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Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 1 of 7 PageID #: 1 ROBERT DOUGLAS DEBORD PLAINTIFF IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA INDIANAPOLIS DIVISION vs. CAUSE NO.1:16-cv-01518 -RLY-TAB COOK INCORPORATED; COOK MEDICAL LLC; AND WILLIAM COOK EUROPE APS, DEFENDANTS SHORT FORM COMPLAINT COMES NOW the Plaintiff named below, and for Complaint against the Defendants named below, incorporate The Master Complaint in MDL No. 2570 by reference (Document 213). Plaintiff further shows the court as follows: 1. Plaintiff/Deceased Party: ROBERT DOUGLAS DEBORD 2. Spousal Plaintiff/Deceased Party s spouse or other party making loss of consortium claim: 3. Other Plaintiff and capacity (i.e., administrator, eecutor, guardian, conservator): 4. Plaintiff s/deceased Party s state of residence at the time of implant: Tennessee 1

Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 2 of 7 PageID #: 2 5. Plaintiff s/deceased Party s state of residence at the time of injury: Tennessee 6. Plaintiff s/deceased Party s current state of residence: Tennessee 7. District Court and Division in which venue would be proper absent direct filing: United States District Court Eastern District of Tennessee 8. Defendants (Check Defendants against whom Complaint is made): Cook Incorporated Cook Medical LLC William Cook Europe ApS 9. Basis of Jurisdiction: Diversity of Citizenship Other: a. Paragraphs in Master Complaint upon which venue and jurisdiction lie: For purposes of remand and trial, venue is proper pursuant to 28 U.S.C. 1391 in the federal judicial district of each Plaintiff s state of residence. A substantial amount of activity giving rise to the claims occurred in this District, and Defendants may be found within this District. Therefore, venue is proper in this jurisdiction under 28 U.S.C. 1391. b. Other allegations of jurisdiction and venue: 2

Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 3 of 7 PageID #: 3 10. Defendants Inferior Vena Cava Filter(s) about which Plaintiff(s) is making a claim (Check applicable Inferior Vena Cava Filters): X Günther Tulip Vena Cava Filter Cook Celect Vena Cava Filter Gunther Tulip Mreye Cook Celect Platinum Other: 11. Date of Implantation as to each product: November 22, 2006 12. Hospital(s) where Plaintiff was implanted (including City and State): Wellmont Health System, Holston Valley Hospital, 130 West Ravine Street, Kingsport, TN 37660. 13. Implanting Physician(s): Jeffrey R. Kappa, M.D., 130 West Ravine Street, Kingsport, TN 37660. 3

Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 4 of 7 PageID #: 4 14. Counts in the Master Complaint brought by Plaintiff(s): Count I: Strict Products Liability Failure to Warn Count II: Strict Products Liability Design Defect Count III: Negligence Count IV: Negligence Per Se Count V: Breach of Epress Warranty Count VI: Breach of Implied Warranty Count VII: Violations of Applicable (insert State) Law Prohibiting Consumer Fraud and Unfair and Deceptive Trade Practices Count VIII: Loss of Consortium Count IX: Wrongful Death Count X: Survival Count XI: Punitive Damages Other: (please state the facts supporting this Count in the space, immediately below) Other: (please state the facts supporting this Count in the space, immediately below) 4

Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 5 of 7 PageID #: 5 15. Attorney for Plaintiff(s): Ben C. Martin and Thomas Wm. Arbon 16. Address and bar information for Attorney for Plaintiff(s): 3219 McKinney Avenue, Dallas, TX 75204 Ben C. Martin, State Bar No.: 13052400 Thomas Wm. Arbon, State Bar No. 01284275 Respectfully submitted, /s/ Ben C. Martin Ben C. Martin, Bar No. 13052400 Thomas Wm. Arbon, Bar No. 01284275 The Law Office of Ben C. Martin 3219 McKinney Avenue Dallas, TX 75204 Telephone: (214) 761-6614 Facsimile: (214) 744-7590 bmartin@bencmartin.com tarbon@bencmartin.com Attorneys for Plaintiff 5

Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 6 of 7 PageID #: 6 CERTIFICATE OF SERVICE I hereby certify that on June 20, 2016, a copy of the foregoing was served electronically and notice of the service of this document will be sent to all parties by operation of the Court s electronic filing system to CM/ECF participants registered to receive service in this matter. Parties may access this filing through the Court s system. A copy of the foregoing was also served via U.S. Mail to the following non-cm/ecf participants: Angela Spears Rosen & Spears 5075 Westheimer, Suite 760 Houston, TX 77056 Anthony James Urban Law Offices of Anthony Urban, P.C. 474 N. Centre Street, Third Floor Pottsville, PA 17901 Bard K. Brian 222 Kentucky Avenue, Suite 10 Paducah, KY 42001 Brian J. Urban Law Offices of Anthony Urban, P.C. 474 N. Centre Street, Third Floor Pottsville, PA 17901 Charles Rene Houssiere, III Houssiere Durant & Houssiere, LLP 1990 Post Oak Blvd., Suite 800 Houston, TX 77056-3812 Corrie Johnson Yackulic Corrie Yackulic Law Firm PLLC 315 5 th Avenue South, Suite 1000 Seattle, WA 98104-2682 George Jerre Duzane Duzane, Kooperman & Mondelli 603 Woodland Street Nashville, TN 37206-4211 Cliff W. Marcek Cliff W. Marcek, P.C. 700 South Third Street Las Vegas, NV 89101 David J. Britton Law Offices of David J. Britton 2209 N. 30 th Street, Suite 4 Tacoma, WA 98403 Jay Harris Harris, Reny & Torzewski Two Maritime Plaza, 3 rd Floor Toledo, OH 43604 Justin Kyle Brackett Tim Moore, Attorney at Law, P.A. 305 East King St. Kings Mountain, NC 28086 Marian S. Rosen Rosen & Spears 5075 Westheimer, Suite 760 Houston, TX 77056 Peter C. Wetherall Wetherall Group, Ltd. 9345 W. Sunset Road, Suite 100 Las Vegas, NV 89148 Thomas H. Terry, III 619 Calhoon Road Bay Village, OH 44140 6

Case 1:16-cv-01518-SEB-MJD Document 1 Filed 06/20/16 Page 7 of 7 PageID #: 7 Joseph A. Napiltonia Law Office of Joe Napiltonia 213 Third Avenue N orth Franklin, TN 37064 Lucas J. Foust Foust Law Office 1043 Stoneridge Drive, Suite 2 Bozeman, MT 59718 Robert M. Hammers, Jr. Jason T. Schneider, P.C. 611-D Peachtree Dunwoody Road Atlanta, GA 30328 W. Bryan Smith Morgan & Morgan, LLC 2600 One Commerce Square Memphis, TN 38103 Wilnar J. Julmiste Anderson Glenn LLP Boca Raton, FL 2201 NW Corporate Boulevard Suite 100 Boca Raton, FL 33431 /s/ Ben C. Martin Ben C. Martin 7