Howard v. SULZER ORTHOPEDICS, INC.Howard v. SULZER ORTHOPEDICS, INC.
OPINION AND ORDER
Now before the Court are Centerpulse Orthopedics Inc.’s Renewed Motion for Summary Judgment on Plaintiffs [sic] 2 Negligence Per Se Claim (Dkt. # 136) and Plaintiffs’ Response and Objection to Sulzer’s “Renewed Motion for Summary Judgment on Plaintiff’s [sic] Negligence Per Se Claim” and Plaintiffs’ Counter-Motion for Partial Judgment on Liability (Dkt. # 139). Defendants filed Center- *1306 pulse Orthopedics Inc.’s Reply in Support of its Renewed Motion for Summary [Judgment] and Opposition to Plaintiffs [sic] Counter-Motion for Partial Judgment on Liability (Dkt. # 140), and plaintiffs filed Plaintiffs’ Reply Brief in Support of Their Counter-Motion for Partial Judgment on Liability (Dkt. # 142).
I.
The Federal Food, Drug, and Cosmetic Act (FDCA), 21 U.S.C. § 301
et seq.,
has long required approval by the Food and Drug Administration (FDA) for the introduction of new drugs into the market.
Riegel v. Medtronic,
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 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.
21 U.S.C. § 360k(a). “The exception contained in subsection (b) permits the FDA to exempt some state and local requirements from preemption.”
Riegel,
The MDA regulatory regime “established various levels of oversight for medical devices, depending on the risks they present:” Class I, subject only to “general controls” such as labeling requirements, for devices like elastic bandages and examination gloves; Class II, subject to “special controls” such as performance standards and postmarket surveillance measures, for devices such as powered wheelchairs and surgical drapes; and Class III, subject to the most federal oversight.
Id.
at 316-17,
Plaintiffs’ complaint was filed on July 16, 2002, in the Northern District of Oklahoma. Dkt. #1. In it, they allege that defendants 3 were manufacturers of a prosthesis known as the Sulzer Natural Knee II Tibial Baseplate (NK-II), which was implanted in Brian Howard (Howard) during a knee replacement surgery on or about June 13, 2000. Id. at 5-7. Plaintiffs allege that the NK-II implanted in Howard had residue on it that should have been removed during the manufacturing process. Id. at 2. They claim that the residue “prevented the tibial baseplate *1307 from bonding with Dr. Howard’s bone and triggered a painful inflammatory response, including extensive inflammation, membrane formation, and bone loss.” Id. They further allege that the residue was present because defendants “made changes in the manufacturing process of [the] tibial baseplates to a process that included, but was not limited to, machining them after the porous coating was applied.” Id. at 2-3. Howard underwent surgery to replace the implant, after which he allegedly suffered “skin complications.” Id. at 7. Plaintiffs’ claims are based on those flaws in the manufacturing process that allegedly caused Howard’s knee implant to fail. Id. at 2-5, 10-19. Specifically, they initially alleged claims for relief based on: strict liability for design defect, manufacturing defect, and failure to warn; negligence; breach of implied warranty; breach of express warranty; deceit by concealment; negligence per se; injunctive and equitable relief in the form of medical monitoring; and loss of consortium. Id. at 10-19.
At the time of plaintiffs’ complaint, a number of similar complaints based on the defendants’ manufacturing process were being filed As a result, the Judicial Panel on Multidistrict Litigation transferred all federal cases based on the failure of the NK-II to the Northern District of Ohio for multi-district litigation (MDL) pre-trial proceedings. Dkt. # 134, at 2. After identifying which implants had been manufactured with the new process, defendants entered into a settlement agreement with patients who had received them. Id. Plaintiffs’ case was not included in the settlement because Howard’s device was not in a designated “affected lot.” Id. However, plaintiffs allege that Howard’s device was similarly affected by flaws in the manufacturing process.
Defendants moved for summary judgment on plaintiffs’ claims based on the NK-II’s PMA application. They argued that they had properly complied with the PMA process mandated by the MDA, and that plaintiffs’ claims were therefore barred by the MDA’s express preemption clause.
In re Sulzer Hip Prosthesis and Knee Prosthesis Liab. Litig.,
Defendants renewed their summary judgment motion on the negligence per se claim after further discovery. Dkt. # 134, at 3. They argued that plaintiffs lacked sufficient evidence of a genuine issue of material fact that defendants had violated any FDA requirement. Id. Plaintiffs presented several theories as to how defendants had violated FDA requirements, including that Howard’s NK-II was actually part of an affected lot, and that Sulzer did not follow the manufacturing process outlined in the NK-II PMA. Id. They also argued that the NK-II PMA required defendants to follow not only the specific manufacturing steps listed in the PMA, but also the more general Good Manufacturing Practices (GMPs) 4 that the PMA incorporated. Id. at 4. The GMPs require, among other things, a process to remove manufacturing materials like lubricating *1308 oil. Id. Defendants argued that the GMPs were incorporated into the PMA, and that they were not required to take any steps beyond those outlined in the PMA. Id. The district court rejected most of plaintiffs’ arguments as unsupported by the evidence. Id. at 3. It also found that the GMP imposed obligations beyond those in the PMA, and that any claim based on it was preempted. Id. at 4. The district court therefore granted summary judgment on plaintiffs’ negligence per se claim.
On August 12, 2010, the Sixth Circuit Court of Appeals reversed the district court’s second summary judgment decision, finding that plaintiffs’ negligence per se claim was not preempted by federal law. Dkt. # 134, at 5-8. It looked to the GMP relied upon by plaintiffs, which provides that:
Where a manufacturing material could reasonably be expected to have an adverse effect on product quality, the manufacturer shall establish and maintain procedures for the use and removal of such manufacturing material to ensure that it is removed or limited to an amount that does not adversely affect the device’s quality. The removal or reduction of such manufacturing material shall be documented.
21 C.F.R. § 820.70(h). The Sixth Circuit noted plaintiffs’ argument that the “presence of hydrocarbon components that are normally associated with mineral oil on his NK-II me[ant] that [defendants] failed to ‘ensure’ that [they] had removed manufacturing material in compliance with § 820.70(h),” and noted defendants’ contention that they were bound to follow only the PMA-prescribed process for removing oil. Dkt. # 134, at 6. The court thus considered whether compliance with § 820.70(h) requires compliance with a particular process, or whether it requires a specific result — namely, actual removal. Id. at 7. It recognized that, facially, the subsection could be read to support either result. Id. Because the FDA had not interpreted the regulation, the court turned to comments made during rule-making, as well as FDA guidance documents pertaining to GMPs generally. Id. It found support in both for the view that actual removal is required, and held that “the better reading of [21 G.F.R. § 820.70(h) ] ... is that it requires actual removal.” Id. at 8. Therefore, it reversed the district court’s finding of preemption as to the negligence per se claim. Id. For purposes of remand, it left open the question of fact as to whether oil was left on the device, as well as whether Oklahoma law recognizes such a negligence per se action. Id. at 9.
Following the decision by the Sixth Circuit, the Judicial Panel on Multidistrict Litigation suggested that the case be remanded to the Northern District of Oklahoma because the class-action lawsuit against defendants had long been settled, and there would be therefore be no continued efficiencies to deciding plaintiffs’ claims in the Northern District of Ohio. Dkt. # 143, at 2, 4. It further justified remand by noting that, to the extent additional discovery might be appropriate, the transferor and transferee courts were equally capable of oversight, plaintiffs were never part of the MDL settlement class, and the transferor court had greater familiarity with Oklahoma law. Id. at 4. Thereafter, defendants renewed their motion for summary judgment on plaintiffs’ negligence per se claim. Dkt. # 136.
II.
Summary judgment pursuant to Fed. R.Civ.P. 56 is appropriate where there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law.
Celotex Corp. v. Catrett, 477
U.S. 317, 322-23,
“When the moving party has carried its burden under Rule 56(c), its opponent must do more than simply show that there is some metaphysical doubt as to the material facts____Where the record taken as a whole could not lead a rational trier of fact to find for the non-moving party, there is no ‘genuine issue for trial.’ ”
Matsushita Elec. Indus. Co. v. Zenith Radio Corp.,
III.
Defendants move for summary judgment on plaintiffs’ claim for negligence per se. Dkt. # 136, at 6. Plaintiffs object to the motion for summary judgment, and have filed a counter-motion for partial judgment on liability. 5 Dkt. # 139. Defendants argue that they are entitled to summary judgment on plaintiffs’ negligence per se claim because it is not recognized under Oklahoma law. In support, they argue that the claim fails because: 1) Oklahoma law does not recognize negligence per se claims based on violations of FDA regulations; 2) the FDCA does not contain a private right of action; 3) the GMP at issue does not create a clear standard of conduct; and 4) the Court should not expand Oklahoma law to allow negligence per se claims based on FDA regulations. Dkt. # 136, at 7-14.
Plaintiffs’ surviving negligence per se claim is based on defendants’ alleged violation of FDA requirements as set out in the GMPs. Dkt. # 134, at 4. In
Riegel,
the Supreme Court of the United States concluded that state-law claims are preempted under § 360k(a) of the MDA “to the extent that they are ‘different from, or in addition to,’ the requirements posed by federal law.”
The Court will assume, without deciding, that Oklahoma courts would recognize a claim for negligence per se based on a federal regulation. Defendants rely on
Alexander v. Smith & Nephew, P.L.C.,
Courts are divided as to whether a negligence per se claim may be based on a standard of care derived from the FDCA, its amendments, or its corresponding regulations.
See Ellis v. C.R. Bard, Inc.,
Based on the lack of a private cause of action in the FDCA, “many courts have held plaintiffs cannot seek to enforce it through negligence per se tort actions.”
Bartlett v. Mut. Pharmaceutical Co., Inc.,
In
Rimbert v. Eli Lilly and Company,
The
Rimbert
court noted that “[o]n a clean slate, the Court might not be inclined to follow the district court’s analysis in
[Braintree
].”
This case is before the Court in an unusual procedural posture. As noted, the Court is bound by the decisions of the Sixth Circuit in this matter. And that court, upon consideration of defendants’ arguments for summary judgment, did not shy away from interpreting the FDA regulation at issue. On the contrary, it relied upon its own analysis that the GMP at issue required actual removal to support its reversal of summary judgment. Dkt. # 134, at 6-8. Without that determination, the statement in Braintree, echoed in Cottrell and Rimbert, that “claims that require direct interpretation and application of the FDCA are not properly recognized” may have had substantial weight. Indeed, determination of whether defendants violated 21 C.F.R. § 820.70(h) requires an express determination of what that section requires. However, that determination has already been made, and this Court does not decide that the FDCA bars all negligence per se claims that would require interpretation of its regulations.
The ultimate question, then, is whether plaintiffs’ negligence per se claim is more akin to a private enforcement action, or whether it is merely the type of parallel claim permitted by
Riegel.
Neither state nor federal courts in Oklahoma have explicitly considered whether Oklahoma law recognizes a claim for negligence per se where a private right of action does not exist under the relevant statute.
7
“In
*1313
the absence of [Oklahoma] law directly on point, [the Court] attempt[s] to predict how [Oklahoma’s] highest court would rule.”
F.D.I.C. v. Schuchmann,
Although the Court does not today make the finding that plaintiffs’ negligence per se claims constitute a private cause of action such that they are preempted by § 337, it does find that the revocation of any private cause of action in the FDCA speaks to the legislative intent behind the scope of its protections.
Cf. Estep v. Danek Med., Inc.,
No. L96CV2580,
IT IS THEREFORE ORDERED that Centerpulse Orthopedics Inc.’s Renewed Motion for Summary Judgment on Plaintiffs [sic] Negligence Per Se Claim (Dkt. *1314 # 136) is granted, and Plaintiffs’ Response and Objection to Sulzer’s “Renewed Motion for Summary Judgment on Plaintiffs [sic] Negligence Per Se Claim” and Plaintiffs’ Counter-Motion for Partial Judgment on Liability (Dkt. # 139) is moot. A separate judgment is entered herewith.
Notes
. The parties have stipulated that both Brian Howard and Suzanne Howard are proper parties in this case. Dkt. # 159, at 1.
. The Court employs the term “defendants” based on the allegations in plaintiffs’ complaint, but acknowledges that there is now only one party defendant.
. GMPs are FDA regulations based upon manufacturing standards that apply to all FDA-regulated medical devices. Dkt. # 134, at 4 (citing 21 C.F.R. [pt.] 820).
. Plaintiffs also include in their motion a request for remand to the Northern District of Oklahoma. Dkt. #139, at 8. As the case has been remanded, the request is moot.
.
Ezagui’s
holding that "a private cause of action for per se negligence arises under New York State law upon violation of the FDCA,"
Sita v. Danek Med., Inc.,
. Defendants would have the Court rely on
Alexander
and
Johnson
for the proposition that the lack of a private right of action under the FDCA mandates dismissal of plaintiffs’ claims. However, although both
Alexander,