[ PUBLISH]

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT

________________________ No. 16

- 14364

________________________ D.C. Docket No s . 4:08

- md

- 02004

- CDL, 4 :13

- cv - 00135

- CDL ANN MARIE BERGIN , Plaintiff

- Appellant ,
versus

MENTOR WORLDWIDE LLC, et al. , Defendants

- Appellee s .

________________________ Appeal from the United States District Court for the Middle District of Georgia

________________________ (September 20, 2017) Before JORDAN and JULIE CARNES, Circuit Judges, and SCHLESINGER, ∗ D istrict Judge.
PER CURIAM:

∗ Honorable Harvey E. Schlesinger, United States District Judge for the Middle District of Florida, sitting by designation.

Case: 16-14364 Date Filed: 09/20/2017 Page: 1 of 132 CERTIFICATION FROM THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT TO THE SUPREME COURT OF TEXAS PURSUANT TO ARTICLE V, § 3

– c(a) OF THE TEXAS CONSTITUTION
TO THE SUPREM E COURT OF TEXAS AND ITS HONORA BLE JUSTICES:
T his appeal arises from an allegedly defective surgical mesh implant

. The question to be answered concerns whether under the Texas “discovery rule” a

c laim accrues for purposes of starting the applicable statute of limitations period when a plaintiff knows, or has reason to know, that there is a conn ection between her injury and the defendant’s product or whether instead accrual (and the corresponding start of the limitations period) occurs only when the plaintiff also has reason to know that the manufacturer acted wrongfully or negligently in its

man ufacture of the product. The District Court concluded that the former interpretation of Texas law was correct, and there fore granted summary judgment in favor of Mentor Worldwide LCC, the Appellee in this case. The Appellant, Ms. Ann Bergin

— a resident o f
Texas

— argues that accrual requires discovery of both the injury and its negligent cause. Thus, she avers, the District Court erred in its application of Texas law. To resolve this appeal, we must decide which of the above positions is correct, but th at answer depends on an unresolved question of Texas law. We therefore certify th is question of law, based on the factual background recited below, to the Supreme Court of Texas and respectfully request its guidance

.

Case: 16-14364 Date Filed: 09/20/2017 Page: 2 of 133 I. BACKGROUND AND PROCEDURAL HISTORY
Mentor is the developer of a suburethral mesh sling product called ObTape Transobturator Tape

. 1 In Se ptember 2005, Ms. Bergin was implanted with Obtape by her doctor

— Keith Grisham

— to relieve her urinary incontinence and other medical issues. A few months later , Ms. Bergin b egan to experience complications (pain, odor, and vaginal discharge, among other things) with the mesh sling. In March 2006, Dr. G risham informed Ms. Bergin that the mesh sling w as partially exposed. Dr. Grisham surgically removed a piece of the exposed ObTape later that month. The complications nonetheless persisted , and Ms. Bergin opted to undergo another surgery in September 2006 . This later procedure resulted in the removal of some granulated tissue and i nfected “mesh m aterial

. ” The record indicates that by September 2006, Ms. Bergin was aware that there could be a connection between her injury and the OBTape sling. In his deposition, Dr. Grisham stated that he “probably” discussed the possibility with Ms. Bergin that her symptoms were related to the mesh sling exposure. Ms. Bergin testified that , based on conversations with her doctor, she thought her body was rejecting the sling. She understood the two surgical procedures were to

1 The Court recites facts in this opinion solely for purposes of reviewing the D istrict C ourt’s rulings on the proceedings below. Th us, these “are the facts for present purposes, but they may not be the actual facts.” Kelly v. Curtis , 21 F.3d 1544, 1546 (11th Cir. 1994) (quoting Swint v. City of Wadley , 5 F.3d 1435, 1439 (11th Cir. 1993)) (internal quotation marks omitted).

Case: 16-14364 Date Filed: 09/20/2017 Page: 3 of 134 resolve her medical complications. However, t here was no discussion between Ms. Bergin and her doctor regarding a possibility that the ObTape was defective or that the manufacturer may have acted negligently.
T hough Ms. Bergin’s bleeding and discharge symptoms began to improve after the September surgery , she continued (and continues) to suffer from other symptoms which she attributes to ObTape. Seven years later, o n May 14, 2013, Ms. Bergin filed her complaint against Mentor directly in the District Court for the Middle Distri ct of Georgia , attempting to join other related claims consolidated in multidistrict li tigation proceedings. As the case progressed, Mentor filed a motion for summary judgment, arguing that Ms. Bergin’ s claims were time

- barred under Texas law, 2 which subjects claims for personal injury to a two year statute of lim itations. Mentor argued that Ms. Bergin’s claims accrued in 2006, when Dr. Grisham linked some of her symptoms to ObTape and she therefore could have become aware of a connection betwe en the ObTape and her injury

. Ms. Bergin, however, insisted that her claims did not accrue until 2013, when she saw a television advertisement alleging that ObTape was defective and was thereby reasonably alerted for the first time to the possibility that the manufacturer may have been negligent.

2 For the purposes of the direct

- filed cases, the parties agreed that the District Court would apply the choice of law rules of the state where the plaintiffs resided at the time they filed their complaints. Ms. Bergin is a Texas resident, and the circumstances giving rise to her claims all occurred in Texas.

Case: 16-14364 Date Filed: 09/20/2017 Page: 4 of 135 The District Court rejected Ms. Bergin’s argument as an incorrect formulation of Texas’ discovery rule, which, the court concluded, does not require that a plaintiff have knowledge that a product manufacturer ha s committed a wrongful act before a claim can accrue . Instead, the court interpreted the Texas discovery rule as providing that a claim accrues (and the limitations period begins to run) when the plaintiff is reasonably put on notice of a causal connectio n between the product and the injury

. The District Court concluded that Ms. Bergin connected her symptoms to the ObTape in 20 06. Thus, the District Court reasoned, a reasonable person would have taken some action at that point to follow
up on whether her injuries were caused by a defect in the ObTape. See Bergin v. Mentor Worldwide, LLC, No. 4:13

- cv - 135, 2016 WL 3049491, at *1 (M.D. Ga. May 27, 2016); Bergin v. Mentor Worldwide, LLC, No. 4:13

- cv - 135, 2016 WL 1493534 at *3

– 4 (M.D. Ga. April 1 4, 2016). T his appeal followed.
II . DISCUSSION As noted, Ms. Bergin argu es that the District Court misinterpreted Texas’ discovery rule. According to Ms. Bergin, the limitations period does not commence until a plaintiff discovers, or should have discovered, all the elements of a cause of action. Put differently , she asserts that her claim could not have accrued until she became aware th at her injury was the result of negligence on the part of Mentor.

Case: 16-14364 Date Filed: 09/20/2017 Page: 5 of 136 I nterpretation of Texas’ d iscovery rule is a question of law, and subject to de

novo review. Arthur v. King , 500 F.3d 1335, 1339 (11th Cir. 2007) (“[W]e review the underlying decisions regarding questions of law de novo

. . . . ”) (citing Preferred Sites, LLC v

. Troup Cty. , 296 F.3d 1210, 1220 (11th Cir. 2002)) ; United
States v. Garrett , 3 F.3d 390, 390 (11th Cir. 1993) (“Questions of law are review ed de novo .”). “In most cases, a cause of action accrues when a wrongful act cause s an injury, regardless of when the plaintiff learns of that injury or if all the resulting damages have yet to occur.” Childs v. Haussecker , 974 S.W. 2d 31, 36 (Tex. 1998)

. However, a judicially crafted exception

— the discovery rule

— applies in instances “when the nature of the injury incurred is inherently undiscoverable and the evidence of injury is objectively unverifiable . . . .” Id. at 36 (quoting Computer Assocs. Int ’l, Inc. v. Altai, Inc. , 918 S.W. 2d 453, 456 (Tex. 1994)) (inte rnal quotation marks omitted). There is no dispute that the discovery rule applies in this case. In interpreting the Texas discovery rule, federal courts have ruled inconsistently in deciding whether a plaintiff’s claim accrues only when the plaintiff is placed on reasonable notice that the manufacturer of a product has acted negligently or whether instead accrual can occur earlier, when the plaintiff is merely placed on notice of a causal con nection between use of the product and the

Case: 16-14364 Date Filed: 09/20/2017 Page: 6 of 137 injury, regardless of any wrongdoing by the manufacture r . This present litigation is a prime example of that inconsistency. The district court here, which is presiding over multi

- district product liability litig ation concerning the ObTape, concluded that the statute of limitation begins running under Texas law as soon as a plaintiff is reasonably placed on notice that use of the product may have caused her injury. On the other hand, another district court, presi ding over other multi

district product liability cases concerning a different manufacturer of a transvaginal surgical mesh sling, has adopted the approach advocated by Ms. Bergin

. See Hovey v. Cook Inc. , 97 F. Supp. 3d 836, 844 (S.D.W. Va. 2015) (denying summary judgment and stating, “because none of [the plaintiff’s] doctors identified a defect in the [mesh product] as the cause of her injuries, a jury could find that [the plaintiff] did not possess fac ts that would lead a reasonable person to further investigate into wrongdoing until 2013, when [she] saw an Internet advertisement.”); see also In re Ethicon, Inc. , No. 2327, 2016 WL 3067752, at *3 (S.D.W. Va. May 31, 2016) (denying summary judgment where the plaintiff was unaware of a connection between the alleged wrongful act and her resulting injury). As to the Fifth Circuit, which is the federal circuit in which Texas is located, that court has likewise issued inconsistent rulings. In Timberlake v. A .H. Robins
Co. , 727 F.2d 1363 (5th Cir. 1984) , the plaintiff sued the manufacturer of a Dalkon

Case: 16-14364 Date Filed: 09/20/2017 Page: 7 of 138 Shield intrauterine device (IUD) that allegedly caus ed her injury, having develo ped symptoms in 1978, but not suing until 1981 when she saw a television program suggesting that the manufacture r may have been negligent in its manufacture and sale of the product. Concluding that the plaintiff had failed to sue within the applicable Texas statute of limitations, the court rejected her argument that “the statutory period should be tolled until the plaintiff learns that the defendant’s conduct may have been wrongful,” holding that the discovery rule did not apply and that the statute of limitations began in 1978 when the plaintiff “knew of her injury and its cause.” Id. at 1365, 1366. Stated more formally, in response to plaintiff’s argument “that Texas law applies a three

- pronged analysis with regard to the discovery rule, and that all three elements

— injury, causation in fact, and lega l injury

— must coalesce before the statute of limitations begins to run ,” the
court was “ not persuaded that this is an accurate statement of the applicable law.” Id. at 1365. Nevertheless, in that same year, the Fifth Circuit issued two other opinions that reached a different result on similar facts. In Woodruff v. A.H. Robins Co., 742 F.2d 228 ( 5 th Cir. 1984), the plaintiff developed a severe pelvic infection following the insertion of an IUD, after which the IUD was removed in 1973 and the plaintiff underwent a hysterectomy. She , however, did not file suit until 1981 when she read a newspaper article suggesting a possible causal connection between

Case: 16-14364 Date Filed: 09/20/2017 Page: 8 of 139 the Dalkon Shield and her injuries. The Fifth Circuit rejected the defendant’s argument t hat her lawsuit was time

- barred , r elying on Mann v. A.H. Robins Co. , 741 F.2d 79, 81 (5th Cir. 1984) , which held that a claim does not accrue under the
Texas discovery rule until a plaintiff learns of her injury’s negligent cause . The court in Woodruff c on clud ed that the plaintiff ’s claim had not accrued until a newspaper article alerted her to the possible connection between the Dalkon Shield and her physical injuries

. As to Texas court decisions, Ms. Bergin relies greatly on the decision of the Texas Supreme Court in Childs , which explained accru al under the discovery rule as follows : “Under this rule . . . a cause of action d oes not accrue until a plaintiff knows or, through the exercise of reasonable care and diligence, ‘ should have known of th e wrongful act and resulting injury.’ ” 974 S.W. 2d at 37 (quoting S.V.
v. R.V. , 933 S.W. 2d 1, 4 (Tex. 1996)) (emphasis added) . Ms. Bergin argues that the above emphasized language in that case establish es that a claim cannot accrue under the discovery rule without some knowledge of the wrongful act

. As noted,
t he district court here conclude d that this language is merely dicta

. The year after issuance of Childs, the Supreme Court of Texas issued a decision that arguably supports a less expansive reading than Ms. Bergin gives to Childs. In 1997, the Texas Court of Appeals had noted that the trend in Texas was towards requiring awareness of a wrongful act :

Case: 16-14364 Date Filed: 09/20/2017 Page: 9 of 1310 Courts h ave employed several formulations to describe when a cause of action subject to the discovery rule accrues. Probably the most common formulation is the one noted by the appellee: the cause of action accrues when “the plaintiff discovers, or through the exe rcise of reasonable care and diligence should discover, the nature of his injury.” Id. However, Willis v. Maverick, 760 S.W.2d 642, 646 (Tex. 1988), holds that a cause of action accrues when “the claimant discovers or should have discovered through the exercise of reasonable care and diligence the facts establishing the elements of a cause of action.”

. . . . In recent cases, the Texas Supreme Court has employed a new formulation: a cause of action accrues when a “plaintiff knew or in the exercise of reasonable diligence should have known of the wrongful act and resulting injury.” Diaz v. Westphal, 941 S.W.2d 96, 99 (Tex. 1997); S.V. , 933 S.W.2d at 4. This new formulation makes it clear that a cause of action does not accrue merely because a plaintiff becomes aware of an injury. In fact, courts have consistently held that a cause of action does not accrue until a plaintiff becomes aware of the wrongful act causing the injury.
Harrison C ty
. Fin

. Corp. v. KPMG Peat Marwick, LLP , 948 S.W.2d 941, 945

– 46 (Tex. App. 1997), rev’ d sub nom. KPMG Peat Marwick v. Harrison Cty. Hous. Fin. Corp. , 9 88 S.W.2d 746 (Tex. 1999). On review , however, the Texas Supreme Court disagree d with the lower

c ourt ’ s articulation of the discovery rule: [T]he court of appeals erroneously concluded that in recent decisions this Court employed a “new formulation” of the discovery rule. The court of appeals held that under this “new formulation,” a claim does not accrue until plaintiff knows not only of the injury, but the Case: 16-14364 Date Filed: 09/20/2017 Page: 10 of 1311 specific nature of each wrongful act that may have caused the injury. This is incorrect. The rule in those cases was, as it is in this one, that accrual occurs when the plaintiff knew or should have known of the wrongfully caused injury.
K

PMG Peat Marwick v. Harrison C ty
. Hous

. Fin

. Corp

. , 988 S.W.2d 746, 749 (Tex. 1999)

. One could read KPMG as holding that a plaintiff’s awareness of a wrongful act (or lack thereof) is not necessary to trigger accrual of the claim. But KPMG ’s language could also be read to imply that some knowledge of wrongful conduct is required before a claim can accrue ; that is, while awareness of a specific design defect in a defendant’s product is not required for accrual, some generalized awareness of the defendant’s wrongdoing is. Moreover, KPMG was not a products liability case. Indeed, as noted by the district court in Hovey, “the Texas Supreme Court has yet to address the narrow issue of the discovery rule’s applicability in the context of implanted m edical devices.” Hovey, 97 F. Supp. 3d at 842 n.3. The c ases decided post

- KPMG shed minimal light on the matter. Some cases seem to support Mentor’s position

. See, e.g. , Newsom v. Brod , 89 S.W.3d 732, 736 (Tex. Ct. App. 2002) (“The plaintiff need not know the specific nature of each wrongful act that may have caused the injury.”) (citing KPMG , 988 S.W.2d at 749) ; Alvarado v. The Abijah Grp. , Inc. , No. 03

- 13

- 00060

- CV, 2015 WL 4603542, at *3 (Tex. Ct. App. July 29, 2015) (“The discovery rule does not

. . . toll

Case: 16-14364 Date Filed: 09/20/2017 Page: 11 of 1312 limitations until the plaintiff discovers all of the elements of a cause of action.”) (citing KPMG , 988 S.W.2d at 749) ; Bruning v. Hollowell , No. 05

- 13

- 01033

- CV, 2015 WL 1291378, at *3 (Tex. Ct. App. Mar. 23, 2015) (“ [ E ] ven if the discovery rul e applies, it defers accrual of the causes of action only until the plaintiff discovered or in the exercise of reasonable diligence should have discovered the wrongful injury.” ) (citing KPMG , 988 S.W.2d at 749). On the other hand, s ome cases seem to support Ms. Bergin’s position by continuing to employ the “should have known of the wrongful act” language. See,
e.g. , Holland v. Thompson , 338 S.W.3d 586, 593 (Tex. Ct. App. 2010). And o ther

case s cite the language but then disregard or do not a pply it. See, e.g. , Rodriguez v. Crowell , 319 S.W.3d 751, 757 (Tex. Ct. App. 2009) (plaintiff’s claim accrued under discovery rule even though none of plaintiff’s physicians initially connected her medical condition to its negligent cause). Thus, the sta te of the law on this issue remains unclear. “When substantial doubt exists about the answer to a material state law question , a federal court should avoid making unne cessary state law guesses and

. . . offer the state court the opportunity to explicate state law.” Salinas v. Ramsey , 858 F.3d 1360, 1362 (11th Cir. 2017) (quoting Forgione v. Dennis Pirtle Agency, Inc. , 93 F.3d 758, 761 (11th Cir. 1996) (per curiam) (internal quotation marks omitted)) . “Only through certification can federal courts get d efinitive

Case: 16-14364 Date Filed: 09/20/2017 Page: 12 of 1313 answers to unsettled state law questions. Only a state supreme court can provide what we can be assured are ‘correct’ answers to state law questions, because a state’s highest court is the one true and final arbiter of state law.” Forgione , 93 F.3d at 761 (internal quotation marks omitted). Because the resolution of this appeal , and potentially many other cases involved in pending multi

- district actions, turn s on a material, unsettled state

- law question, we respectfully seek the assistance and guidance of the Texas Supreme Court in answering this question. III. QUESTION TO BE CERTIFIED Accordingly, the Eleventh Circuit respectfully certifies the following question of law to the Texas Supreme Court:
In a product liability case , d oes Texas’ discovery rule require a plaintiff to have some knowledge of possible wrongdoing on the part of the manufacturer

— i.e., a causal connection between the injury and the manufacturer’s conduct

— before the plaintiff’s claims can accrue? To assist the Texas Sup reme Court, the entire record in this case, together with copies of the briefs of the parties , is transmitted herewith. QUESTION CERTIFIED.

Case: 16-14364 Date Filed: 09/20/2017 Page: 13 of 13