MEMORANDUM

          EDUARDO C. ROBRENO, District Judge.

          The issue before the court is whether, after a case has been properly removed from the state court on the basis of diversity jurisdiction, the court may allow the permissive joinder of a party which would destroy the court's diversity jurisdiction and remand the case to state court. The court finds that it may when, as here, it is fair and equitable to do so and when joinder and remand would promote judicial economy.

         I. Background

         In this products liability action, plaintiff, Bart Massaro, alleges that while at the hospital receiving care for a post-operative infection, a peripherally inserted central catheter (" PICC" ) manufactured by defendant, Bard Access Systems, Inc. (" Bard" ), was inserted into his left arm to allow plaintiff to take antibiotics at home. When the medical staff tried to remove the PICC, the PICC broke and a vascular surgeon attempting to remove it could not find the lost fragment. The line eventually was removed from plaintiff's lung via a groin procedure. The plaintiff claims that the PICC line was defective and the defect harmed plaintiff, causing him injuries. Plaintiff asserts claims of negligence and strict liability seeking damages in an amount in excess of $50,000.

         The complaint was originally filed in the Philadelphia Court of Common Pleas of Philadelphia County on February 5, 2002. The complaint was reinstated April 5, 2002 and served on defendant on April 10, 2002. On May 1, 2002, defendant was served with a motion to consolidate this case with another case initiated by plaintiff against the medical practitioners who attempted to remove the PICC line. Defendant filed a Notice of Removal on May 3, 2002. Defendant maintains that this court has subject matter jurisdiction over plaintiff's claims because the parties are diverse, and, while the complaint seeks damages in excess of $50,000, the extent of plaintiff's injuries and the damages sought are in excess of $75,000.

         On May 17, 2002, plaintiff filed a motion to join the nondiverse medical practitioners to this case and to remand to state court. According to plaintiff, in July 2001, plaintiff instituted an action in state court against the medical practitioners who attempted to disconnect the PICC line, and broke it in the process. During the course of discovery in the original state court action, plaintiff learned that the PICC line may have been defectively designed or manufactured, and that the specific PICC line was manufactured by Bard Access Systems, Inc., defendant here. Upon learning that defendant was the manufacturer of the PICC line involved, plaintiff filed his complaint against Bard on February 5, 2002. Plaintiff requests that the nondiverse defendants in the first action be joined as defendants in this action and that the action be remanded to the Philadelphia Court of Common Pleas to be tried as one case. Plaintiff points for support to 28 U.S.C. § 1447(e) which provides " [i]f after removal the plaintiff seeks to join additional defendants whose joinder would destroy subject matter jurisdiction, the court may deny joinder, or permit joinder and remand the action to the State court." This case raises three questions: one, are the medical practitioners indispensable parties? two, if the medical practitioners are not indispensable parties, does § 1447(e) allow the joinder of a party whose joinder will destroy diversity and compel remand of the case to the state courts? three, if so, is permissive joinder and remand appropriate in this case?

         II. Discussion

         A. Are the Medical Practitioners Necessary or Indispensable Parties?

          " [C]ourts and the public have an interest in promoting trial convenience, expediting the settlement of disputes, and preventing multiple lawsuits." Field v. Volkswagenwerk AG, 626 F.2d 293, 299 (3d Cir.1980). To this end, the Federal Rules of Civil Procedure provide a mechanism for the joinder of parties to an ongoing litigation. See FedR.Civ.P. 19; Fed.R.Civ.P. 20. Under Rule 19, compulsory joinder is required when the party whose joinder is proposed is either indispensable or necessary to the litigation. The purpose of Rule 19 is to bring " before the court all persons whose joinder would be desirable for a just adjudication of the action." Field, 626 F.2d at 299. By contrast, under Rule 20, permissive joinder is appropriate where a party has an interest " even when that interest is not so strong as to require his joinder as a necessary or indispensable party under Rule 19." Id. Under Rule 20, a party " may be joined in certain circumstances because of a common interest in a question of law or fact, even though they have no substantive right [under Rule 19] to compel joinder." Id.

          The court finds that the nondiverse medical practitioners in this case are not necessary or indispensable parties whose joinder is mandatory under Rule 19. Rather, the defendants are permissive parties under Rule 20 and joinder may be directed by the court depending on the circumstances.

         Illustrative is Temple v. Synthes Corp., Inc., 498 U.S. 5, 111 S.Ct. 315, 112 L.Ed.2d 263 (1990), where the plaintiff filed a diversity suit in federal court against a manufacturer, alleging defective design and manufacture of a medical device used on plaintiff, and simultaneous suit against doctor and hospital in state court. Id. at 5, 111 S.Ct. 315. The manufacturer filed a motion to dismiss for failure to join a necessary and indispensable party pursuant to Rule 19, which the district court granted. Id. at 6, 111 S.Ct. 315. In holding that the case was improperly dismissed on this basis, the Supreme Court noted that " [i]t has long been the rule that it is not necessary for all joint tortfeasors to be named as defendants in a single lawsuit." Id. at 7, 111 S.Ct. 315. Rather, in Temple, the medical practitioners were joint tortfeasors who " were merely permissive parties" whose joinder was subject to the constraints of Rule 20. Id. at 8, 111 S.Ct. 315; see also Todd v. Merrell Dow Pharmaceuticals, Inc., 942 F.2d 1173, 1176 (7th Cir.1991) (health care provider who prescribed medication was not an indispensable party under Rule 19 in a suit against manufacturer of medication); Fed.R.Civ.P. 19(a) advisory committee's note (" [A] tortfeasor with the usual ‘ joint-and-several’ liability is merely a permissive party to an action against another with like liability." ).

         Similarly, in this case, the medical practitioners are joint tortfeasors who are neither necessary nor indispensable parties under Rule 19. Rather, as the Supreme Court explained in Temple, joint tortfeasors are permissive parties whose joinder is subject to an analysis of their interest in the litigation under Rule 20. Temple, 498 U.S. at 8, 111 S.Ct. 315.

         B. Does § 1447(e) Allow for Permissive Joinder and Remand?

          The next question is whether § 1447(e) authorizes a district court to allow permissive joinder of a nondiverse defendant under Rule 20 which would destroy the court's diversity jurisdiction and remand the removed case to state court. It appears that it does for several reasons.

         One, the plain language of § 1447(e) allowing joinder makes no distinction between indispensable and permissive joinder. Two, pre-1447(e) cases generally failed to distinguish between dispensable and indispensable parties when determining whether to join a party whose joinder would require remand. Instructive is Hensgens v. Deere & Co., 833 F.2d 1179 (5th Cir.1987), a suit against a manufacturer of a tractor, where plaintiff sought to amend to join a non-diverse defendant who sold the tractor to plaintiff. The court explained:

We are confronted with competing interests. On one hand, there is the danger of parallel federal/state proceedings with the inherent dangers of inconsistent results and the waste of judicial resources. On the other side, the diverse defendant has an interest in retaining the federal forum ... We conclude that the balancing of these competing interests is not served by a rigid distinction of whether the proposed added party is an indispensable or permissive party. Instead, the district court, when confronted with an amendment to add a nondiverse nonindispensable party, should use its discretion in deciding whether to allow that party to be added. If the court grants the joinder, it must, ... remand the case to state court. If it denies the joinder, it cannot remand.

Because the court's decision will determine the continuance of its jurisdiction, the addition of a nondiverse party must not be permitted without consideration of the original defendant's interest in the choice of forum. The district court, when faced with an amended pleading naming a new nondiverse defendant in a removed case, should scrutinize that amendment more closely than an ordinary amendment. Rule 15(a) of the Federal Rules of Civil Procedure provides that leave to amend " should be freely given when justice so requires," and Rule 20 permits joinder of proper parties. In this situation, justice requires that the district court balance the defendant's interests in maintaining the federal forum with the competing interests of not having parallel lawsuits. For example, the court should consider the extent to which the purpose of the amendment is to defeat federal jurisdiction, whether plaintiff has been dilatory in asking for amendment, whether plaintiff will be significantly injured if amendment is not allowed, and any other factors bearing on the equities. The district court, with input from the defendant, should then balance the equities and decide whether amendment should be permitted.

Id. at 1182 (footnote and citations omitted) (emphasis added).

         Three, a review of the legislative history of § 1447(e) suggests that its enactment was intended to codify the flexible approach toward joinder of non-diverse parties adopted in Hensgens. See, e.g., Yniques v. Cabral, 985 F.2d 1031, 1034 (9th Cir.1993). As the legislative history explains, " [Section 1447(e)] takes advantage of the opportunity opened by removal from a state court to permit remand if a plaintiff seeks to join a diversity-destroying defendant after removal. Joinder coupled with remand may be more attractive than either dismissal under Rule 19(b) or denial of joinder...." . Id. (citing H.R.Rep. 100-889, at 72-73 (1988), reprinted in 1998 U.S.C.C.A.N. 5982, 6033); see also 14A C. Wright, A. Miller & E. Cooper, Federal Practice and Procedure 2d § 3739, at 445 (1998) (" [T]he amendment of Section 1447(e) gives the court more flexibility than a strict Rule 19 analysis does by not requiring dismissal of the action following mandatory joinder of a necessary nondiverse defendant-or even an indispensable party, although ... that will usually occur." ).

         Four, consistent with this approach, since the enactment of § 1447(e), several courts have permitted joinder under Rule 20 and remanded to state court applying the factors outlined in Hensgens. Wilson v. Famatex GmbH Fabrik Fuer Textilausruestungsmaschinen, 726 F.Supp. 950 (S.D.N.Y.1989) is on point. In Wilson, during discovery in a products liability case against a manufacturer, plaintiff learned of information that allowed him to assert an allegation against a nondiverse treating physician for medical malpractice. Id. at 951. Plaintiff sought leave to amend to join the nondiverse defendant. After finding that the requirements for Rule 20 permissive joinder were satisfied, id. at 952, the court explained:

Fulfillment of the requirements of Rule 20, however, is not alone enough to warrant granting the [plaintiffs'] motion. Permissive joinder rests with the sound discretion of the Court, which must determine if joinder will comport with the principles of fundamental fairness. Although it is within the sound discretion of the court to permit a proper party to be joined even if the citizenship of that party destroys diversity and requires a remand, as it would here, careful consideration of the principles of fundamental fairness is especially important in such a case.

Id. (quotations omitted) (citing three pre- § 1447(e) New York district court cases holding same). After finding that the plaintiff's motion was not motivated by a desire to force his choice of forum but rather to avoid multiplicity of suits arising out of the same sequence of events, the court granted the motion to amend and remanded the case pursuant to § 1447(e). Id. at 952-53.

          Similarly, in Rodriguez v. Abbott Labs., 151 F.R.D. 529 (S.D.N.Y.1993), after filing two separate state court suits against a nondiverse hospital for malpractice and a drug manufacturer for product liability, which were consolidated in state court, the plaintiff brought a third suit against a second diverse manufacturer after learning that it regularly sold the drug to the original manufacturer defendant. Id. at 531. The diverse defendant removed to federal court and the plaintiff sought to join the hospital and to remand to state court. The court found that the requirements of permissive joinder under Rule 20 were met. Id. at 533. In addition, the court explained that it must next determine whether joinder would " comport with principles of fundamental fairness." Id. (citing Wilson, 726 F.Supp. at 952). After finding plaintiff's motives to join sound, the court joined the nondiverse permissive party and remanded pursuant to § 1447(e). Id.; see also Desert Empire v. Ins. Co. of North America, 623 F.2d 1371, 1375-76 (9th Cir.1980) (in a pre § 1447(e) case, district court's joinder of permissive party and remand to state court affirmed where doing so " comport[s] with principles of fundamental fairness" ); Wyant v. Nat'l R.R. Passenger Corp., 881 F.Supp. 919, 922-25 (S.D.N.Y.1995) (granting permissive joinder pursuant to Rule 20 and remanding case to state court pursuant to § 1447(e), after finding that such a result comports with fundamental fairness); Horton v. Scripto-Tokai Corp., 878 F.Supp. 902, 909-911 (S.D.Miss.1995) (same); Gursky v. Northwestern Mutual Life Ins. Co., 139 F.R.D. 279, 282-83 (E.D.N.Y.1991) (same); cf. Buttons v. Nat'l Broad. Co., Inc., 858 F.Supp. 1025, 1027 (C.D.Cal.1994) (plaintiff's motion to amend (to join nondiverse parties) and remand denied because the claims against the new proposed nondiverse defendants were " highly questionable" and the primary motive for joinder appears to be to destroy diversity).

         For all of these reasons, the court concludes that under § 1447(e), it may allow permissive joinder pursuant to Rule 20 and remand the case to state court, if doing so would be fair and equitable, and promote judicial economy.           C. Is Joinder under Rule 20 and Remand under § 1447(e) Appropriate in this Case?

         In Hensgens, the Fifth Circuit set forth factors for courts to consider in determining whether joinder of a party whose joinder would destroy diversity and remand under § 1447(e) should be allowed: (1) the extent to which the purpose of the amendment is to defeat federal jurisdiction; (2) whether plaintiff has been dilatory in asking for amendment; (3) whether plaintiff will be significantly injured if amendment is not allowed; and (4) any other factors bearing on the equities. See Hensgens, 833 F.2d at 1182.

          Applying the Hensgens factors to this case, plaintiff does not appear to be seeking joinder and remand for the sole purpose of destroying federal subject matter jurisdiction. Rather, plaintiff motivation is to avoid the burden of prosecuting two claims arising from the same set of facts in two separate forums, particularly in light of the fact that each defendant, in separate forums, will likely point to the proverbial empty chair of the other defendant as the more culpable party. By contrast, the defendant does not point to any concrete interest which will be adversely affected by the remand. Thus, it would not be unfair to defendant to remand to state court.

         In addition, plaintiff has not been dilatory in his pursuits. Plaintiff did not delay in seeking to join the medical practitioners until after Bard removed to federal court. Rather, as soon as plaintiff learned that Bard may be liable for the injuries plaintiff suffered, he quickly filed a second suit against Bard and sought to consolidate it with the original suit against the medical practitioners, as per the practice in the local state court.

         Further, remand would avoid the burden of parallel litigation in the state and federal court and would guard against inconsistent results. Thus, joinder and remand are equitable and would promote judicial economy.

         III. Conclusion

          For the reasons set forth above, the court will permit the joinder of Mercy Community Hospital, Catholic Health East, Mercy Health Systems, Leonard F. Milewski, M.D., Delaware Valley Surgical Associates, P.C., Karen Bove, R.N., Alpine Medical, and Meg Barry, R.N., and, thereafter, remand the case to the Philadelphia Court of Common Pleas.

         An appropriate order follows.

         ORDER

         AND NOW, this 9th day of July, 2002, upon consideration of plaintiff's Motion for Permissive Joinder and Remand of Action to Philadelphia Court of Common Pleas (doc. no. 4) and defendant's response and pursuant to the court's memorandum dated July 9, 2002, it is hereby ORDERED that:

         1. The motion is GRANTED.

         2. The following parties are JOINED as defendants in this case pursuant to Federal Rule of Civil Procedure 20: Mercy Community Hospital, Catholic Health East, Mercy Health Systems, Leonard F. Milewski, M.D., Delaware Valley Surgical Associates, P.C., Karen Bove, R.N., Alpine Medical, and Meg Barry, R.N.

         3. It is FURTHER ORDERED that this case is REMANDED to the Philadelphia Court of Common Pleas pursuant to 28 U.S.C. § 1447(e).

         AND IT SO ORDERED.

Carter v. Dover Corp., 753 F.Supp. 577 (E.D.Pa.1991) is also instructive. There, in a strict products liability and negligence action against a diverse manufacturer of an automobile lift, plaintiff sought to amend to add an additional nondiverse defendant, alleging that it was " negligent in designing, assembling, testing and maintaining the lift." Id. at 578. After concluding that " [a]bsent tort-feasors who may be jointly liable to the plaintiff ... are not indispensable parties under Rule 19," the court concluded that the flexible approach adopted by Congress in § 1447(e) favored joinder and remand in this case. Id. at 579-80; cf. Stransky v. American Isuzu Motors, Inc., 829 F.Supp. 788, 790-91 (E.D.Pa.1993) (" This Court has the authority to permit joinder of additional parties, whether or not indispensable. Section 1447(e) contemplates that joinder may destroy subject matter jurisdiction, in which event the court is directed to remand the matter to state court." ; remanding case to state court where defendant failed to show fraudulent joinder).

While none of these cases state that permissive joinder and remand is permitted under § 1447(e), they do adopt the flexible and equitable approach to joinder and remand adopted by the Fifth Circuit in Hensgens and codified in § 1447(e).

Section 1447(e) engineers a " departure" from the analysis required by Fed.R.Civ.P. 19 in that it allows the joinder of a necessary non-diverse party and a subsequent remand to state court. Under the Rule 19 alone, a necessary party who, if joined, would destroy complete diversity could be considered " indispensable," which in turn could require dismissal of the lawsuit. That is why courts sometimes dismissed complaints when plaintiffs sought to join diversity-destroying defendants before Congress enacted section 1447(e).

Section 1447(e) and Rule 19 in combination expand the district court's options for dealing with an attempt to join a necessary, non-diverse party where the case has been removed to federal court. The court may: (1) deem the party " indispensable" and dismiss the case; (2) deem the part not indispensable and continue its jurisdiction over the lawsuit without joinder; or (3) allow joinder and remand the case to state court.

While the analysis in both Yniques and Casas was limited to Rule 19, neither case involved issues of permissive joinder requiring a Rule 20 analysis. Thus, these case do not counsel against the applicability of § 1447(e) to Rule 20 cases.