Ex Parte LEMKE et alDownload PDFPatent Trials and Appeals BoardMar 28, 201914197642 - (D) (P.T.A.B. Mar. 28, 2019) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 14/197,642 03/05/2014 Gilbert LEMKE 24737 7590 04/01/2019 PHILIPS INTELLECTUAL PROPERTY & STANDARDS 465 Columbus A venue Suite 340 Valhalla, NY 10595 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 ATTORNEY DOCKET NO. CONFIRMATION NO. 2007P00448USO 1 9164 EXAMINER BURGESS, JOSEPH D ART UNIT PAPER NUMBER 3626 NOTIFICATION DATE DELIVERY MODE 04/01/2019 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): patti. demichele@Philips.com marianne.fox@philips.com katelyn.mulroy@philips.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte GILBERT LEMKE, DEBRA ANN LIEBERMAN, and TADASHI EGAMI Appeal2017-006068 Application 14/197,642 Technology Center 3600 Before DEBRA K. STEPHENS, AMBER L. HAGY, and AARON W. MOORE, Administrative Patent Judges. HAGY, Administrative Patent Judge. DECISION ON APPEAL Appellant1 appeals under 35 U.S.C. § 134(a) from the Examiner's Final Rejection of claims 1, 2, 4, 6-12, 16, 17, and 19, which are all of the pending claims. 2 We have jurisdiction under 35 U.S.C. § 6(b ). We affirm. 1 References herein to "Appellant" are to the applicant, Koninklijke Philips N.V., which is also identified as the real party in interest. (App. Br. 1.) 2 Claims 3, 5, 13-15, 18, and 20 have been canceled. (Final Act. 2; see also App. Br. (Claims App'x) 36, 40-42.) Appeal2017-006068 Application 14/197,642 STATEMENT OF THE CASE Introduction According to Appellant, "this application relates to involving medical patients in simulation/ role playing activities in conjunction with provision of information regarding management of their medical condition or prevention of potential medical conditions." (Spec. 1:26-29.) Appellant's Specification notes that "[p ]atients with chronic illnesses ... may have limited mobility," which may make it "difficult or impossible to get out and participate in live peer group discussions .... " (Id. at 2:20-22.) To address that need, according to Appellant's Specification, the claimed invention provides "[i]nteractive role playing simulations, such as in an on-going quiz or game that may be incorporated into an interactive healthcare program used with a computer, a television, or other form of audio visual rendering and user input devices, [which] can provide simulation, role-playing, and repetition as a form of education in an applied way." (Id. at 2:22-26.) "The system employs video presentations and teaching surveys as a way to convey information to patients, together with simulated situations involving giving a friendly, appealing character advice on how to deal with health issues that will arise in their daily life." (Id. at 2:26-29.) Illustrative Claim Claims 1, 9, and 1 7 are independent. Claim 1, reproduced below, is illustrative of the claimed subject matter: 1. A system of rendering audio visual health care content to a patient with a medical condition, said system comprising: a content element storage operatively coupled with a communications network and configured to store a plurality of different prerecorded audio visual content elements to be 2 Appeal2017-006068 Application 14/197,642 rendered to the patient, the plurality of audio visual content elements including: a plurality of different role playing simulation content elements in which the patient is presented with a situation involving one of a plurality of issues related to a medical condition confronted by a character and in which the patient provides input related to the character's situation, a plurality of education content elements, and interactive survey or quiz content elements; an itinerary arrangement processor operatively coupled with the content element storage and configured to: select one or more of the stored educational content elements; select one or more of the interactive survey or quiz content elements; select one of the role playing simulation content elements, to be rendered to the patient in a given viewing session as part of a defined care plan, the selected role playing simulation content element being selected based on patient responses to the interactive survey or quiz content element; arrange the selected content elements into a serially ordered itinerary with the educational content elements, the interactive survey or quiz content elements, and the role playing simulation content elements arranged to correspond to a chronology of the defined care plan, wherein one or more of the educational content elements is arranged before each interactive survey or quiz content element and one of the interactive survey or quiz content elements is arranged before each of the role playing simulation content elements; select a character selection content element to be rendered to the patient as part of the defined care plan in a given viewing session, the character selection content element including images and names for a plurality of 3 Appeal2017-006068 Application 14/197,642 characters and allowing the patient to select one of the characters; and arrange the selected content elements into a serially ordered itinerary for presentation to the patient with the character selection content element presented to the patient before the role playing simulation content element but after the interactive survey or quiz content element; and a user interface operatively coupled with the communications network and with a display device, the user interface being operable by the patient to render the selected content elements to the patient according to the serially ordered itinerary by the display device and to receive inputs from the patient indicative of answers to the survey or quiz content element. References Cited The prior art relied upon by the Examiner in rejecting the claims on appeal is: Brown Southard et al. ("Southard") Findlay Mizuta us 5,918,603 US 2004/0180708 Al US 2006/0105825 Al US 2007/0293315 Al Rejections July 6, 1999 Sept. 16, 2004 May 18, 2006 Dec. 20, 2007 Claims 1, 2, 4, 6-12, 16, 17, and 19 stand rejected under 35 U.S.C. § 101 as directed to patent-ineligible subject matter (abstract idea). (Final Act. 3-5.) Claims 1, 2, 4, 6, and 8 stand rejected under 35 U.S.C. § I03(a) as being unpatentable over Brown, Findlay, and Southard. (Final Act. 6-10.) 4 Appeal2017-006068 Application 14/197,642 Claims 7, 9-12, and 16 stand rejected under 35 U.S.C. § 103(a) as being unpatentable over Brown, Findlay, Southard, and Mizuta. (Final Act. 10-15.) Claims 17 and 19 stand rejected under 35 U.S.C. § 103(a) as being unpatentable over Brown and Findlay. (Final Act. 16-17.) ISSUES 1. Whether the Examiner erred in concluding that the claims are directed to patent-ineligible subject matter by reciting an abstract idea without including additional elements that amount to significantly more than the abstract idea. 2. Whether the Examiner erred in finding that the subject matter of claims 1, 2, 4, 6, and 8 is taught or suggested by the combination of Brown, Findlay, and Southard. 3. Whether the Examiner erred in finding that the subject matter of claims 7, 9-12, and 16 is taught or suggested by the combination of Brown, Findlay, Southard, and Mizuta. 4. Whether the Examiner erred in finding that the subject matter of claims 1 7 and 19 is taught or suggested by the combination of Brown and Findlay. 5 Appeal2017-006068 Application 14/197,642 ANALYSIS A. § 1 OJ Rejection 3 1. Principles of Law Under 35 U.S.C. § 101, an invention is patent-eligible if it claims a "new and useful process, machine, manufacture, or composition of matter." 35 U.S.C. § 101. The Supreme Court, however, has long interpreted§ 101 to include an implicit exception: "[l]aws of nature, natural phenomena, and abstract ideas" are not patentable. Alice Corp. v. CLS Bank Int 'l, 573 U.S. 208, 216 (2014) ( citation omitted). The Supreme Court, in Alice, reiterated the two-step framework previously set forth in Mayo Collaborative Services v. Prometheus Laboratories, Inc., 566 U.S. 66, 75-77 (2012), "for distinguishing patents that claim laws of nature, natural phenomena, and abstract ideas from those that claim patent-eligible applications of those concepts." Alice, 573 U.S. at 217. The first step in the analysis is to "determine whether the claims at issue are directed to one of those patent-ineligible concepts." Id. For example, abstract ideas include, but are not limited to, fundamental economic practices, methods of organizing human activities, an idea of itself, and mathematical formulas or relationships. Id. at 218-20. The "directed to" inquiry asks not whether "the claims involve a patent-ineligible concept," but instead whether, "considered in light of the specification, ... 'their character as a whole is directed to excluded subject matter.'" Enfzsh, LLC v. Microsoft Corp., 822 F.3d 1327, 1335 (Fed. Cir. 2016) (internal 3 With regard to the Examiner's § 101 rejection, we consider claim 1 to be representative of the claimed subject matter on appeal. See 37 C.F.R. § 4I.37(c)(l)(iv). 6 Appeal2017-006068 Application 14/197,642 citations omitted). In that regard, we determine whether the claims "focus on a specific means or method that improves the relevant technology" or are "directed to a result or effect that itself is the abstract idea and merely invoke generic processes and machinery." McRO, Inc. v. Bandai Namco Games Am. Inc., 837 F.3d 1299, 1314 (Fed. Cir. 2016). If, at the first stage of the Alice analysis, we conclude that the claims are not directed to a patent-ineligible concept, they are considered patent eligible under § 101 and the inquiry ends. Rapid Litig. Mgmt. Ltd. v. CellzDirect, Inc., 827 F.3d 1042, 1047 (Fed. Cir. 2016). If the claims are directed to a patent-ineligible concept, the second step in the analysis is to consider the elements of the claims "individually and 'as an ordered combination'" to determine whether there are additional elements that "'transform the nature of the claim' into a patent-eligible application." Alice, 573 U.S. at 217 (quoting Mayo, 566 U.S. at 79, 78). In other words, the second step is to "search for an "'inventive concept"'-i.e., an element or combination of elements that is 'sufficient to ensure that the patent in practice amounts to significantly more than a patent upon the [ineligible concept] itself."' Id. at 217-18 (brackets in original) ( quoting Mayo, 566 U.S. at 72-73). The prohibition against patenting an abstract idea "'cannot be circumvented by attempting to limit the use of the formula to a particular technological environment' or adding 'insignificant postsolution activity."' Bilski v. Kappas, 561 U.S. 593, 610-11 (2010) (internal citation omitted). The Patent and Trademark Office (the "Office") recently published revised guidance on the application of 35 U.S.C. § 101. 2019 Revised Patent Subject Matter Eligibility Guidance, 84 Fed. Reg. 50-57 (Jan. 7, 7 Appeal2017-006068 Application 14/197,642 2019) ("2019 PEG"). Under the 2019 PEG, the Office first looks to whether the claim recites: (1) any judicial exceptions, including certain groupings of abstract ideas (i.e., mathematical concepts, certain methods of organizing human activity such as a fundamental economic practice, or mental processes); and (2) additional elements that integrate the judicial exception into a practical application (see MPEP § 2106.05(a}-(c), (e}-(h)). 4 See 2019 PEG at 52, 54--55. Only if a claim (1) recites a judicial exception, and (2) does not integrate that exception into a practical application, does the Office then look to whether the claim: (3) adds a specific limitation beyond the judicial exception that are not "well-understood, routine, conventional" in the field (see MPEP § 2106.05(d)); or (4) simply appends well-understood, routine, conventional activities previously known to the industry, specified at a high level of generality, to the judicial exception. See 2019 PEG at 56. We follow this framework in our analysis herein. a. Step One of Alice Prong 1 : Whether the Claims Recite an Abstract Idea In applying the framework set out in Alice, and as the first step of that analysis, the Examiner concludes claim 1 recites abstract ideas amounting essentially to "comparing new and stored information and using rules to identify options." (Final Act. 3.) As noted above, according to the 2019 PEG, the Office considers, in the first prong of Alice step one, whether the claims recite any judicial 4 All references to the MPEP are to Rev. 08.2017 (Jan. 2018). 8 Appeal2017-006068 Application 14/197,642 exceptions in the form of "mathematical concepts, certain methods of organizing human activity such as a fundamental economic practice, or mental processes." 2019 PEG at 52. The Examiner does not find, nor do we, that the claims recite "mathematical concepts." Although the Examiner does not state his conclusion in these terms, it appears, based on the authority cited by the Examiner (SmartGene, Inc. v. Advanced Biological Laboratories, SA, 555 F. App'x 950 (Fed. Cir. 2014)), that the Examiner concludes the claims are directed to an abstract idea in the form of mental processes. Cf SmartGene, 555 F. App'x at 955 (noting that the claims were directed to patent-ineligible mental processes underlying the treatment of patients by doctors, in "which every step is a familiar part of the conscious process that doctors can and do perform in their heads"). The Examiner also determines that the claims are directed to "using categories to organize, store, and transmit information," because "the limitations outline organizing content elements into categories such as role playing simulation, educational, interactive survey or quiz, and character selection, storing these content elements and transmitting the content elements to display devices." (Final Act. 4.) Similarly, in Cyberfone Systems, LLC v. CNN Interactive Group, Inc., 558 F. App'x. 988, 992 (Fed. Cir. 2014), the Court held that "using categories to organize, store, and transmit information is well-established," and "the well-known concept of categorical data storage, i.e., the idea of collecting information in classified form, then separating and transmitting that information according to its classification, is an abstract idea that is not patent-eligible." (Emphasis omitted). 9 Appeal2017-006068 Application 14/197,642 In challenging the Examiner's determination that the claims recite an abstract idea, Appellant argues, inter alia, that the Examiner's characterization of the claims is at a high level of abstraction and is untethered to the language of the claims. (App. Br. 19.) Appellant further argues, in particular, that the claims do not merely recite "storing information and implementing rules to select a list of options" but instead recite a "convoluted, user interactive series of detailed steps and reactive steps," which "are not regularly performed in a person's head." (Id. at 17.) We are not persuaded of error in the Examiner's determination that the claims recite abstract ideas comprising steps that are susceptible of being performed as mental processes and/or represent certain methods of organizing human activity. For example, the limitation "role playing simulation content elements in which the patient is presented with a situation involving one of a plurality of issues related to a medical condition confronted by a character and in which the patient provides input related to the character's situation," recited in the claims, encompasses a patient, having reviewed educational content regarding a medical condition, imagining appropriate and inappropriate responses to particular scenarios, and thus is susceptible of being performed as a mental process. Similarly, if the patient engages in role playing with, for example, a medical provider, this claim limitation also encompasses a method of organizing human activity in the form of a doctor educating a patient about a medical condition by providing hypothetical scenarios and requesting patient responses to those scenarios. We agree with Petitioner, however, that this is only a small part of the claims. The analysis of the full scope of the claims is addressed in the next prong. 10 Appeal2017-006068 Application 14/197,642 Prong Two: Whether the Claims Integrate the Abstract Idea into a Practical Application In accordance with prong 2 of Step 2A of the 2019 PEG, the claims are evaluated to determine whether they recite additional elements beyond the abstract idea, and, if so, the additional elements are evaluated to determine whether they integrate the abstract idea into a practical application. 2019 PEG at 54. The 2019 PEG at page 55 provides the following exemplary considerations of whether an additional element: • "reflects an improvement in the functioning of a computer, or an improvement to other technology or technical field"; • "applies or uses a judicial exception to effect a particular treatment or prophylaxis for a disease or medical condition"; • "implements a judicial exception with, or uses a judicial exception in conjunction with, a particular machine or manufacture that is integral to the claim"; • "effects a transformation or reduction of a particular article [ or thing] to a different state or thing"; or • "applies or uses the judicial exception in some other meaningful way beyond generally linking the use of the judicial exception to a particular technological environment." The 2019 PEG also highlights certain examples in which courts have held that "a judicial exception has not been integrated into a practical application," such as where the claims "merely use[] a computer as a tool to perform an abstract idea" or the additional element adds "insignificant extra- solution activity" to the abstract idea. 2019 PEG at 55 ( emphasis added). Here, claim 1 recites the additional elements of "prerecorded audio visual content elements" that include "role playing simulation content 11 Appeal2017-006068 Application 14/197,642 elements," "education content elements," and "interactive survey or quiz content elements," in which the content elements are arranged in a particular order, and also including a "character selection content element" that includes "images and names for a plurality of characters." Claim 1 also recites a "user interface" with which a user may interact to "render the selected content elements" and to input "answers to the survey or quiz content element." Thus, the claim requires specific content elements, arranged in a particular manner, and a user interface that allows a user to interact with the content elements in an interactive role-playing simulation. Although the underlying computing device may itself not be novel, these limitations implement the recited abstract ideas with the particular computing device that is integral to the claim and apply or use the recited abstract ideas in a meaningful way beyond generally linking the use of the abstract ideas to a particular technological environment, such that the claim as a whole is more than a drafting effort designed to monopolize the exception. See 2019 PEG, 84 Fed. Reg. at 55. As such, claim 1 integrates the abstract idea into a practical application and, therefore, is directed to patent-eligible subject matter. Similar reasoning applies as to independent claims 9 and 17, as well as to the dependent claims. b. Step Two of Alice We also note that, even if we were to agree with the Examiner that claim 1 recites a judicial exception, i.e., either a mental process and/or certain methods of organizing human activity, and does not integrate that exception into a practical application, the Examiner's analysis does not establish that the claims fail to add additional limitations beyond the judicial 12 Appeal2017-006068 Application 14/197,642 exception that are not "well-understood, routine, and conventional" in the field (see MPEP § 2106.0S(d)). Specifically, Appellant contends that the claims recite that "role playing simulation content element is selected based on the patient response to the interactive survey or quiz content element." (App. Br. 18.) Thus, according to Appellant, "the claimed method is an interactive method which changes with patient responses, hence would change with a change in the patient's medical conditions and with different patients .... " (Id.) In response, the Examiner determines that "Applicant has not provided any evidence that steps contained in the instant limitations to select and arrange content are any different from steps previously used in conventional industry practice" and "Applicant's system further has no such non-conventional, non-generic arrangement ... but merely uses generic computer elements as tools for well-understood, routine, and conventional activities such as selecting and arranging content." (Ans. 6.) The Examiner further determines "[t]he computer as recited is a generic computer component that performs generic computer functions (i.e. storing content, selecting content, arranging content, displaying content, receiving inputs, and defining care plan). These are generic computer functions that are well-understood, routine, and conventional activities previously known to the industry." (Id. at 7 .) However, although the Examiner points out the generic components, as well as certain generic computer functions such as storing, selecting, arranging content, the Examiner does not specifically address the above- noted limitations highlighted by Appellant. It is the Examiner's burden to show-with supporting facts-that the recited limitations are well- understood, routine, and conventional where, as here, the Examiner relies on 13 Appeal2017-006068 Application 14/197,642 such a basis for the ineligibility rejection. See Berkheimer v. HP Inc., 881 F.3d 1360, 1369 (Fed. Cir. 2018) ("Whether something is well-understood, routine, and conventional to a skilled artisan at the time of the patent is a factual determination."). On the record before us, in the context of the rejection under section 101, the Examiner has not provided any factual finding that the specifically claimed manner of "stor[ing] a plurality of different prerecorded audio visual content elements to be rendered to the patient," including specific content, arranged "into a serially ordered itinerary with the educational content elements" in a specified manner, and also including a "user interface ... operable by the patient to render the selected content elements ... according to the serially ordered itinerary," is merely well-understood, routine, or conventional. The Examiner has, however, issued a rejection of the claims as unpatentable for obviousness in light of particular prior art. Thus, rather than speculate whether the claims recite merely "well- understood, routine, and conventional" subject matter, we address the novelty of the claims in the context of the Examiner's prior-art rejections under 35 U.S.C. § 103(a). Meanwhile, under Alice Step Two and the 2019 PEG, we determine that the Examiner has not properly considered the elements of the claims, both individually and "as an ordered combination," to determine whether the additional elements transform the Examiner's asserted abstract idea into a patent-eligible application. For all of the foregoing reasons, under the 2019 PEG, we are persuaded that the Examiner erred in concluding claims 1, 2, 4, 6-12, 16, 17, and 19 are judicially-excepted from patentability. 14 Appeal2017-006068 Application 14/197,642 Accordingly, we reverse the Examiner's§ 101 rejection of independent claims 1, 9, and 1 7, as well as the Examiner's rejection of dependent claims 2, 4, 6-8, 10-12, 16, and 19, which stand or fall with the independent claims from which they depend. B. § 103(a) Rejections5 Appellant's contentions challenging the Examiner's rejections under section 103(a) are unpersuasive of reversible Examiner error. We adopt as our own ( 1) the findings and reasons set forth by the Examiner in the action from which this appeal is taken (Final Act. 6-17) and (2) the reasons set forth by the Examiner in the Examiner's Answer in response to Appellant's Appeal Brief ( Ans. 11-15), and concur with the conclusions reached by the Examiner. We highlight the following for emphasis. 1. Claims 1, 2, 4, 6, and 8: § 103(a) over Brown, Findlay, and Southard The Examiner finds Brown teaches several of the limitations of independent claim 1, including the "content storage element" coupled to a "communication network:' and configured to store the recited "audio visual content elements," and the "itinerary arrangement processor operatively coupled to the content storage element" and configured to select "one or more of the stored educational content elements" and "a character selection element." (Final Act. 6-7 (citing Brown 3: 1-11, 3:59---61, 4:33--48, 6:66- 5 The Leahy-Smith America Invents Act ("AIA"), Pub. L. No. 112-29, 125 Stat. 284, 287-88 (2011), revised 35 U.S.C. § 103 effective March 16, 2013. Because the instant application claims benefit of an application filed before the effective date of the relevant section of the AIA, we refer to the pre-AIA version of§ 103 throughout this decision. 15 Appeal2017-006068 Application 14/197,642 10:67).) The Examiner also finds Brown teaches portions of the "user interface" element of claim 1. (Id. at 7 (citing Brown 9:20-57.)) The Examiner finds Brown does not "explicitly recite" certain limitations of claim 1, which the Examiner finds are taught by Findlay. In particular, the Examiner finds Findlay teaches the "interactive survey or quiz content element" (id. at 7 ( citing Findlay ,r,r 278-284)); the "role playing content element ... being selected based on a patient response to the interactive survey or quiz content element" (id. at 7 ( citing Findlay ,r,r 278-286)); the recited arrangement of the content elements (id. at 7-8 ( citing Findlay ,r,r 108, 132-133, 237, 284)); the "character selection element" and arrangement of "the selected content elements into a serially ordered itinerary for presentation to the patient with the character selection element presented to the patient before the role playing simulation content" (id. at 8 (citing Findlay Figs. 3, 5A-5D, ,r,r 97-100); and receiving "inputs from the patient indicative of answers to the survey or quiz content elements" (id. ( citing Findlay ,r 53)). The Examiner further finds "[i]t would have been obvious to one of ordinary skill in the art at the time of the invention to combine the [ teachings ofJ Brown with Findlay with the motivation of teaching patients the full impacts of medical conditions." (Id. ( citing Findlay ,r 8).) The Examiner also finds "[t]he combination of Brown/Findlay does not explicitly recite the character selection content element presented to the patient before the role playing simulation content element but after the interactive survey or quiz content element," but finds Southard teaches this subject matter "in at least figures 3, 4, and 10, [and] paragraphs 0052, 0054- 0055, 0061" by disclosing "displaying questions, then displaying a character 16 Appeal2017-006068 Application 14/197,642 choosing screen, then going into the role playing game." (Final Act. 8-9.) In addition, the Examiner finds "[i]t would have been obvious to one of ordinary skill in the art at the time of the invention to combine the [ teachings of] Brown with Southard with the motivation of introducing and reinforcing health lifestyles." (Id. at 9 ( citing Southard ,r 2.)) Appellant presents several arguments challenging the Examiner's findings and conclusion of obviousness. Appellant first argues Brown, Findlay, and Southard are directed merely to "video games," and do not provide "any description or suggestion of a defined healthcare plan," as recited in claim 1. (App. Br. 27.) We disagree. As the Examiner finds, and we agree, "Brown teaches a patient visits a physician who evaluates the patient's medical condition, develops a treatment strategy and chooses an appropriate video game for patient based on condition" (Ans. 11 (citing Brown 5:35-60)) and "Findlay discloses a game creator creating a game that teaches a patient about disease and conditions affecting the human body which has a number of levels and stages that progress as the patient answers questions to provide the patient with an understanding of the disease and conditions, together with details of how it may be treated and/or avoided." (Id. at 12 (citing Findlay ,r,r 85-92, 108, 133, 237, 284).) Thus, Brown and Findlay do not disclose merely video games, but expressly disclose role- playing simulations designed to educate patients as part of a treatment plan for patient medical conditions. (See Brown, Abs. ( describing a "[ m ]ethod for treating a medical condition" using a video game that implements a "psychological strategy," which "contains instructions for a scoring procedure for quantitatively analyzing the medical condition of the human patient, and/or counseling instructions or self-care instructions"); Findlay, 17 Appeal2017-006068 Application 14/197,642 Abs. ("A game is provided for teaching users about conditions affecting the human body.").) Appellant also argues "[t]he handheld computer game of Brown does not serially order content elements." (App. Br. 27.) We disagree. As the Examiner finds, and we agree, both Brown and Findlay disclose that the software for the games selects and loads the content elements of the games, including different levels of the games as the patients progress through the levels, and, thus, "the software selects and orders content elements." (Ans. 11 ( citing Brown 6: 10-25, 7:49-50; Findlay ,r,r 89, 284, 286).) Appellant also argues "Findlay does not disclose or suggest an interactive survey following an educational content session and prior to being given character choices." (App. Br. 27.) We disagree. As the Examiner finds, and we agree: Findlay discloses the knowledge center is used to provide the game player with knowledge required to answer the questions and represents information provided to the game player at the start of every level, the questions being provided after the knowledge center has been accessed (i-f 0132-0133). In other words, Findlay discloses the knowledge center is presented before the questions which is presented before the start of every level of the game. The knowledge center is equivalent to the claimed educational content, the questions are equivalent to the claimed interactive survey, and the levels are equivalent to the claimed role playing simulation content. Findlay further discloses a character selection process that includes images and names of the characters, where the patient selects the character prior to beginning of the game (figures 3, 5A-5D, ,r 0097-0100), which is equivalent to the claimed character selection content presented to the patient before the role playing content. (Ans. 11-12.) The Examiner further finds, and we agree: "Findlay has not been used to disclose character selection content after the interactive survey. 18 Appeal2017-006068 Application 14/197,642 Southard discloses displaying questions, then displaying a character choosing screen, then going into the role playing game." (Id. at 12 (citing Southard Figs. 3, 4, and 10, ,r,r 52, 54--55, 61).) In other words, the Examiner finds Findlay teaches arranging educational content elements before the interactive survey or quiz elements, which are arranged before the role playing simulation content elements. The Examiner relies on Southard as teaching presenting interactive survey or quiz elements before character selection. (Id.; Final Act. 9). The Examiner combines the teachings of these disclosures to result in the claimed arrangement of content elements. (Final Act. 9). Appellant's challenges to the Examiner's findings, in which Appellant attacks Findlay and Southard each singly for failing to teach the entire claimed arrangement of elements, are not persuasive of Examiner error, because it is well established that one cannot show nonobviousness by attacking references individually where the rejections are based on combinations of references. See In re Keller, 642 F.2d 413,425 (CCPA 1981); In re Merck & Co., 800 F.2d 1091 (Fed. Cir. 1986). For the foregoing reasons, we are not persuaded of error in the Examiner's 35 U.S.C. § 103(a) rejection of independent claim 1 based on the combined teachings of Brown, Findlay, and Southard. Accordingly, we sustain that rejection. Appellant's arguments regarding dependent claims 2, 4, 6, and 8 are also unavailing of Examiner error. With regard to a "generic care template" as recited in claim 2, we note that this concept is broadly described in Appellant's Specification as a "road map[] to direct the health care professional in developing the care plan." (Spec. 9: 11-13.) As the Examiner finds, and we agree, Brown discloses an example in which a 19 Appeal2017-006068 Application 14/197,642 patient is diagnosed with diabetes, and "[a]s treatment, the physician prescribes insulin shots and a video game based on positive-reinforcement and self-management." (Brown 8:47--49; see also Final Act. 9 ( citing Brown Figs. 7, 8, 8:46-9:15).) Thus, we agree Brown teaches or suggests that the content of the game is selected based on a "generic care template"- for example, as part of a treatment regimen for diabetes. With regard to claim 4, which recites that "select portions of the educational content element" are rendered to the patient in response to a patient's "incorrect[]" answers to a survey or quiz element, with the "select portions being relevant to the incorrectly answered questions," Appellant argues that Brown fails to teach this subject matter and that Southard and Findley are not asserted to cure Brown's shortcomings. (App. Br. 29.) We are not persuaded of error. As the Examiner finds, and we agree, Brown discloses a scenario in which a patient, who suffers from an eating disorder, plays a game in which the patient's "graphical game character" must make food choices, wherein the patient's making the wrong food choices will have "immediate consequences" for the "game character's ability to survive." (Ans. 9; Brown 10:23-33).) Thus, if the patient makes incorrect food choices in directing the game character, the patient is educated by the consequences of such choices. (See id.) Claim 6 recites a "character introduction content element" that is to be rendered to the patient "after the character selection content element and before the role playing simulation content element." Appellant argues that "the computer game of Findlay, note Figures 5A-5D referenced by the Examiner, provides for the selection of superhero type characters. Moreover, the characters of Figures 5A-5D represent not patients, but 20 Appeal2017-006068 Application 14/197,642 medical concepts such as Insulin or Kortizol." (App. Br. 30.) Appellant's argument implicitly assumes that claim 6 requires the "character content element" to represent a patient. Claim 6 is not so limited, however, but instead recites that the "character introduction content element includ[ es] an image of the selected character and information about the selected character." As the Examiner finds, and we agree, "Findlay discloses the patient selects the character prior to beginning of the game, the patient then will be provided with background information, such as characters introducing themselves and giving a brief overview of their capabilities, then the game play begins." (Ans. 13 (citing Findlay Figs. 3, 5A-5D, ,r,r 97-99, 262-263).) In addition, although Appellant insists Findlay discloses the game characters are named for "medical concepts," Findlay discloses that the "game player typically enters details of themselves and/or a character to play," and notes that "this allows the character to be named after the game player . ... " (Findlay ,r 97 (emphasis added).) Thus, even if claim 6 did require the character to reflect the patient (game player), Findlay discloses that. Claim 8 recites selection of a "situation of the day," which is a "role playing simulation content element specifically selected for the current day." The Examiner finds, and we agree, that this is taught by Brown, which "discloses a simulation game of a plane or balloon flying at a certain altitude in correlation with a patient's blood glucose level for a specific current day[, which] is displayed to patient to track blood glucose for that day." (Ans. 14 (citing Brown Figs. 7-8, 8:46-9:15).) Because Brown's game content is directly correlated to the patient's current medical status (blood glucose level), it reflects a "situation of the day." 21 Appeal2017-006068 Application 14/197,642 For the foregoing reasons, we are not persuaded of error in the Examiner's rejection of independent claim 1 or of dependent claims 2, 4, 6, or 8, and we, therefore, sustain those rejections. 2. Claims 7, 9-12, and 16: 103(a) over Brown, Findlay, Southard, and Mizuta Independent claim 9 is similar to claim 1, although it is recited in method form. The Examiner relies on the same combination of Brown, Findlay, and Southard to teach the limitations of claim 9, except for claim 9' s additional recited limitation of "the character introduction content element includes audio of the selected character," for which the Examiner additionally combines the teachings of Mizuta. (Final Act. 11-14.) With regard to Mizuta, the Examiner finds it discloses "recording the voice of a game player to use as the speech for a game character when an image of the character speaking is displayed," and further finds "[i]t would have been obvious to one of ordinary skill in the art at the time of the invention to combine Brown with Mizuta with the motivation of allowing the game player to feel a sense of closeness to the game character so as to not reduce interest in the game." (Id. at 13-14 (citing Mizuta ,r,r 28, 52).) The Examiner relies on the same combination and reasoning to reject claim 7, which depends from claim 1 and also recites "the character introduction element includes audio of the selected character." (Id. at 10-11.) Claims 10-12 and 16 depend from claim 9, and are similar to dependent claims 2, 6, 4, and 8, respectively, and are rejected over the combination of Brown, Findlay, Southard, and Mizuta based on similar reasoning as applied to claim 9 and also to claims 2, 6, 4 and 8. (Id. at 14--15.) Appellant's arguments as to these claims are substantively similar to those we have considered, and rejected, above with regard to claims 1, 2, 4, 22 Appeal2017-006068 Application 14/197,642 6, and 8. Appellant does not dispute that Mizuta discloses the "audio of the selected character," as recited in claims 7, 9-12 and 16, nor does Appellant challenge the Examiner's combination of the references. We, therefore, sustain the Examiner's rejection of claims 7, 9-12 and 16. 3. Claims 17 and 19: 103(a) over Brown and Findlay Claim 1 7 is an independent claim, and recites, in method form, limitations similar to those of claim 1, except it does not require the character content elements, for which the Examiner relies on Southard in connection with the rejection of claim 1 (see supra). Thus, the Examiner rejects claim 17 (and dependent claim 19) over the combination of Brown and Findlay. (Final Act. 16-17.) Appellant argues the Examiner's rejection is in error, relying in part on arguments raised in connection with claim 1 that we have rejected for the reasons noted above. (App. Br. 33 (asserting "Brown and Findlay are directed to video games").) Specific to claim 17, Appellant additionally argues: [C]laim 17 calls for the content elements to include interactive survey or quiz content elements and role playing simulation content elements, which are displayed in a prescribed temporal order. Neither Brown, nor Findlay, suggest a series of interactive survey or quiz content elements and role playing simulation content elements selected by a computer and arranged in the specified temporal order. (App. Br. 33 ( emphasis added).) Appellant makes a similar argument as to claim 19. (Id. at 34.) The "temporal order" required by claim 17 is "arranging by the at least one processor the interactive survey or quiz content element temporally before the role playing simulation content element in the care plan." In other words, claim 17 requires quiz or survey 23 Appeal2017-006068 Application 14/197,642 content before the role playing simulation content. Claim 19 depends from claim 17 and recites arranging "the educational content element temporally before the role playing simulation content element." The Examiner finds, and we agree, that Findlay teaches educational content, as recited in claim 19, and survey or quiz content elements, as recited in claim 17, before the role playing simulation content. (Final Act. 17 (citing Findlay ,r,r 132-133, 284).) In particular, Findlay discloses: Thus for example, the knowledge center may represent information provided to the game player at the start of every level. This can be in the form of written or spoken information which the game player must consider before commencing the level. In this case, the questions could be provided after the knowledge center has been center has been accessed, or throughout the level at appropriate times. (Findlay ,r 133 ( emphasis added).) Findlay also discloses situations in which "questions must be answered before the game can continue." (Id. ,r 284.) Thus, we agree Findlay discloses quiz, educational, and role-playing content elements in the required "temporal order" of claims 1 7 and 19. For the foregoing reasons, we are not persuaded of error in the Examiner's 35 U.S.C. § 103(a) rejection of claims 17 and 19, and we, therefore, sustain that rejection. DECISION The Examiner's 35 U.S.C. § 101 rejection of claims 1, 2, 4, 6-12, 16, 1 7, and 19 is reversed. The Examiner's 35 U.S.C. § 103(a) rejections of claims 1, 2, 4, 6-12, 16, 1 7, and 19 are affirmed. 24 Appeal2017-006068 Application 14/197,642 Because we affirm at least one ground of rejection with respect to each claim on appeal, the Examiner's decision rejecting claims 1, 2, 4, 6- 12, 16, 17, and 19 is affirmed. See 37 C.F.R. § 4I.50(a)(l). No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a)(l )(iv). AFFIRMED 25 Copy with citationCopy as parenthetical citation