Ex Parte Muehlhoff et alDownload PDFPatent Trial and Appeal BoardOct 26, 201711716994 (P.T.A.B. Oct. 26, 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. 11/716,994 03/12/2007 Dirk Muehlhoff 3795.16US01 7203 24113 7590 10/26/2017 PATTERSON THUENTE PEDERSEN, P.A. 80 SOUTH 8TH STREET 4800 IDS CENTER MINNEAPOLIS, MN 55402-2100 EXAMINER PAHAKIS, MANOLIS Y ART UNIT PAPER NUMBER 3769 MAIL DATE DELIVERY MODE 10/26/2017 PAPER 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. PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte DIRK MUEHLHOFF, MARTIN WIECHMANN, MARK BISCHOFF, and KARSTEN FESTAG Appeal 2015-004358 Application 11/716,994 Technology Center 3700 Before PATRICK R. SCANLON, BEVERLY M. BUNTING, and GORDON D. KINDER, Administrative Patent Judges. SCANLON, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE Dirk Muehlhoff et al. (“Appellants”)1 seek our review under 35 U.S.C. § 134 of the Examiner’s decision, as set forth in the Final Office Action, dated May 20, 2014 (“Final Act.”), rejecting claims 27—33, 35—42, and 47—52, which are all of the pending claims. An oral hearing was conducted on June 13, 2017. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM. 1 Appellants identify Carl Zeiss Meditec AG as the real party in interest. Appeal Br. 1. Appeal 2015-004358 Application 11/716,994 CLAIMED SUBJECT MATTER Claim 27, reproduced below, is the sole independent claim and is representative of the claimed subject matter. 27. A system for the treatment of a patient’s eye, comprising: a plurality of clinical devices for the treatment of the eye including a first clinical device that includes a femtosecond laser device that is used to create a flap cut in the surface of the cornea and a second clinical device that includes an excimer laser that is used to ablate the cornea, the first clinical device being fixedly located remotely from the second clinical device; means for logistical linking of the clinical devices with each other, including a patient positioner that supports and movably positions the patient and the eye to be treated relative to the clinical devices, the patient positioner being shiftable by rotation about a rotation axis between a first position wherein the patient’s eye is located proximate the first clinical device positioned for the treatment by application of the first clinical device and a second position wherein the patient’s eye is located proximate the second clinical device positioned for the treatment by application of the second clinical device, the rotation axis being located in a fixed location relative to the first clinical device and the second clinical device and the rotation axis is situated between a middle and a foot end of the patient positioner wherein a distance D1 between the rotation axis and a comer of the foot end of the patient positioner is a safety distance smaller than a distance D2 of the rotating axis from a nearest housing contour of the femtosecond laser device or the excimer laser; control systems that control power and auxiliary energy supply to the clinical devices; and/or notification tools that transmit information or control commands between the clinical devices, the patient positioner and the control systems, and that output information. Appeal Br. 28—29, Claims App. 2 Appeal 2015-004358 Application 11/716,994 REFERENCES The Examiner relies upon the following prior art references: Kelman Bachus Payman US 2003/0208189 A1 US 6,651,279 B1 US 4,602,378 US 6,385,480 B1 July 22, 1986 May 7, 2002 Nov. 6, 2003 Nov. 25, 2003 Dec. 4, 2003 Apr. 13, 2006 Muthuvelan Hohla Wavelight2 US 2003/0225400 A1 DE 20 2005 018 911 U1 REJECTIONS The following rejections3 are before us on appeal: I. Claims 27—33, 35—42, and 47—52 stand rejected under 35 U.S.C. § 103(a) as unpatentable over Wavelight, Bachus, Payman, Hohla, Kelman, and Muthuvelan. II. Claim 27 stands rejected under 35 U.S.C. § 103(a) as unpatentable over Hohla, Bachus, Payman, Kelman, Muthuvelan, and admitted prior art. 2 The record contains two different English-language translations of Wavelight: a first machine translation entered June 14, 2011, and a second machine translation entered October 1, 2013. The record further contains a Derwent summary of Wavelight, also entered October 1, 2013. Unless indicated otherwise, citations to Wavelight in this Decision refer to the English-language translation entered October 1, 2013. 3 The Examiner sets forth two “interpretation approaches,” A and B, in rejecting the claims on appeal. Final Act. 5—19; see also Ans. 3 (“Alternative interpretation approaches are often given as a constructive means for the purpose of advancing prosecution, reducing arguments and providing guidance at least by illustrating the dead ends on the path forward.”). The Examiner, however, also refers to these “approaches” as the “ground(s) of rejection [that] are applicable to the appealed claims” and “the rejections.” Ans. 2. For the purposes of this Decision, we address “interpretation approaches” A and B as two separate grounds of rejection. 3 Appeal 2015-004358 Application 11/716,994 ANALYSIS Rejection I Appellants argue claims 27—33, 35—42, and 47—52 as a group. Appeal Br. 9-19. We take independent claim 27 as representative pursuant to 37 C.F.R. § 41.37(c)(l)(iv) (2015), with claims 28—33, 35—42, and 47—52 standing or falling with claim 27. With respect to claim 27, the Examiner finds that Wavelight discloses a system for the treatment of a patient’s eye including a first clinical device having a femtosecond laser and a second clinical device having an excimer laser, with the first clinical device being fixedly located remotely from the second clinical device. Final Act. 5. We agree with this finding, which Appellants do not dispute. Namely, Wavelight discloses first treatment station 14 having femtosecond laser 16 used to generate a LASIK flap and second treatment station 24 having an excimer laser4 for performing cornea ablation. Wavelight || 14, 15, Fig. Deck or patient support 12 translates between the first and second treatment stations 14, 24 along rail 18. Id. Thus, first treatment station 14 corresponds to the claimed first clinical device, and second treatment station 24 corresponds to the claimed second clinical device. Furthermore, the sole drawing figure of Wavelight shows first treatment station 14 located remotely from second treatment station 24, and first treatment station 14 is fixedly located with respect to second treatment station 24 because Wavelight describes treatment stations 14, 24 and rail 18 as “a rigid mechanical system.” Wavelight 115. 4 Although not identified with a reference numeral in the Specification, the excimer laser appears to be called out with reference numeral 22 in Wavelight’s sole drawing figure. 4 Appeal 2015-004358 Application 11/716,994 Next, we consider the “means for logistical linking of the clinical devices with each other” limitation of claim 27. The Examiner interprets this limitation as comprising the patient positioner and the control systems recited in claim 27 and not under 35 U.S.C. § 112, sixth paragraph. Final Act. 5. In other words, the Examiner determines that this claim language does not invoke § 112 | 6. Ans. 8. Appellants do not contest this position. When “a claim element contains the word ‘means’ and recites a function,” as is the case here, the element is presumed to be a means-plus- function element under § 112 | 6. Envirco Corp. v. Clestra Cleanroom, Inc., 209 F.3d 1360, 1364 (Fed. Cir. 2000) (citing Al-Site Corp. v. VSIInti, Inc., 174 F.3d 1308, 1318 (Fed. Cir. 1999)). That presumption, however, is overcome if the claim recites sufficient structure for performing the claimed function. TriMed, Inc. v. Stryker Corp., 514 F.3d 1256, 1259 (Fed. Cir. 2008). “Sufficient structure exists when the claim language specifies the exact structure that performs the functions in question without need to resort to other portions of the specification or extrinsic evidence for an adequate understanding of the structure.” Id. at 1259-60 (citing Altiris, Inc. v. Symantec Corp., 318 F.3d 1363, 1376 (Fed.Cir.2003)). Claim 27 recites that the “means for logistical linking of the clinical devices with each other” includes a patient positioner, control systems, and/or notification tools. Appeal Br. 28—29, Claims App. The patient positioner is recited as movably positioning the patient (and the patient’s eye) relative to the clinical devices; specifically, between a first position proximate the first clinical device and a second position proximate the first clinical device. Id. at 28. The control systems are recited as controlling power and auxiliary energy to the clinical devices. Id. The notification tools 5 Appeal 2015-004358 Application 11/716,994 are recited as transmitting information or control commands between the clinical devices. Id. at 29. As such, the claim articulates structure—the patient positioner, control systems, and/or notification tools—for performing the function of logistically linking the clinical devices. Accordingly, we agree with the Examiner that the “means for logistical linking” language does not invoke § 112 | 6, and, thus, we do not construe this language as limited to the structure described in the Specification and equivalents thereof. Instead, we construe this claim language as comprising the structural elements of the patient positioner, the control systems, and/or the notification tools. Turning now to the patient positioner limitation, the Examiner finds that Wavelight’s patient support 12 is a patient positioner that is shiftable by translation between a first position wherein the patient’s eye is located proximate the first clinical device positioned for the treatment by application of the first clinical device and a second position wherein the patient’s eye is located proximate the second clinical device positioned for the treatment by application of the second clinical device. Final Act. 6 (citing Wavelight || 8, 15). The Examiner, however, acknowledges that Wavelight does not disclose a patient positioner that rotates about a rotation axis. Id. The Examiner further concedes that Wavelight does not disclose a fixed rotation axis situated between the middle and the foot end of the patient positioner such that “a distance D1 between the rotation axis and a comer of the foot end of the patient positioner is a safety distance smaller than a distance D2 of the rotating axis from a nearest housing contour of the femtosecond laser device or the excimer laser,” as required by claim 27. Id. at 6—7. 6 Appeal 2015-004358 Application 11/716,994 The Examiner finds that Bachus discloses an “analogous patient table” that is shiftable by rotation about a rotation axis (defined by column 11) that is fixedly located relative to the first and second clinical devices and is situated between a middle and a foot end of the patient positioner. Id. at 7 (citing Bachus, 3:25—34, Figs. 1, 2). In addition, the Examiner finds that Bachus discloses that this rotating arrangement “simplifies the system change over appreciably and shortens the examination time.” Id. (citing Bachus, 1:25—31, 3:25—34). Based on these findings, the Examiner concludes that it would have been obvious to one of ordinary skill in the art to modify Wavelight to use “a rotating mechanism for the movement of the patient table” (i.e., patient support 12) as taught by Bachus. Id. The rationale the Examiner gives for making this modification is the modification would amount to an equivalent mechanism yielding the predictable result of effective transfer of a patient from one system to another, while simplifying the system change over appreciably and shortening the examination time, and minimizing the surface swept by the table, thus reducing the possibility for mechanical damage and minimizing the loads due to friction. Id. Furthermore, the Examiner finds that Bachus discloses the claim limitation of distance D1 being a safety distance smaller than distance D2 because Figures 1 and 2 of Bachus show “the foot end of [Bachus’] table is clearly off reach from either instrument (1 or 3).”5 Id. at 7—8. The Examiner thus concludes that it would have been obvious to adopt this arrangement 5 The Examiner presumably means that the foot end of Bachus’ table is out of reach of either instrument. 7 Appeal 2015-004358 Application 11/716,994 taught by Bachus when modifying Wavelight with the teachings of Bachus. Id. at 8. We agree with this finding and conclusion, which Appellants do not dispute. Specifically, Figures 1 and 2 of Bachus show that the distance from the axis defined by rotating column 11 to a comer of the foot end of patient support table 8 (i.e., distance Dl) is less than the distance from the axis defined by rotating column 11 to the nearest point of either MR system 1 or radiographic angio system 3 (i.e., distance D2). The Examiner also cites Hohla as disclosing “a 90 degree arrangement” that satisfies the distance limitation, Kelman as disclosing a pivotable patient table having sufficient clearance at the foot end, and Muthuvelan as disclosing a pivotable patient bed having sufficient clearance to prevent collisions. Id. at 8—9. The Examiner apparently relies on these references as alternatives to the determination that Bachus discloses the distance limitation. Because we agree that the arrangement of Bachus discloses the relative distance relationships recited in claim 27 as discussed above, we do not address the Examiner’s alternative findings and conclusions based on Hohla, Kelman, and Muthuvelan. Appellants argue that the Examiner has not provided a “coherent rationale” for why one of ordinary skill in the art would have combined the references in the manner proposed. Appeal Br. 9. More specifically, regarding the reasons for combining given by the Examiner, Appellants argue that the Examiner has failed to establish “that any of these assertions as to the benefits of such a modification are tme, or if they are, where they are supported by evidence in the record.” Id. at 11. We disagree with this argument. As noted above, one of the Examiner’s reasons for concluding it would have been obvious to replace the 8 Appeal 2015-004358 Application 11/716,994 translating patient support of Wavelight with a rotating patient support as taught by Bachus is that this modification “would amount to an equivalent mechanism yielding the predictable result of effective transfer of a patient from one system to another.” Final Act. 7. The evidence of record shows that both translating patient support tables and rotating support tables are known in the art. Wavelight || 14, 15; Bachus, 3:25—34, Figs. 1, 2. Thus, we agree that a person having ordinary skill in the art would have recognized the proposed modification as the simple substitution of one known mechanical element for another that produces predictable results. See KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 416 (2007) (“when a patent claims a structure already known in the prior art that is altered by the mere substitution of one element for another known in the field, the combination must do more than yield a predictable result”). We also are not persuaded by Appellants’ argument that the Examiner has failed to point to any record evidence supporting the notion that the proposed substitution would have achieved predictable results or that one of ordinary skill in the art would have expected the results. See Reply Br. 3^4. Although neither Wavelight nor Bachus explicitly discloses substituting a rotating patient support for a translating patient support would yield predictable results, such explicit disclosure is not required. “What a reference teaches or suggests must be examined in the context of the knowledge, skill, and reasoning ability of a skilled artisan,” and “is not . . . limited to what a reference specifically ‘talks about’ or what is specifically ‘mentioned’ or ‘written’ in the reference.” Syntex (U.S.A.) LLC v. Apotex, Inc., 407 F.3d 1371, 1380 (Fed. Cir. 2005). Here, in light of the teachings of Wavelight and Bachus, one of ordinary skill using his or her 9 Appeal 2015-004358 Application 11/716,994 “knowledge, skill, and reasoning ability” would have understood that substituting one of the patient supports for the other would yield predictable results. Furthermore, another reason for combining Wavelight and Bachus given by the Examiner—the proposed modification would simplify system change over appreciably and shorten examination time—is supported by the teachings of Bachus. See Final Act. 7 (citing Bachus, 1:25—31, 3:25—34). Specifically, Bachus discloses patient support table 8 mounted on rotating column 11, with column 11 situated in the intersection of the respective axes of insertion of MR system 1 and radiographic angio system 3. Bachus, 3:25—28, Figs. 1, 2. With this arrangement, “a mere pivoting of the patient support table around the axis of the column 11 is required in order to change from one examination system to the other, without any additional transport movement, which simplifies the system change over appreciably and shortens the examination item6 accordingly.” Id. at 3:28—33. Thus, we agree with the Examiner that Bachus discloses a benefit of rotating patient support tables that would have led one of ordinary skill in the art to make the proposed modification. Appellants argue that, when read in context, the passages of Bachus cited by the Examiner pertain to benefits relative to prior systems lacking integration of multiple clinical systems and do not refer to any advantage of a rotating patient support over a translating patient support. Appeal Br. 11. Thus, according to Appellants, one of ordinary skill in the art would not have discerned from Bachus any special benefit of a rotating patient support 6 It appears that “examination item” is a typographical error that should read “examination time.” 10 Appeal 2015-004358 Application 11/716,994 over a translating patient support. Id. at 12. This argument is not persuasive because, even if Bachus does not state explicitly that a rotating patient support is superior to a translating patient support, an ordinarily skilled artisan considering Bachus in the context of his or her “knowledge, skill, and reasoning ability” would have appreciated that a rotating patient support is a viable—and even desirable—approach to the problem of transporting a patient between clinical devices. See Syntex, 407 F.3d at 1380. Furthermore, an obviousness analysis “need not seek out precise teachings directed to the specific subject matter of the challenged claim, for a court can take account of the inferences and creative steps that a person of ordinary skill in the art would employ.” KSR, 550 U.S. at 418; see also id. at 421 (“A person of ordinary skill is also a person of ordinary creativity, not an automaton.”). Accordingly, we agree with the Examiner that Bachus’ disclosure of a rotating patient support would have caused one of ordinary skill in the art to consider replacing a translating patient support with a rotating patient support. Furthermore, Appellants argue that Wavelight indicates that modifying its device with the substitution of a rotating table would not have been beneficial. Reply Br. 4 (citing Wavelight || 6, 7). Appellants repeated and elaborated on this argument at the oral hearing. Tr. 4:6—7:8. Paragraph 6 of Wavelight reads: “EP 0906073 817 describes a treatment station for the refractive ophthalmic surgery, a patient bed, which is arranged rotatable.” Paragraph 7 of Wavelight reads: “The present invention aims to remedy the situation regarding this burden.” Appellants’ position is that the rotating 7 Appellants assert that this reference is the European counterpart patent to Hohla. Reply Br. 4. 11 Appeal 2015-004358 Application 11/716,994 patient bed described in paragraph 6 is the “burden” to be remedied in paragraph 7. Tr. 5:8—16, 6:24—7:8. We disagree with this position, however. Paragraph 5 of Wavelight reads: “This reburial8 of patients is complex and represents a significant burden on both the surgical staff as well as the patient dar.”9 In view of this disclosure, we determine that the reburial or repositioning of a patient relative to different clinical devices—not the use of a rotating patient support—is the “burden” that Wavelight seeks to remedy. In any event, Wavelight does not “criticize, discredit, or otherwise discourage” using rotating patient supports and, as such, does not teach away from the proposed combination. See DePuy Spine, Inc. v. Medtronic Sofamor Danek, Inc., 567 F.3d 1314, 1327 (Fed. Cir. 2009). In addition, Appellants argue that the Examiner has engaged in hindsight reasoning. Appeal Br. 15. We do not agree that the Examiner’s proposed combination involves impermissible hindsight. The Examiner’s combination does not include knowledge gleaned only from the Appellants’ disclosure. Rather, for the reasons discussed above, the proposed combination takes into account the teachings of Wavelight and Bachus, i.e., knowledge which was within the level of ordinary skill at the time the 8 We understand “reburial” in this context to refer to repositioning a patient. For instance, paragraph 4 of Wavelight describes a patient being positioned under a first device and then reburied on a bed positionable relative to another device. 9 Although not identical to the text quoted above, Paragraphs 5, 6, and 7 are substantially similar in the English-language translation of Wavelight entered June 14, 2011. 12 Appeal 2015-004358 Application 11/716,994 claimed invention was made. See In re McLaughlin, 443 F.2d 1392, 1395 (CCPA 1971). Appellants also argue that the combination of references relied on by the Examiner does not disclose the rotation axis being located in a fixed position relative to the first and second clinical devices. Appeal Br. 16. In particular, Appellants argue that because radiographic angio device 3 of Bachus appears to be shiftable about at least two vertical axes of rotation, Bachus fails to disclose that the rotation axis of column 11 is fixed relative to radiographic angio device 3. Id. (citing Bachus, Fig. 1 (annotated)). We are not persuaded by this argument for two reasons. First, Bachus does not describe explicitly that radiographic angio device 3 is rotatable about any vertical axis. Bachus does refer to “rotational motions” of radiographic angio device 3 (Bachus, 3:16), but this reference appears to relate to components 6 and 7. And even if portions of radiographic angio device 3 rotate about one or more vertical axes, Bachus does not disclose that radiographic angio device 3 as a whole moves relative to the rotation axis of column 11. Indeed, Appellants concede that the base of radiographic angio device 3 is fixed. Tr. 8:13—14. We thus determine that one of ordinary skill in the art would consider the rotation axis of Bachus to be located in a fixed location relative to radiographic angio device 3 because, even if portions of radiographic angio device 3 are movable, the location of the device does not change relative to the rotation axis of column 11. Second, as noted by the Examiner, “the imaging device of Bachus was never adapted into the combination of references.” Ans. 9. In other words, the modification proposed by the Examiner is to replace the translating patient support of Wavelight with Bachus’ rotating patient support, but does 13 Appeal 2015-004358 Application 11/716,994 not contemplate replacing either of Wavelight’s clinical devices with Bachus’ radiographic angio device 3. The clinical devices of Wavelight are fixedly located via rail 18. Wavelight 115. Accordingly, the rotation axis of the rotating patient support in the proposed combination of Wavelight and Bachus would be fixed relative to both clinical devices. Appellants’ assertion that Bachus “was applied in the rejection as the reference that allegedly teaches ‘the rotation axis being located in a fixed location relative to the first clinical device and the second clinical device’” because the Examiner states that Bachus discloses such an axis (Reply Br. 4—5 (citing Final Act. 7)), is misplaced. The Examiner’s findings about the rotation axis disclosed by Bachus do not in any way indicate that the proposed modification included using Bachus’ radiographic angio device 3 in the combination. For the above reasons, we determine that the patient positioner limitation of claim 27 would have been obvious over the combination of Wavelight and Bachus. Accordingly, the Examiner’s alternative reliance on Hohla, Kelman, or Muthuvelan as disclosing the safety distance recited in claim 27 is not necessary, and Appellants’ arguments regarding the teachings of Hohla, Kelman, or Muthuvelan (Appeal Br. 13—14, 17—18) are rendered moot. In response to the Examiner’s statement that “the combination of Wavelight over Bachus or Hohla alone is sufficient in reading over the claimed invention”10 (Ans. 7), Appellants argue that the inclusion of the 10 We understand this statement to mean that either the combination of Wavelight and Bachus or the combination of Wavelight and Hohla (as 14 Appeal 2015-004358 Application 11/716,994 other references cited by the Examiner obfuscates, rather than clarifies, the obviousness analysis. Reply Br. 3. Without clarity, Appellants argue that “it is difficult, if not impossible, to determine whether a rejection is technically accurate and conforms to the legal requirements for prima-facie obviousness.” Id. at 2. Although the several alternatives set forth by the Examiner render the obviousness analysis somewhat convoluted, we disagree that the analysis is so unclear that Appellants were not adequately notified of the reasons for rejection, including that the Examiner relies on Hohla, Kelman, and Muthuvelan as alternative teachings. For instance, the Examiner describes adapting the arrangement taught by Bachus into the device of Wavelight, “at the angles taught by Bachus or Hohla,” thereby indicating Hohla is relied on in the alternative. Final Act. 8 (emphasis added). The Final Office Action also states Kelman and Muthuvelan are relied on in the alternative. Id. at 8—9; see also Ans. 7—8 (explaining that Kelman and Muthuvelan were provided as two additional interpretation approaches reading on safety clearances). Next, regarding the control systems limitation of claim 27, the Examiner finds “[i]t is considered inherent that the lasers taught by Wavelight must have power control systems capable of controlling power, at least at the level of on and off, or the treatments disclosed cannot take place.” Final Act. 6. The Examiner’s reasoning, which Appellants do not contest, is sound. We agree that the lasers in the clinical devices of Wavelight necessarily must be controlled at least to the extent of being turned on and off. One of ordinary skill in the art would not expect these opposed to either the combination of Wavelight and Bachus or Hohla alone) could read on the claimed invention. 15 Appeal 2015-004358 Application 11/716,994 lasers to run continuously. We therefore find a preponderance of the evidence shows that the control systems recited in claim 27 would be inherent in the combination of Wavelight and Bachus. As another alternative “in case it is determined that Wavelight does not explicitly teach centralized control systems,” the Examiner finds that Payman and Hohla both disclose centralized control of multiple ophthalmic laser devices. Final Act. 9. The Examiner concludes that it would have been obvious to centralize control of the devices of Wavelight as taught by Payman and/or Hohla. Id. at 9—10. Because we find that the combination of Wavelight and Bachus includes control systems as claimed, however, we do not address the Examiner’s alternative findings and conclusions based on Payman and/or Hohla, and Appellants’ arguments regarding the teachings of Payman and/or Hohla (Appeal Br. 14—15) are rendered moot. Last, regarding the notification tools limitation of claim 27, the Examiner determines that this limitation is not required by the claim because it is preceded by the conjunction “and/or.” Final Act. 5—6. We agree with the Examiner. In reciting a patient positioner, control systems, and/or notification tools, claim 27 covers all combinations of one or more of these elements, including just the patient positioner and the control systems. See Ex Parte Gross (Appeal No. 2011-004811, Decision mailed Jan. 3, 2014) (finding that A and/or B includes A alone, B alone, or both A and B). In this case, a preponderance of the evidence shows that the combination of Wavelight and Bachus includes the claimed patient positioner and control systems and, thus, the means for logistical linking. 16 Appeal 2015-004358 Application 11/716,994 In view of the above, Appellants’ arguments do not apprise us of error, and we sustain the rejection of claim 27 and of claims 28—33, 35—42, and 47—52 grouped therewith. Rejection II In rejecting claim 27, the Examiner finds that Hohla discloses a first clinical device including a microkeratome used to create a flap in the cornea and a second clinical device including an excimer laser. Final Act. 15 (citing Hohla 17, 19). The Examiner also finds that Hohla discloses a patient positioner (patient bed 102) “that supports and movably positions the patient and the eye to be treated relative to the clinical devices” and is rotated between two positions: one for laser treatment and one for non-laser ophthalmic surgery. Id. (citing Hohla 24, 25). The Examiner concedes that Hohla has the following deficiencies with respect to claim 27: (1) Hohla does not disclose that the first clinical device includes a femtosecond laser; (2) Hohla does not disclose that the first clinical device is located remotely from the second clinical device; (3) Hohla does not disclose that the rotation axis of the patient positioner is situated between a middle and a foot end of the patient positioner; and (4) Hohla is silent as to whether wherein a distance D1 between the rotation axis and a comer of the foot end of the patient positioner is a safety distance smaller than a distance D2 of the rotating axis from a nearest housing contour of the femtosecond laser device or the excimer laser. Id. To overcome the first two deficiencies, the Examiner finds that Appellants admit that it is well known to create flaps using either a microkeratome or a femtosecond laser, and Payman discloses using spaced apart femtosecond and excimer lasers, and that using femtosecond lasers for 17 Appeal 2015-004358 Application 11/716,994 creating flaps offers enhanced precision. Id. (citing Spec. 14; Payman 20, 56, Fig. 1). Based on these findings, the Examiner concludes that one of ordinary skill in the art “would readily recognize and appreciate that the device of Hohla would not be limited to a single laser and would benefit from the addition of separate spaced apart laser systems, as taught by Payman.” Id. at 17. The Examiner further concludes that it would have been obvious to a person having ordinary skill in the art at the time of the invention to adapt the teachings of Payman by replacing the microkeratome or adding a femtosecond laser in a second position, as this would amount to an equivalent mechanism yielding the predictable result of creating a flap, and it would further improve the device by enhancing precision, enabling remote control, and enabling the coordination of treatments which otherwise requires multiple systems and larger spaces. Id. (emphasis added). The Examiner, however, fails to explain adequately why one of ordinary skill would modify Hohla by adding a femtosecond laser in a second position. Hohla discloses a surgical system including a laser system, wherein a beam from an excimer laser is directed via optical extension 114 to the eye of a patient lying on patient bed 102. Hohla 117, Fig. 1. Hohla also discloses a microkeratome that is operated by foot switches 119, 121. Id. 119, Fig. 1. The microkeratome is part of an automated lamellar keratoplasty system that is integrated into the laser system. Id. 19, 34, Fig. 5. Patient bed 102 rotates on bearing 126, which allows head portion 124 of the bed to be rotated out from under optical extension 114 so that the patient can sit up. Id. 125, Fig. 3A. This arrangement also allows a physician to perform non-laser ophthalmic surgery on a patient’s head 18 Appeal 2015-004358 Application 11/716,994 rotated away from workstation platform 104 (i.e., at a second position from the microkeratome and excimer laser). Id. Thus, the Examiner’s finding that Hohla discloses “a non-laser surgical device at a second position” (Final Act. 16) is not correct. Hohla discloses that non-laser ophthalmic surgery can be performed at the second position but does not disclose any specific structure for performing this surgery. Hohla 125. Hohla does not disclose a device at the second position that is integrated in its surgery system in the sense that the microkeratome and the excimer laser are elements of the surgery system. Payman discloses a system for correcting refractive error of an eye that includes three robotic arms, with each arm supporting a device such as ultrashort pulse laser 18 and excimer laser 20. Payman | 50, Fig. 1. The robotic arms are mounted to top portion 28 that can rotate relative to support structure 30. Id. 1 51, Fig. 1. This arrangement allows the robotic arms to be positioned “in any of a variety of ways.” Id. 1 51. As such, Payman does not disclose moving the patient between ultrashort pulse laser 18 and excimer laser 20, and appears to teach selectively moving ultrashort pulse laser 18 and excimer laser 20 to a stationary patient by manipulating rotatable top portion 28 and the robotic arms. In view of these teachings, we disagree that one of ordinary skill in the art would have considered modifying Hohla by providing a femtosecond laser at the second position rotated away from workstation platform 104. Both Hohla and Payman disclose using more than one device at a single patient location. Although Hohla discloses performing surgery at the second position, there is no suggestion of providing an integrated device at the second position for performing this surgery. Furthermore, we agree with 19 Appeal 2015-004358 Application 11/716,994 Appellants that the proposed modification likely would defeat Hohla’s purpose of providing a rotating patient bed so as to enable the patient to sit up without striking his or her head. See Appeal Br. 22. Thus, even if a person of ordinary skill in the art would have been motivated to modify Hohla by adding a femtosecond laser, we do not agree that the skilled artisan would have considered adding such a laser at the second location. For the above reasons, we do not sustain the rejection of claim 27 as unpatentable over Hohla, Bachus, Payman, Kelman, Muthuvelan, and admitted prior art. Objections Appellants also ask us to review various objections made by the Examiner. App. Br. 25—26. As correctly noted by the Examiner (Ans. 20), however, such issues are reviewable by petition under 37 C.F.R. § 1.181, and are not within the jurisdiction of the Board. In re Mindick, 371 F.2d 892, 894 (CCPA 1967); see Manual of Patent Examining Procedure (MPEP) §§ 706.01, 1002 and 1201. DECISION We affirm the decision of the Examiner rejecting claims 27—33, 35— 42, and 47-52. 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 20 Copy with citationCopy as parenthetical citation