1

2

3 IN THEUNITED STATES DISTRICT COURT

4 FOR THE DISTRICT OFARIZONA

5 IN RE BARD IVC FILTERS 

PRODUCTS LIABILITY LITIGATION

6

7

No.

AMENDED MASTER SHORT FORM

COMPLAINT FOR DAMAGES FOR 

INDIVIDUAL CLAIMS

8 Plaintiff(s) named below, for their Complaint against Defendants named below,

9 incorporate the Master Complaint for Damages in MDL 2641 by reference (Doc. 364 ).

10 Plaintiff(s) further show the Court asfollows:

11 1. Plaintiff/Deceased Party:

12 Thomas Keene

13 2. Spousal Plaintiff/Deceased Party’s spouse or other party making loss of

14 consortium claim:

15 N/A

16 3. Other Plaintiff and capacity (i.e., administrator, executor, guardian,

17 conservator):

18 N/A

19 4. Plaintiff’s/Deceased Party’s state(s) [if more than one Plaintiff] of residence at

20 the time of implant: Alabama 

21

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1 5. Plaintiff’s/Deceased Party’s state(s) [if more than one Plaintiff] of residence at

2 the time of injury:

3 Alabama 

4 6. Plaintiff’s current state(s) [if more than one Plaintiff] of residence:

5 Alabama 

6 7. District Court and Division in which venue would be proper absent directfiling:

7 United States District Court for the Northern District of Alabama

8. Defendants (check Defendants against whom Complaint is made):

8  C.R. Bard Inc.

9  Bard Peripheral Vascular, Inc.

10 9. Basis of Jurisdiction:

11  Diversity of Citizenship

12 □ Other:

13 a. Other allegations of jurisdiction and venue not expressed in Master

14 Complaint:

16 Multi-District Litigation

17

18

19 10. Defendants’ Inferior Vena Cava Filter(s) about which Plaintiff(s) is making a

20 claim (Check applicable Inferior Vena Cava Filter(s)):

21  Recovery® Vena Cava Filter

22  G2® Vena Cava Filter

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1  G2®

Express(G2®X)VenaCavaFilter

2  Eclipse® Vena Cava Filter

3  Meridian® Vena Cava Filter

4  Denali®VenaCavaFilter

5  Other:

6 11. Date of Implantation as to each product:

7 January 12, 2014

8

9 12. Counts in the Master Complaint brought by Plaintiff(s):

10  Count I: Strict Products Liability – Manufacturing Defect

11  Count II: Strict Products Liability – Information Defect (Failure to

12 Warn)

13  Count III: Strict Products Liability – Design Defect

14  Count IV: Negligence - Design

15  Count V: Negligence - Manufacture

16  Count VI: Negligence – Failure to Recall/Retrofit

17  Count VII: Negligence – Failure to Warn

18  Count VIII: Negligent Misrepresentation

19  Count IX: Negligence Per Se

20  Count X: Breach of Express Warranty

21  Count XI: Breach of Implied Warranty

22  Count XII: Fraudulent Misrepresentation

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1  Count XIII: Fraudulent Concealment

2  Count XIV: Violations of Applicable Michigan (insert state)

3 Law Prohibiting Consumer Fraud and Unfair and Deceptive Trade

4 Practices

5  Count XV: Loss of Consortium

6 □ Count XVI: Wrongful Death

7 □ Count XVII: Survival

8  Punitive Damages

9 □ Other(s): (please state the facts supporting

10 this Count in the space immediately below) 

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12

13

14

15

16 13. Jury Trial demanded for all issues so triable?

17  Yes

 

18 No

19

20

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1 RESPECTFULLY SUBMITTED this 31st day of October, 2017. 

2 MARC J. BERN & PARTNERS LLP

3 By: /s/ Debra J. Humphrey 

Debra J. Humphrey

One Grand Central Place 

60 East 42nd St., Suite 950

New York, New York 10165

(212) 702-5000

5

Attorneys for Plaintiff(s)

6

7

8

9

10

11

12 I hereby certify that on this 31st day of October, 2017, I electronically transmitted

13 the attached document to the Clerk’s Office using the CM/ECF System for filing and

14 transmittal of a Notice of Electronic Filing. 

15

/s/ Debra J. Humphrey

16

5131774

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