Two former senior executives were indicted with violations of the Food, Drug, and Cosmetic Act relating to the introduction of adulterated or misbranded medical devices into interstate commerce, a violation of law. The indictment alleges that the two executives marketed a device for uses not approved by FDA, i.e., off-label uses. The executives have not been convicted.

The device had been reviewed by FDA as a product providing a specific type of treatment. However, the executives later marketed it for a different treatment that had been specifically refused by FDA. Though FDA initially refused, it might have allowed marketing if the company would have submitted further documentation to support the indication, such as additional testing and clinical data. Because the company was later sold, in large part because of the attractive revenue stream from the device, the executives have also been charged with conspiracy, securities fraud, and wire fraud.

We will not get into the details of the case here, except to note that the executives allegedly concealed the illegal promotion and distribution of the device when pursuing potential purchasers of the company.

AGG Observations

  1. The company indicated to FDA that the product would be marketed for one use and later marketed it for another, even after FDA had specifically refused marketing for the second use. This is a particularly egregious fact pattern.
  2. The two executives will be prosecuted by the Justice Department, with the assistance of FDA’s Office of Chief Counsel. The case shows that there can be potential individual liability for the adulteration or misbranding of medical devices, and there are many agencies interested in prosecuting these cases. The United States Supreme Court has upheld individual prosecution where the individuals were in a position of responsibility to stop the violation.
  3. Individual liability in these cases extends beyond monetary penalties; the charging statutes in this case provide for a maximum prison sentence of up to three years for each count for violations of the FDC Act. There are ten counts of such violations in this case. Most violations are subject only to a maximum of one year in prison or $1,000, or both. However, when a violation is found to have occurred with the intent to defraud or mislead, the penalty is imprisonment for “not more than three years or fined not more than $10,000, or both.”
  4. The company was acquired in 2010 by a company specifically interested in the device at issue in the case. The case highlights the need for a very thorough diligence review prior to acquisition. The case also shows how liability can act as a Sword of Damocles for years after the actions giving rise to charges of adulteration or misbranding actually occurred. The threat of agency action and/or prosecution can and will hang over a company for many years following illegal activities.