Jury Awards DePuy ASR Injury Plaintiff $8.3 Million – DePuy Plans to Appeal

A Los Angeles jury recently awarded a DePuy ASR hip recipient, Loren “Bill” Kransky, $8.3 million for his injuries involving his hip replacement.   This was the first of 10,750 DePuy ASR hip lawsuits to go to trial. The jury’s verdict, which came after 6 days of deliberation, included $338,136 in damages for medical expenses and $8 million for physical pain and emotional suffering.

Plaintiff attorney Brian Panish had requested $5.3 million in compensatory damages and as much as $179 million in punitive damage. Although the jury decided that DePuy did not owe punitive damages, Panish seems confident that they will come. “This is the first day of reckoning for DePuy,” he said after the verdict was announced. “We’ll get punitive damages in the next trial.” At least one juror answered to reporters that he wanted to give punitive damages based on DePuy’s delay in addressing the problem.

In opening arguments of the trial, internal DePuy documents revealed just how much DePuy knew about failure rates leading up to the recall (you can see them here). Kransky had his hip replaced in December 2007 and had his revision surgery in February 2012. As expected, DePuy focused on the Kransky’s other health conditions. “It’s not a case about a recall. It’s not about revision rates” argued Johnson & Johnson attorney Michael Zellers in his summation.

DePuy has already announced in a statement that they plan to appeal the jury’s decision. “We believe the ASR XL was properly designed, and that DePuy’s actions concerning the product were appropriate and responsible” said spokeswoman Lorie Gawreluk.

Source: Bloomberg

While this verdict is favorable for DePuy plaintiffs, there is still a long road ahead in resolving these claims. Even if DePuy is not successful in their appeal, this verdict cannot be used as an indicator of how every case will be compensated. The cases will be judged based on their own merits, and DePuy has made it clear they are not rolling over without a fight. Bellwether Trials, which will commence this spring, will be an important component to the litigation as well.

Contact us if you have any questions about your hip replacement, the litigation, and/or a potential claim.

 

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Stryker Hires Broadspire Services Inc. as Third-Pary Claims Administrator

For months now, there has been a push for Stryker Orthopedics to address the out-of-pocket expenses patients have faced relating to the July 2012 recall of their Stryker Rejuvenate and Stryker ABG II hip devices. Recently, Stryker announced they will work with Broadspire Services Inc., a third-party claims administrator, to help address these costs and to work directly with patients.

Ultimately, Stryker’s hiring of Broadspire comes as good news. It is our belief that this program will be helpful for patients who need immediate financial coverage. However, it is very important to keep in mind that Broadspire is not paid to advocate for hip recipients. Their job is to manage costs for Stryker.

So far, the Stryker recall has been following a path similar to that of the DePuy ASR recall two years prior. DePuy hired Broadspire to do the same job as they are now doing for Stryker. Broadspire began contacting patients and persuading them to sign release forms that would allow DePuy access to a considerable amount of their private medical records. They also wanted patients who were undergoing revision surgery to sign over their explanted devices. In doing so, they gained control of the most valuable documents and evidence that could be used against them.

Through Broadspire, DePuy promised to pay for “reasonable and customary” expenses for people who signed the release forms. Of course, they are the judges of what is reasonable or customary. Since they had been proactive in getting patients’ medical records, they are now privy to documents that may show pre-existing or co-existing conditions, noncompliance with rehabilitiation processes, discrepancies in surgical technique, or anything else they can use to distract from the device failure.

Last month, Stryker Corp announced that they are raising financial reserves and expect to pay somewhere between $190 million to $390 million for costs relating to the recall, including anticipated lawsuits.  They are preparing to lose money and will naturally want to minimize loss.

Even if Stryker does cover the out-of-pocket expenses, recipients should be forewarned. In addition to subjecting you to pain, suffering and anxiety, revision surgery puts you at high risk for infection and other general complications. Revision surgeries also take longer to perform, are technically more difficult, and involve a longer recovery period. Due to the location of the defect, the metal stem that was pounded into the femur needs to be removed, which can involve breaking the bone apart just to get it out.

If you have received a Stryker hip that was included in a recall, do not blindly cooperate with Broadspire without first speaking with an attorney. A Stryker Recall Attorney will ensure your injuries are acknowledged without compromising the confidentiality of valuable information that can be used against you. Contact us for a free consultation before you sign anything with Broadspire or Stryker.

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DePuy Questioned for Cover-Ups at ASR Trial in Los Angeles

In their opening arguments last week, plaintiff attorneys introduced evidence that proved DePuy was aware of design flaws in their ASR hip devices for years before they initiated a recall. The DePuy ASR Hip was recalled in August 2010, yet internal documents disclosed on Friday revealed that the company had received complaints even as they started to market the U.S. version of the device in 2005.

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Another document used in the trial, an internal research and development report from June 2007, stated that the ASR did not meet acceptance criteria when compared to a similar metal-on-metal (MoM) device. The report showed that the Ultamet, made by Biomet, wore at .15mm3 over 5M cycles, while the ASR wore at an alarming 2.52mm3 . They discussed redesigning the device later that year, but nothing was done.

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Further, an email from May 2008 proves that the following was known about the devices:

1.)    In “certain conditions,” the ASR is susceptible to extreme metal ion levels, whereas in the hands of the same surgeon, another MoM device does not have the same problems. (This was based on clinical data comparing ion levels of the ASR and yet another MoM device).

2.)    Females are more susceptible [to higher metallic ion levels] because the difference seemed to be related to the use of small cups.

3.)    Data expected to appear in medical journals would “seriously affect” their business.

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In September 2009, still almost a year before a recall was announced, another email discussed the amount of business they could expect to lose by phasing the device out. It pointed out that more customers would be retained if they did so within 6 months than if they did so immediately.

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In late 2009, the company announced plans to phase out the model but cited tapering sales, not safety concerns. Before the recall, executives insisted that the device was performing up to standard.

According to The New York Times, DePuy attorney Alexander G. Calfo reiterated this to jurrors, maintaining that DePuy had behaved ethically leading up to and after the recall.

In our opinion, the evidence presented by plaintiff attorney Michael A. Kelly and his client Loren Kransky does not bode well for DePuy’s defense. DePuy’s concern over lost profits seemed to play more of a role in decision-making than the safety of patients. As Kelly pointed out, U.S. doctors were not made aware of the worrying results of internal performance tests. “They did not report the data to American doctors,” said Kelly, “They changed the test and tested it against other things until they found one it could beat.”

Kransky’s case, held in Los Angeles Superior Court, was the first ASR-related lawsuit to go to trial.  DePuy has settled only a small handful of lawsuits so far, but faces over 10,000 claims in total. Bellwether trials, scheduled to start in May 2013 in federal court, will be a crucial indicator of how the rest of the litigation will proceed.

 

Photo Credit: New York Times

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Maryland DePuy ASR Case Settles Before Trial

Update: According to HarrisMartin, Maryland plaintiff Moira Jackson and defendant DePuy Orthopaedics reached a confidential settlement in time to avoid what was expected to be the first DePuy ASR trial. Other than their notification to the court that the case was resolved, they have declined to comment. Bellwether Trials are still scheduled to start in May 2013.

 

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DePuy ASR Bellwether Trials to Begin in Just 5 Months

The first Bellwether trials for the DePuy ASR litigation are scheduled for May and July of this year. They will also be a critical part of this litigation. Bellwether trials are designed to test the waters and show how a jury would react to similar cases. Settlement negotiations often depend on how the jury awards damages to the plaintiffs. Since the settlement of lawsuits is based on what the jury would award should the case go to trial, a large verdict in favor of the plaintiff would mean DePuy would likely pay more out in settlements in order to prevent trying additional cases.

In order to accurately predict these future trends, a representative group of plaintiffs must be carefully selected. Ideally, there should be no outliers in either direction. Yet, the group should be diverse enough to recognize potential complexities in the cases and to include the full spectrum of injuries.

Within this scope, however, plaintiffs and defendants will have different versions of their “model” plaintiff. The defense will likely want to see plaintiffs with complicated medical histories, pre-existing or co-existing conditions, revision surgeries that took place after the recall (as to say they were driven by litigation), and character attributes to which jury members may react unfavorably. The plaintiff side will naturally prefer cases where the clients’ injuries are clear-cut and severe, and the clients have clean or less complicated medical histories.

Although trials are just beginning, many people who have received these recalled parts could be running out of time to pursue their claims. There are statutes of limitations that can bar a claim if it is not filed by a certain date. In addition, there are many steps an attorney must take before a case is ready to be filed, including ordering and receiving extensive sets of medical records. If you believe you or a loved one could have a case but have not sought representation in the past, contact us as soon as possible. We have the experience and desire to hold DePuy accountable for its negligent actions.

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First DePuy ASR Jury Trial Scheduled for Next Monday

The first jury trial in the DePuy ASR Hip Implant litigation will be held next week on Monday, January 7, 2013. Moira Jackson of Hyattsville, MD, will appear in Court along with two other DePuy ASR plaintiffs. Prince George’s Maryland Circuit Court Judge Crystal Dixon Mittelstaedt will preside over the trial.

According to sources at Harris Martin, the trial is expected to last about three weeks. Both the plaintiff and defense have requested five days to present evidence.

Update: Case Settles Before Trial

 

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Stryker Agrees to Multi-County Litigation in New Jersey State Court

After a recent request to consolidate pending cases against Stryker Orthopedics in New Jersey State Court, Stryker announced last month that they will not object to the consolidation terms outlined in the petition. This means that cases will likely be consolidated in the requested venue of Bergen County, under Judge Brian Martinotti.

Judge Brian Martinotti has experience with similar cases involving defective metal-on-metal implants. In Addition, the location of Bergen County is close to the defendant’s headquarters. At least 10 cases have been filed so far in the state of New Jersey.

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October, 2012: Lawsuits Involving Biomet M2a Magnum Metal-on-Metal Hips will be Consolidated to MDL

Earlier this month, the United States Judicial Panel on Multidistrict Litigation (JPML) decided that Biomet M2A Magnum hip claims will be centralized in the Northern District of Indiana (See Case MDL No. 2391). The pretrial proceedings will be assigned to the Honorable Robert L. Miller, Jr., who is experienced and well-versed in complex mass tort litigation.

The Panel made this decision despite objections from Biomet, whose lawyers argued against consolidation. Specifically, defendants argued that consolidation of the lawsuits was not appropriate because (1) plaintiffs’ injuries were too different, (2) the Biomet M2A Magnum was not subject to a recall, and (3) the system has been comparatively less problematic than similar hip implant products of its competitors.

However, the Panel’s final position stated that, since the cases involved common questions of fact, consolidation would better serve the convenience of both parties and the witnesses involved.

Although the Panel agreed with plaintiffs on the issue of centralizing the claims, the JPML had its own ideas pertaining to the appropriate district for the proceedings. The Northern District of California, the Eastern District of Louisiana, the District of New Jersey, the Eastern District of New York, the Southern District of New York, the Southern District of Ohio, and the Southern District of Texas were all suggestions from plaintiffs in support of centralization. However, the Panel decided on the Northern District of Indiana based on its central geographic location, proximity to Biomet’s headquarters in Warsaw, Indiana, and favorable docket conditions.

The Biomet M2a Magnum litigation now joins the DePuy ASR, DePuy Pinnacle, Zimmer Durom and Wright Conserve as the fifth MDL for metal-on-metal hip implant devices. There have also been motions in multiple states to consolidate cases for the recently recalled Stryker Rejuvenate and ABG II hips.

What is an MDL?

When a drug, medical device, or other type of product is alleged to cause injuries and/or deaths, many lawsuits against the manufacturer of the product can be filed in courtrooms across the country.

If these cases are deemed similar enough to each other, they can be merged into a multidistrict litigation for consistency and efficiency purposes. The goal of the MDL process is to avoid duplicate discovery, inconsistent pre-trial rulings and conflicting verdicts.

The MDL process also helps speed up the process of handling numerous (sometimes thousands) of separate civil lawsuits pertaining to the same alleged tort (wrongdoing).

In determining whether consolidation to an MDL is appropriate, a panel considers whether civil actions pending in different districts involve one or more common question of fact. If it is decided that consolidation makes sense, the panel will then decide on the district in which to centralize and the judge to preside over the matter.

Although multidistrict litigations can be confused with class action suits, they have important differences. The cases that are consolidated into an MDL start and remain individual claims throughout the litigation.

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DePuy Executives will Testify in ASR Litigation

Over the course of the next three months, eight top DePuy Orthopaedics executives will be required to testify in the DePuy ASR multidistrict litigation under the Honorable David A. Katz. The company leaders, which include the former and current company presidents, will be required to produce ASR-related documents, notes, outlines, presentation materials, testimonies and oral proposals prepared or given to them.

After this year’s discovery of a smoking gun email between top executives, DePuy has been questioned as to exactly how much – and for how long – they knew about failure rates.

The DePuy ASR XL system was passed through the FDA through the 510(k) clearance program, which does not require rigorous clinical trials before it is approved for the U.S. market. However, the ASR Resurfacing System did not qualify for 510(k) clearance, thus requiring the FDA’s review of clinical trials. After their review, the FDA rejected DePuy’s application, requesting additional trials due to safety concerns. In August of 2009, internal emails uncovered executives’ doubts that additional testing would improve safety data.

According to a drugwatch argicle, the multidistrict litigation is now made up of over 6,000 federal cases. DePuy will also face over 2,000 more lawsuits are filed in state courts.

To see the company executives that will be expected to testify, see the drugwatch article by clicking here.

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Upcoming Trials for DePuy ASR Litigation

As lawsuits have continued to pile up against Johnson & Johnson’s DePuy Orthopaedics over their recalled ASR hip, the company has reached what is believed to be the first settlement for cases brought by recipients of the device. Reports name Anneliese Rundle, Martha Bender and Katherine Guy as the first claimants to reach a settlement with DePuy over their injuries. Their trial was scheduled for December and would have been the first case to be presented to a jury in the United States.

The next trial for DePuy ASR lawsuits is set for January of 2013.

 

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