“This is not to suggest that an expert must back his or her opinion with published studies that unequivocally support his or her conclusions.”
How later courts described this case
- “This is not to suggest that an expert must back his or her opinion with published studies that unequivocally support his or her conclusions.”
- “Rule 702’s helpfulness standard requires a valid scientific connection to the pertinent inquiry as a precondition to admissibility.” (quotation omitted)
- “[W]here a decision rests on two or more grounds, none can be relegated to the category of obiter dictum.”
- affirming admission of medical expert testimony even where the expert physician “could not point to a single piece of medical literature” supporting his opinion
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
_______________________________________
ABDUL SHARIFF, DIVINE ALLAH, and
JAMES WEST, individually and on behalf
of all other persons similarly situated,
DECISION AND ORDER
Plaintiffs,
6:05-CV-06504 CJS CDH
v.
GLENN S. GOORD, et al.,
Defendants
_______________________________________
INTRODUCTION
The Court has certified this matter as a class action brought on behalf of
“Plaintiffs and all prisoners in the custody of the New York State Department of
Correctional and Community Supervision [“DOCCS”] who suffer from a mobility
disability limiting one or more of the prisoner’s major life activities and that requires
the use of a wheelchair.” (Dkt. 213 at 10). Named Plaintiffs Abdul Shariff, Divine
Allah, and James West (“Plaintiffs”) contend, among other things, that the
defendants (consisting of DOCCS and more than 40 of its individual employees1
1 As the Court noted at the oral argument held in this matter on April 9, 2026,
defendant Lawrence Weingartner had been listed on the docket as appearing pro se
since November 9, 2024. (See Dkt. 265). Defendants’ counsel filed a notice of
appearance on behalf of Mr. Weingartner on April 21, 2026. (Dkt. 266). On that same
day, Defendants’ counsel filed a status report noting that his failure to appear for Mr.
Weingartner upon inheriting this case from former defense counsel (Dkt. 161) was
due to oversight and that his notice of appearance listing the parties “Weingertner”
and “Winegardner” was in fact meant as an appearance on behalf of Mr. Weingartner
(see Dkt. 252 at 1; see also Dkt. 265; Dkt. 267 at 1).
(“Defendants”)) denied them and the other members of the class access to prison
services and proper medical care by forcing them to use improperly sized urinary
catheters and to reuse “disposable, single-use catheters,” which caused urinary-tract
infections (“UTIs”). (Dkt. 84 at ¶ 16; see also Dkt. 254 at 2). Plaintiffs allege claims
pursuant to Section 504 of the Rehabilitation Act, 29 U.S.C. § 794, the Americans
with Disabilities Act, 42 U.S.C. §§ 12101 et seq., and 42 U.S.C. § 1983. (Dkt. 84; Dkt.
172).
Currently before the Court is Plaintiffs’ motion to preclude the report and
testimony of Defendants’ expert, Gabriel Haas, M.D., pursuant to Federal Rule of
Evidence (“FRE”) 702. (Dkt. 260). For the reasons set forth below, Plaintiffs’ motion
is denied.
BACKGROUND
This matter has been referred to the undersigned for all non-dispositive
pretrial proceedings. (Dkt. 258; see also Dkt. 51; Dkt. 214; Dkt. 227). The operative
pleading is the third amended complaint, filed May 29, 2007. (Dkt. 84). The Court
assumes the parties’ familiarity with the extensive factual and procedural
background of this matter for purposes of this Decision and Order. The facts and
procedure salient to the instant motion are summarized below.
On March 21, 2023, Defendants disclosed Dr. Haas as an expert witness
pursuant to Federal Rule of Civil Procedure 26(a)(2). (Dkt. 235). The disclosure
attaches four exhibits: (A) a declaration dated December 15, 2005, along with its
exhibits, made by Dr. Haas in opposition to Plaintiffs’ motion for a preliminary
injunction (the “Haas Report”)2 (see Dkt. 60; Dkt. 235 at 4-8); (B) Dr. Haas’s updated
curriculum vitae; (C) an excerpt from an article posted on the University of California
San Francisco Benioff Children’s Hospital’s website describing the practice of clean
intermittent catheterization (“CIS”) and clean intermittent self-catheterization
(“CISC”); and (D) excerpts from the United Kingdom National Health Service
Foundation Trust Guideline for the Management of Teaching of Clean Intermittent
Self-Catheterisation (the “NHS Guidelines”)3 (Dkt. 235 at 127-31; see Dkt. 262-3 at
16). The Haas Report sets forth Dr. Haas’s expert opinions regarding catheter use
and UTIs. In the Haas Report, Dr. Haas opines that:
[W]hen a medical instrument is labeled single use only . . . [it] is
expected to be packaged sterile and is not expected to be re-sterilized for
re-use as a sterile instrument or in a sterile environment. . . . The re-use
of a sterile disposable single use only [catheter] by a single patient for
non-sterile catheterization after cleaning [with soap and water] and
drying would be consistent with common medical practices. . . . [T]he
most important factor in preventing urinary tract infections is emptying
the bladder . . . before it becomes overstretched [so] there is little chance
of infection.
(Dkt. 235 at 5-6) (quotations omitted). On August 26, 2025, Plaintiffs deposed Dr.
Haas. (Dkt. 262-1 at 2). During this deposition, Dr. Haas described the practice of
CISC and reiterated the Haas Report’s opinions.
The parties previously filed competing motions for summary judgment. (Dkt.
2 Plaintiffs primarily refer to this declaration as Dr. Haas’s expert report and
opinion. (See, e.g., Dkt. 260-3 at 7). Unless otherwise stated, references to the Haas
Report in this Decision and Order include the opinions it provides.
3 A copy of the full NHS Guidelines can be found at Docket No. 242-7.
241; Dkt. 242)4. In their motion for summary judgment, Plaintiffs argued in part that
there were “two glaring inadequacies” in Dr. Haas’s opinions: (1) that Dr. Haas
referred to only an excerpt from the NHS Guidelines; and (2) that Dr. Haas’s opinions
are inconsistent with the NHS Guidelines. (Dkt. 242-8 at 12).
In a Decision and Order dated April 28, 2025, United States District Judge
Charles J. Siragusa denied the parties’ respective motions for summary judgment.
(Dkt. 254). Judge Siragusa explained that Plaintiffs’ motion for summary judgment
“hinged” on the Court precluding the Haas Report. (Id. at 24 n.13). Judge Siragusa
noted that Plaintiffs had not made a proper motion to preclude under FRE 702 and
further concluded that they had not “otherwise shown that preclusion of Haas’s
opinion is warranted.” (Id. at 22). Judge Siragusa considered Plaintiffs’ argument
that the NHS Guidelines contradict the Haas Report, but found that “even assuming
that critique is accurate,” the alleged contradiction “does not show that Haas’s overall
opinion is unreliable.” (Id. at 23). Instead, Judge Siragusa held that “Plaintiffs’
objection goes to the weight, and not the admissibility, of Haas’s report.” (Id.).
On December 2, 2025, Plaintiffs filed the instant motion pursuant to FRE 702,
seeking to preclude the Haas Report and Dr. Haas’s expert testimony. (Dkt. 260 at 1;
Dkt. 260-3 at 5, 7). Plaintiffs argue that the Haas Report fails to meet the standard
set forth in FRE 702 because: (1) it contradicts itself and Dr. Haas’s deposition
testimony; (2) the NHS Guidelines contradict the Haas Report; (3) Dr. Haas ignores
4 Plaintiffs’ motion sought “partial summary judgment on their Eighth
Amendment medical claim involving the re-use of improperly sized, single-use
catheters.” (Dkt. 254 at 15).
essential facts such as prison conditions, DOCCS policies regarding catheter reuse,
and Plaintiffs’ medical records showing repeated UTIs; and (4) Dr. Haas has not
personally visited a DOCCS jail cell or conducted a scientific study of catheter use
but has merely “review[ed] a handful of publications.” (Dkt. 260-3 at 5, 15-17). These
flaws, Plaintiffs assert, mean the Haas Report “would not be helpful to the factfinder
and [that it] does not reflect a[n] . . . application of reliable principles and methods.”
(Id. at 14).
On December 30, 2025, Defendants filed their opposition. (Dkt. 262). Plaintiffs
filed a reply on January 13, 2026. (Dkt. 263). The Court held oral argument on April
9, 2026, and reserved decision. (Dkt. 265).
DISCUSSION
I. Scope of Magistrate Judge Authority
While “motions to exclude expert testimony are in the nature of motions
ordinarily made shortly before trial, as motions in limine,” they may also be made in
other contexts. Sec. & Exch. Comm’n v. AT&T, Inc., 626 F. Supp. 3d 703, 740-41
(S.D.N.Y. 2022). Courts in this Circuit consider motions to exclude expert opinions
and testimony non-dispositive and therefore within a magistrate judge’s authority to
decide under 28 U.S.C. § 636(b)(1)(A). See, e.g., McDay v. Eckert, No. 1:20-CV-233-
JLS-JJM, 2026 WL 376730, at *10 (W.D.N.Y. Feb. 11, 2026) (“Motions regarding the
admissibility of expert testimony are non-dispositive.”) (citing Lutz v. Kaleida Health,
No. 1:18-CV-01112, 2023 WL 6617737, *1 (W.D.N.Y. Oct. 11, 2023)); Baldi-Perry v.
Emerson Elec. Co., No. 1:22-CV-400-JLS-JJM, 2025 WL 601232, at *1 n.2 (W.D.N.Y.
Feb. 25, 2025) (“motions regarding the admissibility of expert testimony are non-
dispositive”); Moreland v. Sportsman’s Guide, Inc., No. 17-CV-1034-LJV, 2024 WL
2826476, at *1 n.1 (W.D.N.Y. June 4, 2024) (“As Judge McCarthy correctly observed,
the motion [to preclude expert testimony] is non-dispositive.” (quotation and
alterations omitted)); Woelfle v. Black & Decker (U.S.) Inc., No. 1:18-CV-486, 2023
WL 4407577, at *8 (W.D.N.Y. July 7, 2023) (“A motion to exclude expert testimony is
not a dispositive motion.”); U.S. v. Bon Secours Health Sys., Inc., No. 10 CIV. 9650
(RMB), 2023 WL 1992639, at *2 (S.D.N.Y. Feb. 14, 2023) (“A magistrate judge’s
decision to admit or exclude expert testimony is considered nondispositive of the
litigation.”) (internal quotations omitted).
Some magistrate judges in this Circuit, however, have issued a Report and
Recommendation where precluding an expert’s opinion would necessarily be case-
dispositive. See Bennett v. Target Corp., No. 16-CV-5816-ADS-SIL, 2018 WL 5784354,
at *1 n.1 (E.D.N.Y. Nov. 5, 2018) (“In an abundance of caution, the Court issues the
portion of this decision addressing the parties’ respective motions to preclude expert
testimony on a Report and Recommendation basis even though such motions are
typically considered non-dispositive. Plaintiff here has asserted a claim for defective
design, which, under New York law, requires expert testimony to proceed. Thus, a
decision altogether precluding the expert testimony relied upon by [the plaintiff]
would necessarily be dispositive in nature.”) (internal citations omitted); see also
Hilaire v. DeWalt Indus. Tool Co., 54 F. Supp. 3d 223, 229 n.3 (E.D.N.Y. 2014) (“In
the Eastern District of New York, magistrate judges are generally empowered to act
with respect to non-dispositive pretrial matters, such as motions to exclude expert
testimony under Federal Rule of Evidence 702 and Daubert. However, . . . defendant’s
Daubert motion is potentially dispositive, given that a ruling precluding plaintiff’s
only liability expert witness would likely require dismissal of plaintiff’s claim.”)
(internal citations omitted)).
Here, a determination that Dr. Haas’s testimony should be precluded would
not necessarily be case dispositive. This is not a situation in which a defendant has
sought to preclude a plaintiff’s only expert witness with respect to an issue on which
the plaintiff bears the burden of proof and expert testimony is required by law. Even
in the absence of Dr. Haas’s testimony, it would be a question for a trier of fact as to
whether Plaintiffs have proven their theory of the case. Further, the third amended
complaint contains claims in addition to those related to the reuse of urinary
catheters. In particular, Plaintiffs claim that Defendants “failed to make [DOCCS]
facilities accessible to plaintiffs, and have failed to furnish appropriate auxiliary aids
and services where necessary to afford plaintiffs and members of the putative class
the opportunity to participate in the programs, activities, services, benefits and jobs
they offer generally to other non-disabled individuals under defendants’ custody and
control.” (Dkt. 84 at ¶ 153). The third amended complaint identifies numerous alleged
deficiencies in DOCCS’ facilities with respect to access for inmates who are
wheelchair users. (See, e.g., id. at ¶¶ 63-144; see also Dkt. 254 at 2-3). Dr. Haas’s
opinions are unrelated to these claims.
Accordingly, and consistent with the case law set forth above, the Court’s
resolution of the instant motion is set forth in a Decision and Order.
II. Motion to Preclude Dr. Haas’s Report
A. Legal Standard
FRE 702 “governs the admissibility of expert testimony.” In re Pfizer Inc. Sec.
Litig., 819 F.3d 642, 658 (2d Cir. 2016). Pursuant to FRE 702:
A witness who is qualified as an expert by knowledge, skill, experience,
training, or education may testify in the form of an opinion or otherwise
if the proponent demonstrates to the court that it is more likely than not
that:
(a) the expert’s scientific, technical, or other specialized knowledge will
help the trier of fact to understand the evidence or to determine a fact
in issue;
(b) the testimony is based on sufficient facts or data;
(c) the testimony is the product of reliable principles and methods; and
(d) the expert’s opinion reflects a reliable application of the principles
and methods to the facts of the case.
Fed. R. Evid. 702.
The Supreme Court explained in Daubert v. Merrell Dow Pharmaceuticals,
Inc., 509 U.S. 579 (1993), that trial courts serve a “gatekeeping” function under FRE
702 and must ensure that proposed expert testimony “rests on a reliable foundation
and is relevant[.]” Id. at 597. Under Daubert and its progeny, “[a] court’s inquiry . . .
focuses on three issues: (i) whether the witness is qualified to be an expert; (ii)
whether the opinion is based upon reliable data and methodology; and (iii) whether
the expert’s testimony on a particular issue will assist the trier of fact.” Pac. Life Ins.
Co. v. Bank of N.Y. Mellon, 571 F. Supp. 3d 106, 112 (S.D.N.Y. 2021) (citing Nimely
v. City of N.Y., 414 F.3d 381, 396-97 (2d Cir. 2005)).
In addition to “these canonical Daubert requirements,” the Court also must
consider the impact of Congress’s 2023 amendment to Rule 702. Connecticut v.
Sandoz, Inc., No. 3:20-CV-00802-MPS, 2025 WL 3226616, at *2 (D. Conn. Nov. 19,
2025). The 2023 amendment “made clear that: (1) a preponderance of the evidence
standard applies to questions of admissibility under Rule 702; and (2) expert
testimony ‘must stay within the bounds of what can be concluded from a reliable
application of the expert’s basis and methodology.’” Id. (quoting Fed. R. Evid. 702,
Advisory Committee’s Note to 2023 Amendment); see also Suffolk Cnty. Water Auth.
v. Dow Chem. Co., No. 17-CV-6980 (NG) (JRC), 2025 WL 1907206, at *2 (E.D.N.Y.
July 10, 2025) (explaining that the 2023 amendment did not impose any new
procedures and that “prior authority construing Rule 702 remains relevant”).
When determining whether an expert applied reliable methodologies, courts
assess several factors. Such factors may include “the theory’s testability, the extent
to which it has been subjected to peer review and publication, the extent to which a
technique is subject to standards controlling the technique’s operation, the known or
potential rate of error, and the degree of acceptance within the relevant scientific
community.” United States v. Romano, 794 F.3d 317, 330 (2d Cir. 2015) (quotations
omitted). This assessment is flexible and such factors “do not constitute a definitive
checklist or test.” Restivo v. Hessemann, 846 F.3d 547, 576 (2d Cir. 2017). In
appropriate cases, courts in this Circuit have found that an expert’s background and
experience may serve as a basis to conclude their opinions are based on reliable
methodologies. See, e.g., Am. Empire Surplus Lines Ins. Co. v. J.R. Contracting &
Env’t Consulting, Inc., 754 F. Supp. 3d 456, 466 (S.D.N.Y. 2024) (“The Court finds
that [the plaintiff’s expert]’s opinions, as permitted herein, are based upon sufficient
facts and reliable principles and methods drawn from his background, including
relevant experience. [The plaintiff’s expert] has decades of experience in the
insurance industry. . . . [The plaintiff’s expert]’s opinions regarding industry practice
. . . is based upon that experience.”) (citations omitted).
After determining that an expert is qualified and that their opinion is based
on reliable data and methodology, a court must assess whether the proposed
testimony “will help the trier of fact to understand the evidence or to determine a fact
in issue[.]” Fed. R. Evid. 702; see Daubert, 509 U.S. at 591-92 (“Rule 702’s helpfulness
standard requires a valid scientific connection to the pertinent inquiry as a
precondition to admissibility.” (quotation omitted)). “This inquiry looks primarily to
whether the testimony is relevant.” Pac. Life, 571 F. Supp. 3d at 114. Under FRE 401,
evidence is relevant if it has a “tendency to make a fact more or less probable than it
would be without the evidence[.]” Fed. R. Evid. 401. Expert testimony is also subject
to FRE 403, which allows the exclusion of relevant evidence “if its probative value is
substantially outweighed by a danger of . . . unfair prejudice, confusing the issues,
misleading the jury, undue delay, wasting time, or needlessly presenting cumulative
evidence.” Fed. R. Evid. 403. “The Rule 403 inquiry is particularly important in the
context of expert testimony, ‘given the unique weight such evidence may have in a
jury’s deliberations.’” Pac. Life, 571 F. Supp. 3d at 114 (quoting Nimely, 414 F.3d at
397).
“Ultimately, the party proffering the expert has the burden to demonstrate by
a preponderance of the evidence that its expert witness satisfies [the FRE 702]
criteria.” Washington v. Kellwood Co., 105 F. Supp. 3d 293, 304 (S.D.N.Y. 2015)
(quotation and alteration omitted). “[O]nce the court has found it more likely than
not that the admissibility requirement has been met, any attack by the opponent will
go only to the weight of the evidence.” Fed. R. Evid. 702, Advisory Committee Note to
2023 Amendment. District courts are afforded “broad discretion” to determine the
admissibility of expert testimony. McCullock v. H.B. Fuller Co., 61 F.3d 1038, 1042
(2d Cir. 1995).
In this Circuit, “the rejection of expert testimony is the exception rather than
the rule.” Saxon Glass Techs., Inc. v. Apple Inc., 393 F. Supp. 3d 270, 284 (W.D.N.Y.
2019), aff’d, 824 F. App’x 75 (2d Cir. 2020). Rather than exclusion, “[v]igorous cross-
examination, presentation of contrary evidence, and careful instruction on the burden
of proof are the traditional and appropriate means of attacking shaky but admissible
evidence.” Daubert, 509 U.S. at 596. Further, in making its inquiry, the Court “must
focus on the principles and methodology employed by the expert, without regard to
the conclusions the expert has reached or the . . . court’s belief as to the correctness
of those conclusions.” Amorgianos v. Nat’l R.R. Passenger Corp., 303 F.3d 256, 266
(2d Cir. 2002).
B. Dr. Haas’s Qualifications
Plaintiffs’ motion papers do not argue that Dr. Haas is unqualified to serve as
an expert witness in this case, and during oral argument Plaintiffs’ counsel confirmed
that Plaintiffs do not dispute his qualifications. Indeed, Dr. Haas’s updated
curriculum vitae sets forth his extensive qualifications in the field of urology. (See
Dkt. 235 at 66-125).
Dr. Haas received his M.D. from Wayne State University in 1982. (Id. at 68).
He completed residencies in surgery and urology at Henry Ford Hospital and was a
clinical associate in the urology section at the National Cancer Institute. (Id). Dr.
Haas has maintained certification by the American Board of Urology since February
18, 1989, and is licensed in both New York and Michigan. (Id.).
Dr. Haas is currently the Senior Medical Director for Uro-Oncology at Astellas
Pharma Global Development Inc. and a Clinical Professor of Urology at the Loyola
University Stritch School of Medicine. (Id. at 66). He previously served as Professor
and Chairman of the Department of Urology at the State University of New York,
Upstate Medical University from 1995 to 2009. (Id.).
Dr. Haas is the Editor-in-Chief of the Canadian Journal of Urology. (Id.). He
has also authored or co-authored scores of articles and book chapters, won awards,
and participated in numerous professional societies and committees in the field of
urology. (Id. at 67-104). During his deposition, Dr. Haas testified that he has
experience working in prison medical facilities, such as in the Marcy Correctional
Facility, and instructed around 100 incarcerated people over the course of 14 years
on how to perform CISC. (Dkt. 262-1 at 25, 34, 52-53; see Dkt. 235 at 6).
These qualifications “suffice to establish the basis for [Dr. Haas’s] specialized
knowledge . . . required to admit his expert testimony under Rule 702.” Rahman v.
Lee, No. 23-CV-5665 (LAP), 2024 WL 4043697, at *5 (S.D.N.Y. Sept. 4, 2024); see also
McCullock, 61 F.3d at 1043 (“[The plaintiff’s expert] is an experienced medical doctor,
who is certified by the American Board of Otolaryngology and has practiced in the
specialty of ears, nose and throat since 1966. We find his background sufficient to
permit his expert testimony on a throat ailment and its causes.”). They also inform
the Court’s inquiry into the reliability of his data and methodology.
Indeed, courts in this Circuit have consistently held that an expert’s
background and experience may serve as a basis to conclude that their opinions are
based on reliable data and methods and thus are admissible under FRE 702. See, e.g.,
Suffolk Cnty., 2025 WL 1907206, at *3 (“To begin with, [the plaintiff’s expert] is
highly qualified to offer his opinions. . . . The more qualified the expert, the more
likely that expert is using reliable methods in a reliable manner.”) (quotations,
alteration, and citation omitted); Mobile Med. Int’l Corp. v. Advanced Mobile Hosp.
Sys., Inc., No. 2:07-CV-231, 2015 WL 778553, at *5 (D. Vt. Feb. 24, 2015) (“[The
plaintiff’s expert] intends to testify about surgical facilities and equipment in use in
the 1980s. . . . The persuasiveness of his conclusions and the weight given thereto are
questions for the trier of fact. . . . His opinions . . . are admissible to the extent they
are based upon his specialized knowledge of the relevant time period[.]”) (citation
omitted). Accordingly, when assessing the admissibility of Dr. Haas’s expert
testimony, the Court has taken into account his extensive qualifications in the field
of urology.
C. Reliability of Dr. Haas’s Data and Methodology
The Court next considers Plaintiffs’ challenges to the reliability of Dr. Haas’s
data and methodology. Plaintiffs contend that the Haas Report is “facially self-
contradictory” on the issue of “whether it is medically acceptable to force Plaintiffs to
reuse single-use catheters.” (Dkt. 260-3 at 14). More specifically, Plaintiffs argue that
Dr. Haas “concedes . . . that a single-use catheter should not be reused” while
simultaneously opining that “[t]he re-use of a sterile disposable single use only
[catheter] by a single patient for non-sterile catheterization after cleaning and drying
would be consistent with common medical practices.” (Id. at 15 (internal quotation
and emphasis omitted)).
The Court disagrees that Dr. Haas has conceded that a catheter labeled
“single-use” cannot safely be reused under appropriate circumstances. Plaintiffs point
to the following language in the Haas Report in support of this argument: “when a
medical instrument is labeled ‘single use only’ that medical instrument is expected to
be packaged sterile and is not expected to be re-sterilized for re-use as a sterile
instrument in a sterile environment.” (Id. (quoting Haas Report ¶ 4)). But this
statement must be read in context. The Haas Report goes on to say, in the next
sentence, that it is “a common medical practice to us a sterile instrument for non-
sterile procedures and to clean the instrument for re-use by the same patient for re-
use in future non-sterile procedures.” (Dkt. 235 at ¶ 4). Dr. Haas expanded on this
opinion at his deposition, explaining that reuse of a catheter is “always in a nonsterile
environment because the catheterization process itself is a nonsterile process” and
“[t]here is no sterilization involved in the procedure of self-catheterization.” (Dkt. 262-
1 at 23). There is no contradiction in Dr. Haas acknowledging on the one hand that a
single-use catheter could not properly be reused for a sterile procedure and opining
on the other hand that it can properly be reused for self-catheterization, which is a
non-sterile procedure.
Further portions of Dr. Haas’s deposition confirm this reading of the cited
portion of the Haas Report. Dr. Haas testified that “[t]he catheters initially are in a
sterile container. . . . Once they are opened, there is no longer any sterilization. The
concept of sterilization no longer applies to either the procedure or the environment
or the site. This is called clean intermittent catheterization . . . [a]nd there is no claim
in the literature that sterility is required even with the catheters that are for single
use.”5 (Id. at 28). Dr. Haas specifically stated that he “would not expect any sterile
procedures . . . to be done in [a prison] cell because that is not a requirement for”
CISC. (Id. at 26). Instead, Dr. Haas opined that the key “requirement is to wash and
5 During his deposition, Dr. Haas also reiterated his opinion that the frequency
of catheterization primarily influences the occurrence of UTIs. (Dkt. 262-1 at 61
(“[W]hat is really important with the emptying of the bladder, regardless of whether
you use the catheter once and throw it away or whether you’re reusing that same
catheter . . . is the frequency to keep the bladder volumes low. And if the inmates do
not catheterize themselves sufficiently . . . then regardless of whether [they] use a
catheter once or more than once, those individuals will be prone to get infections.”)).
cleanse the catheter prior to the next usage.” (Id. at 27). This testimony is fully
consistent with the statement in the Haas Report that a single-use catheter would
not be expected to be re-sterilized and reused in a sterile procedure.
Plaintiffs also argue that Dr. Haas “specifically conceded that a single-use
catheter should not be reused” at his deposition, pointing to the following exchange:
Q. Would you define for me the difference between single-use and
multiple-use catheters?
A. There is -- so the definition lies not in the catheter itself. It lies in the
fact whether a catheter is repeatedly used. A single-use catheter -- in my
understanding, the definition of a single-use catheter is used once and
then no longer used again.
(Dkt. 260-3 at 15 (emphasis omitted); see Dkt. 262-1 at 73-74). Again, the Court
disagrees with Plaintiffs’ reading of Dr. Haas’s testimony. Immediately after the
passage cited by Plaintiffs’ counsel, Dr. Haas went on to testify that “you can have a
catheter used once and throw it away. And then you can have a catheter that is reused
time after time. There may not be any intrinsic differences between the catheters
themselves or it may be an entirely different catheter.” (Dkt. 262-1 at 74). Dr. Haas
further explained that there is no regulation regarding the labeling of a catheter as
“single-use” or “multiple-use.” (Id.). In context, Dr. Haas was not, as Plaintiffs argue,
conceding that a catheter labeled “single-use” could only safely be used one time. He
was opining that there is no consistent structural difference between a catheter
labeled “single-use” and a catheter labeled “multiple-use.”
Plaintiffs go on to argue that “the disconnect in Haas’s opinions and Report
appears to be a result of the fact that Haas’s opinion is not based on a reliable
application of reliable scientific principles and methods” and that Dr. Haas “has not
completed any scientific study of the catheters used or the conditions in which they
were used to inform his opinion” but has instead only “review[ed] a handful of
publications.” (Dkt. 260-3 at 15-16). The Court is unpersuaded by this argument for
multiple reasons. Initially, as explained above, there is no “disconnect” between Dr.
Haas’s opinions and the Haas Report, because the “contradictions” identified by
Plaintiffs are not truly contradictions when read in context.
Further, Dr. Haas was not required to perform a formal study on the catheters
at issue here in order to form a sufficiently reliable opinion. See Amorgianos, 303 F.3d
at 266 (“This is not to suggest that an expert must back his or her opinion with
published studies that unequivocally support his or her conclusions.”); McCullock, 61
F.3d at 1043 (affirming admission of medical expert testimony even where the expert
physician “could not point to a single piece of medical literature” supporting his
opinion); Valentin v. New York City, No. 94 CV 3911 (CLP), 1997 WL 33323099, at
*21 (E.D.N.Y. Sept. 9, 1997) (“The mere fact that an expert’s opinions are not based
on formal studies does not make the opinions inadmissible.”). Dr. Haas has based his
opinions on his decades of experience as a practicing urologist, which includes having
counseled close to 100 incarcerated individuals regarding self-catheterization. (See
Dkt. 262-1 at 32). The flexible inquiry required under Rule 702 permits expert
witnesses to base their testimony on practical experience. Utica Mut. Ins. Co. v.
Fireman’s Fund Ins. Co., 238 F. Supp. 3d 314, 341 (N.D.N.Y. 2017). Indeed, “in many
cases, the reliability inquiry may . . . focus upon personal knowledge and experience
of the expert.” Id. (citation omitted).
Dr. Haas has also supplemented his experience as a practicing urologist with
reference to supporting publications, including the NHS Guidelines. However, as
noted above, Plaintiffs argue that the NHS Guidelines actually contradict rather than
support the Haas Report. (Dkt. 260-3 at 8; see Dkt. 235 at 1, 131). Specifically,
Plaintiffs contend that Dr. Haas selectively quotes the NHS Guidelines and ignores
the fact that the NHS Guidelines say that “[s]ingle-use catheters . . . are designed for
single use[.]” (Dkt. 260-3 at 8 (emphasis omitted), 16).
As a preliminary matter, “[u]nder the law of the case doctrine, when a court
has ruled on an issue, that decision should generally be adhered to by that court in
subsequent stages of the same case unless cogent and compelling reasons militate
otherwise.” Allah v. Adams, 573 F. Supp. 3d 904, 910 (W.D.N.Y. 2021) (quotations
omitted). Here, Plaintiffs raised the identical argument regarding the NHS
Guidelines in their motion for summary judgment. (See Dkt. 242-8 at 12). Judge
Siragusa considered and rejected this argument, finding that “even assuming that
[Plaintiffs’] critique is accurate,” the alleged contradiction “does not show that Haas’s
overall opinion is unreliable.” (Dkt. 254 at 23).
Plaintiffs did not address the law of the case doctrine in their motion papers.
When the Court raised the issue at oral argument, Plaintiffs’ counsel suggested that
the law of the case doctrine would not apply here because Judge Siragusa first held
that Plaintiffs had not made a proper motion to preclude under FRE 702, and that
his discussion of the NHS Guidelines was accordingly dicta. The Court is
unpersuaded by this argument. A review of Judge Siragusa’s Decision and Order
makes clear that, notwithstanding any procedural issues with Plaintiffs’ arguments
regarding the NHS Guidelines, Judge Siragusa considered them on the merits and
found them unavailing. Alternative holdings are not dicta. See Omega SA v. 375
Canal, LLC, 984 F.3d 244, 251 n.4 (2d Cir. 2021) (“[W]here a decision rests on two or
more grounds, none can be relegated to the category of obiter dictum.”) (citation
omitted). Plaintiffs have thus identified no basis to disturb Judge Siragusa’s ruling
that Plaintiffs’ arguments regarding the NHS Guidelines go “to the weight, and not
the admissibility, of Haas’s report.” (Dkt. 254 at 22).
Although the law of the case doctrine alone provides an adequate basis to
dispose of Plaintiffs’ NHS Guidelines argument, the Court further notes that there is
no irreconcilable conflict between the NHS Guidelines and Dr. Haas’s opinions. The
NHS Guidelines state that CISC “is a clinically clean procedure undertaken by the
patient” and “is the gold standard in bladder management.” (Dkt. 242-7 at 4). They
go on to say that patients may use various types of catheters to carry out CISC,
including “[s]ingle-use sterile catheters” that are “designed for single use[.]” (Id. at
7). The NHS Guidelines also say that “UTI may develop if the catheter becomes
contaminated or CISC is not frequent enough” and that “[i]f a patient who is self-
catheterizing is admitted to the hospital, they should use a new catheter on each
occasion because of the increased risk of infection.” (Id. at 13-14).
Plaintiffs cite no language in the NHS Guidelines stating that it is not
medically acceptable to reuse catheters labeled single-use. The NHS Guidelines say
only that catheters labeled single-use are “designed” for single-use, which is not
equivalent to a statement that it is medically unacceptable to reuse such catheters.
As Plaintiffs acknowledge in their reply, the label a manufacturer applies to a product
does not necessarily define its medically acceptable use. (See Dkt. 263 at 8-9); see, e.g.,
U.S. ex rel. Polansky v. Pfizer, Inc., No. 04-CV-0704 (ERK), 2009 WL 1456582, at *6
(E.D.N.Y. May 22, 2009).
For all these reasons, the Court finds that Dr. Haas’s opinion is supported by
sufficiently reliable data and methodology, in accordance with the standard discussed
above. 6 See Phoenix Light SF Ltd. v. Wells Fargo Bank, N.A., 574 F. Supp. 3d 197,
201 (S.D.N.Y. 2021) (“In light of the liberal admissibility standards of the [FRE],
exclusion of expert testimony is warranted only when the district court finds serious
flaws in reasoning or methodology. Otherwise, if an expert’s testimony falls within
the range where experts might reasonably differ, the duty of determining the weight
and sufficiency of the evidence on which the expert relied lies with the jury, rather
than the trial court.”) (quotations and citation omitted).
6 The Court draws the same conclusion regarding Dr. Haas’s opinion about the
importance of frequent CISC in preventing UTIs. Plaintiffs did not directly address
this argument in their motion papers. When asked about this opinion during oral
argument, Plaintiffs’ counsel generally asserted that the opinion is incorrect. But
Plaintiffs’ disagreement with Dr. Haas’s opinion is not a basis for preclusion.
D. Factual Basis for the Opinions
Plaintiffs also contend that Dr. Haas’s opinion is “inadmissible under Rule
702(b) because it is not based on sufficient facts and data.” (Dkt. 260-3 at 16). They
argue that Dr. Haas lacks knowledge of key facts, such as what instructions Plaintiffs
received about reusing catheters, first-hand knowledge of the conditions in Plaintiffs’
individual prison cells, and Plaintiffs’ medical records showing chronic UTIs. (See id.
at 10-11, 17).7 Plaintiffs argue that Dr. Haas was required to have this knowledge to
offer a “useful or reliable expert opinion” and that his lack of such knowledge means
his report is not based on any facts, data, or reliable principles and methods. (Id. at
10-12, 17). The Court is unpersuaded by these arguments.
Initially, while Plaintiffs’ argument assumes that these “key facts” are
undisputed, the discussion between the Court and counsel during oral argument
made clear during that at least some are in dispute.8 These disputed facts include
7 Plaintiffs also suggest that Dr. Haas has “never . . . seen or reviewed his own
Expert Disclosure in this case[.]” (Dkt. 260-3 at 11). The conclusion is not borne out
by the record. During his deposition, Dr. Haas exhibited confusion over the form in
which his expert disclosure had been filed with the Court. (See Dkt. 262-1 at 72). Dr.
Haas described it as a “version control problem” and noted that he did not know if
Plaintiffs’ counsel was referring to the same document he was. (Id. at 72-72).
However, Dr. Haas did not indicate that he was not substantively familiar with the
contents of the expert disclosure.
8 Plaintiffs’ theory of the case rests on the belief that their UTIs were caused by
reusing catheters labeled single-use. Plaintiffs contend that if Dr. Haas had reviewed
Plaintiffs medical records, he would have “observed that Plaintiffs suffered from
chronic [UTIs] and other injuries due to DOCCS’ policies of forcing Plaintiffs to reuse
single-use catheters.” (Dkt. 260-3 at 11). But these are disputed fact questions that
must be decided by a jury, not by this Court. Again, the Court’s determination of the
admissibility of Dr. Haas’s expert testimony is distinct from an assessment of the
merits of his conclusions. See Amorgianos, 303 F.3d at 266.
whether Plaintiffs had the means to perform CISC, such as running hot water, soap,
and a clean place to dry their catheters. During oral argument, Defendants’ counsel
made clear that it is Defendants’ position that Plaintiffs had access to such means.
Dr. Haas is entitled to rely on that contention in forming his opinions. Simmons v.
Garland, No. 21-CV-1728-SJB, 2024 WL 1468239, at *2 (E.D.N.Y. Mar. 20, 2024)
(“An expert is permitted to accept a party’s version of events in drawing conclusions.
If that party’s version of events turns out to be untrue, unreliable, or lacking in
evidentiary basis, then the expert’s opinions fall away. . . . And as for not speaking to
P[laintiff]’s mother or conducting a more thorough investigation, these arguments go
to the weight of [the plaintiff’s expert]’s testimony, not its admissibility. The same is
true for any argument that his testimony was self-contradictory or that his deposition
contradicts his expert report.”) (citations omitted); see also Sec. & Exch. Comm’n v.
Ripple Labs, Inc., No. 20 CIV. 10832 (AT), 2023 WL 5670711, at *25 (S.D.N.Y. Mar.
6, 2023) (“Expert witnesses may rely on their party’s facts, even where facts are in
dispute.”).
Moreover, “[u]nlike a fact witness, an expert witness need not have personal
knowledge of the facts of the case, so long as his or her expert opinion is based on
sufficient facts or data and is the product of reliable principles and methods.”
Dorchester Fin. Holdings Corp. v. Banco BRJ, S.A., No. 11-CV-1529 (KMW), 2016 WL
1169508, at *3 n.3 (S.D.N.Y. Mar. 21, 2016) (quotations omitted); see also Walker v.
Schult, 365 F. Supp. 3d 266, 288 (N.D.N.Y. 2019) (“However, it has long been accepted
that an expert witness may voice an opinion based on facts concerning the events at
issue in a particular case even if the expert lacks first-hand knowledge of those facts.”)
(quotation and alteration omitted). The fact that Dr. Haas did not personally observe
the prison cells and conditions at issue here does not render his opinions
inadmissible.
Plaintiffs’ arguments also appear to be based on a misapprehension as to the
content of Dr. Haas’s opinions. Plaintiffs contend that Dr. Haas “is in no position to
offer any kind of reliable opinion about whether the Plaintiffs and class members
were actually able to safely wash and reuse the catheters at issue in this case.” (Dkt.
260-3 at 17-18). But Dr. Haas has not offered an opinion on whether the specific
Plaintiffs here could safely perform CISC in their cells. He has opined that “a
disposable PVC catheter may be safely re-used by the same patient for weekly
intermittent self-catheterization, provided the patient does not require sterile
catheterization, the catheter is cleaned with soap and water and permitted to dry
after each use and the catheter remains in good condition.” (Dkt. 235 at ¶ 15)
(emphasis added). Of course, it will be the function of the factfinder to determine
whether Dr. Haas’s opinion is applicable to the conditions Plaintiffs actually
experienced while in the custody of DOCCS.
E. Helpfulness to the Trier of Fact
Finally, the Court finds that Dr. Haas’s opinion may be helpful to the factfinder
in this case and that there is no basis for exclusion under FRE 401 or 403. The
disagreement amongst the parties and their experts about the reuse of catheters
labeled single-use, and the technical terminology used to describe catheter use, all
indicate that Dr. Haas’s opinions will be “helpful to the trier of fact because they
relate to a technical, medical issue that would be beyond the ken of a lay person.” In
re Mirena IUD Prods. Liab. Litig., 169 F. Supp. 3d 396 (S.D.N.Y. 2016); see United
States v. Delva, No. 12 CR. 802 KBF, 2014 WL 4460360, at *9 (S.D.N.Y. Sept. 10,
2014) (“To the extent that medical terminology is offered during trial, [the defendant’s
expert] is an appropriate expert to explain the meaning of that terminology to a jury
of laypersons. There is an obvious value to the jury having an understanding of the
definitions of certain terms not within the typical vocabulary of a layperson.”),
aff’d, 858 F.3d 135 (2d Cir. 2017).
In sum, and for all the reasons set forth above, the Court finds that Dr. Haas
is qualified to serve as an expert in this case and that the Haas Report is based on
appropriately reliable data and methodology and will help the trier of fact in
understanding the evidence in this case. 9 The Court accordingly finds no basis under
FRE 702, Daubert and its progeny, or other relevant Rules and case law to preclude
Dr. Haas’s expert testimony and opinions. Plaintiffs’ motion seeking such relief is
therefore denied.
9 At oral argument, Plaintiffs’ counsel made various arguments regarding the
harm that Named Plaintiffs and the members of the class are alleged to have suffered.
The Court understands the significance of this case to Plaintiffs. But the issue before
the Court at this time is a narrow one that goes only to the question of whether Dr.
Haas’s opinions and testimony should be excluded from a jury’s consideration. The
Court is not called upon to reach any conclusions as to the lawfulness of Defendants’
policies regarding catheter use or Plaintiffs’ ability to safely perform CISC. Those are
issues that are squarely within the province of the factfinder.
CONCLUSION
For the foregoing reasons, Plaintiffs’ motion to preclude the expert report and
testimony of Dr. Haas (Dkt. 260) is denied.
SO ORDERED.
COLLEEN D. HOLLAND
United States Magistrate Judge
Dated: Rochester, New York
June 1, 2026
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