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IN THE UNITED STATES DISTRICT COURT 

FOR THE DISTRICT OF ARIZONA

IN RE: Bard IVC Filters Products Liability 

Litigation, 

No. MDL 15-02641-PHX DGC 

(PROPOSED) ORDER 

 

 The Court will adopt the following procedures for jury selection in the Booker 

bellwether trial: 

 1. No later than January 16, 2018, the Clerk will mail a case-specific 

questionnaire to 200 jurors. A copy of the questionnaire is attached to this order. The 

questionnaire will instruct the prospective jurors to return it to the Court no later than 

February 13, 2018. 

 3. A disk will be prepared for counsel (one disk for each side) containing 

copies of the questionnaires and will be available for pickup at the jury office counsel on 

February 20, 2018. 

 4. On February 23, 2018, the Court will provide the parties with a list of 

prospective jurors the Court proposes to excuse for hardship on the basis of their 

responses to the first question in the questionnaire. 

 5. At the final pretrial conference on March 2, 2018, counsel will be permitted 

to challenge the Court’s excusal of any of the listed jurors for hardship. If counsel do not 

object to the Court’s proposed excusal of a particular juror for hardship, that juror will be 

excused from further involvement in this case. After hearing counsel’s objections to 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 1 of 19
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hardship excusals, the Court will determine which of the challenged jurors should be 

excused for hardship and which should appear for voir dire. In addition, counsel will be 

permitted to make challenges for cause to jurors on the basis of information contained in 

their questionnaires. These challenges should be limited to jurors who clearly could not 

serve as a fair juror on the basis of their questionnaire answers. The Court will rule on 

these challenges at the final pretrial conference. All prospective jurors who returned 

questionnaires and who have not been excused for hardship or successfully challenged 

for cause will be candidates for voir dire. 

 6. At 9:00 a.m. on March 14, 2018, 50 prospective jurors will be called to 

Court to appear for voir dire. The Court will permit counsel to ask follow-up questions 

of individual jurors based on information contained in the juror questionnaires. Counsel 

should not venture into new subjects – they should limit their follow-up questions to the 

items covered in the questionnaire. Following voir dire, the Court will hear and rule on 

challenges for cause. 

 7. The Court will seat 9 jurors. Each side will have 3 pre-emptory strikes. 

 8. The Court anticipates that opening statements and evidence will begin on 

the afternoon of March 14, 2018. 

 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 2 of 19
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UNITED STATES DISTRICT COURT 

DISTRICT OF ARIZONA 

MDL15-2641 PHX DGC 

JUROR QUESTIONNAIRE 

Full Name: (Please print) 

 (Last) (First) (Middle Initial) 

City or County of Residence: _________________________________ Zip Code:___________ 

Telephone Numbers: 

Home: ___________________ Work: ___________________ Cell: ____________________ 

* * * * * 

 I declare under penalty of perjury that the answers set forth in this Juror Questionnaire 

are true and correct to the best of my knowledge and belief. I have not discussed my answers 

with others, or received assistance in completing the questionnaire. 

 Signed this ________ day of _____________________, 2018. 

 __________________________________ 

 (Signature) 

 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 3 of 19
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UNITED STATES DISTRICT COURT 

DISTRICT OF ARIZONA 

MDL15-2641 PHX DGC 

JUROR QUESTIONNAIRE 

TO THE PROSPECTIVE JUROR: 

Only the Court and the attorneys will use the information that you give in response to this 

questionnaire. Your responses will be kept confidential and all parties will be under orders to 

maintain the confidentiality of any information they learn in the course of reviewing this 

questionnaire. 

Please answer each question below as completely and as accurately as you reasonably 

can. PLEASE COMPLETE YOUR ANSWERS IN PEN and print all answers legibly. If 

there is not enough space for you to complete an answer, please write the number of the question 

and the rest of your answer in the blanks provided on the last page. Please do not write on the 

back of any page. 

If there is a question that you do not want to answer because of privacy concerns, then 

write the word “privacy” in the blank by that question. You may need to visit with the judge 

and the attorneys out of the presence of the other potential jurors concerning that question. 

If you simply cannot understand a question, then write “do not understand” in the blank 

by that question. 

You are expected to sign your questionnaire, and your answers will have the effect of a 

statement given to the Court under oath. Please make your very best and honest effort to answer 

the questions this questionnaire. Do not consult with any other person in answering the 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 4 of 19
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questions. After completion of the questions, do not discuss this case with anyone. You are a 

potential juror, and it is important that you not be influenced by information or opinions 

received outside of court. Return the completed questionnaire to the Court. Brief but clear 

answers will allow us to review your background before you report to the courtroom and should 

help speed the selection process. 

The sole purpose of this questionnaire is to aid the Court and the parties in selecting a fair 

and impartial jury to try this case. Your full cooperation is of vital importance. Thank you for 

your assistance. 

After you have completed and signed the questionnaire, please mail it in the stamped, 

self-addressed envelope to: Jury Office, Sandra Day O’Connor United States Courthouse, 401 

West Washington Street, SPC 2, Phoenix, Arizona 85003. Please mail your questionnaire so 

that it is received by the Court no later than February 13, 2018. In addition, you must call 

the automated phone system on March 9, 2018 after 5:00 p.m. for further reporting 

instructions and juror status. 

 Thank you for your full cooperation. 

BRIEF STATEMENT OF THE CASE

 This is a personal injury case against a medical product manufacturer. 

 The plaintiff, Sheri Booker, is a 48 year old woman who had a Bard G2 filter placed in 

her inferior vena cava (IVC), the vein that carries blood back to the heart. An IVC filter is 

intended to catch blood clots before they reach the heart or lungs. Defendants C.R. Bard, Inc. 

and Bard Peripheral Vascular designed, manufactured and sold the G2 filter. 

 Ms. Booker alleges that the filter was defectively designed and manufactured and that 

Defendants failed to warn about its risks. She alleges that she was injured by the filter, and she 

seeks to recover money from Defendants to compensate for her injuries and to punish 

Defendants for their allegedly wrongful conduct. 

 Defendants deny that their filter was defectively designed or manufactured or that they 

failed to warn of its risks. Defendants contend that risks associated with IVC filters are 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 5 of 19
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understood by the medical community and are considered by doctors when deciding whether to 

use them. Defendants assert that they are not responsible for any injuries or damages suffered 

by Sheri Booker. 

LENGTH AND SCHEDULE OF TRIAL 

 The trial is expected to last three weeks, and will begin on March 14, 2018. During 

trial, the jury generally will be in court Tuesday through Friday, from 9:00 a.m. to 5:00 p.m. 

There will be breaks during the day, including a one-hour lunch break. 

IMPORTANT INSTRUCTIONS

 Now that you have been identified as a possible juror in this case, it is very important that 

you abide by the following directions until excused from jury service: (1) do not conduct any 

research or investigation concerning this case such as reading newspaper or magazine articles, 

listening to television or radio broadcasts, or searching the Internet, and (2) do not communicate 

with anyone concerning the case. Following these instructions will help ensure that all jurors 

ultimately decide the case solely on the basis of evidence presented at trial. 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 6 of 19
QUESTIONNAIRE 

Jury service is essential to the administration of justice. Accordingly, 

inconvenience will not be sufficient to excuse a prospective juror. To be excused, a juror 

must show an unacceptable amount of personal hardship. In light of these conditions, 

would service as a juror in this case create unacceptable personal, financial, or 

professional hardship for you? 

1.  YES  NO 

If yes, please explain in specific detail: 

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________ 

WHETHER OR NOT YOU ARE CLAIMING HARDSHIP, YOU MUST COMPLETE THE REST OF THE QUESTIONNAIRE. 

 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 7 of 19
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2. Do you have any limitations in your ability to read or understand oral or written 

testimony in English?  YES  NO 

If yes, please explain: 

 ______________________________________________________ 

3. Are you:  MALE  FEMALE 

4. Place of birth: _____________________________________________________ 

5. What is your racial/ethnic background? 

 White/Caucasian  Black/African-American 

 Hispanic/Latino  American Indian or Native 

American 

 Asian or South Asian  Other (please specify) 

6. In what city and county do you currently live? 

__________________________________ 

7. Length of time at current address: 

_________________________________________________________________ 

a) If you have lived less than five years at your current address, indicate other 

places you have lived. _____________________________________________ 

_______________________________________________________________

_______________________________________________________________ 

8. Your current marital status: 

 Married, ____ years  Partnered, ___ years 

 Never married  Separated, ___ years 

 Divorced, ____ years  Widowed, ___ years 

9. Your highest level of education completed: 

 Less than high school 

 High school graduate 

 Some college: (Major: _________________) 

 Technical or vocational school: (Type: ___________________) 

 College graduate: (Major: _________________) 

 Post graduate degree: (Major: _________________) 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 8 of 19
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10. Educational background of your spouse or significant other, including any degrees 

or certificates earned: 

__________________________________________________________________ 

__________________________________________________________________

__________________________________________________________________ 

11. Your current employment status (check all that apply): 

 Employed full-time  Employed part-time 

 Business owner  Homemaker 

 Self-employed  Unemployed 

 Retired in ___ (year)  Full-time student 

 Disabled, do not work  Work more than one job 

 Laid off  Do not work outside the home 

12. Please answer for your current job or, if unemployed, for your last job: 

a) Employer: 

__________________________________________________________________ 

b) How long: 

__________________________________________________________________ 

c) Position and job duties: 

__________________________________________________________________ 

13. Do you currently supervise others at work or have you in prior jobs? 

 YES (How many? ______) 

 NO 

If yes, please describe: 

__________________________________________________________________ 

__________________________________________________________________ 

14. Please list your previous employers and jobs for the past 10 years: 

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________ 

15. Have you ever owned and/or managed your own business?  YES  NO 

16. Spouse or significant other’s occupation, job title, and employer (If he/she is 

unemployed or retired, please list last job.): 

__________________________________________________________________ 

__________________________________________________________________ 

17. List any hobbies and special interests that you have: 

__________________________________________________________________

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 9 of 19
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18. Do you do any volunteer work (professional, community, social clubs or 

organizations)? 

 YES  NO. 

If yes, please describe: 

__________________________________________________________________

__________________________________________________________________ 

19. Do you serve in any leadership role at work or in any professional or community 

groups or organizations?  YES  NO 

If yes, please describe: 

 __________________________________________________________________ 

20. List the ages and occupations of your children, step-children, and grandchildren: 

__________________________________________________________________ 

__________________________________________________________________

__________________________________________________________________ 

21. If employed, list children’s occupations and employers: 

__________________________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

22. Regarding your residence, check all that apply. 

 House, townhome  Rent 

 Condominium  Own 

 Apartment  Live with others and do not pay 

rent 

23. Prior military service? If so, please specify branch, rank, date, years served, and 

type of discharge:___________________________________________________ 

24. Are you or anyone in your family in any of the professions below either now or in 

the past? Circle all that apply. 

Accounting Business Finance Law/Legal Government 

Engineering Chemistry Insurance Psychology Social Services 

Medical R&D FDA Advertising 

If yes, please state the relationship and the type of profession:_________________ 

__________________________________________________________________

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 10 of 19
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25. What are your main source(s) of news? 

 Television (Which news channel(s)? 

__________________________________________________________________ 

 Radio (Which news station(s)? 

__________________________________________________________________ 

 Newspaper (Which newspaper(s)? 

__________________________________________________________________ 

 Magazine (Which magazine(s)? 

__________________________________________________________________ 

 Internet 

 Family/Friends 

 I don’t follow the news 

26. Do you or your spouse or partner have bumper stickers on your car? 

 YES  NO 

If yes, what do they say? 

_________________________________________________________________ 

27. Do you regularly use social networking sites on the internet (e.g., Facebook, 

Twitter, etc.)?  YES  NO 

28. Do you currently serve as a caretaker for someone who is ill or disabled? 

 YES  NO 

If yes, please explain:_________________________________________________ 

__________________________________________________________________

__________________________________________________________________ 

29. What political party do you most closely identify with? 

 Republican 

 Democrat 

 Libertarian 

 Independent 

 Tea party 

 Other: _____________________________ 

 No party 

30. Do you consider yourself: 

 Conservative 

 Liberal 

 Moderate 

 None of the above 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 11 of 19
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31. Please list 3 people you admire: 

a. _______________________________ 

b. _______________________________ 

c. _______________________________ 

32. Please list 3 people you do not admire: 

a. _______________________________ 

b. _______________________________ 

c. _______________________________ 

33. Have you ever served on a jury before?  YES  NO 

a. How many times? _______ 

b. Where did you serve? 

_______________________________________________________________ 

c. What types of case(s)? 

_______________________________________________________________ 

d. Were you ever the jury foreperson? 

______________________________________________________________ 

e. Was your jury service a positive or negative experience? 

______________________________________________________________ 

34. Have you, your relatives or anyone close to you ever: 

Yourself Someone 

Close 

  a. Sued someone else 

  b. Been sued by someone else 

  c. Been involved in a lawsuit of any kind either as a 

plaintiff, or defendant, or a witness 

  d. Suffered from any type of permanent injury, disease or 

disability 

  e. Been unable to work due to a permanent injury, 

disease or disability 

  f. Been involved in an accident that resulted in loss or 

injury 

  g. Ever filed a legal claim or complaint of any sort 

against an individual or entity 

  h. Made a personal injury claim or filed for worker's 

compensation 

 If you answered yes to any of the above, please explain: ____________________ 

__________________________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 12 of 19
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35. For the following, please indicate how you feel about them. Use a scale from 1 to 

7, where 1 is “feel extremely negative” and 7 is “feel extremely positive.” You 

may use any number in between as well. 

Personal injury lawyers 

Extremely 

Negative 

1 2 3 4 5 6 7 Extremely 

Positive 

Medical Device Manufacturers 

Extremely 

Negative 

1 2 3 4 5 6 7 Extremely 

Positive 

Corporations 

Extremely 

Negative 

1 2 3 4 5 6 7 Extremely 

Positive 

36. This case involves Inferior Vena Cava (“IVC”) filters that are implanted into a 

patient’s vein to prevent blood clots from reaching the lungs or heart. Is there 

anything about this subject matter that causes you to believe that you could not 

consider the evidence fairly, impartially, and according to the law that will be 

provided by the court?  YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________

37. Have you read or heard anything about lawsuits involving any medical devices, 

including IVC filters?  YES  NO 

If yes, please explain what you have read or heard: ________________________ 

__________________________________________________________________ 

__________________________________________________________________

__________________________________________________________________ 

38. Have you read or heard anything (in the media, from family or friends) about C. R. 

Bard or Bard Peripheral Vascular, medical device manufacturers?  YES  NO 

If yes, please explain what you have read or heard and please identify any media 

report you can recall: 

__________________________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 13 of 19
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39. Have you read or heard anything (in the media, from family or friends) about IVC 

filters?  YES  NO 

If yes, please explain what you have heard or read: _________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

40. If you have heard or read something about lawsuits involving any medical devices, 

including IVC filters, would that make it difficult for you to serve as a fair and 

impartial juror in this case?  YES  NO 

If yes, please explain: 

__________________________________________________________________ 

__________________________________________________________________ 

41. Is there any anything else that you think might affect your ability to be fair and 

impartial to both sides of a product defect case against a medical device 

manufacturer?  YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

42. Have you, your relatives or anyone close to you ever worked for C. R. Bard or 

Bard Peripheral Vascular?  YES  NO 

If yes, please describe who, the job title and dates of employment: _____________ 

__________________________________________________________________ 

__________________________________________________________________ 

43. Have you, your relatives or anyone close to you ever worked for a company that 

manufactured or sold IVC filters?  YES  NO 

If yes, please describe who, the name of the company, the job title and dates of 

employment: ______________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

44. Have you, your relatives or anyone close to you ever worked for a medical device 

company?  YES  NO 

If yes, please identify the person(s), the work performed, and the dates: 

__________________________________________________________________ 

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 14 of 19
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45. Have you, your relatives or anyone close to you ever worked for a health care 

facility (e.g., hospital, physician’s office, critical care center or medical clinic)? 

 YES  NO 

If yes, please identify the person(s), the work performed and the dates of 

employment: _______________________________________________________ 

__________________________________________________________________ 

46. Do you have any strong feelings positive or negative about people who file 

lawsuits? If yes, please describe: _______________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

47. Have you, your relatives, or anyone close to you ever been diagnosed with any of 

the following? Check all that apply. 

 Blood Clots  Pulmonary Embolism (PE) 

 Deep Venous Thrombosis (DVT) 

If you have checked any of the above, please identify the person(s), and describe 

the complication and outcome: _________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

48. Have you, your relatives or anyone close to you ever been prescribed or taken 

anti-coagulation medication (“blood thinners”), such as Coumadin, Warfarin, 

Xarelto or Lovenox?  YES  NO 

If yes, please identify the person(s), the name of the medication(s) and outcome: 

__________________________________________________________________

__________________________________________________________________ 

49. Have you, your relatives or anyone you personally know ever had an IVC filter or 

medical device implanted?  YES  NO 

If yes please identify: 

The person(s)_________________________________________________ 

Type of medical device:_________________________________________ 

Manufacturer of medical device:__________________________________ 

Any complications experienced with device:_________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 15 of 19
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50. Do you know anyone who had a negative experience or suffered injuries from an 

IVC filter? 

 YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

51. Do you know anyone who had a negative experience or suffered injuries from any 

other medical device or prescription drug?  YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

52. If you, or a family member or someone close to you, had a negative experience 

with any type of medical device or prescription drug, would that experience make 

it difficult for you to serve as a fair and impartial juror in this case? 

 YES  NO 

If yes, please explain: 

__________________________________________________________________

__________________________________________________________________ 

53. Do you or someone in your immediate family have experience in the following? 

(Check all that apply): 

 Drug or medical device company  Product design or testing 

 Medicine/medical field  Quality Assurance/Quality 

Control 

 State/federal regulatory agencies, e.g.

FDA 

 Health Hazard Evaluations 

(HHE) 

 Law/legal system  Root Cause Analysis 

 Insurance industry  510k 

 Education/teaching  PMA 

 Sales or marketing  MAUDE 

 Engineering  Medical Device Reports (MDR) 

If you have checked any of the above, please explain: _______________________ 

__________________________________________________________________ 

__________________________________________________________________ 

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 16 of 19
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54. From what you have heard or read, do you think in recent years, the number of 

injury lawsuits filed has generally been: 

 Too high 

 About right 

 Too low 

 No opinion 

55. From what you have heard or read, do you think money damages from recent 

lawsuits have generally been: 

 Too high 

 About right 

 Too low 

 No opinion 

56. Do you support legislative reforms to place caps or limits on the amount of money 

juries can award?  YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

57. If you are chosen to be a juror, and while jury selection is in process, you are not 

permitted to read or listen to any media or Internet coverage of this case and 

related subjects while the case is pending. Will you be able to follow these 

restrictions in light of the fact that this trial will last up the three weeks? 

 YES  NO 

If no, please explain: _________________________________________________ 

__________________________________________________________________ 

58. If you are chosen to be a juror, and while jury selection is in process, the Court 

will instruct you that you will not be able to blog, tweet, post on Facebook or other 

social networks, talk about, or otherwise communicate anything about this case 

while the case is pending. Is there any reason why you cannot follow this 

instruction?  YES  NO 

If yes, please explain: ________________________________________________ 

59. Do you have any ethical, religious, moral, political, philosophical or other beliefs 

that would prevent you from applying the law to the evidence of the case? 

 YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

Case 2:15-md-02641-DGC Document 9536 Filed 01/08/18 Page 17 of 19
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60. Do you know of any reason you could not be a fair, impartial, unbiased juror in 

this lawsuit? 

 YES  NO 

If yes, please explain: ________________________________________________ 

__________________________________________________________________ 

61. Is there anything else that you think the Court or the attorneys should know? 

 YES  NO 

If yes, please explain: 

 

SPACE FOR ADDITIONAL RESPONSES. Please include the number of the 

question for which you are supplying additional information. 

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