This post is from the non-Butler Snow side of the blog.
Back in November, we told you the court in the In re Paragard IUD Products Liability Litigation wasn’t quite finished with plaintiffs’ effort to impose a post-sale duty to warn on a company that didn’t manufacture, sell, or even own the product when it was implanted. The court had dismissed the design defect claims against the successor company but requested supplemental briefing on causation for failure to warn. We suggested then that, absent wormhole technology, causation was going to be a problem. We recently came upon the warning ruling. Big surprise—summary judgment granted on causation.
As a reminder, the product was originally manufactured and sold by Teva. But in November 2017, the NDA was purchased by Coopersurgical. Coopersurgical moved for summary judgement in cases where plaintiffs’ IUDs were implanted prior to 2017, so manufactured and sold by Teva, but explanted after the change of ownership—at which time it was discovered the IUDs had broken. In re Paragard IUD Products Liability Litigation, 2025 WL 4092375, at *2 (N.D. Ga. Dec. 23, 2025).
The claims at issue were brought under Florida law, so the court’s analysis started with recognizing that Florida is a learned intermediary state. That means the duty to warn runs to the prescribing physician, not directly to the patient. Plaintiffs attempted to sidestep that rule by arguing for a contraceptive exception—claiming that birth control products are uniquely marketed directly to patients and that physicians defer to patient choice. Id. at *3. There is just one problem—Florida has not adopted a direct-to-consumer exception to the learned intermediary doctrine. In fact, two Florida courts have expressly rejected the concept. Plaintiffs only cited a Massachusetts case to support their argument. That may be interesting in Boston, but it is not binding in Florida.
So the learned intermediary rule applied. Which meant plaintiffs had to prove that a different warning to the physician would have changed something in a way that would have prevented their injuries.
Plaintiffs argued that by the time the successor company acquired the NDA, before the IUDs were removed, it knew the label did not adequately warn about device breakage. Therefore, say plaintiffs, defendant could and should have provided new warnings, before the IUDs were removed, via sales representatives, literature, dear doctor letters, etc. Then, say plaintiffs, their physicians would have reviewed the warnings, monitored for breakage, warned plaintiffs, attempted to mitigate the risk, and/or recommended early removal. Id. at *4.
But litigation does not run on plaintiffs say so. As it turns out, “[p]laintiffs’ allegations [were] not grounded in any evidence.” Id. Plaintiffs claimed that one of their physicians testified that had she known of the breakage risk she would have “been on the lookout” for it. However, the court actually read the testimony and concluded it did not say what plaintiffs claimed it said. Id. The doctor actually testified there was no resistance during her first attempt to remove the device. Plaintiffs’ spin was more aspirational than record citation. The actual testimony did not support finding causation. Id.
Plaintiffs offered no other factual support for their allegations. There was no testimony that a different warning would have caused a reasonable physician to notify the already-implanted patients of a breakage risk. No testimony that any alternative course of action would have been taken. No testimony that anything would have prevented these injuries. There was no evidence from which a reasonable jury could find that the defendant’s alleged failure to warn was the proximate cause of their injuries.
While the court did not wade into a broad rejection of post-sale successor duty to warn, it didn’t need to. Even assuming arguendo some duty could exist, plaintiffs still had to prove causation. And they couldn’t. Proof of causation requires actual evidence. Not speculation about what doctors might have done differently. On that point, the record was silent.