Ex Parte Sharareh et alDownload PDFPatent Trial and Appeal BoardOct 26, 201811644312 (P.T.A.B. Oct. 26, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 11/644,312 12/22/2006 144837 7590 10/30/2018 Roberts Mlotkowski Safran Cole & Calderon, P.C. 7918 Jones Branch Drive Suite 500 Mclean, VA 22102 Shiva Sharareh 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. 400528-20026 5791 EXAMINER HUPCZEY, JR, RONALD JAMES ART UNIT PAPER NUMBER 3794 NOTIFICATION DATE DELIVERY MODE 10/30/2018 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): kpredmore@rmsc2.com docketing@rmsc2.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte SHIV A SHARAREH and CHAD A. LIEBER 1 Appeal2017-001050 Application 11/644,312 Technology Center 3700 Before DEBORAH KATZ, ELIZABETH A. LA VIER, and TA WEN CHANG, Administrative Patent Judges. CHANG, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134(a) involving claims to a catheter for opto-acoustic tissue assessment, which have been rejected as obvious. We have jurisdiction under 35 U.S.C. § 6(b ). We AFFIRM. STATEMENT OF THE CASE According to the Specification, "[ f]or certain types of minimally invasive medical procedures" such as cardiac ablation for treating atrial fibrillation, "real time information regarding the condition of the treatment 1 Appellants identify the Real Party in Interest as Biosense Webster, Inc. (Appeal Br. 1.) Appeal2017-001050 Application 11/644,312 site within the body is unavailable." (Spec. ,r 2.) The Specification states that "[l]aser optoacoustic technology can offer ... [i]mprovement in sensitivity, spatial resolution and interpretation of images" over other technologies currently used to evaluate the effectiveness of lesions formed by ablation to treat atrial fibrillation. (Id. ,r 9.) However, further according to the Specification, application of laser optoacoustic technology "has been limited due to various factors, including space constraints and integration of the equipment to provide irradiation and detection of optoacoustic data." (Id.) The Specification states that, "[t]hus, there is a need for an integrated electrophysiologic catheter capable of monitoring tissue and performing lesion assessment, especially for endocardial and epicardial tissue, in real- time using optoacoustic technology for improved sensitivity and spatial resolution." (Id. ,r 10.) Claims 1-16 and 19-32 are on appeal. 2 Claim 1 is illustrative and reproduced below: 1. A catheter for opto-acoustic tissue assessment, compnsmg: a catheter body; a tip section distal the catheter body, the tip section comprising a tip electrode adapted to ablate the tissue, the tip electrode comprising a shell and a plug, the shell comprising a shell wall that defines a cavity, an optical waveguide mounted in a first opening in the shell wall of the tip electrode, the optical waveguide being adapted to deliver irradiation energy to the tissue during ablation, wherein the irradiation energy heats the tissue being ablated to produce an acoustic wave, 2 The Examiner included claim 33 in the obviousness rejection to be reviewed on appeal. (Ans. 2.) However, claim 33 has been cancelled. (Appeal Br. 19 (Claims App.); Final Act. 2.) 2 Appeal2017-001050 Application 11/644,312 at least one acoustic detector mounted in a second opening in the shell wall of the tip electrode for acoustically detecting the acoustic wave from the tissue during ablation, the second opening being from the cavity of the tip electrode through the shell wall of the tip electrode, wherein the at least one acoustic detector is configured to generate a signal representative of a tissue characteristic of the tissue during ablation, and wherein the first and second openings are positioned such that the optical waveguide, the tip electrode adapted to ablate the tissue, and the at least one acoustic detector are configured to interact with the tissue from a common orientation, such that the optical waveguide and the at least one acoustic detector are each generally facing the tissue such that the direction of irradiation of the tissue and the direction of acoustic detection of the tissue are generally opposite to each other. (Appeal Br. 14 (Claims App.).) The Examiner rejects claims 1-16 and 19-32 under pre-AIA 35 U.S.C. § I03(a) as being unpatentable over Keidar, 3 Oraevsky, 4 Pesach, 5 and Chandrasekaran. 6 (Ans. 2.) DISCUSSION Issue The Examiner finds that Keidar discloses most of the limitations of claim 1 except that it does not disclose "an optical waveguide mounted in a separate opening of the shell wall of the tip electrode different from opening in which the detector is mounted in the tip electrode for delivering irradiation energy to the tissue, wherein the irradiation energy heats the 3 Keidar et al., US 7,306,593 B2, issued Dec. 11, 2007. 4 Oraevsky et al., US 6,309,352 Bl, issued Oct. 30, 2001. 5 Pesach et al., US 2006/0100489 Al, published May 11, 2006. 6 Chandrasekaran et al., US 6,638,222 B2, issued Oct. 28, 2003. 3 Appeal2017-001050 Application 11/644,312 tissue to produce an acoustic wave." (Final Act. 2-3.) The Examiner also finds that Keidar does not disclose "that the acoustic detector is mounted in a second opening being from an internal portion of the tip electrode to an outer surface of the tip electrode." (Id. at 3.) The Examiner finds, however, that Oraevsky discloses a system for opto-acoustic tissue assessment comprising an ablation element and an optical waveguide and at least one acoustic detector associated with the ablation element, wherein the optical waveguide is "adapted to deliver irradiation energy to the tissue such that the irradiation energy heats the tissue being ablated to produce an acoustic wave" to be detected by the acoustic detector, and wherein the acoustic detector is "configured to generate a signal representative of a tissue characteristic." (Id. at 4.) The Examiner finds that Oraevsky "fails to specifically recite a catheter body and a tip section arrangement as claimed." (Id.) However, the Examiner finds that Chandrasekaran, which discloses "a similar catheter arrangement" as Keidar, "specifically discloses that the acoustic detector (transducer 34[)] is located within an opening formed in the shell wall of the tip electrode ... with the opening being from the cavity of the tip electrode through the shell wall of the tip electrode." (Id. at 3.) Likewise, the Examiner finds that Pesach teaches "a similar system as that of Keidar and Oraevsky comprising a catheter having a distal end functioning to heat and assess tissue ... containing an optical waveguide ... and at least one acoustic sensor," wherein the optical waveguide is mounted "within the distal end of the catheter through an opening in the wall of the distal end/tip so as to allow for irradiation energy to be applied from the catheter to the tissue." (Id. at 4.) 4 Appeal2017-001050 Application 11/644,312 The Examiner concludes that it would have been obvious to a skilled artisan to combined the cited prior art to arrive at the claimed invention. In particular, the Examiner concludes that it would have been obvious to a skilled artisan to "provide an opto-acoustic monitoring system as in Oraevsky to the catheter of Keidar," in order to "provide precise monitoring of the progress of the ablative treatment in real-time" and "ensure only a desired level of treatment is provided to the target tissue." (Id. at 5.) The Examiner also concludes that it would have been obvious to mount Oraevsky's optical waveguide "in a first opening in the shell wall of the tip electrode," as required by claim 1, because Pesach discloses "an exemplary mounting of an optical fiber within a central lumen in a catheter and the distal end of the catheter," which would allow the irradiation energy to be "readily directed to the target tissue being treated." (Id.) The Examiner further concludes that it would have been obvious to place at least one acoustic transducer in Keidar's catheter in an "opening in the shell wall of the tip electrode," as required by claim 1 and taught by Chandrasekaran, because such a placement is functionally equivalent to the placement of the acoustic transducer in Keidar, and/or because it would "reduce[] any issues with attenuation of the signal passing through the tip electrode thereby allowing for a more accurate representation of the tissue characteristic to be generated by the detector." (Id. at 5---6.) Finally, the Examiner finds that the combination of elements discussed above would result in a system wherein "the optical waveguide and the at least one acoustic detector are each generally facing the tissue such that the direction of irradiation of the tissue and the direction of acoustic detection of tissue are generally opposite to each other," as recited 5 Appeal2017-001050 Application 11/644,312 in claim 1. (Id. at 6.) The Examiner further finds that the placement of acoustic transducer as taught by Chandrasekaran "would effectively provide for the shell, the shell wall, and the cavity" required by claim 1, with the distal end of the electrode in which the acoustic detector is mounted forming the shell and shell wall and the proximal end of the electrode forming the plug. (Id. at 6-7.) Appellants contend that the cited art combination does not suggest an acoustic detector "mounted in a[ n] ... opening in the shell wall of the tip electrode" or the electrode and acoustic detector "configured to interact with the tissue from a common orientation," as required by the claims. (Appeal Br. 8-9.) Appellants also contend that the cited prior art combination does not suggest a single catheter comprising an ablation structure, an optical waveguide, and an acoustic detector, as required by the claims. (Id. at 12.) Finally, Appellants contend that a skilled artisan would not have had reason to modify the cited art to arrive at the claimed invention, that the modification(s) suggested by the Examiner would render the prior art device unsuitable for its intended purpose, and that the rejection is based on impermissible hindsight. (Id. at 9-12.) The issues with respect to this rejection are (1) whether the cited prior art combination suggests (a) a catheter comprising an ablation structure, an optical waveguide, and an acoustic detector, (b) the acoustic detector mounted in an opening in the shell wall of the tip electrode, and ( c) the electrode and acoustic detector configured to interact with tissue from a common orientation; and (2) whether a skilled artisan would have had reason to combine the prior art to arrive at the claimed invention. 6 Appeal2017-001050 Application 11/644,312 Findings of Fact 1. Keidar describes treating cardiac arrhythmias by "inserting a catheter through the patient's vascular system into the heart, ... bringing the distal tip of the catheter into contact with the cardiac tissue at the site that is to be ablated," and conducting radio frequency (RF) electrical current "through [the] wires in the catheter to one or more electrodes at the tip of the catheter, which apply the RF energy to the myocardium." (Keidar 1 :23-29.) 2. Keidar teaches that "[t]he catheter that is used to perform the RF ablation may also be used to observe the results of the ablation" and describes a prior art catheter for "imaging ... and ablating tissue" wherein a "sonolucent electrode at the tip of the catheter is used to perform RF ablation" and "[a]n ultrasonic transducer is positioned to transmit ultrasonic signals through the electrode into the heart tissue, in order to create an ultrasonic image." (Id. at 2:25-34.) 3. Keidar teaches "devices for prediction and assessment of ablation treatments applied to cardiac tissue." (Id. at 1:15-18.) In particular, Keidar teaches a catheter comprising at its distal end an ablation electrode, a position sensor, and one or more additional physiological sensors such as ultrasonic transducers. (Id. at 5:53-59, 7:24--30, 33-35; see also id. at claim 5.) 4. Keidar teaches that the ultrasonic transducers are "typically arranged in a phased array, aimed in a forward-looking direction along the axis of catheter" and may be used to produce tissue images for the purposes of "determin[ing] the thickness and other qualities of tissue ... prior to ablation, as well as to assess the progress and results of the ablation procedure." (Id. at 9:48-50, 53---60.) 7 Appeal2017-001050 Application 11/644,312 5. Keidar teaches that the ultrasonic transducers may be used to "determine the temperature of the tissue ... as a measure of the extent of [the] ablation," "observe creation of micro bubbles in tissue ... due to cavitation during ablation," and "measure the speed of blood flow in a deeper layer ... of tissue." (Id. at 9:61-10:34; see also id. at 10:52---60, 11: 15-2 0, claims 5-8.) 6. Keidar teaches that, "[a]ltematively or additionally, other methods for measuring tissue temperature and assessing the extent of ablated tissue may be used, as are known in the art." (Id. at 10:35--40.) 7. Figure 2 of Keidar is reproduced below: (Keidar Fig. 2.) Figure 2 of Keidar is "a schematic, pictorial illustration showing the distal tip of a catheter in contact with endocardial tissue, in accordance with an embodiment of [Keidar's] invention." (Id. at 5:33-35.) In particular, Figure 2 depicts a catheter 22 comprising tip electrode 48 and ultrasonic transducer 46 and in contact with heart tissue 42. (Id. at 7:24--30.) 8 Appeal2017-001050 Application 11/644,312 8. Oraevsky teaches that "conventional imaging techniques have limitations such as low contrast (ultrasound and X-ray imaging), high cost ... , [or] poor resolution" and that "[ s Jome of them are not capable of providing imaging information in real time." (Oraevsky 1 :26-30.) 9. Oraevsky teaches that "[l]aser optoacoustic imaging has potential to become an imaging technique with high contrast, sensitivity and resolution, and of moderate cost." (Id. at 3:8-11; see also id. at 9:24--27 ( describing advantages of optoacoustic techniques compared to conventional imaging techniques).) 10. Oraevsky teaches "a method/system ... for monitoring tissue properties in real time during treatment using optoacoustic imaging system," based on the fact that "[ a Jpplication of radiation, heating, or cooling induces changes in tissue temperature and optical and thermophysical properties" and "[ o Jptoacoustic technique is sensitive to changes in tissue temperature, optical properties ... , and [certain] thermophysical parameters" (Id. at Abstract; see also id. at 1:12-15, 2:1-7, 3:12-22, 4:40-46.) 11. Oraevsky teaches that the technique of its invention "can be applied if ... radiation (microwave, radiofrequency, ultrasonic, etc.) is used for tissue heating." (Id. at 3:36-38; see also id. at 5:27-30.) 12. Oraevsky teaches that monitored tissue properties may include, for example, physical dimension and temperature. (Id. at 1 :59---64, 4:24--27, claim 2.) 13. Oraevsky teaches obtaining optoacoustic images by irradiating tissue by laser pulses with short duration, wherein such "[i]nstant heating by short laser pulses produces acoustic (stress) wave with a profile resembling distribution of optoacoustic sources in the tissues," which propagates to the 9 Appeal2017-001050 Application 11/644,312 tissue surface and is detected by an acoustic transducer or transducer array. (Id. at 5:6-15; see also e.g., id. at 5:46-56, Figs. 2 and 3.) 14. Oraevsky teaches delivering optical pulses for imaging through a fiber-optic delivery system. (Id. at 4:30-32, claim 3.) 15. Oraevsky teaches placing an optical fiber and acoustic transducer in an endoscope and positioned inside an organ "such that irradiation and detection is performed from the same site at the internal surface of [the] organ." (Id. at claim 12.) 16. Pesach teaches: A tissue viability monitor (TVM) for determining viability of a biological tissue comprising: at least one light source controllable to illuminate the tissue with light that generates photoacoustic waves therein; at least one acoustic transducer that generates signals responsive to the photoacoustic waves; and a controller that receives the signals and processes the signals to determine at least one characteristic of the tissue and a measure of viability responsive to the determined at least one characteristic. (Pesach Abstract; see also id. ,r,r 16, 25.) 17. Pesach teaches mounting components of a TVM in "a catheter suitable for percutaneous introduction into a patient's body." (Id. ,r 24; see also id. ,r 66.) Pesach teaches that "[t]he catheter has a 'probe end' that is threaded through the patient's vascular system or through a suitable body orifice to be positioned in a neighborhood of tissue to be diagnosed." (Id.) Pesach teaches that "[ t ]he tissue is illuminated by light transmitted from the probe end and, optionally, acoustic energy from photoacoustic waves generated responsive to the light is received by at least one acoustic transducer mounted in the probe end." (Id.; see also id. at claim 16.) 10 Appeal2017-001050 Application 11/644,312 18. Pesach teaches "light source compris[ing] an optic fiber having an optic end located at the probe end from which optic end light that illuminates the tissue is radiated." (Id. ,r 30; see also id. at claim 15.) 19. Figure 4 of Pesach is reproduced below: 76 D( lL__ r-----1 CONTROLLER li'IG.4 (Pesach Fig. 4.) Pesach's Figure 4 "schematically shows a TVM useable for diagnosing tissue viability percutaneously." (Id. ,r 38.) In particular, Figure 4 depicts a TVM 70 comprising catheter 72 having a probe end 78, wherein at least one optic fiber 84 extends the length of catheter 72 and transmits 11 Appeal2017-001050 Application 11/644,312 light to an end 85 (i.e., an optical aperture) of the fiber in probe end 78 and at least one acoustic transducer 80 is mounted in the probe end. (Id. ,r 67.) 20. Pesach teaches that TVM 70 "tests viability of region 86 by illuminating the region with at least one pulse of light at a suitable wavelength to stimulate generation of photoacoustic waves in the region. Transducer 80 generates signals responsive to the photoacoustic waves." (Id. ,I 69.) 21. Chandrasekaran relates to "catheter ablation systems for revascularizing occluded vessels." (Chandrasekaran 1:14--16.) In particular, Chandrasekaran teaches: A combination catheter includes an ultrasound transducer and RF ablation electrode. The ultrasound transducer transmits ultrasound signals into and receives echo signals from a vessel ... used to produce an image of the tissue surrounding the catheter. . . . An RF generator is electrically coupled to the driveshaft to deliver RF energy to the electrode at the distal end of the driveshaft to ablate occluding material in the vessel. (Id. at Abstract; see also id. at 1:51-55.) 22. Chandrasekaran teaches that the electrode and ultrasound transducer are located at the distal end of the catheter and that "[t]he electrode extends out the distal end of [a] non-conductive sheath such that RF ablation energy is directed from the exposed electrode and into the occluding material." (Id. at 1 :55-58, 1 :66-2: 1, 2:8-11.) 23. Chandrasekaran teaches that, in one embodiment of the invention, "the electrode that delivers the RF ablation energy is incorporated into the steerable sheath, wherein the ultrasound catheter extends through a hole in the electrode at the distal end of the sheath to obtain images of the vessel and occluding material." (Id. at 2:29-33.) 12 Appeal2017-001050 Application 11/644,312 24. Figure 1 of Chandrasekaran is reproduced below: .JtJ Sl ! "'-- i&~~~~~ I 1~· I~ I D I . .-· • """"""••n-••• kl 00 I C.ENER.4 TOIi I 19 . L J4 I 1NFf1:i1(/lf AJWANl'ER ' r fJLT!Wi'{]l.ll?D j PRfJC,ESSIJ/1 -----·--·--·.-L. .C! .. CfJN'!ML _}5 --- (1ft u MIJroR bR!YE .. :.......... ~ u J ."'\ JD (Id. at Fig. 1.) Chandrasekaran's Figure 1 "illustrates a combination RF ablation and ultrasound catheter system for crossing total chronic occlusions according to one embodiment of [its] invention." (Id. at 2:42--44.) As shown in Figure 1, the combination ultrasound and RF ablation system 10 includes a catheter 12, at the tip of which is "an ultrasound transducer 34 that transmits ultrasound signals into the vessel tissue and receives corresponding echo signals" to produce an image of the tissue surrounding the imaging head 16. (Id. at 3:1-13.) In the embodiment depicted in Figure 1, "[ t ]he ultrasound transducer 34 is integrated with a conductive electrode 38 that is secured to the distal end of the conductive shaft 30" and "positioned in a window 36 on the side of the electrode such that ultrasound signals are transmitted to and echo signals are received from an area in the vessel that is adjacent the electrode 38 as well as a region that is just ahead 13 Appeal2017-001050 Application 11/644,312 or distal to the electrode." (Id. at 3:24--32.) RF energy is delivered to the electrode 38 to remove occluding material from the vessel. (Id. at 3:41--44.) 25. Figure 3A of Chandrasekaran is reproduced below: I 70 -- Flg..lA. (Id. at Fig. 3A.) Figure 3A of Chandrasekaran teaches one embodiment of RF electrode tip shape, which also shows ultrasound transducer 34 positioned in a window 36 of the electrode. (Id. at 2:48--49, 3:26-32.) 26. Chandrasekaran teaches that "it is possible to use multiple transducers oriented in different directions so that a desired ... view of the vessel wall can be created with minimum rotation [ ofJ the ultrasound catheter." (Id. at 6:16-19.) Analysis Appellants do not separately argue for the patentability of individual claims. We therefore limit our analysis to claim 1 as representative. We adopt the Examiner's findings of fact and reasoning regarding the scope and content of the prior art as they relate to claim 1 (Final Act. 2-11, 22-24 see also Ans. 2-8; FF1-FF26) and agree that claim 1 is obvious over Keidar, Oraevsky, Pesach, and Chandrasekaran. We address Appellants' arguments below. 14 Appeal2017-001050 Application 11/644,312 Appellants contend that the ultrasound transducer in Chandrasekaran is positioned "in a window ... on the side of the electrode in order to provide a 360Qview of the vessel in which the catheter is used for ablation"; thus, Appellants contend that "the ultrasound transducer [in Chandrasekaran] is not mounted in an opening in the tip electrode, let alone an opening from a cavity of the tip electrode through the shell wall of the tip electrode." (Appeal Br. 7-8; see also Reply Br. 2, 3--4.) We are not persuaded. Chandrasekaran teaches an ultrasound transducer integrated with the electrode and positioned in a window on the side of the electrode. (FF24, FF25.) The ordinary meaning of window is "an opening especially in the wall of a building."7 In the present context, this ordinary meaning suggests that the ultrasound transducer in Chandrasekaran is positioned in an opening in the electrode from a cavity in the electrode through the shell wall. Our finding in this regard is supported by the figures in Chandrasekaran. Figure 3A of Chandrasekaran, for instance, shows the transducer 34 is in an opening ( window 36) in the electrode, but does not suggest, as Appellants argue, that the electrode is solid. (FF25; Reply Br. 2.) Nor have Appellants cited persuasive evidence that a transducer positioned in a window on the side of the electrode to provide a 3 60Q view of a blood vessel cannot be "mounted in a[ n] ... opening in the shell wall of the tip electrode" where the opening is "from the cavity ... through the shell wall of the tip electrode," as recited in claim 1. 7 "window." l\t1ERRlAivr-\VEBSTER, https://www.merriam- webster.com/dictionary/window (last visited Oct. 24, 2018) (defining window as "an opening especially in the wall of a building for admission of light and air that is usually closed by casements or sashes containing transparent material (such as glass) and capable of being open and shut"). 15 Appeal2017-001050 Application 11/644,312 Appellants also argue that Chandrasekaran "does not disclose the electrode and the transducer "interact[ing] with tissue from a common orientation, as presently recited," because, for instance, Figure 1 of Chandrasekaran shows the transducer "interact[ing] with tissue from a different angle ( or orientation) than the part of the electrode 3 8 that exits the sheath 32." (Appeal Br. 8.) We are not persuaded. The Examiner does not rely on Chandrasekaran to teach the limitation relating to "the optical waveguide, the tip electrode ... , and the ... acoustic detector ... configured to interact with the tissue from a common orientation." Instead, as the Examiner explains, this limitation is disclosed by the combination of Keidar and Pesach, which provides, respectively, a forward-facing acoustic detector and a forward-facing optical waveguide. (Final Act. 6; see also Ans. 6 ( explaining that the claimed orientation of the transducer "is already provided by the Keidar reference").) "Non-obviousness cannot be established by attacking references individually where the rejection is based upon the teachings of a combination of references. . . . [The reference] must be read, not in isolation, but for what it fairly teaches in combination with the prior art as a whole." In re Merck & Co., 800 F.2d 1091, 1097 (Fed. Cir. 1986).8 8 We note that Chandrasekaran also teaches that "it is possible to use multiple transducers oriented in different directions so that a desired ... view of the vessel wall can be created with minimum rotation [ of] the ultrasound catheter." (FF26.) Thus, Chandrasekaran does suggest that a transducer from a group of transducers may be configured to interact with the tissue from a common orientation as the electrode. 16 Appeal2017-001050 Application 11/644,312 Appellants argue that the Examiner has not provided a reason to combine Chandrasekaran with other cited prior art to arrive at the claimed invention. (Appeal Br. 9, 10-12; Reply Br. 3.) In particular, Appellants contend that "Chandrasekaran highlights the importance of providing a 3 60Q view of the vessel" and a skilled artisan would have recognized that the modification suggested by the Examiner would destroy the ability of the transducer to provide such a view. (Appeal Br. 9, 10-12.) Appellants also contend that, even if Figure 1 of Chandrasekaran depicted a transducer in an opening as claimed (i.e., "an opening from the cavity of the tip electrode through the shell wall of the tip electrode"), the Examiner has not explained why a skilled artisan "would have selected only that isolated depiction of Chandrasekaran to modify the Keidar configuration." (Reply Br. 3.) We are not persuaded. Keidar teaches positioning a transducer within the electrode to transmit ultrasonic signals through the electrode (FF2, FF7), while Chandrasekaran teaches positioning a transducer in an opening (i.e., a window) in the wall of the electrode (FF24, FF25). Because both references teach a method for affixing an ultrasound transducer for imaging tissue in a catheter ablation system (FF2, FF21 ), "it would have been prima facie obvious to substitute one method for the other." In re Fout, 675 F.2d 297, 301 (CCPA 1982). As the predecessor to our reviewing court has explained, "[ e ]xpress suggestion to substitute one equivalent for another need not be present to render such substitution obvious." Id. As to Appellants' argument that the modification suggested by the Examiner would destroy the ability of Chandrasekaran's transducer to provide a 360Q view of the vessel, we note that the Examiner's prima facie case is based on modifying the catheter suggested by the combination of 17 Appeal2017-001050 Application 11/644,312 Keidar, Oraevsky, and Pesach, by mounting the ultrasound transducer in an opening in the wall of the electrode, as suggested by Chandrasekaran, rather than within the electrode, as described in Keidar. In other words, the rejection is not based on changing the location or orientation of the transducer in Chandrasekaran 's device itself We are thus not persuaded by Appellants' apparent contention that the proposed modification would impermissibly change the principle of operation of Chandrasekaran's device. Appellants further contend in conclusory fashion that none of the cited references, either alone or in combination, "teaches or suggests [the claimed] combination of features in the same catheter." (Appeal Br. 12.) We are not persuaded. Appellants support their contention only by describing each reference individually and then reciting claim elements allegedly missing from that reference. As discussed above, however, "[ n ]on-obviousness cannot be established by attacking references individually where the rejection is based upon the teachings of a combination of references." Merck, 800 F.2d at 1097. Appellants provide no persuasive argument or evidence that the Examiner erred in concluding that a skilled artisan, when reading the references together, would find it obvious to include the claimed combination of features in the same catheter. Finally, Appellants contend that the rejection is based on improper hindsight. (Appeal Br. 9--10, 11; Reply Br. 4.) Appellants similarly contend that the rejection is based on the Examiner "picking and choosing among isolated disclosures in the prior art, without fairly considering the disclosures in their entirety." (Appeal Br. 11.) We are not persuaded. "Any judgment on obviousness is in a sense necessarily a reconstruction based upon hindsight reasoning, but so long as it 18 Appeal2017-001050 Application 11/644,312 takes into account only knowledge which was within the level of ordinary skill at the time the claimed invention was made and does not include knowledge gleaned only from applicant's disclosure, such a reconstruction is proper." In re McLaughlin, 443 F.2d 1392, 1395 (CCPA 1971). As discussed above, we find the rejection to be based on disclosures from the cited prior art rather than knowledge gleaned only from Appellants' disclosure. We also find that the Examiner has sufficiently articulated reasons why a skilled artisan would combine the prior art disclosures in the manner described in the rejection to arrive at the claimed invention. Accordingly, we affirm the Examiner's rejection of claim 1. Claims 2-16 and 19-32, which are not separately argued, fall with claim 1. See 37 C.F.R. § 4I.37(c)(l)(iv). SUMMARY For the reasons above, we affirm the Examiner's decision rejecting claims 1-16 and 19-32. TIME PERIOD FOR RESPONSE No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). AFFIRMED 19 Copy with citationCopy as parenthetical citation