted prosthetic. (Pl.'s Resp. to
Def.'s SOF ¶¶ 10, 11.) It is undisputed that removing the Stem would have risked extensive
damage to Mrs. Ballard, including possible bone death; the Stem, therefore, remains implanted
in Plaintiff's body and is unavailable for inspection. (Id. ¶ 12.) Plaintiff brought this suit, alleging
that her hip implant suffered from a manufacturing defect that caused her injuries. (See Compl.,
Ex. A to Notice of Removal [1-1].)
I.
Plaintiff's expert's initial report and deposition
Plaintiff's expert disclosures were due by April 15, 2013 (Jan. 30, 2013 Minute Entry
[33]), and on that day, Plaintiff disclosed the report of Dana J. Medlin, Ph.D. Dr. Medlin is a
senior consultant at Engineering Systems, Inc., a professional engineering consulting firm.
(Pl.'s Resp. to Def.'s SOF ¶ 53.) He has over 20 years of experience in metallurgical, materials,
and biomedical engineering—including five years at Zimmer in its materials research group.
(Id.) While at Zimmer he focused on metals research, developing new materials to be used in
Zimmer's various implants. (Medlin Dep. at 29:12–15.) He also worked on a hip implant project
and some knee projects. (Id. at 31:10–15.) Most of Dr. Medlin’s experience is with hips and
knees, but he has knowledge of the materials that are used to develop implants for other parts
of the body, as well. (Id. at 31:25–32:6.)
Dr. Medlin concluded, based on his examination of the explanted Head, that there was
evidence that the Stem rocked back and forth inside the Head at a microscopic level, which
caused the metal of the inside of the Head to wear off ("fretting") and resulted in corrosion
damage to the interior of the Head. (Medlin Rep. at 3, 8.) To reach his conclusion, Dr. Medlin
3
conducted a visual examination of the Head, using various levels of magnification. (Id. at 3–7.)
First, he noted that the interior of the Head (where the Stem fits in) had "two large thumbnail
shaped scars on diametrically opposed sides of the internal taper," indicating, to him, that the
Stem rocked back and forth inside the Head causing wear to the interior of the Head. (Id. at 3.)
He also observed that the scars were located closer to the opening at the bottom of the Head,
and from that observation, he determined that "the proximal [deeper] region of the bore [Head]
had better fixation on the trunnion [Stem] than the distal region [towards the opening]." (Id. at
4.) This discrepancy in fixation "caused micro-motion (rocking) and fretting at the opening of the
bore." (Id.)
Dr. Medlin next inspected the interior of the Head using a scanning electron
microscope at various levels of magnification to examine the damage to the Head. (Id. at 5.)
This examination showed evidence of corrosion, which Dr. Medlin opined was due to metal ions
released into Plaintiff's body from the metal that had worn off the interior of the Head. (Id. at 7.)
After identifying micro-motion as the source of the damage to the Head, Dr. Medlin
concluded that the cause of the micro-motion itself was a "mismatch in the taper angle and/or
diameter between the" Head and Stem. (Id. at 8.) That is, the two components were not close
enough in their respective dimensions, which caused the Stem to rock inside the Head and
cause wear to the metal. (Id. at 8.) Dr. Medlin proposed two possible explanations for the
cause of the mismatch between the dimensions of the Head and Stem: One possibility is that
the Head and Stem's diameters were both within Zimmer's design specifications, but at the
extreme ends of Zimmer's permissible ranges for the dimensions: "[F]or example matching a
[Stem] at the smallest diameter tolerance to a [Head] with the largest diameter tolerance may
develop in a micro-motion condition that can result in fretting wear and corrosion." (Id. at 7.)
The other possibility is that, because "[o]nly 14 of the 100 heads in this lot were inspected" for
the diameter dimensions and taper angle, there was the potential for manufacturing error which
"may leave some of these components outside the required tolerance range," that is, outside of
Zimmer's specifications. (Id. at 8.) For example, even if the Stem was within specification, the
4
Head may have been outside of the required specifications, creating a mismatch between the
Stem and Head.
At his deposition, on May 8, 2013, Dr. Medlin clarified that he did not take any
measurements of the inside of the Head because he did not have the correct equipment.
(Medlin Dep. at 50:19.) He also opined that, given the significant amount of damage to the
interior of the Head, any measurements taken of the explanted Head would not reliably gauge
the pre-implantation measurements. (Medlin Dep. at 56:15–19.)
II.
Defendant's expert
Defendant's expert disclosures were due May 20, 2013, and Defendant disclosed the
report of Dr. Steven Kurtz. 2 (Zimmer Inc.'s Mem. in Supp. of Mot. to Strike Medlin Affs. [69],
hereinafter "Def.'s Mem. in Supp. of Mot. to Strike.," 1.) Dr. Kurtz has a Ph.D. in Mechanical
Engineering from Cornell University and is the Director of the Biomedical Engineering practice
at Exponent, Inc. an engineering and scientific consulting firm. (Zimmer's SOF ¶ 41.) He is also
the Director of the Implant Research Center at Drexel University's School of Biomedical
Engineering, Science, and Health Systems. (Id.) Dr. Kurtz performed a visual examination
similar to the one performed by Dr. Medlin, including basic visual observation and microscopy,
but also used a tool called a Talyrond 585 to measure the radius of the inside of the explanted
Head. (Steven M. Kurtz Expert Report, Ex. F to Zimmer Inc.'s Statement of Undisputed Facts in
Supp. of Its Mot. for Summ. J. [43-6], hereinafter "Kurtz Rep.," 11.) Using the Talyrond, he
measured the radius of the explanted Head at six different locations along its vertical axis, at 1.9
millimeter intervals. (Id.) When measuring the radius, Dr. Kurtz excluded the sections of the
Head that were most damaged.
(Id.) The Talyrond fitted a circle to the remaining sections of
the Head and measured the radius of the best-fit circle. (Id.) According to Dr. Kurtz, this is a
reliable method for measuring the pre-implantation dimensions of the Head. (Kurtz Dep., Ex. A
2
Defendant also presented the opinion of Dr. Joyce Tsuji, a toxicologist, but her
report does not discuss Dr. Medlin's report and, accordingly, is not relevant to the motion to
strike or motion to exclude.
5
to Pl.'s Resp. to Def.'s Mot. to Strike [74-1], hereinafter "Kurtz Dep.," 139:5–18, 156:3–21.) He
took his six radii measurements and plotted them according to their vertical height to recreate
the cone shape of the interior of the Head and plotted a best-fit line through the points. (Kurtz.
Rep. at 11.) "The taper angle was then estimated from the gradient of the . . . line." (Id.) The
radii measurements Dr. Kurtz obtained were not included as part of Dr. Kurtz's report (see Kurtz
Rep.), but they were introduced as Exhibit 2 during his deposition on August 6, 2013. (Kurtz
Dep., Ex. C to Zimmer Inc.'s Statement of Undisputed Facts in Supp. of Its Mot. for Summ. J.
[43-3], 370:11–16.)
III.
Dr. Medlin's supplemental expert disclosure and additional affidavits
Sometime after August 6, 2013, Plaintiff's attorneys obtained a copy of Dr. Kurtz's
deposition transcript and sent it with the corresponding exhibits to Dr. Medlin for review. (Pl.'s
Resp. to Def.'s Mot. to Strike the Affs. of Dana Medlin, Ph.D. [74], hereinafter "Pl.'s Resp. to
Mot. to Strike," 2.)
On September 5, 2013—one day before the deadline for dispositive
motions—Plaintiff filed the following supplemental disclosure:
Dr. Dana J. Medlin has reviewed Kurtz Deposition Group Exhibit #2. The data in
this exhibit is a further basis for Dr. Medlin’s opinions, specifically his opinion that
a mismatch of the taper diameter existed between the bore and trunnion in the
Plaintiff’s device, and that the diameter of this bore is outside the acceptable
tolerances (as determined from the measurements on ZIM/BAL 001732). 3
(Pl.'s First Supplemental R. 26(a)(2) Expert Disclosure, Ex. A to Zimmer Mem. in Supp. of Mot.
to Strike [69-1], hereinafter "Supplemental Disclosure.") Plaintiff did not attach any supporting
3
The parties repeatedly reference "ZIM/BAL 001732," which purportedly provides
Zimmer's manufacturing tolerances for the femoral Head, but have not directed the court to the
location of this document in the record. Plaintiff states that the document is included as part of
"Doc. #54-5" (Pl.'s Resp. to Mot. to Strike at 2), but the court is unable to locate "ZIM/BAL
001732." "Doc 54-5" is the placeholder for Dr. Medlin's affidavit in response to the summary
judgment motion, which was filed under seal at Docket No. 53-7. (See Medlin Aff., Ex. E to Pl.'s
Resp. to Zimmer SOF [53-7], hereinafter "Calculations Aff.") Plaintiff has included, attached to
Dr. Medlin's Calculations Affidavit, a document labeled "ZIM/BAL 001735" that includes design
specifications for the femoral head. (Calculations Aff. at 10.) Despite the statement in Plaintiff's
supplemental disclosure, it appears that Dr. Medlin relied on ZIM/BAL 001735 to obtain the
measurements of Zimmer's specifications of the Head. The court, therefore, refers to ZIM/BAL
001735 where the parties have referenced ZIM/BAL 001732.
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documentation. Instead, on October 15, 2013, in response to Zimmer's motion to exclude and
its motion for summary judgment, Plaintiff submitted two additional affidavits from Dr. Medlin,
one attached to her response to the motion to exclude and the other attached to her response to
the Motion for Summary Judgment.
The affidavit attached to the motion to exclude ("Articles Affidavit") includes eight short
paragraphs which elaborate on the methodology Dr. Medlin used in his initial report. (Medlin
Aff., Ex. B to Pl.'s Resp. to Mot. to Exclude [55-3], hereinafter "Articles Aff.") Attached to the
affidavit are several peer-reviewed, scientific articles which utilize visual examinations,
microscopy, stereomicroscopy, and scanning electron microscopy to assess damage on
explanted orthopedic components. (Reference List, Ex. 1 to Articles Aff.) Dr. Medlin asserts
that these articles show there is no accepted methodology for determining pre-implantation
dimensions based on measurements taken post-implantation. (Articles Aff. at ¶ 5.) He also
reiterated his opinion that any attempt to determine pre-implantation dimensions would be
unreliable, given the amount of damage to Mrs. Ballard's component. (Id. at ¶¶ 6–8.)
Dr. Medlin's affidavit submitted in response to Zimmer's summary judgment motion
("Calculations Affidavit") is more complex. (Medlin Aff., Ex. E to Pl.'s Resp. to Zimmer SOF [537], hereinafter "Calculations Aff.") The Calculations Affidavit states that—assuming Dr. Kurtz's
radii measurements are accurate representations of the pre-implantation dimensions of the
Head—simple extrapolations from his data show that the Head was outside Zimmer's
specifications. (Calculations Aff. ¶¶ 16–19.) Dr. Kurtz measured the radius of the Head at six
different locations along its vertical axis and then used those radii measurements to estimate
the taper angle. (Kurtz Rep. at 11; Kurtz. Dep. at 165:3–18.) He compared the taper angle he
calculated to Zimmer's specifications and concluded that the taper angle on Mrs. Ballard's
component was within specifications. Although Dr. Kurtz had measurements of the radius (and
therefore could easily have calculated the diameter) he did not compare these radii
measurements to Zimmer's diameter specifications.
7
(See generally Kurtz Rep. at 11.)
Zimmer's specifications only list the diameter of the Head at the smallest (deepest) end and the
largest end (the mouth). (See ZIM/BAL 001735, Calculations Aff. at 10.) Though Dr. Kurtz was
able to measure the radius of the Head at six different locations along its vertical axis, from the
mouth to the deepest end (see Kurtz Dep., Ex. C to Pl.'s Resp. to Def.'s SOF [53-4], 382:16–
23), he could not compare those measurements to Zimmer's specifications because those
specifications do not set forth the intended diameter of the Head at the six locations measured
by Dr. Kurtz. (See ZIM/BAL 001735, Calculations Aff. at 10.)
In the Calculations Affidavit, Dr. Medlin calculated the diameter specifications that would
correspond with Dr. Kurtz's measurements. Dr. Medlin used Zimmer's reported specifications
for the taper angle and five 4 of Dr. Kurtz's different Talyrond positions along the vertical axis of
the Head. (Calculations Aff. ¶¶ 4–17.) Dr. Medlin plugged those numbers into the tangent
equation to determine the "radius increase" at each of the five Talyrond positions where Dr.
Kurtz took his measurements. (Id. ¶¶ 9–10.) To calculate the expected diameter at each of the
five vertical axis positions, Dr. Medlin added the calculated "radius increase" to the specified
diameter measurement of the Head at its narrowest point. (Id. ¶¶ 13–15.) He was then able to
compare Dr. Kurtz's actual measurements against the values that his tangent equation
generated. (Id. at ¶ 18.) When Dr. Medlin performed that comparison, he concluded that the
diameter of Mrs. Ballard's femoral Head was larger than Zimmer's specifications would allow.
(Id. ¶¶ 18–19.)
DISCUSSION
Zimmer moves to strike the two additional affidavits submitted by Dr. Medlin. (Mot. to
Strike [68]). Zimmer urges they are untimely and even if timely, the Calculations Affidavit is
4
Dr. Medlin states in his affidavit that Dr. Kurtz used only five of his six total radii
measurements (See Calculations Affidavit ¶ 3), but Dr. Kurtz's report and deposition testimony
state that he used all six measurements. (See Kurtz Rep. at 3 ("a series of six circumferential
roundness profiles [were] measured at 1.9 mm vertical increments on the surface of the taper);
Kurtz Dep. at 145:17–23 ("Q: . . . Why did you take six circumferential roundness profiles of the
device? A: Because we wanted to recreate the taper angle, any by making enough axial
measurements . . . you can reconstruct the angle.").)
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nonetheless inadmissible because it is unreliable under the standards in Federal Rule of
Evidence 702 and the Supreme Court's decision in Daubert v. Merrell Dow Pharm., Inc., 509
U.S. 579, 592–93 (1993). (See Def.'s Mem. in Supp. of Mot. to Strike. at 3, 6, 8.) Zimmer also
seeks to exclude the remainder of Dr. Medlin's opinions and testimony on the basis that they do
not satisfy Rule 702 or Daubert. (Mot. to Exclude Opinions and Testimony of Plaintiff's Expert
Dana Medlin, Ph.D. [44].) As explained below, the motion to strike is denied because the
affidavits are timely, and even if tardy, admitting the affidavits will not prejudice Zimmer. On the
current record, however, the court cannot determine whether the affidavits are sufficiently
reliable and requires a hearing to complete its Daubert analysis.
I.
Motion to Strike
Rule 26(a)(2)(B) provides that expert witnesses must prepare and sign a written report
containing a complete statement of all opinions to be expressed. FED. R. CIV. P. 26(a)(2)(B).
The statement must provide the basis and reasons for the opinions, the data the expert
considered in reaching the opinion, the witness's qualifications, and other specified information.
Id. Rule 26(e)(1) provides that if any correction or addition is necessary for complete disclosure
of an expert opinion, that process must take place before the time for disclosure has expired
under Rule 26(a)(3). FED. R. CIV. P. 26(e)(1). The sanction for failing to abide by these rules
can be substantial: Rule 37(c)(1) states that “[a] party that without substantial justification fails to
disclose information required by Rule 26(a) or 26(e)(1) . . .
is not, unless such failure is
harmless, permitted to use as evidence at trial, at a hearing, or on a motion any witness or
information not so disclosed.”
FED. R. CIV. P. 37(c)(1).
Courts consider four factors to
determine if a failure to timely disclose was harmless: "(1) the prejudice or surprise to the party
against whom the evidence is offered; (2) the ability of the party to cure the prejudice; (3) the
likelihood of disruption to the trial; and (4) the bad faith or willfulness involved in not disclosing
the evidence at an earlier date." Tribble v. Evangelides, 670 F.3d 753, 760 (7th Cir. 2012), as
amended (Feb. 2, 2012).
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A.
Timeliness
Zimmer urges that the affidavits are untimely because they were submitted after the
deadline for Plaintiff's expert disclosures (April 15, 2013) and after the deadline for dispositive
motions (September 6, 2013).
(Def.'s Reply in Supp. of Mot. to Strike [77], 2.)
Plaintiff
acknowledges that the affidavits were submitted after these two deadlines but argues that they
are nonetheless timely because they are supplemental disclosures under Rule 26(e) based on
new information that was not available to the Plaintiff before these deadlines. (Pl.'s Resp. to
Mot. to Strike at 5; FED. R. CIV. P. 26(e).) Supplemental disclosures must be submitted by the
time that pretrial disclosures are due, FED. R. CIV. P. 26(e)(2), which is either the date ordered
by the court or, if there is no court order, 30 days before trial. FED. R. CIV. P. 26(a)(3)(B). The
supplemental affidavits are timely, Plaintiff continues, because although there was a courtordered deadline for pre-trial disclosures, it was vacated (see June 13, 2012 Minute Entry [24]), 5
and no new date was set. (Pl.'s Resp. to Mot. to Strike at 9–10.) There is no trial date, Plaintiff
continues, so the affidavits were necessarily disclosed more than 30-days before trial. (Id.)
The court agrees that if the affidavits are properly characterized as supplements, they
are timely. Zimmer urges that the affidavits are not supplements because they represent new
opinions that contradict Dr. Medlin's earlier opinions. (Def.'s Mem. in Supp. of Mot. to Strike
at 6; Def.'s Reply in Supp. of Mot. to Strike at 3.) To determine whether Dr. Medlin’s affidavits
are fairly understood as supplements, the court examines each of them below.
1.
Articles Affidavit: in response to motion to exclude
The Articles Affidavit offers no new opinions: Dr. Medlin merely provides additional
citations to scholarly articles that support his methodology and criticizes Dr. Kurtz's method of
estimating pre-implantation dimensions. Zimmer attempts to manufacture a contradiction by
5
The court did set September 27, 2013 as the deadline for a Joint Final Pretrial
Order, but Zimmer has not argued that this date served as a deadline for pre-trial disclosures for
the purposes of Rule 26(a)(3)(B) and has conceded there is no court-ordered deadline for pretrial disclosures. (See Def.'s Reply in Supp. of Mot. to Strike at 2–3.)
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contrasting Dr. Medlin's statement in the Articles Affidavit that he does "not believe that it is
possible to determine with accuracy the pre-implantation, starting-point dimensions of the
[Head] based on measurements taken post-explantation" (Articles Aff. ¶ 7), with his earlier
deposition testimony that he would have liked to take internal measurements of the Head but
did not have the equipment to do so. (Def.'s Mem. in Supp. of Mot. to Strike at 6–7.) Dr.
Medlin's Articles Affidavit, Zimmer continues, is an improper attempt to "to revise his stated
reason for not performing the" measurements and bolster his original methodology. (Id. at 7.)
Dr. Medlin's criticism of the post-explanation measurements, however, is not new or in any way
a "revision": he repeatedly expressed this opinion during his deposition. (Medlin Dep. at 56:15–
19, 77:12–22, 137:19–23.) Furthermore, despite Zimmer's framing, the two statements are not
inherently contradictory. It is plausible that Dr. Medlin would want to take measurements even if
they are not a reliable indicator of pre-implantation dimensions: for example, if the diameter of
the Head, after explantation, is smaller than the specifications would allow, that could provide
strong evidence that the Head was out of specifications when implanted, since the damage to
the Head would only make the diameter larger. The measurements still might not reliably show
what the pre-implantation dimensions were, but the post-explanation measurements would
remain relevant.
Because the affidavit contains no new opinions, it is appropriately
characterized as a supplemental disclosure.
2.
Calculations Affidavit: in response to motion for summary judgment
The Calculations Affidavit presents a closer question. Zimmer argues that the affidavit
contradicts Dr. Medlin's initial report and deposition testimony because the Calculations Affidavit
extrapolates from Dr. Kurtz's radii measurements, which Dr. Medlin earlier criticized as
unreliable. (Def.'s Reply in Supp. of Mot. to Strike at 4–5.) Again, however, these opinions can
be harmonized. In his first report, Dr. Medlin explained that he believed the cause of the micromotion was a mismatch between either the taper angle or the diameter of the Head and Stem.
(Medlin Rep. at 7.) He explained that a mismatch likely occurred because (1) the two parts
11
were at the extreme ends of the tolerated specifications or (2) one piece was within
specifications and the other was outside specifications. (Id. at 7–8.) In his initial report, Dr.
Medlin did not specify whether he believed the Head was in or out of specifications because he
did not have the equipment to evaluate its dimensions. Dr. Kurtz then used more sophisticated
equipment than Dr. Medlin had available to measure the inside of the Head at six different
intervals along its vertical axis. Dr. Kurtz asserts that these are reliable estimates of the preimplantation radius at each of the six points. (Kurtz Dep. at 139:5–18, 156:3–21.)
In the Calculations Affidavit, Dr. Medlin calculates Zimmer's expected radius
specifications at each of the six Talyrond positions.
He then compared Dr. Kurtz's actual
measurements to the expected specifications and concluded that Dr. Kurtz's measurements are
larger than what Zimmer's specifications would allow. (Id. ¶¶ 17–18.) Dr. Medlin's Calculations
Affidavit, therefore, is an effort to rebut Dr. Kurtz's opinion in the event that the court (or a factfinder) concludes that Dr. Kurtz's measurements are reliable. The court does not see this as a
contradiction from Dr. Medlin's earlier position that the measurements are unreliable.
Plaintiff maintains that the affidavit does not offer any new opinions because it reaches
the same conclusion as Dr. Medlin's initial reports: that the diameter of the Head was out of
specification. (Pl.'s Resp. to Mot. to Strike at 6–9.) Even assuming that the conclusion is the
same, however, Zimmer is correct that the methodology and data on which that conclusion is
based are different, and the Calculations Affidavit, accordingly, is technically a new opinion.
See Only The First, Ltd v. Seiko Epson Corp., 822 F. Supp. 2d 767, 781 (N.D. Ill. 2011) (same
conclusion based on new testing constitutes a new opinion). The court nevertheless agrees
with Plaintiff that Dr. Medlin’s new opinion is based on information that was not available when
his first expert report was filed on April 15, 2013—specifically, the radii measurements that Dr.
Kurtz disclosed at his deposition on August 6, 2013. The affidavit is properly considered a
supplement to Dr. Medlin's earlier report because it is based on information that was not
12
available at the time of the initial disclosure.
Accordingly, both affidavits are properly
characterized as supplements and are timely under Rule 26(a)(3).
B.
Admitting the affidavits will not prejudice Zimmer
The court concludes, further, that even if the affidavits are found to be untimely,
Plaintiff's failure to disclose them earlier is harmless.
Zimmer's contention that it suffered
prejudice from the delayed disclosure is unpersuasive. Zimmer asserts that it was unable to
question Dr. Medlin at his deposition about the opinions contained in the affidavits. (Def.'s
Reply in Supp. of Mot. to Strike at 6–8).
Zimmer was, however, able to question Dr. Medlin
about his methodology based on his initial report and has not explained what questions the
Articles Affidavit raised that Zimmer did not already ask during Dr. Medlin's deposition. With
respect to the Calculations Affidavit, as explained above, Dr. Kurtz and Defendant did not
disclose the data used in that affidavit until after Dr. Medlin's deposition was complete: Plaintiff
could not possibly have disclosed the opinions in the Calculations Affidavit before Dr. Medlin's
deposition. Zimmer is free to seek leave to re-depose him on those opinions.
Zimmer next argues that it is prejudicial to permit the affidavit to be submitted after it filed
its motion for summary judgment and that Plaintiff should have submitted the affidavits with
Plaintiff's supplemental expert disclosure. (Def.'s Reply in Supp. of Mot. to Strike at 3.) The
court agrees that the best course of action would have been for Plaintiff to submit the affidavit
with her supplemental expert disclosure on September 5, 2013. Nonetheless, considering the
affidavit at this stage will not prejudice Zimmer. First, Zimmer should not be surprised by the
calculations: Dr. Kurtz himself acknowledged that such extrapolations from the data are possible
(see Kurtz Dep., 218:17–219:12), and Dr. Medlin's initial report put Defendant on notice that his
theory included the possibility that one of the components was outside specifications. Zimmer
was, therefore, on notice of this possible response to Dr. Kurtz's report. The fact that this
affidavit is a response to Dr. Kurtz distinguishes this situation from Alper v. Altheimer & Gray,
where plaintiff's supplemental expert report included "a new and different damage calculation."
13
No. 97-cv-1200, 2002 WL 31133287 (N.D. Ill Sept. 26, 2002). In Alper, this court concluded that
the supplement should be stricken because it was a new theory, not previously disclosed "and
does not constitute rebuttal." (Id.) Here, on the other hand, Dr. Medlin's affidavit is a rebuttal to
Dr. Kurtz, not a belated new theory.
Zimmer has also already had the opportunity to respond to the affidavits through its reply
brief, and accordingly has not been prejudiced. See Berman v. Stryker Corp., No. 11-cv-1309,
2013 WL 5348324, *2 (N.D. Ill. Sept. 24, 2013) (refusing to strike supplemental affidavit
because "through its reply, defendant has had a full opportunity to address the supplement and
affidavit."). Zimmer's reliance on Brown v. Primerica Life Insurance Co., No. 02-cv-8175, 2006
WL 1155878 (N.D. Ill. Apr. 29, 2006), does not alter this conclusion. In Brown, the court agreed
to strike a supplemental report that was submitted with a reply brief, leaving the opposing party
no opportunity to respond. Id. at *1–*2 (noting that defendant's "inability to explore [expert]'s
assertions or counter them precludes any possibility that the failure could be deemed
harmless."). Unlike in Brown, Zimmer was able to respond to the affidavits in its reply briefing,
and even submitted an additional affidavit from Dr. Kurtz to challenge Dr. Medlin's calculations.
(See Kurtz Aff., Ex. A to Zimmer Reply Mem. in Supp. of Mot to Exclude [67-1], hereinafter
"Kurtz Aff.")
Moreover, any remaining prejudice to Zimmer is curable.
The Seventh Circuit has
recognized "the propriety of . . . measures to correct Rule 26 violations." Gicla v. United States,
572 F.3d 407, 408 (7th Cir. 2009). In Gicla, a medical malpractice action, the district court
allowed defendant's expert to testify despite defendant's failure to disclose that the expert had
reviewed new x-rays the morning of trial. Id. at 408–09. The Seventh Circuit acknowledged
that plaintiff's attorneys had prepared a cross-examination strategy based on the fact that the
expert had not reviewed the x-rays, but reasoned that the district court's offer to take a break so
that plaintiff's counsel could re-work their cross-examination strategy and contact their expert
cured any unfair surprise. Id. at 412. Here, Zimmer had a greater opportunity to respond:
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Zimmer has been able to consult its expert and respond to Dr. Medlin's affidavits and will have
the opportunity to question Dr. Medlin regarding all of his methods and opinions—including the
new opinions in the Calculations Affidavit—at a Daubert hearing.
II.
Daubert analysis
Zimmer urges this court to reject all of Dr. Medlin's testimony because it is unreliable
under the standards set out in Federal Rule of Evidence 702 and Daubert v. Merrell Dow
Pharm., Inc., 509 U.S. 579, 592–93 (1993). 6 (See Mem. in Supp. of Mot. to Strike Medlin Affs.
[69], at 3, 6, 8; Mot. to Exclude Opinions and Testimony of Plaintiff's Expert Dana Medlin, Ph.D.
[44].)
In Daubert, the Supreme Court explained that district courts must ensure that the
reasoning or methodology employed by an expert is reliable before admitting that testimony.
509 U.S. at 592–93. On this record, the court cannot determine whether Dr. Medlin's use of
trigonometric functions to calculate Zimmer's intended diameter of the Head was sufficiently
reliable. First, the court notes Dr. Kurtz’s assertion that Dr. Medlin's approach has not been
validated. (Kurtz Aff. ¶ 6.) The court is uncertain how serious this concern is; Dr. Kurtz himself
appears to have used trigonometry to calculate the taper angle based on the measured radius
of the Head. (See Kurtz. Dep. at 165:3–18.) (The taper angle is calculated by "fit[ting] a line
through the radius, which gives you the slope, which is the taper slope. And then you can
convert the taper slope here into an angle. And that’s how you calculate the taper angle.") Dr.
Kurtz also stated that he could determine the diameter at other heights on the Head—without
taking more measurements—through calculations and compare those calculations to Zimmer's
specifications.
(Kurtz Dep. at 218:17–219:12.)
The court is uncertain why the use of
trigonometric functions would be reliable to calculate some of the Head's dimensions but not
others, and believes that testimony on this point would be elucidating.
In addition, the court has some concerns about the specific calculations Dr. Medlin used.
For example, to calculate Zimmer's expected diameter (and minimum and maximum tolerances)
6
Zimmer does not dispute that Dr. Medlin is qualified.
15
at the various Talyrond positions, Dr. Medlin added the "radius increase" he had calculated to
the internal diameter of the Head at its deepest point (the small-end diameter). (Calculations
Aff. ¶ 13.) Yet, as Dr. Medlin notes elsewhere, a diameter is twice the length of the radius (id. ¶
16), implying that to calculate the intended diameter at each of the six Talyrond positions he
would need to add twice the "radius increase" to the small-end diameter.
The court,
accordingly, requires clarification on the terminology and approach Dr. Medlin used and how his
terms correspond to the various dimensions of the Head.
CONCLUSION
The court denies Zimmer's motion to strike Dr. Medlin's affidavits [68] because
considering the affidavits does not prejudice to Zimmer. On the current record, however, the
court cannot determine whether the affidavits are sufficiently reliable, and accordingly will
schedule a Daubert hearing to resolve these questions.
ENTER:
Dated: January 7, 2015
_________________________________________
REBECCA R. PALLMEYER
United States District Judge
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