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Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 1 of 13 PAGEID # 1 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION ZIMMER, INC., 345 E. Main St., Suite 400 Warsaw, IN 46580 Plaintiff, v. ELK & ELK CO., LTD. c/o Arthur M. Elk, Registered Agent 6110 Parkland Blvd. Mayfield Heights, OH 44124 CASE NO. Judge COMPLAINT AND DEMAND FOR JURY TRIAL Defendant. 1. The plaintiff, Zimmer, Inc. ("Zimmer"), based in Warsaw, Indiana, develops, manufactures and sells artificial knees, hips, and other orthopedic devices. The Zimmer NexGen Knee System, introduced in 1994, is Zimmer's leading knee implant system. Today, more than forty different knee products bear the NexGen brand name. Defendant is a law firm based in Ohio. Through internet and television advertising, defendant made false and defamatory statements to the public including Zimmer customers and potential customers that the NexGen Knee System has a high failure rate, causes pain, has resulted in the recall of the NexGen CR-Flex product and is otherwise defective. Defendant made these statements knowingly, in order to attract potential clients for personal injury cases. Zimmer brings this action to remedy the resulting harm and to prevent future harm. Parties, Jurisdiction, and Venue 2. This Court has jurisdiction of this case based on diversity of citizenship under 28 U.S.C. 1332, and under 28 U.S.C. 1331 and 1367. The state law claims asserted

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 2 of 13 PAGEID # 2 herein are so related to the federal claim that they form part of the same case or controversy and derive from a common nucleus of operative facts. 3. Zimmer is a Delaware corporation with its principal place of business in Kosciusko County, Indiana. 4. Elk & Elk ("Elk") is a plaintiffs' law firm organized under and with its principal place of business in Ohio. 5. The amount in controversy in this case exceeds the sum or value of $75,000 exclusive of interest and costs. 6. Venue is proper in this Court under 28 U.S.C. 1391. Elk conducts substantial business in, and is subject to personal jurisdiction in, this district and a substantial part of the events or omissions giving rise to this litigation occurred in this District. Background Facts 7. Zimmer is a leading manufacturer and seller of artificial orthopedic implants. Zimmer's leading knee replacement system is the NexGen Knee Replacement System ("NexGen Knee System"). Since 1994, more than three million NexGen Knee System components have been implanted in patients worldwide. Zimmer's NexGen Knee System components consistently demonstrate among the lowest rate of revision in national joint replacement registries around the world. 8. These data reflecting the high performance of the NexGen Knee System were collected independent of Zimmer and are publicly available. 9. Beginning in earnest in 2010 and continuing into 2011, certain members of the bar, including Elk, began aggressive advertisements directed at Zimmer and its NexGen Knee System. 2

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 3 of 13 PAGEID # 3 10. However, instead of accurately informing potential claimants regarding the performance of the NexGen Knee System, Elk's advertisements against Zimmer and its NexGen Knee System made false and misleading statements of fact and were otherwise grossly misleading regarding the performance of the Zimmer NexGen Knee System. Contradicting excellent independent publicly-available scientific data to the contrary, these advertisements intentionally, recklessly or negligently conveyed the false implication that the Zimmer NexGen Knee System implants are failing at an alarming and excessive rate, causing pain and other hardship to significant numbers of patients. 11. Elk, through these advertisements, intended to and did cause needless fear, anxiety and apprehension among patients with Zimmer NexGen Knee System implants. Elk's false and misleading statements have also caused great unnecessary apprehension and concern among surgeons and have damaged Zimmer's reputation generally. False and Misleading Television Advertisements and Websites 12. Elk has distributed a television advertisement (the "Elk Spot") that solicits potential clients by making false, misleading, and defamatory statements about Zimmer and the NexGen Knee system, particularly the Zimmer NexGen CR-Flex. 13. The Elk spot stated "Attention, the FDA issued a recall of certain components of the Zimmer NexGen CR-Flex knee replacement." 14. While showing a picture of a knee x-ray in the background, the Elk Spot showed letters on the screen reading "Zimmer NexGen CR-Flex KNEE RECALL AFFECTS more than 68,000 products!" a. CLASS 2 RECALL Zimmer NexGen CR-Flex KNEE REPLACEMENT b. RECALLED Zimmer NexGen CR-Flex KNEES cause 3

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 4 of 13 PAGEID # 4 PAIN IN THE KNEE AND JOINTS TROUBLE WALKING AND STANDING 15. Elk established and controls a website for recruiting plaintiffs in personal injury cases. The website (www.elkandelk.com) stated that Elk is a personal injury law firm that represents people burdened by injury (the "Elk Website"). 16. A page on the Elk Website, a true and accurate copy of the quoted part of which is attached hereto as Exhibit A and incorporated herein by reference, stated "The media have reported that some patients who received the Zimmer knee replacements reported to the U.S. Food & Drug Administration that the pain and discomfort of the NexGen CR-Flex knee implant they were using became so severe they needed revision surgery within a year of the initial implant and, in most cases, researchers have found that the complications and eventual need for revision surgery arose from the implants coming loose from the bone sockets and surfaces into which they were inserted." 17. Another page on the Elk Website made the following statements a. "According to the Ohio product defect lawyers at Elk & Elk, recipients of the NexGen knee implant may require secondary surgery to correct pain and other complications caused by the implant." b. "The FDA is currently reviewing complaints of the Zimmer NexGen Knee Implant, which has a high failure rate." 18. The Elk Spot and the Elk Website flagrantly misrepresented and implied to Zimmer's valued customers nationwide that Zimmer s NexGen brand of knees and the NexGen CR-Flex are defective and dangerous. The false and misleading statements in the Elk 4

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 5 of 13 PAGEID # 5 Spot and the Elk Website badly damaged Zimmer's reputation among and business relationships with patients and the recipient doctors and hospitals who are Zimmer's customers. 19. The Elk Spot and the Elk Website also created anxiety and fear in healthcare professionals who implant the NexGen brand of knees and the NexGen CR-Flex to help their patients live a more pain free and vastly improved quality of life and in the patients themselves. 20. Elk designed the Elk Spot and Elk Website with the intent of distributing false, misleading, and defamatory information about Zimmer, targeting Zimmer, the surgeons who utilized its products, and the joint replacement patients who received its products, in order to solicit clients. Cease and Desist Letter 21. On March 31, 2011, Zimmer sent a letter to Elk demanding that Elk cease and desist distributing the defamatory statements (the "Cease and Desist Letter"). 22. The Cease and Desist Letter expressly reminded Elk of some of the publicly available information proving Elk's defamatory statements to be false and misleading. Damages 23. Elk's dissemination of the false and defamatory statements has damaged Zimmer's reputation causing it to lose sales and profits and otherwise interfering with its relationships with customers including patients, physicians and hospitals. Many doctors and patients have communicated to Zimmer that the advertisements are causing them to consider using knee implants sold by Zimmer's competitors. 5

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 6 of 13 PAGEID # 6 Northern District of Indiana Litigation 24. On May 10, 2011, Zimmer filed a Second Amended Complaint in a lawsuit pending in the United States District Court for the Northern District of Indiana, South Bend Division, Case No. 311-cv-00063-RLM-CAN, and added Elk as a defendant in that lawsuit. 25. On October 24, 2011, the Court granted Elk's Motion to Dismiss for Lack of Personal Jurisdiction. Count I Defamation 26. Zimmer incorporates by reference the allegations in paragraphs 1 through 25 above. 27. Elk's statements are of and concerning Zimmer, and persons who read, hear, or have read or heard Elk's statements would reasonably understand the references therein to be references to Zimmer. 28. Elk's statements are defamatory per se. 29. Elk's statements imply that Zimmer's products are defective and impute misconduct in Zimmer's trade. 30. Alternatively, Elk's statements are defamatory per quod. 31. Elk made the defamatory statements with malice, ill will, and a reckless disregard for their truth or falsity. 32. Elk made the defamatory statements with a negligent or malicious disregard for their truth or falsity. 6

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 7 of 13 PAGEID # 7 33. Elk's statements were published on several occasions, including when published on the internet and television. Elk knew and intended, or should have known, that the statements would be published repeatedly. 34. Elk's statements tend to harm Zimmer's reputation by lowering Zimmer in the community's estimation, and by deterring third persons from dealing or associating with Zimmer. 35. Elk made the defamatory statements for its own commercial purposes, to attract potential clients. 36. As a direct and proximate result of the above-described conduct by Elk, Zimmer has suffered general, presumed, and special damages in an amount to be determined at trial, including without limitation damage to Zimmer's reputation, business with customers, and standing in the community. 37. Elk's conduct was oppressive, fraudulent, and malicious and warrants an award of punitive damages to deter Elk and others similarly situated from engaging in such conduct in the future. Count II Tortious Interference With Business Relationships 38. Zimmer incorporates by reference the allegations in paragraphs 1 through 37 above. 39. Zimmer has ongoing business relationships with its customers, including but not limited to surgeons and other physicians, hospitals, and patients. Elk has knowledge of those relationships. 40. Elk's statements have interfered with Zimmer's relations with its customers. 7

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 8 of 13 PAGEID # 8 justification. 41. Elk's interference was intentional, malicious, illegal, and without 42. Zimmer has sustained damages as a result of Elk's wrongful interference with its customer relationships. 43. Elk's conduct, as alleged above, constitutes malicious, oppressive, fraudulent, willful, and wanton tortious behavior, in blatant and reckless disregard of Zimmer's rights, for which Zimmer should recover punitive damages in an amount sufficient to deter Elk and other persons similarly situated from engaging in future similar conduct. 43 above. Count III False Advertising And Unfair Competition Under The Lanham Act 44. Zimmer incorporates by reference the allegations in paragraphs 1 through 45. Elk has engaged in an advertising campaign that contains false and misleading statements in violation of Section 43(a) of the Lanham Act (15 U.S.C. 1125(a)). 46. These false and misleading statements are material because they are likely to adversely affect consumer purchasing decisions with respect to Zimmer products, and have misled consumers and causing damages to Zimmer that cannot be fully calculated. 47. Unless this Court enjoins Elk from continuing to make these false and misleading statements and orders their retraction, the false and misleading statements will continue to harm the general public, which has an interest in being free from mistake and deception. 48. Unless this Court enjoins Elk from continuing to make these false and misleading statements and orders their retraction, the false and misleading statements will 8

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 9 of 13 PAGEID # 9 continue to cause Zimmer to suffer a loss of consumer confidence, sales, profits, reputation and goodwill. 49. Zimmer's reputation and goodwill have been irreparably harmed because Elk's false and misleading statements deceive consumers and cause them to lose confidence in Zimmer and its products. 50. If Elk is permitted to continue to make such false and misleading statements, Zimmer will suffer further irreparable harm by the continued spread of false statements to consumers. 51. Elk's false and misleading statements are willful, with malicious and deceptive intent, making this an exceptional case. 52. By reason of Elk's acts, Zimmer's remedy at law is not adequate to compensate it for the injuries inflicted by Elk. Accordingly, Zimmer is entitled to preliminary and permanent injunctive relief pursuant to 15 U.S.C. 1116. 53. By reason of Elk's willful acts, Zimmer is entitled to damages, which damages may be trebled under 15 U.S.C. 1117. 54. This is an exceptional case making Zimmer eligible for an award of attorneys' fees under 15 U.S.C. 1117. 54 above. Count IV Product Disparagement And Unfair Competition Under Common Law 55. Zimmer incorporates by reference the allegations in paragraphs 1 through 56. Elk's false and misleading statements constitute product disparagement and unfair competition in violation of common law. 9

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 10 of 13 PAGEID # 10 57. Elk's false and misleading statements have misled and tend to mislead consumers to believe that Zimmer's NexGen line of products is defective, that Zimmer has ignored or failed to correct the alleged defects, and that Zimmer is an irresponsible, dishonest and disreputable business. 58. Elk's false and misleading statements constitute willful, deliberate and reckless efforts to cause consumers to doubt the safety of and refrain from purchasing Zimmer's products. 59. Elk's false and misleading statements have caused Zimmer to lose sales and customers, and have caused Zimmer actual economic injury and irreparable injury to its goodwill, reputation, and consumer confidence in Zimmer's products. 60. Elk's conduct is continuing and, unless defendants are enjoined from engaging in their wrongful conduct, Zimmer will continue to suffer irreparable injury and harm for which it has no adequate remedy at law. WHEREFORE, Zimmer respectfully requests that the Court 1. After trial by jury, award Zimmer actual, presumed, special, and punitive damages in amounts to be determined at trial; 2. Enter an injunction enjoining Elk, its members, officers, agents, directors, employees, attorneys, representatives, affiliates, subsidiaries, servants, successors, and assigns, and all those persons in active concert or participation with any of them or acting on their behalf, from the following acts a. Making any false, misleading, libelous, slanderous, defamatory, or disparaging statements or engaging in false, misleading or unfair trade practices or tortious interference with business relationships, including without limitation 10

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 11 of 13 PAGEID # 11 stating, claiming, suggesting, intimating or implying in any manner whatsoever that any of Zimmer's NexGen line of products is dangerous or defective or fails at an excessive rate or that Zimmer is an irresponsible, dishonest or disreputable business; b. Making any other false, misleading, slanderous, disparaging or defamatory statements about Zimmer, Zimmer's NexGen Knee System, or any other Zimmer product; and c. Otherwise engaging in acts, either directly or through other entities, of false advertising, product disparagement, libel, slander, unfair and deceptive trade practices, unfair competition, or tortious interference with actual or prospective business relations; 3. Enter an order requiring Elk immediately to place corrective advertisements in a form, frequency and manner that is acceptable to Zimmer and the Court that expressly (1) notifies the public of the Court's findings and (2) apologizes for defendants' unlawful conduct; 4. Enter an order requiring Elk to notify, in a form and manner that is acceptable to Zimmer and the Court, the recipients of its false, misleading, defamatory, libelous, slanderous and disparaging statements that Zimmer's NexGen line of products is not dangerous or defective or fails at an excessive rate, and to apologize for Elk's unlawful conduct; 5. Enter an order requiring Elk to file with the Court and serve upon Zimmer, within thirty (30) days after the entry of such order, a report in writing and under oath setting forth in detail the manner and form in which it has complied with the injunction, including, without limitation, the specific measures that were taken to ensure that (1) Elk's members, 11

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 12 of 13 PAGEID # 12 lawyers, officers, salespersons, agents, and employees have actual knowledge of the injunction and that said persons are in full compliance with the injunction, (2) the unlawful conduct that is the basis for these claims does not continue to occur, and (3) the remedial action was taken against Elk's members, lawyers, officers, salespersons and employees on account of Elk's unlawful conduct; 6. Declare that Elk's false, misleading, defamatory, libelous, slanderous and disparaging statements were knowing and willful; 7. Award pre-judgment and post-judgment interest; 8. Award pre-judgment and post-judgment interest; 9. Award all such other and further relief, in law or in equity, to which Zimmer may be entitled or which the Court deems just and proper. Respectfully submitted, s/ Victoria L. Nilles Gregory G. Lockhart (0007791) Victoria L. Nilles (0076616) Trial Attorney TAFT STETTINIUS & HOLLISTER LLP 40 North Main Street, Suite 1700 Dayton, OH 45423 Phone (937) 228-2838 Fax (937) 228-2816 glockhart@taftlaw.com vnilles@taftlaw.com Attorneys for the Plaintiff, Zimmer, Inc. 12

Case 311-cv-00397-TMR Doc # 1 Filed 11/07/11 Page 13 of 13 PAGEID # 13 PLAINTIFF'S DEMAND FOR JURY TRIAL Pursuant to Rule 38(b) of the Federal Rules of Civil Procedure, the plaintiff, Zimmer, Inc., demands a trial by jury in this action. s/ Victoria L. Nilles Victoria L. Nilles 13

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