Ortho Pharmaceutical Corp. v. Heath
Facts
Heath used Ortho-Novum oral contraceptives for years and, after reporting one incident of break-through bleeding in 1972, her physician increased her dosage from Ortho-Novum 1/50 to Ortho-Novum 1/80. She continued taking Ortho-Novum 1/80 until November 1974, when she became critically ill with acute kidney failure and later required a kidney transplant. Heath's experts testified that her kidney failure was caused by malignant hypertension or hemolytic uremic syndrome induced by Ortho-Novum 1/80, while Ortho's experts disagreed. Heath also claimed that Ortho-Novum 1/80 was defectively designed because the additional estrogen created risks that outweighed its benefits, and Ortho sought a comment k instruction based on the drug's utility and unavoidable risks.
Issue
Whether Heath presented sufficient evidence of causation and design defect to submit the case to the jury, and whether the trial court erred by instructing the jury on design defect under a consumer-expectation formulation rather than a risk-benefit test and by refusing to instruct on comment k. The court also considered whether the design defect claim was untimely raised.
Rule
In prescription-drug design defect cases involving a product manufactured exactly as intended but alleged to be unreasonably dangerous, the proper standard is the Barker-style risk-benefit test rather than the consumer expectation test. Under that test, if the plaintiff proves that the product's design proximately caused injury, the defendant must prove, in light of relevant factors, that the benefits of the challenged design outweigh its inherent risks. A manufacturer is entitled to a comment k instruction when there is evidence supporting the factors stated in Belle Bonfils: the product's utility must greatly outweigh the risk created by its use, the risk must be known, the product's benefits must not be achievable in another manner, and the risk must be unavoidable under the present state of knowledge.
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