Ex Parte Cohen et alDownload PDFPatent Trials and Appeals BoardMay 2, 201911952745 - (D) (P.T.A.B. May. 2, 2019) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 11/952,745 12/07/2007 22832 7590 05/06/2019 K&L Gates LLP-Boston STATE STREET FINANCIAL CENTER One Lincoln Street BOSTON, MA 02111-2950 FIRST NAMED INVENTOR Richard Cohen 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. 70139US 1827 EXAMINER SHAY,DAVIDM ART UNIT PAPER NUMBER 3792 NOTIFICATION DATE DELIVERY MODE 05/06/2019 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): USpatentmail@klgates.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte RICHARD COHEN, MICHAEL H. SMOTRICH, and GREGORYB. ALTSHULER Appeal2017---008182 Application 11/952,745 Technology Center 3700 Before JAMES P. CAL VE, WILLIAM A. CAPP, and ALYSSA A. FINAMORE, Administrative Patent Judges. CAPP, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE Appellants 1 seek our review under 35 U.S.C. § 134(a) of the Examiner's final rejection of claims 1, 2, 4---6, 9, 11, 12, 19, 21-23, 26-28, 30-37, and 40-50. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM. 2 1 Palomar Medical Technologies, LLC is the real party in interest. Appeal Br. 1. 2 This case came before the Board for regularly scheduled oral hearing on April 25, 2019. Appeal2017-008182 Application 11/952,745 THE INVENTION Appellants' invention relates to medical treatment using electromagnetic radiation (EMR). Spec. ,r 3. Claim 1, reproduced below, is illustrative of the subject matter on appeal. 1. A method of treating internal tissue, comprising: inserting into a location internal to a body a treatment device; and irradiating portions of the internal tissue with concentrated electromagnetic radiation from the treatment device to form islets of damaged tissue separated by spared tissue at a depth in a range of 50 microns to 500 microns below a surface of the internal tissue to which radiation is applied, wherein said spared tissue causes healing in the damaged tissue to allow the damaged tissue to reform as firm tissue. THE REJECTIONS The Examiner relies upon the following as evidence in support of the rejections: Hoskin Kittrell Eppstein Altshuler Anderson us 5,000,752 us 5,304,173 us 5,885,211 WO 02/053050 Al US 6,997,923 B2 Mar. 19, 1991 Apr. 19, 1994 Mar. 23, 1999 July 11, 2002 Feb. 14,2006 The following rejections are before us for review: 3, 4 1. Unpatentability under 35 U.S.C. § 103(a) over Anderson, Eppstein, and Kittrell. 3 Each of the Examiner's three grounds of rejection under Section 103 encompass claims 1, 2, 4---6, 9, 11, 12, 19, 21-23, 26-28, 30-37, and 40-50. 4 A ground of rejection under Section 112, first paragraph, for lack of written description has been withdrawn by the Examiner. Ans. 6. 2 Appeal2017-008182 Application 11/952,745 2. Unpatentability under 35 U.S.C. § 103(a) over Altshuler, Eppstein, and Kittrell. 3. Unpatentability under 35 U.S.C. § 103(a) over Anderson, Eppstein, and Hoskin. Claim 1 OPINION Unpatentability Over Anderson, Eppstein, and Kittrell The Examiner finds that Anderson discloses the invention substantially as claimed except for treating tissue from a location internal to a patient's body, for which the Examiner relies on Eppstein and Kittrell. Final Action 7-8. The Examiner concludes that it would have been obvious to a person of ordinary skill in the art at the time of the invention to employ Anderson's treatment method on internal tissue using the catheter arrangement of Kittrell. Id. at 8. According to the Examiner, a person of ordinary skill in the art would have done this to treat internal tissue. Id. Appellants argue that Anderson teaches treatment of skin by an external, non-invasive approach. Appeal Br. 15, Reply Br. 2. According to Appellants: "the tissue that Anderson seeks to treat is at a depth that can be accessed by radiation applied from an external source to the surface of the skin." Appeal Br. 15. Appellants' challenge to Anderson is viewed as an individual attack on a single reference in a rejection that is based on a combination of references. It is well settled that non-obviousness cannot be established by attacking references individually where the rejection is based upon the teachings of a combination of references. In re Merck & Co., 800 F.2d 3 Appeal2017-008182 Application 11/952,745 1091, 1097 (Fed. Cir. 1986); In re Keller, 642 F.2d 413,425 (CCPA 1981). In the proposed combination, the Examiner relies on Eppstein and Kittrell as applying EMR energy to internal tissue. Appellants next argue that Eppstein is directed to a method for drilling through tissue for transdermal drug delivery or analyte collection. Appeal Br. 15. Appellants contend that transdermal drug delivery is a different field of endeavor than fractional therapy. Id. at 16. In response, the Examiner interprets Appellants' argument as an argument that Epp stein constitutes non-analogous art. Ans. 9. The Examiner observes, correctly, that, whether or not a reference is from a different field of endeavor, it may be considered analogous art if it is reasonably pertinent to the problem to be solved by the inventor. Id. ( citing In re Bigio, 381 F.3d 1320, 1325 (Fed. Cir. 2004)). The Examiner directs our attention to the Background of the Invention section of Appellants' Specification, where, in describing the state of the art prior to Appellants' date of invention, it states: For applications in internal medicine, the EMR treatment is typically performed with a device that works in combination with an endoscope or catheter to deliver the EMR to internal surfaces and tissues. As a general matter, the EMR treatment is typically designed to (a) deliver one or more particular wavelengths ( or a particular continuous range of wavelengths) of EMR to a tissue to induce a particular chemical reaction, (b) deliver EMR energy to a tissue to cause an increase in temperature, ( c) deliver EMR energy to a tissue to damage or destroy cellular or extracellular structures, or ( d) deliver EMR energy to a tissue to activate an exogenous substance that has been injected (as in the case of some cancer treatments) or topically applied (as in the case of some acne treatments). 4 Appeal2017-008182 Application 11/952,745 Ans. 9-10 (quoting Spec. ,r 4). The Examiner finds that delivery of photoactivatable substances to tissue to be treated is one aspect of Appellants' invention. Id. at 10. The Examiner further finds that techniques to promote delivery of substances to tissue is also one of the purposes of Eppstein. Id. (citing Eppstein, col. 4, 11. 27-34). The Examiner also finds that Appellants' invention addresses the problem of slow healing time, something that is also addressed by Eppstein. Id. ( citing Spec. ,r 6 and Eppstein, col. 4, 11. 23-26). Having considered the competing position of the Examiner and Appellants, we agree with the Examiner's analysis and conclusion that Eppstein is reasonably pertinent to the problem to be solved by Appellants' invention and, therefore, constitutes analogous art for purposes of an obviousness analysis. Bigio, 381 F.3d at 1325. Next, Appellants further argue that Eppstein fails to disclose, teach, suggest, or provide motivation to create islands of damage in internal tissue to which radiation is applied. Appeal Br. 15. Furthermore, Appellants challenge the Examiner's finding that the tissue treated by Anderson and internal tissues such as mucous membranes are equivalent. Id. at 15-16, Final Action 8. "Eppstein does not teach that skin and mucous membranes are "equivalent" ... All Eppstein actually says is that skin and mucous membranes are both biological membranes." Appeal Br. 16. Appellants argue that the mere fact that both skin and mucous membranes can be punctured by Eppstein's microporation does not make skin and mucus equivalent and does not mean that it would have been obvious to apply Anderson's technique to internal body structures. Id. In response, the Examiner states that Eppstein teaches that skin and mucous membranes are equivalent in the sense that they are equally 5 Appeal2017-008182 Application 11/952,745 desirable targets for the application of light to produce arrays of micropores. Ans. 13. Indeed, Eppstein discloses that it is known to apply EMR energy to internal tissue, i.e., mucous membranes, in a matter that produces an array of damaged tissue surrounded by undamaged tissue. Eppstein, col. 33, 11. 1--4 ("plurality of micropores"). Next, Appellants argue that Kittrell is directed to a catheter for ablation of plaque accumulated within blood vessels. Appeal Br. 17. Appellants argue that Kittrell lacks any teachings regarding forming islets of damaged tissue. Id. Appellants argue that Kittrell is not reasonably pertinent to the claimed invention and, therefore, constitutes non-analogous art. Id. Appellants' non-analogous art argument with respect to Kittrell is without merit. Appellants' "Description of the Related Art" section of the "Background of the Invention" section of the Specification states: Electromagnetic radiation, particularly in the form of laser light, has been used in a variety of cosmetic and medical applications, including uses in ... internal medicine. Spec. ,r 4. The foregoing statement is tantamount to an admission that devices such as endoscopes and catheters that deliver EMR to internal tissues are reasonably related to the problem to be solved by Appellants' invention. Bigio, 381 F.3d at 1325 (explaining that a reference is analogous art if it is reasonably pertinent to the particular problem with which the inventor is involved). Whether or not Kittrell forms islets of damaged tissue, it discloses a device for delivering EMR to internal issue, which is sufficient to render it reasonably pertinent to the problem addressed by Appellants' invention. 6 Appeal2017-008182 Application 11/952,745 Appellants' argument that Kittrell is directed to a catheter for ablation of plaque accumulated within blood vessels is not indicative of Examiner error. Appeal Br. 1 7. It is not necessary for the prior art to serve the same purpose as that disclosed in Appellants' Specification in order to support the conclusion that the claimed subject matter would have been obvious. See In re Lintner, 458 F.2d 1013, 1016 (CCPA 1972). An artisan must be presumed to know something about the art apart from what the references disclose. See In re Jacoby, 309 F.2d 513, 516 (CCP A 1962). A person of ordinary skill in the art would readily understand that EMR surgery techniques would have broader application in treating internal tissue than just ablating plaque in blood vessels. Appellants explicitly acknowledge such broader application of EMR techniques in the Background of the Invention section of their Specification. Spec. ,r 6 ("internal tissues, such as nerves or small structures"). Similarly: For applications in internal medicine, the EMR treatment is typically performed with a device that works in combination with an endoscope or catheter to deliver the EMR to internal surfaces and tissues. Id. ,I 4. EMR treatments of various tissues, including internal tissues and tissues involved in surgical, medical, therapeutic, post- operative, and other procedures, have some of the same limitations as similar cosmetic treatments that apply EMR to the surface of skin to perform, e.g., resurfacing or other procedures. Id. ,r 5. We view the Examiner's reliance on Kittrell as merely one example of using EMR energy in surgery inside of the body. "A reference may be read for all that it teaches, including uses beyond its primary purpose." In re Mouttet, 686 F.3d 1322, 1331 (Fed. Cir. 2012), citing KSRint'l Co. v. 7 Appeal2017-008182 Application 11/952,745 Teleflex Inc., 550 U.S. 398, 418--421 (2007). A person of ordinary skill in the art would readily understand that EMR surgery techniques could serve purposes other than just ablating plaque in blood vessels. Next, Appellants argue that the Examiner ignores the limitation in claim 1 directed to allowing the damaged tissue to reform as firm tissue. Appeal Br. 1 7. In response, the Examiner notes that this limitation relates to an effect, namely, the behavior of the tissue that naturally occurs from performing the steps of the method. Ans. 20-21. According to the Examiner such a naturally occurring result does not distinguish from the steps of the applied art. Id. at 22 (citing In re King, 801 F.2d 1324, 1326-27 (Fed. Cir. 1986)). The Examiner's position is correct. The third limitation of claim 1 reciting: "wherein said spared tissue causes healing in the damaged tissue to allow the damaged tissue to reform as firm tissue" merely describes the naturally occurring outcome of performing the other steps recited in the claim. Claims App. Such a clause does not limit or restrict the scope of the claim. The determination of whether a "wherein" clause imposes a limitation in a claim is determined on a case-by-case basis. See, e.g., Griffin v. Bertina, 285 F.3d 1029, 1033-34 (Fed. Cir. 2002). A "wherein" clause that merely states the result of the limitations in the claim adds nothing to the patentability or substance of the claim. See MPHJ Tech, Inv., LLC v. Ricoh Americas Corp., 847 F.3d 1363 (2017) (explaining that a "wherein" clause that did not state a restriction as an integral part of the invention did not limit the claim). Furthermore, the Examiner finds that this naturally occurring outcome is recognized in Anderson. Ans. 21-22. A person of ordinary skill in the art 8 Appeal2017-008182 Application 11/952,745 would have reasonably expected a similar outcome to occur if fractional EMR techniques were applied to internal tissues. Finally, Appellants argue that the Examiner fails to provide a sufficient rationale to support the rejection. Appeal Br. 17. We disagree. The Examiner finds that a person of ordinary skill in the art would have modified the teachings of Anderson with the teachings of Kittrell so that diagnosis and treatment can be applied to internal tissue. Final Action 8, Ans. 4. Such rationale constitutes explicit articulated reasoning with rational underpinning and is sufficient to support the rejection. In re Kahn, 441 F.3d 977,988 (Fed. Cir. 2006) (cited with approval inKSR, 550 U.S. at 418). Furthermore, the Examiner explains that an artisan in the field of the invention has a high level of skill, including extensive medical training. Ans. 19-20. The Examiner reasons that a person with such a high level of skill would have no difficulty in combining the teachings and principles of Anderson and Kittrell. Id. at 20. A motivation to combine can be found in "any need or problem known in the field of endeavor at the time of the invention and addressed by the patent." KSR, 550 U.S. at 420. "[T]he 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." Id. at 418. Because the desire to enhance commercial opportunities by improving a product or process is universal-and even common-sensical-we have held that there exists in these situations a motivation to combine prior art references even absent any hint of suggestion in the references themselves. DyStar Textilfarben GmBH & Co, v. C.H. Patrick Co., 464 F.3d 1356, 1368 (Fed. Cir. 2006). 9 Appeal2017-008182 Application 11/952,745 In its Background of the Invention section, Anderson discloses that various forms of EMR have been utilized for many years for a variety of dermatology medical treatments. Anderson, col. 1, 11. 20-23. Anderson then discusses some of the limitations of prior art EMR treatment, including that treatments performed over a relatively large area can cause skin damage over a substantial treatment area such as detachment of skin layers. Id. col. 1, 11. 39--46. Anderson notes that such relatively large areas of skin damage can take several weeks or more to heal. Id. at col. 1, 11. 46--49. Anderson then summarizes its invention by disclosing the formation of treatment islets within a volume of untreated tissue. Id. col. 1, 1. 53 - col. 2, 1. 10. Anderson teaches that one advantage of its invention is the "healing occurs relatively quickly." Id. col. 14, 11. 49. Kittrell teaches that it was known to deliver to EMR energy to internal tissue. Kittrell, Abstract. The invention here takes a known surgical device/technique for delivery EMR energy to internal tissue ( (Kittrell, Spec. ,r 4) and modifies it to form islets surrounded by undamaged tissue (Anderson). It is well settled that if a technique has been used to improve one device, and a person of ordinary skill in the art would recognize that it would improve similar devices in the same way, using the technique is obvious unless its actual application is beyond his or her skill. KSR, 550 U.S. at 417. Here, Appellants present no evidence or technical reasoning to support a conclusion that combining the applied art requires more than ordinary skill or that the invention achieves unexpected results. In view of the foregoing discussion, we determine the Examiner's findings of fact are supported by a preponderance of the evidence and that 10 Appeal2017-008182 Application 11/952,745 the Examiner's legal conclusion of unpatentability is well-founded. Accordingly, we sustain the Examiner's unpatentability rejection of claim 1 over Anderson, Eppstein, and Kittrell. Claim 28 Claim 28 depends from claim 1 and adds the limitation: "wherein the internal tissue comprises fat tissue." Claims App. Appellants argue that the Examiner's final rejection fails to address this limitation. Appeal Br. 21. In response, the Examiner directs our attention to where Anderson discloses destroying pockets of fat. Ans. 28-29 (citing Anderson, col. 5, 11. 1-5). The Examiner's findings of fact are amply supported in the record, and we sustain the Examiner's unpatentability rejection of claim 28. Claim 31 Claim 31 depends from claim 1 and adds the limitation: "wherein the method of treating the internal tissue comprises a liposuction treatment." Claims App. Appellants argue that the Examiner's final rejection fails to address the foregoing limitation. Appeal Br. 21. In response, the Examiner directs our attention to where Kittrell incorporates an additional lumen for suction and purge. Ans. 29 (citing Kittrell, col. 15, 11. 52-56). The Examiner's findings of fact are amply supported in the record, and we sustain the Examiner's unpatentability rejection of claim 31. Claim 19 Claim 19 is an independent claim that is substantially similar in scope to claim 1 except that it contains limitations directed to: (1) an optical system having multiple foci for concentrating EMR energy; and (2) forming coagulated treatment portions. Claims App. 11 Appeal2017-008182 Application 11/952,745 Besides repeating the arguments that we previously found unpersuasive with respect to claim 1, Appellants argue that the applied art fails to satisfy the multiple foci and coagulated treatment limitations. Appeal Br. 21-22. In response to the multiple foci argument, the Examiner directs our attention to where Anderson discloses an "array of optical elements" whereby each of the optical elements concentrates the radiation "to a selectedportionofthevolume." Ans. 31 (citing Anderson, col. 5, 11. 6-10). In response to the coagulated tissue argument, the Examiner directs our attention to where Anderson teaches that: [I]rradiation may occur at selected points along the blood vessel. It is generally necessary to coagulate a blood vessel at a selected one or more points along the vessel in order to stop blood flow therein and kill the vessel. Id. at 32 (quoting Anderson, col. 13, 11. 49-53). Having reviewed the passages of Anderson cited in the Examiner's Answer, we determine that the Examiner's findings of fact are supported by a preponderance of the evidence. Accordingly, we sustain the Examiner's unpatentability rejection of claim 19. Claim 34 Claim 34 depends from claim 19 and adds the limitation: "wherein the tissue volume comprises fat tissue." Claims App. We previously discussed this limitation in connection with claim 28 above and sustain the Examiner's rejection of claim 34 for the same reasons. Claim 37 Claim 37 depends from claim 19 and adds the limitation: "wherein the treatment comprises a liposuction treatment. We previously discussed 12 Appeal2017-008182 Application 11/952,745 this limitation in connection with claim 31 and sustain the Examiner's rejection of claim 37 for the same reason. Claim 21 Claim 21 is an independent claim that is substantially similar in scope to claim 1 except that it recites an apparatus instead of a method. Claims App. Besides repeating the arguments that we previously found unpersuasive with respect to claim 1, Appellants argue that the applied art fails to satisfy the limitations of claim 21 directed to: ( 1) a plurality of separated beams; and (2) three dimensional damaged portions within a spared volume of tissue. Appeal Br. 23. In response, the Examiner refers us back to findings that were previously discussed in response to the Appellants' arguments concerning the rejection of claim 19. Ans. 33-34. The Examiner's findings with respect to claim 19 effectively rebut the Appellants' arguments regarding claim 21. We agree with the Examiner that Anderson teaches a plurality of separated beams that generates three dimensional damaged portions within a spared volume of tissue and that Kittrell teaches insertion of an optical system using a cannula. Ans. 8, 31, 34. We determine that the Examiner's findings of fact are supported by a preponderance of the evidence. Accordingly, we sustain the Examiner's unpatentability rejection of claim 21. Claims 22 Claim 22 depends from claim 21 and adds the limitation: "further comprising a cooling system configured to cool the volume of internal tissue." Claims App. Appellants argue that the Examiner's final rejection 13 Appeal2017-008182 Application 11/952,745 fails to address the foregoing limitation. Appeal Br. 24. In response, the Examiner directs our attention to where Anderson teaches that the skin is cooled so that a treatment portion is surrounded by cooled skin. Ans. 34--35 ( citing Anderson, col. 4, 11. 14--23; col. 5, 11. 22-28). The Examiner's findings of fact are amply supported in the record, and we sustain the Examiner's unpatentability rejection of claim 22. Claims 23 Claim 23 depends directly from claim 22 and indirectly from claim 21 and adds the limitation: "wherein the cooling system is configured to cool the volume of internal tissue during operation to a selected temperature and to a selected depth." Claims App. Appellants argue that the Examiner's final rejection fails to address the foregoing limitation. Appeal Br. 24. The passages in Anderson that the Examiner cites in response to Appellants' claim 22 arguments resolve this issue in the Examiner's favor. Ans. 34--35 (citing Anderson, col. 4, 11. 14--23; col. 5. 11. 22-28). We sustain the Examiner's unpatentability rejection of claim 23. Claim 32 Claim 32 is an independent apparatus claim that differs from claim 21 primarily in that it contains a limitation directed to a motion sensor that is used in connection with defining islets of damaged tissue. Claims App. Besides repeating the arguments as to claim 1 that we previously found unpersuasive, Appellants argue that the applied art fails to satisfy the limitation of claim 32 directed to a motion sensor. Appeal Br. 25. In response, the Examiner points out that Anderson uses a two-dimensional or three-dimensional positioning system to apply EMR energy in a geometric pattern. Ans. 3 7. The Examiner finds that a person of 14 Appeal2017-008182 Application 11/952,745 ordinary skill in the art would readily understand that such a positioning system necessarily requires a means by which the device can ascertain when it reaches the next location to produce an islet. Id. The Examiner further finds that Anderson employs a controller to successively direct EMR energy to the islet treatment portions. Id. at 38 ( citing Anderson, claim 1 ). The Examiner reasons that, since Anderson uses a controller to direct the localized application of EMR energy, it would have been within the ambit of ordinary skill in the art to provide a suitable sensor for obtaining data to feed to the controller. Id. As such the employment of a motion sensor that measures the speed of motion of the EMR-transmission mechanism to furnish this information to the controller provides no unexpected result over any other sensing mechanism which produces this information in view of the requirement for a sensor that determines when the next location for a treatment islet has been reached, and is thus obvious. Id. (citing KSR, 82 USPQ2d 1385, 1389). We find the Examiner's technical reasoning on this issue persuasive. Anderson creates a pattern of islets in a three-dimensional volume. To achieve this, it employs a controller that necessarily processes data inputs to navigate and position the EMR energy within a volume of tissue. We agree with the Examiner that a person of ordinary skill in the art, familiar with Anderson, would have considered a motion sensor as at least one obvious alternative to provide a data input to Anderson's controller. When there is a design need or market pressure to solve a problem and there are a finite number of identified, predictable solutions, a person of ordinary skill has good reason to pursue the known options within his or her technical grasp. If this leads to the anticipated success, it is likely the product not of innovation but of ordinary skill and common sense. 15 Appeal2017-008182 Application 11/952,745 KSR, 550 U.S. at 421. Here, Appellants did not invent motion sensor technology. They simply applied a well-known sensing technology to achieve a predictable result. There is no evidence that integration of motion sensor technology into Appellants' invention required more than ordinary skill or produced unexpected results. We sustain the Examiner's unpatentability rejection of claim 32. Claims 2, 4-6, 9, 11, 12, 26, 27, 30, 32, 33, 35, 36, and 40---50 These claims depend, directly or indirectly, from one of either independent claim 1, 21, or 32. Claims App. Appellants do not argue for their separate patentability apart from arguments that we have previously considered and found unpersuasive with respect to claims from which they depend. See generally Appeal Br. Consequently, we sustain the Examiner's unpatentability rejection of claims 2, 4--6, 9, 11, 12, 26, 27, 30, 32, 33, 35, 36, and 40-50. Unpatentability Over Altshuler, Eppstein, and Kittrell In this ground of rejection, the Examiner substitutes the Altshuler reference for the Anderson reference and finds that Altshuler discloses comparable subject matter. 5 Final Action 9-10. We find Appellants arguments in traverse of this ground of rejection to be equally unpersuasive to those that we considered previously in connection with the ground over Anderson, Eppstein, and Kittrell. We hereby sustain the Examiner's rejection under this ground, adopting as our 5 Anderson and Altshuler list the same named inventors, albeit in a different order. Substantial portions of the Specifications of Anderson and Altshuler are verbatim repetitions of each other. 16 Appeal2017-008182 Application 11/952,745 own, the findings of fact and conclusions of law set forth in the Examiner's well-reasoned Final Rejection and Answer. Unpatentability over Anderson, Eppstein, and Hoskin In this ground of rejection, the Examiner substitutes the Hoskin reference for the Kittrell reference and finds that Hoskin discloses comparable subject matter. Final Action 8-9. Hoskin discloses a treatment apparatus that includes a pad supporting a plurality of diamond tipped needles, each of which emits laser radiation, albeit with the laser radiation being scattered "sideways." Hoskin, Abstract. When the pad is supplied to the skin, the tips penetrate the skin and laser radiation is applied to the needle tips such that a laminar radiation profile is located below and spaced from the skin surface. Id. We find unpersuasive the Examiner's conclusion that a person of ordinary skill in the art would have considered it obvious to combine Hoskin with Anderson and Eppstein to achieve the claimed invention. However, in view of our decision to sustain the grounds of rejection over combinations including the Kittrell reference, further elaboration and analysis regarding Hoskin is deemed unnecessary. We do not sustain the Examiner's unpatentability over Anderson, Eppstein, and Hoskin. DECISION The decision of the Examiner to reject claims 1, 2, 4--6, 9, 11, 12, 19, 21-23, 26-28, 30-37, and 40-50 is affirmed. 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 17 Copy with citationCopy as parenthetical citation