Ex Parte GerberDownload PDFPatent Trials and Appeals BoardJun 20, 201911591171 - (D) (P.T.A.B. Jun. 20, 2019) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 11/591,171 10/31/2006 71996 7590 06/24/2019 SHUMAKER & SIEFFERT, P.A 1625 RADIO DRIVE, SUITE 100 WOODBURY, MN 55125 FIRST NAMED INVENTOR Martin T. Gerber 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. 1023-586US01/P0027167.00 7189 EXAMINER LEVICKY, WILLIAM J ART UNIT PAPER NUMBER 3792 NOTIFICATION DATE DELIVERY MODE 06/24/2019 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): pairdocketing@ssiplaw.com rs.patents.five@medtronic.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Exparte MARTIN T. GERBER Appeal2017-007836 Application 11/591, 171 Technology Center 3700 Before, LISA M. GUIJT, JAMES J. MAYBERRY, and ERIC C. JESCHKE, Administrative Patent Judges. GUIJT, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE Appellant1 appeals under 35 U.S.C. § 134(a) from the Examiner's rejection of claims 1, 4--33, and 35--40.2 We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM-IN-PART and enter NEW GROUNDS OF REJECTION of (i) claims 1, 13, 16, 17, 23, 35, 37, and 39 under 35 U.S.C. 1 Medtronic, Inc. and Medtronic plc are identified as the real parties in interest Appeal Br. 3. 2 Appeal is taken from the Final Office Action dated July 25, 2016. Appeal2017-007836 Application 11/ 591, 171 § 102(b) as anticipated by Osypka; (ii) claims 10 and 11 under 35 U.S.C. §103(a) as unpatentable over Osypka; (iii) claims 7, 14, 15, and 18-20 under 35 U.S.C. § 103(a) as unpatentable over Osypka and Cates; (iv) claims 8 and 9 under 35 U.S.C. §103(a) as unpatentable over Osypka and Okajima; (v) claim 12 under 35 U.S.C. §103(a) as unpatentable over Osypka and Doan; ( vi) claim 21 as unpatentable over Osypka, Cates, and Wittkampf; ( vii) claim 22 as unpatentable over Osypka and Whitehurst; and (viii) claims 36, 38, and 40 as unpatentable over Osypka and Mamo; all pursuant to our authority under 37 C.F.R. § 41.50(b). CLAIMED SUBJECT MATTER Claims 1, 13, 23, and 24 are the independent claims on appeal. Claim 1, reproduced below, is exemplary of the subject matter on appeal. 1. A medical lead comprising: an elongated member having a proximal end and a distal end, the proximal end being configured to electrically and mechanically couple to a medical device comprising an electrical stimulation generator; at least one stimulation electrode disposed closer to the distal end of the elongated member than the proximal end of the elongated member, the at least one stimulation electrode being configured to deliver electrical stimulation generated by the medical device to a patent when the elongated member is electrically and mechanically coupled to the medical device; and at least one threaded fixation structure extending around a portion of an outer surface of the elongated member and configured to engage tissue within the patient to resist migration of the medical lead, wherein the at least one fixation threaded structure is at least one of distal to all stimulation electrodes disposed along the elongate member or disposed at least partially over the at least one stimulation electrode. 2 Appeal2017-007836 Application 11/ 591, 171 THE REJECTIONS I. Claims 10, 11, 31, and 32 stand rejected under 35 U.S.C. § 112, second paragraph. 3 II. Claims 1, 4--6, 10, 11, 13, 16, 17, 23, 35, 37, and 39 stand rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka (US 4,550,737; issued Nov. 5, 1985) and Hastings (US 2006/0085042 Al; published Apr. 20, 2006). III. Claims 24, 26, 27, 31, and 32 stand rejected under 35 U.S.C. § I03(a) as unpatentable over Gerber (US 2005/0010260 Al; published Jan. 13, 2005) and Hastings. IV. Claims 7, 14, 15, and 18-20 stand rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka, Hastings, and Cates (US 2004/0230282 Al; published Nov. 18, 2004). V. Claims 8 and 9 stand rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka, Hastings, and Okajima (US 5,554,139; issued Sept. 10, 1996). VI. Claim 12 stands rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka, Hastings, and Doan (US 5,456,708; issued Oct. 10, 1995). VII. Claim 21 stands rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka, Hastings, Cates, and Wittkampf (US 4,142,530; issued Mar. 6, 1979). 3 The Examiner's rejection of claims 1, 4--12, 25-33, 35, and 36 under 35 U.S.C. § 112, second paragraph, has been withdrawn. Ans. 2. 3 Appeal2017-007836 Application 11/ 591, 171 VIII. Claim 22 stands rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka, Hastings, and Whitehurst (US 2005/0102006 Al; published May 12, 2005). IX. Claim 25 stands rejected under 35 U.S.C. § I03(a) as unpatentable over Gerber, Hastings, and Hansmann (US 2005/0215946 Al; published Sept. 29, 2005). X. Claim 28 stands rejected under 35 U.S.C. § I03(a) as unpatentable over Gerber, Hastings, and Cates. XI. Claim 29 and 30 stand rejected under 35 U.S.C. § I03(a) as unpatentable over Gerber, Hastings, and Okajima. XII. Claim 33 stands rejected under 35 U.S.C. § I03(a) as unpatentable over Gerber, Hastings, and Doan. XIII. Claims 36, 38, and 40 stand rejected under 35 U.S.C. § I03(a) as unpatentable over Osypka, Hastings, and Mamo (US 2002/0147485 Al; published Oct. 10, 2002). ANALYSIS Rejection I With respect to the threaded fixation structure, claims 10 and 31 require, in relevant part, "a pitch between adjacent threads of approximately 0.5 millimeters (mm) to approximately 3 mm" (Appeal Br. 42, 47 (Claims App.) (emphasis added)), and claims 11 and 32 require, in relevant part, "a thread height between approximately O. I millimeters (mm) and approximately 3 mm" (id. at 43, 47 (Claims App.) (emphasis added)). The Examiner finds that claims 10, 11, 31, and 32 are indefinite because the 4 Appeal2017-007836 Application 11/ 591, 171 Specification "fails to define the metes and bounds" of the claim term "approximately." Final Act. 4; see also Ans. 2-3. Appellant argues that "it is well established that claim terms such as 'substantially' and 'approximately' do not necessarily render the claims indefinite," and that, as claimed, the "scope [ of the claim term 'approximately'] would be understood by persons in the field of the invention." Appeal Br. 11-12 (citations omitted); see also id. at 12 (arguing that "the Examiner has failed to establish that a person having ordinary skill in the art would not have been able to ascertain the scope of the terms of claims 10, 11, 31, and 32"). Appellant further submits that, for example, with respect to claim 10, the recitation of 'the at least one threaded fixation structure comprises a pitch between adjacent threads of approximately 0.5 millimeters (mm) to approximately 3 mm" ... is objectively contextualized by the claim from which it depends. A person of ordinary skill in the art would have understood the approximate values recited in claim 10 are to be read in view of the 'at least one threaded fixation structure [being] configured to engage tissue within the patient to resist migration of the medical lead,' recited in claim 1, and that at least this language of claim 1 provides a meaningful definition to the values in claim 10. Thus, claim 10 is amendable to construction at least in light of claim 1, which, in addition to the rest of Appellant's [S]pecification, provides context for the values of the pitch recited in claim 10. For at least similar reasons, claims 11, 31, and 3 2 likewise are amenable to construction. Reply Br. 4. Our reviewing court has stated that terms of degree are not "inherently indefinite" and that "[ c ]laim language employing terms of degree has long been found definite where it provided enough certainty to one of skill in the art when read in the context of the invention." Interval Licensing, 766 F.3d 5 Appeal2017-007836 Application 11/ 591, 171 at 1370 ( citations omitted). To satisfy the statute, however, "[t ]he claims, when read in light of the specification and the prosecution history, must provide objective boundaries for those of skill in the art." Id. at 1371 ( citations omitted). The scope of claim language cannot depend solely on the unrestrained, subjective opinion of a particular individual purpmiedly practicing the invention. See In re Musgrave, 431 F.2d 882, 893 (CCPA 1970) (noting that "[a] step requiring the exercise of subjective judgment without restriction might be objectionable as rendering a claim indefinite"). The Specification discloses that [t]hreaded fixation structure 70 may have a pitch between approximately 0.5 millimeters (mm) and 3 mm. The pitch may be less than approximately 0.5 mm or greater than 3 mm .... Generally the height is between approximately 0.1 mm and 3 1nm. However, other ernbodiments of threaded fixation structure 70 may include heights smaller than approximately 0.1 mm or greater than 3 mm. '-' Spec.~ 64. \Ve determine that the Examiner has provided a satisfactory showing that the claim tenn "approxhnate1y" is indefinite as a tenn of degree, because the Specification fails to provide an objective standard for determining the meaning of approximately 0.5 to 3 mm, and approximately 0.1 and 3 mm; rather, the Specification discloses that such pitch and height rnay have any value. Therefore, Appellant has the burden to provide support as to the clear meaning of the claim term "approximately." See In re Packard, 751 F.3d 1307, 1311 (Fed. Cir. 2014). Appellant's argument that the claim term ''approximately" means any pitch or height that meets the function of the threads as specified in claim I (i.e., to engage tissue within the patient to resist migration of the medical 6 Appeal2017-007836 Application 11/ 591, 171 lead) is insufficient, because Appellant has not provided any evidence that one skilled in the art would clearlv have understood the degree to which the ~ ~ pitch and height may vary and still be encompassed by the claim term "approximately" based on such use. Accordingly, we sustain the Examiner's rejection of claims 10, 11, 31, and 32 under 35 U.S.C. § 112, second paragraph, as indefinite. Rejection fl Independent claims land 23, and dep_endent claims 4 6, 10, 11, 35, and 39 Regarding independent claims l and 23, the Examiner finds that Osypka teaches the medical 1ead, as claimed, including a threaded fixation structure (i.e., thread 6), except that Osypka fails to disclose that the threaded fixation structure is at least distal to all of the stimulation electrodes or disposed at least partially over at least one stimulation electrode, as claimed. Final Act. 5----6 ( citing Osypka, Fig. 1 ). The Examiner relies on Hastings for disclosing that "it is known" to dispose a fixation threaded structure (i.e., helical tine l 105E) distal to all stimulation electrodes (i.e., electrode 1135E) or at least partially over a simulation electrode (i.e., tip portion 1123E, wherein the surface of tip portion 1123E may function as the distal electrode l 135E), as claimed, "to provide improved placement by having the fixation element guide the electrodes into place." Id. at 6 (citing Hastings ,-r O l O 1, Fig. l lE). The Examiner proposes rnodifying Osypka's electrode lead "by having the fixation mechanism extended over the stimulation electrode as shown by Hastings to assist in placing the electrode in position." Ans. 4. The Examiner specifically explains that 7 Appeal2017-007836 Application 11/ 591, 171 [t]he modification does not remove the screw thread 6 of Osypka and replace it with the screw thread of Hastings, but teaches that the screw thread of Osypka can be modified to extend over the stimulation electrode which provides the fixation element the ability to penetrate the opening of the trabecular network more easily ( without overcoming the distance of the distal electrode without a fixation mechanism) and guide the electrode(s) into place. id. at 4----5. Appellant argues that the Examiner's modification (i.e., extending Osypka's thread 6 over the stimulation electrode) results in Osypka's exposed stimulation surface 5a being covered by the electrically insulating tabular sleeve 4a, which would prevent the stimulation surface 5 from both contacting and delivering electrical stimulation to the heart walL Reply Br. 7-8. Osypka discloses that electrode lead 1 indud[es] a flexible conductor lA having a first end portion 1 a coupled to the casing 2 and a second end portion 3 distal from the casing 2 and having a substantially hemispherical head 5 provided with an exposed stimulation surface Sa .. ... [T]he electrode lead 1 further comprises ... anchoring means 4 which can be embedded in the trabecular network of the heart and is disposed immediately or shortly behind the stimulation surface Sa, as considered in the direction of propagation of stimulating pulses from the interior of the casing 2 toward the surface Sa. The anchoring means 4 comprises ... a hollow screw ... made of a yieldable (preferably soft) material and includes a tabular sleeve or shell 4a .... The sleeve 4a constitutes an insulating means for the distal end portion 3 of the conductor 1 A. The illustrated screw 4 has a single thread 6. Osypka 4:10-----33. 8 Appeal2017-007836 Application 11/ 591, 171 Figure 2 of Osypka is reproduced below. Figure 2 depicts "the distal end portion of the electrode lead and ... one form of anchoring means," wherein screw thread 6 is fonned on skeve 4a. Osypka 3:61-65. \Ve are persuaded by Appellant's argument that Osypka's threaded fixation structure is anchoring means 4, which is comprised of a hollow screw that includes both sleeve 4 and thread 6, and that modifying Osypka according to the Examiner's explicit directions supra (i.e., so that the screw thread extends over the stimulation electrode) means moving insulating sleeve 4a distaHy over stimulation head 5a, such that stimulation head 5a is no longer suitabk for the purpose of contacting and delivering ekctrical stimulation to the heart wall. The Examiner's reliance on Hastings for positioning a threaded fixation structure either distal to all electrodes or paiiially over an electrode does not cure this deficiency in the Examiner's proposed modification. Accordingly, we do not sustain the Examiner's rejection of independent claims l and 23, and claims 4-6, 10, 11, 35, and 39 depending therefrom. Independent claim 13 and dependent claims 16, 17, and 3 7 The Examiner relies on the same modification of Osypka' s medical lead, in view of Hastings, in the rejection of independent claim 13, as relied 9 Appeal2017-007836 Application 11/ 591, 171 on in the rejection of claim 1 supra. Final Act. 8----9; Ans. 9 (relying on the modification set forth for claim 1 ). Thus, for essentially the same reasons as set forth supra, we also do not sustain the Exarniner's rejection of independent claim 13 and claims 16, 17, and 37 depending therefrom. Rejection Ill Independent cl aim 2 4 Regarding independent claim 24, the Examiner finds that Gerber teaches an elongated member configured as claimed, including a conduit disposed within the elongated member and an exit pmi configured as claimed for the delivery of drugs, and also a fixation structure extending around a pmiion of an outer surface of the elongated member to engage tissue, as claimed. Final Act 11 (citing, e.g., Gerber ,-r 121 C'[d]rug delivery catheter 300 may also be incorporated into lead 16 or 18")). The Examiner determines that Gerber fails to disclose a threaded fixation structure, as claimed, and relies on Hastings for disclosing that "it is known" to use threaded fixation structures for engaging tissue to resist migration of the elongated member, as claimed (i.e., helical tine l 105E). Id. at 11----12 (citing Hastings, Fig. l lE). The Examiner reasons, inter alia, that it would have been obvious to modify Gerber's implantable neurological stimulator with at least one threaded fixation stnicture, as taught by Hastings, because "it is well known in the art that adding a tine or fixation mechanism to a structure assists in keeping the structure ( e.g., catheter) in place and resisting migration." Ans. 10. Appellant argues that the Examiner has not shown that modifying the system described by Gerber to include the "helical tine 1105E" described by 10 Appeal2017-007836 Application 11/ 591, 171 Hastings would have provided "the predictable results of maximizing therapeutic effect by reducing migration from the desired location." For example, the Examiner has not shown that a person of ordinary skill in the art would have understood the "helical tine 1105E" described by Hastings, which is described as being used to secure a leadless device to the myocardium, to have been suitable for resisting migration of Gerber's dn1g catheter from a location adjacent to a sacral nerve. Appeal Br. 27 (footnotes omitted) ( citing, e.g., Gerber ~f 70; Hastings i1100); see also Reply Br. 14----15. \Ve are not persuaded by Appellant's argument. Gerber discloses, with reference to Figure 8C, a "quadrapolar lead having tined lead anchors 19," and provides representative examples of "tined and other types of leads suitable, adaptable or modifiable for use in conjunctions with [implantable medica1 devices]." Gerber i198. Hastings discloses that "the electrode assembly may include an attachment mechanism that has at least one fastener," wherein "the attachment mechanism may include a tine, screw, barb, or hook" Hastings ir 11 (emphasis added). Where "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." See KSR Int 'l Co. v. Teleflex, Inc., 550 U.S. 398,416 (2007). Here, Hastings discloses that tines and screw threads are known substitutes for attachment mechanisms (or fixation structures) used by electrode assemblies, and Gerber discloses that the lead rnay be modified as known in the art. Thus, the Examiner has provided reasoning with rational underpinning. Accordingly, we sustain the Examiner's rejection of independent claim 24 under 35 U.S.C. §103(a) as unpatentable over Gerber and Hastings. 11 Appeal2017-007836 Application 11/ 591, 171 Appellant chose not to present arguments for the patentability of claims 26 and 27, which depend from claim 24, apart from the arguments presented for claim 24. Appeal Br. 27. Thus, for essentially the same reasons set forth supra, we also affirm the Examiner's rejection of claims 26 and 27 under 35 U.S.C. § 103(a) as unpatentable over Gerber and Hastings. Dependent claims 31 and 32 Claims 31 and 32, which depend from independent claim 24, recite, in relevant part, "wherein the at least one threaded fixation structure comprises a pitch between approximately 0.5 millimeters (mm) and 3 mm" and "a thread height between approximately 0.1 millimeters (mm) and 3 mm." Appeal Br. 47 (Claims App.). The Examiner determines that it would have been obvious to have modified Gerber's fixation structure, as modified to include threads as taught by Hastings, to have the claimed ranges of pitch and height, because the general conditions of the claim are disclosed in the prior art, and therefore, discovering the optimum or workable ranges involves only routine skill in the art. Final Act 13 (citing In re Aller, 220 F.2d 454, 456 (CCPA 1955)). The Examiner determines that "changing pitch or thread height of a threaded structure involves only routine skill in the art which adjusts the surface area of the thread []to hold the lead in place" and in that "[t]he smaller the pitch and the greater the thread height, the greater amount of the surface area of the fixation structure." Ans. 8; id. at 8-9, 10-11. Appellant argues that In re Aller requires "the Exarniner must show that only routine experirnentation would be involved in the optimization of an applied art reference to an-ive at the claimed subject matter," and that here, "the Examiner failed to establish that a person having ordinary skill in 12 Appeal2017-007836 Application 11/ 591, 171 the art ... would have an-ived at the claimed subject matter ... by only routine experimentation." Appeal Br. 23; id. at 27----28 (relying on the arguments presented for claims l O and 11 ); Reply Br. 12-13. "Where the general conditions of a claim are disclosed in the prior art, it is not inventive to discover the optimum or workable ranges by routine experimentation." Aller, 220 F.2d at 456. This rule is limited to cases in which the optimized variable is a "result-effective variable." In re Antonie, 559 F .2d 618, 620 (CCP A 1977). Here, Appellant does not dispute that the height and pitch of a threaded fixation device for an implantable medical device are recognized in the prior art as result-effective variables, nor does Appellant dispute the Examiner's determination that such variabfos are known to effect the surface area of a fixation structure for holding an implantable medical device in place. Thus, the Examiner has stated a prima facie case that the ranges recited in claims 31 and 32 are unpatentable, shifting the burden to Appellant to dernonstrate that the claimed ranges are critical or produce a new and unexpected result different in kind (i.e., not merely in degree) from the results of the prior art. See, e.g., In re Applied Materials, Inc., 692 F.3d 1289, 1297 (Fed. Cir. 2012) ("The outcome of optimizing a result-effective variable may still be patentable if the claimed ranges are critical and produce a new and unexpected result which is different in kind and not merely in degree from the results of the prior art.") ( quotations omitted). Appellant has mistakenly assigned this burden to the Examiner by requiring the Examiner to prove that the results are other than critical or unexpected, or as stated by Appellant, due to routine experimentation. 13 Appeal2017-007836 Application 11/ 591, 171 Accordingly, we sustain the Examiner's rejection of claims 31 and 32 under 35 U.S.C. § 103(a) as unpatentable over Gerber and Hastings. Rejections IV-VIII and XIII Regarding claims 7-9, 12, 14, 15, 18-22, 36, 38, and 40, which depend from one of independent claims 1, 13, and 23, the Examiner's reliance on the following prior art references does not cure the deficiencies in the Examiner's reliance on Osypka discussed supra with respect to independent claims 1 and 13: (i) Cates for teaching the use of a sheath or folding down the threaded fixation structure (Rejection IV (claims 7, 14, 15, and 18-20)); (ii) Okajima for teaching helicoil reinforcement members (Rejection V (claims 8 and 9)); (iii) Doan for teaching threaded fixation structures made of biocompatible metallic alloy (Rejection VI ( claim 12)); (iv) Wittkampf for teaching that it is known to pull a lead in a backward direction (Rejection VII (claim 21)); (v) Whitehurst for teaching that it is known to use an electrode placed adjacent to the occipital nerve (Rejection VIII (claim 22)); and (vi) Mamo for teaching that it is known to use a lead extension (Rejection XIII (claims 36, 38, and 40)). 4 Accordingly, for essentially the same reasons stated supra in connection with our analysis of Rejection II, we do not sustain the Examiner's rejection of claims 7-9, 12, 14, 15, 18-22, 36, 38, and 40. 4 Recitation of "the lead extension" in claim 40 lacks antecedent basis. Appeal Br. 48 (Claims App.). 14 Appeal2017-007836 Application 11/ 591, 171 Rejections IX-XII Regarding claims 25, 28-30, and 33, which depend from independent claim 24, Appellant argues that the Examiner's reliance on Hansmann, Cates, Okajima, and/or Doan, fails to overcome the deficiencies in the Examiner's rejection of claim 24. Appeal Br. 35-37. Because we are not persuaded that the Examiner's rejection of claim 24 is erroneous, for essentially the same reasons as stated supra with respect to Rejection III, we also sustain the Examiner's rejection of claims 25, 28-30, and 33 as unpatentable over Gerber and Hastings, and in further view of Hansmann, Cates, Okajima, and/or Doan. NE\V GROUNDS OF REJECTION (i) Anticipation by 05Jpka: Claims 1, 13, 16, 17, 23, 35, 3 7, and 39 (Relating to Original Rejection fl) Independent claim 1 Figure 3 of Osypka is reproduced below. FlG, 3 Figure 3 depicts "the structure of FIG. 2 with a portion of the anchoring means and of the head which defines the stimulation surface broken away." Osypka 3:66----68. Osypka discloses that 15 Appeal2017-007836 Application 11/ 591, 171 FIG. 3 shows that the electrode lead 1 has an axial passage 9 which receives a so-called guide wire 109, and that the shank Sb of the head 5 has a rear end face provided with a socket 10 reception of a complementary end portion 110 of the guide wire 109 .. .. The guide wire 109 is rotated in a clockwise direction in ._, order to drive the anchoring screw 4 home, i.e., to advance its thread 6 into the trabecular network in the selected portion of the heart so that the stimulation surface Sa is in an optimum position for transmission of pulses to the adjacent portion of the heart. Actually, the screw thread 6 penetrates into and is held in the opening of the trabecular network .... The guide wire 109 is caused to rotate in the passage 9 and to thereby rotate the screw 4 as well as the head 5. However, it is equally within the purview of the invention to omit the guide wire 109 and to drive the screw '-' 4 home by rotating the entire electrode lead 1; in such pacemaker systems, the screw 4, the head 5 and the insulating sheath lb of the lead 1 can rotate as a unit Osypka 3:37-54. \Ve find that Osypka alone discloses the limitations of claim 1. In particular, we find that Osypka discloses a medical lead (i.e., electrode lead 1) comprising an elongated member having a proximal end configured as claimed (i.e., flexible conductor IA having a first end portion Ia coupled to the casing 2). We also find that Osypka discloses a stimulation electrode configured to deliver electrical stimulation and comprised of head 5, stimulation surface 5a, and shank 5b. In particular, Figure 3 depicts, by hatching, that head 5 is a single piece including surface 5a and shank 5b. Moreover, claim 1 does not require the stimulation electrode to be limited to only that structure of an electrode having an exposed surface for providing stimulation (i.e., Osypka's surface 5a). See, e.g., 37 C.F.R. § 1.84(h)(3) ("Hatching must be used to indicate section portions of an object . ... The various parts of a cross section of the same item should be hatched in the 16 Appeal2017-007836 Application 11/ 591, 171 same manner .... The hatching of juxtaposed different elements must be angled in a different way."). Notably, Osypka's stimulation electrode (i.e., head 5 including surface 5a and shank 5b) is depicted as a separate structure from electrode lead 1 ( or insulation sleeve 1 b) because the hatching identifying Osypka' s stimulation electrode is distinct from hatching used to identify Osypka' s lead 1, as evidenced by Figure 3. Osypka's stimulation electrode (i.e., head 5 including surface 5a and shank 5b) is also disposed closer to the distal end than the proximal end of the elongated member (i.e., flexible conductor IA), as claimed. We further find that Osypka discloses a threaded fixation structure comprised of a hollow screw, which includes both sleeve 4 and thread 6, such that, as depicted by Osypka' s Figure 3, the threaded fixation structure extends around a portion of an outer surface of the elongated member (i.e., sleeve 4a is depicted as extending around and over insulated sheath lb of flexible conductor 1A)5 and is configured to engage tissue within the patient to resist migration of the medical lead. See Osypka, 3:37-54, Fig. 3. We also find that Osypka's Figure 3 depicts a fixation threaded structure (i.e., sleeve 4a) disposed at least partially over a stimulation electrode (i.e., head 5) because sleeve 4a is depicted as being disposed over the shank 5b of head 5. 5 It is unclear whether thread 6 alone as a threaded fixation structure extends around a portion of the structure 1 b of the elongated member or electrode lead 1; thus, we interpret sleeve 4a including thread 6 as corresponding to the claimed threaded fixation structure. See, e.g., Osypka, Fig. 3. 17 Appeal2017-007836 Application 11/ 591, 171 Accordingly, we enter a NEW GROUND OF REJECTION of claim 1 under 35 U.S.C. §102(b) as anticipated by Osypka. Dependent claim 4 Regarding claim 4, which depends from independent claim 1 and further requires "a tapered tip at the distal end of the elongated member, wherein the tapered tip includes the portion of the outer surface of the elongated member [ around which at least one threaded fixation structure extends]," we determine that although Osypka discloses a tapered tip at the distal end of the elongated member (i.e., head 5), as defined in the Specification, Osypka does not disclose that the tapered tip (i.e., head 5) includes the portion of the outer surface of the elongated member around which the threaded fixation structure extends, as claimed. See Appeal Br. 21, 41 (Claims App.); see also Spec. ,r 65 ("tapered tip 80 may be curved in any parabolic shape"); Osypka, Fig. 3 ( showing the tip and thread structure of Osypka's lead 1); Final Act. 6 (apparently relying on a combination of Osypka and Hastings); Appeal Br. 21 ("Osypka fails to describe a tapered tip including a portion of an outer surface of the elongated member, around which portion at least one threaded fixation structure extends"). Rather, Osypka's Figure 3, for example, shows that the threaded fixation (i.e., sleeve 4a) structure does not extend around tapered head 5. Thus, Osypka alone does not anticipate claim 4. Dependent claim 5 Regarding claim 5, which depends from independent claim 1 and recites, in relevant part, "wherein the portion of the outer surface member [ around which at least one threaded fixation structure extends] includes the at least one stimulation electrode," we determine that Figure 3 of Osypka 18 Appeal2017-007836 Application 11/ 591, 171 shows that such portion, identified supra with respect to claim 1, does not include the stimulation electrode (i.e., head 5, shank 5b ). See Appeal Br. 42 (Claims App.); Final Act. 7 (apparently relying on a combination of Osypka and Hastings). Thus, Osypka alone does not anticipate claim 5. Dependent claim 6 Regarding claim 6, which depends from independent claim 1 and recites, in relevant part, "wherein a plurality of threaded fixation structures are formed around the portion of the outer surface of the elongated member to simulate a continuous threaded fixation structure," we determine that Osypka fails to disclose that more than one (or a plurality) of Osypka's threaded fixation structure (i.e., the hoHow screw including both sleeve 4 and thread 6 as determined with respect to the new grounds of rejection of claim 1 supra) may be assembled onto electrode lead Las required by claim 6. See, e.g., Osypka Figs. 1----4 (depicting a single hollow screw assembled onto electrode lead I). Therefore, Osypka alone does not anticipate claim 6. See Appeal Br. 42 (Claims App.); see also Final Act. 7 (apparently relying on a combination of Osypka and Hastings). Independent claim 13 We determine that Osypka anticipates the method recited in independent claim 13, which includes the steps of inserting a medical lead into a patient and rotating the lead to engage the threaded fixation structure with tissue of the patient to resist migration of the lead, wherein the lead is configured to couple to a medical device, as in claim 1, and also comprises the structure recited in claim 1. See Appeal Br. 43 (Claims App.). In other words, we agree with the Examiner's findings that Osypka discloses such method steps. See, e.g., Final Act. 8-9. For example, Osypka discloses that 19 Appeal2017-007836 Application 11/ 591, 171 "it is equally within the purview of the invention to omit the guide wire 109 and to drive the screw 4 home by rotating the entire electrode lead." Osypka 4:65---68. Further, we apply our findings to the limitations of claim 13 to the extent the limitations are similar to claim 1 supra. (Notably, Appellant's arguments presented with respect to claim 13 are the same as Appellant's arguments presented for claim 1 supra.) See Appeal Br. 24. Accordingly, we enter a NEW GROUND OF REJECTION of claim 13 under 35 U.S.C. §102(b) as anticipated by Osypka. Dependent claim 17 Claim 1 7, which depends from independent claim 13, further requires, in relevant part, "rotating the lead to disengage the at least one threaded fixation structure from the tissue in the patient." Appeal Br. 44 (Claims App.). We rely on the Examiner's findings, which are undisputed by Appellant, with respect to Osypka, in that the Examiner finds Osypka discloses the limitation of claim 17. Final Act. 9 ( citing Osypka 7 :23-31 ); see Appeal Br. 25 ( arguing that claim 1 7 is patentable based on its dependence on claim 1 and the arguments presented by Appellant for the patentability of claim 1 ). Indeed, Osypka discloses that "the improved electrode lead can be readily removed from a vein by the simple expedient of rotating the screw 4 ... in a direction to move the stimulation surface Sa ... away from the selected portion of the heart." Osypka 7:28-32. Accordingly, we enter a NEW GROUND OF REJECTION of claim 16 under 35 U.S.C. §102(b) as anticipated by Osypka. 20 Appeal2017-007836 Application 11/ 591, 171 Independent claim 23 Independent claim 23, requires, in addition to the limitations recited in claim 1, "a stimulator configured to deliver electrical stimulation therapy to a patient via the at least one stimulation electrode of the medical lead within the patient, the proximal end of the elongated member being configured to electrically and mechanically couple to the simulator." Appeal Br. 45 ( Claims App.). As discussed supra with respect to claim 16, we agree with the Examiner's findings, which are undisputed by Appellant, that Osypka discloses a stimulator, as claimed. See Final Act. 5; see also Appeal Br. 25 ( arguing that claim 23 is patentable based on the arguments presented by Appellant for the patentability of claim 1 ). In other words, although Osypka acknowledges that "[t]he construction of the parts in the interior of the casing 2 form not part of the invention" (Osypka 4: 14--17), and therefore, Osypka lacks a detailed description of such stimulator, Osypka inherently discloses a stimulator within the casing to which the proximal end of the electrode lead is electrically and mechanically coupled, because Osypka's casing 2 is configured to deliver stimulating pulses that propagate from the interior of the casing 2 toward the surface 5a, as required by claim 16. Thus, we determine that Osypka discloses the limitations of claim 23, and our findings with respect to claim 1 supra are also applied to claim 23 to the extent claim 23 recites similar limitations as recited in claim 1. Accordingly, we enter a NEW GROUND OF REJECTION of independent claim 23 under 3 5 U.S. C. § 102 (b) as anticipated by Osypka. 21 Appeal2017-007836 Application 11/ 591, 171 Dependent claims 16. 3 5. 3 7. and 3 9 Claim 16, which depends from independent claim 13, further requires, in relevant part, "mechanically and electrically coupling a proximal end of the lead to the medical device, the medical device being configured to generate electrical stimulation and deliver the electrical stimulation to the patient via the at least one stimulation electrode of the lead." Appeal Br. 44 (Claims App.). Claims 35, 37, and 39, which depend from independent claims 1, 13, and 23, respectively, more specifically require, in relevant part, that the mechanically and electrically coupling of the lead's proximal end to the medical device is a direct mechanical coupling to the medical device or to the stimulator. Appeal Br. 48 (Claims App.). We rely on the Examiner's findings, which are undisputed by Appellant, with respect to Osypka, in that the Examiner finds Osypka discloses the limitations of claims 16, 35, 37, and 39. Final Act. 9-11 (citing Osypka 4:6-14, 51-52, Fig. 1); see also Appeal Br. 25 (arguing that claims 16, 35, 37, and 39 are patentable based on their dependence on claim 1 and the arguments presented by Appellant for the patentability of claim 1 ). Indeed, Osypka discloses, with reference to Figures 1 to 3, that "cardiac pacemaker system ... comprises a casing 2 serving to accommodate an energy source and electronic pulse generating components" and that "electrode lead 1 includ[ es] a flexible conductor lA having a first end portion la coupled to the casing and a second end portion 3 distal from the casing 2 and having a substantially hemispherical head S provided with an exposed stimulation surface Sa." Osypka 4:6-14. Osypka also discloses that stimulating pulses propagate in the direction "from the interior of the casing 2 toward the surface Sa" (id. at 4:22-23) and that "surface Sa is in an 22 Appeal2017-007836 Application 11/ 591, 171 optimum position for transmission of pulses to the adjacent portion of the heart." Id. at 4:51-52. Thus, Osypka discloses that the proximal or first end portion 1 a of flexible conductor 1 A is mechanically and electrically coupled to the medical device or casing 2, which is configured to generate and deliver electrical stimulation to the patient via the stimulation electrode (i.e., head 5), as recited in claim 16, and further, inherently discloses that such a coupling is direct and that such pulses from the interior of casing 2 are generated by a stimulator. Accordingly, we enter a NEW GROUND OF REJECTION of claims 16, 35, 37, and 39 under 35 U.S.C. §102(b) as anticipated by Osypka. (ii) Unpatentable over Osypka: claims 10 and 11 (Relating to Original Rejection II) Claims 10 and 11, which depend from independent claim 1, recite, in relevant part, certain ranges for the pitch and height of adjacent threads of the threaded fixation structure. Appeal Br. 42--43 (Claims App.). We rely on the Examiner's determination that the pitch and height of threads of a fixation structure for implanted medical devices are recognized in the prior art as result-effective variables. Final Act. 7-8; see, e.g., Osypka 3: 3 6--46 ( evidencing that the prior art recognizes that thread height for a threaded fixation structure of an implantable medical device may vary, for example, to facilitate introduction of the anchoring means ... during implantation of the electrode lead"); Cates ,r 92 ( evidencing that the prior art recognizes that pitch for "any helical or screw-like structure" may be uniform or non-uniform, or tapering). We reason that it would have been obvious to one of ordinary skill in the art at the time of the invention to 23 Appeal2017-007836 Application 11/ 591, 171 modify thread 6 of Osypka's threaded fixation structure (as discussed supra with respect to independent claim 1) to have pitches and heights within the claimed ranges because the prior art recognizes pitch and height of threaded fixation structures as result-effective variables, and it is not inventive to discover the optimum or workable ranges by routine experimentation. Accordingly, we enter a NEW GROUND OF REJECTION of claims 10 and 11 under 35 U.S.C. § 103(a) as unpatentable over Osypka. (iii) Unpatentable over Osypka and Cates: claims 7, 14, 15, and 18-20 (Relating to Original Rejection IV) Claims 7, 14, 15, and 18-20 depend from independent claims 1 and 13, and recite, in relevant part, (i) "a sheath configured to cover at least the portion of the outer surface of the elongated member" (i.e., the portion of the outer surface around which the threaded fixation structure extends) "including the at least one threaded fixation structure, wherein the at least one threaded fixation structure is configured to fold in one direction to allow that at least one threaded fixation structure to lie against the elongated member when restrained by the sheath" ( claim 7); (ii) the step of "removing a sheath from the lead to expose the at least one threaded fixation structure after the lead is inserted into the patient" ( claim 14); (iii) "wherein removing the sheath allows the at least one threaded fixation structure to unfold and extend from the lead" ( claim 15); the step of (iv) "sliding a sheath over the lead to cover the at least one threaded fixation structure with the sheath" ( claim 18); ( v) the step of "removing the lead and sheath from the patient" ( claim 19); and (vi) the step of "inserting the medical lead into a patient compris[ing] forcing the at least one threaded fixation structure to fold down 24 Appeal2017-007836 Application 11/ 591, 171 against the outer surface of the lead in a first direction" ( claim 20). Appeal Br. 42--44 (Claims App.). We rely on the Examiner's findings that Cates teaches a sheath that operates relative to a foldable fixation structure, as claimed. Final Act. 13- 17 ( citations omitted). Indeed, Cates discloses inserting lead 241 into a patient, and after sheath 320 is at the desired location within the tissue, retracting sheath 320 from electrode 230 and lead body 240 to permit fixation elements 232, 234 to expand and affix the electrode 230 within the tissue. Cates ,r 54. We also rely on the Examiner's reasoning that it would have been obvious to modify Osypka's electrode lead 1 to include a sheath, as taught by Cates, to "provide the predictable results of easier device insertion which minimizes the device (fixation elements) getting caught on tissue during insertion." Final Act. 14--17. In support, Osypka discloses that "the anchoring means comprises a screw which consists, at least in part, of a yieldable soft material capable of undergoing deformation during introduction into and travel through narrow openings or interstices of the trabecular network in response to rotation of the screw." Osypka 2:50-56. Osypka also recognizes that deformability of thread 6 "reduces the likelihood of damage to the vein during implantation of the lead 1," and to surrounding tissue. Id. at 5:58---64. Thus, consistent with the Examiner's findings and reasoning, it would have been obvious to one of ordinary skill in the art, at the time of the invention, to modify Osypka' s electrode lead 1 with yieldable thread 6 to include a sheath, as taught by Cates, to allow lead 1 to be positioned closer to the target tissue area before exposing thread 6 by 25 Appeal2017-007836 Application 11/ 591, 171 removing via sliding of the sheath to reduce potential damage to the tissue during implantation of the lead. With respect to the Examiner's reliance on Cates in Rejection IV, Appellant argues that given the fact that a person having ordinary skill in the art would consciously have avoided modifying Osypka in view of Hastings in the manner proposed by the Examiner, a person of ordinary skill in the art would have had no apparent reason to modify Osypka's system to include 'a sheath[],' as recited in claim 7. Appeal Br. 28-29 (presenting the same argument with respect to claims 14, 15, and 18-20). However, Appellant's argument does not apprise us of factual errors based on Cates, nor does Appellant's argument address the Examiner's reasoning supra, which we adopt in the context of this new ground of rejection. Accordingly, we apply Osypka to claim 1 as set forth supra, and enter a NEW GROUND OF REJECTION of claims 7, 14, 15, and 18-20 under 35 U.S.C. §103(a) as unpatentable over Osypka and Cates. (iv) Unpatentable over Osypka and Okajima: claims 8 and 9 (Relating to Original Rejection VJ Claim 8, which depends from independent claim 1, recites, in relevant part, "a helical reinforcement member disposed within an inner surface of the elongated member to provide torsional rigidity to the elongated member," and claim 9, which depends from claim 8, recites, in relevant part, "wherein the at least one threaded fixation structure extends around the portion of the outer surface of the elongated member in a first direction, and wherein the helical reinforcement member is disposed in a second direction 26 Appeal2017-007836 Application 11/ 591, 171 different than the first direction of the at least one threaded fixation structure." Appeal Br. 42 (Claims App.). We rely on the Examiner's findings that Okajima teaches that "it is known to use an inner coil wound in a clockwise direction and an outer coil wrapped in a counterclockwise direction ... to impart excellent torque transmission ability and anti-kink characteristics" to a catheter, as claimed. Final Act. 18 ( citing Okajima 14: 18-21, Fig. 2). Indeed, Okajima is specifically concerned with "pushability" and "torque transmissionability" of a catheter (i.e., the characteristics of a catheter that can reliably transmit pushing and rotational forces applied at the base end of the catheter, respectively, to distal end), in addition to kink resistance (i.e., the ability of the catheter to prevent bending). Okajima 1 :54--2:4. For this purpose, Okajima discloses that it is known to have "a helically wound wire which is provided inside the catheter." Id. at 2:56-57. Okajima also discloses that [b ]y constructing the coil layer 8 from the two coils wound in opposite directions[], it is possible to obtain an excellent torque transmission ability when an operator turns the catheter 1 by operating its proximal end irrespective of the rotational direction ( clockwise or counterclockwise). Furthermore, compared to a one coil (single coil) structure, the two coil structure can have more excellent anti-kink characteristics and is far more efficient for preventing the lumen from being pressed. Okajima 14:36-44, Fig. 2 (emphasis added). Thus, it would have been obvious to one of skill in the art, at the time of the invention, to modify axial passage 9 of Osypka' s flexible conductor IA to have a helical reinforcement member, such as a coil, as taught by Okajima, within an inner surface of axial passage 9, and further, to arrange the direction of the coil in a direction that is different from the direction of 27 Appeal2017-007836 Application 11/ 591, 171 thread 6 to benefit from the pushability, torque transmissionability, and kink resistance that results from such a configuration, as taught by Okajima. See Final Act. 18. Notably, similar to Okajima's catheter insertion within a patient, Osypka discloses "driv[ing] screw 4 home by rotating the entire electrode lead 1." Osypka 4:67-68; see also Osypka 1 :67-2:4 ("Another object of the invention is to provide an electrode lead for establishment of an intravenous connection between the casing of a cardiac pacemaker and the heart which is constructed and assembled in such a way that it can adequately anchor its head and the stimulation surface thereon in an optimum position in the selected portion of the heart without injuring the heart wall."). We are not persuaded by Appellant's argument, addressing claims 8 and 9 pursuant to Rejection V supra, that Osypka's electrode lead "lacks a nexus" to the Examiner's modification, because, similar to Okajima's catheter, Osypka is concerned with advancing an electrode lead within a patient to a target site. See Appeal Br. 31; Osypka 1:67-2:4, 4:67---68. We are also not persuaded by Appellant's argument that Okajima describes an intermediate layer 12 around the outside of the inner layer 6, but does not disclose an outer coil wrapped in a counterclockwise direction, such that the Examiner's proposed modification lacks support. Appeal Br. 31-32. However, Osypka's threaded fixation structure is relied on for providing the structure of threads 6, or an outer coil, as set forth supra. Accordingly, we apply Osypka to claim 1 as set forth supra, and enter a NEW GROUND OF REJECTION of claims 8 and 9 under 35 U.S.C. §103(a) as unpatentable over Osypka and Okajima. 28 Appeal2017-007836 Application 11/ 591, 171 (v) Unpatentable over Osypka and Doan: claim 12 (Relating to Original Rejection VJ) Claim 12, which depends from independent claim 1, recites, in relevant part, "wherein the at least one threaded fixation structure comprises at least one of a biocompatible metal alloy and a biocompatible polymer." Appeal Br. 43 (Claims App.). We rely on the Examiner's determination that Doan teaches "that it is known to use a threaded fixation structure made of biocompatible metallic alloy," as required by claim 12, and on the Examiner's reasoning that it would have been obvious to one skilled in the art at the time of the invention to modify Osypka's threaded fixation structure to be made ofbiocompatible metal alloy, as taught by Doan, to provide "improved acceptance by the body without harming the patient." Final Act. 19 (citing Doan 4:24--26) ( disclosing that the helix electrode "may be made of a platinum-iridium alloy or similar biocompatible metal or metallic alloy"). With respect to the Examiner's reliance on Doan in Rejection VI supra, Appellant argues that Doan fails to overcome the deficiencies of Osypka in view of Hasting discussed . . . with respect to claim 1, and there would have had no apparent reason that would have caused one of ordinary skill in the art to modify Osypka' s system in view of Hastings and further in view of Doan to arrive at the subject matter recited in claim 12. Appeal Br. 32. However, Appellant's argument does not apprise us of factual errors based on Doan, nor does Appellant's argument address the Examiner's reasoning supra. 29 Appeal2017-007836 Application 11/ 591, 171 Accordingly, we apply Osypka to claim 1 as set forth supra, and enter a NEW GROUND OF REJECTION of claims 12 under 35 U.S.C. § 103(a) as unpatentable over Osypka and Doan. (vi) Unpatentable over Osypka, Cates, and Wittkampf claim 21 (Relating to Original Rejection VII) Claim 21, which depends from claim 20, which depends from independent claim 13, recites, in relevant part, the further step of "pulling the lead in the first direction to extend the at least one threaded fixation structure into the tissue, and wherein rotating the lead causes the at least one threaded fixation structure to advance the lead in a second direction opposite to the first direction." Appeal Br. 45 (Claims App.). We rely on the Examiner's finding that Wittkampf teaches that "it is known to use pulling the lead in a backward direction, toward the proximal end, to extend the at least one threaded fixation structure into the tissue," as claimed, and on the Examiner's reasoning that it would have been obvious to one skilled in the art at the time of the invention to modify Osypka's method of fixing an electrode lead in tissue via a threaded fixation structure by pulling the lead in a backward direction, as claimed, and as taught by Wittkampf, in addition to advancing the lead via the thread 6 as taught to Osypka. Final Act. 19-20 (citing Wittkampf 3:25-53) (disclosing a method of fixing a lead to the epicardium "by placing the lead head on or near the surface of the epicardium and pulling the entire lead in a backward direction, toward the proximal end thereof'). With respect to the Examiner's reliance on Wittkampf in Rejection VII supra, Appellant argues that 30 Appeal2017-007836 Application 11/ 591, 171 given the fact that a person having ordinary skill in the art would consciously have avoided modifying Osypka in view of Hastings in the manner proposed by the Examiner, a person of ordinary skill in the art would have had no apparent reason to arrive at the method[], as recited in claim 21. Appeal Br. 33. However, Appellant's argument does not apprise us of factual errors based on Wittkampf, nor does Appellant's argument address the Examiner's reasoning supra. Accordingly, we apply Osypka to claim 1 as set forth supra, and enter a NEW GROUND OF REJECTION of claim 21 under 35 U.S.C. § 103(a) as unpatentable over Osypka, Cates, and Wittkampf. (vii) Unpatentable over Osypka and Whitehurst: claim 22 (Relating to Original Rejection Vfll) Claim 22, which depends on independent claim 13, recites in relevant part, the step of "positioning the at least one electrode adjacent to at least one of a sacral nerve a prudendal nerve, a spinal cord, and an occipital nerve." Appeal Br. 45 (Claims App.). We rely on the Examiner's finding that Whitehurst teaches that "it is known to use an electrode placed adjacent to the occipital nerve ... to provide treatment for occipital neuralgia," and the Examiner's reasoning that it would have been obvious to modify Osypka's method "with placing the electrode near the occipital nerve," as taught by Whitehurst, because "such a modification would provide the predictable results of treating occipital neuralgia." Final Act. 20 (citing Whitehurst ,r 91) (disclosing a treatment modality for neuralgia, including implanting electrodes adjacent occipital nerves). 31 Appeal2017-007836 Application 11/ 591, 171 With respect to the Examiner's reliance on Whitehurst in Rejection VIII supra, Appellant argues that "the Examiner failed to show that a person having ordinary skill in the art would have had any reason to modify Osypka' s method to include positioning the at least one electrode, as claimed," and that "the Examiner's rationale for the modification ... appears to be the end result of the modification itself, i.e., 'treating occipital neuralgia."' Appeal Br. 34. In other words, Appellant contends that the Examiner has not established that one of ordinary skill in the art would have recognized "using an intravenously implantable cardiac lead having an anchoring means configured to retain the lead within the trabecular network of a heart to treat occipital neuralgia." Id. Appellant concludes that the Examiner impermissibly relied on hindsight. Id. We are not persuaded by Appellant's argument. Although Osypka discloses that its intravenously implantable electrode lead is preferably used in conjunction with a cardiac pacemaker, Osypka acknowledges that "other can, by applying current knowledge, readily adapt [ the invented electrode lead] for various applications." Osypka 8:7-9. Accordingly, we apply Osypka to claim 1 as set forth supra, and enter a NEW GROUND OF REJECTION of claim 22 under 35 U.S.C. § 103(a) as unpatentable over Osypka and Whitehurst. (viii) Unpatentable over Osypka and Mamo: claims 36, 38, and 40 (Relating to Original Rejection );_1ll) Claims 36, 38, and 40, which depend from independent claims 1, 13, and 23, respectively, recite, in relevant part, that the coupling of the proximal end of the elongated member is to the medical device is via a lead 32 Appeal2017-007836 Application 11/ 591, 171 extension. Appeal Br. 48 (Claims App.). For example, the Specification discloses that "[p ]roximal end 14A of lead 14 may be both electrically and mechanically coupled to connector 13 of stimulator 12 either directly or via a lead extension." Spec. ,r 31. We rely on the Examiner's finding that Mamo teaches that it is known to configure the coupling of the proximal end of an elongated member to a medical device via a lead extension (i.e., lead extension 32) "to reduce the risk of disconnection or lead migration." Final Act. 25 ( citing Mamo, Fig. 2); see also Mamo ,r 71 (disclosing that, with reference to Figure 3g, "[a] neurostimulation system can include a stimulation lead 30, ... a lead extension 32, and a trial stimulator (not shown)" wherein "lead extension 32 connects between the stimulation lead 30 and the trial stimulator"); see also id., Fig. 2 (lead extension 32). We also rely on the Examiner's reasoning that it would have been obvious to modify the proximal end of Osypka's elongated member to couple to casing 2 (and the stimulator) via a lead extension, as taught by Mamo, "[to] reduce the risk of disconnection." Final Act. 25. We further reason that such a modification is the mere substitution of one known method for connecting implantable electrode components (i.e., an indirect connection via a lead extension) for another known method (i.e., a direct connection), and note that where "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." In re Mouttet, 686 F.3d 1322, 1331 (Fed. Cir. 2012) (citing KSR Int'! Co. v. Teleflex Inc., 550 U.S. 398,416 (2007)). With respect to the Examiner's reliance on Mamo in Rejection XIII supra, Appellant fails to present any specific arguments in favor of 33 Appeal2017-007836 Application 11/ 591, 171 patentability, for example, apart from those arguments presented in the rejection of the independent claims supra. Appeal Br. 37-38. Accordingly, we apply Osypka to claim 1 as set forth supra, and enter a NEW GROUND OF REJECTION of claims 36, 38, and 40, under 35 U.S.C. §103(a) as unpatentable over Osypka and Mamo. DECISION The Examiner's rejection of claims 10, 11, 31, and 32 under 35 U.S.C. § 112, second paragraph, as indefinite is AFFIRMED. The Examiner's rejection of Claims 1, 4-23, and 35-40 under 35 U.S.C. § 103(a) as unpatentable over Osypka and Hastings, or in further view of Cates, Okajima, Wittkampf, Whitehurst, and/or Mamo is REVERSED. The Examiner's rejection of claims 24--33 under 35 U.S.C. § 103(a) as unpatentable over Gerber and Hastings, and in further view of Hansmann, Cates, Okajima, and/or Doan is AFFIRMED. We enter NEW GROUNDS OF REJECTION of: (i) claims 1, 13, 16, 17, 23, 35, 37, and 39 under 35 U.S.C. § 102(b) as anticipated by Osypka; (ii) claims 10 and 11 under 35 U.S.C. §103(a) as unpatentable over Osypka; (iii) claims 7, 14, 15, and 18-20 under 35 U.S.C. § 103(a) as unpatentable over Osypka and Cates; (iv) claims 8 and 9 under 35 U.S.C. § 103(a) as unpatentable over Osypka and Okajima; (v) claim 12 under 35 U.S.C. §103(a) as unpatentable over Osypka and Doan; (vi) claim 21 as unpatentable over Osypka, Cates, and Wittkampf; ( vii) claim 22 as unpatentable over Osypka and Whitehurst; and (viii) claims 36, 38, and 40 as unpatentable over Osypka and Mamo. 34 Appeal2017-007836 Application 11/ 591, 171 FINALITY OF DECISION This decision contains new grounds of rejection as permitted under 37 C.F.R. § 4I.50(b). Section 4I.50(b) provides "[a] new ground of rejection pursuant to this paragraph shall not be considered final for judicial review." Section 41.50(b) also provides: When the Board enters such a non-final decision, the appellant, within two months from the date of the decision, must exercise one of the following two options with respect to the new ground of rejection to avoid termination of the appeal as to the rejected claims: ( 1) Reopen prosecution. Submit an appropriate amendment of the claims so rejected or new Evidence relating to the claims so rejected, or both, and have the matter reconsidered by the examiner, in which event the prosecution will be remanded to the examiner. The new ground of rejection is binding upon the examiner unless an amendment or new Evidence not previously of Record is made which, in the opinion of the examiner, overcomes the new ground of rejection designated in the decision. Should the examiner reject the claims, appellant may again appeal to the Board pursuant to this subpart. (2) Request rehearing. Request that the proceeding be reheard under § 41.52 by the Board upon the same Record. The request for rehearing must address any new ground of rejection and state with particularity the points believed to have been misapprehended or overlooked in entering the new ground of rejection and also state all other grounds upon which rehearing is sought. Further guidance on responding to a new ground of rejection can be found in the Manual of Patent Examining Procedure§ 1214.01. 35 Appeal2017-007836 Application 11/ 591, 171 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; 37 C.F.R. § 4I.50(b) 36 Copy with citationCopy as parenthetical citation