peter kuhnmuench, and theresa … · 3200 greenfield, suite 260 dearborn, mi 48120-1802 (313)...
TRANSCRIPT
UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN
PETER KUHNMUENCH, and THERESA KUHNMUENCH, Plaintiffs, Case No. 17-cv-11719 vs. Hon. Mag. LIVANOVA PLC, SORIN GROUP DEUTSCHLAND GMBH, and SORIN GROUP USA, INC., Defendants. ____________________________/ JEFFREY T. MEYERS (P34348) JUSTIN J. HAKALA (P72996) Attorneys for Plaintiff 3200 Greenfield, Suite 260 Dearborn, MI 48120-1802 (313) 961-0130 (Fax: 8178) [email protected] ____________________________/
COMPLAINT AND
DEMAND FOR JURY TRIAL
NOW COME the above-named Plaintiffs, by and through their attorneys,
MORGAN & MEYERS, PLC, and state as their cause of action and Complaint against
the above-named Defendants the following:
1. This is a product liability action against Defendants based upon the design
and manufacture of a cardioplegia machine, which precipitated an infection sustained by
Plaintiff, Peter Kuhnmuench.
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JURISDICTION AND VENUE
2. The amount in controversy exceeds seventy-five thousand dollars
($75,000.00), exclusive of interest, costs and attorney fees.
3. Plaintiff Peter Kuhnmuench is a resident of the State of Michigan.
4. Plaintiff Theresa Kuhnmuench is a resident of the State of Michigan
5. Defendant LivaNova PLC is a foreign corporation incorporated under the
laws of England and Wales, with its principal place of business outside of the State of
Michigan in London, England.
6. Defendant Sorin Group Deutschland GmbH is a foreign corporation formed
under the laws of Germany with its principal place of business in Munich, Germany.
7. Defendant Sorin Group USA, Inc. is a corporation formed under the laws of
Delaware with its principal place of business in Colorado.
8. This Court has subject matter jurisdiction based upon diversity over this
action because it was brought by citizens of the State of Michigan against corporations
domiciled in other States and/or countries. 28 U.S.C. § 1332.
9. Venue is proper in this jurisdiction because a substantial part of the events
or omission giving rise to Plaintiff’s injuries and claims took place in this judicial district. 28
U.S.C. § 1391(2).
FACTS
Pathogen Background
10. Nontuberculous mycobacterium (“NTM”) is a naturally occurring, slow
growing, gram-positive bacteria.
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11. Mycobacterium chimaera (“M. Chimaera”) is one type of NTM.
12. Symptoms of NTM infections following open cardiac surgeries can appear
years after the surgery due to the long incubation period and slow growth of the NTM
involved.
13. A study published in Clinical Infectious Disease on July 1, 2015 reported
onset of symptoms in patients with known NTM (Mycobacterium chimaera) ranging from
1.5 to 3.6 years after the procedure.
14. Symptoms associated with NTM infections are often general and may
include fever, pain, redness, drainage from the surgical incision, night sweats, joint pain,
muscle pain, and fatigue.
15. Definitive diagnosis of NTM requires targeted culturing, molecular diagnostic
testing, and other screening processes that are not typically performed unless clinicians
are aware of a potential NTM infection.
16. Most NTM infections, including mycobacterium chimaera, are resistant to
antibiotics, particularly where artificial graft or other material has been implanted during
surgery.
Device Background
17. Defendants design, manufacture, market and sell thermal regulator devices
to be used on patients in the operating room, including the Sorin 3T Heater-Cooler
System (“Sorin 3T System”).
18. Prior to June 2, 2014, the Defendants manufactured, introduced, and/or
delivered for introduction into interstate commerce, the Sorin 3T System.
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19. The Sorin 3T System used at the University of Michigan Health System
during the relevant time period was designed, manufactured, marketed, and/or sold by
Defendants LivaNova, PLC, Sorin Group Deutschland GmbH, and Sorin Group USA, Inc.,
to the University of Michigan Health System in the State of Michigan.
20. The Sorin 3T System is intended to provide temperature-controlled water to
heat exchanger devices (cardio-pulmonary bypass heat exchangers, cardioplegia heat
exchangers, and thermal regulating blankets) to warm or cool a patient during cardio-
pulmonary bypass procedures lasting six (6) hours or less. The Sorin 3T System is a
Class II Medical Device that is subject to the Food and Drug Administration’s (“FDA”)
Section 510K premarket notification process (“510K” or“510K process”).
21. Before commercial distribution in the United States of the Sorin 3T System,
the
22. Defendants submitted a 510K premarket notification of intent to market the
Sorin 3T System with the Secretary of Health and Human Services for FDA approval. The
FDA determined that the Sorin 3T System was substantially equivalent to legally marketed
predicate devices that do not require approval of a premarket approval (“PMA”)
application. This determination was relayed to the Defendants via letter on June 6, 2006,
510K number K052601.3 Essentially, the 510k process differs from the PMA process in
how carefully the FDA examines the safety of the medical device. The PMA process is
required for Class III medical devices while Class I and Class II predicate medical devices
can be approved through the less rigorous 510K process.
23. The FDA approval allows the Defendants to commercially distribute the
Sorin 3T System in accordance with the conditions and regulations described in the
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approval letter. Any commercial distribution of the Sorin 3T System that does not comply
with the conditions set forth in the letter are violations of the Federal Food, Drug, and
Cosmetic Act (“the Act”). Generally, the manufacturer must comply with all of the Act’s
requirements, including but not limited to: “Registration and Listing (21 C.F.R. part 807);
Labeling (21 C.F.R. part 801); Good Manufacturing Practice Requirements as set forth in
the Quality Systems Regulation (21 C.F.R. part 820); and if applicable, the Electronic
Product Radiation Control Provisions (Sections 531-542 of the Act); 21 C.F.R. 1000-1050.”
24. The Sorin 3T System works as a heat exchanger by aerosolizing
temperature controlled water and passing blood through adjacent structures.
25. Bypassed patient blood does not come into physical contact with water from
the 3T reservoir.
26. Trace amounts of NTM in the reservoir of a 3T unit will colonize and multiply.
27. NTM like M. Chimaera form biofilm that is resistant to easy removal with
cleaning and/or sanitation.
28. Operation of the unit aerosolizes the NTM and exhausts it from the unit into
the operative suite and often directly into the surgical field.
29. Reasonable and feasible alternative designs existed at the time of design,
manufacture, and at the time the Sorin 3T System was placed into the stream of
commerce, that would have eliminated or vastly reduced the risk of bacterial colonization
and transmission to the air and/or patients.
30. Reasonable and feasible alternative designs for the Sorin 3T System
included, but were not limited to, isolating the exhaust from the surgical suite and surgical
field, reducing the exhaust rate, utilizing a closed loop exhaust circuit, utilizing an isolated
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cooling circuit, utilizing disposable parts for the portions of the device that could colonize
bacteria, utilizing filters in the cooling loop to remove bacteria, adding clean in place
features that could clean and sterilize the cooling loop chemically or with high
temperatures on a regular basis, and several other possibilities used alone or in
combination.
General Background Facts
31. Airborne transmission of NTM from a contaminated heater-cooler unit was
recognized as a patient risk as early as 2011 in Europe.
32. On July 18, 2014, the Greenville Health System notified patients who had
undergone certain procedures in which the Sorin 3T System was used that there had been
a potential outbreak involving a pathogen called mycobacterium abscessus; the Greenville
Health System also revealed that there had been four deaths associated with the outbreak
and that cardiopulmonary perfusion machines had been removed from use a part of the
remedial measures taken to prevent further spread of the pathogen.
33. Testing conducted by Defendants in August of 2014 revealed a
mycobacterium chimaera contamination on the production line and in the water supply at
the Sorin 3T System manufacturing facility; cleaning and disinfecting procedures were
added to the production line in September of 2014 in response to the test results.
34. On June 15, 2015, the FDA issued a recall of Sorin 3T Systems, Product
code 16-02-85, Serial numbers 16S10958-16S15634 (a total of 1755 machines); the
customers using the systems were provided new Instructions for Use of the machine with
changes to the maintenance procedures.
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35. On October 15, 2015, the FDA issued a safety communication
recommending cleaning, disinfecting, directing vent exhaust away from surgical fields, and
other recommendations for safely handing the Sorin 3T systems.
36. The Centers for Disease Control issued an updated interim practice
guideline on October 27, 2015, which including information on identifying patients infected
with NTM.
37. On December 29, 2015, the FDA issued a warning letter to Defendants,
which indicated that its inspection of manufacturing facilities in Germany and Colorado
revealed that the Sorin 3T System devices had been adulterated.
38. On June 6, 2016, a paper entitled “Transmission of Mycobacterium
Chimaera,” was published in Emerging Infectious Disease based upon experiments
performed in Zurich, which substantiated the airborne pathway of a contagion with
heater/cooler units, including the Sorin 3T unit.
39. On October 13, 2016, the CDC warned healthcare providers and patients
about the potential risk of infection from the Sorin 3T. The FDA issued a concurrent safety
alert recommending removal of the heater/cooler units from service that were associated
with any infections or that tested positive for mycobacterium.
Plaintiff’s Medical Course
40. On April 30, 2014, Peter Kuhnmuench presented to the office of Dr. George
Michael Deeb for evaluation of an ascending aortic aneurysm. He had a history of
diagnostic catheterization on April 1, 2014, which showed normal coronary arteries with
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normal pressures and good hemodynamics. Transesophageal echocardiogram showed
no significant disease and minimal mitral, tricuspid and pulmonary regurgitation. CT scan
revealed that he had a distal splenic arch aneurysm at 1.9 centimeters and significant
anterior wall abnormality. It was Dr. Deeb’s impression that Mr. Kuhnmuench had an acute
event, possibly bleeding in a contained hematoma, which became chronic and left him
with a 5.4 millimeter ascending aortic aneurysm. Dr. Deeb’s plan was to perform an
ascending aortic replacement under circulatory arrest.
41. On June 24, 2014, Mr. Kuhnmuench was taken to the operating room for the
replacement of ascending aorta procedure performed by Dr. George Deeb. After a
peripheral IV was inserted and intravenous Vancomycin and Cefuroxime was
administered, Mr. Kuhnmuench was anesthetized under general anesthesia via an
endotracheal tube with monitoring. Access was obtained with a median sternotomy and
three units of the patient’s blood were removed and heparinized. Arterial access for
cardiopulmonary bypass was obtained at the lesser curvature of the ascending aorta,
which was free of pathology. Access was also obtained at the superior vena cava and
after placement was confirmed via echocardiogram, venous access was obtained at the
right atrial appendage and retrograde cannula was inserted through the right atrium in the
coronary sinus. After vascular access was obtained, cardiopulmonary bypass was
commenced, the heart was decompressed, and cooling was initiated. Cardioplegia was
maintained with retrograde cold blood perfused regularly. The aorta was examined and
transected at the level of the left subclavian vessel. Several grafts were placed to
reconstruct the aorta. The total circulatory arrest time to that point was 32 minutes; total
cross-clamp time was 78 minutes; total antegrade cerebral perfusion time was 118
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minutes. Subsequently, they began rewarming the patient. Sinus rhythm was obtained
after the patient was brought to approximately 37 degrees centigrade and ventilation was
initiated. Good ventricular function was noted on echocardiogram as bypass was weaned.
42. Bleeding was noted around the proximal anastomosis, which was found to
be torn at the suture line in the area of the right coronary artery. Dr. Deeb felt that the
patient’s root tissue was abnormal and could not withstand systemic pressure and so he
was recannulated in the right atrium with a two-stage venous cannula. Heparin had not
been reversed and activated clotting time remained over 500 seconds so cardiopulmonary
bypass was resumed. Preparation to recross-clamp the aorta and arrest the heart were
made.
43. On examination, the root tissue was destroyed under the proximal
anastomosis and the right sinus was ripped and shredded to the base of the right main
coronary ostia at the upper margin of the ostia. Due to accumulating 73 minutes of aortic
cross-clamp time with hypothermic circulatory arrest already, Dr. Deeb elected to do a
Freestyle root replacement in lieu of a valve sparing approach.
44. At the conclusion of that portion of the procedure, the aortic cross-clamp
was, again, released and the patient was cardioverted and came back to sinus rhythm.
They began ventilating Mr. Kuhnmuench and weaned him from cardiopulmonary bypass,
noting no bleeding and hemostasis. TEE showed good ventricular function on both sides
and the Freestyle repair held with pressure across the valve. No tricuspid or mitral
regurgitation was observed and Protamine was administered to reverse Heparin. The
cardiopulmonary bypass blood was transfused back into the patient and the anastomoses
were checked and cannulation and pacing wires removed. Minimal drainage was
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observed from a chest tube placed after closure and the patient was taken to the Intensive
Care Unit in stable condition in his own sinus rhythm without needing additional blood
transfusion.
45. A heater/cooler device manufactured by Defendants, the 3T System, was
utilized for cardioplegia during Mr. Kuhnmuench’s surgery.
46. Mr. Kuhnmuench was extubated on post-operative day one and his post-
operative course was complicated by him being slow to wake with delirium and agitation
thought to be related to the total circulatory arrest time. His symptoms gradually improved
with medication and rest. He also was noted to have atrial fibrillation, which was relieved
when Coreg was resumed. He was transferred from the cardiovascular center ICU to a
step-down unit on post-operative day six and subsequently discharged without fever and
with stable vital signs.
47. On October 1, 2015, Mr. Kuhnmuench reported to Dr. Deeb that he was
experiencing muscle stiffness and tenderness around the surgical area.
48. Electronic communication between Mr. Kuhnmuench and Dr. Deeb on
October 16, 2015, reported fatigue and night sweats. Mr. Kuhnmuench had a telephone
call with Diane Susan Hughes from Dr. Deeb’s staff in which she suggested that he
present to the emergency department for a work-up of these symptoms.
49. At approximately 6:35 p.m. on October 16, 2015, Mr. Kuhnmuench
presented to the emergency department at the University of Michigan Hospital with a
history of three to four days of fatigue and night sweats. Mr. Kuhnmuench reported that he
had an upper respiratory infection about two weeks previously, with symptoms of sore
throat and congestion. His symptoms improved with over-the-counter medication. Mr.
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Kuhnmuench reported that his night sweats were severe enough that they would require a
change of clothes and he characterized his fatigue as extreme.
50. A history of present illness in the emergency department indicated that a
member of the cardiothoracic surgery team told Mr. Kuhnmuench to present to the ER for
evaluation of endocarditis. Labs in the emergency department included urinalysis, CBC,
CRP and ESR, which were largely within normal limits. A chest X-ray was also normal. He
was discharged home in stable condition and advised to follow-up with the cardiothoracic
surgery team. After completing the evaluation, emergency department physician Mark
Lowell, M.D. instructed Mr. Kuhnmuench to follow up with his cardiothoracic surgeon and
discharged him home.
51. Subsequently, on November 2, Mr. Kuhnmuench indicated that he was still
having night sweats and fatigue to Linda Quillin, N.P., a Nurse Practitioner working with
Dr. Deeb on the cardiothoracic surgery team.
52. Subsequently on August 31, 2016, Mr. Kuhnmuench e-mailed Linda Quillin,
N.P. regarding his continued fatigue.
53. On September 27, 2016, Mr. Kuhnmuench, again, corresponded with Ms.
Quillin regarding his continued fatigue, night sweats and stiffness, as well as weight loss
and blood work results.
54. On October 14, 2016, the UMHS issued an advisory to the general public,
as well as to certain patients that had undergone procedures using the Sorin 3T System,
that indicated the Sorin 3T System may have been contaminated with Mycobacterium
chimaera, a type of nontuberculous mycobacterium
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55. On October 16, 2016, Mr. Kuhnmuench contacted Linda Marie Quillin, N.P.
He reported seeing an article regarding NTM linked to heating/cooling devices used during
open heart surgery, and inquired about whether one of these devices was utilized during
his surgery. Mr. Kuhnmuench also reported that he had nearly all of the symptoms
reported with NTM infections, including night sweats, muscle aches, weight loss, and
fatigue. He requested that a culture be performed to make this diagnosis.
56. On or about October 17, 2016, cultures for acid-fast bacilli (“AFB”) were
ordered by Mr. Kuhnmuench primary care physician, Dr. Cynthia Buchoweitz. Mr.
Kuhnmuench began trying to schedule an appointment with an infectious disease
specialist at UMHS.
57. On October 21, 2016, Mr. Kuhnmuench had an appointment with Laraine
Washer, M.D. Dr. Washer obtained bloodwork and an echocardiogram.
58. Mr. Kuhnmuench was subsequently diagnosed with NTM, specifically
mycobacterium chimaera and was started on antibiotics. He continues to undergo
treatment, evaluation, testing. Mr. Kuhnmuench is expected to continue on antibiotics and
undergo a surgical revision to remove graft and valve material infected with NTM.
59. Letters were sent by UMHS to patients to warn them of potential NTM
infections following surgeries where the Sorin 3T System was used on November 18,
November 28, and November 29 of 2016.
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COUNT I – NEGLIGENCE
PLAINTIFFS HEREBY restate, reallege, and incorporate by reference each and
every paragraph set forth above, as though fully set forth herein and further states in the
alternative the following:
60. At all times pertinent to this Complaint, Defendants owed the general
public, including Plaintiff, a duty to design, label, manufacture, assemble, inspect, test,
and market the Sorin 3T System reasonably.
61. Notwithstanding said obligation, and in breach thereof, Defendants were
negligent in the design, manufacture, assembly, testing, marketing, packaging, and sale
of the Sorin 3T in the following ways:
a. Failing to conduct adequate safety testing before placing the device into the stream of commerce;
b. Failing to timely establish and utilize procedures for revising the design of the 3T System after learning that patients were developing bacterial infections following surgeries using the system;
c. Failing to timely establish procedures for validation or, when appropriate, review and approval of design changes for the 3T System;
d. Failing to design the system to eliminate or mitigate bacterial growth and colonization;
e. Failing to design the system to eliminate or mitigate that transmission of pathogens and/or bacterial present in cooling liquid;
f. Failing to make design changes after learning the device was causing infections in patients;
g. Designing the system such that it did not include adequate sanitation measures;
h. Failing to design the system to have an isolated exhaust that would direct potential contaminants away from the operative suite and operative field;
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i. Failing to provide hospitals, customers, and other consumers with specific instructions for cleaning and sanitizing the water reservoir to prevent colonization and contamination of NTM and other pathogens;
j. Failing to provide hospitals, customers, and other consumers with specific instructions to install the system to direct vent exhaust away from the surgical suite;
k. Failing to warn hospitals, customers, and patients of the potential of NTM and other infections;
l. Manufacturing the system in a facility and with components that were infected with NTM and other pathogens;
m. Failing to maintain sanitation procedures at their manufacturing facilities to prevent contamination with NTM and similar pathogens;
n. Other acts or omissions to be determined over the course of discovery.
62. Defendants knew, or should have known, that the Sorin 3T System was
defective and there was a substantial likelihood that the defect would expose patients to
NTM, mycobacterium chimaera, and/or other dangerous pathogens.
63. As a direct and proximate result of the aforementioned negligent acts
and/or omissions of Defendants, the Plaintiff suffered the following injuries and
damages:
a. Exacerbation of preexisting infection, disease, and symptoms such as fatigue, pain, and others, past, present, and future;
b. Infection requiring antibiotics and other treatment;
c. Necessity of revisionary surgery to remove and replace infected graft and other foreign material that have become infected;
d. Additional risks of anesthesia, operative revision, and recovery;
e. Night sweats, fatigue, weight loss, and kidney damage;
f. Pain and suffering, past, present, and future;
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g. Disability and disfigurement, past, present, and future;
h. Emotional distress and anxiety, past, present, and future;
i. Denial of social pleasures and enjoyments; j. Lost wages, earnings and earning capacity; k. Future attendant care; l. Necessary physical accommodations to living environment and
vehicle, past, present, and future;
m. Other injuries and damages to be determined throughout the course of discovery and described in Plaintiff’s medical records.
WHEREFORE, the Plaintiffs respectfully request that this Honorable Court enter a
judgment against the Defendants in any amount in excess of SEVENTY-FIVE
THOUSAND ($75,000.00) DOLLARS, together with interest, costs and attorney fees, to
which the Plaintiffs are deemed to be entitled.
COUNT II – BREACH OF IMPLIED WARRANTY OF FITNESS
PLAINTIFF HEREBY restates, realleges, and incorporates by reference each and
every paragraph set forth above, as though fully set forth herein and further states in the
alternative the following:
64. At all times pertinent to this Complaint, the Sorin 3T System was not
reasonably fit for its intended, anticipated, or reasonably foreseeable use because it
fostered NTM and other pathogens, which colonize in the unit and are subsequently
aerosolized under normal foreseeable usage conditions.
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65. The Sorin 3T System breached its implied warranty of fitness in the
following ways:
a. Adequate safety testing had not been performed to validate the system’s safety prior to entering the stream of commerce;
b. The system did fostered bacterial growth and colonization;
c. The system transmitted pathogens and/or bacterial present in cooling liquid into the air by aerosolizing or otherwise transmitting them;
d. The system did not include adequate sanitation measures;
e. The system did not have an isolated exhaust that would direct potential contaminants away from the operative suite and operative field;
f. Hospitals, customers, and other consumers were not given specific instructions for cleaning and sanitizing the water reservoir to prevent colonization and contamination of NTM and other pathogens;
g. Hospitals, customers, and other consumers were not given specific instructions to install the system to direct vent exhaust away from the surgical suite;
h. The system was manufactured in a facility and with components that were infected with NTM and other pathogens;
i. Other acts or breaches, acts, and omissions to be determined over the course of discovery.
66. At all times pertinent to this Complaint, Plaintiff, and others similarly
situated, were entitled to rely upon and did rely upon the implied warranty of fitness and
suitability, which attended the design, manufacture, distribution, and sale of the Sorin 3T
System.
67. Plaintiff suffered injuries as a result of his reliance on the implied warranty
of fitness and suitability, which attended the manufacture, distribution, and sale of the
Sorin 3T System.
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68. As a direct and proximate result of the aforementioned breach of the
implied warranty of fitness and/or omissions of Defendants, the Plaintiff suffered and
continues to suffer the following injuries and damages:
a. Exacerbation of preexisting infection, disease, and symptoms such as fatigue, pain, and others, past, present, and future;
b. Infection requiring antibiotics and other treatment;
c. Necessity of open heart surgery to remove and replace infected graft and other foreign material that have become infected;
d. Additional risks of anesthesia, operative revision, and recovery;
e. Night sweats, fatigue, weight loss, and kidney damage;
f. Pain and suffering, past, present, and future;
g. Disability and disfigurement, past, present, and future;
h. Emotional distress and anxiety, past, present, and future;
i. Denial of social pleasures and enjoyments; j. Lost wages, earnings and earning capacity; k. Future attendant care; l. Necessary physical accommodations to living environment and
vehicle, past, present, and future;
m. Other injuries and damages to be determined throughout the course of discovery and described in Plaintiff’s medical records.
WHEREFORE, the Plaintiffs respectfully request that this Honorable Court enter a
judgment against the Defendants in any amount in excess of SEVENTY-FIVE
THOUSAND ($75,000.00) DOLLARS, together with interest, costs and attorney fees, to
which the Plaintiffs are deemed to be entitled.
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COUNT III – BREACH OF EXPRESS WARRANTY
PLAINTIFFS HEREBY restate, reallege, and incorporate by reference each and
every paragraph set forth above, as though fully set forth herein and further states in the
alternative the following:
69. Defendants expressly warranted, through their marketing, advertising,
distributors, and sales representatives, that the Sorin 3T System was of merchantable
quality and fit for the ordinary purposes and uses for which it was sold.
70. These statements made constitute express warranties regarding the Sorin
3T System.
71. Defendants breached these express warranties by designing, labeling,
manufacturing, and selling the defective and unreasonably dangerous Sorin 3T System
that was neither of merchantable quality nor fit for the ordinary purposes for which it was
sold, presenting an unreasonable risk of injury to patients, including Plaintiff, during
foreseeable use.
72. Notwithstanding those statements, the Subject Press was sold in breach of
the attendant express warranties.
73. Defendants knew, or should have known, that the Sorin 3T System was
defective and dangerous and there was a substantial likelihood that the defects set forth
above would cause the injuries which are the basis of this action.
74. At all times pertinent to this Complaint, Plaintiff, and others similarly situated,
were entitled to rely upon and did rely upon the express warranties, which attended the
sale of the Sorin 3T System.
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75. Plaintiff suffered injuries as a result of his and the University of Michigan
Health System’s reliance on the express warranties, which attended the sale of the Sorin
3T System.
76. As a direct and proximate result of the aforementioned breach of the
express warranties made by Defendants, Plaintiff suffered and continues to suffer the
following injuries and damages:
a. Exacerbation of preexisting infection, disease, and symptoms such as fatigue, pain, and others, past, present, and future;
b. Infection requiring antibiotics and other treatment;
c. Necessity of revisionary surgery to remove and replace infected graft and other foreign material that have become infected;
d. Additional risks of anesthesia, operative revision, and recovery;
e. Night sweats, fatigue, weight loss, and kidney damage;
f. Pain and suffering, past, present, and future;
g. Disability and disfigurement, past, present, and future;
h. Emotional distress and anxiety, past, present, and future;
i. Denial of social pleasures and enjoyments; j. Lost wages, earnings and earning capacity; k. Future attendant care; l. Necessary physical accommodations to living environment and
vehicle, past, present, and future;
m. Other injuries and damages to be determined throughout the course of discovery and described in Plaintiff’s medical records.
WHEREFORE, Plaintiff respectfully requests that this Honorable Court enter a
judgment against the Defendants in any amount in excess of SEVENTY-FIVE
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THOUSAND ($75,000.00) DOLLARS, together with interest, costs and attorney fees, to
which the Plaintiff is deemed to be entitled.
COUNT IV – GROSS NEGLIGENCE
PLAINTIFFS HEREBY restate, reallege, and incorporate by reference each and
every paragraph set forth above, as though fully set forth herein and further states in the
alternative the following:
77. At all times pertinent to this complaint Defendants designed, tested
manufactured and assembled the Sorin 3T System and placed it in the stream of
commerce.
78. The Sorin 3T System was expected to, and did, reach Plaintiff in the
condition in which it was sold, without substantial alteration.
79. The Sorin 3T System was not reasonably safe at the time it left
Defendants control and alternative design, testing and manufacturing practices were
practical, technically feasible and available which would have prevented Plaintiff’s
injuries and damages, and which would not have significantly impaired the usefulness
or desirability of the Sorin 3T System.
80. In designing, manufacturing, and marketing the Sorin 3T System,
Defendants were grossly negligent and acted with a wanton disregard for the safety of
the ultimate users of the Sorin 3T System including Plaintiff and his medical providers,
out of a concern only for its own pecuniary benefit for the reasons described below:
a. Failing to conduct adequate safety testing before placing the device into the stream of commerce;
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b. Failing to timely establish and utilize procedures for revising the design of the 3T System after learning that patients were developing bacterial infections following surgeries using the system;
c. Failing to timely establish procedures for validation or, when appropriate, review and approval of design changes for the 3T System;
d. Failing to design the system to eliminate or mitigate bacterial growth and colonization;
e. Failing to design the system to eliminate or mitigate that transmission of pathogens and/or bacterial present in cooling liquid;
f. Failing to make design changes after learning the device was causing infections in patients;
g. Designing the system such that it did not include adequate sanitation measures;
h. Failing to design the system to have an isolated exhaust that would direct potential contaminants away from the operative suite and operative field;
i. Failing to provide hospitals, customers, and other consumers with specific instructions for cleaning and sanitizing the water reservoir to prevent colonization and contamination of NTM and other pathogens;
j. Failing to provide hospitals, customers, and other consumers with specific instructions to install the system to direct vent exhaust away from the surgical suite;
k. Failing to warn hospitals, customers, and patients of the potential of NTM and other infections;
l. Manufacturing the system in a facility and with components that were infected with NTM and other pathogens;
m. Other acts or omissions to be determined over the course of discovery.
81. At all times pertinent to this Complaint, Defendants owed the general
public, including Plaintiffs, a duty to design and manufacture the Sorin 3T System in a
condition reasonably fit for its intended, anticipated, or reasonably foreseeable use, so
that it would perform as an ordinary consumer would expect for its intended use.
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82. Notwithstanding said obligation, and in breach thereof, Defendants were
grossly negligent in the design, manufacture and testing of the Sorin 3T System as
Defendants failed to design, test and manufacture the Sorin 3T System in the manner
described above.
83. The above-cited conduct was so reckless as to demonstrate a substantial
lack of concern for whether an injury resulted to the individuals using the Sorin 3T
System and as such, Defendants were grossly negligent in the design, manufacture and
testing of the Sorin 3T System.
84. As a direct and proximate result of the aforementioned acts of gross
negligence, Plaintiff is entitled to such damages as are deemed fair and just, including,
but not limited to, damages for the following:
a. Exacerbation of preexisting infection, disease, and symptoms such as fatigue, pain, and others, past, present, and future;
b. Infection requiring antibiotics and other treatment;
c. Necessity of revisionary surgery to remove and replace infected graft and other foreign material that have become infected;
d. Additional risks of anesthesia, operative revision, and recovery;
e. Night sweats, fatigue, weight loss, and kidney damage;
f. Pain and suffering, past, present, and future;
g. Disability and disfigurement, past, present, and future;
h. Emotional distress and anxiety, past, present, and future;
i. Denial of social pleasures and enjoyments; j. Lost wages, earnings and earning capacity; k. Future attendant care;
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l. Necessary physical accommodations to living environment and vehicle, past, present, and future;
m. Other injuries and damages to be determined throughout the course of
discovery and described in Plaintiff’s medical records.
WHEREFORE, the Plaintiffs respectfully request that this Honorable Court enter a
judgment against the Defendants in any amount in excess of SEVENTY-FIVE
THOUSAND ($75,000.00) DOLLARS, together with interest, costs and attorney fees, to
which the Plaintiffs are deemed to be entitled.
COUNT V: LOSS OF CONSORTIUM THERESA KUHNMUENCH
PLAINTIFFS HEREBY restate, reallege, and incorporate by reference each and
every paragraph set forth above, as though fully set forth herein and further states in the
alternative the following:
85. At all times pertinent to this Complaint, Theresa Kuhnmuench was the
lawfully wedded wife of Peter Kuhnmuench.
86. As a direct and proximate result of the Defendants’ aforementioned
negligence, Theresa Kuhnmuench has suffered and will continue to suffer a loss of her
husband’s society, companionship and household services.
WHEREFORE, the Plaintiffs respectfully request that this Honorable Court enter a
judgment against the Defendants in any amount in excess of SEVENTY-FIVE
THOUSAND ($75,000.00) DOLLARS, together with interest, costs and attorney fees, to
which the Plaintiffs are deemed to be entitled.
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Respectfully submitted,
MORGAN & MEYERS, PLC BY: s/Justin J. Hakala JEFFREY T. MEYERS (P34348) JUSTIN J. HAKALA (P72996) Attorneys for Plaintiff 3200 Greenfield, Suite 260 Dearborn, MI 48120-1802
(313) 961-0130 Fax: 8178 DATED: May 31, 2017
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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN
PETER KUHNMUENCH, and THERESA KUHNMUENCH, Plaintiffs, Case No. 17-cv-11719 vs. Hon. Mag. LIVANOVA PLC, SORIN GROUP DEUTSCHLAND GMBH, and SORIN GROUP USA, INC., Defendants. ____________________________/ JEFFREY T. MEYERS (P34348) JUSTIN J. HAKALA (P72996) Attorneys for Plaintiff 3200 Greenfield, Suite 260 Dearborn, MI 48120-1802 (313) 961-0130 (Fax: 8178) [email protected] ____________________________/
DEMAND FOR JURY TRIAL NOW COME Plaintiffs, by and through their attorneys, MORGAN & MEYERS,
PLC, and hereby demand a jury trial in the above causes of action.
Respectfully submitted, MORGAN & MEYERS, PLC BY: s/Justin J. Hakala JEFFREY T. MEYERS (P34348) JUSTIN J. HAKALA (P72996) Attorneys for Plaintiff 3200 Greenfield, Suite 260 Dearborn, MI 48120-1802
(313) 961-0130 Fax: 8178 DATED: May 31, 2017
2:17-cv-11719-PDB-SDD Doc # 1 Filed 05/31/17 Pg 25 of 25 Pg ID 25