The duty to inform the doctor exists only with respect to those risks that are already known at the time of treatment.

a) A duty to inform the doctor exists only with respect to those risks that are already known at the time of treatment.
b) The appellant, who triumphs in the first instance, may rely not only on timely notification that, and for what reasons, the Appeals Tribunal does not wish to follow the appraisal of the lower court, but also to obtain an opportunity to supplement his case-statement effectively or to take further evidence.
c) § 531 para. 2 sentence 1 No. 1 ZPO presupposes that the legal opinion of the court has influenced the first-instance substantive submissions of the party and has therefore become (co-) the reason for the fact that party submissions have been postponed to appeal proceedings. However, this is already to be assumed if the court of the first instance, had it shared the later considered correct by the Court of Appeal, had been obliged to make a reference under Section 139 para. 2 ZPO.

BGH DECISION VI ZR 370 / 17 of 29. May 2018

BGB § 280, § 823 Abs. 1 Aa, I; GG Art. 103 Abs. 1; ZPO § 531 Abs. 2 Continue reading

Pharmaceutical wholesalers are not required to charge a minimum price for prescription medicines

On the admissibility of discounts and discounts in pharmaceutical wholesaling in the case of dispensing prescription medicines to pharmacies

Judgment of the 5. October 2017 - I ZR 172 / 16

The I. Civil Senate of the Federal Supreme Court, which is responsible for competition law, has today ruled that pharmaceutical wholesalers are not obliged to levy a minimum price when dispensing prescription medicines to pharmacies.


The defendant is a pharmaceutical wholesaler distributing prescription drugs (so-called Rx articles). She advertised in an information leaflet and on her website by offering her pharmacy customers a discount of 70% plus 3% discount on the discounted price on all Rx items up to 2,5 € and a discount of 70% plus 2 from 2,5 € up to the high price limit % Discount on the discounted price.

The plaintiff, the center for combating unfair competition, sees this as a violation of the price regulations in § 78 of the Medicines Act (AMG) and § 2 of the Pharmaceutical Price Regulation (AMPreisV) in the since 1. January 2012 applicable version. It has claimed the defendant for injunctive relief and compensation for charges. Continue reading

A patient can easily ask the treating hospital to return all treatment documents

Ein Patient kann vom behandelnden Krankenhaus – gegen Kostenerstattung – ohne weiteres die Herausgabe aller Behandlungsunterlagen verlangen. Namen und Anschriften der an seiner Behandlung beteiligten Ärzte muss das Krankenhaus aber nur dann mitteilen, wenn der Patient ein berechtigtes Interesse an diesen Daten nachweist. Das hat der 26. Zivilsenat des Oberlandesgerichts Hamm am 14.07.2017 entschieden und damit das erstinstanzliche Urteil des Landgerichts Bochum vom 27.07.2016 (Az. 6 O 9/16 LG Bochum) bestätigt. Continue reading

§ 12a ApoG: Sachkundiger Apotheker soll die “Heimapotheke” kostenlos führen und für den nicht abgegoltenen Aufwand einen finanziellen Ausgleich erhalten

a) The home care contract, which closes the pharmacist with the home carrier according to § 12a Abs. 1 ApoG, is its legal nature, subject to official approval, under private law, acting in favor of the resident framework contract, the central care of the residents by the in the Contract certain pharmacy legally legalized.
b) Die gesetzliche Regelung in § 12a ApoG verfolgt eine doppelte Zielrichtung. Einerseits will der Gesetzgeber den Heimen im Sinne des § 1 HeimG einen sachkundigen Apotheker zur Seite stellen, der die “Heimapotheke” kostenlos führt. Andererseits soll der Apotheker für den nicht abgegoltenen Aufwand einen (potentiellen) finanziellen Ausgleich dergestalt erhalten, dass er die Heimbewohner im Rahmen eines auf längere Dauer angelegten Ver-tragsverhältnisses mit Arzneimitteln beliefert.
c) A contracting party that terminates the contractual relationship by failing to observe an agreed period of notice violates its obligation to take due consideration under § 241 para. 2 BGB and commits a breach of duty within the meaning of § 280 para. 1 sentence 1 BGB (following BGH, judgment of 16 January 2009 - V ZR 133 / 08, NJW 2009, 1262).

BGH JUDGMENT III ZR 446 / 15 of the 14. July 2016

BGB § 280 Abs.1; ApoG § 12a Abs. 1 Continue reading

Even with a signed election service contract, cancellation fees are inadmissible if the surgery appointment is canceled

Cancellation of surgery appointment

General terms and conditions in a choice performance contract with a clinic, according to which the patient is obliged to pay damages if he or she rejects an appointment for surgery, are usually ineffective.

The defendant from Munich joined the 19.06.2015 with a beauty clinic in Munich, Germany, for a ballot treatment and agreed on a surgery appointment to use the balloon for the 31.07.2015.

The Agreement includes, but is not limited to, the following terms and conditions:

In the event of cancellation or postponement of an intervention date promised by the patient, the (name of the clinic) will always charge a management fee of 60 Euro gross. (??)
In the absence of the patient on the day of the intervention or a short-term cancellation of the intervention date, the (name of the clinic) also charges a cancellation fee. (??)

It amounts to with refusal:

- less than 14 days before surgery 40%
- within 7 days before procedure 60%
- within 48 hours before the procedure -or-
- in the absence on the intervention day 100%
of the total amount invoiced gross.

At the 29.07.2015, the woman from Munich said the appointment first by phone and then in writing. The beauty clinic put her an invoice for 60 percent of the treatment fees, a total of 1494 Euro. The defendant did not pay. As a result, the billing firm of the beauty clinic filed a lawsuit to the district court of Munich.
The competent judge dismissed the action. The terms and conditions of the beauty clinic are ineffective.

The required cancellation fee ?? exceed the normally expected damage and be unreasonably high. Because the patient must pay in case of a cancellation within 48 hours before the intervention not only 100 percent of the gross amount but also pay an administrative fee of 60 Euro. The patient must therefore pay more for the short-term cancellation of the procedure than he would have to pay to perform the procedure. Such a high damage is completely unrealistic and obviously one-sided in favor of the user? so the court. Furthermore, the scheme does not take into account that, in the event of cancellation of surgery, the clinic would save on expenses such as medicines and consumables, electricity and cleaning costs to be deducted in favor of the patient.
The clause discriminates against the patient inappropriately, the court says.
?? Since the use of a curative treatment requires an increased personal relationship of trust between the practitioner and the patient, it is generally accepted that the latter can terminate the treatment contract at any time in accordance with §§ 621 Nr. 5, 627 BGB without specifying factual (or even important) reasons to have to?? the court continued, stating a judgment of the Federal Court. The patient must always have the opportunity to freely decide whether he wants to allow an intervention in the body or his health. "The economic interests of the practitioner must be reduced to the protection of the patient's interest in the protection of the patient's health," the grounds for the judgment.

Judgment of the local court of Munich from the 28.01.2016 file number 213 C 27099 / 15

The judgment is final.

No claim of the patient against the hospital operator on disclosure of the private address of a hired doctor

The plaintiff, who has been hospitalized in the defendant's facility, claims damages for these and two doctors employed by her. Initially, one of the doctors could not file the lawsuit under the clinic's name because the plaintiff's representative had not given the name correctly. After correcting the name, the delivery was successful. Nevertheless, the plaintiff requested information from the clinic about the private address of the doctor concerned. This was rejected by the defendant.

The district court dismissed the action. The district court has condemned the defendant for information, because anonymity is not compatible with the nature of the doctor-patient relationship. It allowed the revision. Continue reading

Burden of proof for a breach of the obligation to inform a re-pregnancy

The burden of proof for a violation of the obligation to inform a re-pregnancy has the patient. It must therefore be certain that the reference to the failure rate has been omitted.

OLG Hamm 26 U 112 / 13 vom 17.06.2014 - Information on the possibility of pregnancy despite sterilization Continue reading

Liability for a partly fateful, partly caused by treatment error health damage on the occasion of a birth

The plaintiff suffered severe damage to his health in connection with his birth. Therefore, he claimed the treating gynecologist, the midwife, a pediatric nurse and the carrier of the document hospital for damages.

Im ersten Teil des Verfahrens erging zum Anspruchsgrund ein rechtskräftiges Grund- und Teilendurteil des Oberlandesgerichts. In diesem wurde festgestellt, dass die Beklagten als Gesamtschuldner verpflichtet sind, dem Kläger sämtliche Schäden zu ersetzen, die dem Kläger “anlässlich und aufgrund der Behandlung durch die Beklagten nach seiner Geburt” entstanden sind und noch entstehen werden. Im vorliegenden Verfahrensabschnitt ging es um die Höhe des dem Kläger zustehenden Schadensersatzes. Das Oberlandesgericht hat insoweit entschieden, dass sich aus dem vorangegangenen Grundurteil eine Bindungswirkung dahin ergebe, dass die Beklagten nur für die Schäden hafteten, die dem Kläger nach seiner Geburt entstanden seien. Insoweit sei der von den Beklagten verursachte Schadensanteil auf höchstens 20 % zu begrenzen. Continue reading

Dentist has a patient about a prosthetic restoration by means of single crowns or a blockage completely clear

A dentist should fully educate a patient about prosthetic restoration using single crowns or interlocking if both treatments are medically equally indicated and commonplace and have substantially different risks and chances of success so that the patient has a real choice.

Higher Regional Court Hamm, 26 U 54 / 13 of the 17.12.2013

§§ 823, 253, 249ff BGB Continue reading
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