In Re Orthopedic Bone Screw Products Liability Litigation , 193 F.3d 781 ( 1999 )


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  •                                                                                                                            Opinions of the United
    1999 Decisions                                                                                                             States Court of Appeals
    for the Third Circuit
    10-7-1999
    In Re Orthopedic Bone Screw Litigation
    Precedential or Non-Precedential:
    Docket 98-1762, 98-1829
    Follow this and additional works at: http://digitalcommons.law.villanova.edu/thirdcircuit_1999
    Recommended Citation
    "In Re Orthopedic Bone Screw Litigation" (1999). 1999 Decisions. Paper 279.
    http://digitalcommons.law.villanova.edu/thirdcircuit_1999/279
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    Filed October 7, 1999
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    Nos. 98-1762 & 98-1829
    IN RE: ORTHOPEDIC BONE SCREW PRODUCTS
    LIABILITY LITIGATION
    Plaintiffs Legal Committee,
    Appellant at 98-1762
    American Academy of Orthopaedic Surgeons,
    North American Spine Society, and Scoliosis
    Research Society (the Medical Associations),
    Appellants at 98-1829
    On Appeal from the United States District Court
    for the Eastern District of Pennsylvania
    MDL No. 1014
    (Honorable Louis C. Bechtle)
    Argued April 26, 1999
    Before: SCIRICA, ROTH and McKAY,* Circuit   Judges
    (Filed October 7, 1999)
    _________________________________________________________________
    *The Honorable Monroe G. McKay, United States Circuit Judge for the
    Tenth Judicial Circuit, sitting by designation.
    MICHAEL D. FISHBEIN, ESQUIRE
    (ARGUED)
    ARNOLD LEVIN, ESQUIRE
    SANDRA L. DUGGAN, ESQUIRE
    Levin, Fishbein, Sedran & Berman
    510 Walnut Street, Suite 500
    Philadelphia, Pennsylvania 19106
    Attorneys for Plaintiffs
    Legal Committee,
    Appellant at 98-1762/
    Cross-Appellee at 98-1829
    FREDERICK KRUTZ, ESQUIRE
    (ARGUED)
    Forman, Perry, Watkins, Krutz
    & Tardy
    188 East Capitol Street
    One Jackson Place, Suite 1200
    Jackson, Mississippi 39225-2608
    Attorney for American Academy of
    Orthopaedic Surgeons, North
    American Spine Society, and
    Scoliosis Research Society,
    Appellees at 98-1762/
    Cross-Appellants at 98-1829
    MITCHELL A. STEARN, ESQUIRE
    Porter, Wright, Morris & Arthur
    1667 K Street, N.W., Suite 1100
    Washington, D.C. 20006
    NORMAN J. JEDDELOH, ESQUIRE
    Arnstein & Lehr
    120 South Riverside Plaza,
    Suite 1200
    Chicago, Illinois 60606
    Attorneys for American Academy of
    Orthopaedic Surgeons,
    Appellee at 98-1762/
    Cross-Appellant at 98-1829
    2
    DANIEL J. MULHOLLAND, ESQUIRE
    Forman, Perry, Watkins, Krutz
    & Tardy
    188 East Capitol Street
    One Jackson Place, Suite 1200
    Jackson, Mississippi 39225-2608
    SHAWN M. COLLINS, ESQUIRE
    The Collins Law Firm
    1979 North Mill Street, Suite 109
    Naperville, Illinois 60563
    Attorneys for North American
    Spine Society,
    Appellee at 98-1762/
    Cross-Appellant at 98-1829
    JANET L. MacDONELL, ESQUIRE
    Deutsch, Kerrigan & Stiles
    755 Magazine Street
    New Orleans, Louisiana 70130
    Attorney for Scoliosis Research
    Society,
    Appellee at 98-1762/
    Cross-Appellant at 98-1829
    THOMAS G. STAYTON, ESQUIRE
    Baker & Daniels
    300 North Meridian Street,
    Suite 2700
    Indianapolis, Indiana 46204
    ALBERT J. DAHM, ESQUIRE
    Baker & Daniels
    111 East Wayne Street, Suite 800
    Fort Wayne, Indiana 46802
    Attorneys for Zimmer, Inc.,
    Appellee at 98-1829
    3
    MICHAEL R. FRUEHWALD,
    ESQUIRE
    Barnes & Thornburg
    11 South Meridian Street,
    Suite 1313
    Indianapolis, Indiana 46204
    Attorney for Ace Medical Company
    and DePuy Motech, Inc.,
    Appellees at 98-1762
    J. KURT STRAUB, ESQUIRE
    Obermayer, Rebmann, Maxwell
    & Hippel
    1617 John F. Kennedy Boulevard
    One Penn Center, 19th Floor
    Philadelphia, Pennsylvania 19103
    Attorney for Scientific Spinal, Ltd.,
    Appellee at 98-1762
    ROBERT R. REEDER, ESQUIRE
    Cozen & O'Connor
    The Atrium
    1900 Market Street
    Philadelphia, Pennsylvania 19103
    Attorney for Synthes, Inc.,
    Synthes (USA), and Synthes North
    America, Inc.,
    Appellees at 98-1762/1829
    4
    PHILIP H. LEBOWITZ, ESQUIRE
    (ARGUED)
    Pepper, Hamilton & Scheetz
    18th & Arch Streets
    3000 Two Logan Square
    Philadelphia, Pennsylvania
    19103-2799
    Attorney for Danek Medical, Inc.,
    Sofamor, S.N.C., Sofamor Danek
    Group, Inc., Warsaw Orthopedic,
    Inc., Sofamor, Inc., Texas Scottish
    Rite Hospital for Children,
    Eduardo Luque, M.D., Charles E.
    Johnston, II, M.D., Richard
    Ashman, Ph.D., Gary Lowery,
    M.D., George S. Rapp, M.D., Ensor
    Transfeldt, M.D., John A. Herring,
    M.D., Thomas Whitecloud, III,
    M.D., Thomas Zdeblick, M.D.,
    Appellees at 98-1762
    RAYMOND J. PAJARES, ESQUIRE
    Aubert & Pajares
    3850 North Causeway Boulevard
    Two Lakeway Center, Suite 1650
    Metarie, Louisiana 70002
    Attorney for Advanced Spine
    Fixation System, Inc.,
    Appellee at 98-1762
    SUSAN S. WETTLE, ESQUIRE
    DOUGLAS W. LANGDON, ESQUIRE
    Brown, Todd & Heyburn
    400 West Market Street, Suite 3200
    Louisville, Kentucky 40202
    Attorneys for Youngwood Medical
    Specialties, Inc., f/k/a National
    Medical Speciality, Inc., f/k/a
    Stuart Medical Specialty, Inc.;
    Stuart Medical, Inc., f/k/a Stuart
    Drug and Surgical Supply, Inc.,
    Appellees at 98-1762/1829
    5
    JAMES B. IRWIN, ESQUIRE
    NATHAN T. GISCLAIR, ESQUIRE
    Montgomery, Barnett, Brown, Read,
    Hammond & Mintz
    1100 Poydras Street
    3200 Energy Centre
    New Orleans, Louisiana 70163-3200
    Attorneys for Smith & Nephew,
    Inc.,
    Appellee at 98-1762/1829
    BRENDA N. HIGHT, ESQUIRE
    McManemin & Smith
    600 North Pearl Street, Suite 1600
    Dallas, Texas 75201
    Attorney for Estate of
    David K. Selby,
    Appellee at 98-1762/1829
    CAROLINE P. GOLDEN, ESQUIRE
    JOHN N. SCHOLNICK, ESQUIRE
    BRADLEY C. TWEDT, ESQUIRE
    Neal, Gerber & Eisenberg
    Two North LaSalle Street,
    Suite 2300
    Chicago, Illinois 60602
    Attorneys for GICD/USA Institute,
    Inc.,
    Appellee at 98-1762/1829
    OPINION OF THE COURT
    SCIRICA, Circuit Judge.
    This is an appeal of the District Court's dismissal under
    Fed. R. Civ. P. 12(b)(6) of conspiracy and concert of action
    claims alleged by thousands of plaintiffs in multidistrict
    litigation involving allegedly defective bone screw
    implantation devices. The District Court held the claims,
    insofar as they alleged a conspiracy to violate the Federal
    Food, Drug, and Cosmetic Act ("FDCA"), 21 U.S.C.A. S 301-
    397 (West Supp. 1999), did not state a cause of action
    6
    upon which relief can be granted. Accordingly, the court
    granted defendants' motions to dismiss those claims.
    The District Court also made several rulings unfavorable
    to the defendants. The court denied with prejudice their
    motions to dismiss based on improper pleading and First
    Amendment protection. Additionally, the District Court
    denied the motions of several defendants for attorney's fees,
    costs, and sanctions. These rulings are now challenged on
    cross-appeal.
    We will affirm the judgment of the District Court on all
    issues.
    I. BACKGROUND
    This multidistrict litigation comprises more than 2,000
    civil actions originally filed in approximately sixty of the
    ninety-four federal districts. In August 1994, the cases were
    consolidated in the Eastern District of Pennsylvania under
    28 U.S.C. S 1407. All of the approximately 5,000 individual
    plaintiffs claim to have suffered physical injuries caused by
    defective orthopedic bone screw devices affixed to the
    pedicles of their spines during spinal fusion surgery. The
    devices, which are intended to stabilize the spine and
    achieve fusion of the vertebrae, consist of rods or plates
    that are screwed into the vertical axis of the lumbar spine.
    In most cases, plaintiffs allege the devices broke after being
    implanted in their spines. In some instances, plaintiffs have
    undergone surgery to have the devices removed; in others,
    the broken devices could not be removed.
    Plaintiffs' original claims, filed in early 1994, set forth
    causes of action based on both federal statutes and state
    law tort and contract principles. Generally, they named as
    defendants only the manufacturers and distributors of the
    bone screw devices. Subsequent actions named a broader
    array of defendants and stated additional theories of
    recovery. In particular, hundreds of so-called "omni"
    actions, first brought in October 1995, name as defendants
    the manufacturers, designers, and distributors of the
    devices; trade associations that conducted seminars on
    their use; regulatory consultants; and physicians who
    promoted the product. There are two types of omni actions.
    7
    The Plaintiffs' Legal Committee ("PLC") actions allege both a
    horizontal conspiracy involving manufacturers and a
    vertical conspiracy involving all of the defendants. The
    Lestelle actions (so named after the attorney who drafted
    the form complaint that served as the basis of these
    actions) allege only a horizontal conspiracy involving
    manufacturers. In addition to the conspiracy and concert of
    action claims, the omni complaints allege fraud; negligent
    misrepresentation; strict liability in tort; liability per se;
    negligence; breach of implied warranty of merchantibility;
    and (in some cases) loss of consortium.
    In August 1996, the District Court dismissed the PLC
    omni complaints in their entirety because the complaints
    failed to demonstrate subject matter jurisdiction. See In re
    Orthopedic Bone Screw Prods. Liability Litig., MDL No. 1014,
    
    1996 WL 482977
     (E.D. Pa. Aug. 22, 1996) (Pretrial Order
    No. 477). The court also dismissed the conspiracy claims in
    both the PLC and the Lestelle complaints for failure to state
    a claim upon which relief could be granted, and it
    dismissed the fraud claims in the Lestelle complaints
    because the circumstances of fraud were not averred with
    sufficient particularity. See 
    id.
     All of these dismissals were
    without prejudice. Plaintiffs subsequently filed hundreds of
    amended omni complaints, which are the subject of this
    appeal.1
    Twice before, we have issued decisions in this litigation.
    First, we denied the petitions of some defendants for a writ
    of mandamus invalidating the District Court's dismissal of
    the conspiracy and concert of action claims. See In re
    Orthopedic Bone Screw Prods. Liability Litig., No. 97-1426,
    1427, 1438, 1450, 1453, 1465, mem. op. (3d Cir. Nov. 10,
    1997) (unpublished opinion). There we considered two of
    the arguments raised by defendants here: their claim that
    the First Amendment prohibits imposition of liability for
    their speech at the seminars, and their contention that the
    omni complaints fail to plead reliance and causation
    adequately. Although these arguments did not persuade us
    to grant the "extraordinary remedy" of mandamus relief, In
    _________________________________________________________________
    1. For ease of reference, we will refer to the amended omni complaints
    simply as the "omni complaints."
    8
    re Asbestos Sch. Litig. (Pfizer Inc.), 
    46 F.3d 1284
    , 1288 (3d
    Cir. 1994), we noted that the standards governing a
    mandamus petition are more stringent than those
    governing a direct appeal, and that our disposition did not
    preclude defendants from asserting their arguments at a
    later stage in the proceedings. Accordingly, our denial of a
    writ of mandamus has no binding effect in the present
    appeal. More recently, we determined that plaintiffs' state
    law claims of fraud on the FDA were not preempted by the
    Medical Device Amendments of 1976, 21 U.S.C.A. SS 360c-
    360k (West Supp. 1999) ("MDA"). See In re Orthopedic Bone
    Screw Prods. Liability Litig., 
    159 F.3d 817
     (3d Cir. 1998).
    A. Regulatory Framework
    The conspiracy and concert of action claims at issue here
    require some discussion of the regulatory framework
    governing orthopedic bone screw devices. It is undisputed
    that the devices are regulated by the FDCA, as amended by
    the MDA. At the time the lawsuits were filed, the FDA had
    classified the bone screw devices as "Class III" devices
    because they "present a potential unreasonable risk of
    illness or injury." 21 U.S.C. S 360c(a)(1)(C)(ii)(II).
    Consequently, one must receive "premarket approval"
    before commercially distributing or selling them. 
    Id.
    S 360e(a). To obtain the data to support an application for
    premarket approval, a manufacturer may use the device in
    clinical trials under active FDA supervision pursuant to the
    FDCA's Investigational Device Exemption ("IDE") provisions
    and accompanying federal regulations. 
    Id.
     S 360j(g); 21
    C.F.R. pt. 812 (1998). Premarket approval will be granted
    only if the IDE investigation proves the device is sufficiently
    safe and effective.
    Premarket approval is not required if the FDA determines
    the device is "substantially equivalent" to a legally marketed
    "predicate device" (that is, a device marketed before the
    Medical Device Amendments went into effect on May 28,
    1976) in terms of its intended use, technological
    characteristics, safety, and effectiveness. 21 U.S.C.
    S 360e(b)(1)(B); 21 C.F.R. S 807.100(b). A determination of
    substantial equivalence is called "510(k) clearance" in
    reference to the applicable section of the original Act. If a
    device obtains 510(k) clearance, it may be introduced into
    9
    commerce without premarket approval. Alternatively, the
    FDA may issue an order declaring the device "not
    substantially equivalent" ("NSE"), which means that it
    cannot be marketed without premarket approval.
    Thus, a person who wishes to market or sell a Class III
    device has two primary avenues of obtaining FDA approval:
    premarket approval, based on safety and efficacy data from
    non-clinical laboratory studies or IDE investigation; or
    510(k) clearance, based on a showing that the device is
    substantially equivalent to one that was in commerce prior
    to May 28, 1976.2 If a Class III medical device is introduced
    into commerce without one of these two approvals, it is
    deemed "adulterated" and the person who introduced the
    device into commerce is criminally liable. See 21 U.S.C.
    S 331(a). Similarly, it is a crime to introduce into commerce
    a Class III device that is "misbranded," meaning that it does
    not bear adequate directions for its intended use. See 
    id.
    B. The Omni Complaints
    According to the omni complaints, in 1984 AcroMed
    Corporation -- and shortly thereafter, Sofamor, Inc. and
    other sellers and manufacturers -- sought 510(k) clearance
    to market pedicle screw devices. The FDA denied 510(k)
    clearance but approved a series of IDE clinical trials
    between 1986 and 1993. Because the trials failed to
    generate sufficient safety data, the FDA denied premarket
    approval after each one. Allegedly, defendants then
    conspired to market their bone screw devices without the
    necessary FDA approvals.
    The omni complaints allege two distinct conspiracies. The
    first is entitled, variously, the "Sofamor Conspiracy," the
    "ASFSI Conspiracy," or the "Danek Conspiracy," depending
    on the particular manufacturer being sued. It is alleged
    that the manufacturer entered into written agreements with
    spinal surgeons and other health care professionals in
    which the manufacturer agreed to provide them royalties
    _________________________________________________________________
    2. Premarket approval is also not required upon a showing that the
    device in question was itself introduced into interstate commerce for
    commercial distribution before May 28, 1976. See 21 U.S.C.
    S 360e(b)(1)(A).
    10
    and stock options in exchange for their participation in
    "seminars" instructing physicians how to use the
    manufacturer's bone screw device. According to the
    complaints, although the seminars were conducted in the
    guise of educating fellow members of the medical
    profession, they were actually akin to "Tupperware parties"
    in that their true purpose was purely commercial. Plaintiffs
    also claim that the physicians who conducted the seminars
    did not disclose to attendees that the bone screw device
    had not received FDA premarket approval or 510(k)
    clearance for use in pedicle fixation surgery; that clinical
    trials had actually raised serious questions about its safety
    and efficacy; and that they, the physicians, had a direct
    financial stake in the sale of the device.
    The complaints also describe an "Intercompany/
    Association Conspiracy." Under this theory, plaintiffs claim
    that manufacturers of the bone screw devices paid various
    professional associations to sponsor and conduct seminars
    for orthopedic surgeons. The purpose of the seminars,
    again, was to promote the use of orthopedic bone screws in
    surgery. At the seminars, the Intercompany/Association
    conspirators allegedly concealed the same basic facts as in
    the first conspiracy: namely, that the FDA had not
    approved the use of the devices in pedicle fixation surgery;
    that studies had raised serious doubts about the safety of
    using the devices in such a procedure; and that the
    associations were being paid by the manufacturers to
    promote the devices. Later, the Intercompany/Association
    conspirators allegedly implemented a two-part scheme to
    avoid civil and criminal liability for these activities. First,
    they established a trade association known as the"Spinal
    Implant Manufacturers Group" to conduct a retrospective
    study (the "Cohort Study") of pedicle screwfixation. The
    results of the Cohort Study were reported to the FDA and
    published in Spine magazine in October 1994, allegedly to
    achieve reclassification of the bone screw device as a Class
    I or II device (obviating the need for premarket approval)
    and to serve as a defense in potential criminal or civil
    litigation.3 According to plaintiffs, the Cohort study was an
    _________________________________________________________________
    3. In July 1998, the FDA reclassified most pedicle screw fixation devices
    as Class II devices. See Orthopedic Devices: Classification and
    Reclassification of Pedicle Screw Spinal Systems, 
    63 Fed. Reg. 40,025
    (1998) (codified at 21 C.F.R. S 888.3070).
    11
    intentional fraud, relying on selective data and ignoring
    unfavorable results. Second, defendants Danek and
    AcroMed allegedly agreed to mislead the FDA into believing
    Zimmer4 had marketed a bone screw device for pedicle
    fixation surgery in the United States before 1976, in an
    attempt to obtain 510(K) clearance on the ground that the
    bone screw device was "substantially equivalent" to a
    predicate device.
    C. District Court Proceedings
    The District Court determined that although the two
    conspiracies outlined in the omni complaints differ in some
    respects, both essentially allege that defendants agreed to a
    scheme to market and sell bone screw devices without the
    necessary FDA approvals. See In re Orthopedic Bone Screw
    Prods. Liability Litig., MDL No. 1014, Pretrial Order No. 861,
    mem. op. at 18 (E.D. Pa. Apr. 16, 1997) [hereinafter "PTO
    861"] (noting that each conspiracy "had the same single
    objective: to promote and sell pedicle screw fixation devices
    in violation of the FDCA").5 The court held the claims failed
    to state a cause of action upon which relief could be
    granted, see id. at 27, because civil conspiracy and concert
    of action claims require an independent basis of tort
    liability, which the FDCA does not provide. In accordance
    with this ruling, the Judicial Panel for Multidistrict
    Litigation began to remand all actions containing a claim of
    conspiracy to violate the FDCA to transferor courts for
    summary judgment proceedings and trial. Numerous
    transferor courts have granted summary judgment for
    defendants on such claims, concluding that PTO 861 is the
    law of the case on that issue.
    _________________________________________________________________
    4. Zimmer, Inc., a manufacturer of the pedicle screw device, initially was
    included as a defendant in the Intercompany/Association Conspiracy
    claim brought by PLC. PLC and Zimmer have since settled their
    respective claims against each other.
    5. In addition, the omni complaints alleged that defendants conspired to
    commit fraud by actively concealing material facts at the seminars. After
    PTO 861 was entered, however, plaintiffs moved for voluntary dismissal
    with prejudice of their conspiracy to defraud claims, which the District
    Court granted. See In re Orthopedic Bone Screw Prods. Liability Litig.,
    MDL 1014, Memorandum and Pretrial Order No. 1543, op. at 6 (E.D. Pa.
    Aug. 13, 1998).
    12
    Also in PTO 861, the District Court denied defendants'
    motion to dismiss all claims premised upon their speech at
    the seminars. Defendants had argued that such speech is
    protected by the First Amendment and therefore cannot be
    the basis for imposing civil liability. The District Court
    rejected this argument, holding that the complaints allege
    false and misleading commercial speech, which does not
    qualify for First Amendment protection. The court also
    declined to dismiss plaintiffs' claims on the basis that they
    failed to plead reliance and causation adequately, and it
    denied the motions of several defendants -- the American
    Academy of Orthopedic Surgeons, the Scoliosis Research
    Society, and the North American Spine Society -- for
    attorney's fees and sanctions under 28 U.S.C. S 1927, Fed.
    R. Civ. P. 54(d), and the court's inherent powers.
    Because there is complete diversity of all plaintiffs and
    defendants, the District Court had jurisdiction over each
    civil action under 28 U.S.C. S 1332. In In re Orthopedic
    Bone Screw Prods. Liability Litig., MDL 1014, Memorandum
    and Pretrial Order No. 1543, (E.D. Pa. Aug. 13, 1998), the
    District Court issued certification for final judgment under
    Fed. R. Civ. P. 54(b) on all of plaintiffs' conspiracy and
    concert of action allegations and complaints encompassed
    in MDL No. 1014. Therefore, we have jurisdiction under 28
    U.S.C. S 1291.
    II. ANALYSIS
    A. Dismissal of the Conspiracy and Concert of Action
    Claims
    We first address the dismissal of plaintiffs' conspiracy
    and concert of action claims. This ruling was premised
    upon the District Court's determination that civil
    conspiracy does not provide a right of action in the absence
    of an underlying tort; rather, it "renders each conspirator
    vicariously liable for the commission of an act that is
    independently actionable under state law and is in
    furtherance of the conspiracy." PTO 861, at 23. Therefore,
    the court held that plaintiffs' claims failed to state a cause
    of action upon which relief could be granted. See id. at 25.
    We exercise plenary review of this conclusion. See
    13
    Steamfitters Local Union No. 420 v. Phillip Morris, Inc., 
    171 F.3d 912
    , 919 (3d Cir. 1999).
    No federal court of appeals has addressed the legal
    cognizability of a claim for conspiracy to violate the FDCA.6
    It is well settled, however, that the FDCA creates no private
    right of action. See 21 U.S.C. S 337(a) (restricting FDCA
    enforcement to suits by the United States); In re Orthopedic
    Bone Screw Prods. Liability Litig., 
    159 F.3d 817
    , 824 (3d
    Cir. 1998) ("It is . . . well established that Congress has not
    created an express or implied private cause of action for
    violations of the FDCA or the MDA."); PDK Labs., Inc. v.
    Friedlander, 
    103 F.3d 1105
    , 1113 (2d Cir. 1997) (holding
    that plaintiff 's suit "represents an impermissible attempt to
    enforce the FDCA through a private right of action"); Mylan
    Labs., Inc. v. Matkari, 
    7 F.3d 1130
    , 1139 (4th Cir. 1993)
    (same). The question, then, is whether violation of a federal
    statute imposing criminal penalties but establishing no
    private right of action may serve as a basis for civil recovery
    under state conspiracy law.
    The established rule is that a cause of action for civil
    conspiracy requires a separate underlying tort as a
    predicate for liability. Thus, one cannot sue a group of
    defendants for conspiring to engage in conduct that would
    not be actionable against an individual defendant. Instead,
    " ``actionable civil conspiracy must be based on an existing
    _________________________________________________________________
    6. In addition to the District Court here, one other federal district
    court
    has addressed the issue:
    [A] conspiracy is only actionable if the acts in question, when
    committed by a single person, would also be actionable. Defendant
    . . . alleges that the acts complained of in count II are simply
    violations of the FDCA, the act which comprehensively regulates the
    marketing of prescription drugs in the United States, and that the
    FDCA does not create a private right of action for enforcement by
    private individuals such as plaintiffs.
    To the extent that plaintiffs were attempting to assert a cause of
    action under the FDCA, defendant would be correct.
    Hawkins v. Upjohn Co., 
    890 F. Supp. 609
    , 611 (E.D. Tex. 1994) (applying
    Texas law). The Hawkins court found that plaintiffs' complaint, though
    poorly worded, actually alleged a conspiracy to commit fraud and
    therefore was independently actionable under state law. See 
    id.
    14
    independent wrong or tort that would constitute a valid
    cause of action if committed by one actor.' " Posner v. Essex
    Ins. Co., 
    178 F.3d 1209
    , 1218 (11th Cir. 1999) (quoting
    Williams Elec. Co. v. Honeywell, Inc., 
    772 F. Supp. 1225
    ,
    1239 (N.D. Fla. 1991)) (applying Florida law); accord Applied
    Equip. Corp. v. Litton Saudi Arabia Ltd., 
    869 P.2d 454
    , 457
    (Cal. 1994) ("Standing alone, a conspiracy does no harm
    and engenders no tort liability. It must be activated by the
    commission of an actual tort."); Stoldt v. City of Toronto,
    
    678 P.2d 153
    , 161 (Kan. 1984) ("Conspiracy is not
    actionable without commission of some wrong giving rise to
    a cause of action independent of the conspiracy."); Alleco,
    Inc. v. Harry & Jeanette Weinberg Found., Inc., 
    665 A.2d 1038
    , 1045 (Md. 1995) ("No action in tort lies for conspiracy
    to do something unless the acts actually done, if done by
    one person, would constitute a tort.") (citation omitted);
    Alexander & Alexander of N.Y., Inc. v. Fritzen, 
    503 N.E.2d 102
    , 102-03 (N.Y. 1986) ("[A] mere conspiracy to commit a
    tort is never of itself a cause of action. Allegations of
    conspiracy are permitted only to connect the actions of
    separate defendants with an otherwise actionable tort.")
    (citations omitted).
    Because this multidistrict litigation implicates the state
    law of many different jurisdictions, we have reviewed the
    law of every applicable jurisdiction on this point. Having
    done so, we are unaware of any jurisdiction that recognizes
    civil conspiracy as a cause of action requiring no separate
    tortious conduct. To the contrary, the law uniformly
    requires that conspiracy claims be predicated upon an
    underlying tort that would be independently actionable
    against a single defendant.7 Because plaintiffs here could
    _________________________________________________________________
    7. See, e.g., Hanten v. School Dist. of Riverview Gardens, 
    183 F.3d 799
    ,
    809 (8th Cir. 1999) ("[A] claim of civil conspiracy ``does not set forth an
    independent cause of action but rather is sustainable only after an
    underlying tort claim has been established . . . .' " (quoting K & S
    Partnership v. Continental Bank, N.A., 
    952 F.2d 971
    , 980 (8th Cir. 1991))
    (applying Missouri law); Gaming Corp. of America v. Dorsey & Whitney,
    
    88 F.3d 536
    , 551 (8th Cir. 1996) ("[C]onspiracy is based on the
    commission of an underlying tort.") (applying Minnesota law); Halberstam
    v. Welch, 
    705 F.2d 472
    , 479 (D.C. Cir.1983) ("Since liability for civil
    conspiracy depends on performance of some underlying tortious act, the
    15
    not sue an individual defendant for an alleged violation of
    the FDCA, it follows that they cannot invoke the mantle of
    conspiracy to pursue the same cause of action against a
    group of defendants. A claim of civil conspiracy cannot rest
    solely upon the violation of a federal statute for which there
    is no corresponding private right of action.
    _________________________________________________________________
    conspiracy is not independently actionable; rather, it is a means for
    establishing vicarious liability for the underlying tort.") (applying
    District
    of Columbia law); Cunningham v. PFL Life Ins. Co., 
    42 F. Supp.2d 872
    ,
    884 (N.D. Iowa 1999) ("[C]onspiracy does not state an independent cause
    of action, but rather requires the commission of an underlying wrong for
    which liability may be extended to an additional defendant by virtue of
    a conspiracy.") (applying Iowa law); University Sys. of N.H. v. United
    States Gypsum Co., 
    756 F. Supp. 640
    , 652 (D.N.H. 1991) ("For a civil
    conspiracy to exist, there must be an underlying tort which the alleged
    conspirators agreed to commit. Conspiracy, then, serves as a device
    through which vicarious liability for the underlying tort may be imposed
    on all who commonly plan, take part in, further by cooperation, lend aid
    to, or encourage the wrongdoers' acts.") (applying New Hampshire law);
    In re North Dakota Personal Injury Asbestos Litig. No. 1, 
    737 F. Supp. 1087
    , 1095 (D.N.D. 1990) ("One of the parties must commit some act in
    pursuance of the agreement that is itself a tort for civil conspiracy to
    exist.") (applying North Dakota law); McGlasson v. Barger, 
    431 P.2d 778
    ,
    780 (Colo. 1967) ("[U]nless a civil action in damages would lie against
    one of the conspirators, if the act was done by him alone, it will not lie
    against many acting in concert.") (quoting Pullen v. Headberg, 
    127 P. 954
    , 955 (Colo. 1912)); O'Neal v. Home Town Bank of Villa Rica, 
    514 S.E.2d 669
    , 675 (Ga. Ct. App. 1999) ("Absent the underlying tort, there
    can be no liability for civil conspiracy."); Cohen v. Bowdoin, 
    288 A.2d 106
    (Me. 1972) (" ``[C]onspiracy' fails as the basis for the imposition of
    civil
    liability absent the actual commission of some independently recognized
    tort; and when such separate tort has been committed, it is that tort,
    and not the fact of combination, which is the foundation of the civil
    liability."); Admiral Ins. Co. v. Columbia Casualty Ins. Co., 
    486 N.W.2d 351
    , 359 (Mich. Ct. App. 1992) ("Because [plaintiff] has failed to state
    any tortious action, its conspiracy action must also fail."); Middlesex
    Concrete Prods. & Excavating Corp. v. Carteret Indus. Ass'n, 
    181 A.2d 774
    , 779 (N.J. 1962) ("[A] conspiracy cannot be made the subject of a
    civil action unless something has been done which, absent the
    conspiracy, would give a right of action."); Nix v. Temple Univ., 
    596 A.2d 1132
    , 1137 (Pa. Super. Ct. 1991) (" ``Absent a civil cause of action for a
    particular act, there can be no cause of action for civil conspiracy.' ")
    (quoting Pelagatti v. Cohen, 
    536 A.2d 1337
    , 1342 (Pa. Super. Ct. 1987)).
    16
    Plaintiffs contend the doctrine of per se liability (often
    called "negligence per se") establishes that violations of
    federal statutes can be the basis of common law tort liability.8
    They cite the following passage from the Restatement of
    Torts:
    Even where a legislative enactment contains no express
    provision that its violation shall result in tort liability,
    and no implication to that effect, the court may, and in
    certain types of cases customarily will, adopt the
    requirements of the enactment as the standard of
    conduct necessary to avoid liability for negligence. The
    same is true of municipal ordinances and
    administrative regulations.
    Restatement (Second) of Torts S 285 cmt. c (1977). In
    addition, plaintiffs rely on numerous cases in which courts,
    in determining common law tort liability, have considered
    whether the defendant's conduct violated federal law. See,
    e.g., Stanton ex rel. Brooks v. Astra Pharmaceutical Prods.,
    Inc., 
    718 F.2d 553
    , 565 (3d Cir. 1983) (holding that failure
    to comply with FDA regulations constituted negligence per
    se under Pennsylvania law); Orthopedic Equip. Co. v.
    Eutsler, 
    276 F.2d 455
    , 461 (4th Cir. 1960) ("[W]e think that
    a violation of the Federal Food, Drug, and Cosmetic Act is
    negligence per se in Virginia . . . .").
    In these and many other cases, courts have found that
    violations of a federal statute or regulations constituted
    negligence per se under state law. But the cases make clear
    the doctrine of per se liability does not create an
    independent basis of tort liability but rather establishes, by
    reference to a statutory scheme, the standard of care
    appropriate to the underlying tort. See, e.g. , Grove Fresh
    Distribs., Inc. v. Flavor Fresh Foods, Inc., 
    720 F. Supp. 714
    ,
    716 (N.D. Ill. 1989) ("Grove Fresh relies on the FDA
    regulation merely to establish the standard or duty which
    defendants allegedly failed to meet. Nothing prohibits Grove
    Fresh from using the FDCA or its accompanying
    _________________________________________________________________
    8. The phrase "per se liability" is used primarily in the antitrust
    context,
    in which horizontal price-fixing arrangements are held to violate the
    Sherman Act regardless of their reasonableness. See FTC v. Superior Ct.
    Trial Lawyers Ass'n, 
    493 U.S. 411
    , 435 (1990); United States v. Socony-
    Vacuum Oil Co., 
    310 U.S. 150
    , 225-26 n.59 (1940).
    17
    regulations in that fashion."). Liability per se enables
    plaintiffs to establish as a matter of law that the
    defendant's conduct constituted a breach of duty in a
    negligence action, so that only causation and damages need
    be proved. See In re TMI, 
    67 F.3d 1103
    , 1118 (3d Cir. 1995)
    ("[W]here defendants violated the relevant statute or
    regulation, courts have held as a matter of law that
    plaintiffs have satisfied the first two elements of their cause
    of action: the duty and breach of duty."); Stanton, 
    718 F.2d at
    564 n.22 (noting, in the FDCA context, that
    "Pennsylvania law views a statutory violation as conclusive
    evidence of negligence, in the absence of an excuse for that
    violation . . . . We emphasize, however, that the
    nomenclature ``negligence per se' does not mean that a
    plaintiff seeking to recover under that doctrine may
    dispense with establishing proximate cause."). See generally
    1 J.D. Lee & Barry A. Lindahl, Modern Tort Law: Liability
    & Litigation S 3.33, at 102 (1980) ("Under the per se rule,
    the violation of an applicable statute is conclusive proof of
    negligence, leaving only the question of causation to be
    determined.") (citation omitted).
    The theory of per se liability advanced by the plaintiffs
    here is quite different. Plaintiffs do not invoke the statutory
    violations to prove defendants' liability for a separate
    underlying tort, but instead contend the violations
    themselves form a cause of action. This interpretation of
    per se liability would allow private plaintiffs to recover for
    violations of a federal statute that creates no private cause
    of action and, in fact, expressly restricts its enforcement to
    the federal government. See 21 U.S.C.A.S 337(a) (West
    Supp. 1999).9 Plaintiffs' theory would undermine section
    337(a) by establishing a private, state-law cause of action
    for violations of the FDCA, so long as those actions are
    brought against more than one defendant. We do not
    believe the concept of per se liability supports such a
    result.
    Nor are we persuaded by plaintiffs' argument that
    _________________________________________________________________
    9. The statute also permits state governments to bring suit in certain
    limited circumstances, but only upon approval by the Secretary of
    Health and Human Services. See 
    id.
     S 337(b).
    18
    Medtronic, Inc. v. Lohr, 
    518 U.S. 470
     (1996) and In re
    Orthopedic Bone Screw Prods. Liability Litig., 
    159 F.3d 817
    (3d Cir. 1998) (Bone Screw I) dictate reversal of the District
    Court. In Medtronic, the Supreme Court held the Medical
    Device Amendments ("MDA") do not preempt state common
    law negligence claims against manufacturers of defective
    medical devices. The Court observed that interpretation of
    a preemption provision does not occur in a "contextual
    vacuum," 
    518 U.S. at 485
    , but must be informed by two
    additional considerations: (1) the presumption against
    preemption unless clearly and manifestly indicated by
    Congress; and (2) the principle that "the purpose of
    Congress is the ultimate touchstone" in determining the
    extent of preemption. 
    Id.
     Finding that Congress did not
    intend the MDA to foreclose state-law negligence lawsuits,
    the Court allowed plaintiffs' claims to proceed.
    In Bone Screw I, we interpreted Medtronic to mean that
    common law claims of fraudulent misrepresentation are not
    preempted by the MDA, even if the conduct underlying
    those claims violated the FDCA. See 
    159 F.3d at 825
    (holding that Medtronic "overrules everything in [Michael v.
    Shiley, Inc., 
    46 F.3d 1316
     (3d Cir. 1995)] that would
    prevent a plaintiff from pursuing a cause of action for
    fraudulent misrepresentation based on common law
    principles"). Notably, we reserved judgment on whether the
    plaintiffs had stated a claim under state law upon which
    relief could be granted. See id. at 829.
    Although plaintiffs concede the District Court here"did
    not explicitly invoke preemption principles," they claim that
    "its decision was plainly based on a construction of
    legislative intent." (Appellants' Br. at 31 n.21.) They argue
    Medtronic and Bone Screw I stand for the proposition that
    Congress did not intend to foreclose state law remedies
    based on violations of federal medical device law, and the
    District Court therefore erred in dismissing claims based on
    conspiracy to violate the FDCA. Medtronic and Bone Screw
    I are crucially different from this case, however. Both raised
    the issue whether state common law claims were
    preempted by the FDCA and Medical Device Amendments.
    After Medtronic, it is clear that such claims survive, and
    Bone Screw I so held. Consequently, state law claims such
    19
    as negligence, breach of implied warranty, and fraudulent
    misrepresentation are viable, even to the extent they seek
    recovery for conduct that may also have violated the FDCA.
    But neither Medtronic nor Bone Screw I purports to allow
    private plaintiffs to sue directly for violations of a federal
    statute in the absence of a separate underlying cause of
    action. They merely hold that such causes of action as
    previously existed under state law were not preempted by
    the FDCA and Medical Device Amendments.
    We will therefore uphold the District Court's dismissal of
    the conspiracy and concert of action claims alleging a
    conspiracy to violate the FDCA.
    B. First Amendment Protection
    The District Court also denied defendants' motions to
    dismiss the conspiracy and concert of action claims on
    First Amendment grounds. These claims are based largely
    upon the allegation that defendants conspired to commit
    fraud by actively concealing material facts at the seminars.
    Allegedly, speakers at the seminars failed to disclose that
    they had a direct financial stake in the use of the devices,
    that the devices had not yet been approved by the FDA, and
    that testing had raised concerns about their safety.
    According to defendants, imposition of liability for their
    speech at the seminars would violate their First
    Amendment rights.
    The First Amendment's prohibition on abridging the
    freedom of speech applies to the states through the Due
    Process Clause of the Fourteenth Amendment. See Duncan
    v. Louisiana, 
    391 U.S. 145
    , 148 (1968). Imposition of civil
    liability, such as the award of money damages, is treated
    no less stringently than direct regulation on speech: "The
    fear of damage awards . . . may be markedly more
    inhibiting than the fear of prosecution under a criminal
    statute." New York Times Co. v. Sullivan, 
    376 U.S. 254
    ,
    279-280 (1964); see also Cohen v. Cowles Media Co., 
    501 U.S. 663
    , 676 n.4 (1991) (Blackmun, J., dissenting) ("[W]e
    have long held that the imposition of civil liability based on
    protected expression constitutes ``punishment' of speech for
    First Amendment purposes.").
    20
    The Supreme Court has long recognized a " ``common-
    sense distinction between speech proposing a commercial
    transaction, which occurs in an area traditionally subject to
    government regulation, and other varieties of speech.' "
    Bolger v. Youngs Drug Prods. Corp., 
    463 U.S. 60
    , 65 (1983)
    (quoting Ohralik v. Ohio State Bar Ass'n, 
    436 U.S. 447
    ,
    455-56 (1978)). Commercial speech is accorded a lesser
    degree of First Amendment protection than other kinds of
    speech. For instance, the government may enact content-
    based restrictions on false or misleading commercial
    messages. See, e.g., Central Hudson Gas & Elec. Corp. v.
    Public Serv. Comm'n of N.Y., 
    447 U.S. 557
    , 562-63 (1980)
    ("[T]here can be no constitutional objection to the
    suppression of commercial messages that do not accurately
    inform the public about lawful activity. The government
    may ban forms of communication more likely to deceive the
    public than to inform it . . . ."); Virginia State Bd. of
    Pharmacy v. Virginia Citizens Consumer Council, Inc., 
    425 U.S. 748
    , 771-72 n.24 (1976). In addition, "the First
    Amendment does not protect commercial speech about
    unlawful activities." 44 Liquormart, Inc. v. Rhode Island,
    
    517 U.S. 484
    , 497 n.7 (1996); accord Pittsburgh Press Co.
    v. Pittsburgh Comm'n on Human Relations, 
    413 U.S. 376
    (1973) (same). Thus, an issue of primary significance here
    is whether defendants' speech at the seminars was
    commercial speech, and if so whether it was false and
    misleading, or concerned unlawful activities.
    Commercial speech is "broadly defined as expression
    related to the economic interests of the speaker and its
    audience, generally in the form of a commercial
    advertisement for the sale of goods and services." U.S.
    Healthcare, Inc. v. Blue Cross of Greater Phila., 
    898 F.2d 914
    , 933 (3d. Cir. 1990) (citing Bolger, 
    463 U.S. at 66-67
    ;
    Central Hudson, 
    447 U.S. at 561
    ). In deciding whether
    speech is commercial, we consider the following factors: "(1)
    is the speech an advertisement; (2) does the speech refer to
    a specific product or service; and (3) does the speaker have
    an economic motivation for the speech. An affirmative
    answer to all three questions provides ``strong support' for
    the conclusion that the speech is commercial." U.S.
    Healthcare, 
    898 F.2d at 933
     (citation omitted). At the same
    time, we must be mindful of the "difficulty of drawing bright
    21
    lines that will clearly cabin commercial speech in a distinct
    category." City of Cincinnati v. Discovery Network, Inc., 
    507 U.S. 410
    , 419 (1993). Often, speech consists of"complex
    mixtures of commercial and noncommercial elements."
    Bolger, 
    463 U.S. at 81
     (Stevens, J., concurring). Where the
    commercial and noncommercial elements of speech are
    "inextricably intertwined," the court must apply the "test for
    fully protected expression." Riley v. National Fed'n of the
    Blind of N.C., Inc., 
    487 U.S. 781
    , 796 (1988).
    At this stage in the proceedings, it is difficult to
    determine precisely what portion of the seminars, if any,
    consisted of a sales pitch to the attendees and what portion
    was non-commercial medical discussion. The defendants
    characterize the seminars as teaching events aimed at
    promoting "continuing medical education" and accordingly
    contend that the speech is entitled to the highest level of
    First Amendment protection. Plaintiffs, on the other hand,
    liken the seminars to medical "Tupperware parties" at
    which defendants' sole objective was to generate sales of
    their products.
    We believe there is a sufficient factual dispute about the
    nature of the seminars to preclude granting defendants'
    motion to dismiss on First Amendment grounds. The
    amended omni complaints allege, inter alia, that the
    seminars were organized by sales representatives employed
    by the participating manufacturers; that these
    representatives invited spinal surgeons to attend and later
    followed up with phone calls in an effort to generate sales;
    that employees of the manufacturers staffed sales booths
    and distributed videotapes, product catalogues, and other
    literature at the seminars; and that the speakers at the
    seminars were doctors and scientists who had entered into
    lucrative royalty agreements giving them a direct financial
    stake in the sales of bone screw devices. If true, these
    allegations would provide strong support for characterizing
    the seminars as commercial speech.
    Defendants argue that even if their speech at the
    seminars was commercial in nature (which they deny), it
    constitutes "truthful, nonmisleading speech about a lawful
    product" and therefore is protected. 44 Liquormart, 
    517 U.S. at 504
    ; see also Greater New Orleans Broadcasting
    22
    Ass'n v. United States, ___ U.S. ___, 
    119 S. Ct. 1923
     (1999)
    (holding that a state may not ban nonmisleading
    advertisements of legal gambling). Plaintiffs respond that
    the speech at the seminars was highly misleading and
    deceptive. The amended omni complaints allege defendants
    knowingly withheld material facts at the seminars and
    falsely represented to the physicians in attendance that the
    devices were safe and effective for use in pedicle screw
    fixation surgery.
    Clearly, there is a considerable and unresolved factual
    dispute regarding key elements of the speech at issue. In
    order to dismiss the claims on First Amendment grounds,
    we would have to determine either that defendants' speech
    at the seminars was noncommercial in nature, or that it
    was truthful or nonmisleading commercial speech
    concerning a lawful product. In view of our obligation to
    accept as true the factual allegations of the nonmoving
    party, we are unwilling to do either at this point. Whether
    the allegations in the omni complaints are true remains to
    be determined. But dismissal is warranted only if"it
    appears beyond doubt that the plaintiff can prove no set of
    facts in support of his claim which would entitle him to
    relief." Conley v. Gibson, 
    355 U.S. 41
    , 45-46 (1957). We do
    not believe this standard has been met; therefore, we will
    uphold the District Court's denial of defendants' motions to
    dismiss. Of course, defendants are free to raise their First
    Amendment argument in the transferor courts after the
    factual record is more fully developed.
    C. Plaintiffs' Theory of Damages
    Defendants North American Spine Society, American
    Academy of Orthopedic Surgeons, and Scoliosis Research
    Society (collectively "the medical associations") submitted a
    joint brief in which they argue that plaintiffs' claims should
    be dismissed for failure to plead causation adequately. In
    particular, they contend plaintiffs have not properly alleged
    a causal connection between the seminars and the
    decisions of individual physicians to use the bone screw
    devices in surgery. They argue that in order to allege
    proximate cause adequately, each plaintiff must
    demonstrate that his or her surgeon relied upon
    defendants' statements at the seminars in making the
    23
    decision to use the devices for pedicle fixation surgery, and
    that this decision in turn caused the injury upon which
    relief is sought. Plaintiffs' theory of causation, they claim,
    eschews proof of individualized reliance in favor of an
    unjustified extension of the "fraud-on-the-market-theory" of
    liability developed in securities law. See Basic Inc. v.
    Levinson, 
    485 U.S. 224
     (1988).10 For their part, plaintiffs
    claim their market theory of causation extended only to the
    fraud aspect of their conspiracy claims, which they have
    now discontinued, and they also dispute that they are
    required to prove individualized causation. They argue it is
    sufficient to show that the seminars contributed to the
    creation of an unlawful black market for pedicle screw
    fixation devices, in the absence of which plaintiffs would
    not have been injured.
    We believe these issues are best resolved under a plenary
    standard in the transferor courts, rather than on the appeal
    of a motion to dismiss. Whether plaintiffs have adequately
    alleged causation depends greatly on the particulars of the
    state law governing each claim. This fact alone counsels
    against dismissing all claims on this basis. See Bone Screw
    I, 
    159 F.3d at 826
     ("While we are not in a position to
    canvass all the potentially applicable law [of the transferor
    jurisdictions], what we know about tort law generally
    makes us unwilling to say that all of the plaintiffs' claims
    will fail for want of the kind of a causation that will give rise
    to liability."). There is no uniform rule governing the level of
    specificity with which proximate cause must be proven in
    the various jurisdictions involved in this litigation.
    Moreover, many jurisdictions have adopted a "substantial
    factor" test that does not lend itself to facile predictions
    about which theories of damages will suffice. See, e.g.,
    _________________________________________________________________
    10. As noted, the medical associations previouslyfiled a petition for a
    writ of mandamus invalidating plaintiffs' fraud-on-the-market theory as
    a matter of law. In denying the writ, we observed that plaintiffs had
    represented to the Court that they planned to assemble evidence of
    individualized reliance through the discovery process, and that they
    would rely on a fraud-on-the-market theory only in those cases where
    reliance could not be proven. See In re Orthopedic Bone Screw Prods.
    Liability Litig., MDL No. 1014, mem. op. at 8-9 (3d Cir. Nov. 10, 1997)
    (unpublished opinion).
    24
    Parks v. AlliedSignal, Inc., 
    113 F.3d 1327
    , 1332 (3d Cir.
    1997) ("When addressing causation, Pennsylvania has
    rejected the ``but for' test and adopted the ``substantial
    factor' test . . . ."); Dawson v. Bunker Hill Plaza Assocs.,
    
    673 A.2d 847
    , 853 (N.J. Super Ct. App. Div. 1996)
    ("Liability attaches not only to the dominating cause but
    also to any cause which constitutes at any event a
    substantial factor in bringing about the injury.") (internal
    quotation marks omitted); Abrahams v. Young & Rubicam,
    Inc., 
    692 A.2d 709
    , 712 (Conn. 1997) ("[I]t is axiomatic that
    proximate cause is an actual cause that is a substantial
    factor in the resulting harm.") (internal quotation marks
    omitted); State v. Hubka, 
    480 N.W.2d 867
    , 869 (Iowa 1992)
    ("The general rule is that a defendant's conduct is the
    proximate cause of injury or death to another if (1) her
    conduct is a ``substantial factor' in bringing about the harm
    and (2) there is no other rule of law relieving the defendant
    of liability because of the manner in which her conduct
    resulted in the harm.").
    We believe the transferor courts are in the best position
    to determine whether the applicable state law permits
    plaintiffs to recover damages without proving individual
    reliance. Accordingly, we decline to dismiss plaintiffs'
    claims on this basis.
    D. Costs and Sanctions
    The medical associations filed cross-motions for costs
    and sanctions under 28 U.S.C. S 1927, Fed. R. Civ. P.
    54(d), and the court's inherent judicial powers. In support,
    they argued that plaintiffs acted in bad faith and needlessly
    multiplied the litigation by bringing the conspiracy to
    defraud claim despite having no means of proving
    individualized reliance. The District Court denied these
    motions, finding that defendants had not demonstrated
    "willful bad faith" on the part of the plaintiffs. See In re
    Orthopedic Bone Screw Prods. Liability Litig., MDL 1014,
    Memorandum and Pretrial Order No. 1543, op. at 8-9 (E.D.
    Pa. Aug. 13, 1998) ("PTO 1543").
    We review the denial of attorney's fees and costs for
    abuse of discretion. See Gioioso v. Stuebben, 
    979 F.2d 956
    ,
    959 (3d Cir. 1992). Such an abuse occurs when the court's
    25
    decision " ``rests upon a clearly erroneousfinding of fact, an
    errant conclusion of law or an improper application of law
    to fact.' " Morgan v. Perry, 
    142 F.3d 670
    , 682 (3d Cir. 1998)
    (quoting Hanover Potato Prods., Inc. v. Shalala, 
    989 F.2d 123
    , 127 (3d Cir. 1993)).
    Imposition of attorney's fees and costs under section
    1927 is reserved for behavior " ``of an egregious nature,
    stamped by bad faith that is violative of recognized
    standards in the conduct of litigation.' " Baker Indus., Inc.
    v. Cerberus Ltd., 
    764 F.2d 204
    , 208 (3d Cir. 1985) (quoting
    Colucci v. New York Times Co., 
    533 F. Supp. 1011
    , 1014
    (S.D.N.Y. 1982)). Thus, fees may not be awarded unless
    there is "a finding of willful bad faith on the part of the
    offending attorney." Baker, 
    764 F.2d at 209
    . An award of
    fees under the court's inherent powers requires a similar
    finding. See Chambers v. NASCO, Inc., 
    501 U.S. 32
    , 45-46
    (1991) (court may assess fees under inherent powers when
    a party has acted " ``in bad faith, vexatiously, wantonly, or
    for oppressive reasons' ") (quoting Alyeska Pipeline Serv. Co.
    v. Wilderness Soc'y, 
    421 U.S. 240
    , 258-59 (1975)).
    We agree with the District Court that no finding of bad
    faith was warranted here. As noted, several of plaintiffs'
    claims were premised upon a theory of damages that
    defendants characterize as a "fraud-on-the-market" theory.
    They contend this theory is so lacking in merit that it
    should never have been advanced, and that plaintiffs'
    reliance on it needlessly multiplied the proceedings and
    incurred wasteful expense. Regardless of whether plaintiffs'
    theory of causation is ultimately accepted by transferor
    courts, we cannot say the plaintiffs acted in bad faith in
    raising it. The Supreme Court has specifically instructed
    that courts should be wary of chilling legitimate advocacy
    by imposing fees too hastily: "[I]t is important that a district
    court resist the understandable temptation to engage in
    post hoc reasoning by concluding that, because a plaintiff
    did not prevail, his action must have been unreasonable or
    without foundation. This kind of hindsight logic could
    discourage all but the most airtight claims . . . ."
    Christiansburg Garment Co. v. EEOC, 
    434 U.S. 412
    , 421-22
    (1978); accord Baker, 
    764 F.2d at 208
     (bad-faith
    requirement is "necessary to avoid chilling an attorney's
    26
    legitimate obligation to represent his client zealously").
    Restraint is particularly important where, as here, the case
    presents complex factual and legal issues. See In re
    Kunstler, 
    914 F.2d 505
    , 523 (4th Cir. 1990) (sanctioning
    powers should be exercised with restraint to avoid chilling
    "novel factual or legal theories"); Barney v. Holzer Clinic,
    Ltd., 
    110 F.3d 1207
    , 1213 (6th Cir. 1997) (holding that an
    award of fees under section 1927 was not warranted where
    the "central issue was one of first impression"); United
    States v. Alexander, 
    981 F.2d 250
    , 253 (5th Cir. 1993)
    (vacating an assessment of sanctions because of"the
    absence of authority in this Circuit combined with the
    complexity of the issue").
    Additionally, we believe the history of this litigation
    undermines any claim that plaintiffs acted in "actual" or
    "willful" bad faith, as required for an award of fees under
    section 1927. Baker, 
    764 F.2d at 208-09
    . Early in
    consolidated pretrial proceedings, the District Court raised
    the issue whether the original omni complaints satisfied the
    requirements of Fed. R. Civ. P. 11, which provides for the
    imposition of sanctions upon attorneys who submit
    complaints lacking a sufficient legal and factual basis. In
    response, plaintiffs submitted a 750-page Particularized
    Statement of Facts accompanied by numerous exhibits,
    explicating in more detail their claims for relief. The District
    Court then determined that the complaints did not violate
    Rule 11 but still were not pleaded with sufficient
    particularity, and granted plaintiffs' leave to replead. See In
    re Orthopedic Bone Screw Prods. Liability Litig., MDL No.
    1014, Pretrial Order No. 477 (E.D. Pa. Aug. 22, 1996). In
    response, the PLC developed amended "form" complaints
    that were expressly authorized by the District Court before
    being transmitted to the various plaintiffs' attorneys, who
    modified them as necessary to suit the particulars of their
    clients' cases. Although this history is not dispositive, we
    believe it strongly supports the District Court's
    determination that plaintiffs' counsel did not act in bad
    faith; to the contrary, they responded to the court's request
    to cure potential defects in the complaints before
    proceeding further.
    Finally, we also note that defendants' principal argument
    for imposing costs -- namely, that plaintiffs cannot prove
    27
    that defendants' conduct at the seminars was the
    proximate cause of their injuries -- is largely a question of
    fact which remains unresolved. Plaintiffs still contend that
    individual reliance can be proven in many cases, and we
    will not second-guess this representation on the appeal of
    a motion for attorney's fees. As the District Court aptly
    observed, "If this court imposed sanctions for prosecuting
    these claims the court would implicitly engage in fact
    finding that is typically reserved for a jury." PTO 1543, at
    10. We therefore see no abuse of discretion in the court's
    denial of the medical associations' motion for attorney's fees
    and costs.
    III. CONCLUSION
    We hold that the District Court properly dismissed
    plaintiffs' conspiracy and concert of action claims based on
    violations of the FDCA, because these claims failed to state
    a claim upon which relief can be granted. We alsofind no
    error in the District Court's denial of defendants' motions to
    dismiss. At this stage in the proceedings, it would be
    premature to conclude that even if plaintiffs' allegations are
    true, defendants' speech at the seminars could not possibly
    form the basis of civil liability under the First Amendment.
    Similarly, we do not believe plaintiffs' theory of damages is
    so devoid of legal support in all jurisdictions that it can be
    dismissed outright in consolidated pretrial proceedings.
    Defendants, of course, are free to challenge its legal viability
    in the transferor courts. We will also uphold the denial of
    the medical associations' motions for attorney's fees and
    costs.
    Accordingly, we will affirm the judgment of the District
    Court.
    A True Copy:
    Teste:
    Clerk of the United States Court of Appeals
    for the Third Circuit
    28
    

Document Info

Docket Number: 98-1762, 98-1829

Citation Numbers: 193 F.3d 781

Judges: Scirica, Roth, McKay

Filed Date: 10/7/1999

Precedential Status: Precedential

Modified Date: 10/19/2024

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