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17 F. Supp. 3d 1275
N.D. Ga.
2014
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Background

  • Plaintiff alleged her implanted Eon Mini Model 3788 spinal cord stimulator (IPG) failed ~6 months post-implant due to a cracked battery weld, requiring surgical removal and resulting injuries and costs.
  • Defendant obtained PMA supplemental approval (No. S023) for the Model 3788 by bridging data from earlier Genesis PMA filings and submitted mathematical model projections for battery longevity rather than long-term real-world testing.
  • Plaintiff sued under Georgia law asserting breach of express warranty, negligent manufacture and failure to warn, strict liability, and fraud/material misrepresentation; she later withdrew implied warranty and UDTPA claims.
  • The court previously allowed limited discovery into PMA specifications and directed Plaintiff to plead specific PMA violations for a parallel-claim theory to avoid MDA preemption.
  • Court evaluated whether Plaintiff’s claims are preempted by federal law (21 U.S.C. § 360k) and whether any surviving state-law claims qualify as “parallel” (i.e., premised on violations of particular FDA/PMA requirements) sufficient to avoid preemption.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether breach of express warranty claim survives Limited Warranty and oral repr. created privity and warranted ~10‑year battery; surgical removal qualifies as consequential damages No privity; warranty cured defect by replacement so no recoverable damages Denied dismissal — express warranty survives (privity and damages adequately pled)
Whether negligent manufacture / design claims are preempted Battery weld defect and FDA recalls/inspections show CGMP/PMA violations (parallel claim) Preempted by MDA; CGMPs are generic and not device‑specific PMA requirements Negligent manufacture claim survives as a parallel claim tied to recalls/CGMP violations; strict liability claim is preempted and dismissed
Whether alleged 10‑year battery life is an FDA‑required performance standard FDA approval required 10‑year minimum life; failure to meet it violates PMA No formal FDA performance standard was promulgated; approval relied on manufacturer representations and data, not rulemaking Claim premised on an implied 10‑year federal performance standard fails (no such standard)
Whether negligent failure to warn via late MDR filings plausibly caused injury Defendant failed to timely file MDRs/adverse event reports; had they been filed Plaintiff/physicians would have known and avoided implant MDR disclosures are discretionary; no plausible link that MDRs would have been public, reached Plaintiff/physician, and prevented injury Dismissed — causation not plausibly alleged for failure‑to‑report theory
Whether fraud/material misrepresentation claim meets Rule 9(b) and causation/justifiable reliance Defendant marketed "guaranteed to last 10 years" and concealed adverse events causing Plaintiff to rely and be harmed Statements not pleaded with particularity; omissions/warnings regulated by FDA and preempted Dismissed — fraud insufficiently particular and omissions-based theory preempted

Key Cases Cited

  • Riegel v. Medtronic, Inc., 552 U.S. 312 (holding PMA process creates federal requirements and state claims that impose different or additional requirements are preempted)
  • Wolicki-Gables v. Arrow Int’l, Inc., 634 F.3d 1296 (11th Cir.) (explaining requirements for pleading a "parallel" claim: identify particular federal regulation/PMA requirement and show causal link to injury)
  • Ashcroft v. Iqbal, 556 U.S. 662 (pleading standard: allegations must state a plausible claim for relief)
  • Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (pleading must contain enough factual matter to state a plausible claim)
  • Buckman Co. v. Plaintiffs’ Legal Comm., 531 U.S. 341 (private-party claims that are really attempts to enforce the FDA’s regulatory regime are preempted/impliedly precluded)
  • Hughes v. Boston Scientific Corp., 631 F.3d 762 (5th Cir.) (illustrative causation theory for failure‑to‑report claims where extensive underreporting could have altered physician/patient decisions)
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Case Details

Case Name: Cline v. Advanced Neuromodulation Systems, Inc.
Court Name: District Court, N.D. Georgia
Date Published: Mar 31, 2014
Citations: 17 F. Supp. 3d 1275; 2014 U.S. Dist. LEXIS 56669; 2014 WL 1624084; Civil Action No. 1:11-CV-4064-AT
Docket Number: Civil Action No. 1:11-CV-4064-AT
Court Abbreviation: N.D. Ga.
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    Cline v. Advanced Neuromodulation Systems, Inc., 17 F. Supp. 3d 1275