In the first verdict to come out of an attorney general’s lawsuit over transvaginal mesh devices, a San Diego judge ordered Johnson & Johnson on Thursday to pay nearly $344 million to the state of California.

The 88-page statement of decision by San Diego Superior Court Judge Eddie Sturgeon found that Johnson & Johnson and its subsidiary, Ethicon Inc., misled doctors about the safety of their devices by downplaying the risks through a “combination of false statements, misleading half-truths, and omissions.”