Ex Parte BOLEADownload PDFPatent Trial and Appeal BoardFeb 27, 201914620131 (P.T.A.B. Feb. 27, 2019) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 14/620,131 02/11/2015 Stephen L. BOLEA 138270 7590 03/01/2019 FOLEY & LARDNER LLP 3000 K STREET N.W. SUITE 600 WASHINGTON, DC 20007-5109 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. 104292-1657 2591 EXAMINER SO, ELIZABETH K ART UNIT PAPER NUMBER 3792 NOTIFICATION DATE DELIVERY MODE 03/01/2019 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): ipdocketing@foley.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Exparte STEPHEN L. BOLEA Appeal2018-005985 Application 14/620,131 1 Technology Center 3700 Before ANTON W. PETTING, MICHAEL C. ASTORINO, and BRADLEY B. BAY AT, Administrative Patent Judges. ASTORINO, Administrative Patent Judge. DECISION ON APPEAL Pursuant to 35 U.S.C. § 134(a), the Appellant appeals from the Examiner's decision rejecting claims 1-8. We have jurisdiction over the appeal under 35 U.S.C. § 6(b ). We AFFIRM-IN-PART. 1 According to the Appellant, "[t]he real party of interest in this appeal is Cyberonics, Inc., the assignee of this application." Appeal Br. 2. Appeal2018-005985 Application 14/620, 131 STATEMENT OF THE CASE Subject Matter on Appeal The field of the present invention relates to a method for treating sleeping disorders, specifically, obstructive sleep apnea. Spec. ,r 2. Claim 1, the sole independent claim, is representative of the subject matter on appeal and is reproduced below. 1. A method of providing a sleep apnea nerve stimulation therapy to a subject, the method comprising: detecting a respiratory waveform of the subject with a sensor configured for coupling to the subject, the respiratory waveform including a plurality of respiratory cycles each corresponding to at least one of a breath or an attempted breath of the subject; identifying a breathing pattern within the respiratory waveform over a period of time, the breathing pattern comprising a repeating pattern of a plurality of respiratory cycles followed by at least one respiratory cycle corresponding to a disordered breathing event; and generating a series of stimulation pulses based on the breathing pattern with an implantable nerve stimulator configured for coupling to a hypoglossal nerve of the subject, the series of stimulation pulses coordinated with the breathing pattern. Rejections Claims 1 and 3-8 are rejected under 35 U.S.C. § I02(a)(l)/102(a)(2) as being anticipated by Tehrani et al. (US 7,979,128 B2, iss. July 12, 2011) (hereinafter "Tehrani"). Claim 2 is rejected under 35 U.S.C. § 103 as being unpatentable over Tehrani and Syroid et al. (US 2014/0243629 Al, pub. Aug. 28, 2014) (hereinafter "Syroid"). 2 Appeal2018-005985 Application 14/620, 131 ANALYSIS Independent Claim 1 and Dependent Claims 3-5 The Appellant argues that the Examiner's rejection of claim 1 as being anticipated by Tehrani is in error. See Appeal Br. 8-11; Reply Br. 3- 4. More specifically, the Appellant argues that the Examiner's reliance of particular cited portions of Tehrani only generally discloses "detect[ing] the drop in tidal volume ... below a threshold level" and identifying "various parts of two sequential integrated waveforms," i.e., "portions of respiratory cycles," but not "identifying a breathing pattern ... comprising a repeating pattern of a plurality of respiratory cycles followed by at least one respiratory cycle corresponding to a disordered breathing event," as required by claim 1. Appeal Br. 9-10 (citing Tehrani, 8:59-9:10, 14:12-17); Reply Br. 3 (Tehrani, claim 1). The Appellant's argument is not persuasive of Examiner error. Figure 15A of the present application depicts a breathing pattern within a respiratory waveform including a plurality of respiratory cycles each corresponding to a number of breaths or attempted breaths of a patient. See Spec. ,r,r 14, 41, 122. Figure 15A is reproduced below: !,"!-.<~: \,:.;:,j .--~; _________ . ..l ..... _, ( t FIG. 15A 3 \.i \ Appeal2018-005985 Application 14/620, 131 Figure 15A depicts respiratory waveforms 5501 and 5511, which "show a breathing pattern that is initially ordered and then degrades to a disordered breathing pattern as time (t) progresses." Id. ,r 122. Also, the Specification describes: "[t]he characterizing of the normal breathing pattern for the patient may involve evaluating a baseline level of effort or work required for the patient to achieve a necessary level of respiration, which can be measured as an air volume"; and "[ f]urther evaluation may be performed to identify a threshold value or level ... at which the breathing can be characterized as labored or deficient, or at which the breathing can be considered insufficient to maintain adequate blood oxygen levels." Id. ,r 126 ( emphasis added); id. ,r 124 ( explaining that a significant value for respiratory effort, such as an impedance peak value M or airflow peak value P, may surpass a threshold 5502 or 5512 to determine disordered breathing). Similar to Figure 15A of the present application, Tehrani's Figure 4A "illustrates a breathing pattern where a decrease in tidal volume ultimately ends in an obstructive sleep apnea event." Tehrani 13:62---64. Tehrani's Figure 4A is reproduced below: " Figure 4A shows a patient's breathing pattern where the tidal volume of breaths 411--415 crosses threshold 450 and gradually decreases until the patient's airway narrows ultimately leading to an airway obstruction, i.e., an 4 Appeal2018-005985 Application 14/620, 131 obstructive respiratory event. Id. at 13:64--14:10; see Final Act. 4 (citing Tehrani 4:54--5:29, 8:59-9: 10, 13: 18-14:39). The Examiner finds "Tehrani discusses using physiological information that includes a movement pattern and a respiratory activity pattern, therefore showing detecting a breathing pattern from the physiological information" and "tracking the breathing cycle, which is a breathing pattern and not detection of a single breath." Final Act. 2-3. In support of this finding, we note that Tehrani describes: FIGS. 16A-16D illustrate monitoring or detection of various aspects or parameters of respiration on a breath by breath basis. Tidal volume is monitored and a decrease in tidal volume characteristic (FIG. 4A) or an erratic breathing pattern (FIG. 4B) in an obstructive sleep apnea patient is detected. (Monitored tidal volume as used herein may also include a monitored tidal volume correlated signal). Tehrani 13:30-37. In view of the foregoing, we determine that the Appellant fails to persuasively explain using evidence or technical reasoning why one of ordinary skill in the art, upon reading the Specification, would fail to understand Tehrani as disclosing a step of "identifying a breathing pattern ... comprising a repeating pattern of a plurality of respiratory cycles followed by at least one respiratory cycle corresponding to a disordered breathing event," as required by claim 1. See Final Act. 2--4; Ans. 6. The Appellant also argues that the Examiner's rejection of claim 1 is in error because the cited portions of Tehrani fail to disclose "generating a series of stimulation pulses based on the breathing pattern with an implantable nerve stimulator configured for coupling to a hypoglossal nerve of the subject, the series of stimulation pulses coordinated with the breathing 5 Appeal2018-005985 Application 14/620, 131 pattern," as required by claim 1. Reply Br. 4---6; see Appeal Br. 10-12. The Appellant's argument is not persuasive of Examiner error. To the extent that the Appellant's argument refers back to the arguments provided for the "identifying a breathing pattern" step of claim 1, those arguments are not persuasive for the reasons discussed above. As for the remainder of the Appellant's argument, we note that the Examiner cites to a number of portions of Tehrani' s disclosure to teach the "generating a series of stimulation pulses" step of claim 1. Final Act. 4 (citing Tehrani 4:50-56; 5:30-59; 6:4--25; 12: 23--43; 13:18-14:39); Ad. Act. 2 (citing Tehrani 5:39--44; 6:22-25); Ans. 6 (citing Tehrani 5:18-30, 39--44, 54---6:3, 7:52---61 ). The Appellant argues individual portions of some, but not all, of the cited portions of Tehrani. See Appeal Br. 10-12; Reply Br. 4---6. One notable exception is to Tehrani's disclosure at column 13, line 18 through column 14, line 39. In this cited portion, Tehrani discloses Figures 4A-D of which Figures 4C-D "are schematic illustrations respectively of respiration response and stimulation waveforms illustrating a stimulation method using a stimulation device according to the invention in which the obstructive sleep apnea event illustrated in FIG. 4A is treated with deep inspiration stimulation." Tehrani 3:12-17. And, Figure 4D shows pacing pulse 434, which stimulates deep inspiration breath 424, during breath 414, i.e., the breath after a stimulator detects a drop in tidal volume (breath 413) below a threshold; similar pacing pulse(s) 439 may be provided as needed. See id. at 13:18-14:39; see also id. at 5:39--44 ("Electrodes may be placed at or near the hypoglossal nerve in accordance with a variation of the invention where stimulation of the diaphragm is coordinated with 6 Appeal2018-005985 Application 14/620, 131 activation of upper airway muscles to open the airway passage just prior to stimulating the diaphragm muscles."). In view of the foregoing, we determine that the Appellant fails to persuasively explain using evidence or technical reasoning why one of ordinary skill in the art would fail to understand Tehrani as disclosing "generating a series of stimulation pules" step of claim 1. Thus, we sustain the Examiner's rejection of independent claim 1, as well as claims 3-5, which are not argued separately by Appellant. Dependent Claim 6 Claim 6 depends from claim 1 and recites, "wherein the breathing pattern is determined from a detection of at least one of a signal peak, a signal minimum, an expiration detection, and an inspiration detection." Appeal Br., Claims App. The Examiner finds that Tehrani's disclosure of tracking a breathing cycle and comparing tidal volume to a threshold value corresponds to a detection of signal peak or signal minimum. See Ans. 6, 7-8 ( citing Tehrani 13:41---61); Final Act. 5 (citing Tehrani 13:41-14:39). The Examiner does not find that Tehrani discloses an expiration detection or an inspiration detection. The Examiner explains: By definition a threshold shows a m1mmum or peak value, wherein Tehrani shows that the threshold used is to ensure a minimum is met for analyzing the respiration data when determining the breathing pattern for application of the proper stimulation treatment ( col. 13, lines 41---61 ), showing that the detected waveform of Claim 1 is identified as a breathing pattern based on detection of these signal peak or signal minimum based on a comparison with the set threshold. Ans. 7-8. 7 Appeal2018-005985 Application 14/620, 131 The Appellant argues: Even if the Examiner is correct that "Tehrani shows that the threshold used is to ensure a minimum is met for analyzing the respiration data," an assertion with which Appellant does not necessarily agree, this does not show that "the breathing pattern is determined from detection of at least one of a signal peak [or] a signal minimum" because ensuring a minimum using a threshold is not the same as a "signal minimum." Reply Br. 7 (alteration and emphasis in original); see Appeal Br. 12-13. The Appellant's argument is not persuasive. The Appellant addresses error with respect to the Examiner's finding that Tehrani discloses determining a breathing pattern from a detection of signal minimum, but fails to sufficiently explain error in the Examiner's finding that Tehrani discloses determining a breathing pattern from a detection of signal peak. Moreover, we agree with the Examiner's finding that tracking a breathing cycle and comparing tidal volume to a threshold value corresponds to a detection of signal peak. Thus, we sustain the Examiner's rejection of claim 6 as anticipated by Tehrani. Dependent Claim 7 Claim 7 depends from claim 1 and recites, "wherein the breathing pattern includes a trend defined by at least one of the plurality of respiratory cycles." Appeal Br., Claims App. The Examiner finds "Tehrani shows determining a baseline variance in the respiration waveform over time (col. 13, lines 53-61), thereby showing at least determining a trend as defined by the detected plurality of respiratory cycles." Ans. 8; see Final Act. 5 (citing Tehrani 13:41-14:39). 8 Appeal2018-005985 Application 14/620, 131 The Appellant acknowledges that Tehrani describes "[o]ther parameters may be used to identify when tidal volume has dropped below a predetermined threshold, for example baseline tidal volume rate variance over a period of time may be monitored and compared to a normal variance." Reply Br. 8 (citing Tehrani 13:56-59). The Appellant argues that Tehrani fails to disclose a trend defined by a plurality of respiratory cycles because "the Examiner provides no explanation as to how baseline tidal volume rate variance is analogous to 'a trend defined by ... the plurality of respiratory cycles,' as recited in part in claim 7." Id. The Appellant's argument is not persuasive of Examiner error. The Appellant's argument does not explain how tidal volume rate variance is not a trend or, more specifically, is not a trend defined by a plurality of respiratory cycles. See also Spec. ,r,r 16, 18, 123 ( describing a respiratory trend as being based on a comparison of the plurality of peak magnitudes over the time period). The Appellant's argument does little more than reiterate and disagree with the Examiner's finding without adding explanation or technical reasoning explaining the error. See also In re Jung, 637 F.3d 1356, 1365 (Fed. Cir. 2011) ("It has long been the Board's practice to require an applicant to identify the alleged error in the examiner's rejections."). Hence, we determine that the Appellant fails to persuasively explain using evidence or technical reasoning why one of ordinary skill in the art would fail to understand Tehrani as disclosing "wherein the breathing pattern includes a trend defined by at least one of the plurality of respiratory cycles," as recited in claim 7. Thus, we sustain the Examiner's rejection of claim 7 as anticipated by Tehrani. 9 Appeal2018-005985 Application 14/620, 131 Dependent Claim 8 Claim 8 depends from claim 1 and recites "comparing portions of the breathing pattern within the respiratory waveform to support an identification of the disordered breathing event." Appeal Br., Claims App. ( emphasis added). The Examiner finds that Tehrani discloses "comparing ... portions of the breathing pattern against thresholds to identify a disordered breathing event." Ans. 8 (citing Tehrani 13:30-51 (claim 1)); Final Act. 5 (citing Tehrani 13:41-14:39). The Appellant argues that Tehrani's use of comparing a portion of a respiratory waveform against a threshold does not correspond to the further limitation of claim 8. See Appeal Br. 15; Reply Br. 9. The Appellant's argument is persuasive. We determine that the broadest reasonable interpretation of the limitation of claim 8 - when read by one of ordinary skill in the art in light of the Specification - requires something distinct from comparing different portions a waveform to a threshold. Rather, we construe claim 8 to require a comparison of one portion of a waveform with another portion of the waveform. See, e.g., Spec. ,r 13 2 ( comparing the time period of two inspiration periods, where one is longer than the other, may indicate that a patient is entering a period of disordered breathing). Thus, we do not sustain the Examiner's rejection of claim 8 as anticipated by Tehrani. Dependent Claim 2 The Appellant does not present any arguments for the separate patentability of dependent claim 2 apart from asserting that Syroid does not 10 Appeal2018-005985 Application 14/620, 131 cure the alleged deficiencies of Tehrani with respect to claim 1. Appeal Br. 16. For the reasons discussed above, we are not persuaded that the Examiner's rejection of claim 1 as being anticipated by Tehrani includes the alleged deficiencies. Thus, we sustain the Examiner's rejection of claim 2 as unpatentable over Tehrani and Syroid. DECISION We AFFIRM the Examiner's decision rejecting claims 1-7. We REVERSE the Examiner's decision rejecting claim 8. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(l )(iv). AFFIRMED-IN-PART 11 Copy with citationCopy as parenthetical citation