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EXHIBIT 6-27

Example of Complaint for Injunction and Civil Penalty

IN THE UNITED STATES DISTRICT COURT

FOR THE NORTHERN DISTRICT OF ILLINOIS

EASTERN DIVISION

UNITED STATES OF AMERICA, )

Plaintiff,

) Civil Action

v.

) No.
ABC COMPANY, INC., a corporation, ) Judge

and

)
ALAN R. SMITH, an individual, )

Defendants

)

  COMPLAINT FOR PERMANENT INJUNCTION AND FOR CIVIL PENALTIES

The United States of America, plaintiff, by its undersigned attorneys, respectfully represents to this Honorable Court as follows:

INTRODUCTION

1. This action is brought pursuant to the Federal Food, Drug, and Cosmetic Act (the Act), 21 U.S.C. 360pp to:

  1. enjoin and restrain the defendants from violating 21 U.S.C. 360oo(a)(1), (a)(2), and (a)(5)(B), and

  2. enforce the Act’s radiological health civil penalty provisions, 21 U.S.C. 360pp(b)(1), in accordance with 28 U.S.C. 1355.

JURISDICTION AND VENUE

2. This Court has jurisdiction over this action pursuant to 21 U.S.C. 360pp(a) and 28 U.S.C. 1331, 1337, 1345, and 1355.

3. Venue in this district is proper pursuant to 21 U.S.C. 360pp(c), 28 U.S.C. 1391(b), and 28 U.S.C. 1395(a).

COUNT ONE

(Presenting a Cause of Action to Restrain Violations of 21 U.S.C. 360oo)

4. Defendant ABC Company, Inc. (ABC), is a corporation organized and existing under the laws of the State of Illinois and at all times relevant to the allegations in this Complaint, trading and doing business at 38 Main Street, Peoria, Illinois, within the jurisdiction of this Court. The firm became incorporated on March 23, 1967.

5. Defendant, Alan R. Smith, an individual, is and has been since 1989, the President and Chief Executive Officer of ABC. Prior to that time, Mr. Smith was the firm’s Vice President. He also currently holds the position of Corporate Treasurer. At all times relevant to this action, Mr. Smith performed his duties at 38 Main Street, Peoria, Illinois, within the jurisdiction of this Court. Mr. Smith has ultimate responsibility for all facets of the firm’s operations.

6. Defendants are, and at all times relevant to this action have been, engaged in the business of importing and manufacturing diagnostic x-ray systems which are "electronic products" within the meaning of 21 U.S.C. 360hh(2). Accordingly, each defendant was and is a "manufacturer" of electronic products within the meaning of 21 U.S.C. 360hh(3).

Failure to Cease Introduction of Violative Products Into Commerce

7. Pursuant to 21 U.S.C. 360ii(a), the Commissioner of Food and Drugs under authority delegated to him by the Secretary of Health and Human Services ("Secretary") under 21 CFR 5.10(a)(3), promulgated regulations prescribing performance standards for diagnostic x-ray systems and their major components. These regulations are codified, in pertinent part, at 21 CFR 1020.30-33.

8. On August 9, 1993, the United States Food and Drug Administration ("FDA") notified defendants that their model 12 x-ray systems failed to meet, inter alia, the light localizer illuminance requirements, the contrast ratio requirements, and the labeling and certification requirements, 21 CFR 1020.31(d)(2)(ii) and (iii) and 1010.2, respectively.

9. X-ray systems use a light localizer to define the light field so the operator of the equipment can adjust the x-ray field to the proper image receptor site. The contrast ratio requirement exists to permit the operator to align the film with the edges of the x-ray field. Failure of a system to meet these two requirements could cause the operator to visualize inaccurately the x-ray field, and could result in an x-ray field that is larger than necessary for the examination. An x-ray field that is too large or misaligned could overexpose the patient to radiation, and could unnecessarily expose sensitive body organs to radiation. If critical organs are exposed to radiation, there is an increased risk to the patient of cell damage and cancer.

10. Defendants met with FDA’s CDRH on September 24, 1993. At that time, CDRH notified defendants that their mobile and wall-mounted podiatry x-ray systems, models 13, 14, 15, and 16, and their portable, general purpose x-ray systems, models 17 and 18, all failed to meet the requirements cited in the Warning Letter of August 9, 1993. By follow-up letter dated October 5, 1993, and by second Warning Letter dated January 6, 1994, CDRH reiterated to defendants that all of the above-mentioned units were noncompliant. On February 16, 1994, CDRH approved a corrective action plan for the podiatry units defendants placed into commerce prior to August 9, 1993. CDRH notified defendants that they were to submit a corrective action plan for the general purpose x-ray systems. From August 9, 1993 through March 30, 1995, the defendants exchanged numerous correspondence with CDRH and FDA’s Chicago District regarding the noncompliance of the x-ray units.

11. Nevertheless, after September 24, 1993, the date on which FDA notified defendants that their mobile and wall-mounted podiatry x-ray systems and their portable, general purpose x-ray systems did not comply with the applicable performance standards, the defendants sold the following 22 units in violation of applicable performance standards, including 16 model 13 units, 1 model 15 unit, 1 model 17 unit, and 4 model 18 units:

Model 13 Units (16 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
03/16/94 20603 16226 Podiatry Supply Co. (Heights, OH)
05/05/94 21004 16218

"

12/01/94 22625 16996

"

16997

"

05/25/94 21175 16645

"

16646

"

16649

"

06/06/94 21235 16235

"

16648

"

16651

"

03/28/94 20668 16232 Healthcare (Brooklyn, NY)
10/04/94 22221 15549 Podiatry (Stony Brook, NY)
11/11/93 19660 13682 Supply Service (Gettysburg, PA)
04/20/94 20885 16231

"

12/13/94 22708 16223

"

02/07/95 23194 17002

"

Model 15 Unit (1 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
03/23/94 20635 16650 Podiatry (Stony Brook, NY)

Model 17 Unit (1 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
09/28/93 19359 16116

Supply Service (Gettysburg, PA)

Model 18 Units (4 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
10/15/93 19486 16360 Tech, Inc. (Walnut, CA)
01/06/94 20033 16357 Ocean, Ltd. (San Jose, CA)
16363

"

03/09/94 20495 16361 A.S. (Calcutta, India)

By introducing into commerce these 22 x-ray systems that did not comply with the applicable performance standards, defendants committed 22 violations of 21 U.S.C. 360oo(a)(1).

12. Between March 20, 1991 and September 24, 1993, the date on which defendants were notified that their mobile and wall-mounted podiatry x-ray systems and their portable, general purpose x-ray systems violated the applicable performance standards, defendants introduced into commerce the following 121 x-ray systems in violation of applicable performance standards, including 27 model 15 units, 1 model 16 unit, 49 model 13 units, 10 model 14 units, 15 model 17 units, and 19 model 18 units:

Model 15 Units (27 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
08/01/91 13639 14418 Medical Equipment Co. (Chicago, IL)
06/09/93 18608 16119 X-Ray Supply Corp. (Miami, FL)
12/18/91 14629 14424 Podiatry Supply Co. (Heights, OH)
14427

"

01/29/92 14906 14576 "
04/23/92 15588 15434 "
03/11/93 17949 16040 "
09/06/91 13904 14262 Healthcare (Brooklyn, NY)
10/02/91 14066 14423 "
12/05/91 14507 14432 "
01/24/92 14858 14582 "
04/23/92 15577 15446 "
05/22/92 15824 15439 "
06/12/92 15966 15444 "
15967 15435 "
04/02/91 12728 14258 Equipment Distributors (Syossett. NY)
12/05/91 14465 14428 "
01/03/92 14691 14585 "
01/22/92 14827 14580 Podiatry, Inc. (Freeport, NY)
02/14/92 15029 14567

"

05/21/91 13100 14259 Supply Service (Tyler Hill, PA)
01/21/93 17558 16031 "
02/11/93 17753 16034 "
16045 "
03/16/93 17993 16030 "
16041 "
04/21/93 18296 16123 "

Model 16 Unit (1 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
01/28/93 17633 15339 Podiatry, Inc.(Freeport, NY)

Model 13 Units (49 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
03/20/91 12628 14256 Flag X-Ray (Bay, NY)
08/20/92 16439 15542 Medical Equipment Co. (Chicago, IL)
09/15/92 16629 15544 "
11/11/92 17068 15975 "
02/12/93 17768 16042 "
02/23/93 17830 16049 "
03/22/93 18030 16033 "
08/04/93 18990 16121 "
03/20/91 12630 14260 Supply Co. (Akron, OH)
14264 "
14269 "
12/18/91 14629 14421 "
03/10/92 15245 13669 "
04/08/92 15490 14583 "
04/23/92 15588 15437 "
15442 "
06/01/92 15893 15427 "
09/11/92 16610 15533 "
15538 "
15543 "
15551 "
09/25/92 16721 15545 "
03/11/93 17949 15977 "
09/01/93 19202 16236 "
16237 "
03/20/91 12631 14261 Podiatry Supply (Islip, NY)
12632 14266 "
04/23/91 12893 14255 "
12/19/91 14620 14417 "
14577 "
02/26/92 15144 14584 Healthcare Distributors, Inc. (Palo Alto, CA)
03/10/92 15235 14425 "
05/27/92 15843 15436 "
06/30/92 16111 15430 "
09/15/92 16609 15540 "
11/11/92 17070 15973 "
15980 "
11/11/92 17073 15978 Medical Supply (Reno, NV)
04/12/91 12829 14253 Medical Healthcare (Montauk, NY)
07/30/92 16326 15537 Stone & Palo, Inc. (Plainview, NY)
08/27/93 19180 16222

"

06/20/91 13341 14263 Best Service (Philadelphia, PA)
12/12/91 14600 14419 "
12/23/91 14653 14570 "
09/14/92 16605 15547 "
09/15/92 16630 15539 "
02/11/93 17753 16037 "
03/16/93 17993 16036 "
12/10/92 17288 15979 Eastern Supply, Inc. (Boston, MA)

Model 14 Units (10 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
11/09/92 17043 15340 Equipment & Supply (Denver, CO)
02/12/93 17768 15471

"

08/04/92 16348 15475 B & S Supply Co. (Pittsburgh, PA)
05/26/93 18584 16271

"

01/21/93 17562 15219 Chris & Sons (Las Vegas, NV)
03/25/92 15347 15224 Pebbles & Sam Co. (Phoenix, AZ)
01/04/93 17435 15215

"

11/20/92 17127 15338 Foot Service Inc. (Maspeth, NY)
01/21/93 17558 15335

"

06/09/93 18619 16282 Southern Supply (San Jose, CA)

Model 17 Units (15 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
01/07/92 14739 14430 BB X-Ray (Detroit, MI)
01/14/92 14781 14575 "
09/23/92 16689 15541 "
07/08/91 13452 14270 Advantage Podiatry (Atlanta, GA)
06/03/91 13203 14429 Veterinary Supply (Baldwin, NY)
05/05/92 15670 15432 Tech, Inc. (Walnut, CA)
03/22/93 18029 16044 Podiatry Supply Co. (Heights, OH)
04/09/93 18210 16118 "
05/17/93 18470 16047 "
12/16/92 17335 16035 Brokerage (Orlando, FL)
16048

"

11/13/91 14354 14420 S & S X-Ray Service (Pittsburgh, PA)
06/25/93 18729 16032

"

10/04/91 14089 14251 X-Ray Supply (Provo, UT)
05/05/92 15682 15440 B.C.A. Inc. (San Francisco, CA)

  Model 18 Units (19 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
04/22/93 18309 16270 36 X-Ray (Greenwood Lake, NY)
05/05/92 15670 15222 Tech, Inc. (Walnut, CA)
05/14/93 18592 16364 Tech, Inc. (Walnut, CA)
16365 "
08/23/93 19135 16359 "
05/11/93 18424 16273 Industries Inc. (Atlantic City, NJ)
04/07/93 18195 15216 X-Ray Service (Terra Haute, IN)
09/22/92 16680 15224 Available Supply (Boise, ID)
11/06/92 17034 15341 "
15477 "
02/02/93 17662 14878 "
15342 "
03/17/93 17999 15224 "
04/13/93 18234 16268 "
04/14/93 18238 16272 "
06/07/93 18605 16275 "
08/09/93 19019 16274 "
16283 "
05/07/93 18400 16276 California Labs (Los Angeles, CA)

By introducing into commerce these 121 x-ray systems that did not comply with the applicable performance standards, defendants committed 121 violations of 21 U.S.C. 360oo(a)(1).

Failure to Meet Certification Requirements

13. Pursuant to 21 U.S.C. 360kk(h), every "manufacturer" of an electronic product to which a performance standard is applicable is required to certify that such product conforms to all applicable performance standards. Such certification shall be based upon a test, in accordance with the performance standards, of the individual article to which it is attached. The manufacturer must furnish that certification to the dealer or distributor, in the form of a label or tag permanently affixed to or inscribed on such product. 21 CFR 1010.2.

14. Defendants failed to comply with the certification requirements for electronic products when they certified that the 22 podiatry units described in paragraph 11 met all applicable performance standards. The defendants, in the exercise of due care, had reason to know that such certifications were false or misleading in a material respect, in that FDA had notified them that the units failed to meet the applicable performance standards. Therefore, by affixing materially false or misleading certifications to the 22 units described in paragraph 11, the defendants committed 22 violations of 21 U.S.C. 360oo(a)(5)(B).

Failure to Notify and Failure to Repair, Replace, or Refund

15. Pursuant to 21 U.S.C. 360ll, every manufacturer of electronic products who discovers that an electronic product produced, assembled, or imported by him does not comply with the performance standards, must immediately notify the Secretary and the dealers, distributors, and/or first purchasers of any electronic products that have a defect or that do not comply with any applicable performance standard, and must also: (l) without charge, bring such product into conformity with the applicable standard or remedy such defect; (2) replace each product with a like or equivalent product which complies with each applicable standard; or (3) refund the cost of such product. The Commissioner has promulgated regulations, 21 CFR 1002, 1003, and 1004, which prescribe how such notification and correction shall be accomplished.

16. FDA determined that the 143 units described in paragraphs 11 and 12 did not comply with the light localizer, contrast ratio, and labeling and certification requirements, 21 CFR 1020.31(d)(2)(ii) and (iii) and 1010.2, respectively.

17. Moreover, defendants sold 127 units in violation of applicable performance standards from January 21, 1988 to February l9, 1991. The sales of the 127 units included 71 model 15 units, 50 model 13 units, and 6 model 17 units, and were as follows:

Model 15 Units (71 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
01/21/88 4217 11549 Medical Co. (Brook, MN)
05/09/88 5060 11944 "
06/15/88 5335 12007 "
12008 "
11/07/88 6421 12428 "
01/13/89 6901 12314 "
07/17/89 8314 12903 "
05/02/90 10435 13670 "
01/21/88 4218 11551

Podiatry Supply Co. (Heights, OH)

01/28/88 4261 11550 "
11559 "
11566 "
05/04/88 5026 11953 "
11955 "
11964 "
01/13/89 6902 12425 "
12426 "
02/01/89 7043 12320 "
08/22/89 8537 12910 "
09/11/89 8671 12902 "
10/18/89 8949 12891 "
8950 12890 "
01/30/90 9727 13020 "
13031 "
04/07/90 10264 13026 "
04/10/90 10271 13664 "
08/14/90 11180 13776 Flower Podiatry Supply (Morristown, NJ)
12/05/89 9295 13032 Dental/Medical and Co. (Blacksburg, VA)
13038

"

01/29/89 7026 12423 Equipment Distributors (Monticello, NY)
02/24/89 7264 12420 "
12430 "
03/14/89 7387 12325 "
05/09/89 7874 12664 "
12670 "
06/21/89 8161 12892 "
06/21/89 8162 12900 "
07/25/89 8362 12893 "
08/30/89 8592 12887 "
10/16/89 8952 12895 "
02/05/90 9794 13021 "
04/03/90 10220 13674 New York Distributors (Albany, NY)
05/14/90 10532 13665 "
09/11/90 11377 14056 "
14062 "
11/29/90 11878 14217 New York Medical Co. (Geneva, NY)
12/21/90 12035 14218

"

12/11/89 9337 13040 Green Surgical Supply (Dayton, OH)
02/22/89 7263 12315 Supply Service (Groton, CT)
12317 "
12318 "
12326 "
12328 "
08/23/89 8590 12897 "
09/13/89 8690 12915 "
13041 "
13049 "
10/10/89 8891 12888 "
12908 "
12916 "
11/29/90 11879 14223 "
14224 "
01/20/91 12210 14230 "
12/08/89 9327 13024 C & R X-Ray (Birmingham, AL)
13036 "
13045 "
08/15/90 11195 13773 "
13780 "
13782 "
13787 "
13790 "

Model 13 Units (5O total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
01/27/88 4243 11571 Equipment Co. (Olney, MD)
4244 11568 "
03/21/88 4687 11059 "
11569 "
05/05/88 5039 11954 "
11957 "
06/15/88 5334 12018 "
12031 "
07/06/88 5490 11948 "
10/07/88 6178 12022 "
10/26/88 6317 12020 "
12/06/88 6631 12024 "
02/03/89 7054 12319 "
05/22/90 10587 13673 "
01/18/91 12198 14252 "
03/22/88 4735 11507 Podiatry Supply Co. (Heights, OH)
05/04/88 5027 11952 "
11958 "
02/07/89 7068 12323 "
03/27/89 7537 12019 "
04/04/89 7603 12673 "
12675 "
05/08/89 7860 12667 "
12669 "
11/10/89 9133 13025 "
02/13/90 9884 13468 "
03/29/90 10182 13668 "
13677 "
04/07/90 10264 13034 "
08/28/90 11277 14063 "
06/21/89 8175 12913 Podiatry Supply (Buffalo, NY)
07/17/89 8317 12896 "
08/14/89 8493 12889 "
01/26/90 9697 13465 "
03/01/90 9987 13464 "
03/29/90 10204 13679 "
07/19/90 10984 13774 "
01/29/89 7026 12421 Medical Equipment Inc. (New Orleans, LA)
08/30/89 8591 12914 "
01/28/90 9698 13023 "
05/14/90 10531 13672 New York Supply (Tarrytown, NY)
09/11/90 11377 14058

"

12/11/90 11962 14229 Medical Equipment Inc. (Erie, PA)
09/06/89 8632 13035 Surgical Supplies (Louisville, KY)
02/02/90 9783 13473

"

03/21/89 7491 12322 Service for Surgery (Dover, DE)
12427 "
11/29/90 11880 14225 "
01/02/91 12106 14216 "
01/20/91 12210 14221 "

Model 17 Units (6 total)

SHIPPING DATE INVOICE# SERIAL# SOLD TO
02/08/91 12356 14226 S-5 X-Ray (St. Louis, MO)
02/19/91 12433 14228 Associate Radiology (Seattle, WA)
01/01/91 12157 13997 A & A X-Ray (Scranton, PA)
01/23/91 12213 14055

"

11/02/90 11741 13997 X-Ray Supply (Dallas, TX)
11/29/90 11881 14226 SMA Surgical Supply (Houston, TX)

18. On February 16, 1994, FDA notified defendants that for all of the 270 violative units that were already in commerce, they were required to notify the first purchasers, dealers, or distributors of the x-ray units, and the end-users of such products, as required by 21 U.S.C. 360ll(e), and they were further required to: (1) without charge, bring such products into conformance with the standard; (2) replace the products with like or equivalent products; or (3) make a refund of the cost of the products, as required by 21 U.S.C. 360ll(f).

19. Nevertheless, defendants failed to notify the first purchasers, dealers, or distributors and end-users of the 270 x-ray units described in paragraphs 11, 12, and 17, and they failed to (1) without charge, bring such products into conformance with the standard, (2) replace the products with like or equivalent products, or (3) refund the cost of the products, thereby committing 270 violations of 21 U.S.C. 360oo(a)(2).

COUNT TWO

(Presenting a Cause of Action to Enforce the Civil Penalties Provisions of 21 U.S.C. 360pp(b)(1))

20. This Count realleges and incorporates by reference paragraphs 1 through 19 of this Complaint as if fully set forth herein.

21. Pursuant to 21 U.S.C. 360pp(b)(1), any person who violates 21 U.S.C. 360oo shall be subject to a civil penalty of not more than $1,000. Any violation with respect to any act or omission made unlawful by 21 U.S.C. 360oo constitutes a separate violation for purposes of 21 U.S.C. 360pp(b)(1), and the maximum civil penalty imposed on any person for any related series of violations is not to exceed $300,000.

22. Each defendant committed a total of 435 violations of 21 U.S.C. 360oo, including: (1) 143 violations of 21 U.S.C. 360oo(a)(1); (2) 22 violations of 21 U.S.C. 360oo(a)(5)(B); and (3) 270 violations of 21 U.S.C. 360oo(a)(2). For each violation, a civil penalty of $1,000 may be imposed. Therefore, under 21 U.S.C. 360pp, a civil penalty of $300,000 per defendant may be imposed.

WHEREFORE PLAINTIFF PRAYS:

I. That defendants, ABC and Alan R. Smith, and all of their officers, agents, representatives, employees, successors, assigns, heirs, attorneys, and any and all persons in active concert or participation with them, or any of them, be permanently restrained and enjoined under the provisions of 21 U.S.C. 360pp(a) from directly or indirectly doing or causing to be done any of the following acts:

  1. Introducing, or delivering for introduction into commerce as defined in 21 U.S.C. 360hh(4), any diagnostic x-ray system subject to, but not in compliance with, applicable performance standards in 21 CFR 1010 and 1020;

  2. Issuing certification that x-ray equipment meets the applicable standards when they, in the exercise of due care, would have reason to know that such certification is false or misleading in a material respect;

  3. Failing to comply with 21 U.S.C. 360oo(a)(2), which specifically requires manufacturers to (1) notify the purchasers of x-ray equipment that it does not comply with the performance standards; and (2) without charge, bring their manufactured diagnostic x-ray systems into conformity with the applicable standards prescribed in 21 CFR 1010 and 1020, or replace such products with a like or equivalent product that complies with the applicable standards, or refund the cost of the violative products;

  4. Failing to implement the FDA-approved corrective action plan for ABC’s mobile and wall-mounted podiatry x-ray systems, models 13, 14, 15, and 16; and

  5. Failing to submit and implement a corrective action plan for ABC’s portable, general purpose x-ray systems, models 17 and 18.

II. That the defendants, ABC and Alan R. Smith, each be required to pay to the plaintiff a civil penalty, pursuant to 21 U.S.C. 360pp(b)(1), in the amount of $300,000, for the violations herein above alleged in paragraphs 7 through 19. This amount represents a penalty to each defendant of $1,000 per violation of 21 U.S.C. 360oo, up to the maximum penalty of $300,000 per defendant allowed pursuant to 21 U.S.C. 360pp(b)(1).

III. That the plaintiff be granted judgment for its costs herein, and that this court grant such other and further as it deems just and proper.

Dated this [insert date] day of [insert month and year].

Respectfully submitted,

[insert name]

Assistant Attorney General

[insert name]

United States Attorney

[insert name]

Assistant U.S. Attorney

[insert address]

[insert telephone number]

 

[insert name]

Tria1 Attorney

Office of Consumer Litigation

U.S. Department of Justice

P.O. Box 386

Washington, D.C. 20044

[insert telephone number]

 

 

OF COUNSEL:

[insert name]

Chief Counsel

[insert name]

Trial Attorney

Food and Drug Administration

5600 Fishers Lane

Rockville, Maryland 20857

[insert telephone number]