Ex Parte Bonde et alDownload PDFPatent Trial and Appeal BoardOct 31, 201713305405 (P.T.A.B. Oct. 31, 2017) Copy Citation United States Patent and Trademark Office UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O.Box 1450 Alexandria, Virginia 22313-1450 www.uspto.gov APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 13/305,405 11/28/2011 Eric H. Bonde 1123-011US01/P034191.USU5 7874 71996 7590 11/02/2017 SHUMAKER & SIEFFERT , P.A 1625 RADIO DRIVE , SUITE 100 WOODBURY, MN 55125 EXAMINER STICE, PAULA J ART UNIT PAPER NUMBER 3766 NOTIFICATION DATE DELIVERY MODE 11/02/2017 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): pairdocketing @ ssiplaw.com medtronic_neuro_docketing @ cardinal-ip.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte ERIC H. BONDE and XUAN K. WEI Appeal 2016-0073711 Application 13/305,405 Technology Center 3700 Before RICHARD M. LEBOVITZ, ULRIKE W. JENKS, and DEVON ZASTROW NEWMAN, Administrative Patent Judges. LEBOVITZ, Administrative Patent Judge. DECISION ON APPEAL This appeal involves claims directed to a system for electrical stimulation of pelvic floor muscle of a patient. The Examiner rejected all the claims under 35 U.S.C. § 112, second paragraph, as indefinite and § 103 as obvious. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM-IN- PART and enter NEW GROUNDS OF REJECTION pursuant to our authority under 37 C.F.R. § 41.50(b). 1 The Appeal Brief (“Appeal Br.”) identifies Medtronic pic of Dublin, Ireland, as the real-party-in-interest (“Medtronic”). Appeal Br. 2. Appeal 2016-007371 Application 13/305,405 STATEMENT OF THE CASE Claims 14—27 are pending and stand rejected by the Examiner as follows: Claims 14—16 and 18—27 under pre-AIA 35 U.S.C. § 103(a) as obvious in view of Gerber (U.S. Publ. Pat. Appl. 2007/0027494 Al, publ. Feb. 1, 2007) and Surwit (U.S. Publ. Pat. Appl. 2009/0076565 Al, publ. Mar. 19,2009). Answer (“Ans.”) 2. Claim 17 under pre-AIA 35 U.S.C. § 103(a) as obvious in view of Gerber, Surwit, and Zabara (U.S. Pat. No. 6,721,603 B2, iss. Apr. 13, 2004). Id. Claims 15, 19—23, and 25 under pre-AIA 35 U.S.C. § 112, second paragraph, as indefinite for failing to particularly point out and distinctly claim the subject matter which the inventors regard as the invention. Id. Claim 14, representative of the claimed subject matter, is reproduced below: 14. A system comprising: at least one electrode configured for implantation proximate to a nerve of a patient; an electrical stimulation module electrically coupled to the at least one electrode and configured to generate and deliver electrical stimulation; and a processor configured to receive input indicative of an intent of the patient to contract a pelvic floor muscle of the patient or an attempt by the patient to contract the pelvic floor muscle, and to control the electrical stimulation generator to deliver electrical stimulation via the at least one electrode to the nerve of the patient in response to receiving the input, wherein the electrical stimulation is configured to induce a contraction in the pelvic floor muscle of the patient to strengthen the pelvic floor muscle of the patient. 2 Appeal 2016-007371 Application 13/305,405 CLAIM INTERPRETATION Claim 14 is directed to a system comprising (1) “at least one electrode configured for implantation proximate to a nerve of a patient” and (2) a processor. The processor is (a) “configured to receive input indicative of an intent of the patient to contract a pelvic floor muscle of the patient or an attempt by the patient to contract the pelvic floor muscle.” In response to the “input,” the processor is (b) configured “to deliver electrical stimulation via the . . . electrode to the nerve of the patient.” The Specification (“Spec.”) discloses that such “intent” or “attempt” can be manifested by “select[ing] a particular button of patient programmer 22 ... or provide input to a touch screen of patient programmer 22.” Spec. 145. The Specification further discloses: After receiving the input, patient programmer 22 may transmit a signal to IMD [implantable medical device] 14 indicating that patient 12 is attempting to or intending on contract one or more pelvic floor muscles, and, in response to receiving the signal from programmer 22, IMD 14 may deliver electrical stimulation to a nerve of patient 12, e.g., a sacral or pudendal nerve or branches thereof, based on receiving the signal. Id. In other words, the requirement that the processor is “configured to receive input” is met by a “button” or “touch screen” that allows a patient to manually turn the electrical stimulation on and stimulate the nerve to cause contraction. 3 Appeal 2016-007371 Application 13/305,405 REJECTION BASED ON GERBER & SURWIT The Examiner found that Gerber describes (1) an electrode implanted into a nerve of a patient as required by the claim. Final Action (“Final Act.”) 5. The Examiner also found that “Gerber further discloses a patient programmer comprising a user interface, and the processor of the medical device can receive input from the patient via the user interface (0030).” Id. Thus, the Examiner found that Gerber describes (2) a processor as required by the claim. The Examiner stated that Gerber discloses that “the controller [(i.e., a processor) is] configured to control stimulation to the electrodes after receiving input (pgs, 0021, 0023, 0045 and 0048).” Id. The Examiner found that Gerber does not specifically disclose that the processor “is configured to receive an input indicative of the patient contracting the pelvic floor muscle and to control the electrical stimulation to deliver electrical stimulation in response to the received input” by the patient as required by claim 14. Id. at 6 (emphasis added). However, despite this statement, the Examiner referred to paragraph 30 of Gerber which contains such a teaching. As disclosed in paragraph 30, Gerber teaches a sensing device which transmits information regarding a bladder condition to an external programmer and stimulator. The stimulator “may activate or adjust stimulation to prevent involuntary urine leakage” (Gerber 130), namely, by causing the pelvic floor muscle to contract for muscle tone strengthening (id. 6, 21). When the sensing device determines that the bladder is full, Gerber teaches that “external programmer 22 may signal patient 12 that bladder 14 should be voided based on the bladder condition information.” Id. 130. Gerber teaches that “[o]nce stimulator 18 receives confirmation 4 Appeal 2016-007371 Application 13/305,405 from patient 12 to void bladder 14, the stimulator may temporarily cease stimulation to allow urine to exit bladder 14.” Id. Thus, patient input is used to turn the stimulator off to empty the bladder. When voiding is ended, Gerber teaches that the sensing device can be used to turn the stimulator back on {id.) to resume contraction of the bladder and pelvic floor muscle to prevent urine leakage. However, Gerber also discloses another embodiment in the same paragraph: In other embodiments, patient 12 may signal stimulator 18 through external programmer 22 that voiding has completed. This signal may allow stimulator 18 to restart simulation if necessary. Id. In this embodiment, the patient turns the stimulator on through the external programmer. Thus, “in response to receiving the input” from the patient (“patient 12 may signal stimulator 18 through external programmer 22”), the system is configured “to deliver electrical stimulation via the at least one electrode to the nerve of the patient” as required by claim 14. Gerber teaches that the programmer is in communication with the processor that controls the stimulator. Id. Tflf 62, 69, 70, Figs. 6 & 7. The processor is therefore (a) “configured to receive input indicative of an intent of the patient to contract a pelvic floor muscle of the patient or an attempt by the patient to contract the pelvic floor muscle” and (b) configured “to deliver electrical stimulation via the . . . electrode to the nerve of the patient” in response to the input. The external programmer in Gerber receives patient input and thus meets the corresponding limitation of claim 16 of a patient programmer. 5 Appeal 2016-007371 Application 13/305,405 Gerber also teaches the external programmer can deliver the stimulation: Although processor 56 is described in this example as adjusting stimulation parameters, it is noted that the adjustments alternatively may be generated by external programmer 22 and transmitted to stimulator 18 as parameter or program changes. Gerber 171. Thus, the external programmer itself can serve as the processor to receive input and deliver electrical stimulator. Claim 24 specifies that the nerve “comprises at least one of a sacral nerve, at least one branch of the sacral nerve, a pudendal nerve, or at least one branch of the pudendal nerve.” Gerber teaches stimulating these same nerves. Id. Tffl 22, 65 We find that Surwit is unnecessary to the rejection because Gerber alone teaches all the limitations of claim 14. Gerber thus anticipates claim 14.2 Claim 26 has similar limitations as recited in claim 14, and thus is anticipated as well. Accordingly, we reverse the obviousness rejection of claims 14—16 and 18—27 based on Gerber and Surwit. Pursuant to 37 C.F.R. § 41.50(b), we set forth a new ground of rejection under pre-AIA 35 U.S.C. § 102(b) of claims 14, 16, 24, and 26 as anticipated by Gerber. 2 The Board may rely upon fewer than all the references cited by the Examiner. See In re May, 574 F.2d 1082, 1090 (CCPA 1978). 6 Appeal 2016-007371 Application 13/305,405 NEW GROUND OF REJECTION UNDER 35 USC § 103 BASED ON GERBER As indicated above, claim 14 is a system comprising an implanted electrode and a processer that can receive input to turn the electrical stimulation on and deliver stimulation through the electrode. Claim 26 has similar features. In our view, it would have been obvious to install a manual means for controlling pelvic floor muscle contractions and tone to ensure that urine does not leak out, e.g., when the bladder sensing unit in Gerber is faulty, as an adjunct or backup to a sensing unit feedback, or to turn it back on manually after voiding has been completed. It would have been obvious to one of ordinary skill in the art to modify a bladder control device to permit the patient to operate it manually, e.g., to turn it on after the bladder is emptied or when urine leakage has unexpectedly occurred, despite the presence of a sensing device to detect bladder fullness. No one wants to smell like urine. In counseling that courts “need not seek out precise teachings directed to the specific subject matter of the challenged claim,” the Supreme Court clarified that courts may look to a wider diversity of sources to bridge the gap between the prior art and a conclusion of obviousness. KSR, 550 U.S. at 418, 127 S.Ct. 1727. We previously noted that “[t]he reason, suggestion, or motivation to combine may be found explicitly or implicitly: 1) in the prior art references themselves; 2) in the knowledge of those of ordinary skill in the art that certain references, or disclosures in those references, are of special interest or importance in the field; or 3) from the nature of the problem to be solved ...” Ruiz v. A.B. Chance Co., 234 F.3d 654, 665 (Fed. Cir. 2000). KSR expanded the sources of information for a properly flexible obviousness inquiry to include . . . “any need or problem known in the field of endeavor at the time of invention and addressed by the patent”; and the background knowledge, creativity, and common sense 7 Appeal 2016-007371 Application 13/305,405 of the person of ordinary skill. 550 U.S. at 418—21, 127 S.Ct. 1727. Perfect Web Technologies, Inc. v. InfoUSA, Inc., 587 F.3d 1324, 1329 (Fed. Cir. 2009). Pursuant to 37 C.F.R. § 41.50(b), we set forth a new ground of rejection under 35 U.S.C. 103(a) of claims 14, 16, 24, and 26 as obvious in view of Gerber. CLAIMS 15, 18-23,25,27 Dependent claims 15, 18—23, 25, and 27 recite specific parameters for electrical stimulation. Appellants argue that some of these claims recite specific structures that distinguish their subject matter over the prior art. Appeal Br. 15. For example, Appellants stated: “claim 19 recites a specific structure that has not been shown to have been disclosed by Gerber or Surwit.” Id. Appellants did not identify the so-called “structure.” Claim 19, like claim 15, 18, 20-23, and 25, recites specific stimulation conditions. One of ordinary skill in the art is well aware of how an electrical stimulator works, namely delivering electric pulses of desired amplitude, voltage, periodicity, and time to a target nerve. The structure of electrical simulators was known in the art at the time of invention, and the Specification provides no information on the stimulator itself that would distinguish it from any conventional stimulator, such as the one described in Gerber. To the extent Appellants mean the algorithm or circuit that the stimulator utilizes to produce the desired activity when they refer to a “specific structure,” Gerber teaches that it was conventional to make “simulation parameter adjustments” to control the pelvic muscle tone. Gerber 19. For example, Gerber teaches: 8 Appeal 2016-007371 Application 13/305,405 Stimulation may be increased or decreased by adjusting one or more stimulation parameters such as amplitude (current or voltage), pulse width or pulse rate. Adjustment also may include selection of different electrodes or polarities. Id. 130. There are numerous statements in Gerber about adjusting stimulation parameters to achieve the desired muscle tone, etc. See, e.g., id. 32, 33, 59, 64, 65. In addition, specific parameters are disclosed in Gerber. Id. H 65—68. Appellants did not even appear to attempt to distinguish their recited parameters from those in Gerber. The “law is replete with cases in which the difference between the claimed invention and the prior art is some range or other variable within the claims.. .in such a situation, the applicant must show that the particular range is critical, generally by showing that the claimed range achieves unexpected results relative to the prior art range.” In re Woodruff, 919 F.2d 1575, 1578 (Fed. Cir. 1990). Appellants have not established that the recited parameters are critical or significant to the claimed invention and distinguishable from those disclosed in prior art. Accordingly, we affirm the Examiner’s obviousness rejection of dependent claims 15, 18—23, 25, and 27. However, since a new ground of rejection was designated for the independent claims from which these claims depend, we shall also designate the obviousness rejection based on Gerber alone of claims 15, 18—23, 25, and 27 as a new ground of rejection. CLAIM 17 Claim 17, which depends from claim 14, further recites that, inter alia, “a motion sensor integral with the implantable medical device, wherein 9 Appeal 2016-007371 Application 13/305,405 the motion sensor is configured to generate a signal indicative of tapping of the implantable medical device.” The Examiner further cited Zabara for teaching a tap sensor. Final Act. 7. Appellants made the same arguments as they did in the rejection based on Gerber and Surwit. Appeal Br. 12. We affirm the rejection, but designate it as a new ground because claim 14, from which claim 17 depends, was subject to a new ground of rejection. SECTION 112 REJECTION The Examiner rejected claims 15, 19—23, and 25 as indefinite under §112 because of the recitation of the terms “approximately” and “substantially.” Final Act. 3^4. We agree that the terms are indefinite. The recited terms characterize the parameters used in the stimulation mode. We interpret the stimulation parameters (including the timing of claim 25) to be effective “to induce a contraction in the pelvic floor muscle of the patient to strengthen the pelvic floor muscle of the patient” as recited in claim 14. However, Appellants have offered no guidance on how one of ordinary skill in the art would understand the breadth of the claim — for example, does “approximate” include a two-fold difference, a ten-fold difference, etc.? Independent claim 14 is already broad in having no restriction on the stimulation parameters other than that stimulation is effective to induce muscle contraction. Narrowing the claim, for instance, to a duration of approximately 10 seconds (claim 21), or approximately 3 seconds (claim 22) introduces imprecision into the claim and indefmiteness because it is not clear what values would be tolerated by the claim and still be approximately 3 or approximately ten. For example, we have not been informed by Appellants in their argument (see 10 Appeal 2016-007371 Application 13/305,405 Appeal Br. 9) how a 3 second duration is any different or achieves any different function or effect than a 10 second duration, or 100 second duration, etc. This same rationale applies to the other claims, as well, including claim 25 in reciting “substantially immediately” because it is unclear of what significance or critically is the time period between receiving input to delivering stimulation. SUMMARY 1. The obviousness rejection of 14—16 and 18—27 based on Gerber and Surwit is reversed. 2. The obviousness rejection of claim 17 based on Gerber, Surwit, and Zabara is reversed. 3. Claims 14, 16, 24, and 26 are rejected under 35 U.S.C. pre-AIA § 102(b) as anticipated by Gerber. This is a new ground of rejection. 4. Claims 14—16 and 18—27 are rejected under pre-AIA 35 U.S.C. § 103(a) as obvious in view of Gerber. This is a new ground of rejection. 5. Claim 17 is rejected under 35 U.S.C. pre-AIA § 103(a) as obvious in view of Gerber and Zabara. This is a new ground of rejection. 6. The 112, second paragraph, rejection of claims 15, 19—23, and 25 is affirmed. Pursuant to 37 C.F.R. § 41.50(b), we enter a NEW GROUND OF REJECTION of claims 14—27 under 35 U.S.C. § 102(b) as being anticipated by Gerber and § 103(a) as being obvious over Gerber and Zabara. This decision contains a new ground of rejection pursuant to 37 C.F.R. § 41.50(b). 37 C.F.R. § 41.50(b) provides “[a] new ground of 11 Appeal 2016-007371 Application 13/305,405 rejection pursuant to this paragraph shall not be considered final for judicial review.” 37 C.F.R. § 41.50(b) also provides: When the Board enters such a non-final decision, the appellant, within two months from the date of the decision, must exercise one of the following two options with respect to the new ground of rejection to avoid termination of the appeal as to the rejected claims: (1) Reopen prosecution. Submit an appropriate amendment of the claims so rejected or new Evidence relating to the claims so rejected, or both, and have the matter reconsidered by the examiner, in which event the prosecution will be remanded to the examiner. The new ground of rejection is binding upon the examiner unless an amendment or new Evidence not previously of Record is made which, in the opinion of the examiner, overcomes the new ground of rejection designated in the decision. Should the examiner reject the claims, appellant may again appeal to the Board pursuant to this subpart. (2) Request rehearing. Request that the proceeding be reheard under § 41.52 by the Board upon the same Record. The request for rehearing must address any new ground of rejection and state with particularity the points believed to have been misapprehended or overlooked in entering the new ground of rejection and also state all other grounds upon which rehearing is sought. Further guidance on responding to a new ground of rejection can be found in the Manual of Patent Examining Procedure § 1214.01. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(l)(iv). AFFIRMED-IN-PART: 37 C.F.R, § 41.500?) 12 Copy with citationCopy as parenthetical citation