Opinion

Hawkins v. Kaiser Foundation Health Plan of the Northwest

Court
District Court, D. Oregon
Filed
Jun 10, 2024
Cited by
0 cases
Authority
More cited than 28.8%

The opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF OREGON

KATHY MAE HAWKINS personal No. 3:24-cv-00502-HZ

Representative for the ESTATE OF LEAFY

ANN LUNDIN, OPINION & ORDER

Plaintiff(s),

v.

KAISER FOUNDATION HEALTH PLAN OF

THE NORTHWEST dba KAISER

PERMANENTE, an Oregon nonprofit corporation;

SUNGEYUN DAVID CHO, M.D. an individual;

COVIDIEN SALES LLC; COVIDIEN LP;

COVIDIEN HOLDING, Inc.; and MEDTRONIC,

Inc.,

Defendant(s).

George McCoy

Warren Allen LLP

10535 N.E. Glisan Street

Suite 200

Portland, OR 97220

Attorneys for Plaintiff

Michael J. Estok

Lindsay Hart LLP

1300 S.W. Fifth Avenue

Suite 3400

Portland, OR 97201

Attorneys for Defendants Covidien Sales, LLC; Covidien LP; Covidien Holdings, Inc.;

and Medtronic, Inc.

HERNÁNDEZ, District Judge:

This matter is before the Court on the Motion to Dismiss the Second Claim of Plaintiff’s

Complaint Pursuant to Rule 12(b)(6), ECF 5, filed by Defendants Covidien Sales, LLC;

Covidien LP; Covidien Holdings, Inc.; and Medtronic, Inc. (“Medtronic Defendants”). For the

reasons that follow the Court grants Medtronic Defendants’ Motion to Dismiss.

BACKGROUND

The following facts are taken from the Complaint and Medtronic Defendants’ Motion to

Dismiss and are viewed in the light most favorable to Plaintiff.

On October 14, 2021, Leafy Ann Lundin was admitted to Kaiser Sunnyside Medical

Center for “laparoscopic splenic flexure resection surgery as a result of her colon cancer.”

Compl. at 3, ECF 1, Ex. 1. Defendant Sungeyun David Cho, M.D., performed the surgery,

“during which he used the LigaSure medical device.” Id. At some point “during the dissection an

unusual alarm sounded on the LigaSure. It appeared there was an electronic shortage in the

LigaSure, which created a bowel injury.” Id. Dr. Moran1 was called in to assist with the injury.

“Dr. Moran patched the injury line and inserted a PIC line to ensure that Lundin would be able to

eat.” Id.

1 Dr. Moran is not a party to this action and is not identified by their full name in the Complaint.

On November 5, 2021, Lundin was discharged from the medical center, however she was

“unable to eat any food via her mouth for over a month . . . due to the injury from the LigaSure

device and the required PIC2 line.” Compl. ¶ 10.

On January 1, 2022, Lundin returned to “the hospital” for an additional surgery scheduled

for January 5, 2022. The surgery was postponed “due to an emergency surgery needed

on a different patient. Ms. Lundin passed on January 5, 2022, at 4:26 p.m. Her cause of death

[was] attributed to ‘prior colectomy with intraoperative duodenal jejunal injury and being on

total parenteral nutrition.’” Compl. ¶ 11.

On March 21, 2024, Plaintiff Kathy Mae Hawkins, personal representative for the Estate

of Lundin, filed a complaint in Clackamas County Circuit Court against Medtronic Defendants,

Kaiser Foundation Health Plan of the Northwest (“Kaiser”), and Dr. Cho asserting claims for

negligence and wrongful death.

On March 22, 2024, Medtronic Defendants removed the matter to this Court on the basis

of diversity jurisdiction.

On April 18, 2024, Medtronic Defendants filed a Motion to Dismiss Plaintiff’s second

claim. Plaintiff did not file a response and the Court took the matter under advisement on

May 23, 2024.

STANDARDS

A motion to dismiss under Federal Rule of Civil Procedure 12(b)(6) tests the sufficiency

of the claims. Navarro v. Block, 250 F.3d 729, 732 (9th Cir. 2001). When evaluating the

2 A PIC line is “[a] peripherally inserted central catheter . . . inserted through a vein in [the] arm

and passed through to the larger veins near [the] heart. . . . A PIC[] line gives [the] doctor access

to the large central veins near the heart. It's generally used to give medications or liquid

nutrition.” https://www.mayoclinic.org/tests-procedures/picc-line/about/pac-20468748 (last

visited May 15, 2024)

sufficiency of a complaint’s factual allegations, the court must accept all material facts alleged in

the complaint as true and construe them in the light most favorable to the non-moving party.

Wilson v. Hewlett-Packard Co., 668 F.3d 1136, 1140 (9th Cir. 2012). A motion to dismiss under

Rule 12(b)(6) will be granted if a plaintiff alleges the “grounds” of his “entitlement to relief”

with nothing “more than labels and conclusions, and a formulaic recitation of the elements of a

cause of action[.]” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). “Factual allegations

must be enough to raise a right to relief above the speculative level on the assumption that all the

allegations in the complaint are true (even if doubtful in fact)[.]” Id. (citations and footnote

omitted).

To survive a motion to dismiss, a complaint “must contain sufficient factual matter,

accepted as true, to state a claim to relief that is plausible on its face.” Ashcroft v. Iqbal, 556 U.S.

662, 678 (2009) (internal quotation marks omitted). A plaintiff must “plead[] factual content that

allows the court to draw the reasonable inference that the defendant is liable for the misconduct

alleged.” Id. In other words, a complaint must state a plausible claim for relief and contain “well-

pleaded facts” that “permit the court to infer more than the mere possibility of misconduct[.]” Id.

at 679.

DISCUSSION

Medtronic Defendants move to dismiss Plaintiff’s second claim for negligence and

wrongful death3 as untimely and for failure to state a claim.

Plaintiff alleges the following facts in her second claim against Medtronic Defendants:

3 The Complaint combines claims for negligence and wrongful death against Medtronic

Defendants in one claim, supported by the same allegations.

Medtronic Defendants “either individually or through affiliates designed, manufactured,

marketed, packaged, labeled, and sold a defective medical device known as ‘LigaSure.’” Compl.

¶ 15. LigaSure was used by Defendant Kaiser in Lundin’s laparoscopic splenic flexure resection.

LigaSure “was defective because it had an electronic shortage during use, caused an injury of an

improper dissection of . . . Lundin’s bowel, and failed to contain adequate warnings.” Id. ¶ 17.

“[T]his defective condition rendered the product unreasonably dangerous to” Lundin and

proximately caused damages. “At the time the LigaSure left the control of [Medtronic

Defendants] they knew or in the light of reasonably available knowledge, should have known

about the danger that caused the damage to [Lundin] for which recovery is sought and that the

ordinary user or consumer would not realize the dangerous condition presented by” LigaSure. Id.

¶ 19. Medtronic Defendants, however, failed to warn that the device could “negligently and

unexpectedly have an electronic shortage during use” and failed to “communicate sufficient

information on the dangers and safe use of” LigaSure. Id. ¶¶ 18, 20.

Plaintiff also alleges LigaSure was “designed in a defective manner” and “there existed a

feasible design alternative that would have to [sic] reasonable probability prevent the harm to

[Lundin] . . . without impairing the utility, usefulness, practicality, or desirability of the product

to user or consumers.” Compl. ¶¶ 21, 23. Plaintiff contends that Medtronic Defendants’ “conduct

in releasing the LigaSure for sale to the unsuspecting public when [they] knew or in the exercise

of reasonable care should have known that [it] was defective and unreasonably dangerous and

likely to cause serious health complicated showed actual malice, gross negligence which

evidences a willful, wanton, or reckless disregard for the safety of others.” Id. ¶ 27. Finally

Plaintiff alleges “[t]here are other similar incidents throughout the United States of personal

injuries caused by the failure to LigaSure.” Id. ¶ 27.

I. Wrongful Death Claim

Although Plaintiff labels the second claim as one for wrongful death, the allegations

indicate that Plaintiff’s claim is in part one for products liability under Oregon law. Oregon

Revised Statute § 30.900 defines a “product liability civil action” as:

a civil action brought against a manufacturer, distributor, seller or lessor of

a product for damages for personal injury [or] death . . . arising out of:

(1) Any design, inspection, testing, manufacturing or other defect

in a product;

(2) Any failure to warn regarding a product; or

(3) Any failure to properly instruct in the use of a product.

Oregon courts have made clear that “[a] ‘product liability civil action’ . . . embraces all theories a

plaintiff can claim in an action based on a product defect, including negligence and strict liability

claims.” Brown v. GlaxoSmithKline, LLC, 323 Or. App. 214, 219 (2022)(quotation omitted).

Oregon Revised Statute § 30.920 imposes strict liability on a manufacturer for injuries

caused by its product if the product is “both defective and unreasonably dangerous.” Purdy v.

Deere & Co., 311 Or. App. 244, 247 (2021). “Unreasonably dangerous defects in products come

from two principal sources: (1) mismanufacture and (2) faulty design, including failure to warn

as a design defect.” Harris v. Nw. Nat. Gas Co., 284 Or. 571, 576 (1978).

To state a claim for strict liability under Oregon Revised Statute § 30.920, a plaintiff

must allege facts showing: “(1) the sale or leasing of a product by one engaged in the business of

selling or leasing such products; (2) a product that was expected to, and did, reach the user or

consumer without substantial change in condition; (3) a product that, when sold, was in a

defective condition unreasonably dangerous to the user or consumer; (4) injury to the user or

consumer, . . .; (5) that was caused by the product's defective condition.” Chong v. STL Int'l, Inc.,

152 F. Supp. 3d 1305, 1316–17 (D. Or. 2016)(quoting McCathern v. Toyota Motor Corp., 332

Or. 59, 77 n.15 (2001)). “[T]o recover on a product liability theory, a plaintiff must establish not

only that the product was defective but also that the defect was of a type that rendered the

product unreasonably dangerous to persons or property. Not every defect that causes a product to

be in a condition not reasonably contemplated by a user is an unreasonably dangerous one.”

Russell v. Deere & Co., 186 Or. App. 78, 82 (2003)(quotation omitted). “A defective product

presents an unreasonable danger when it is dangerous to an extent beyond that which would be

contemplated by the ordinary consumer who purchases it, with the ordinary knowledge common

to the community as to its characteristics.” Id. (quotation omitted).

Plaintiff broadly alleges LigaSure was defective because “it had an electronic shortage

during use” and failed to contain adequate warnings and that Medtronic Defendants failed to

communicate sufficient information on the dangers and safe use of the device and designed the

product in a defective manner. Plaintiff, however, does not identify which of the component

parts of the device at issue are “defective” or describe the nature of the purported defect. Rather,

the Complaint states only that “[t]he LigaSure device was defective because it had an electronic

shortage” during use. Compl. at 3. Under similar circumstances courts have found plaintiffs

failed to adequately plead claims for products liability. See, e.g., Lawrence v. Medtronic, 791 F.

App'x 679, 680 (9th Cir. 2020)(finding district court did not err in dismissing the plaintiff’s

claims because the complaint “contains only conclusory allegations, which fail to identify any

specific . . . requirement that was violated or the specific nature of the Pump’s purported defects”

nor did the plaintiff “plausibly allege either the violation of a specific requirement or the specific

nature of the defect”); Yarbrough v. Stryker Corp., No. 3:20-CV-00506-IM, 2021 WL 27291, at

*3 (D. Or. Jan. 4, 2021)(“Simply alleging that a device is ‘defective’ is not sufficient to satisfy

pleading requirements, and the fact that Plaintiff required a replacement surgery does not alone

equate to a defect, particularly in a case involving a complex medical device.”)

As to Plaintiff’s assertion of inadequate warnings or information, “Oregon has long

recognized that product sellers have a duty to provide adequate warnings about nonobvious risks

of injury associated with the use of their products when they know, or reasonably should know,

of those risks of injury.” Gonzalez v. Gibbs Int'l, Inc., No. 3:21-CV-01844-AN, 2023 WL

6319051, at *5 (D. Or. Sept. 28, 2023)(citing Benjamin v. Wal-Mart Stores, Inc., 185 Or. App.

444, 454-55 (2002)). Plaintiff, however, fails to allege any facts that support its conclusory

statement that Medtronic Defendants knew or reasonably should have known of a defect in

LigaSure that could cause an electronic shortage during use. Plaintiff’s allegation that “[t]here

are other similar incidents throughout the United States of personal injuries caused by the failure

of” LigaSure is not sufficiently specific to infer that other injuries were caused by an electronic

shortage of the device at issue or that Medtronic Defendants should have known of the risk of

injury of the kind Lundin suffered.

To the extent that Plaintiff alleges any warnings or information provided by Medtronic

Defendants was inadequate, under Oregon law a warning is inadequate when “it is misleading,

ambiguous, contains important omissions, fails to reveal the full extent of the dangers, or fails to

provide notice that use of the product should be permanently discontinued prior to the patient

suffering irreversible injury.” Hobus v. Howmedica Osteonics Corp., No. 3:21-CV-00080-AN,

2023 WL 6850144, at *14 (D. Or. Oct. 17, 2023)(citing McEwen v. Ortho Pharm. Corp., 270 Or.

375, 402-04 (1974)). The Complaint, however, does not allege what warnings were provided for

the device or how the warnings were misleading, ambiguous, contained important omissions or

similar. In addition, to recover damages under Oregon law the inadequate warning “‘must be a

substantial cause of the person’s injuries.’” Crosswhite v. Jumpking, Inc., 411 F. Supp. 2d 1228,

1235 (D. Or. 2006)(quoting Benjamin v. Wal–Mart Stores, Inc., 185 Or.App. 444, 453 (2002)).

Plaintiff does not allege Lundin’s surgeon would have performed the procedure differently if

Medtronic Defendants had provided an adequate warning of the danger associated with the

device.

In summary, Plaintiff fails to allege facts sufficient to state a claim under § 30.900.

Accordingly, the Court grants Medtronic Defendants’ Motion to Dismiss this portion of

Plaintiff’s second claim.

II. Negligence Claim

Medtronic Defendants assert Plaintiff’s claim for ordinary negligence against them must

be dismissed as time barred.

“A federal court sitting in diversity applies the substantive law of the state, including the

state's statute of limitations.” Albano v. Shea Homes Ltd. P'ship, 634 F.3d 524, 530 (9th Cir.

2011). Oregon Revised Statute § 30.905(1) provides: “a product liability civil action for personal

injury . . . must be commenced not later than two years after the plaintiff discovers, or reasonably

should have discovered, the personal injury . . . and the causal relationship between the injury . . .

and the product, or the causal relationship between the injury . . . and the conduct of the

defendant.”

Plaintiff alleges that Lundin died January 5, 2022, and her cause of death was “attributed

to prior colectomy with intraoperative duodenal jejunal injury and being on total parenteral

nutrition.” Compl. ¶ 11. Oregon Revised Statute § 432.133(a) provides that “[a] report of death

for each death that occurs in [Oregon] must be submitted to the county registrar of the county in

which the death occurred or to the Center for Health Statistics . . . within five calendar days after

death. . . .” The report of Lundin’s death, therefore, was required to be completed and available

to be obtained by her estate no later than January 10, 2022. Accordingly, Plaintiff reasonably

could have discovered the cause of Plaintiff’s death was “intraoperative duodenal jejunal injury”

by January 10, 2022.

Under Oregon law “[w]hen a plaintiff serves a defendant within 60 days of filing the

complaint, the action is considered commenced on the date the complaint was filed.” Bulek v.

Kaiser Found. Hosps., No. 3:23-CV-01585-MO, 2024 WL 1436134, at *2 (D. Or. Apr. 3, 2024)

(citing ORS 12.020(2)). In their Notice of Removal Medtronic Defendants note the Complaint

was not served on any defendant at the time this matter was removed on March 22, 2024. Even

assuming, however, that Plaintiff serves Defendants within 60 days of filing the Complaint, this

matter was commenced no earlier than March 21, 2024. Accordingly, Plaintiff filed the

Complaint against Medtronic Defendants more than two years after she reasonably should have

discovered the cause of Plaintiff’s injury. Plaintiff’s ordinary negligence claim is, therefore, time

barred.

CONCLUSION

The Court GRANTS Medtronic Defendants’ Motion to Dismiss the Second Claim of

Plaintiff’s Complaint Pursuant to Rule 12(b)(6), ECF 5. The Court grants Plaintiff leave to file

an Amended Complaint no later than 14 days after the entry of this Opinion and Order, limited to

Plaintiff’s second claim and to the extent Plaintiff can cure the defects in that claim as set out in

this Opinion and Order

IT IS SO ORDERED.

DATED:_____J_u_n_e_ _1_0_,_ 2_0__2_4______.

______________________________

MARCO A. HERNÁNDEZ

United States District Judge

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

A word about cookies

We need a few to keep you signed in and the library working. The rest help us see which pages people use and where they get stuck. They stay off unless you say yes.