Last week this blogger was in Morgantown for a sophomore daughter and a Mountaineers game. This week it was Harrisonburg, Virginia, for the last parent weekend with our senior son at James Madison University. The weather did not cooperate nearly as well as it did in West Virginia, but the football did not disappoint. JMU has been on such a roll these last few seasons that other programs keep poaching its coaches, including the one who left to lead Indiana to its championship season. Dukes fans are used to watching their coaches get plucked right out from under them at this point. It is less flattering than it sounds, except, actually, it is exactly as flattering as it sounds.
There is also, as it turns out, a minor sibling rivalry brewing between a daughter at WVU and a son at JMU, and it centers on Country Roads. Students in Harrisonburg are delighted to point out that the two most iconic landmarks in John Denver’s ode to West Virginia, the Blue Ridge Mountains and the Shenandoah River, are both located in western Virginia, not West Virginia. John Denver, it seems, got his geography wrong, and JMU students never let an opportunity to mention it pass by.
We have news for both students — a little digging into the song’s actual history only makes the geography more confusing. Apparently, the idea for the song originated while driving down a country road in Maryland, a state that has nothing to do with either landmark. So, the honest answer is that neither Maryland, where the song was actually conceived, nor western Virginia, where those landmarks actually sit, is where the lyrics landed. Country Roads, it turns out, only sounds like a geography lesson. None of that is likely to wrestle the anthem away from West Virginia, and we would not bet on JMU students changing the words either. This blogger does not have a dog in that fight, but we do appreciate a good excuse for a callback, and last week’s post gives us one, because it was built around a decision that butchered the TwIqbal pleading standard. This week’s decision, out of the Northern District of Ohio, gets it right. Same song, better verse.
In Radtkin v. Medtronic, Inc., 2026 WL 2920207 (N.D. Ohio Sept. 29, 2026), the court granted defendant’s motion to dismiss in full, and notably, not on preemption.
Plaintiff sued the manufacturer of an implantable drug infusion pump, a Class III, PMA medical device that delivers pain medication directly to the intrathecal space of the spine. Plaintiff had the device implanted in February 2022, replacing an earlier model that had been in place since 2015. The surgery went off without complications. The next day, however, plaintiff showed up in the emergency room with symptoms of opioid withdrawal. When the device was explanted, plaintiff’s medical providers inspected it and found an “acute pump malfunction,” but no kinking or tubing issues and nothing else obviously wrong with it. Id. at *1.
Based on that malfunction, plaintiff brought claims for defective manufacturing and nonconformity with representation (breach of express warranty) under Ohio law. Defendants moved to dismiss on preemption grounds and, in the alternative, for failure to state a plausible claim.
Here is the first thing defense counsel should notice and appreciate — the court did not start with preemption, even though defendants led with it. Because preemption analysis implicates the Supremacy Clause, the court reasoned that it should first determine whether the claims survive under state law and only reach the preemption question if necessary. Having found that none of the claims clear the state-law bar, the court never had to decide the preemption issue at all. It expressly declined to express any opinion on it. Id. at *3, 8. This is a good reminder not to treat the state-law arguments as the undercard. A well-pleaded state-law failure can end the case all on its own, and courts applying constitutional avoidance will often look there first.
Under the Ohio Products Liability Act, a product is defective in manufacture if it deviated in a material way from the manufacturer’s own design specifications or from otherwise identical units, when it left the manufacturer’s control. Id. at *3. The court made clear that a plaintiff must plead sufficient factual content, beyond a mere malfunction, to plausibly allege that kind of material deviation.
Plaintiff tried several routes to get there, and the court closed off every one of them. First, plaintiff pointed to eight CGMP regulations they claimed defendants violated, including failures around design validation testing, production process controls, and corrective and preventive action procedures. The court was not impressed. Id. at *4. Plaintiff did not allege how those violations connected to anything specific about plaintiff’s own device, and a laundry list of regulatory citations, without factual support tying them to the device at issue, cannot plead a manufacturing defect claim.
Second, plaintiff leaned on FDA warning letters, inspection findings, and voluntary recalls between 2006 and 2013. The problem is that plaintiff’s device was implanted in 2022, nearly a decade after the most recently cited enforcement action. Nor did plaintiff allege the device was manufactured during any period those actions covered. The court held that historical violations do not support a reasonable inference that a device made years later, and not subject to those enforcement activities, suffered the same defect. Id. at *5. Calling the violations “systemic” did not bridge that gap either. Characterizing old problems as systemic is not the same as pleading facts connecting them to this device. Id.
Third, plaintiff noted that plaintiff’s prior pump had performed fine for years. The court held that the successful performance of a different device does not plausibly establish that a later unit materially deviated from otherwise identical units or caused the plaintiff’s injury. And fourth, although plaintiff identified several recall windows going back to 2008, he never alleged that his specific device was manufactured during any of them. Id.
What plaintiff never did, at any point, was identify a flawed physical condition of the actual device or a particular deviation from specifications. That is what a plausible manufacturing defect claim requires. An unexplained malfunction, standing alone, is simply not enough.
Plaintiff also brought a nonconformity-with-representation claim, Ohio’s version of an express warranty theory, based on marketing statements that the device was “safe, proven, and effective,” that it met design specifications, that it was designed to help eliminate systemic opioids, and that its battery would last four to seven years. Id. at *7. The court rejected all of it. Generic representations about a product’s safety do not, without more, plausibly establish nonconformity just because the product later malfunctioned. The specifications-compliance theory failed for the same reason as the manufacturing defect claim, because it rested on the same unsupported premise that the device deviated from specifications. The battery life representation was simply irrelevant, since plaintiff never alleged a battery failure. Id.
This application of TwIqbal to a medical device manufacturing defect claim stands in sharp contrast to the decision we covered last week, where a doctor’s letter saying a plaintiff “may have” received a contaminated product was somehow enough to plead causation. Here, the court held the line. A malfunction is not a manufacturing defect. A regulatory violation from a decade earlier is not a manufacturing defect in a device made years later. Prior successful use of other units is not evidence that this unit deviated. And calling old problems “systemic” is not a substitute for alleging facts about the device actually at issue.
We would also flag the court’s sequencing of issues. Because the court addressed the state-law claims first under constitutional avoidance principles, the entire case was resolved without the court ever having to wrestle with preemption. That is exactly why state-law arguments belong in every motion to dismiss, not as a fallback to preemption, but as a potential knockout punch in their own right. A defendant who argues preemption alone and skips the state-law pleading deficiencies is leaving a perfectly good argument on the table, and perhaps the whole case.
So here is where the Country Roads callback lands. John Denver put the Blue Ridge Mountains and the Shenandoah River in the wrong state, and generations of JMU students have been correcting the record ever since. The court in Radtkin v. Medtronic, Inc. did not make the same kind of mistake. It knew exactly where the pleading standard actually lives, and it kept the complaint on the right side of the line. Almost heaven is a nice sentiment, but almost plausible does not cut it under Rule 12(b)(6), and this court was not interested in splitting the difference.






