Thursday, July 11, 2024
HomeHealth LawIrrelevant and Prejudicial Lengthy-In the past Proof Excluded in IVC Filter Case

Irrelevant and Prejudicial Lengthy-In the past Proof Excluded in IVC Filter Case


Photo of Rachel B. Weil

We write in a state of aggravated frustration (so completely different from our regular sunshiny sweetness – lol).  We have now a bat mitzvah to attend subsequent weekend – expensive buddy’s daughter.  And we knew precisely what to put on to the night festivities:  a fantastic costume with a skirt is barely poufed, as a result of it has a little bit of a petticoat beneath.  Or had, we must always say.  Once we picked the costume up from the alterations store, the petticoat was lacking.  The [talented] seamstress isn’t a local English speaker, so we discovered nothing from our reconnaissance efforts.  Finest we might actual was a promise to stitch in one thing comparable, if we so selected, in time for the occasion.  

However what is comparable sufficient?  That can be the basis of the dispute in at the moment’s case.  In Banks v. C.R. Bard, Inc., 2023 WL 1100446 (M.D. La. Jan. 30, 2023), the plaintiff was implanted with the defendants inferior vena cava (“IVC”) filter in October 2007.  (IVC filters are designed to catch blood clots earlier than they journey to the guts and lungs.  The filter remained in place till March 2016, when it failed by “tilting, migrating downward, and perforating” the plaintiff’s IVC and adjoining constructions.  Right now’s choice entails the defendant’s movement in limine to exclude proof of antagonistic occasions related to an earlier filter and of the corporate’s advertising and communications associated to these antagonistic occasions.  Allow us to again up and clarify.

From 2003 to 2005, the defendant marketed its first-generation retrievable IVC filter. (The plaintiff’s filter was the later second-generation filter).  Throughout that point, the defendant acquired stories that the first-generation filter migrated to the guts and precipitated deaths.  The defendant created communication supplies to answer media inquiries about these antagonistic occasions and despatched supplies to its gross sales power to be used in responding to questions concerning the deaths, and there have been inner emails addressing the occasions and the corporate’s response.  The defendant sought to exclude all of this proof.

Proof of Deaths Related to the First-Technology Filter

Within the Fifth Circuit, as Banks explains, the proponent of proof of “different accidents or occurrences,” supplied “for any objective apart from to indicate discover,” should “present that the information and circumstances of the opposite accidents or occurrences are ‘intently much like the information and circumstances at concern’ – in any other case often known as the ‘substantial similarity’ requirement for admissibility.”  Banks, 2023 WL 1100446 at *2 (inner punctuation and citations omitted).  Making use of that customary, Banks held:

The circumstances on this case sharply differ from these surrounding the . . . migrations [of the first-generation filter].   For one, this case doesn’t contain problems leading to loss of life.  Nor does it contain . . . migration of your entire [filter] to the guts.  As a substitute, [the plaintiff’s] personal proof reveals that her filter migrated in the wrong way, “downward” in the direction of her ft.

Id.  The court docket concluded, “. . . [I]nstances of migration [to the heart] leading to loss of life are usually not considerably much like problems skilled by the [second-generation filter the plaintiff received].”  Furthermore, within the one MDL bellwether trial through which comparable proof was admitted “to know the problems that prompted the creation and design of the” second-generation filter, the court docket didn’t apply the Fifth Circuit “substantial similarity” customary.  Banks additionally identified that, even when the plaintiff might set up “substantial similarity,” the court docket had broad discretion to exclude the proof below Fed. R. Civ. P. 403.  In that vein, Banks discovered “that the probative worth of the [first-generation filter] proof, if any, [was] considerably outweighed by the chance of prompting an emotional response from the jury primarily based on accidents which can be extra extreme than these [the plaintiff] skilled,” and in addition “threat[ed] complicated the problems and deceptive the jury” by “placing . . . separate filters on trial.”  Id. at *3.   And so the court docket held that the proof of deaths associated to migration of the first-generation filter was not admissible to assist the plaintiff’s design defect declare.

Nor was the proof admissible as “discover” proof to assist the plaintiff’s failure-to-warn declare, as a result of it didn’t contain “comparable merchandise failing in an analogous method.”  As a result of migrations into the guts had “largely ceased on account of adjustments made to the [second-generation] filters, and deaths on account of such migrations had stopped, the court docket “fail[ed] to discern how situations of [such] migration, addressed and corrected by [the defendant] enabled [the defendant] to foretell a distinct type of migration from a distinct filter.”  Lastly, the court docket held that this proof didn’t reveal something concerning the defendant’s way of thinking that was not obvious from proof already within the report – the defendant had disclosed the potential of migration within the second-generation filter’s Directions for Use and had stipulated to note of potential migration.  Backside line: the court docket excluded all proof of deaths related to the sooner filter.

Advertising and marketing and Communications Proof

The defendant additionally sought to exclude advertising and communications supplies responding to the deaths related to the first-generation filter.  These included a draft disaster communication plan associated to the deaths, gross sales communications, and an electronic mail from a gross sales consultant together with an unflattering characterization of the corporate’s response to the deaths.  The court docket held that the proof was “irrelevant and inadmissible propensity proof,” id. at *4, explaining:

[The defendant] stopped promoting the [first-generation filter] after it launched the [second-generation filter], so [the defendant’s] communications and warnings surrounding the [earlier] filter haven’t any bearing on whether or not [the defendant], years later, offered sufficient warnings for a totally completely different filter with its personal distinctive design and problems.  The [challenged materials] are an impermissible try to ascertain a propensity by [the defendant] to downplay problems with all of its filters, with out truly establishing that the [second-generation] filter . . . was accompanied by an insufficient warning.

Id.  Nor would Rule 403 allow introduction of the proof to light up the second-generation filter’s design historical past – this may very well be established in a less-prejudicial vogue.  Banks held that the plaintiff might admit proof of the first-generation filter’s “problems, testing, and design to the extent it helps to elucidate the” testing and design of the second-generation filter, however she couldn’t point out the deaths or the supplies generated in response.

We like Banks.  In our nook of the jurisprudential universe, we defend medical machine producers.  Our job could be simpler if all plaintiffs have been required to show legal responsibility close to their very own gadgets and with out resorting to irrelevant previous occasions and their atmospheric adverse implications. 

We are going to discuss to you subsequent week, after a slightly-less-poufy bat mitzvah look.  Within the meantime, keep secure on the market.




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