Jean Rustico v. Intuitive Surgical, Inc. ( 2021 )


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  •                        FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    JEAN RUSTICO and JOHN                          No. 20-15009
    RUSTICO,
    Plaintiffs-Appellants,                 D.C. No.
    5:18-CV-02213-LHK
    v.
    INTUITIVE SURGICAL, INC.,                        OPINION
    Defendant-Appellee.
    Appeal from the United States District Court
    for the Northern District of California
    Lucy H. Koh, District Judge, Presiding
    Argued and Submitted February 11, 2021
    San Francisco, California
    Filed April 6, 2021
    Before: Kim McLane Wardlaw and Carlos T. Bea, Circuit
    Judges, and James David Cain, Jr., * District Judge.
    Opinion by Judge Bea
    *
    The Honorable James David Cain, Jr., United States District Judge
    for the Western District of Louisiana, sitting by designation.
    2               RUSTICO V. INTUITIVE SURGICAL
    SUMMARY **
    Choice-of-Law / Statute of Limitations
    The panel affirmed the district court’s summary
    judgment in favor of Intuitive Surgical, Inc., and held that a
    diversity product liability action was barred by the two-year
    statute of limitations in Cal. Code of Civ. Pro. § 335.1.
    Plaintiffs Jean and John Rustico were both citizens and
    residents of Connecticut at the time of the alleged injury, and
    Intuitive was a Delaware corporation with its headquarters
    in California. Jean Rustico experienced complications with
    Intuitive’s da Vinci surgical robot during her surgery in
    Connecticut in January 2012. In January 2013, a year before
    the expiration of California’s statute of limitations, Intuitive
    proposed a general tolling agreement to all putative
    claimants who sought to file personal injury claims arising
    out of the da Vinci surgical robot. On February 3, 2014,
    counsel for the Rusticos emailed Intuitive and submitted a
    list of names that included the Rusticos to be included in the
    Tolling Agreement.
    The panel held that the California – not Connecticut –
    statute of limitations applied. The panel applied the three-
    step California “government interest” analysis for resolving
    the choice-of-law question. Under step one, the parties
    agreed that the laws of California and Connecticut differed,
    with California having a two-year statute of limitations for
    product liability claims, and Connecticut having a three-year
    **
    This summary constitutes no part of the opinion of the court. It
    has been prepared by court staff for the convenience of the reader.
    RUSTICO V. INTUITIVE SURGICAL                  3
    statute of limitations. Absent tolling, the Rusticos’ claims
    would be untimely under California law but timely under
    Connecticut law. Under step two, the panel determined what
    interest, if any, the respective states had in seeing their
    respective laws applied to the case. The panel held that
    California had legitimate interests in the application of its
    statute of limitations here because it would protect Intuitive,
    which is headquartered in California, and protect the district
    court, which is located in California, from the burden of
    litigating the Rusticos’ expired product liability claims. The
    panel held further that the district court erred in failing to
    consider whether Connecticut had any interest in seeing its
    own statute of limitations applied. The panel held, however,
    that despite this error, reversal was not warranted. The
    Rusticos failed to prove that they were members of the class
    of persons whom Connecticut’s statute of limitations was
    designed to protect.         Because California – but not
    Connecticut – had a legitimate interest, there was a “false
    conflict” that led the panel to apply California law. The
    panel noted that even if it inferred that Connecticut had some
    interest in the application of its law, and the panel proceeded
    to step three, it was clear that California had a much stronger
    interest that would be more impaired if its law were not
    applied.
    The panel held that the Tolling Agreement did not render
    the Rusticos’ claims timely. Although counsel executed the
    agreement on August 9, 2013, the Tolling Agreement did not
    commence until counsel submitted Mr. Rustico’s name on
    February 3, 2014, which was a few weeks after the two-year
    anniversary of Ms. Rustico’s surgery, and California’s two-
    year statute of limitations had expired. Because the Tolling
    Agreement expressly preserved Intuitive’s statute-of-
    limitations defense for the applicable jurisdiction, Intuitive
    4            RUSTICO V. INTUITIVE SURGICAL
    was entitled to employ its statute-of-limitations defense
    under California law.
    The panel held that equitable estoppel did not apply to
    the Rusticos’ claims. The Rusticos failed to submit any
    evidence that identified a misrepresentation, material
    omission, or false promise made on behalf of Intuitive.
    COUNSEL
    David B. Newdorf (argued), Newdorf Legal, Oakland,
    California; Marc J. Mandich (argued), François M.
    Blaudeau, and Evan T. Rosemore, Southern Med Law,
    Birmingham, Alabama; Ronnie G. Penton, Penton Law
    Firm, Bogalusa, Louisiana; Nancy L. Hersh, Hersh & Hersh
    LLP, San Francisco, California; for Plaintiffs-Appellants.
    Allen J. Ruby (argued) and Emily Reitmeier, Skadden Arps
    Slate Meagher & Flom LLP, Los Gatos, California, for
    Defendant-Appellee.
    OPINION
    BEA, Circuit Judge:
    Even when all goes as planned, surgery is risky.
    Technological advancements, like robotic assistance, may
    reduce a doctor’s surgical footprint and decrease some of the
    risks. But technology is not always perfect. Sadly, parts
    sometimes break or malfunction. And when they do,
    patients tend to sue, which can pose complex choice-of-law
    challenges in actions against national manufacturers. That
    is exactly what happened here.
    RUSTICO V. INTUITIVE SURGICAL                   5
    Jean Rustico, a Connecticut citizen and resident at the
    time, underwent a robotically assisted surgery in
    Connecticut. The doctor attempted to perform the surgery
    using the da Vinci surgical robot, which was designed and
    manufactured in California by Intuitive Surgical, Inc.
    (“Intuitive”).      Unfortunately, the surgical robot
    malfunctioned and caused internal injuries. Another doctor
    was able to intervene and repair the injuries, but Ms. Rustico
    eventually sought damages from Intuitive for its allegedly
    defective product.
    In an attempt to forestall litigation before she filed suit,
    Intuitive offered Ms. Rustico an agreement to toll “the
    applicable statute of limitations” on her anticipated claims,
    presumably to provide time in which to negotiate a possible
    settlement. When the tolling agreement was offered,
    Ms. Rustico still had months to file her action before
    California’s statute of limitations would expire. But, by the
    time Ms. Rustico decided to enter into the agreement,
    California’s two-year statute of limitations—but not
    Connecticut’s three-year statute of limitations—had expired.
    Nonetheless, Ms. Rustico filed product liability claims
    against Intuitive in California. The district court granted
    Intuitive’s motion for summary judgment on the basis that
    California’s statute of limitations barred the claims. On
    appeal, we are tasked with deciding whether the applicable
    choice-of-law analysis should have led to Connecticut’s
    longer statute of limitations, thereby allowing Ms. Rustico
    to pursue her claims against Intuitive.
    I. BACKGROUND
    Jean and John Rustico, husband and wife (collectively,
    the “Rusticos”), were both citizens and residents of
    6               RUSTICO V. INTUITIVE SURGICAL
    Connecticut at the time of the alleged injury. 1 Intuitive, a
    Delaware corporation with its headquarters in California,
    designed, manufactured, and sold the da Vinci surgical
    robot—and continues to do so. Subject-matter jurisdiction
    was based on diversity of citizenship. See 
    28 U.S.C. § 1332
    .
    The Rusticos allege in the operative complaint that Intuitive
    “has a substantial business presence in California.” For
    example, they allege that Intuitive “directs its operations out
    of California”; Intuitive’s “decision to use faulty insulation
    and other faulty components, accessories and
    instrumentation and the decision to not report information
    about the defective product were all made in California”;
    Intuitive’s “failure to identify the dangers inherent in its
    product occurred in California”; and Intuitive’s
    “promotional materials and advertisements all originate in
    California.”
    A. Ms. Rustico experiences complications with
    Intuitive’s da Vinci surgical robot during her
    surgery in Connecticut
    On January 12, 2012, Ms. Rustico underwent robotically
    assisted surgery in Connecticut to remove an ovarian mass.
    Dr. Clare Zhou attempted to perform the surgery using the
    da Vinci surgical robot, which was designed, manufactured,
    and sold by Intuitive. During the surgery, however,
    Dr. Zhou noticed that the surgical robot had malfunctioned,
    causing “an adventitial injury about 3–5mm in size.”
    Dr. Zhou quickly contacted a vascular surgeon, who
    intervened and repaired the injury. Dr. Zhou then abandoned
    the robotic assistance, which was intended to be minimally
    1
    The operative complaint asserts that the Rusticos are citizens of
    Florida. During oral argument, however, both parties agreed that the
    Rusticos were citizens of Connecticut at the time of the surgery.
    RUSTICO V. INTUITIVE SURGICAL                    7
    invasive, and completed the rest of the procedure without the
    da Vinci surgical robot. Ms. Rustico was discharged in good
    condition a few days later.
    Shortly after the surgery, Dr. Zhou informed the Rusticos
    about the “complications from the robotic surgery.”
    Dr. Zhou explained that the da Vinci surgical robot had
    malfunctioned and caused Ms. Rustico’s internal injury. A
    few days later, Dr. Zhou prepared a report that described
    these complications and concluded that the da Vinci surgical
    robot’s malfunctioning had caused Ms. Rustico’s injuries.
    Ms. Rustico’s experience with the da Vinci surgical
    robot was not an isolated incident. In 2010 alone, Intuitive
    received over 130 complaints from patients who suffered
    similar complications.
    B. The parties enter into the Tolling Agreement
    In January 2013, a year before the expiration of
    California’s statute of limitations, Intuitive proposed a
    general tolling agreement to all putative claimants, including
    Ms. Rustico, who sought to file “personal injury claims”
    against Intuitive arising out of its da Vinci surgical robot (the
    “Tolling Agreement”). The Tolling Agreement provided
    that the Rusticos would promise “to delay the filing of any
    lawsuit,” but, if they were to file any lawsuit, they would do
    so “in the Northern District of California only and only in
    the form of a single plaintiff family complaint.” In
    exchange, Intuitive would promise “to toll the applicable
    statute of limitations for a three month period starting on the
    date Intuitive Surgical is provided with [Ms. Rustico]’s
    name.” Although the Tolling Agreement did not contain a
    choice-of-law provision regarding the “applicable”
    jurisdiction, it provided an express disclaimer regarding
    Intuitive’s statute-of-limitations defense:
    8             RUSTICO V. INTUITIVE SURGICAL
    The tolling of the applicable statute of
    limitations is not intended to and shall not for
    any purpose be deemed to limit or adversely
    affect any defense, other than a statute-of
    limitations defense, that Intuitive Surgical
    has, may have, or would have had in the
    absence of this agreement. Nor does this
    agreement waive or release any statute of
    limitations defense that could have been
    asserted before the date of the tolling period.
    Upon the completion of the tolling period,
    Intuitive Surgical will have all defenses
    available to it as it had on the first day of the
    tolling period.
    (emphasis added).
    On August 9, 2013, more than five months before the
    expiration of California’s statute of limitations, counsel for
    the Rusticos, who was representing numerous putative
    claimants against Intuitive for its da Vinci surgical robot,
    returned an executed copy of the Tolling Agreement. It is
    undisputed, however, that the Rusticos’ claims were not
    tolled on this date. The parties agree that, under the terms of
    the Tolling Agreement, tolling did not commence until
    Intuitive was “provided with [Ms. Rustico]’s name,” which
    had not yet occurred.
    On February 3, 2014—over two years after
    Ms. Rustico’s surgery and nearly six months after counsel
    had executed the Tolling Agreement—counsel for the
    Rusticos emailed Intuitive and submitted a list of names “for
    the purpose of including these folks as of today’s date in the
    [Tolling Agreement].” Ms. Rustico’s name was on that list.
    RUSTICO V. INTUITIVE SURGICAL                 9
    The parties agree that the Rusticos’ claims were tolled on
    this date until she filed the instant action.
    C. The Rusticos file product liability claims in
    California
    In April 2018, after extending the Tolling Agreement
    several times, the Rusticos filed product liability claims
    against Intuitive in the Northern District of California. The
    district court ultimately granted Intuitive’s motion for
    summary judgment on the grounds that the Rusticos’ claims
    were time-barred. In doing so, the district court applied
    California’s choice-of-law rule—the “governmental
    interest” test—and concluded that California’s two-year
    statute of limitations—rather than Connecticut’s three-year
    statute of limitations—governed the claims. Because
    Ms. Rustico’s surgery occurred on January 12, 2012, and
    because the Tolling Agreement did not become effective
    until Intuitive received Ms. Rustico’s name on February 3,
    2014, the district court held that California’s statute of
    limitations barred the Rusticos’ claims. The Rusticos appeal
    from this decision.
    II. JURISDICTION AND STANDARD OF REVIEW
    We have jurisdiction under 
    28 U.S.C. § 1291
    .
    We review de novo the district court’s decision to grant
    summary judgment. See Stevens v. Corelogic, Inc., 
    899 F.3d 666
    , 672 (9th Cir. 2018). We “must determine, viewing the
    evidence in the light most favorable to the nonmoving party,
    whether there are any genuine issues of material fact and
    whether the district court correctly applied the relevant
    substantive law.” Buffets, Inc. v. Klinke, 
    73 F.3d 965
    , 967
    (9th Cir. 1996).
    10               RUSTICO V. INTUITIVE SURGICAL
    III.       DISCUSSION
    A. The California—not Connecticut—statute of
    limitations applies
    It is well-established that in diversity cases, such as this
    one, “federal courts must apply the choice-of-law rules of
    the forum state.” Ledesma v. Jack Stewart Produce, Inc.,
    
    816 F.2d 482
    , 484 (9th Cir. 1987) (citing Klaxon Co. v.
    Stentor Elec. Mfg. Co., 
    313 U.S. 487
    , 496 (1941)). In
    California, the state in which the forum sits, courts have
    “adopted and consistently applied the so-called
    ‘governmental interest’ analysis as the appropriate general
    methodology for resolving choice-of-law questions.”
    McCann v. Foster Wheeler LLC, 
    225 P.3d 516
    , 524 (Cal.
    2010). 2 This approach generally involves three steps:
    First, the court must determine whether the
    substantive laws of California and the foreign
    jurisdiction differ on the issue before it.
    Second, if the laws do differ, then the court
    must determine what interest, if any, the
    competing jurisdictions have in the
    application of their respective laws. If only
    one jurisdiction has a legitimate interest in
    the application of its rule of decision, there is
    a “false conflict” and the law of the interested
    jurisdiction is applied. But if more than one
    jurisdiction has a legitimate interest, the court
    must move to the third stage of the analysis,
    which focuses on the comparative
    The parties agree that the district court properly determined that
    2
    California’s choice-of-law rule, the “governmental interest” test, applies
    here.
    RUSTICO V. INTUITIVE SURGICAL                11
    impairment of the interested jurisdictions.
    This third step requires the court to identify
    and apply the law of the state whose interest
    would be the more impaired if its law were
    not applied.
    Cooper v. Tokyo Elec. Power Co. Holdings, 
    960 F.3d 549
    ,
    559 (9th Cir. 2020) (internal citations omitted).
    Under step one, the parties agree that the laws of
    California and Connecticut differ. California has a two-year
    statute of limitations for most tort claims alleging personal
    injury, including product liability claims. See Cal. Code Civ.
    P. § 335.1. Connecticut, by contrast, has a three-year statute
    of limitations specifically for product liability claims. See
    
    Conn. Gen. Stat. § 52
    -577a. Assuming for now that no
    tolling is warranted, the Rusticos’ claims would be untimely
    under California law—but timely under Connecticut law—
    because they entered into the Tolling Agreement on
    February 3, 2014, which was more than two (but less than
    three) years after Ms. Rustico’s surgery on January 12, 2012.
    Next, under step two, we must determine what interest,
    if any, California and Connecticut have in seeing their
    respective laws applied to this case. See Cooper, 960 F.3d
    at 560 (citing Offshore Rental Co. v. Cont’l Oil Co., 
    583 P.2d 721
    , 724–25 (Cal. 1978)). “Only if each jurisdiction
    involved has a legitimate but conflicting interest in applying
    its own law will there be a ‘true conflict,’ requiring us to
    move on to step three of the analysis.” 
    Id.
     (quoting Offshore
    Rental, 
    583 P.2d at
    725–26). The district court held that
    “California is the only interested state” because (1) the sole
    defendant is from California and (2) the forum is in
    California. Because the district court determined that a
    “false conflict” existed, it declined to proceed to step three
    12            RUSTICO V. INTUITIVE SURGICAL
    to compare the nature and strength of each state’s interest in
    seeing its own law applied.
    We have no doubt that California has legitimate interests
    in the application of its statute of limitations here. We have
    acknowledged that California’s statute of limitations serves
    two purposes: (1) “it protects state residents from the burden
    of defending cases in which memories have faded and
    evidence has been lost,” and (2) “it protects the courts of the
    state from the need to process stale claims.” Ledesma,
    
    816 F.2d at 485
     (internal citation omitted). Here, the
    application of California law would serve the dual purpose
    of protecting Intuitive, which is headquartered in California,
    and protecting the district court, which is located in
    California, from the burden of litigating the Rusticos’
    expired product liability claims.
    Our prior holding in Nelson v. International Paint Co.,
    
    716 F.2d 640
     (9th Cir. 1983) is particularly instructive here.
    In Nelson, a Texas plaintiff was injured in Alaska and
    brought tort claims against a California defendant in
    California. 
    Id. at 642
    . We addressed whether the district
    court properly applied California’s shorter statute of
    limitations, rather than Texas’s or Alaska’s longer statute of
    limitations. 
    Id.
     at 644–45. Relying on Ashland Chemical
    Co. v. Provence, 
    181 Cal. Rptr. 340
     (Ct. App. 1982), we
    affirmed and held that “[o]nly California has an interest in
    having its statute of limitations applied” because the forum
    is in California and the sole defendant is from California.
    Nelson, 
    716 F.2d at
    644–45; see also Ashland, 181 Cal. Rptr.
    at 341 (holding that “California is the only interested state”
    even though “Kentucky is the plaintiff’s domicile, the place
    of contracting, and the place of payment” because “none of
    these contacts gives Kentucky an interest in having its statute
    of limitations applied”). We reasoned that “California courts
    RUSTICO V. INTUITIVE SURGICAL                   13
    and a California resident would be protected by applying
    California’s statute of limitations,” so the application of
    California law “would . . . advance its underlying policy.”
    Nelson, 
    716 F.2d at
    644–45 (quoting Ashland, 181 Cal. Rptr.
    at 341–42) (explaining that “Kentucky has no interest in
    having its statute of limitations applied because . . . . there
    are no Kentucky defendants and Kentucky is not the
    forum”). Indeed, “California’s interest in applying its own
    law is strongest when [like here] its statute of limitations is
    shorter than that of the foreign state, because a ‘state has a
    substantial interest in preventing the prosecution in its courts
    of claims which it deems to be stale.’” Deutsch v. Turner
    Corp., 
    324 F.3d 692
    , 717 (9th Cir. 2003) (quoting
    Restatement (Second) of Conflict of Laws § 142 cmt. 4
    (1998)); see also id. at 716–17 (“Where the conflict concerns
    a statute of limitations, the governmental interest approach
    generally leads California courts to apply California law, and
    especially so where California’s statute would bar a claim.”
    (internal citation omitted)).
    That said, although California has a strong interest in
    seeing its statute of limitations applied here, the district court
    erred by failing to consider whether Connecticut has any
    interest in seeing its own statute of limitations applied.
    Intuitive advocates that we adopt a strict, straightforward
    approach whereby courts would automatically apply
    California law whenever a California resident is sued in
    California. Not only have we rejected such a “per se rule,”
    Ledesma, 
    816 F.2d at 484
    , but we have also recognized “rare
    exceptions” to the general rule, see, e.g., Aalmuhammed v.
    Lee, 
    202 F.3d 1227
    , 1237 (9th Cir. 2000) (reversing and
    applying New York’s longer statute of limitations—instead
    of California’s shorter one—even though the suit was
    brought in California against a California defendant because
    “New York’s connection with [plaintiff]’s claim [regarding
    14            RUSTICO V. INTUITIVE SURGICAL
    a movie script] is considerably more substantial, immediate
    and concrete than California’s” because the movie was
    filmed in New York). Courts, therefore, must assess
    “whether each jurisdiction has legitimate interests in seeing
    its own law applied.” Cooper, 960 F.3d at 560 (emphasis
    added); see also Ashland, 181 Cal. Rptr. at 341 (identifying
    the parties’ contacts with both California and Kentucky and
    determining that “none of these contacts gives Kentucky an
    interest in having its statute of limitations applied”).
    Despite this error, however, reversal is not warranted.
    The Rusticos contend that Connecticut has a particularly
    strong interest in protecting its citizens from defective
    products because Connecticut’s statute of limitations
    pertains only to product liability claims—unlike California’s
    statute of limitations, which “applies generally to tort claims
    of all types.” Their contention may be persuasive if, for
    example, Connecticut had enacted some narrowly tailored
    policy demonstrating its unmistakably strong interest in
    protecting      in-state    claimants     from      out-of-state
    manufacturers of defective products. But Connecticut does
    not treat product liability claims differently than general tort
    claims: it has prescribed the same limitations period for both
    types of claims. Compare 
    Conn. Gen. Stat. § 52-577
     (three-
    year statute of limitations for general torts claims), with
    
    Conn. Gen. Stat. § 52
    -577a (three-year statute of limitations
    for products liability claims). In fact, the Connecticut
    Supreme Court has found that “the legislative history of the
    act [reveals] that the legislature was merely recasting an
    existing cause of action and was not creating a wholly new
    right for claimants harmed by a product.” King v. Volvo
    Excavators AB, 
    215 A.3d 149
    , 157 (Conn. 2019) (alteration
    in original) (internal citation omitted); see also Gerrity v.
    R.J. Reynolds Tobacco Co., 
    818 A.2d 769
    , 774 (Conn. 2003)
    (noting that Connecticut’s “product liability act was
    RUSTICO V. INTUITIVE SURGICAL                   15
    designed in part to codify the common law of product
    liability”).
    The Rusticos also fail to prove that they are members of
    the class of persons whom Connecticut’s statute of
    limitations was designed to protect. “The basic purpose of a
    statute of limitations is to protect . . . against the prosecution
    of stale claims.” Restatement (Second) of Conflict of Laws
    § 142 cmt. f (1988). Both California and Connecticut agree
    that statutes of limitations are designed to protect in-state
    defendants and courts by cutting off liability and preventing
    the litigation of stale claims. See Ashland, 181 Cal. Rptr. at
    341 (noting that “[s]tatutes of limitation are designed to
    protect the enacting state’s residents and courts from the
    burdens associated with the prosecution of stale cases”);
    Baxter v. Sturm, Ruger & Co., 
    644 A.2d 1297
    , 1300 (Conn.
    1994) (“Whether they take the form of statutes of limitation
    or of statutes of repose, time constraints on the initiation of
    product liability actions serve the important public policy of
    preventing the litigation of stale claims.”). Attempting to
    use Connecticut’s statute of limitations to extend liability,
    the Rusticos conflate their preference in applying
    Connecticut law with Connecticut’s legitimate interest in
    doing so. But the policy underlying Connecticut’s statute of
    limitations would not be advanced merely because a former
    Connecticut citizen would benefit from its application in a
    California court.
    The Rusticos urge us to depart from our decision in
    Nelson by essentially conjecturing that California courts
    would overrule Ashland if given the opportunity. But our
    holding here is consistent with a more recent California state
    court decision, McCann v. Foster Wheeler LLC, 
    225 P.3d 516
     (Cal. 2010). McCann, residing and working in
    Oklahoma, was exposed to asbestos while installing a boiler
    16              RUSTICO V. INTUITIVE SURGICAL
    manufactured by a New York corporation. 
    Id.
     at 520–21.
    Nearly fifty years after such exposure, McCann was
    diagnosed with mesothelioma, prompting him to file suit in
    California, to which he had moved before the diagnosis. 
    Id. at 521
    .
    Under step one of the governmental interest test, the
    court determined that the two relevant laws differed. 
    Id.
     at
    527–29. Under California law, McCann’s claims would
    have been timely because California’s statute of repose—
    which typically barred stale claims—did not apply to his
    latent personal injury claims. 
    Id.
     at 528–29. Under
    Oklahoma law, however, McCann’s claims would have been
    untimely because Oklahoma’s ten-year statute of repose did
    apply. 
    Id.
     at 527–28.
    Under step two, the court determined that California and
    Oklahoma each had a legitimate interest in seeing its own
    law applied. California, whose law allowed claims based on
    latent personal injuries as long as the claims were filed
    within one year of the first manifestation of symptoms, had
    a legitimate interest because the application of its law would
    have extended liability for its in-state plaintiff. 
    Id. at 532
    .
    On the other hand, Oklahoma, whose law cut off liability
    after ten years “to balance the interest of injured persons in
    having a remedy available . . . against the interest of
    [manufacturers],” had a legitimate interest because the
    application of its law would have limited liability for the out-
    of-state defendant, “providing a measure of security for
    [manufacturers] whose liability could otherwise extend
    indefinitely.” 
    Id. at 529
     (internal citation omitted). 3
    3
    The court then proceeded to step three of the governmental interest
    test, where it “carefully evaluate[d] and compare[d] the nature and
    RUSTICO V. INTUITIVE SURGICAL                           17
    Here, unlike in McCann where the application of either
    state’s law would have advanced its underlying purpose, the
    application of only one state’s law would advance such a
    purpose. Both California and Connecticut’s statutes of
    limitations are designed to protect in-state defendants and
    courts by preventing the litigation of stale claims and
    limiting in-state liability. But the Rusticos, now citizens of
    Florida, attempt to thwart this policy by reviving their stale
    claims and extending in-state liability. The application of
    only California’s statute of limitations, which would bar the
    claims, advances the purpose of protecting California
    defendants and California courts. See 
    id.
     at 534–37
    (applying shorter statute of repose to limit liability); Nelson,
    
    716 F.2d at 644
     (holding that “[o]nly California has an
    interest in having its statute of limitations applied” because
    “the forum is in California, and the only defendant is a
    California resident”). 4      Because California—but not
    Connecticut—has a legitimate interest, there is a “false
    conflict,” leading us to apply the California law. Although
    the district court erred by failing to consider whether
    Connecticut had a legitimate interest in seeing its law
    strength of the interest of each jurisdiction in the application of its own
    law to determine which state’s interest would be more impaired if its
    policy were subordinated to the policy of the other state.” McCann,
    225 P.3d at 533. The court ultimately applied Oklahoma law because
    “Oklahoma’s interest (as embodied in its statute of repose) would be
    more impaired if its law were not applied under the circumstances of this
    case than would be California’s interest if its statute of limitations is not
    applied.” Id. at 537.
    4
    It is of no consequence that Ms. Rustico’s surgery occurred outside
    of California. See, e.g., Ashland, 181 Cal. Rptr. at 341–42 (holding that
    “California is the only interested state” even though “Kentucky is the
    plaintiff’s domicile, the place of contracting, and the place of payment”
    because “none of these contacts gives Kentucky an interest in having its
    statute of limitations applied”).
    18              RUSTICO V. INTUITIVE SURGICAL
    applied, the district court correctly held that California’s
    two-year statute of limitations governs the claims. 5
    B. The Tolling Agreement does not render the
    Rusticos’ claims timely
    Under the Tolling Agreement, the Rusticos promised “to
    delay the filing of any lawsuit” but ultimately file any such
    lawsuit “in the Northern District of California only and only
    in the form of a single plaintiff family complaint.” In
    exchange, Intuitive promised to “toll the applicable statute
    of limitations for a three month period” (emphasis added).
    The Tolling Agreement does not provide a choice-of-law
    5
    Even if we were inclined to infer that Connecticut has some degree
    of interest in the application of its law here and we were to proceed to
    step three to compare the nature and strength of each state’s interest in
    the application of its own law, it is clear that California has a much
    stronger interest that would be more impaired if its law were not applied.
    Although Ms. Rustico was harmed by the allegedly defective product in
    Connecticut, the Rusticos themselves assert that Intuitive “has a
    substantial business presence in California”: Intuitive “directs its
    operations out of California”; Intuitive’s “decision to use faulty
    insulation and other faulty components, accessories and instrumentation
    and the decision to not report information about the defective product
    were all made in California”; Intuitive’s “failure to identify the dangers
    inherent in its product occurred in California”; and Intuitive’s
    “promotional materials and advertisements all originate in California.”
    For these reasons, the Rusticos fail to demonstrate that their case
    represents a “rare situation[] where the forum will entertain a claim that
    is barred by its own statute of limitations but not by that of some other
    state.” Restatement (Second) of Conflict of Laws, § 142 cmt. f (1988);
    see also, e.g., Aalmuhammed, 
    202 F.3d at 1237
     (reversing and applying
    New York’s longer statute of limitations—instead of California’s shorter
    one—even though the suit was brought in California against a California
    defendant because “New York’s connection with [plaintiff]’s claim
    [regarding a movie script] is considerably more substantial, immediate
    and concrete than California’s” because the movie was filmed in New
    York).
    RUSTICO V. INTUITIVE SURGICAL                  19
    provision identifying “the applicable statute of limitations,”
    but it expressly preserved “any statute of limitations defense
    that could have been asserted before the date of the tolling
    period.” In fact, the Tolling Agreement even clarified,
    “Upon the completion of the tolling period, Intuitive
    Surgical will have all defenses available to it as it had on the
    first day of the tolling period.”
    Although counsel executed the agreement on August 9,
    2013, the Tolling Agreement did not commence until
    Intuitive was “provided with [Ms. Rustico]’s name.”
    Counsel, however, waited nearly six months after executing
    the Tolling Agreement to submit Ms. Rustico’s name. By
    the time counsel did so on February 3, 2014—a few weeks
    after the two-year anniversary of Ms. Rustico’s surgery,
    which had occurred on January 12, 2012—the time period
    enacted in California’s two-year statute of limitations had
    already expired. Because the Tolling Agreement expressly
    preserved Intuitive’s statute-of-limitations defense for “the
    applicable” jurisdiction, Intuitive is entitled to employ its
    statute-of-limitations defense under California law.
    The Rusticos characterize the Tolling Agreement as a
    clever “bait and switch” and “gotcha” trap, but they do not
    identify any words or phrases in the Tolling Agreement that
    lead to such conclusions. Although they argue that it was
    “impossible” to foresee that California’s statute of
    limitations ultimately would apply, their own complaint
    references punitive damages under California law,
    undermining their claim of impropriety. The Rusticos were
    not pro se plaintiffs who mistakenly let their claims expire
    while attempting to navigate the proverbial minefield of
    product liability litigation. On the contrary, the Rusticos
    were “protected by an attorney, who is charged with
    knowledge of the law in California as far as the statute of
    20            RUSTICO V. INTUITIVE SURGICAL
    limitations is concerned.” Kunstman v. Mirizzi, 
    44 Cal. Rptr. 707
    , 710 (Ct. App. 1965). The terms of the Tolling
    Agreement do not operate to rescue the Rusticos’ untimely
    claims.
    C. Equitable estoppel does not apply to the Rusticos’
    claims
    Equitable estoppel is a doctrine that can prevent a
    defendant’s reliance on the applicable statute of limitations,
    and “comes into play only after the limitations period has
    run.” Lantzy v. Centex Homes, 
    73 P.3d 517
    , 532 (Cal. 2003).
    A defendant may be equitably estopped “from asserting the
    statute of limitations as a defense to an admittedly untimely
    action” when “his conduct has induced another into
    forbearing suit within the applicable limitations period.” 
    Id.
    It serves as “a remedial judicial doctrine employed to
    [e]nsure fairness, prevent injustice, and do equity.” Spray,
    Gould & Bowers v. Associated Int’l. Ins. Co., 
    84 Cal. Rptr. 2d 552
    , 558 (Ct. App. 1999). Under California law, there
    are four elements:
    (1) The party to be estopped must know the
    facts; (2) he must intend that his conduct shall
    be acted upon, or must so act that the party
    asserting the estoppel had the right to believe
    that it was so intended; (3) the party asserting
    the estoppel must be ignorant of the true state
    of facts; and (4) he must rely upon the
    conduct to his injury.
    Leasequip, Inc. v. Dapeer, 
    126 Cal. Rptr. 2d 782
    , 789 (Ct.
    App. 2002).
    The Rusticos argue that Ms. Rustico “refrained from
    instituting legal proceedings in Connecticut” because
    RUSTICO V. INTUITIVE SURGICAL                        21
    Intuitive “lulled [her] into a false sense of security” with the
    Tolling Agreement, causing “her to forfeit an otherwise
    timely claim” in Connecticut. 6 But the Rusticos failed to
    submit any evidence that identifies a misrepresentation,
    material omission, or false promise made on behalf of
    Intuitive. Cf. Vu v. Prudential Prop. & Cas. Ins. Co., 
    33 P.3d 487
    , 494 (Cal. 2001) (holding that defendant would be
    estopped from raising statute-of-limitations defense if
    plaintiff proved that he “reasonably relied” on defendant’s
    misrepresentation).       The record is devoid of any
    communication from Intuitive suggesting the applicability
    or viability of any jurisdiction’s statute of limitations. The
    Rusticos may feel tricked that their claims are time-barred,
    but the Tolling Agreement explicitly informed them that
    Intuitive did not “waive or release any statute of limitations
    defense that could have been asserted before the date of the
    tolling period.” Cf. Ashou v. Liberty Mut. Fire Ins. Co.,
    
    41 Cal. Rptr. 3d 819
    , 832 (Ct. App. 2006) (holding that
    defendant did not “lull [plaintiff] into a false sense of
    security regarding the time bar of [the applicable statute of
    limitations]” because defendant’s letter “expressly stated it
    would not waive defenses” (emphasis in original)). In fact,
    the Rusticos were represented by counsel, who presumably
    reviewed the Tolling Agreement before voluntarily opting
    into it by providing Intuitive with Ms. Rustico’s name some
    weeks after the two-year anniversary of Ms. Rustico’s
    surgery—despite waiting nearly six months after executing
    it. Cf. Steinhart v. Cty. of L.A., 
    223 P.3d 57
    , 69 (Cal. 2010)
    6
    The Rusticos assume—without offering any legal support or
    choice-of-law analysis—that if they had filed their claims in
    Connecticut, a Connecticut court would have applied Connecticut’s
    longer statute of limitations. We do not reach this issue. We also note
    that, under the Tolling Agreement, the parties agreed that the sole venue
    would be the Northern District of California.
    22           RUSTICO V. INTUITIVE SURGICAL
    (“In general, the law particularly disfavors estoppels where
    the party attempting to raise the estoppel is represented by
    an attorney at law.” (internal citations omitted)). We
    appreciate our holding’s unfortunate consequences for the
    Rusticos, but the doctrine of equitable estoppel does not
    apply to their claims.
    AFFIRMED.