Ex Parte GundersonDownload PDFPatent Trial and Appeal BoardSep 15, 201611969068 (P.T.A.B. Sep. 15, 2016) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 111969,068 01/03/2008 27581 7590 09/19/2016 Medtronic, Inc. (CRDM) 710 MEDTRONIC PARKWAY NE MS: LC340 Legal Patents MINNEAPOLIS, MN 55432-9924 FIRST NAMED INVENTOR Bruce D. Gunderson 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. P0031300.00/LG10126 1070 EXAMINER BAYS,PAMELAM ART UNIT PAPER NUMBER 3766 NOTIFICATION DATE DELIVERY MODE 09/19/2016 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): medtronic_crdm_docketing@cardinal-ip.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte BRUCE D. GUNDERSON Appeal2014-007464 Application 11/969,068 Technology Center 3700 Before LYNNE H. BROWNE, THOMAS F. SMEGAL, and ERIC C. JESCHKE, Administrative Patent Judges. JESCHKE, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE Bruce D. Gunderson (Appellant) seeks review, under 35 U.S.C. § 134(a), of the Examiner's decision to reject claims 1, 5, 9, 12-16, 19-22, 27-29, and 31-38. 1 We have jurisdiction under 35 U.S.C. § 6(b). We REVERSE. 1 Appellant identifies Medtronic, Inc. as the real party in interest. Appeal Br. 3. Appeal2014-007464 Application 11/969,068 BACKGROUND The disclosed subject matter "relates to a method and apparatus for automatically identifying cardiac and non-cardiac oversensing by an implantable cardiac device and automatically adjusting detection parameters to reduce inappropriate detection." Spec. i-f 2. Claims 1, 15, 25, and 34 are independent. Claim 1 is reproduced below: 1. An implantable medical device (IMD) compnsmg: at least one lead that includes at least one sensing electrode to sense cardiac data from a heart of a patient in accordance with programmed sensing parameters for a plurality of cardiac cycles; and a housing coupled to the leads and containing a processor configured to analyze the sensed cardiac data to determine if an oversensing criteria is satisfied, identify whether a lead failure exists based on the oversensing criteria being satisfied and at least one other criteria, and automatically adjust a programmed number of intervals to detection (NIU) from the programmed number to an increased value in response to identifying that the lead failure exists, and maintain the NID at the programmed number in response to determining that the oversensing criteria is satisfied and not identifying that the lead failure exists. REJECTIONS 1. Claims 1, 5, 9, 12-14, 25, 27, and 31-38 stand rejected under 35 U.S.C. § 112, first paragraph, as failing to comply with the written description requirement. 2 Appeal2014-007464 Application 11/969,068 2. Claims 1, 15, 25, and 27-29 stand rejected under 35 U.S.C. § 102(b) as anticipated by Ousdigian (US 2005/0154421 Al, published July 14, 2005). 3. Claims 5, 16, 22, 32, 33, 37, and 38 stand rejected under 35 U.S.C. § 103(a) as unpatentable over Ousdigian and Jorgenson (US 2002/0120307 Al, published Aug. 29, 2002).2 4. Claim 31 stands rejected under 35 U.S.C. § 103(a) as unpatentable over Ousdigian and Gunderson (US 2005/0137636 Al, published June 23, 2005). 5. Claims 9, 12-14, and 19-21 stand rejected under 35 U.S.C. § 103(a) as unpatentable over Ousdigian. DISCUSSION Rejection 1- The rejection of claims 1, 5, 9, 12-14, 25, 27, and 31-38 under 35U.S.C.§112,firstparagraph The Examiner rejected claims 1 and 25 (and claims depending therefrom) based on the limitation "maintain the NID at the programmed number in response to determining that the oversensing criteria is satisfied and not identifying that the lead failure exists." Final Act. 3. In addition, the Examiner rejected claim 34 (and claims depending therefrom) based on 2 Although claim 34 is listed in the header to this Rejection in the Office Action (Final Act. 7 (dated June 20, 2013)), the Examiner does not discuss that claim in the body of the Rejection. The Examiner also removes claim 34 from the header to this Rejection in the Answer. See Ans. 6. Moreover, in the Office Action, the Examiner stated that "[c]laim[s] 34--36 would be allowable if rewritten or amended to overcome the rejection(s) under 35 U.S.C. 112 set forth in this Office action." Final Act. 12. Thus, claim 34 is not considered rejected based on prior art. 3 Appeal2014-007464 Application 11/969,068 the limitation "maintains the NID at the programmed number in response to determining that one of the first or second oversensing criteria is satisfied, but the impedance criteria and the remaining one of the first and second oversensing criteria are not satisfied." Id. According to the Examiner, neither of these steps are "disclosed within the Applicant's Specification as originally filed," and thus, they are "considered to be New Matter." Id. The test for compliance with the written description requirement is "whether the disclosure of the application relied upon reasonably conveys to those skilled in the art that the inventor had possession of the claimed subject matter as of the filing date." Ariad Pharm., Inc. v. Eli Lilly & Co., 598 F.3d 1336, 1351 (Fed. Cir. 2010) (en bane). We find that the Specification provides sufficient written description support for the limitations at issue. To aid the discussion, we first provide some background of the disclosed invention. As stated by Appellant, "FIG. 3 describes [a] two- tiered approach in which the method first predicts the presence of a lead- related condition, Block 340, and once the presence of a lead-related condition is detected, the method determines whether oversensing is likely taking place, Block 342." Reply Br. 2 (citing Spec. i-f 50). In addition, as stated by Appellant, "FIG. 4 illustrates one example method for detecting a lead related condition, which may be utilized in block 340 of FIG. 3." Reply Br. 2; see also Spec. i-f 51 ("FIG. 4 is a flow chart of a method for detecting a lead-related condiction [sic] in a method for delivering therapy according to an embodiment of the present invention."). Further, describing a process of detecting whether a lead-related condition (such as a lead failure) exists, paragraphs 51and52 disclose (as discussed by Appellant (Appeal Br. 8-9)), 4 Appeal2014-007464 Application 11/969,068 the use of a (1) "first oversensing criteria," (2) "second oversensing criteria," and (3) an "impedance criteria." In particular, paragraph 52 provides: "If it is determined that more than one of the criteria have been met, such as both of the oversensing criteria or at least one of the oversensing criteria and the impedance criteria, the likelihood of a lead-related condition is satisfied." As discussed by Appellant (Appeal Br. 7-8), paragraph 131 provides: As illustrated in FIG. 20, a determination is made to whether a lead failure is likely present, Block 1395, using lead failure analysis such as the lead failure detection method described above. Lead failure may result in oversensing. According to an embodiment of the present invention, once a lead failure is determined likely to be present, yes in Block 1400, the programmed number of intervals to detection (NID) is increased, Block 1402, and an alert is generated to notify the patient of the possible presence of the lead failure, Block 1404. Spec. ,-r 131. We first address the relationship between the disclosures of paragraph 131 (Figure 20) and paragraphs 51-52 (Figure 4). Appellant contends that the phrase "using lead failure analysis such as the lead failure detection method described above" in paragraph 131 (as set forth above) refers to the methods disclosed in paragraphs 51 and 52 (discussed above). Appeal Br. 8. The Examiner responds that the "method of the flowchart in Fig. 20 is described in the Specification as being a distinct method [from] those in the flowcharts of Figs. 3 and 4." Ans. 13. In support, the Examiner notes that the Specification ( 1) describes Figure 4 as providing "a flow chart of a method for detecting a lead-related condiction [sic] in a method for delivering therapy according to an embodiment of the present invention" (Ans. 13 (quoting Spec. i-f 51, with emphasis added)), and (2) describes Figure 20 as "a flow diagram ... providing an overview of the operations 5 Appeal2014-007464 Application 11/969,068 included in a preferred embodiment of the present invention for reducing the likelihood of inappropriate detection of noise in an implantable medical device" (Ans. 13 (quoting Spec. i-f 131, with emphasis added)). We agree with Appellant that the reference to "the lead failure detection method described above" in paragraph 131 would be understood by one of ordinary skill in the art to refer to the disclosures in paragraphs 51 and 52. As noted by Appellant, "the method of FIG. 4 appears to be the only method of detecting a lead-related condition [described by] Appellant's [S]pecification." Reply Br. 2. Further, we agree with Appellant's description of what paragraphs 131, 51, and 52 would, together, provide to one of ordinary skill in the art: Using the lead failure detection method described in FIG. 4 in steps 1395 and 1400 of FIG. 20 (as inferred by paragraph [00131]), when a determination is made that lead failure exists based on the oversensing criteria being satisfied and at least one other criteria (e.g., the other oversensing criteria and/or the impedance criteria in the example of FIG. 4), block 1402 increases the NID as described in paragraph [00131]. In response to determining that the oversensing criteria is satisfied and not identifying that the lead failure exists (e.g., scenarios (1) and (2) for not detecting a lead related condition when less than one of the criteria have been met), the NID is not adjusted per block 1402 (i.e., it is maintained) and the lead failure predictor analysis ofblock 1395 is continued ('NO' branch ofblock 1400). Appeal Br. 9-10 (addressing claims 1 and 25); see also id. at 17 (similar argument for claim 34 ). We find that these paragraphs satisfy the written description requirement for the limitations at issue. We tum now to the Examiner's position that "Fig. 3 only discloses the first step of determining i[ fJ a lead-related condition exists (Step 340), then determining if oversensing is taking place (Step 342), and then either 6 Appeal2014-007464 Application 11/969,068 delivering or withholding therapy (Step 344, 346)" and that "[i]f the first Step of 'Lead-related condition' 340 is 'No', then the process of Fig. 3 ends, and therefore does not disclose 'determining that the oversensing criteria is satisfied and not identifying that the lead failure exists"' as recited in claims 1 and 25 (or the similar limitation in claim 34). Ans. 12; see also id. (discussing paragraph 106 of the Specification and stating that "the determination of whether the oversensing criteria has been satisfied is performed after a lead-related condition/failure has been detected"). As noted by Appellant, the Examiner's position "fails to appreciate that the lead failure detection method of FIG. 4 analyzes a first oversensing criteria (702), second oversensing criteria (706) and an impedance criteria (710) and a lead related condition is detected when more than one of the criteria have been met" and, importantly, does not acknowledge that "[t]his analysis of oversensing criteria is separate and distinct from the oversensing analysis done in block 342 of FIG. 3 and described in detail with respect to FIGs. 13-18 (see paragraph [0052])." Reply Br. 3. In other words, the "oversensing criteria" in the limitations at issue relate to the first tier in the disclosed approach-predicting the presence of a lead-related condition (see, e.g. Spec., Fig. 3 (Block 340), i-fi-150-52}-rather than to the second tier in the disclosed approach---determining whether oversensing is likely taking place (see, e.g. Spec., Fig. 3 (Block 342), i-fi-1 50, 52). For these reasons, we do not sustain the rejection of claims 1, 5, 9, 12-14, 25, 27, and 31-38 under 35 U.S.C. § 112, first paragraph. 7 Appeal2014-007464 Application 11/969,068 Rejection 2-The rejection of claims 1, 15, 25, and 27-29 under 35 U.S.C. § 102(b) A. Claims 1, 25, and 27-29 Independent claim 1 recites, among other limitations, a processor configured to "identify whether a lead failure exists based on the oversensing criteria being satisfied and at least one other criteria." Appeal Br. 18 (Claims App.). Independent claim 25 recites, among other limitations, the step of "identifying whether a lead-related condition exists based on the oversensing criteria being satisfied and at least one other criteria." Id. at 20. To address these limitations, the Examiner relied on paragraphs 13, 51, and 79 of Ousdigian. See Final Act. 4, 6. To aid the discussion, we first provide some background of Ousdigian. As noted by Appellant, "Ousdigian describes an IMD employing number of intervals to detect (NID) thresholds for detection of ventricular arrhythmias" in which, "[ s ]ubsequent to the NID threshold being reached, the IMD determines whether the detected ventricular rhythm is a suspected non-lethal rhythm despite satisfying the NID threshold." Appeal Br. 10 (citing Ousdigian, Abstract); see also Ousdigian i-f 51. The suspected nonlethal arrhythmia can be a supraventricular tachycardia (SVT), a monomorphic ventricular tachycardia (VT), "or a rhythm cause[ d] by cardiac or non-cardiac oversensing." Ousdigian i-f 51. If the system identifies cardiac or non-cardiac oversensing, the system can perform various actions, including increasing the NID threshold and modifying the scheduled therapy. See id. i-f 13 ("When the IMD identifies cardiac or non- cardiac oversensing, the IMD classifies the ventricular rhythm as a suspected non-lethal cardiac rhythm, and can increase the NID threshold and/or modify a scheduled therapy as described above."), i-f 80 ("In response to identifying 8 Appeal2014-007464 Application 11/969,068 cardiac or non-cardiac oversensing, microprocessor 60 can increase the NID threshold and/or modify a scheduled therapy as described above."). Appellant argues that although Ousdigian "can be viewed as determining whether oversensing is occurring," Ousdigian "does not identify whether a lead failure exists or whether the oversensing is caused by a source other than a lead failure." Appeal Br. 11. We agree. As disclosed by Ousdigian, lead failure is one of several possible causes of non-cardiac oversensing. See Ousdigian i-f 78 (providing that "noncardiac oversensing is caused by noise within a detected cardiac signal, such as noise caused by lead failure, a loose set screw, or the like"). And non-cardiac oversensing is, in tum, one of two types of oversensing (in addition to cardiac oversensing), both of which trigger an increase to the NID threshold. See id. i-fi-113, 78-80. We tum now to the Examiner's statement that "Ousdigian specifically discloses increasing NID in response to identifying a oversensing due to a lead failure (Paragraph[s] 0013, 0051, 0079)" because Ousdigian discloses that NID is not increased if oversensing due to a lead failure is not suspected, even if NID threshold to deliver therapy is reached, because the NID threshold being reached may be caused by a dangerous rhythm (Paragraphs 0064---0065, 0072- 0073), and that treatment should not be delayed by increasing the NID. Ans. 16. Review of the paragraphs relied upon by the Examiner further supports Appellant's position, in that those paragraphs disclose a system that determines whether oversensing exists (and performs actions based on that determination) but that does not specifically identify "whether a lead failure exists" or "whether a lead-related condition exists," as recited in claims 1 and 25, respectively. 9 Appeal2014-007464 Application 11/969,068 For these reasons, we do not sustain the rejection of claim 1 and 25, or the rejection of claims 27-29, which depend from claim 1. B. Claim 15 Independent claim 15 recites, among other limitations, a processor configured to "identify a lead failure." Appeal Br. 19 (Claims App.). Addressing this limitation, the Examiner relied on paragraphs 13, 51, and 7 9 of Ousdigian. See Final Act. 5. Appellant argues that Ousdigian does not satisfy this limitation because, although Ousdigian "does indicate that the suspected non-lethal rhythms could be caused by cardiac or non-cardiac oversensing," Ousdigian "does not provide any techniques to distinguish between the two or techniques for distinguishing among all the possible sources of non-cardiac oversensing." Appeal Br. 13. For the same reasons discussed above, we agree that Ousdigian does not disclose a processor configured to "identify a lead failure." Thus, we do not sustain the rejection of claim 15. Rejections 3 and 4 - The rejection of claims 5, 16, 22, 31-33, 37, and 38 under 35 U.S.C. § 103(a) Claims 5, 31-3 3, and 3 7 depend from independent claim 1, claims 16 and 22 depend from independent claim 15, and claim 38 depends from independent claim 25. Appeal Br. 18, 19, 21, 22 (Claims App.). The Examiner's reliance on Jorgenson (regarding Rejection 3) and Gunderson (regarding Rejection 4) does not remedy the deficiencies in the teachings of Ousdigian, discussed above (see supra Rejection 2). Thus, for the reasons discussed above, we do not sustain the rejection of claims 5, 16, 22, 31-33, 37, and 38. 10 Appeal2014-007464 Application 11/969,068 Rejection 5 - The rejection of claims 9, 12-14, and 19-21under35 U.S.C. § 103(a) Claims 9 and 12-14 depend from independent claim 1, and claims 19- 21 depend from independent claim 15. Appeal Br. 18, 19 (Claims App.). The Examiner does not articulate any additional findings or reasoning and does not propose any modification of Ousdigian to remedy the deficiencies discussed above (see supra Rejection 2). Thus, for the reasons discussed above, we do not sustain the rejection of claims 9, 12-14, and 19-21. DECISION We REVERSE the decision to reject claims 1, 5, 9, 12-16, 19-22, 27- 29, and 31-38. REVERSED 11 Copy with citationCopy as parenthetical citation