Cameron v. Otto Bock Orthopedic ( 1994 )


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    UNITED STATES COURT OF APPEALS
    FOR THE FIRST CIRCUIT
    ____________________

    No. 93-2305

    WILLIAM CAMERON, ET AL.,

    Plaintiffs, Appellants,

    v.

    OTTO BOCK ORTHOPEDIC INDUSTRY, INC.,

    Defendant, Appellee.

    ____________________

    APPEAL FROM THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF MASSACHUSETTS

    [Hon. William G. Young, U.S. District Judge] ___________________

    ____________________

    Before

    Torruella, Chief Judge, ___________

    Boudin and Stahl, Circuit Judges. ______________

    ____________________

    Albert E. Grady with whom Office of Albert E. Grady was on brief _______________ _________________________
    for appellants.
    Ronald M. Davids with whom Michelle I. Schaffer and Campbell & _________________ _____________________ __________
    Associates, P.C. were on brief for appellee. ________________


    ____________________

    December 30, 1994
    ____________________























    BOUDIN, Circuit Judge. In March of 1990, William ______________

    Cameron, whose left leg had been amputated below the knee in

    1965, was fitted with a prosthetic leg. The prosthesis was

    assembled by Mr. Cameron's prosthetist from components

    originally sold by various suppliers, including Otto Bock

    Orthopedic Industry, Inc. ("Otto Bock"). Specifically, the

    artificial limb featured an Otto Bock pylon, which is an

    aluminum tube that substitutes for the missing portion of the

    leg, and an Otto Bock clamp, which attaches the pylon to an

    artificial foot manufactured and sold by another company.

    On May 28, 1991, Mr. Cameron fell when the Otto Bock

    pylon in his artificial leg broke into two pieces. Cameron

    alleged that he suffered a fractured pelvis and emotional

    damage as a result of the fall. Based on diversity

    jurisdiction, Mr. Cameron sued Otto Bock in federal court,

    charging negligence and breach of warranty. His wife, Kay

    Cameron, claimed loss of consortium.

    The case was tried by a jury in 1993. Each side

    attributed the failure of the leg to a different cause. The

    Camerons claimed that the pylon and clamp had been

    negligently and defectively designed. Otto Bock's expert

    testified that the prosthesis broke because the screw that

    fastened the pylon to the clamp had been "overtorqued," or

    screwed too tightly, by the prosthetist, despite a warning

    against overtightening by Otto Bock. The Camerons said that



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    the instructions should have been more detailed. The jury

    found in favor of Otto Bock and the Camerons appeal.

    In this court, the Camerons' claims of error concern two

    rulings by the district court excluding evidence offered by

    them. The first ruling excluded several so-called "product

    failure reports" sent from prosthetists to Otto Bock. These

    excluded reports, all dated after Mr. Cameron's accident,

    detail the alleged failures of other prosthetic legs. The

    second group of excluded documents consisted of "Dear

    Customer" letters, sent by Otto Bock to prosthetists after

    the Cameron accident, that provided specific torque

    measurements to be used when screwing the pylon to the clamp.



    1. The product failure reports in question are one-

    page standardized forms that a prosthetist must fill out in

    order to obtain a refund or credit for an Otto Bock product.

    The forms were designed by Otto Bock, but were completed by

    prosthetists who, in turn, typically obtained their

    information from conversations with their patients. The form

    required information about the nature of the problem, the age

    of the prosthesis, the demands placed on the prosthesis, and

    the patient's activity when the accident occurred; the form

    did not inquire directly about the cause of the problem.

    The trial judge allowed the Camerons to introduce

    product failure reports that were dated before Mr. Cameron's ______



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    accident, solely to show notice on the part of Otto Bock.

    The trial judge excluded several reports that were created

    after Mr. Cameron's accident and it is this exclusion that

    the Camerons claim to be error. There is some doubt whether

    the Camerons adequately raised and preserved this claim--Otto

    Bock says they did not. However, the district court did not

    rest its exclusion on this ground and, as we uphold the

    exclusion on the merits, we need not decide whether the

    Camerons waived the issue.

    The district court held that the exclusion of the

    reports was proper because they were irrelevant, because they

    did not fall within any exception to the hearsay rule, and

    because they were more prejudicial than probative. We

    commonly say that we review all three determinations solely

    for an abuse of discretion.1 This may be a mild

    overstatement since evidentiary rulings can sometimes contain

    buried rulings of law reviewable de novo, or basic findings _______

    of fact subject to clear error review. In this case, fine

    distinctions about the standard of review would not affect

    the outcome.

    Unlike the pre-accident reports, which were admitted to

    show notice on the part of Otto Bock, the post-accident

    ____________________

    1United States v. Brandon, 17 F.3d 409, 444 (1st Cir. _____________ _______
    1994) (relevancy determinations); Elgabri v. Lekas, 964 F.2d _______ _____
    1255, 1261 (1st Cir. 1992) (hearsay and business records
    exception); Raymond v. Raymond Corp., 938 F.2d 1518, 1523 _______ _____________
    (1st Cir. 1991) (more prejudicial than probative).

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    reports describe incidents that took place after Mr.

    Cameron's accident, and thus have no bearing on notice.

    Neither are they relevant as evidence of a design defect.

    The reports of other incidents would be probative evidence of

    the existence of a design defect only if the incidents

    occurred under circumstances substantially similar to those

    surrounding Mr. Cameron's accident. Vincent v. Louis Marx & _______ ____________

    Co., Inc., 874 F.2d 36, 43 (1st Cir. 1989); McKinnon v. Skil _________ ________ ____

    Corp., 638 F.2d 270, 277 (1st Cir. 1981). The circumstances _____

    of the post-accident incidents are entirely unknown.

    We also think that there is an adequate basis for the

    district court's alternative conclusion that the reports

    contained inadmissible hearsay. This did not matter as to

    pre-accident reports offered solely to show notice; but in

    order to show defect, the truth of the reports is critical.

    Yet it appears that the information contained in the reports

    was provided to Otto Bock from independent prosthetists who

    themselves derived some or all of the information from their

    own patients.

    While the reports may be part of the business records of

    Otto Bock in a colloquial sense, that does not render

    admissible information contained in the records whose source

    is a non-party to the business. Under Fed. R. Evid. 803(6),

    the report must be made by a person acting "in the course of

    a regularly conducted business activity." It is quite clear



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    that the prosthetists' patients are not part of Otto Bock's

    business. The case is akin to Petrocelli v. Gallison, 679 __________ ________

    F.2d 286, 290 (1st Cir. 1982), where we held that a hospital

    patient who related his medical history "is not part of a

    `business' routine in which he is individually a regular

    participant."

    We thus have no reason to consider whether the business

    records exception might apply if the information were

    generated solely by the prosthetists in the course of their

    own businesses. See Fed. R. Evid. 805 (hearsay exceptions ___

    can be layered). Conversely, we need not pass on the

    suggestion that the adverse interests of the prosthetists--in

    obtaining refunds and warding off lawsuits against them--

    might permit exclusion of any business records they

    themselves generated as to the cause of a failure under the

    exclusion for business records whose source "indicate[s] lack

    of trustworthiness." Fed. R. Evid. 803(6). See Palmer v. ___ ______

    Hoffman, 318 U.S. 109 (1943). _______

    Since both the relevance and hearsay objections are well

    founded, we need not consider in detail the district court's

    further ruling that prejudice would substantially outweigh

    relevance. Fed. R. Evid. 403. We do note that the lack of

    proof of similarity of circumstances reinforces any decision

    to exclude under Rule 403. Additionally, in this kind of

    balancing of prejudice and relevance, abuse of discretion is



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    undoubtedly the test on review, and Rule 403 judgments,

    calling on the district court's "feel" for the situation, are

    quite unlikely to be disturbed.

    2. The Camerons' other challenge is to the trial

    judge's exclusion of letters sent by Otto Bock to its

    prosthetist customers after Mr. Cameron's fall. These "Dear

    Customer" letters specified, inter alia, the specific torque ___________

    levels that should be observed in screwing the pylon to the

    clamp in prosthetic limbs like Mr. Cameron's. Arguably these

    letters, if sent earlier, would have prevented Mr. Cameron's

    accident. The Camerons contend that such letters are

    evidence that Otto Bock breached its warranties of

    merchantability and fitness for a particular purpose.

    The trial judge excluded the letters on the ground that

    the furnishing of precise torque measurements was a safety

    measure undertaken after the accident, and thus inadmissible

    under Federal Rule of Evidence 407, which provides:

    When, after an event, measures are
    taken which, if taken previously, would
    have made the event less likely to occur,
    evidence of the subsequent measures is
    not admissible to prove negligence or
    culpable conduct in connection with the
    event. This rule does not require the
    exclusion of evidence of subsequent
    measures when offered for another
    purpose, such as proving ownership,
    control, or feasibility of precautionary
    measures, if controverted, or
    impeachment.

    The Camerons argue first that the Dear Customer letters



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    should have been admitted to show the feasibility of ___________

    providing the torque measurements earlier and to show the

    control Otto Bock exerted over its prosthetist customers. _______

    These exceptions apply, however, only "if" feasibility or

    control are "controverted." The feasibility of giving the

    torque measurements was certainly not controverted. The

    defense offered to stipulate to feasibility, cf. Raymond v. ___ _______

    Raymond Corp., 938 F.2d 1518 (1st Cir. 1991); and when the _____________

    Camerons rejected the offer, apparently for tactical reasons,

    the district court instructed the jury that the further

    information could feasibly have been distributed.

    "Control" is also a non-issue. Otto Bock never disputed

    that it provided advice to the prosthetists who assembled its

    products. Nor did it deny that providing more detailed

    measurements might have avoided the accident; indeed, its

    position was that the screw was overtightened and it had

    never provided specific numbers prior to the accident. If

    the Camerons justify the introduction of the letters in order

    to show causation, as their brief implies, then we think that

    the "if controverted" condition is not satisfied.

    The Camerons do not appear to be claiming that the

    prosthetists were effectively employees of Otto Bock so that

    it might be vicariously liable for the negligence of

    Cameron's own prosthetist on a master-servant theory. Even

    if the Camerons had advanced such a claim, the raw fact that



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    Otto Bock provided directions for the use of its product was

    undisputed and that is the most that the Camerons would be

    entitled to derive from the letters. There may also be some

    doubt whether "control" in the master-servant sense is what

    the drafters of Rule 407 had in mind, but we need not explore

    this interesting issue.

    The Camerons also argue that the Dear Customer letters

    should have been admitted as direct evidence of breach of

    warranty--i.e., as evidence that the Otto Bock components ____

    were defective--because, under Massachusetts law, such

    evidence might be admissible in a state trial. This circuit,

    however, has long held that the Federal Rules of Evidence,

    and specifically Rule 407, apply in diversity proceedings,

    because they "address procedural matters, [were] duly passed

    by Congress, [and] shall be presumed constitutionally valid

    unless they cannot rationally be characterized as rules of

    procedure." McInnis v. A.M.F., Inc., 765 F.2d 240, 244 (1st _______ ____________

    Cir. 1985). Compare Fed. R. Evid. 501 (providing that state ________

    privilege law governs in diversity cases).

    Finally, the Camerons argue that, even if Rule 407

    applies, by its terms it prohibits evidence of subsequent

    remedial measures only "to prove negligence or culpable

    conduct in connection with the event." The Camerons argue

    that breach of warranty, according to Massachusetts law, does

    not constitute "negligence or culpable conduct." We recently



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    rejected this very argument in Raymond v. Raymond Corp., 938 _______ _____________

    F.2d 1518, 1522 (1st Cir. 1991). The Camerons urge us to

    reconsider Raymond, but they offer us no grounds for doing so _______

    that were not before this court in that case.

    Affirmed. _________












































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