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Court of Chancery of Delaware

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DocketNumber： C.A. No. 2017-0137-KSJM

Judges： McCormick, C.

Filed Date： 6/30/2022

Status： Precedential

Modified Date： 7/1/2022

IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE
PAVEL MENN, as representative of )
the former shareholders of )
ENDODYNAMIX, INC., )
)
Plaintiff, )
)
v. ) C.A. No. 2017-0137-KSJM
)
CONMED CORPORATION and )
ENDODYNAMIX, INC., )
)
Defendants. )
POST-TRIAL MEMORANDUM OPINION
Submitted: March 14, 2022
Dated: June 30, 2022
A. Thompson Bayliss, Daniel J. McBride, ABRAMS & BAYLISS LLP, Wilmington,
Delaware; Nelson G. Apjohn, Eric P. Magnuson, Melanie V. Woodward, NUTTER
McCLENNEN & FISH LLP, Boston, Massachusetts; Counsel for Plaintiff Pavel Menn, as
Representative of the Former Stockholders of EndoDynamix, Inc.
John L. Reed, Peter H. Kyle, Kelly L. Freund, DLA PIPER LLP (US), Wilmington,
Delaware; Jonathan B. Fellows, Suzanne M. Messer, Liza R. Magley, BOND,
SCHOENECK & KING, PLLC, Syracuse, New York; Counsel for Defendants ConMed
Corporation and EndoDynamix, Inc.
McCORMICK, C.
This action arises from a stock purchase agreement by which ConMed Corporation
acquired EndoDynamix, Inc., a start-up monoline company that was developing a clip
applier product to be used in laparoscopic surgeries. The parties allocated the risk
associated with the continued development of the clip applier through a contingent
payment structure. ConMed agreed to pay the sellers $1.25 million up front, to make
milestone payments of up to a total $10.25 million upon the product’s achievement of four
development objectives, and to make earn-out payments of $2 million upon the first sale
and in the amount of 10% of the net sales generated for a period after the first sale.
Because the bulk of consideration to be paid to the sellers was contingent on the clip
applier achieving development milestones and financial targets after ConMed acquired the
company, the sellers obtained ConMed’s agreement to use commercially best efforts to
maximize the milestone and earn-out payments. The sellers further negotiated for the right
to demand accelerated payment of the milestone and earn-out payments if ConMed
permanently discontinued the development or sale of the clip applier products unless that
determination was made for contractually specified reasons, including that the clip applier
posed a risk of injury to patients.
Before the parties entered into the stock purchase agreement, ConMed identified
safety issues in the clip appliers’ design. As part of the stock purchase agreement, ConMed
negotiated for the right to implement design changes to address those concerns. Those
design changes were identified in a schedule to the agreement. After the parties closed on
the agreement, ConMed devoted substantial resources to implementing those design
changes and developing the clip applier in other ways. ConMed put the product through
multiple animal lab studies and applied for and obtained FDA clearance. By October 2015,
ConMed had made the up-front payment and three of the four milestone payments, for a
total of $9 million in payments to sellers.
ConMed, however, continued to encounter problems in the product’s development,
including safety features identified in the schedule to the stock purchase agreement. In
early 2016, ConMed tasked a newly acquired and highly experienced development team
with reevaluating the product. They concluded that ConMed should scrap the product
entirely in favor of developing a new clip applier. In May 2016, ConMed notified the
sellers of ConMed’s view that the clip applier posed a risk of injury to patients and that
ConMed was seriously questioning whether to move forward with development of the
product. Shortly after the report, ConMed’s board determined to discontinue development
of the product.
In response to the report, sellers’ representative, Plaintiff Pavel Menn, demanded
acceleration payments. ConMed declined to make the payments, and this lawsuit ensued.
The plaintiff claims that ConMed breached its obligation to use commercially best
efforts to develop the clip applier and discontinued the product’s development for reasons
other than a risk of injury to patients. The parties presented extensive evidence throughout
the course of a seven-day trial. Ultimately, the defendants proved that they discontinued
development of the clip applier based on the determination that it posed a risk of injury to
patients. And the plaintiff failed to prove that the defendants breached their commercially-
best-efforts obligation prior to making the determination to discontinue development of the
clip applier. This post-trial decision finds in favor of the defendants.
2
I. FACTUAL BACKGROUND
As reflected in the Schedule of Evidence submitted by the parties, the record
comprises 529 joint trial exhibits, trial testimony from five fact and five expert witnesses,
deposition testimony from nineteen fact and five expert witnesses, and stipulations of fact
in the pre-trial order.1 These are the facts as the court finds them after trial.
A. EndoDynamix And The SureClip Clip Applier
In 2008, Plaintiff Pavel Menn and non-party William Bookwalter founded
EndoDynamix, Inc. for the primary purpose of developing a clip applier, which they called
the “SureClip Clip Applier” (the “SureClip”).2
Clip appliers are medical instruments used in minimally invasive surgical
procedures (typically, laparoscopy) that apply clips to close off a duct, tube, or blood vessel
in the body.3 The process of closing off a duct, tube, or blood vessel is called “ligation.”4
Clips are small, titanium u-shaped objects with a rounded “shoulder” from which two
1
C.A. No. 2017-0137-KSJM, Docket (“Dkt.”) 152, Joint Schedule of Evid.; Dkt. 119, Pre-
Trial Stipulation and Order (“PTO”). This decision also cites to: trial exhibits (by “JX”
number); the trial transcript, Dkts. 132–38 (by “Trial Tr.” page, line, and witness), the post-
trial oral argument, Dkt. 153 (by “Post-Trial Oral Arg. Tr.” page, line, and witness), and
the deposition transcripts of Kurt Azarbarzin, Dennis Blom, Terence Bergé, William
Bookwalter, Edward Connell, Dennis Cook, Victor Dardzinski, Timothy Donaldson,
Richard Granger, Paul Hermes, Daniel Jonas, John “Jed” Kennedy, Stephen McColgan,
Pavel Menn, Robert Menn, Bill Peters, Wilfredo Ruiz-Caban, Robert Sheridan, David
Stefanchik, Michael Thomas, George Trutza, Jessie Verna, Mason Williams, David Wu,
William Zimmerli, and Khanh Nguyen (by the deponent’s last name and “Dep. Tr.” page
and line).
2
See PTO ¶ 6; Trial Tr. at 22:8–10, 32:7–14, 82:21–84:1 (Menn).
3
PTO ¶ 7.
4
Id.
3
straight prongs called “legs” extend.5 A clip applier is composed of a handle and a shaft.6
The shaft is also called the “cartridge.”7 Clips are pre-loaded into the shaft.8 The end of
the shaft features mechanical jaws that clamps the clip closed.9 Generally, a surgeon holds
the clip applier by the handle and uses its trigger to release a clip from the shaft into the
jaws, which close the clip onto the vessel to be ligated.10
The SureClip shafts came in two sizes: a 5mm and a 10mm, designed to apply 5mm
and 10mm clips, respectively.11 Its handle was “universal” in the sense that it was
compatible with both the 5mm and 10mm SureClip shafts.12 The 5mm and 10mm shafts
are collectively referred to as the “Clip Applier Products.”13 With the handle, they are
referred to as the “Products.”14 None of the Products could be used with any other clip
applier on the market.15
5
Trial Tr. at 36:9–13 (Menn); id. at 476:4–5 (Connell).
6
PTO ¶ 8.
7
Id.
8
JX-441 at 1.
9
Trial Tr. at 585:4–6 (Connell).
10
JX-122 at 8; Trial Tr. at 734:21–735:1; PTO ¶¶ 7–8.
11
PTO ¶ 11.
12
Id. ¶ 14; Trial Tr. at 473:19–23 (Connell).
13
See PTO ¶¶ 11–12.
14
Id. ¶ 15.
15
Trial Tr. at 37:2–17 (Menn).
4
When EndoDynamix began developing the SureClip, the clip applier market was
dominated by two disposable clip appliers sold by Ethicon and Covidien, respectively.16
Because these existing products were designed to be thrown away after a single use, some
viewed their design as “cheap” or subpar.17
To differentiate the SureClip from other clip appliers, EndoDynamix designed the
SureClip as a “reposable” clip applier, consisting of a reusable stainless-steel handle and a
disposable single-use shaft.18 The hope was that a reusable handle would capitalize on
hospital initiatives to lower costs and reduce waste.19
Moreover, clip appliers generally had a history of patient safety-related performance
issues. Menn testified during his deposition and at trial that clip appliers have been the
subject of FDA Medical Device Reports (“MDRs”) and recalls.20
Thus, to further distinguish the SureClip from other clip appliers, EndoDynamix’s
early marketing materials highlighted the most common reasons for the MDRs for clip
appliers and stated that the SureClip had features that resolved these patient safety issues
and had the following safety features and functionalities common to clip applier products:
16
Id. at 18:4–8 (Menn).
17
Dr. Stephen McCologan, a member of the EndoDynamix Medical Advisory Board, and
a highly credentialled surgeon and medical consultant, testified to this effect at trial. See
Trial Tr. at 240:19–22 (McColgan) (testifying that the disposable clip appliers “were cheap,
. . . were poorly made[] [and] were designed for profit margin, not really caring about the
quality at the end”).
18
PTO ¶ 10; see also Trial Tr. at 18:2–3, 32:7–33:4 (Menn).
19
See JX-124 at 32.
20
JX-504 (“Menn Dep. Tr.”) at 22:22–26:23; Trial Tr. at 88:12–15 (Menn).
5
 “Last-clip lockout,” which is a visual indication of the last clip in a cartridge
along with a mechanism to prevent closure of the clip applier’s jaws once the
final clip in the cartridge is released.21
 “Visualization,” which refers to the surgeon’s ability to visually evaluate the
placement of a clip on the tissue when the clip applier’s jaws are open.22
 “Tips-first closure,” is a type of “clip closure,” which occurs when the tips
of the clip legs come into contact before the clip is crushed and the tissue is
ligated. Tips-first closure is designed to ensure that only the tissue to be
ligated is included within the clip and that no tissue escapes from the clip.23
 “Clip scissoring” refers to a problem in clip closure, which occurs when the
clip’s legs overextend beyond the center line. Clip scissoring can cause
tissue damage.24
Other design features of the SureClip further distinguished it from products on the
market. For example, clips used in clip appliers had to be designed for two purposes: first,
to ligate the tissue, and second, to “feed” down the shaft.25 Products on the market satisfied
the second function by having the clips push each other, like a train, head-to-tail down the
shaft.26 The established method of feeding clips was imperfect; clips often jammed in the
21
Trial Tr. at 481:20–483:1 (Connell) (describing last-clip lockout); JX-9 at 10, 17, 30, 31,
32 (2012 marketing materials reflecting that the SureClip had last-clip lockout features).
22
Trial Tr. at 1347:5–9 (Donaldson) (describing visualization); id. 1472:3–6 (Granger)
(same); JX-9 at 16–17 (2012 marketing materials reflecting that the SureClip permitted
visualization).
23
Trial Tr. at 1616:9–16 (Blom) (describing tips-first closure); JX-9 at 16–17 (2012
marketing materials reflecting that the SureClip achieved tips-first lockout features).
24
Trial Tr. at 242:4–243:2 (McCologan) (describing clip scissoring); JX-9 at 16–17 (2012
marketing materials reflecting that the SureClip minimized clip scissoring).
25
Id. at 1106:6–12 (Stefanchik).
26
Id. at 1106:16–18 (Stefanchik).
6
shafts of disposable clip appliers.27 The established method of feeding clips also required
design tradeoffs that affected the clip’s performance on the tissue.28
By contrast, the SureClip employed an “individual clip management” design, which
meant that the shaft mechanics, and not the follow-on clips, advanced the clips down the
shaft.29 The SureClip’s individual clip management also allowed EndoDynamix to design
the clip itself with a sole focus on ligating the vessel.30 Toward that end, EndoDynamix
designed a clip with rounded “shoulders,” which was intended to minimize irritation to the
surrounding tissue once applied.31 The clip also had a patented “double hard cross section”
pattern on the inside of the legs intended to reduce the need for surgeons to use multiple
clips to ligate a vessel.32
Further, the SureClip had “atraumatic jaws,” which meant that they caused minimal
tissue injury.33 Disposable clip appliers on the market had narrower, sharper jaws that
could damage vessels if closed when no clip was loaded in the jaws.34 The SureClip’s jaws
were smooth and rounded, with broad surfaces designed to avoid tissue damage.35
27
Id. at 33:11–14 (Menn); id. at 34:24–35:13 (Menn); id. at 1108:1–5 (Stefanchik).
28
Id. at 1106:13–20 (Stefanchik).
29
Id. at 33:11–34:17 (Menn).
30
Id. at 1175:1–6 (Stefanchik).
31
Id. at 36:10–15 (Menn).
32
Id. at 36:15–37:1 (Menn).
33
Id. at 39:16–19 (Menn).
34
Id. at 39:1–12 (Menn); id. at 1170:14–1171:5 (Stefanchik).
35
Id. at 36:8–16 (Menn), id. at 1146:16–24 (Stefanchik).
7
Other terms unique to the field of clip applier development permeate this decision.
The following glossary is intended to aid those unfamiliar with the vernacular:
 “Clip loading and stability” refers to the loading and stability of the clip as it
enters the jaw of the device until it is implanted.36
 “Clip security” refers to the ability of an implanted clip to remain secure in
its position.37
 “Device weight” refers, as the title suggests, to the weight of the device. It
is relevant from a design perspective because a heavy device can slip from a
surgeons hand, cause fatigue in the surgeon during prolonged use, or fall out
of the trocar (defined below), causing injury to a patient.
 “Trocar” is a port or tube through which the clip applier is inserted into the
body.38
B. ConMed Expresses An Interest In Acquiring EndoDynamix.
After forming EndoDynamix, Menn and Bookwalter raised money, assembled staff,
and built facilities for designing, developing, and manufacturing the SureClip.39 By 2010,
the SureClip had piqued the interests of Defendant ConMed Corporation (“ConMed”), a
publicly traded New York corporation specializing in developing and selling surgical
products.40
36
Id. at 1549:24–1550:3, 1588:12–20 (Blom); id. at 1724:20–1725:1 (Peters).
37
Id. at 515:23–516:3 (Connell).
38
Id. at 313:11–22 (Kennedy); id. at 1555:15–1556:2, 1594:2–6 (Blom); id. at 1344:5–20
(Donaldson).
39
See PTO ¶¶ 4–5; Trial Tr. at 20:5–10, 21:1–6, 30:22–32:6 (Menn).
40
PTO ¶ 3.
8
In March 2010, ConMed’s then-Chief Executive Officer traveled with a delegation
to EndoDynamix’s Massachusetts headquarters to observe the SureClip.41 ConMed was
already a market leader in reposable instruments, but it only sold one size of clip applier (a
10 mm) that accounted for a small percentage of the clip applier market, and surgeons were
increasingly preferring 5 mm clip appliers.42 The SureClip would help ConMed round out
its product offerings and attract hospital-group customers that were looking for one-stop
shopping for all of their instruments.43 After the initial March 2010 meeting, ConMed kept
apprised of SureClip’s development, visiting several more times in 2011 and 2012.44
In 2013, ConMed observed the functionality of SureClip in two labs (the “2013
Animal Labs”), testing whether SureClip had safety features and functionality common to
other clip applier products.45 In these labs, surgeons tested the SureClip on live pigs.46 The
first lab occurred in September 2013 and the second lab occurred in December 2013.47
Through the 2013 Animal Labs, ConMed observed that the statements in
EndoDynamix’s marketing materials concerning the SureClip’s safety features were
somewhat aspirational—they did not reflect the product’s actual design at the time.48 Still,
41
JX-4 at 1.
42
See JXs-494–95 (“Connell Dep. Tr.”) at 35:16–37:4.
43
See Connell Dep. Tr. at 35:25–36:23.
44
Trial Tr. at 461:17–463:22, 465:22–468:19 (Connell); JX-4 at 1–2.
45
PTO ¶ 16.
46
Id. ¶¶ 16–17; Trial Tr. at 311:4–11 (Kennedy).
47
PTO ¶ 17.
48
See JX-20 at 1–4.
9
from December 2013 through April 2014, ConMed conducted extensive diligence on the
SureClip design.49 And in April 2014, ConMed sent a letter of intent to acquire the stock
of EndoDynamix.50
C. The Stock Purchase Agreement
The parties’ negotiations culminated in a Stock Purchase Agreement (the
“Agreement”) executed on July 30, 2014.51 The Agreement was entered into between
ConMed, on the one hand, and EndoDynamix, certain stockholders of EndoDynamix (the
“Stockholder Parties”), and Menn (as representative of the Stockholder Parties) on the
other.52
1. Payment Structure
The bulk of the consideration to be paid to the Stockholder Parties under the
Agreement was contingent on the achievement of post-closing development milestones and
financial thresholds.
Specifically, the Agreement required ConMed to make an upfront payment of $1.25
million (less certain expenses and other amounts) at closing as well as two categories of
contingent, post-closing payments defined respectively as “Milestone Payments” and
“Earn-Out Payments.”53
49
Trial Tr. at 352:7–354:17 (Kennedy).
50
JX-59 at 1.
51
JX-108 (“SPA”). ConMed purchased only 98.7368% of the stock of EndoDynamix
because one stockholder could not participate in the Agreement.
52
Id.
53
Id. §§ 4.02–4.03; JX-338 at 7 (describing payment structure).
10
Section 4.02 of the Agreement established four Milestone Payments totaling up to
$10.25 million.54 The first payment of approximately $3.75 million was due upon the
successful completion of an animal lab study using the Clip Applier Products (the “Animal
Lab Milestone”).55 The next two Milestone Payments were tied to FDA 510(k) clearance,
a process that allows a manufacturer to bring a new device to market by having it declared
substantially equivalent to a predicate device that is already on the market.56 ConMed
would pay approximately $2.5 million upon reaching inventory levels and completing
documentation sufficient to meet FDA submission standards (the “FDA Application
Milestone”), and approximately $1.5 million upon receiving FDA clearance of the Clip
Applier Products (the “FDA Clearance Milestone”).57 The last payment, of approximately
$2.5 million, was due upon the first commercial sale of any of the Products (the “Triggering
Sale”).58
Section 4.03 of the Agreement established two categories of Earn-Out Payments:
(i) $2 million one year after a Triggering Sale; and (ii) payments equal to nearly 10% of
the net sales generated from the Products for five years after a Triggering Sale.59
54
SPA § 4.02.
55
Id. § 4.02(a).
56
Trial Tr. at 1401:2–23 (Sheridan).
57
SPA §§ 4.02(b), (c).
58
Id. § 4.02(d).
59
Id. § 4.03.
11
2. Seller-Friendly Provisions
As is common in contracts involving contingent, post-closing consideration, the
Stockholder Parties negotiated for a provision requiring ConMed to use its best efforts to
maximize payments to them.
Section 4.03(g) of the Agreement obligated ConMed to “work in good faith” with
EndoDynamix and use “commercially best efforts” to maximize the Milestone Payments
and Earn-Out Payments for the benefit of the Stockholder Parties.60
The Stockholder Parties also negotiated for the right to accelerate payment of the
unpaid amounts of Milestone Payments or Earn-Out Payments upon the occurrence of
certain events (the “Acceleration Payments”).
Under Section 4.03(h) of the Agreement, ConMed owed Acceleration Payments if
it “acquire[d] a business that will integrate with[] . . . the Company and following such
acquisition [ConMed] permanently discontinues the development or sale of any of the Clip
Applier Products”61 or ConMed “otherwise permanently discontinue[d] the development
or sale of the Clip Applier Products” other than for certain reasons defined in the
Agreement.62
To exercise the acceleration rights, the Agreement required that Menn serve
ConMed with an acceleration notice providing ConMed with an opportunity to cure the
60
Id. § 4.03(g).
61
Id. § 4.03(h)(iii).
62
Id. § 4.03(h)(iv).
12
breach.63 The Acceleration Payments would become due if, after twenty business days
from service of the acceleration notice, the breach was not cured.64
3. Buyer-Friendly Provisions
ConMed negotiated for protections as well. For example, the Stockholder Parties
agreed that ConMed “expects to be able to freely run the Company’s business in its
discretion following the Closing,” and that ConMed would have “full control and direction
over the Company’s business following the Closing, including decisions regarding the
[SureClip].”65
ConMed negotiated for exceptions to its obligation to make Acceleration Payments
under Section 4.03(h). One is relevant here. ConMed was not obligated to make
Acceleration Payments if the decision was based on a “commercially reasonable
determination” made in ConMed’s “sole discretion that the use of such Clip Applier
Product(s) pose(s) a risk of injury to either patients or surgeons . . . .”66
ConMed also negotiated for the express right to make design changes to the
SureClip. As discussed above, through the 2013 Animal Labs, ConMed identified design
changes to the SureClip that it viewed as essential to the product’s safety and success.
Indeed, shortly after submitting the letter of intent, on April 4, 2014, ConMed tendered a
63
Id. § 4.03(h).
64
Id.
65
Id. § 4.03(g).
66
Id. §§ 4.03(h)(iv)(y)–(z).
13
list of required design changes that arose out of the two 2013 Animal Labs.67 The April 4
list became Schedule 8.10 to the Stock Purchase Agreement.68 The modifications in
Schedule 8.10 addressed product safety features, including last clip lock-out, visualization,
clip loading and stability, and clip closure and security.69 Although Schedule 8.10 does
not expressly reference tips-first closure as an intended design improvement, Schedule 8.10
required that the “[c]lip must not push tissue out of the [j]aws” which is an issue that tips-
first closure was designed to prevent.70 Similarly, Schedule 8.10 does not explicitly
reference clip scissoring, but it does mention clip closure, and clip scissoring is a specific
type of clip closure issue.71
The parties agreed in Section 8.10 of the Stock Purchase Agreement that ConMed
was empowered to implement the modifications listed on Schedule 8.10.72
67
JX-63 at 3.
68
JX-97 at 1–3.
69
SPA Schedule 8.10; see also Trial Tr. at 1316:4–16, 1318:2–1320:23 (Donaldson)
(testifying that the pre-acquisition animal labs identified patient safety issues related to the
design changes listed on Schedule 8.10).
70
SPA Schedule 8.10; see also JX-473 at 1 (noting that although Schedule 8.10 did not
expressly mention tips-first closure, it did require that tissue not be pushed out of the clips,
and “if the tips of the clip do not close first, then it is very possible for the tissue to ‘squirt’
out beyond the tips of the clip during closure of the clip”); Trial Tr. at 1320:3–20
(Donaldson) (noting that tips-first closure is related to subsection 2a of Schedule 8.10,
which stated that “Clip must not push tissue out of the Jaws during load,” because tips-first
closure can prevent this issue).
71
Trial Tr. 692:8–11 (Wu) (“Question: And what were the issues in the [December 2013]
animal lab with regard to clip closure? Answer: So Dr. Otabi noted that there were some
issues of scissoring, clip scissoring.”).
72
SPA § 8.10.
14
The parties further agreed through Section 8.10 that
nothing in this Agreement shall restrict the right of the
Company or its Affiliates following the Closing to make
modifications to the specifications of any Product to the extent
that any such specification modifications, in the reasonable
discretion of the Company or any of its Affiliates, are
necessary to address (i) existing or future market conditions,
(ii) compliance with any Applicable Law (including, without
limitation, any rule or regulation of the FDA) . . . .73
Schedule 8.10 and Section 8.10 were included in the Agreement at ConMed’s request. In
negotiations over the Stock Purchase Agreement, EndoDynamix had included a provision
obligating ConMed to make Acceleration Payments if ConMed made “design
modifications . . . without the prior written consent of [Menn].”74 ConMed rejected that
language and added Section 8.10 and Schedule 8.10.75
ConMed secured the Stockholder Parties’ agreement that “no modification made to
the specifications of any Product made in accordance with Section 8.10 shall (a) be deemed
to be a breach of Section 4.03(g)” containing the best-efforts obligation.76
ConMed also secured the Stockholder Parties’ agreement that the Acceleration
Payments would serve as liquidated damages due to the “indeterminate harm anticipated”
and the difficulty of proving “loss and damages.”77 Specifically, the Agreement defined
73
Id.
74
JX-86 § 4.03(h).
75
SPA § 8.10; id. at Schedule 8.10.
76
Id. § 4.03(i).
77
Id.
15
Acceleration Payments as reasonable liquidated damages.78 It further specified that
ConMed had no obligation to pay liquidated damages in the event of the contractually
specified exceptions to the Acceleration Payments.79
D. Post-Closing Events
Upon closing, EndoDynamix ceased operating as a separate entity and became a
subsidiary of ConMed.80 SureClip development was integrated into what later became
known as the “Advanced Surgical Division” of ConMed.81 At the time of the acquisition,
John (“Jed”) Kennedy was Vice President of the Advanced Surgical Division.82 After the
integration in January 2015, Kennedy was replaced by Bill Peters as Vice President of the
division.83
As of August 26, 2014, ConMed had targeted a March 2016 launch date for
SureClip.84 ConMed held an official “Kick-Off Meeting” on September 3, 2014.85 Over
50 ConMed employees from various departments, including engineering, manufacturing,
compliance, and sales were invited to attend.86
78
Id.
79
Id.
80
PTO ¶ 43.
81
See id. ¶¶ 44, 53.
82
Id. ¶ 44.
83
Id. ¶ 53.
84
JX-118 at 3.
85
JX-124 at 4.
86
Id.
16
ConMed appointed David Wu as project leader over the SureClip project.87 Wu
holds a B.S. from the University of Rochester, where he majored in biomedical engineering
and has worked on numerous laparoscopic devices.88 Two engineers were assigned to work
with Wu on the project. Dennis Cook led a team of manufacturing engineers responsible
for the handle, and Mike Thomas led a team of manufacturing engineers responsible for
the cartridges.89 Additional team members were focused on quality assurance and
packaging issues related to the clip applier.90
Menn and other former EndoDynamix employees including Nate Rosso, Victor
Dardzinski, and Khanh Nguyen joined ConMed and worked on the project.91
1. The September 2014 Animal Lab
On September 12 and 13, 2014, ConMed held an animal lab to test modifications
made to SureClip (the “September 2014 Animal Lab”), including those made in accordance
with Schedule 8.10 of the Agreement.92 The lab results would inform whether ConMed
would pay the $3.75 million Animal Lab Milestone Payment.93 The definition of “Animal
Lab Milestone” in the SPA referenced Schedule II, which included criteria to be evaluated
87
JXs-514–15 (“Wu Dep. Tr.”) at 180:20–24.
88
Id. at 7:24–8:9, 9:23–15:10.
89
Id. at 46:5–25; JX-496 (Cook Dep. Tr.) at 95:5–13; JX-510 (“Thomas Dep. Tr.”) at 81:8–
21.
90
JX-123 at 3–5.
91
Wu Dep. Tr. at 43:11–44:16; JX-517 (“Nguyen Dep. Tr.”) at 119:10–20.
92
JX-132 at 5.
93
See JX-130.
17
by surgeons, as well as several items to be “[m]easured by [a] ConMed engineer.”94 The
tested devices were prototypes fabricated in EndoDynamix’s Salem facility.95
Six surgeons participated in the lab. One of the surgeons, Dr. Deborah Nagle, was
recommended by Menn.96 Each surgeon received a survey sheet describing the criteria to
be evaluated and asking to give the 5mm and 10mm devices a “pass” or a “fail” for each
criterion.97
The SureClip received some favorable feedback. The 10mm SureClip device
received all passes from five surgeons.98 One surgeon really liked the design features,
describing them as follows:
To make a metaphor . . . when you hold an iPhone . . . that is a
quality piece of machinery just from looking at it. And so,
when you have this [SureClip] in your hand, and the way it
behaves and the way it moves and the way it feels, you know
there is a lot of engineering going into this. And it’s made
really well.99
Yet the feedback was not entirely favorable.100 One of the six surgeons failed the
10mm device’s last-clip lockout feature.101 Although three of the six surgeons passed the
94
SPA at Schedule II.
95
Trial Tr. at 147:9–14 (Menn).
96
Id. at 159:8–160:6 (Menn).
97
JX-131.
98
Id.
99
JX-136 at 16.
100
Trial Tr. at 149:8–164:18 (Menn).
101
JX-131 at 16.
18
5mm device,102 two of those surgeons expressed concerns and identified areas of
improvement for the device.103 The other three, including Menn’s selected surgeon, failed
the 5mm device.104 The ConMed engineers also failed the devices on multiple criteria,
such as last-clip lockout, tips-first closure, clip scissoring, and clip loading, among other
things.105
In a presentation summarizing the results of the September 2014 Animal Lab, Ed
Connell, ConMed’s marketing manager assigned to SureClip, reported that the
“[r]eposable clip applier platform and overall design was very well received by all
surgeons.”106 He further reported that the 10mm clip applier cartridge “[p]erformed well
with few recommendations.”107 Connell later testified that the “few recommendations”
were minor and that, on the whole, the 10mm device passed the criteria tested in the
September 2014 Animal Lab and was on schedule for the targeted March 2016 launch
date.108
102
JX-133 at 12–14, 21–23, 18–20 (DelPino, Williams, and Cutry passed both devices).
103
JX-134 at 3 (Williams “[c]ommented that the opening between the 5mm jaws is small”
and found it “hard to see the clip coming in”); id. at 4 (Cutry “[a]rgued that 5mm needs
tips-first closure”).
104
JX-133 at 15–17 (Nagle); id. at 24–26 (Kondrup); JX-134 at 3 (Kondrup “[c]ommented
that the handle takes a good amount of force to squeeze; could be tough for female
surgeons”); JX-133 at 27–29 (Khaitan).
105
JX-133 at 31, 34–41.
106
JX-132 at 5.
107
Id.
108
See Connell Dep. Tr. at 129:6–131:3.
19
As for the 5mm SureClip device, Connell’s presentation stated that the cartridge had
“[s]ome failures noted with recommendations to enhance the ongoing design efforts.”109
As Connell explained, ConMed understood that the 5mm device “was just behind because
it hadn’t had the focus as much as” the 10mm device.110 The purpose of the September
2014 Animal Lab with respect to the 5mm device “was really seeing where the 5[mm] was
with the work we had done on the 5[mm] and testing it.”111 Ultimately, Connell testified
that while the 5mm device “had some failures noted during the device performance” at the
September 2014 Animal Lab, he believed at the time that “it was close enough that we
knew we were close.”112
2. The October 2014 Animal Lab
ConMed scheduled another animal lab for October 2 and 3, 2014 (the “October 2014
Animal Lab”).113 The narrow focus of the October 2014 Animal Lab was to re-test the
5mm device to evaluate whether the device included a last-clip lockout.114 Menn and
Kennedy agreed that the October 2014 Animal Lab would include only two of the six
surgeons who participated in the September 2014 Animal Lab.115 Both of the selected
109
JX-132 at 5.
110
Connell Dep. Tr. at 131:15–132:6.
111
Id. at 132:15–17.
112
Id. at 132:18–20.
113
See JX-146.
114
JX-144; Trial Tr. at 323:11–24 (Kennedy); JX-149.
115
JX-146; Connell Dep. Tr. at 149:24–150:18; JX-226 at 3–4.
20
surgeons had passed the 10mm device during the September 2014 Animal Lab.116 And
both of the selected surgeons passed the 5mm device during the October 2014 Animal
Lab.117
Although the 5mm device received a passing grade, it still had issues. At the
conclusion of the lab on October 3, Kennedy emailed ConMed’s CEO Curt Hartman that
of the four devices tested on animals, three passed the last-clip lockout criterion and one
failed.118 Plaintiff introduced video clips from the October 2014 Animal Lab. The video
shows the plastic “dummy” clip, which was intended to serve as a lockout, fell out of the
jaws into the animal.119 This issue caused one of the other four surgeons to fail the device
in the September 2014 Animal Lab.120
Despite the recurring lockout issues, on October 3, Kennedy wrote that a group
representing Quality Assurance, Research & Development, Marketing, and Sales, “agreed
unanimously that the test samples demonstrated a workable design and that reliability of
the [last-clip lockout] feature could be addressed during the project.”121 Kennedy
116
JX-131 at 8–13.
117
JX-146.
118
JX-144 (“We tested 6 units, 4 in animals and 2 on the bench. 3 out of 4 functioned as
expected in the animal, one failed.”); Trial Tr. at 326:14–22 (Kennedy); id. at 1336:8–11
(Donaldson).
119
Trial Tr. at 1567:18–1568:21 (Blom).
120
JX-134 at 4 (“LCL fails because it fell out of jaws.”); see also Wu Dep. Tr. at 56:24–
57:25.
121
JX-149 (emphasis added).
21
recommended “that the animal lab milestone be considered successfully completed and
that the associated $3.75 MM payment be released.”122
ConMed made the $3.75 million Animal Lab Milestone payment to the Stockholder
Parties in October 2014.123
3. ConMed Applies For FDA 510(k) Clearance.
Because the Agreement tied two Milestone Payments totaling $4 million to
SureClip’s FDA 510(k) clearance, the Agreement required ConMed to make an FDA
510(k) submission.124
Shortly after acquiring EndoDynamix, ConMed began developing its strategy for
obtaining FDA 510(k) clearance.125 ConMed’s Director of Regulatory Affairs, Jessie
Verna, and Anna D’Lima who reported to Verna, were assigned to work on the 510(k)
application for FDA clearance.126
Originally, the Regulatory Affairs group had intended to seek 510(k) clearance for
the entire SureClip device. By November 2014, however, they had decided to seek
clearance for the clip only. On November 19, 2014, D’Lima emailed Kennedy and the
project team:
Handle performance testing will not be included in the 510(k).
This approach is based on the handle being regulated as a Class
122
Id.
123
PTO ¶ 52.
124
SPA § 4.02.
125
See, e.g., JX-109 at 3–5; JX-111 at 2–5.
126
Trial Tr. at 600:12–602:13 (Verna); id. at 334:1–5 (Kennedy).
22
I device . . . . The 510(k) submission will be limited to include
the cartridge/clip performance data.127
In response to her November 19 email, Kennedy asked, “[i]s there any risk with this
approach?”128 Verna explained that the reusable handle could still be subject to FDA
Design Control standards and would still have been required to undergo validation testing
prior to launch.129 At trial, Verna credibly testified that the reason for this approach was
that the handle required further development, and the Regulatory Affairs Group believed
that seeking clearance for the clip only moved the product forward in the swiftest possible
way.130
ConMed retained an independent laboratory operated by North American Science
Associates, Inc. (“NAMSA”) to evaluate the safety and efficacy of the clips for FDA
510(k) clearance.131 NAMSA initiated its study in January 2015. During the study, clips
were implanted in a pig and, 28 days later, the site was reopened and evaluated. The
NAMSA report passed the subject of the study—the clips.132
127
JX-159 at 3.
128
Id.
129
Id. at 2 (“In fact, it will reduce our risk if the FDA does not review handle data. Our
submittal will present the handle and cartridge as two distinct things. But, it is important
that we continue with handle activity as currently scheduled. – e.g. cleaning, sterilization
for claimed number of uses. I say that because we will need to submit handle data to the
FDA if they do not accept this approach.”).
130
Trial Tr. at 608:6–611:11 (Verna); JX-152 at 1; see also Trial Tr. at 603:14–19 (Verna)
(testifying that “the handle was removed following consideration of where we were in
terms of development of the product, and as we improved our understanding of the product,
. . . it made sense that the handle was a Class 1 device”).
131
JX-234 at 1, 5–6, 9.
132
Id. at 23.
23
Although the NAMSA report passed the subject of the study, the report noted the
lack of tips-first closure as an “adverse event” involving the clip applier:
14.3.2 Adverse Events
One procedure related adverse event was reported for this
study.
In one animal (I5P59), during multiple clip deployments it was
observed that the SureClip handle piece (used to deploy the
clips) was not functioning properly, causing the tip of several
clips to come together before the tissue was fully encompassed.
As a result, additional clips were required/applied in order to
fully ligate the sites. This event was reported as a procedure
related adverse event as it pertained to the SureClip handle
accessory and was not related to the actual test article (clips).133
Wu testified that the “adverse event” concerning clip-loading and closure was a
persistent problem and consistent with the observations made in prior labs.134 Wu prepared
a presentation dated March 22, 2015, summarizing the features of the SureClip 5mm
cartridge against that of Ethicon, and illustrating the deficiencies in the SureClip based on
the issues identified during the animal labs.135 The presentation highlighted that, at the
time, the SureClip still did not achieve tips-first closure; the SureClip could jam as a clip
was advanced into the jaws of the SureClip leading to malformed clips; the size of the
SureClip clip opening was one-half the size of the Ethicon device’s opening; and the space
between the jaws was reduced making placement more difficult.136
133
Id. at 20 (emphasis added).
134
Wu Dep. Tr. at 61:15–24.
135
JX-185; Wu Dep. Tr. at 75:18–85:24.
136
JX-185.
24
Nevertheless, on April 8, 2015, ConMed filed its 510(k) application with the
FDA.137 ConMed paid the $2.5 million FDA Application Milestone, bringing the total
consideration paid under the Agreement to $7.5 million.138
Although the 510(k) application sought clearance for the clip only,139 and the lab
report attached to the application identified an adverse event involving the clip applier,
representations made by ConMed in the application seemed to speak to the safety of the
SureClip as a whole.
ConMed stated that the entire SureClip device was as safe and effective as the
predicate device in a number of ways.140
First, in the Summary of Safety and Effectiveness, ConMed certified to the FDA
that the SureClip was as safe and effective as the predicate device, the Ethicon clip
applier.141
 Because the SureClip contained some features that differed from the
predicate device, ConMed certified to the FDA that the technological
differences between the SureClip and the predicate device “are limited to
design features considered to be ‘customer preference’ driven, including the
137
JX-187.
138
See Post-Trial Oral Arg. Tr. at 117:11–16.
139
JX-713 at 1–2 (citing

21 C.F.R. § 878.4300

 (“An implantable clip is a clip-like device
intended to connect internal tissues to aid in healing.”));

id. at 1

 (stating that “[t]he SureClip
Clip Applier is intended to apply implantable, medium/large titanium clips”).
140
JX-438 at 1 (certifying, in a “Premarket Notification Truthful and Accuracy Statement,”
that all data and information submitted in connection with the 510(k) application was
“truthful and accurate and that no material fact has been omitted”).
141
JX-188 at 1–2.
25
new warning clips that provide immediate, visual[] feedback; . . . and the jaw
lockout feature.”142
     ConMed represented that “[p]roduct performance and animal testing
demonstrate the safe and effective application of the new design features for
the same intended use as the predicate device.”143
     ConMed certified that “[t]he differences between the predicate and the
SureClip Clip Applier do not raise any new risks of safety or efficacy.
Supporting information per this premarket submission confirms that the
SureClip Clip Applier is safe and effective for its intended use, and is
substantially equivalent to the predicate device.”144
In the “Substantial Equivalence Discussion,” ConMed certified that the solid “lockout
block” that feeds into SureClip’s jaws after the final clip is deployed “provides an enhanced
lockout feature for the same purpose of preventing closure of empty jaws on a structure or
vessel” as compared to the Ethicon clip applier.145
Also, in a document titled “Performance Testing – Animal,” ConMed certified that
the “SureClip Clip Applier devices performed safely and effectively for the same intended
use and simulated use conditions as the comparably sized predicate and reference devices;
therefore, the ligating clip design of the SureClip Clip Applier is substantially equivalent
to Ethicon clip appliers.”146
142

Id. at 2

.
143

Id.

 (emphasis added).
145
JX-442 at 6.
146
JX-190 at 2.
26
Similarly, in a document titled “Performance Testing – Bench,” ConMed certified
that the SureClip 5mm and 10mm devices received a “pass” in various categories,
including “Clip Formation” and “Jaw Lockout.”147
4.      The April 2015 Animal Lab
After ConMed submitted its 510(k) application, but before ConMed received 510(k)
clearance, ConMed held four additional animal labs.148 The 2015 animal labs were “Voice
of the Customer” events designed to obtain feedback from surgeons.149
The first Voice of Customer Lab was held on April 28, 2015 (the “April 2015 Voice
of Customer Lab”). Two surgeons participated, and Wu oversaw the lab.150 During the lab,
the surgeons compared the SureClip to the Ethicon device.151 One of the surgeons was
Blom, a medical doctor and surgeon who participated in an earlier animal lab in December
2013.152 In his contemporaneous survey, Blom indicated that the SureClip was “harder to
use. There are certain aspects that make it more dangerous. The jaws being so narrow . . .
[he] also thought the clips were loose.”153 He further observed that SureClip was “[h]arder
to deploy and seemed less secure. It’s harder to see.”154 Both surgeons indicated that
147
JX-191 at 1–2.
148
PTO ¶¶ 58–60.
149
Trial Tr. at 498:17–21, 502:18–24 (Connell).
150
Wu Dep. Tr. at 87:19–88:11.
151

Id.

 at 89:8–90:3.
152
Trial Tr. at 1538:12–1538:22, 1545:12–1546:19 (Blom).
153
JX-210 at 9.
154

Id.

27
SureClip was heavier than competitors and identified weight as a disadvantage of
SureClip.155
ConMed called Blom as a witness at trial. During his trial testimony, Blom
reviewed video clips from the April 2015 Voice of Customer Lab. While watching the
video, Blom narrated his experience during the lab on key issues, like last-clip lockout,156
visualization,157 tips-first closure,158 tissue being pushed out of the jaws,159 clip stability,160
malfunction of clips as they loaded into the jaws,161 and device weight.162 Blom testified
155

Id. at 5, 9, 11, 15

.
156
Trial Tr. at 1593:14–22 (Blom) (“Well, I just had concerns that there really isn’t a last
clip lockout. There is a last clip color change, that a clip comes out that’s a different color.
. . . I had concerns about it pushing tissue or traumatizing tissue. So I was concerned about
the lack of a last clip lockout actually locking the user out from using the instrument.”).
157

Id.

 at 1588:2–1588:8 (Blom) (“Again, this is the concept I spoke of earlier where you’re
trying to visualize the structure you’re ligating with the clip. So a smaller opening allows
you less ability to see and to place the clip exactly where you want it. So I was having
more difficulty visualizing what I was doing with the SureClip device than the Ethicon
device.”).
158

Id.

 at 1597:12–16 (Blom) (“Q. And you used the term ‘tip-first closure’ during that
video clip. Were you able to achieve tip-first closure using the SureClip 5-millimeter
during this animal lab? A. I was not.”).
159

Id.

 at 1591:3–1591:8 (Blom) (“And it allows -- I was concerned that the tissue could go
out the front, either from being pushed out or actually squeezed out as you’re closing the
jaws. And, actually, we demonstrated that in using the instrument. It happened during
placement of the clips.”).
160

Id.

 at 1587:19–22 (Blom) (“It was my opinion that the SureClip device clips were less
secure than the LIGAMAX clips, even when I used a 10-millimeter SureClip and a 5-
millimeter LIGAMAX.”).
161

Id.

 at 1588:14–16 (Blom) (“At the very beginning of the video, we had two malfunctions
of the instrument with the clips not loading correctly.”).
162

Id.

 at 1594:2–6 (Blom) (“I had concerns that the handle being so much heavier being
made of metal as opposed to plastic, I was concerned that it would be easier to drop. And
then, if it was dropped, it could cause more trauma or damage inside a patient.”).
28
that he believed the SureClip was inferior to the Ethicon device in multiple categories.163
He testified that he would not switch to the SureClip.164 During trial, he attributed this
decision to his concerns about patient safety.165
5.    ConMed Pauses Product Development To Evaluate SureClip
Functionalities.
After the April 2015 Voice of Customer Lab, ConMed memorialized the key design
features, risks, and potential changes to the design in a PowerPoint presentation sent to
Donaldson and Connell on May 20, 2015.166
The presentation had a slide for each of seven SureClip characteristics: device
weight, actuation force, clip opening, jaw opening & visualization, electrical conductivity,
tactile/audile indicators, and handle ergonomics.167 Each slide included a risks section.
         Under device weight, the risks were listed as: (1) “Decreased reusability due
to polymeric material (L to M)” subpoint “Material selection, FEA, and
testing” and (2) “Unable to reduce handle weight by 40% (L to M)” subpoint
“Will update model and perform analysis for weight.”168
163

Id.

 at 1602:7–14 (Blom).
164

Id.

 at 1604:15–18 (Blom) (“Q. And after you completed the April 2015 animal lab,
would you have switched from the LIGAMAX device to the SureClip? A. No. I made that
clear I would not.”).
165

Id.

 at 1604:19–1605:4 (Blom) (“Q. And does your opinion regarding that relate in any
way to patient safety? A. It basically only relates to patient safety. The reason you change
to new devices is because they may bring down costs, but not at the expense of safety. Or
they improve safety, even if their cost is more. So my determination was you’re asking me
to switch to an instrument that’s harder to use, makes me more uncomfortable, makes the
operation harder and, therefore, makes it less safe.”).
166
JX-202 at 1–2 (May 20, 2015 email from Wu to Donaldson and Connell).
167

Id. at 3

.
168

Id.

 at 4–5.
29
         Under actuation force, the risks were listed as: “Achieving reduction of over
10-15 lbf for device (M)” subpoint “Analysis & prototyping prior to tooling
change.”169
         Under clip opening, the risks were listed as “New design (L) – concept
derived from competitors” subpoint “Iterative prototyping prior to cutting
tooling.”170
         Under jaw opening and visualization, the risks were noted instead in the clip
opening section.171
         Under electrical conductivity, the risks were listed as: “Polymer material may
not withstand forces (M)” subpoints (A) “FEA analysis will be performed on
components” and (B) “Risk reduced if actuation force is reduced” and
“Arcing may occur if design is insufficient (M)” subpoint “Design needs to
be tested.”172
         Under audible/tactile indicators, the risks were listed as: “Distinctness &
loudness of click for indication (L)” subpoint “Design needs to be tested &
validated” and “Cleaning and Sterilization validation (M)” subpoint
“Validation may need to be repeated.”173
         Under handle ergonomics, the risks were listed as: “Decreased reusability
due to polymeric material (L to M)” subpoint “Material selection, FEA, and
testing.”174
ConMed identified a number of “critical deficiencies” in the SureClip design, including:
the force required to fully actuate the handle; the lack of tips-first closure in the 5mm
cartridge; the comparatively narrow width of the 5mm cartridge, which has the potential to
push tissue out of the jaws prior to ligation; and the need for an audible or tactile indicator
169

Id.

 at 6–7.
170

Id.

 at 8–9.
171

Id.

 at 10–11 (“See ‘Clip Opening’ changes & risks”).
172

Id.

 at 12–13.
173

Id.

 at 14–15.
174

Id.

 at 16–17.
30
for full closure.175 ConMed also identified other “less critical” deficiencies, but viewed the
above list as “deal breakers” warranting immediate attention.176
Given these concerns, Wu recommended pausing project development to evaluate
the existing design deficiencies.177 In a May 22, 2015 email to the development team, he
wrote: “[b]ased on the feedback that we have received in recent labs, there are a few factors
that have presented themselves negatively. As such, we have decided to hold and evaluate
the design of the SureClip.”178
ConMed followed Wu’s recommendation and determined to “initiate a new project
plan to redesign the product” to address the main areas of concern.179
Connell relayed the decision and negative feedback from the April 2015 Voice of
Customer Lab to Menn on May 26, 2015.180 This prompted Menn to email Donaldson,
Wu, and others on May 27, 2015. Menn wrote:
I have spoken with Ed yesterday and found out about some
concerning feedback from doctors on Appliers that have been
175
JX-226 at 5 (August 3, 2015 memo from Donaldson to Peters et al. summarizing history
of product development).
176

Id.

177
JX-205 at 1 (May 22, 2015 email from Wu to Dennis Cook).
178

Id.

(forwarding Wu email to development team); see also JX-226 at 5 (August 3, 2015
memo from Donaldson to Peters et al. detailing history of product development) (observing
that on “[a]pproximately May 17, 2015, Product Management made a tough
recommendation to pause the project to evaluate significant deficiencies regarding the
basic functionality of the SureClip design”).
179
JX-226 at 5.
180
See JX-207 at 1.
31
built in Utica and Largo. Just wanted to share with you some
thoughts on possible easy improvements . . . .181
Menn’s email went on to identify some design enhancements. ConMed took Menn’s
proposal seriously, as reflected by internal communications.182
6. The June 2015 Animal Labs
In June 2015, ConMed conducted three additional “Voice of Customer” labs (the
“June Voice of Customer Labs”) to gather information from surgeons concerning potential
design changes.
The first June Voice of Customer Lab took place on June 2 and 3, 2015, and
involved four surgeons.183 Donaldson prepared a memo describing the results.184 As he
explained, one difference between this lab and “previous labs was the fact that [ConMed]
had competitive devices available for comparison throughout the procedure,” including
clip applier products from Ethicon, Microline, and Covidien, as well as ConMed’s legacy
10mm all-disposable clip applier.185 Overall, the feedback from this lab was positive.186
In his memo, Donaldson concluded that “there is a segment of the population which has
181

Id.

182
See JX-209 at 1.
183
JX-216 at 3.
184
JX-212 at 2–6 (draft memo); JX-216 at 3–7 (final memo).
185
JX-216 at 3.
186

Id. at 5

 (“I like the feel of this SureClip one better. It just feels better, like apple [iPhone]
to something else”);

id. at 6

 (“[Surgeon] did not see any disadvantage of SureClip. ‘I don’t
see a disadvantage. I don’t like my 5mm (Ethicon) and I use it every day.’ . . . . [Surgeon]
would switch to SureClip if cost were the same.”) (emphasis omitted);

id.

 (“Two of the[]
[surgeons] described their current devices (Ethicon) as ‘toys’ when comparing to the
SureClip device.”).
32
indicated that the design of the SureClip in its current configuration is acceptable and even
preferred over currently used devices.”187 Three of the four surgeons indicated they would
purchase the SureClip device.188 The device also received eleven failures of the handle
and the 5mm and 10mm cartridges, at least one failure from each of the four surgeons.189
The second June Voice of Customer Lab took place on June 18, 2015 and involved
eight surgeons.190 This lab again asked the surgeons to evaluate potential design changes
to SureClip, and to compare SureClip against competitive devices.191 First impressions
ranged from “[c]omfortable” to “[h]eavy.”192 Six of the eight surveyed surgeons stated
they would buy the device, with the caveat that price was a factor for two of the six, and
the two remaining surgeons declined to answer the question.193 The device also received
19 failures of the handle and the 5mm and 10mm cartridges from seven of the eight
surgeons.194
The third, and final, June Voice of Customer Lab took place on June 24, 2015, and
involved three surgeons.195 At this lab, the three surgeons surveyed stated they would buy
187

Id. at 7

 (emphasis added).
188
JX-215 at 2.
189
JX-224.
190
JX-220 at 2.
191

Id.

Id. at 3

.
194
JX-224.
195
JX-215 at 2.
33
the device.196 The device also received six failures of the handle and the 5mm and 10mm
cartridges, at least one failure from each of the three surgeons.197
7.     ConMed Continues Efforts To Commercialize The SureClip.
By the conclusion of the June Voice of Customer Labs, ConMed had collected data
dating back to 2014 from 29 surgeons.198 ConMed thus stood poised to make what
ConMed’s Global Director of Marketing Maria Rivlin referred to as a “data driven business
decision[].”199 In a July 1, 2015 email to Peters, Rivlin reported: “Good news: . . . We can
now make data driven business decisions. Bad news: 50% of the surgeons would NOT
purchase the device.”200 Rivlin then summarized the main concerns as follows:
52% of the time SureClip failed on “force to fire”
54% of the time SureClip failed on “trigger reach”
60% of the time SureClip failed on “visualization” with the
5mm cartridge.201
Shortly after, on August 3, 2015, Donaldson prepared a memo to Peters and ConMed Vice
President of Research and Development Brett Poole describing the history of ConMed’s
efforts to develop the SureClip.202
196

Id.

197
JX-224.
198
JX-217 at 1; JX-223 at 1.
199
JX-223 at 1.
200

Id.

202
JX-226 at 2–8.
34
On August 18, 2015, ConMed’s Advanced Surgical Division gave a presentation to
ConMed CEO Curt Hartman to review the state of its ongoing projects, including the
SureClip.203 The presentation reported that ConMed expected to “freeze” the SureClip
design on August 20, 2015, and was 75% confident in a May 2016 product release date.204
ConMed also continued to pursue FDA 510(k) clearance of the SureClip. During
the approval process, ConMed received a “Deficiency List” from the FDA, in which the
FDA asked questions about, among other things, an “adverse event” observed during the
independent animal testing of SureClip:
The adverse event description identifies multiple device
failures where in: ‘multiple clip deployments it was observed
that the SureClip handle piece (used to deploy the clips) was
not functioning properly, causing the tip of several clips to
come together before the tissue was fully encompassed.’ This
type of adverse event (i.e. misfire, failure to form clip, etc.)
could be related to the clip and is frequently reported during
clinical use of similar devices. Please provide an in-depth
detailed discussion and analysis of the observed adverse event
in the context of other information (e.g. bench testing, risk
analysis) to address whether this type of failure does not recur
will occur [sic] during clinical use.205
ConMed responded to this inquiry on September 22, 2015, telling the FDA that it had
changed the device so that the malfunction identified during the independent animal testing
could not occur again.206
203
JX-232.
204

Id. at 73

.
205
JX-238 at 7.
206

Id.

(“[A]n improvement has been made to the handle by replacing the c-clip with an
axially assembled shaft ring. This shaft ring fully encompasses the shaft groove diameter
35
8. ConMed Identifies Issues With SureClip’s Cleanability And
Reliability.
Meanwhile, in August and September 2015, Wu began cleaning and sterilization
trials on the SureClip.207 Those efforts revealed further impediments to SureClip’s market
launch.
The original cleaning and sterilization protocol had been developed by
EndoDynamix before ConMed acquired the device.208 EndoDynamix had retained an
outside lab, Toxikon, to validate the protocol.209 Initially, EndoDynamix had Toxikon test
a “manual” cleaning protocol of brushing the handle off under tap water, wiping it with a
disinfectant, then rinsing and drying.210 Toxikon failed this protocol.211 In response,
EndoDynamix modified the SureClip by adding a hole at the bottom of the handle to better
drain the cleaning liquid.212 EndoDynamix also designed a new cleaning protocol, which
was no longer manual, but instead required a 10-minute presoak, a 10-minute ultrasonic
bath, a warm water rinse, a second 10-minute ultrasonic bath, and a rinse and dry regimen
compared to the c-clip which did not fully enclose the shaft groove diameter. With the shaft
groove fully encompassed force cannot be applied to the clip until it is fully advanced in
the cartridge. Thus, this type of malfunction can no longer occur.”) (emphasis added)).
207
Wu Dep. Tr. at 162:4–9.
208
See JX-708 at 5.
209

Id. at 6

.
210

Id. at 31

.
211
Trial Tr. at 221:17–19 (Menn).
212

Id.

 at 58:12–18 (Menn); Nguyen Dep. Tr. at 94:23–95:10.
36
by blowing compressed air into the handle.213 Toxikon validated the new cleaning protocol
by testing the modified handle with the drain hole and the two rounds of ultrasonic baths.214
During the August and September 2015 cleaning trials, Wu observed that the
ultrasonic cleaning was causing pitting and corrosion of the aluminum parts of the SureClip
after three to five cleaning cycles.215 Wu further noted that the functionality of the device
deteriorated with each cleaning.216 Wu testified that turning the handle’s rotating knob
became difficult, and that the handle was more prone to seize up after the cleaning
protocol.217 Wu documented the deterioration he observed in the lab.218 He testified that
he did not resolve the problem and concluded that the pitting was inherent to using
aluminum parts in the device.219
In late September 2015, ConMed retained medical device consultant Rick Granger
to review the project.220 In a report dated September 30, 2015, Granger identified issues
with the cleanability of the reusable handle:
The current design does not look like it will clean well and
probably will retain cleaning fluid/debris among the internal
components. I would anticipate that after only 10-20 autoclave
213
JX-112 at 31.
214

Id. at 12

.
215
Wu Dep. Tr. at 164:24–165:7.
216

Id.

 at 163:2–164:3.
217

Id.

218
JX-233 at 4–5.
219
Wu Dep. Tr. at 165:8–12.
220
JX-242 at 2 (September 25, 2015 email from Wu to Granger memorializing
understanding that Granger would be “providing consultation on the SureClip”); see also

id. at 1

 (follow-up email).
37
cycles that the instrument will feel gritty from a buildup of
material on the sliding components due to lack of
lubrication.221
Granger explained the basis for this statement at trial:
I had experience with reusable instruments at U.S. Surgical.
And those were very simple instruments, where they were a
metal handle that you could completely open and remove all of
the mechanism and be able to rinse and wash the device very,
very thoroughly before it was sterilized.
This device has no way of opening it. It’s not designed to be
sealed in any way to keep things out. It’s just a matter of time
before fluids and debris are going to migrate themselves into
the device. And I truly believe there’s no way to get them out
effectively.222
Granger’s report raised safety and reliability concerns regarding the SureClip’s
cleaning and sterilization protocol. The testing protocol validated by Toxikon raised
marketing concerns as well. As Peters testified at trial, the time-consuming autoclave
process required a “significant amount of work” by hospitals using the device.223
221
JX-245 at 1 (September 30, 2015 report by Granger titled “Review of SureClip
Project”).
222
Trial Tr. at 1445:4–15 (Granger).
223

Id.

 at 1719:23–1720:5 (Peters); see also

id.

 at 427:10–13 (Bookwalter) (“Q. But my
question was simply the time that it takes to engage in that procedure costs the hospital
money; right? A. It does, yeah.”);

id.

at 1493:9–1494:20 (Granger) (“Q. All right. Well,
you see here that under the manual cleaning that there’s 15 minutes of ultrasonic cleaning
as a second step? A. Yep. Q. And then there’s a second stage of the manual cleaning, and,
again, there’s 10 minutes of cleaning initially. There’s a flush-out of the device; correct?
And then there’s clean the outside of the device and, again, another 15 minutes of ultrasonic
cleaning? A. Flush it with a flush port, right? Q. Yeah.”).
38
9. ConMed Reports To The Stockholder Parties That It Might Need
to Redesign The SureClip.
The Agreement required ConMed to provide, beginning on October 15, 2014, and
on each January 15, April 15, July 15, and October 15 thereafter until the Triggering Sale,
written reports to the Stockholder Parties describing ConMed’s progress toward achieving
the Milestone Payments (the “Quarterly Reports”).224 ConMed delivered a Quarterly
Report to the Stockholder Parties on October 19, 2015, stating that there was a possible
need to redesign SureClip “because the original product design may pose a risk of injury
to patients[.]”225
10. ConMed Obtains FDA Clearance.
On October 21, 2015, ConMed submitted a revised “Summary of Safety and
Effectiveness” to the FDA.226 ConMed did not inform the FDA of any safety risks to
patients posed by the SureClip.227 Instead, ConMed again certified that “[t]he differences
between the predicate and the SureClip Clip Applier do not raise any new risks of safety
or efficacy. Supporting information per this premarket [510(k)] submission confirms that
the SureClip Clip applier is safe and effective for its intended use and is substantially
224
SPA § 8.11.
225
JX-249 at 2.
226
JX-251.
227
Id. at 1–2.
39
equivalent to the predicate device.”228 Based on the revised summary, on October 23, 2015,
the FDA provided 510(k) clearance.229
ConMed paid the second FDA-related milestone payment, bringing the total paid to
the Stockholder Parties to $9 million.230
11. ConMed Agrees To Acquire SurgiQuest.
On November 16, 2015, ConMed announced that it had entered into a definitive
agreement to acquire SurgiQuest, Inc.231 Headquartered in Milford, Connecticut,
SurgiQuest developed medical devices for use in minimally invasive surgery and
laparoscopic procedures.232 SurgiQuest made access instruments, through which other
medical devices—like clip appliers—can be inserted into the abdominal cavity.233
SurgiQuest did not develop, sell, or market clip appliers.234 But many SurgiQuest
employees had worked for a company called US Surgical, which became Covidien, which
was one of the leaders in the clip applier market.235 Thus, SurgiQuest engineers had
228
Id.
229
JX-252 at 1–2.
230
Trial Tr. at 424:1–5 (Bookwalter).
231
JX-261 at 1.
232
Id.
233
See also JX-490 (“Azarbarzin Dep. Tr.”) at 13:16–14:7.
234
Trial Tr. at 824:15–825:2, 825:11–17 (Williams); see id. at 727:22–728:11 (Trutza).
235
Azarbarzin Dep. Tr. at 43:24–44:19; 46:17–21.
40
experience and core competencies in developing clip appliers.236 Peters testified that the
SurgiQuest team’s clip applier experience was important to ConMed.237
12. ConMed Assigns A New Team To The SureClip Project.
In the Fall of 2015, ConMed transferred the SureClip project to its facility in
Centennial, Colorado and assigned a new team to the project.238 Colorado-based Mason
Williams, a senior mechanical engineer in ConMed’s Advanced Surgical Division, took
over project management responsibilities from Wu.239 Williams was credentialed and
experienced.240 Peters held Williams in high regard and assigned him to high-priority
projects.241 Williams understood that his job was to “finish the project and commercialize
the device.”242
To get up to speed, Williams had several phone calls with Wu and conducted key
stakeholder interviews.243 He also received and reviewed the Granger report.244
236
Azarbarzin Dep. Tr. at 41:2–42:8 (stating that five former SurgiQuest employees who
came over to ConMed had “core competencies” in developing clip appliers from prior work
at U.S. Surgical).
237
See JX-506 (“Peters Dep. Tr.”) at 113:14–20.
238
JX-259 at 7; see also Peters Dep. Tr. at 116:8–18.
239
Trial Tr. at 801:3–18, 802:13–16, 803:1–2, 803:22–804:3 (Williams).
240
Id. at 797:15–799:1 (Williams).
241
In his words, “Mason is our best” and “putting him on a project is as high a priority as
[he] can make it. [Williams]’s on our high priority projects today, and he’s grown in
responsibilities.” Id. at 1722:9–14 (Peters).
242
Id. at 804:2–3 (Williams).
243
Id. at 803:7–21 (Williams).
244
Id. at 809:23–810:17 (Williams).
41
By November 2015, Williams had concluded that the actual cost of the SureClip
was significantly higher than the target cost.245 He summarized these concerns in a
presentation emailed to his immediate supervisor, Mike Lontine, on November 11, 2015.246
These presentations were prepared in the ordinary course of business to inform the ConMed
steering committee of the status of projects.247 The presentation reflected that the project
was moving forward, albeit slightly behind the original schedule.248
After reviewing the materials, Lontine sent an email attaching Granger’s
recommendations and a presentation to two members of the marketing department
reflecting a pessimistic view of the project. In the cover email, Lontine wrote: “As you
know, we are getting up to speed on the project. However, you may not fully understand
the present limitations we have” and that “we may not really have design resources until
January.”249 In the presentation, Lontine identified open issues on the project, including
last-clip lockout, clip closure, clip loading, and cleaning; highlighted multiple risks and
concerns related to the design, marketing, and manufacturing; outlined a revised schedule;
and requested three additional engineers and experts in cleanability, clip delivery, and
mechanisms.250
245
Id. at 807:6–16 (Williams).
246
JX-454.
247
Trial Tr. at 805:24–806:4 (Williams).
248
JX-454.
249
JX-417.
250
Id. at 4.
42
Although the record does not reveal a precise reason, it appears that Lontine did not
receive the additional resources right away, and the project stagnated for a period. A “New
Product Leadership” meeting was held on December 3, 2015, to review the status of
SureClip.251 The Colorado team reported that “SureClip is the lowest Advanced Surgical
priority.”252 On December 4, 2015, D’Lima observed in an email to Kennedy that SureClip
had received 510(k) clearance “but no [one] seems to have acknowledged this news. I
remember that the team worked very hard to get this accomplished.”253
On December 8, 2015, Paul Mulville, a senior manufacturing engineer at ConMed,
reported that “[t]he SureClip project has been side-lined for a while.”254 On December 9,
2015, Williams expressed his frustration with the project to Jason Roberts, ConMed’s
Principal Engineer.255 Roberts responded with a meme captioned: “Warning.
Indecisive.”256 To that, Williams responded: “True story.”257
13. ConMed Finalizes The Acquisition Of SurgiQuest, And The
SurgiQuest Team Assists In A Design Review Of The SureClip.
ConMed onboarded the SurgiQuest team before devoting additional human
resources to developing the SureClip. ConMed closed the $265 million acquisition of
251
JX-265 at 2.
252
Id. at 51.
253
JX-266 at 1.
254
JX-267.
255
JX-268 at 1–2.
256
Id. at 1.
257
Id.
43
SurgiQuest on January 5, 2016.258 After the acquisition, SurgiQuest’s operations were
integrated with ConMed as part of the Advanced Surgical Division,259 and Peters requested
that the former SurgiQuest employees review the SureClip project.260
On January 26, 2016, Wu presented to the former SurgiQuest team a summary of
the SureClip and its status.261 The presentation included a description of the SureClip’s
components, design features, and design changes that ConMed had made to the
EndoDynamix model.262 The presentation referenced a few additional “minor changes”
that ConMed expected to complete by May 2016.263
Defendants have argued that their intention, in early 2016, was to continue
developing the SureClip, and Wu’s presentation reflected that intent. Wu noted that
ConMed expected a product release date of December 2016 and a product launch date of
February 2017.264 ConMed’s 2015 Form 10-K Annual Report, filed on February 22, 2016,
similarly reflected that ConMed “expect[ed] the remaining [SureClip Agreement]
milestones to be achieved, and royalty payments to be made [to the Stockholder Parties],
between 2016 and 2021.”265
258
JX-277 at 1.
259
JX-501 (“Jonas Dep. Tr.”) at 219:9–13.
260
See JX-329 at 2.
261
See Wu Dep. Tr. at 356:2–5; JX-289.
262
JX-289 at 2–32.
263
Id. at 28.
264
Id. at 32.
265
JX-306 at 31.
44
ConMed’s plan for the SureClip shifted shortly after. With the benefit of fresh eyes,
the SurgiQuest team evaluated the SureClip project and presented three recommendations
to the Advanced Surgical Division on February 18, 2016.266
The team recommended that ConMed: (i) “stop developing the re-posable [clip
applier] devices,” and instead develop a fully disposable clip applier product;
(ii) “[d]evelop an all-disposable 5mm clip applier by reverse engineering existing
technology” of a competitor device; and (iii) use its legacy 10 mm all-disposable clip
applier (the Reflex ELC) and “give it a face lifted handle.”267
As SurgiQuest’s former CEO and then-ConMed Chief Technology Officer, Kurt
Azarbarzin, confirmed, in essence, SurgiQuest was recommending that ConMed develop
a completely different clip applier product.268
266
Azarbarzin Dep. Tr. at 102:25–104:24; JX-305. Slide 3 of the presentation, titled “Re-
posable Handle Evaluation” identified ten concerns. JX-305 at 7 ((1)“The current design
is extremely bulky and heavy;” (2) “Lubrication issues in handle may result in poor tractile
feel and failure over time;” (3) “The handle will not clean well because it is laser welded;”
(4) “If hospitals use ultrasonic cleaning before autoclaving, the aluminum will begin to put
after 3 cycles;” (5) “Both devices use indexing mechanism to advance clips which uses too
much of the handle stroke;” (6) “Universal handle has close to 100 independent parts;” (7)
“10mm and 5mm have different lockout feature;” (8) “Jaw needs to be redesigned;” (9)
“Clip pusher and feeding mechanism needs to be redesigned;” (10) “Cinch part does not
work well and needs to be redesigned.”).
267
JX-305 at 7; Azarbarzin Dep. Tr. at 115:14–117:10.
268
Azarbarzin Dep. Tr. at 98:22–25.
45
14. ConMed Discontinues The SureClip Project.
Less than a week after SurgiQuest presented their recommendation to abandon the
SureClip, on February 23, Trutza told the SureClip team “to stop work on the 10mm. We
are not going to market (at least in the US) with a stainless steel handle.”269
Although the determination to discontinue the SureClip had not yet been made at
the board level, Trutza’s February 23 email effectively halted all development of the
SureClip at the operations level.
From that point forward, the management team responsible for developing the
SureClip transitioned from planning the product’s development to analyzing how ConMed
could minimize the financial impact and legal risk of discontinuing the SureClip project.
On March 5, 2016, Trutza emailed Peters proposing the following options for ConMed: (i)
take EndoDynamix’s clip applier technology and refuse to pay the Stockholder Parties
anything more than the Milestone Payments ConMed had already paid; (ii) try to give
EndoDynamix their intellectual property back and refuse to pay the Stockholder Parties
anything more than the Milestone Payments ConMed had already paid; or (iii) go to “Def
Con 4” and “go after [the Stockholder Parties] for selling us something that that [sic] ‘they
knew’ was inferior, etc.”270 The last part of Trutza’s email was redacted as privileged.271
269
JX-307 at 2.
270
JX-312 at 1.
271
See id.
46
On March 6, 2016, the senior management team was told that the SureClip project
was “stopped.”272 An email circulated to ConMed’s CEO and other senior management
reported that the SureClip “[p]roject is stopped due to concerns about re-usable clip applier
not being the right product for the market.”273
By the end of March 2016, ConMed personnel had halted all work on the SureClip.
On March 25, 2016, ConMed R&D Engineer Patrick Olsen wrote: “We (R&D) have been
told that the SureClip project is over and to not work on it anymore. R&D responsibilities
for Clip Appliers has been transferred to SurgiQuest where, if anything, they will design a
new disposable Clip Applier from scratch.”274 On March 28, 2016, a ConMed engineer
asked Williams about the status of the SureClip and a design change she had been working
on.275 Williams asked Wu if the design change was “killed with SureClip.”276 Wu
responded that “we should just kill this idea for now.”277 The next day, Williams confirmed
that the SureClip project had “been formerly [sic] ‘86’d.’”278 Thomas testified that his best
recollection is that he did not do any further work on SureClip after March 29, 2016.279
272
JX-313 at 1, 9.
273
Id.
274
JX-320 at 1 (emphasis added).
275
JX-322 at 12.
276
Id.
277
Id.
278
JX-324 at 1.
279
Thomas Dep. Tr. at 71:14–20.
47
Consistent with these internal emails, ConMed’s expense records reflect that there
were no expenses incurred on the SureClip project after March 23, 2016.280 Before that
time, ConMed had invested approximately $10 million and nearly 15,000 engineering
hours into SureClip.281
By March 30, 2016, the SurgiQuest team had started work on the new, all-
disposable clip applier. A “Weekly Project Meeting” on March 30, 2016, describes a
“5mm and 10mm Clip Applier” project and lists its “Status” as “Start Project.”282 ConMed
removed the name “SureClip” from the all-disposable clip applier project.283
By mid-April 2016, ConMed had created conceptual mockups of the new 5mm clip
applier.284 It did not resemble the SureClip device and was labeled “ConMed 5mm Clip
280
JX-382.
281
Trial Tr. at 1751:9–14 (Peters) (“We had made significant efforts and had invested, you
know, as the documents will show, over $10 million in the project and weren’t getting to a
place where we could viably commercialize something, both from what was acceptable
and what would be profitable.”); Wu Dep. Tr. at 111:3–8 (“Q. How many engineering
hours are reflected on this exhibit that were devoted to the SureClip project? . . . THE
WITNESS: In total, 14-, almost 15,000.”) citing JX-248)); Trial Tr. at 996:21–997:3
(Bergé) (“Now, in preparation for your testimony today, did you have the opportunity to
determine the total amount of research and development expenditures which were shown
on Joint Exhibit 382 that CONMED recorded towards the SureClip device? A. I believe it
was approximately 600,000.”) citing JX-382)); id. at 992:5–11 (Bergé) (“Q. Mr. Bergé,
how much money did CONMED authorize, in total, for the CAR numbers that are reflected
on Joint Exhibit 276? A. 1,792,150. Q. And how much of that money did CONMED spend,
of the authorized amount? A. 1,437,833.”).
282
JX-321 at 1, 8.
283
See id. at 8.
284
JX-328 at 12–14.
48
Applier.”285 Also by mid-April 2016, ConMed had mockups of the “face lift” it gave to
ConMed’s legacy 10mm clip applier.286
The Advanced Surgical Division made a presentation to the ConMed Board of
Directors during a May 25, 2016 meeting concerning the status of the SureClip device.
Their PowerPoint presentation stated: “Conclusion and Action: Discontinue the
commercialization of the SureClip Device.”287 The meeting minutes reflect that
“[f]ollowing some discussion” concerning the status of the EndoDynamix acquisition, “the
consensus was that management should proceed to renegotiate terms.”288 This directive
suggests that the Board determined to halt development of the SureClip during the May 25,
2016 meeting.
15. Menn Demands Acceleration Payments.
Meanwhile, on May 3, 2016, ConMed sent a Quarterly Report to the Stockholder
Parties stating that it believed that SureClip posed a risk of injury to patients and thus failed
to comply with “Applicable Law.”289 The report stated that “[i]n the interests of candor,
however, we are at a point where we seriously question whether we will move forward at
285
Id. at 14.
286
JX-327 at 1, 3.
287
JX-338 at 9; see also JX-376 at 35 (December 2016 presentation to ConMed’s board of
directors reporting “Sure[C]lip developments discontinued” as a “Current Year
Disappointment[]”); Azarbarzin Dep. Tr. at 129:12–130:5 (confirming that, after the May
25, 2016, board meeting, “the direction was to focus on fixing the current 10 millimeter
clip applier, the disposable clip applier, and come up with a 5 millimeter disposable
device,” which would be “a completely disposable device”).
288
JX-339 at 4.
289
JX-329 at 2.
49
all with the SureClip clip applier, as opposed to the design of a completely new and
different clip applier.”290
Although the report’s language suggested that ConMed had not yet made the
determination, and perhaps that was technically true as to a Board-level decision, the reality
was that ConMed had already discontinued the SureClip project. ConMed’s general
counsel, Daniel Jonas, authored the report.291 He testified at his deposition that, as of the
date of the report, he knew that ConMed had already, effectively, “made the decision to
move toward a disposable [clip applier].”292
In response to the Quarterly Report, Menn faxed a letter on May 16, 2016, disputing
ConMed’s statements and exercising the acceleration rights under Section 4.03(h) of the
Agreement.293
ConMed and Menn, along with certain other former directors of EndoDynamix, met
in June 2016 to discuss the status of the SureClip project. At that meeting, ConMed stated
that the project had been “paused,” as opposed to discontinued.294 A month later, on
August 9, 2016, ConMed submitted a term sheet to Menn for the proposed sale of the
business back to the Stockholder Parties.295
290
Id. at 3.
291
Id.
292
Jonas Dep. Tr. at 238:7–11.
293
JX-334 at 1.
294
Menn Dep. Tr. at 186:25–187:8.
295
JX-362 at 1–3.
50
On January 17, 2017, Menn sent a demand letter to ConMed seeking Acceleration
Payments because ConMed breached the Agreement by discontinuing SureClip.296
E. This Litigation
Menn filed this suit on February 22, 2017.297 The Verified Complaint asserts four
direct claims against ConMed and EndoDynamix (“Defendants”). Counts I and II assert
breach of contract claims against ConMed for failing to use its commercially best efforts
to maximize SureClip sales; failing to send Quarterly Reports and other written reports
describing ConMed’s progress with SureClip; and failing to make the required
Acceleration Payments.298 Count III asserts a claim for breach of the implied covenant of
good faith and fair dealing against ConMed for failing to reasonably exercise its discretion
in determining if the SureClip poses a safety risk to customers and patients.299 Count IV
asserts a claim for breach of contract against EndoDynamix for failing to use commercially
best efforts to maximize sales of SureClip.300
The parties engaged in discovery in 2017 and 2018. On December 3, 2018,
Defendants moved to amend their answer based on ConMed’s decision to officially
discontinue SureClip development, the need to convert prior admissions into qualified
denials based on information obtained through discovery, and in order to assert an
296
JX-385 at 1–4.
297
Dkt. 1, Verified Compl. (“Compl.”).
298
Id. ¶¶ 39–46.
299
Id. ¶¶ 47–52.
300
Id. ¶¶ 53–56.
51
arbitration clause as an affirmative defense.301 The court granted the motion for leave to
amend as to the first two issues, but denied on grounds of waiver Defendants’ request to
raise the arbitration clause as an affirmative defense.302 Defendants filed an amended
answer on March 6, 2019, and discovery continued.303
The court held trial from March 18, 2021 through April 7, 2021.304 Post-trial
briefing concluded on July 9, 2021, and post-trial oral argument was heard on September
16, 2021.305 After reviewing the post-trial briefs, the court requested supplemental
briefing, which concluded on March 14, 2022.306
II. LEGAL ANALYSIS
By the time of trial, Plaintiff’s four separate causes of action had crystalized into
three claims, which this analysis addresses in the following order. First, ConMed breached
its obligations under Section 4.03(h) of the Agreement to make Acceleration Payments to
the Stockholder Parties. Second, ConMed breached its obligation under Section 4.03(g) of
the Agreement to use “commercially best efforts” to develop and then sell the Clip Applier
301
Dkt. 51.
302
Dkt. 70.
303
Dkt. 71.
304
Dkts. 132–38.
305
Dkts. 142 (“Pl.’s Post-Trial Opening Br.”), 145 (“Defs.’ Post-Trial Ans. Br.”), 146
(“Pl.’s Post-Trial Reply Br.”), Post-Trial Oral Arg. Tr.
306
Dkts. 159 (“Defs.’ Supp. Post-Trial Br.”), 161 (“Pl.’s Supp. Post-Trial Br.”).
52
Products.307 Third, ConMed violated the implied covenant of good faith and fair dealing
when exercising its discretion under the Agreement.308
A. The Acceleration Payments
Section 4.03(h) of the Agreement provides in relevant part, that
In the event that after the Closing Date, . . . (iii) Buyer acquires
a business that it will integrate with, or which is competitive
with, the Company and following such acquisition Buyer
permanently discontinues the development or sale of any of the
Clip Applier Products, (iv) Buyer otherwise permanently
discontinues the development or sale of any of the Clip Applier
Products (other than . . . (z) based on a commercially
reasonable determination by the Company or the Buyer in their
sole discretion that the use of such Clip Applier Product(s)
pose(s) a risk of injury to either patients or surgeons . . . [)] the
Representative may, in any case in his sole discretion, upon 20
Business Days prior written notice to Buyer, and the expiration
of a 20 Business Day opportunity to cure following such
notice, . . . elect to have paid in full by Buyer the sum of (A)
all amounts described in Section 4.02 that remain unpaid,
which amounts shall be paid on the First Acceleration Payment
Date, plus (B) subject to Section 4.03(m), the amounts set forth
on Schedule 4.03(h) on the dates set forth on Schedule
4.03(h)[] . . . .309
307
Under the Agreement, EndoDynamix had the same contractual obligation to sell and
develop the Clip Applier Products. But Menn understands from experience and discovery
in this action that the EndoDynamix operations were integrated into the Advanced Surgical
Division of ConMed. See PTO ¶ 44. Thus, for purposes of this argument, EndoDynamix
is treated together as one with ConMed.
308
Plaintiff waived any other aspects of their claims by failing to press them at trial and in
post-trial briefing. See Oxbow Carbon & Mins. Hldgs., Inc. v. Crestview-Oxbow Acq.,
LLC,

202 A.3d 482

, 502 n.77 (Del. 2019) (noting that in the Court of Chancery “an issue
not raised in post-trial briefing has been waived, even if it was properly raised pre-trial”
(citing SinoMab Bioscience Ltd. v. Immunomedics, Inc.,

2009 WL 1707891

, at *12 n.71
(Del. Ch. June 16, 2009))).
309
SPA § 4.03(h).
53
Plaintiff advances two arguments for why the Stockholder Parties are entitled to
Acceleration Payments under this provision. Plaintiff first argues under Section 4.03(h)(iii)
that SurgiQuest was “integrated” with EndoDynamix, SurgiQuest was a “competitive”
business, and that ConMed permanently discontinued the development of SureClip after it
acquired SurgiQuest.310 Plaintiff next argues that ConMed otherwise permanently
discontinued the development or sale of the SureClip under Section 4.03(h)(iv).311
Defendants deny that they either integrated SurgiQuest or made a determination to
discontinue the sale of the SureClip as required by Sections 4.03(h)(iii) and (iv)
respectively. They further argue that they are relieved from making Acceleration Payments
under Section 4.03(h)(iv) because they have proven the existence of exceptions to that
provision.
The parties’ arguments concerning the Acceleration Payments collectively present
three issues, which the court addresses in the following order: Did ConMed integrate
EndoDynamix with a competitor under Section 4.03(h)(iii)? Did ConMed determine to
discontinue the development of the SureClip under Section 4.03(h)(iv)? Did ConMed
prove the existence of any exception to Section 4.03(h)(iv)?
1. Did ConMed Integrate EndoDynamix With A Competitor?
Plaintiff’s first argument can be disposed of with some ease. EndoDynamix and
SurgiQuest were not competitors. EndoDynamix was a startup, which never sold a
310
Pl.’s Post-Trial Opening Br. at 55–57.
311
Id. at 57–59.
54
product, and which was developing a single device—a clip applier. SurgiQuest had one
product, an insufflator, and did not sell clip appliers or any other surgical instruments.312
While it is true that SurgiQuest’s staff was populated by many former U.S. Surgical (later
Covidien) personnel who had substantial experience developing and selling clip appliers,
that fact alone does not render SurgiQuest a competitor of EndoDynamix. Because
SurgiQuest and EndoDynamix were not competitors, Defendants do not owe Acceleration
Payments by operation of Section 4.03(h)(iii).
2. Did ConMed Permanently Discontinue The Development Of The
SureClip?
Plaintiff argues that the Stockholder Parties are entitled to Acceleration Payments
under Section 4.03(h)(iv) because ConMed “permanently discontinue[d] the development
or sale of any of the Clip Applier Products.”313 This argument has legs.
Plaintiff has proven that ConMed permanently discontinued the SureClip. To recap
the key facts on this issue:
 On February 18, 2016, SurgiQuest recommended that ConMed “stop
developing” the SureClip and develop an all-disposable 5mm clip applier “by
reverse engineering the existing technology” of a competitor device.314 In
312
Trial Tr. at 727:11–14 (Trutza) (“Q. And what was the business of SurgiQuest when
you joined it? A. We were developing an innovative insufflation system.”); see also JX-
261 at 1 (touting the “AirSeal System” which “consists of a valve-free trocar with
continuous pressure sensing and an integrated insufflator and smoke evacuator” in a press
release about ConMed’s acquisition of SurgiQuest).
313
Pl.’s Post-Trial Opening Br. at 58 (quoting SPA § 4.03(h)) (internal quotation marks
omitted).
314
JX-305 at 7; Azarbarzin Dep. Tr. at 115:14–117:10.
55
essence, SurgiQuest was recommending that ConMed develop “a completely
different clip applier product.”315
 Trutza adopted this recommendation, telling the SureClip team around
February 23 “to stop work” because “[w]e are not going to market (at least
in the US) with a stainless steel handle.”316
 An internal email to ConMed executive management on March 4, 2016,
reported that the SureClip “[p]roject is stopped.”317
 ConMed’s expense records reflect that there were no expenses incurred on
the SureClip project after March 23, 2016.318
 On March 25, 2016, a ConMed R&D engineer wrote that “[w]e (R&D) have
been told that the SureClip project is over and to not work on it anymore,”
that responsibilities had been “transferred to SurgiQuest where, if anything,
they will design a new disposable Clip Applier from scratch.”319
 On March 29, 2016, Williams confirmed that the SureClip project had been
“86’d.”320
 By mid-April 2016, ConMed had created conceptual mockups of the new,
all-disposable 5mm clip applier, which did not resemble the SureClip device
and was labeled “ConMed 5mm Clip Applier.”321
 On May 25, 2016, the Advanced Surgical Division made a presentation to
the Board of Directors on the status of its project: “Conclusion and Action:
Discontinue the commercialization of the SureClip Device.”322 The minutes
315
Azarbarzin Dep. Tr. at 98:22–25.
316
JX-307 at 2.
317
JX-313 at 1, 9.
318
JX-382.
319
JX-320.
320
JX-324.
321
JX-328 at 12–14.
322
JX-338 at 9; see also Azarbarzin Dep. Tr. at 129:12–130:5 (confirming that, after the
May 25, 2016, board meeting, “[t]he direction was to focus on finalizing the current 10
mm clip applier, the disposable clip applier, and come up with a 5mm disposable device,”
which would be “a completely disposable device”).
56
of that meeting support a finding that the Board determined to discontinue
development of the SureClip during the meeting.323
Although contemporaneous communications make clear that ConMed had
discontinued the project by May 2016 at the latest, ConMed took the position in litigation
it did not permanently discontinue SureClip because it “went forward with a disposable
clip applier that incorporated IP from EndoDynamix.”324 But ConMed admits that the only
aspect of SureClip that it incorporated into the all-disposable clip applier recommended by
SurgiQuest was the pattern on the inside of the clip.325 And, under the Agreement, ConMed
is liable for the Acceleration Payments if it “permanently discontinues the development or
sale of any of the Clip Applier Products,” where “Clip Applier Products” defined to include
the 5mm and 10mm cartridges.326 ConMed did not use SureClip cartridges for the new,
all-disposable device being reversed engineered by the former SurgiQuest employees.327
323
JX-339 at 4.
324
Trial Tr. at 971:7–13 (Jonas).
325
Id. at 738:20–739:8, 770:21–771:2 (Trutza) (testifying that the all-disposable clip
applier incorporated “some pockets that were designed into the clip”); JX-516B (Zimmerli
Dep. Tr.) at 65:24–66:8 (ConMed’s Chief IP counsel testifying that the all-disposable clip
applier incorporated claims of a design patent and a utility patent covering a “train track
pattern on the [interior of] the legs of the clip”); see also JX-361 at 1 (ConMed’s R&D
Senior Manager responding to a question about whether the new product is different from
SureClip and stating “I do not know any details regarding the sure clip project. This is a
totally new device and has no attachment to that project. This should be approached as if
it is a clean sheet of paper.”).
326
SPA § 4.03(h) (emphasis added).
327
Trial Tr. at 766:3–7 (Trutza) (admitting, when asked whether any of the models for the
all-disposable clip applier “use[d] the cartridge from the SureClip clip applier,” “[t]he exact
cartridge, no”); id. at 689:23–690:3 (Verna) (admitting that the SureClip cartridges would
work only with the SureClip handle).
57
ConMed’s admitted discontinuation of the SureClip cartridges, alone, triggers its
obligation to make the Acceleration Payments.
3. Has ConMed Proven The Existence Of Exceptions?
Section 4.03(h)(iv) contains numerous exceptions that, if present, relieve ConMed
of its payment obligations despite its decision to permanently discontinue the SureClip.
ConMed has demonstrated the existence of one of the exceptions—that it discontinued the
development of the Clip Applier Product “based on a commercially reasonable
determination by the Company . . . in their sole discretion that the use of such Clip Applier
Product(s) pose[d] a risk of injury to . . . patients.”328
The parties agree that ConMed bears the burden of proving the existence of the
exception.329 The parties further agree that the relevant time-period for assessing whether
this determination complied with the exception is around the time the determination was
made, in May 2016.330
The parties dispute whether the contractual standard calls for an inquiry into
objective or subjective facts. Plaintiff argues that the language “commercially reasonable
determination” calls for an objective inquiry into whether the risk-of-injury determination
328
SPA § 4.03(h)(iv).
329
Defs.’ Supp. Post-Trial Br. at 1–2; Pl.’s Supp. Post-Trial Br. at 10; see also S’holder
Representative Servs. LLC v. Shire US Hldgs., Inc.,

2020 WL 6018738

, at *19 (Del. Ch.
Oct. 12, 2020) (holding that the party seeking to avoid its contractual obligation based on
an event terminating a duty bears the burden of proving the event occurred), aff’d,

267 A.3d 370

(Del. 2021) (TABLE).
330
Pl.’s Supp. Post-Trial Br. at 12; Defs.’ Supp. Post-Trial Br. at 4–5.
58
was commercially reasonable.331 ConMed contends that the risk-of-injury determination
was left up to ConMed’s “sole discretion” under the Agreement, and thus the standard asks
whether the decision was made in good faith.332 For the sake of analysis, the court looks
both to whether, as of May 2016, ConMed actually determined in good faith that the
SureClip posed a risk of injury to patients and also whether such a determination was
commercially reasonable. The evidence overwhelmingly supports ConMed’s position
under both interpretations.
ConMed based its determination to discontinue development of the SureClip on the
good faith belief that the SureClip posed a risk of injury to patients. Recall that the impetus
leading to the board determination to discontinue the product was the SurgiQuest team’s
February 18, 2016 email recommendation. That, in turn, caused Trutza to instruct the team
to stop working on the project. Shortly after, senior management was informed the project
was on hold. In May 2016, Peters recommended stopping development of SureClip to
ConMed’s board.
The February 18 recommendation by the SurgiQuest team was not out of the blue.
Rather, it was based on the history of the SureClip project at ConMed. That history reflects
a persistent concern by ConMed personnel that SureClip posed a risk of injury to patients.
After acknowledging that they bear the burden of proof on this issue, Defendants engaged
331
Pl.’s Supp. Post-Trial Br. at 10–11 (citing Shire,

2020 WL 6018738

, at *6; Channel
MedSystems, Inc. v. Bos. Sci. Corp.,

2019 WL 6896462

, at *27 (Del. Ch. Dec. 18, 2019)).
332
Defs.’ Supp. Post-Trial Br. at 2–3 (citing Gilbert v. El Paso Co.,

490 A.2d 1050

, 1055
(Del. Ch. 1984)).
59
in a first-class fact-vomit concerning this history.333 Most of this testimony is covered in
the factual background. At the risk of duplication, what follows is a brief version of
Defendants’ points made in chronological order.
During the September 2014 Animal Lab overseen by Wu, six surgeons noted several
failures, and even the surgeons who passed the devices had concerns and cited a need for
improvement.334 At trial, Wu testified that based on the performance in this lab, in his
view, the SureClip was not ready to be launched for use in human beings, and that there
were issues with respect to “clip scissoring,” “clip loading,” “clip closure,” and “clip
security.”335 He further testified that these issues are unequivocally related to patient
safety.336 Indeed, all of these issues were identified as safety issues during the pre-
acquisition labs and memorialized in Schedule 8.10.337 Donaldson’s testimony was to the
same effect.338
333
See

id.

 at 16–25.
334
JX-134 at 3–4.
335
Wu Dep. Tr. at 29:13–35:4.
336

Id.

at 37:12–38:3 (“Yeah, many of these. Most notably, as I look at this, number 2 is
probably the biggest one, so clip closure and security. When we talk about devices and
risk to patients, there’s obviously the direct single-fault actions that could lead to patient
harm, but on top of that, even as a delay in a procedure, which just could be from something
that the device itself is not happening, not performing as expected, that presents a risk to
the patient too. So yes, number 2 directly, but all of these could contribute to just risk to a
patient.”)
337
JX-108 at 168–69; Trial Tr. at 1316:4–16, 1318:2 –1320:23 (Donaldson) (testifying that
the pre-acquisition animal labs identified patient safety issues related to the design changes
listed on Schedule 8.10).
338
Trial Tr. at 1324:23–1333:22 (Donaldson) (testifying that the devices failed
specifications related to patient safety during the September 2014 lab, and that among the
60
The October 2014 Animal Lab, which was limited to testing the viability of the last-
clip lockout,339 did not resolve concerns surfaced during the September 2014 Animal Lab.
Wu testified that concerns over “clip loading instability, the clip closure instability, [and]
last clip lockout” necessitated additional design work after the September 2014 Animal
Lab, and that following the October 2014 Animal Lab, “there were still a lot of actions that
needed to be completed before the product could be launched and sold.”340 Donaldson
similarly testified that the October 2014 Animal Lab did not resolve the safety concerns
identified in the September 2014 Animal Lab regarding tips-first closure, clip scissoring,
and damage to the trocar seal.341
As of March 2015, Wu had concerns about visualization through SureClip’s small
clip opening, an issue exacerbated by the lack of tips-first closure, and clip loading issues
that caused the SureClip to jam on tissue as it was loaded.342 Wu confirmed that, at that
time, the device was pushing tissue out of the jaws during loading of the clip, rendering the
clip applier incapable of performing the surgical function it was designed to accomplish—
clipping a vessel.343
Donaldson and Peters reviewed Wu’s March 2015 presentation in the Spring of
unresolved safety issues identified were clip scissoring, clip loading, clip stability, tissue
being pushed out of the jaws, and last-clip lockout).
339
JX-144; Trial Tr. at 323:11–24 (Kennedy).
340
Wu Dep. Tr. at 56:24-57:25.
341
Trial Tr. 1337:7–1338:1 (Donaldson).
342
Wu Dep. Tr. at 80:9–84:23, 80:9–83:22; see also JX-185.
343
Wu Dep. Tr. at 80:9–83:22.
61
2015.344 Peters became concerned about the safety of the SureClip when he saw the
differential in the clip opening in the presentation.345 At Wu and Donaldson’s
recommendation, Peters determined to initiate a redesign of the SureClip to address the
main areas of concern, and later moved the project to Denver and assigned it to Williams
for that purpose.346
Meanwhile, during the April 2015 Voice of Customer Lab, two surgeons tested the
SureClip and the Ethicon device in order to compare them.347 One of the surgeons, Dr.
Blom, testified at trial. During his trial testimony, Blom narrated his experience during the
April 2015 Animal Lab on key safety issues identified in Section 8.10, such as last-clip
lockout,348 visualization,349 tips-first closure,350 tissue being pushed out of the jaws,351 clip
344
JX-205; JX-202; Trial Tr. at 1697:15–21 (Peters).
345
Trial Tr. at 1699:20–1700:12, 1721:15–1722:15 (Peters).
346
JX-205; Trial Tr. at 1351:11–15, 1357:10–19 (Donaldson);

id.

 at 1711:8–12, 1721:15–
24 (Peters).
347
JX-196.
348
Trial Tr. at 1593:14–22 (Blom) (“Well, I just had concerns that there really isn’t a last
clip lockout. There is a last clip color change, that a clip comes out that’s a different color.
. . . I had concerns about it pushing tissue or traumatizing tissue. So I was concerned about
the lack of a last clip lockout actually locking the user out from using the instrument.”).
349

Id.

 at 1588:2–1588:8 (Blom) (“Again, this is the concept I spoke of earlier where you’re
trying to visualize the structure you’re ligating with the clip. So a smaller opening allows
you less ability to see and to place the clip exactly where you want it. So I was having
more difficulty visualizing what I was doing with the SureClip device than the Ethicon
device.”).
350

Id.

 at 1597:12–16 (Blom) (“Q. And you used the term ‘tip-first closure’ during that
video clip. Were you able to achieve tip-first closure using the SureClip 5-millimeter
during this animal lab? A. I was not.”).
351

Id.

 at 1591:3–1591:8 (Blom) (“And it allows -- I was concerned that the tissue could go
62
loading malfunctions,352 clip stability,353 and device weight.354 Blom testified that he
would not switch to the SureClip due to concerns about patient safety.355 Contemporaneous
evidence related to Blom’s concerns are consistent with his trial testimony.356
During the June 2015 Animal Labs, 14 surgeons reported 36 different failures of the
handle and the 5mm and 10mm cartridges.357 Wu testified that following the Colorado lab,
out the front, either from being pushed out or actually squeezed out as you’re closing the
jaws. And, actually, we demonstrated that in using the instrument. It happened during
placement of the clips.”).
352

Id.

 at 1588:14–16 (Blom) (“At the very beginning of the video, we had two malfunctions
of the instrument with the clips not loading correctly.”).
353

Id.

 at 1587:19–22 (Blom) (“It was my opinion that the SureClip device clips were less
secure than the LIGAMAX clips, even when I used a 10-millimeter SureClip and a 5-
millimeter LIGAMAX.”).
354

Id.

 at 1594:2–6 (Blom) (“I had concerns that the handle being so much heavier being
made of metal as opposed to plastic, I was concerned that it would be easier to drop. And
then, if it was dropped, it could cause more trauma or damage inside a patient.”).
355

Id.

 at 1604:15–18 (Blom) (“Q. And after you completed the April 2015 animal lab,
would you have switched from the LIGAMAX device to the SureClip? A. No. I made that
clear I would not.”);

id.

at 1604:19–1605:4 (Blom) (“Q. And does your opinion regarding
that relate in any way to patient safety? A. It basically only relates to patient safety. The
reason you change to new devices is because they may bring down costs, but not at the
expense of safety. Or they improve safety, even if their cost is more. So my determination
was you’re asking me to switch to an instrument that’s harder to use, makes me more
uncomfortable, makes the operation harder and, therefore, makes it less safe.”).
356
JX-196 at 2–3 (noting that the other surgeon in the April 2015 Voice of Customer Lab
with Blom also would not switch to SureClip because of issues with clip stability and
device weight); JX-185 at 2–10 (Wu’s March 2015 presentation noting issues with
visualization, tips-first closure, and clip stability); JX-215 (noting multiple failures in the
April and June 2015 Voice of Customer Labs in the categories of device weight, force to
fire, last-clip lockout, visualization, and tips-first closure); JX-234 at 20 (NAMSA report
noting that lack of tips-first closure led to clips closing “before the tissue was fully
encompassed,” necessitating additional clips to fully ligate the site).
357
JX-224.
63
the device was still not ready to launch358 and that he would not have been “comfortable
putting the design as it existed in June of 2015 on the market” and that the design “posed
a risk to patients.”359
By August 2015, Donaldson remained concerned that, based on the animal lab
results, the SureClip was not safe or effective. He summarized his concerns in his August
3, 2015 memorandum discussed in the factual background.360
In September 2015, ConMed retained Granger to review the project. Peters retained
Granger because first EndoDynamix and then ConMed had spent years developing the
device without success.361 In his report, Granger identified issues with respect to clip
closure based on the EndoDynamix design:
The jaw closure mechanism on both devices is not central to
the clip which will cause an uneven closure. The clip closure
is paramount. Parallel closure with minimum gaps at the eye,
middle and tip must be equivalent to your competitors. Clip
design is key to maintaining placement and clip retention.362
Granger testified that the animal labs confirmed the deficiencies he had noted in the design,
and that the labs demonstrated safety concerns with respect to visualization, tips-first
closure, and clip loading.363
358
Wu Dep. Tr. at 100:25–101:6 (Wu testifying that after the June 2015 Animal Lab the
product was still not ready to launch).
359

Id.

 at 104:3–11.
360
JX-226.
361
Trial Tr. at 1715:14–24 (Peters).
362
JX-245 at 2.
363
Trial Tr. at 1462:12–1464:21 (Granger).
64
By October 2015, the SureClip project had been reassigned to Williams’ team in
Denver. Thereafter, Williams and his team continued to work on the device, attempting to
address the issues with the handle, clip closure and last-clip lockout.364 When the device
transitioned out of his responsibilities, the clip closure issues had not been fully resolved,
and the 5mm device had no last-clip lockout.365
The SurgiQuest team conducted its fresh-eyes review in early 2016 at Peters’
request.366 Their review raised the same concerns about clip formation and closure as
identified by Wu, Donaldson, Williams, and Granger.367 That review was presented on or
about February 26, 2016.368 Peters testified that the review confirmed concerns about the
safety of the device.369 Those concerns were consistent with the concerns Wu and
Donaldson had identified about the safety and effectiveness of the device.370 They were
highlighted in the presentation about the SureClip made to the ConMed board in May
2016.371
In sum, from the first post-closing animal lab through early 2016, multiple ConMed
employees identified serious safety concerns with SureClip’s design features. Some of the
364

Id.

 at 804:4–20 (Williams).
365

Id.

 at 828:1–10 (Williams); see also

id.

 1724:11–16 (Peters) (testifying that as of
December 2015, the device still lacked tips-first closure)
366

Id.

 at 1734:19–1735:20 (Peters).
367
JX-305 at 6.
368
JX-309 at 7.
369
Trial Tr. at 1736:8–11 (Peters).
370

Id.

at 1738:2–13 (Peters).
371
JX-388 at 8.
65
concerns raised post-closing were identified as patient-safety issues in EndoDynamix’s
pre-acquisition marketing materials (indeed, safety issues that EndoDynamix represented
it had resolved in those marketing materials).372 The issues were of enough concern to
ConMed that ConMed memorialized the need to address them in Section 8.10 and Schedule
8.10 of the Agreement. The issues persisted throughout the post-closing animal labs. They
were contemporaneously documented by ConMed’s project manager, Vice President of
R&D, the outside surgeon who tested the device, and the outside medical device expert
who evaluated the device in 2015.
This evidence reflects that ConMed’s belief that the SureClip posed a safety risk to
patients was made in good faith.
The analysis thus turns to the question forced by Plaintiff: Was ConMed’s
determination commercially reasonable? Under the Agreement, the relevant determination
is “that the use of such [SureClip] pose[s] a risk of injury to either patients or surgeons.”373
Plaintiff does not define what “commercially reasonable determination” means in
this context. Legal dictionaries define “commercially reasonable” as “in accordance with
commonly accepted commercial practice.”374 In other contexts, this court has held that
“commercially reasonable” requires a showing that the determination was “in keeping with
372
JX-9, at 3, 10, 17, 30, 31–32.
373
SPA § 4.03(h)(iv).
374
Commercially Reasonable, Black's Law Dictionary (11th ed. 2019); see also
Commercially Reasonable, Merriam-Webster Legal Dictionary, https://www.merriam-
webster.com/legal/commerciallyreasonable (last visited June 28, 2022). (defining
commercially reasonable as “fair, done in good faith, and corresponding to commonly
accepted commercial practices”).
66
prevailing trade practice among reputable and responsible business and commercial
enterprises engaged in the same or similar businesses.”375 When interpreting a
“commercially reasonable period” requirement, Vice Chancellor Slights instructed that,
“[l]ike most matters of law that exist in the realm of ‘reasonableness,’” the determination
of what is a commercially reasonable decision “is contextual and necessarily fact
intensive.”376 Applying these broad concepts here, this court asks whether ConMed’s
determination that the SureClip posed a risk of injury to patients was a determination made
in accordance with commonly accepted commercial practices.
The fact that NAMSA identified an “Adverse Event” regarding the SureClip
supports a finding that ConMed’s determination that the product posed a risk of injury to
patients was commercially reasonable. NAMSA, an independent laboratory, evaluated the
safety and efficacy of the clips for FDA 510(k) clearance in January 2015. NAMSA
reported an “Adverse Event” regarding the SureClip directly related to clip closure.377 The
failure that NAMSA identified as an Adverse Event is the same type of safety defect that
375
Hicklin v. Onyx Acceptance Corp.,

970 A.2d 244

, 250 (Del. 2009) (interpreting the
meaning of “commercially reasonable” under 6 Del. C. § 9-610(a)); see also Akorn, Inc. v.
Fresenius Kabi AG,

2018 WL 4719347

, at *88 (Del. Ch. Oct. 1, 2018) (determining
whether the defendant used “commercially reasonable efforts to operate in the ordinary
course of business” by comparing the defendant to a generic company in the same
industry), aff'd,

198 A.3d 724

 (Del. 2018).
376
See Bardy Diagnostics, Inc. v. Hill-Rom, Inc.,

2021 WL 2886188

, at *27 (Del. Ch. July
9, 2021).
377
JX-234 at 20 (emphasis added).
67
led to the safety recall of an Ethicon clip applier in 2013.378 The fact that a similar design
flaw resulted in a safety recall of a competitive product supports a conclusion that the
determination was commercially reasonable.
The testimony of ConMed’s expert witness further supports a finding that the
determination was commercially reasonable. ConMed tendered Blom as an expert on this
point. Blom received his medical degree, completed his residency, and then completed a
two-year fellowship specializing in stomach and esophagus surgery where roughly 75% of
the procedures were laparoscopic.379 Blom has been a board certified surgeon since 2000,
he has taught laparoscopic surgery at three medical schools throughout his career, and was
deployed overseas as a surgeon for the U.S. Army where he conducted laparoscopic
procedures among others.380 In 2008, Blom entered private practice in New York where
he performed procedures utilizing clip appliers, completing anywhere from two to twelve
378
Enforcement Report, FDA, https://www.accessdata.fda.gov/scripts/ires/index.cfm
?Product=118061 (last visited June 28, 2022) (noting that the reason for recalling Ethicon’s
LIGACLIP clip applier was “due to potential clip formation and feeding issues which may
result in improper clip formation”); see also JX-9 at 62–65 (noting that “Clips did not
deploy properly” was a major reason for FDA MDR filings by manufacturers of clip
appliers between 2006 and 2011). This court can take judicial notice of public FDA filings.
See Fortis Advisors LLC v. Allergan W.C. Hldg. Inc.,

2019 WL 5588876

, at *4 (Del. Ch.
Oct. 30, 2019) (taking judicial notice of FDA premarket approval letters because they were
publicly filed but declining to take judicial notice of the defendant’s nonpublic
correspondence with the FDA).
379
Trial Tr. at 1539:11–22 (Blom).
380

Id.

 at 1539:23–1540:21, 1542:3–23 (Blom).
68
such procedures per week.381 Blom’s extensive experience makes his testimony a valuable
proxy for commonly accepted commercial practices.
Blom testified that he experienced the following design flaws when using the
SureClip: last-clip lockout, visualization, tips-first closure, clip loading malfunctions, clip
stability, clip closure, and device weight. He further testified that these issues “posed an
increased risk for the use of the SureClip . . . on human beings during surgery, as they could
result in harm to patients. Several of the issues I raised . . . . could cause surgical procedures
to last longer, which also increases the risk to patients.”382 Blom’s testimony persuades
the court that ConMed’s determination that the SureClip posed a risk of injury to patients
was commercially reasonable.
Moreover, the evidence from ConMed employees supporting the finding that
ConMed actually made the relevant determination in good faith also supports a finding that
the determination was commercially reasonable.                The ConMed witnesses—Wu,
Donaldson, Williams, and Peters—represent a diverse array of backgrounds and
professional experience.383 They each, independently, reached the conclusion that the
381

Id.

at 1540:20–24, 1544:18–22 (Blom).
382
JX-469; see also Trial Tr. at 1605:1–4 (Blom) (“So my determination was you're asking
me to switch to an instrument that's harder to use, makes me more uncomfortable, makes
the operation harder and, therefore, makes it less safe.”).
383
Wu Dep. Tr. at 180:8–24 (testifying that at the time he worked on SureClip he was a
“project leader” responsible for acting as a “project lead[] from an engineering perspective”
and that he had some experience with clip appliers from working on ConMed’s 10mm clip
applier); Trial Tr. at 1304:1–21, 1306:12–14 (Donaldson) (testifying that at the time he
worked on SureClip he was the Vice President of Research and Development and that
before joining ConMed he worked on products to support orthopedic implants at a different
69
SureClip posed a risk of injury to patients. These concerns were then confirmed by the
SurgiQuest team, who had extensive experience developing clip appliers.384 It is not
reasonable to conclude that each witness was being commercially unreasonable in their
determination and recommendation. Neither ConMed nor any of these witnesses were
economically incentivized to scrap the SureClip project, for which ConMed had paid $9
million and in which ConMed invested significant development resources, to develop a
totally new product. The only logical conclusion from this testimony is that there were
well-recognized business risks of continuing development. This corroborates a finding that
the determination was commercially reasonable.
For these reasons, ConMed has carried its burden in establishing that it permanently
discontinued the development of the SureClip based on a commercially reasonable
determination that the use of the SureClip posed a risk of injury to patients.385
Plaintiff makes a series of arguments as to why ConMed has failed to establish the
applicability of a contractual exception, but none are persuasive.
medical device company); Trial Tr. at 801:9–18, 8023–6 (Williams) (testifying that at the
time he worked on SureClip he was a “senior mechanical engineer” responsible for “project
management” and “engineering duties” and that before SureClip he worked on a vessel
sealing instrument); Trial Tr. at 1681:22–1682:2, 1684:18–1689:7 (Peters) (testifying that
at the time he worked on SureClip he was an Executive Vice President and General
Manager of the Advanced Surgical division and that before working at ConMed he held
various positions with other medical device companies primarily in sales and marketing).
384
Trial Tr. at 1735:6–20 (Peters).
385
Having found the existence of the risk-of-injury exception, this decision does not reach
ConMed’s alternative argument under another exception to the Acceleration Payments
obligation, which eliminated liability in the event that “then-existing or future market
conditions that could reasonably be expected to cause gross profit as a percentage of net
sales for such clip applier product(s) to be less than 30%.” SPA § 4.03(h).
70
First, Plaintiff argues that the October 2014 Animal Lab was a success, that ConMed
employees determined that SureClip was “acceptable” and “workable,” and that the
testimony of Wu was not reflective of SureClip’s positive test results.386 This argument,
however, ignores the overwhelming weight of evidence reflecting that ConMed personnel
simultaneously harbored concerns about safety features of the SureClip.
Second, Plaintiff argues that the lack of a last-clip lockout and tips-first closure is
not a safety issue for SureClip. Regarding last-clip lockout, Plaintiff maintains that a
lockout block was an equivalent safety feature to a last-clip lockout, and that SureClip
featured atraumatic jaws which lessened any safety risk to patients.387 Regarding tips-first
closure, Plaintiff contends that surgeons approved of SureClip’s performance in testing,
that tip-first closure is unnecessary, and that modified instruction for use can ameliorate
any safety issue.388 Plaintiff’s argument, however, ignores the pre-Agreement marketing
materials prepared by EndoDynamix identifying such features as safety features. It further
runs contrary to expert reports from Blom and Granger.389 Moreover, by advancing this
386
Pl.’s Post-Trial Reply Br. at 26–27.
387
Id. at 64–65.
388
Pl.’s Post-Trial Opening Br. at 65–66.
389
See JX-470 at 6 (Blom’s Rebuttal Expert Report arguing that flat and rounded
“atraumatic” jaws can still cause trauma if not used correctly, that falsely believing there
is a clip in the absence of a last-clip lockout could result in “catastrophe,” that the inclusion
of colored last clips to alert the surgeon that the clips were exhausted evidences the danger
that a last-clip lockout is designed to prevent, and that modified instructions for use would
not ameliorate the risk posed by lack of tips-first closure because the instructions are often
not available during procedures and no reasonable medical device company attempts to
remedy known deficiencies through modified instructions and disclaimers); JX-473 at 2–3
71
argument, Plaintiff ignores the other safety issues identified through the record, such as
visualization,390 clip loading,391 clip stability,392 device weight,393 and cleaning and
sterilization.394
Third, Plaintiff argues that ConMed initially intended to use SureClip as the
predicate device for FDA 510(k) clearance of the new all-disposable clip applier, and that
such an intention is evidence that ConMed thought SureClip was a safe device.395 But
Plaintiff acknowledges that ConMed did not ultimately use SureClip as the predicate
device.396 That ConMed considered using SureClip as a predicate device in the early part
of its regulatory strategy for the device that succeeded it is not surprising and does not
(Granger’s Rebuttal Expert Report arguing that rounded jaws are not a replacement for
last-clip lockout, that the risk of injury posed by the lack of a last-clip lockout is
exacerbated on the SureClip by the lack of surgeon tactile feel when using the device, that
“all the established clip appliers in the marketplace have a last-clip lockout mechanism,”
and that modified instruction for use would be ineffective to mitigate a lack of tips-first
closure because the surgeon is unlikely to be able to stop applying the clip mid-application
before damaging a large vessel).
390
See, e.g., JX-202 at 10; JX-226 at 5; JX-185 at 4; Trial Tr. at 1588:2–1588:8 (Blom).
391
See, e.g., Wu Dep. Tr. at 29:13–25; Trial Tr. at 1309:19–23 (Donaldson); id. at 1588:14–
16 (Blom).
392
See, e.g., Wu Dep. Tr. at 30:2–10; Trial Tr. at 1309:24–5 (Donaldson); id. at 1587:19–
22 (Blom).
393
See, e.g., JX-202 at 4; JX-226 at 4; Trial Tr. at 1344:5–20 (Donaldson); id. at 1594:2–6
(Blom).
394
See, e.g., Wu Dep. Tr. at 163:2–164:3, 280:25–281:19; Trial Tr. at 1444:23–15
(Granger).
395
Pl.’s Post-Trial Opening Br. at 69–70.
396
Id. at 47.
72
provide strong evidence that ConMed considered SureClip to not pose a risk to patient
safety.
Fourth, Plaintiff argues that ConMed should be estopped from contending that it
made a commercially reasonable determination that the SureClip posed a risk of injury to
patients due to ConMed’s representations in its 510(k) application.397 According to
Plaintiff, by submitting the 510(k) application for clearance to market SureClip, ConMed
certified that SureClip was safe and effective for its intended use.398 That certification was
made twice: once when it submitted the 510(k) application in April 2015399 and again in
October 2015.400 Plaintiff argues that ConMed is now barred under theories of judicial
estoppel or quasi-estopped from claiming otherwise.401
Judicial estoppel is an equitable doctrine designed “to protect the integrity of the
judicial process.”402 Judicial estoppel requires a showing that “the litigant[] contradict[ed]
397
Id. at 60–63.
398
Plaintiff cites to Buckman Co. v. Pls.’ Legal Comm.,

531 U.S. 341

, 349–50 (2001), for
the proposition that the Supreme Court of the United States “has recognized that the 501(k)
clearance process in intended ‘to ensure . . . that medical devices are reasonably safe and
effective.’” Pl.’s Post-Trial Opening Br. at at 61. But the language surrounding this quote
recognizing that the FDA had to balance the competing interests of “ensur[ing] . . . that
medical devices are reasonably safe and effective” and getting a product that qualifies
under the 501(k) to market “within a relatively short period of time.” Buckman,

531 U.S. at 350

. In any event, Buckman did not hold that, after seeking 501(k) clearance for a device,
a party is barred in all circumstances from determining that the device posed a risk of injury
to plaintiffs.
399
JX-437 at 1.
400
JX-251 at 1.
401
Pl.’s Post-Trial Opening Br. at 61–63.
402
Banther v. State,

977 A.2d 870

, 884 (Del. 2009).
73
another position that the litigant previously took and that the Court was successfully
induced to adopt in a judicial ruling.”403
Even assuming that statements made to administrative agencies can supply a basis
for estoppel, which appears to be an open issue under Delaware law,404 Plaintiff’s judicial
estoppel argument fails because Plaintiff has not proved that ConMed gave an inconsistent
position to the FDA or that the FDA adopted an inconsistent, prior position.405 ConMed’s
representations to the FDA in its two 510(k) applications concerned whether SureClip was
“substantially equivalent to the predicate device [Ethicon’s 5mm and 10mm clip
applier].”406 ConMed represented to the FDA that SureClip was substantially equivalent
to the predicate device and the FDA adopted that representation when it gave the device
510(k) clearance. Here, ConMed argues that SureClip poses a risk of injury to either
403
Motorola Inc. v. Amkor Tech., Inc.,

958 A.2d 852

, 859–60 (Del. 2008) (emphasis in
original) (citation omitted)).
404
Plaintiff cites to various federal court decisions holding that judicial estoppel applies to
representations made to administrative agencies. Pl.’s Post-Trial Opening Br. at 61–62
(citing Siuzdak v. Sessions,

295 F. Supp. 3d 77

, 111 (D. Conn. 2018) (“The prior
inconsistent assertion need not be made to a court of law: statements to administrative
agencies . . . may also give rise to judicial estoppel.”); In re Pursuit Cap. Mgmt., LLC,

595 B.R. 631

, 675 (Bankr. D. Del. 2018) (“The doctrine of judicial estoppel prevents “a litigant
from asserting a position that is inconsistent with one he or she previously took before a
court or agency.” (citing Montrose Med. Gp. Participating Sav. Plan v. Bulger,

243 F.3d 773

, 779 (3d Cir. 2001))). The parties did not identify any Delaware decision reaching a
similar conclusion.
405
JPMorgan Chase Bank, N.A. v. Ballard,

213 A.3d 1211

, 1223 (Del. Ch. 2019) (“The
‘persuaded to accept’ element is important [because] parties raise many issues throughout
a lengthy litigation and only those arguments that persuade the court can form the basis for
judicial estoppel.” (citation omitted)).
406
See JX-188 at 2.
74
patients or surgeons, which is distinguishable from the position that it took before the FDA
regarding substantial equivalence to a predicate device. Further, ConMed’s representations
to the FDA only concerned the implantable clips and not the handle, which was also a
source of safety concerns based on the weight and cleaning protocol.
Quasi-estoppel applies when “[i]t would be unconscionable to allow a [party] to
maintain a position inconsistent with one to which [it] acquiesced, or from which [it]
accepted a benefit.” 407 To establish quasi-estoppel, a plaintiff must show that a party
“gained some advantage for [itself] or produced some disadvantage to another” through
inconsistent representations.408 Quasi-estoppel is an equitable doctrine that applies only
“when it would be unconscionable to allow a person to maintain” an inconsistent
position.409
Plaintiff argues that ConMed received a benefit—clearance to legally market and
sell SureClip—from its representation to the FDA that SureClip was safe and effective for
its intended use.410 Now, for purposes of this litigation, ConMed seeks to reverse course
407
RBC Cap. Mkts., LLC v. Jervis,

129 A.3d 816

, 872–73 (Del. 2015); see also Barton v.
Club Ventures Invs. LLC,

2013 WL 6072249

, at *6 (Del. Ch. Nov. 19, 2013) (“Under the
doctrine of quasi-estoppel, the Court may preclude[ ] a party from asserting, to another’s
disadvantage, a right inconsistent with a position it has previously taken.”) (citations
omitted). The opposing party need not demonstrate reliance on the other litigant’s
inconsistency. In re Rural/Metro Corp. S’holders Litig.,

102 A.3d 205

, 247 (Del. Ch.
2014).
408
RBC, 129 A.3d at 872–73 (citations omitted).
409
Id. at 873 (emphasis added).
410
Pl.’s Post-Trial Opening Br. at 61; JX-251 at 2.
75
to circumvent its payment obligations under the Agreement, to the disadvantage of Menn
and the Stockholder Parties.411
Plaintiff’s argument ignores that ConMed was contractually required to apply for
FDA clearance. Plaintiff’s argument further ignores that Plaintiff was not disadvantaged
by that representation. Rather, the Plaintiff received an advantage from ConMed making
the FDA 510(k) representations, which triggered the FDA Application Milestone payment
and eventually the FDA Clearance Milestone payment. Given that Plaintiff directly
benefited from this representation, it is not unconscionable to allow ConMed to pursue its
position in this litigation.
Having established that ConMed discontinued the development of SureClip based
on a commercially reasonable determination that the use of SureClip posed a risk of injury
to patients, ConMed faces no liability for canceling SureClip under the Acceleration
Payments Provision.
B. The Obligation To Use Commercially Best Efforts
Section 4.03(g) of the Agreement provides:
Buyer and the Company shall work in good faith and use
commercially best efforts to maximize payouts for the benefit
of the Shareholder Parties pursuant to Section 4.02 and Section
411
Plaintiff argues that “[t]here would be something wrong with a system in which
CONMED could, based on its representations of safety and supporting documents, obtain
clearance to sell the SureClip clip applier and then argue to this Court that the product was
unsafe.” Pl.’s Post-Trial Opening Br. at 63.
76
4.03 hereto, including the maximization of net sales of
Products.412
The “commercially best efforts” provision is what is known as an “efforts” clause.
Efforts clauses generally replace “the rule of strict liability for contractual non-performance
that otherwise governs”413 with “obligations to take all reasonable steps to solve problems
and consummate the” contractual promise.414 Efforts clauses “define the level of effort
that the party must deploy to attempt to achieve the outcome.”415
412
SPA § 4.03(g) (emphasis added). In the same provision, the parties agreed that “[e]xcept
where inconsistent with the foregoing, the Parties understand that the Buyer expects to be
able to freely run the Company’s business in its discretion following the Closing, and the
Buyer will have full control and direction over the Company’s business following the
Closing, including decisions regarding the Products, strategic initiatives, management,
staffing and employment matters (subject to Section 8.02(b)), sales and customer relations,
legal structure, accounting and finance, branding, acquisitions and development, network
development, office space, expenses, and other matters (including, without limitation, the
right to make changes with respect to product specifications as expressly permitted
pursuant to Section 8.10), provided, however, that, Buyer shall submit the 5 mm Clip
Applier Product and the 10 mm Clip Applier Product for FDA 510(k) clearance no later
than 120 days following the date on which a payment obligation is triggered by clause (A)
of Section 4.02(b) hereto, if applicable.” Id. Defendants argue that this language, along
with other aspects of the Agreement, effectively qualify (or at least clarify) their efforts
obligation. This decision does not reach this issue because Plaintiff failed to prove that
Defendants breached an unqualified version of their efforts obligation.
413
Akorn,

2018 WL 4719347

, *86 (holding that “reasonable best efforts” and
“commercially reasonable efforts” obligations recognize that “a party’s ability to perform
its obligations depends on others or may be hindered by events beyond the party’s
control”).
414
Williams Cos., Inc. v. Energy Transfer Equity, L.P.,

159 A.3d 264

, 272 (Del. 2017)
(citing Hexion Specialty Chems., Inc. v. Huntsman Corp.,

965 A.2d 715

, 755–56 (Del. Ch.
2008)).
415
Akorn,

2018 WL 4719347

, at *86.
77
Often, transactional designers will define benchmarks for the “commercially
reasonable” standard relevant to the efforts clause within the governing agreement. For
example, in two recent decisions, this court interpreted provisions requiring a buyer to use
“commercially reasonable efforts” to maximize milestone and earn-out payments post-
closing—Himawan v. Cephalon, Inc.416 and Neurvana Medical, LLC v. Balt USA, LLC.417
In each case, unlike here, the agreement contained a contractual definition—a
“yardstick”—by which the court was to measure “commercially reasonable” efforts. In
each case, the court’s decision centered on the adequacy of the plaintiff’s allegations
relative to the specific contractual yardstick. While the efforts provision and context of
Himawan and Neurvana are similar to that at issue here, the Agreement lacks any express
contractual standard by which to gauge ConMed efforts.418 These cases are thus of little
help. The court thus turns to other inputs in search of guidance on the meaning of
“commercially best efforts.”
416

2018 WL 6822708

, at *6–8 (Del. Ch. Dec. 28, 2018) (denying motion to dismiss a claim
for breach of commercially-reasonable-efforts provision in a post-closing earn-out context
when the plaintiffs alleged that the defendant refused to commercialize an antibody
treatment that peer companies were commercializing, and noting that “the actions of other
similarly situated companies are a relevant yardstick to decide at this stage in the pleadings
whether [the defendant] used ‘commercially reasonable efforts’”).
417

2020 WL 949917

, at *15–18 (Del. Ch. Feb. 27, 2020) (dismissing claim for breach of
commercially-reasonable-efforts provision in a post-closing earn-out context when the
seller only a poor relationship and disagreement over strategy with the buyer).
418
In Himawan, the buyer was required to expend the efforts and resources of “a company
with substantially the same resources and expertise.” Himawan,

2018 WL 6822708

, at *8.
In Neurvana, the buyer was required to use “efforts and resources comparable to those
which an entity in the medical device industry of similar resources and expertise.”
Neurvana,

2020 WL 949917

, at *16.
78
Deal practitioners who draft efforts clauses “have a general sense of [the] hierarchy”
of such clauses.419 One commonly cited version of this hierarchy places “best efforts” as
the highest standard with “reasonable best efforts,” “reasonable efforts,” “commercially
reasonable efforts,” and “good faith efforts” following in descending order.
“Commercially best efforts” provisions are not found on the standard hierarchy.420
Logically, such provisions would fall between “best efforts” and “commercially reasonable
efforts.”
Although deal practitioners have some sense of the hierarchy among efforts clauses,
courts applying the standards have struggled to discern daylight between them. This court,
for example, has interpreted “best efforts” obligations as on par with “commercially
reasonable efforts.”421
Because this court has consistently interpreted “best efforts” obligations as on par
with “commercially reasonable efforts,” it follows that there is even less daylight between
“best efforts” and “commercially best efforts” provisions. Indeed, the parties make no
419
Akorn,

2018 WL 4719347

, at *86.
420

Id.

 at *86–87.
421
ABA Mergers and Acqs. Comm., Model Stock Purchase Agreement with Commentary
213 (2d ed. 2010) (stating that “case law offers little support for the position that” similar
efforts clauses impose a “separate standard[] less demanding than ‘best efforts’”); Channel
MedSystems,

2019 WL 6896462

, at *37 n.410 (citing Akorn,

2018 WL 4719347

, at *87 &
n.796 (“Although the Agreement here refers to the use of ‘commercially reasonable efforts’
while the provision in Akorn referred to the use of ‘reasonable best efforts,’ Delaware ‘case
law [contains] little support for . . . distinctions’ between these two clauses.”)); Akorn,

2018 WL 4719347

, at *87 (surveying cases and stating that “[t]he high court did not distinguish
between [commercially reasonable efforts and reasonable best efforts]”).
79
distinction in briefing.422 This decision, therefore, interprets “commercially best efforts”
as imparting the same meaning as “best efforts.”
“When assessing whether a party has breached an efforts clause in a transaction
agreement, ‘this court has looked to whether the party subject to the clause (i) had
reasonable grounds to take the action it did and (ii) sought to address problems with its
counterparty.’”423 “This standard applies with equal force to ‘reasonable best efforts’ and
‘commercially reasonable efforts’ language.”424 In that context, this court has interpreted
“best efforts” to require “a party to do essentially everything in its power to fulfill its
obligation (for example, by expending significant amounts or management time to obtain
consents).” 425
In briefing, the parties based their respective arguments on decisions of this court
interpreting efforts provisions in the merger context. In those cases, this court has found a
422
The phrase “commercially best efforts” has not been interpreted by a Delaware court,
and at least one commentator has questioned whether “commercially” works as an adverb
in this context. See Kenneth A. Adams, Interpreting and Drafting Efforts Provisions:
From Unreason to Reason, 74 Bus. Law. 677, 680 (2019) (noting that the term
“commercially” is sometimes used to modify “best efforts” but that this language “doesn’t
make any sense” because “one describes something as being commercially reasonable, but
not commercially best . . .” (emphasis in original)).
423
Snow Phipps Gp., LLC v. KCAKE Acq., Inc.,

2021 WL 1714202

, at *41 (Del. Ch. Apr.
30, 2021) (quoting Akorn,

2018 WL 4719347

, at *91–92).
424

Id.

 (citing AB Stable VIII LLC v. Maps Hotels and Resorts One LLC,

2020 WL 7024929

,
at *91–92 (Del. Ch. Nov. 30, 2020); Hexion,

965 A.2d at 749

).
425
Akorn,

2018 WL 4719347

, at *86 (quoting ABA Mergers and Acqs. Comm., Model
Stock Purchase Agreement with Commentary 212 (2d ed. 2010)); see also In re Cambridge
Biotech Corp.,

186 F.3d 1356

, 1375 (Fed. Cir. 1999) (best efforts requires “that the party
put its muscles to work to perform with full energy and fairness the relevant express
promises and reasonable implications therefrom”).
80
breach of a best-efforts obligation where a party failed to work with its counterpart to
jointly solve problems, failed to keep the deal on track, or submitted false data to and
refused to cooperate with regulators.426 Other decisions of this court have found that a
party breached an efforts provision when utilizing a sales force that was too small to
achieve the revenue target, expending energy and resources on stimulating an alternative
to the deal, or making no effort to sell or market the product.427
None of those scenarios are present in this case. ConMed has proven that, after it
acquired EndoDynamix, it was assigned to the SureClip team of development engineers,
manufacturing engineers, regulatory experts, and marketing professionals. It incurred
426
See KCAKE,

2021 WL 1714202

, at *50 (finding that a buyer breached a reasonable-
best-efforts provision by not “‘work[ing] with [its] counterparties’ in such a way that was
likely to solve the problems it faced” (quoting Akorn,

2018 WL 4719347

, at *91); Channel
MedSystems,

2019 WL 6896462

, at *38 (finding that a buyer breached a commercially-
reasonable-efforts provision when, upon determining that the merger agreement should be
terminated, the buyer “made no reasonable efforts to engage with [the seller] or to take
other appropriate actions to attempt to keep the deal on track”); Akorn,

2018 WL 4719347

,
at *90 (finding that a buyer breached a commercially-reasonable-efforts provision by
“submit[ing] fraudulent data to the FDA . . . [and then] failing to be fully transparent with
the FDA”).
427
See BTG Int’l Inc. v. Wellstat Therapeutics Corp.,

2017 WL 4151172

, at *14 (Del. Ch.
Sept. 19, 2017) (finding that a buyer breached a diligent-efforts provision by “deploy[ing]
a sales force that was far too small to achieve [ ] revenue potential.”); WaveDivision Hldgs,
LLC v. Millennium Digit. Media Sys., L.L.C.,

2010 WL 3706624

, at *18 (Del. Ch. Sept.
17, 2010) (finding that a buyer breached with a reasonable-best-efforts provision by
“spen[ding] most of its energy and resources helping to develop an alternative”); Hexion,

965 A.2d at

749–56 (finding that a buyer breached a reasonable-best-efforts provision by
working to obtain an insolvency opinion that would kill future financing prospects);
Pegasystems, Inc. v. Carreker Corp.,

2001 WL 1192208

, at *9 (Del. Ch. Oct. 3, 2001)
(finding that a buyer breached a best-efforts provision by “ma[king] no effort[] to sell or
market the [ ] products” and instead “giving [ ] customers a choice between the jointly
developed products or the competing . . . products” (internal citations omitted)).
81
substantial development expenses in connection with the SureClip. It did not stop
development efforts a few days or even months after signing the Agreement; rather, it
continued its development efforts for years. It ultimately made three of the four Milestone
Payments, totaling $9 million to Plaintiff.428
In the face of these facts, Plaintiff does not and cannot allege that ConMed failed to
work with its counterparts to jointly solve problems, submitted false data to regulators,
stimulated alternatives to SureClip, or made no effort to develop SureClip.
Instead, Plaintiff advances three arguments. Plaintiff first argues that ConMed
failed to meet the commercially best efforts standard by beginning an aggressive redesign
of the SureClip in 2015. Plaintiff next argues that ConMed breached its commercially best
efforts obligation by failing to devote sufficient resources to the project while finalizing its
acquisition of SurgiQuest. Plaintiff last argues that the determination to permanently
discontinue development of the SureClip in May 2016 constituted a breach of the
commercial-best-efforts obligation, regardless of whether that determination was based on
an exception to the Acceleration Payments provision.
Plaintiff’s first argument fails, in the first instance, based on the language of the
Agreement. As discussed above, the bulk of ConMed’s redesign efforts sought to
implement safety features memorialized in Schedule 8.10. Under the Agreement, ConMed
expressly reserved the right to undertake a redesign of the SureClip according to Section
428
This includes the initial payment of $1.25 million and $7.75 million in milestone
payments. Defs.’ Post-Trial Ans. Br. at 56; SPA §§ 2.02, 4.02.
82
8.10. And ConMed secured the Stockholder Parties’ agreement that “no modification
made to the specifications of any Product made in accordance with Section 8.10 shall (a)
be deemed to be a breach of Section 4.03(g)” containing the commercially best efforts
obligation. Thus, ConMed’s decision to undertake a redesign to add features mandated by
Section 8.10 was fully within its discretion under the Agreement and cannot be deemed a
breach of Section 4.03(g).
Independent of this contractual defense, ConMed’s efforts to improve the design of
SureClip in 2015 did not breach the commercially best efforts clause. As discussed
extensively above, ConMed’s decision to redesign the SureClip in mid-2015 was related
to safety issues. As of March 22, 2015, ConMed’s engineering developers assigned to the
SureClip viewed the product as less safe than its market competitors. This fact is
memorialized in Wu’s detailed management presentation of that date, reflecting his view
that specific to the SureClip 5mm Cartridge, it was “unable to move tips together” and for
a large vessel “SureClip [was] unable to obtain tip first closure through [the] entire range
of closure.”429 Additionally, Wu’s presentation highlighted that there was“[n]o tip first
closure on clip nor jaw,” which “[m]ay result in clip forming only partially around
structure.”430 Moreover, Wu presented that when the “[c]lip is advanced into jaws” the
“clip has the possibility of being jammed by tissue if caught,” and “[r]esults in malformed
clip and potential further clip jamming.”431 Donaldson concurred with Wu’s
429
JX-185 at 7.
430
Id. at 9.
431
Id. at 10.
83
recommendation. After, ConMed decided to redesign the SureClip to eliminate those
flaws.
The redesign does not evidence ConMed’s failure to use commercially best efforts,
but rather, the opposite. Put another way, having come to the belief that the SureClip’s
design posed safety concerns, ConMed was contractually obligated to use commercially
best efforts to eliminate those flaws, which it did.
The evidence on which Plaintiff relies does not support Plaintiff’s position. At trial,
Plaintiff called Paul Hermes as a product development expert. Hermes acknowledges that
ConMed “did a nice job” in the first few months of the SureClip project, but he also testified
that ConMed went off track beginning in April 2015 when it began to consider design
changes for the device.432 Hermes concluded that the decision violated ConMed’s
commercially best efforts obligation because SureClip was “good enough” prior to that
time.433 Plaintiff also relies on Menn’s testimony, which was to the same effect.434
Plaintiff further introduced the testimony as a device expert, David Stefanchik.435 But
Hermes had no expertise as to the devices itself and Menn’s testimony was self-serving.
And Stefanchik testified that the device could not have been launched based on the October
432
Trial Tr. at 1230:4–24, 1244:3–1245:1 (Hermes).
433
Id. at 1258:14–18 (Hermes).
434
Id. at 171:6–8 (Menn).
435
Id. at 1130:10–18 (Stefanchik).
84
2014 Animal Lab, i.e., the approval of two surgeons, despite Plaintiff’s argument to the
contrary.436
Plaintiff’s next argument is similarly unavailing. ConMed’s staffing decisions in
late 2015 did not constitute a breach of its commercially best efforts obligation. Peters
decided to move SureClip to Colorado during the time period when ConMed was acquiring
SurgiQuest. Peters testified that he moved the project to Denver because ConMed “had
some really strong engineers that could put some fresh eyes on [the project] [ ] the work
that had been done by Tim and David was thorough, but [Peters] thought it was time for a
fresh look.”437 One of these engineers was Williams, whom Peters testified was “our
best.”438 Peters further testified that “putting him on a project is as high a priority as [he]
can make it.”439 It is true that the project stagnated for a brief period in December 2015,
but ConMed staffed the SurgiQuest team on the project in January 2016. This brief delay
in development does not rise to the level of breach of a commercially best efforts
provision.440
436
Id. at 1202:2–13 (Stefanchik).
437
Id. at 1721:18–24 (Peters).
438
Id. at 1722:11 (Peters).
439
Id. at 1722:12–13 (Peters).
440
See In re IBP, Inc. S’holders Litig.,

789 A.2d 14

, 79–81 (Del. Ch. 2001) (finding in a
post-trial decision that the defendant did not breach its “reasonable best efforts” to close
the cash offer by delaying for two months to await the filing of restated financials with the
SEC).
85
Plaintiff’s last argument raises a nettlesome issue concerning the nature of the
parties’ contractual scheme and specifically the relationship between Defendants’
obligations under Section 4.03(h) and Section 4.03(g).
It is true, as Plaintiff argues, that the commercially best efforts obligation of Section
4.03(g) and the Acceleration Payments obligation of Section 4.03(h) are independent. Yet,
it is also true, as Defendants argue, that Section 4.03(i) defines the Acceleration Payments
of Section 4.03(h) to be liquidated damages for breach of the commercially best efforts
obligation of Section 4.03(g) given the “substantial but indeterminate harm anticipated to
be caused by the occurrence of an event described in Section 4.03(h), the difficulty of proof
of loss and damages, and the value of the transactions to be consummated hereunder.”441
Further, Section 4.03(i) repeats in full and thus adopts the risk-of-injury exception to
Section 4.03(h).442
Given the repetition of the exceptions to the Acceleration Payments provision in the
Liquidated Damages provision, it would not make sense to hold that ConMed breached the
commercially reasonable efforts provision by making a commercially reasonable
determination to discontinue development of the SureClip in accordance with one of the
441
SPA § 4.03(i).
442
See, e.g., SPA § 4.03(i) (“[N]o payment shall be made to the Representative for the
benefit of the Shareholder Parties pursuant to Section 4.03(h) in respect of any Clip Applier
Product in the event that at the time any of the delivery of any Acceleration Notice pursuant
to Section 4.03(h) the Company or the Buyer have ceased the development or sale of such
Clip Applier Product as a result of . . . (b) a commercially reasonable determination by the
Company or the Buyer in their sole discretion that the use of such product poses a risk of
injury to either patients or surgeons”).
86
contractually specified exceptions. This cannot be what the parties intended when
executing the Agreement.443 It cannot be that the Agreement permits ConMed to
discontinue development of the SureClip upon a determination that it posed a risk of injury
to patients, but simultaneously requires ConMed to continue to use commercial best efforts
to develop the product after making that determination. Such an interpretation would run
afoul of the principle of contract interpretation that requires this court to interpret the
various provisions of a contract harmoniously.444
For these reasons, Plaintiff has not proven that Defendants breached their obligation
to use commercially best efforts to maximize payouts for the benefit of the Stockholder
Parties.
443
Construing the two provisions in this fashion does not render the commercial-best-
efforts provision meaningless or illusory, as Plaintiff argues. See Pl.’s Supp. Post-Trial Br.
at 6. One could imagine a scenario where ConMed’s failure to use commercial-best-efforts
under Section 4.03(g) contributed to product’s risk of injury to patients and an attendant
risk-of-injury determination called for under Section 4.03(h) and Section 4.03(i). In that
case, one could invoke the prevention doctrine (or something like it) to argue that the
existence of the exception does not eliminate the obligation to pay liquidated damages or
make Acceleration Payment because the breach of Section 4.03(g) caused the existence of
the exception. See KCAKE,

2021 WL 1714202

, at *52. The parties did not brief this issue,
which is admittedly removed from their main dispute, and factually irrelevant in any event,
given that Plaintiff failed to prove that any failure by ConMed to use commercial-best-
efforts contributed to the risk-of-injury determination. The purpose of this point is limited
to demonstrating that the court’s construction of Sections 4.03(g), 4.03(h), and 4.03(i) can
be harmonized despite Plaintiff’s arguments to the contrary.
444
GRT, Inc. v. Marathon GTF Tech., Ltd.,

2012 WL 2356489

, at *6 (Del. Ch. June 21,
2012) (“Delaware law requires that this court attempt to give effect to the plain terms of all
provisions of a contract, and to give them a harmonious reading” (citing E.I. du Pont de
Nemours & Co. v. Shell Oil Co.,

498 A.2d 1108

, 1114 (Del. 1985)).
87
C.     Implied Covenant
The implied covenant of good faith and fair dealing requires in part that a party
vested with discretion under a contract exercise its discretion reasonably, in good faith, and
not in an unreasonable or arbitrary way that would destroy the counterparty’s right to
receive the fruits and benefits which they reasonably expected to receive under the
contract.445 The implied covenant cannot be invoked to override the express terms of the
contract.446    Moreover, rather than constituting a free floating duty imposed on a
contracting party, the implied covenant can only be used conservatively “to ensure the
parties’ ‘reasonable expectations’ are fulfilled.”447 The implied covenant is a limited
remedy.448 Its application is a “cautious enterprise.”449
Sections 4.03(h) and (i) of the Agreement provide that ConMed has “sole
discretion” to determine whether the Clip Applier Products pose a “risk of injury to either
patients or surgeons” (a determination that would excuse ConMed from its obligation to
pay the Acceleration Payments). Plaintiff claims that ConMed breached the implied
445
See, e.g., Miller v. HCP Trumpet Invs., LLC,

194 A.3d 908

2018 WL 4600818

, at *1
(Del. 2018) (TABLE), reargument denied (Oct. 9, 2018) (noting that “the mere vesting of
‘sole discretion’” does not relieve a party of “its obligation to use that discretion
consistently with the implied covenant of good faith and fair dealing”).
446
Dave Greytak Enters., Inc. v. Mazda Motors of Am., Inc.,

622 A.2d 14

, 23 (Del. Ch.
1992) (“[W]here the subject at issue is expressly covered by the contract, or where the
contract is intentionally silent as to that subject, the implied duty to perform in good faith
does not come into play.”).
447
Dunlap v. State Farm Fire & Cas. Co.,

878 A.2d 434

, 442 (Del. 2005).
448
Oxbow, 202 A.3d at 507 (quoting Nemec v. Shrader,

991 A.2d 1120

, 1128 (Del. 2010)).
449
Nemec,

991 A.2d at 1125

.
88
covenant of good faith and fair dealing by failing to exercise its discretion reasonably and
in good faith in two ways: (i) by deciding that SureClip posed a safety risk to doctors and
patients and (ii) by failing to use commercially best efforts to maximize payments to the
Stockholder Parties.
Plaintiff’s arguments for breach of the implied covenant, however, duplicate its
claims denied above for breach of express contractual provisions to make Acceleration
Payments and use commercially best efforts. The implied covenant cannot be used to
override express contractual provisions.450
For that reason, Plaintiff’s claim for breach of the implied covenant fails.
III.   CONCLUSION
For the foregoing reasons, judgment is entered in ConMed’s favor as to all claims.
ConMed established that one of the exceptions to the Acceleration Payments obligation
applied, ConMed did not breach its obligation to use commercially best efforts, and
ConMed did not breach the implied covenant of good faith and fair dealing. The parties
shall confer on a form of order implementing this decision.
450
Fortis Advisors LLC v. Dialog Semiconductor PLC,

2015 WL 401371

, at *5 (Del. Ch.
Jan. 30, 2015) (holding that the “failure to achieve the earn-out revenue thresholds must be
analyzed within the confines of the express contractual obligations set forth in that
provision and any other applicable provision” and not through the implied covenant of
good faith and fair dealing).
89

Authorities (13)

In Re Cambridge Biotech Corporation Institut Pasteur and ... , 186 F.3d 1356 ( 1999 )

E.I. Du Pont De Nemours & Co. v. Shell Oil Co. , 1985 Del. LEXIS 570 ( 1985 )

Nemec v. Shrader , 991 A.2d 1120 ( 2010 )

Hexion Specialty Chemicals, Inc. v. Huntsman Corp. , 965 A.2d 715 ( 2008 )

Gilbert v. El Paso Co. , 1984 Del. Ch. LEXIS 541 ( 1984 )

montrose-medical-group-participating-savings-plan-montrose-general , 243 F.3d 773 ( 2001 )

Motorola, Inc. v. Amkor Technology, Inc. , 2008 Del. LEXIS 462 ( 2008 )

Dave Greytak Enterprises, Inc. v. Mazda Motors of America, ... , 1992 Del. Ch. LEXIS 12 ( 1992 )

Banther v. State , 2009 Del. LEXIS 393 ( 2009 )

Stuart v. Stuart , 159 A.3d 264 ( 2017 )

In Re IBP, Inc., Shareholders Litigation , 789 A.2d 14 ( 2001 )

Dunlap v. State Farm Fire & Casualty Co. , 878 A.2d 434 ( 2005 )

Hicklin v. Onyx Acceptance Corp. , 2009 Del. LEXIS 160 ( 2009 )

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