Ex Parte ScottDownload PDFPatent Trial and Appeal BoardJul 31, 201712359104 (P.T.A.B. Jul. 31, 2017) Copy Citation United States Patent and Trademark Office 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 APPLICATION NO. FILING DATE FIRST NAMED INVENTOR ATTORNEY DOCKET NO. CONFIRMATION NO. 12/359,104 01/23/2009 Timothy L. Scott 104292-1255 3778 137985 7590 08/02/2017 FOT FY Rr T ARDNFR T T P EXAMINER 3000 K STREET N.W. ALTER MORSCHAUSER, ALYSSA MARGO SUITE 600 WASHINGTON, DC 20007-5109 ART UNIT PAPER NUMBER 3762 NOTIFICATION DATE DELIVERY MODE 08/02/2017 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): ipdocketing @ foley. com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte TIMOTHY L. SCOTT Appeal 2016-006391 Application 12/3 59,1041 Technology Center 3700 Before TAWEN CHANG, TIMOTHY G. MAJORS, and DAVID COTTA, Administrative Patent Judges. COTTA, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134 involving claims to a method of treating a medical condition in a patient using an implantable medical device. The Examiner rejected the claims on appeal under 35 U.S.C. § 102(b) as anticipated. We AFFIRM. 1 According to Appellant, the real party in interest is Cyberonics, Inc. App. Br. 2. Appeal 2016-006391 Application 12/359,104 STATEMENT OF THE CASE The Specification teaches that “[tjherapies using electrical signals . . . have been found to effective” in “treating diseases such as depression and epilepsy.” Spec. 2. “Implantable medical devices [IMDs] have been effectively used to deliver therapeutic stimulation to various portions of the human body (e.g., the vagus nerve) for treating these diseases.” Id. “Generally, IMDs for vagus nerve stimulation (VNS) provide a conventional-type electrical signal, which may include pulse trains that are approximately 30-60 seconds in length at 10-30 Hz, with off-times of from about 7-300 seconds.” Id. at 6. The Specification explains: conventional open-loop VNS consists of a single type of stimulation signal that is provided based upon predetermined parameters. Typically, a physician programs a first type of stimulation signal to be delivered by the IMD for a period of time. After this period of time, further evaluation of the patient’s condition may prompt the physician to alter and reprogram the IMD to provide a second stimulation signal different, but largely similar to the first stimulation signal. Regardless of the magnitude of the change, however, the implementation of the second signal is done manually by the physician, and a return to the first signal must likewise be manually implemented by the physician. In this manner, the conventional IMDs for VNS essentially provide just one type of open-loop therapy at a time. Id. at 6. The Specification discloses that the present invention relates to “medical device systems for applying electrical signals to a cranial nerve for the treatment of various medical conditions, and for providing a chronic condition therapy and an acute condition therapy using a microburst electrical signal and a non-microburst electrical signal.” Id. at 1 (emphasis added). 2 Appeal 2016-006391 Application 12/359,104 Claims 1—4, 6—11, 23—26 and 28—33 are on appeal. Claim 1 is illustrative and reads as follows: 1. A method of treating a medical condition in a patient using an implantable medical device, comprising: applying to a cranial nerve a first electrical signal including at least one microburst of a plurality of pulses during a first time period to treat the medical condition, the first time period being a time period during which there is no indication that an acute condition has occurred; and applying a second electrical signal to the cranial nerve to treat the medical condition in response to an indication of an acute event associated with the medical condition for treating the acute event, the second electrical signal including at least one burst of a second plurality of pulses during a second time period that is a non-micro burst, wherein the first time period occurs prior to the second time period; wherein applying the first electrical signal further comprises applying the microburst signal in a predetermined timing pattern; wherein applying the second electrical signal in an acute therapy mode is triggered by the indication of the acute event where the acute therapy mode is implemented in a course that has a predetermined duration, the predetermined duration being independent of a change in an initiation signal for the second electrical signal. App. Br. 16. The Examiner rejected claims 1—4, 6—11, 23—26 and 28—33 under 35 U.S.C. § 102(b) as anticipated by Craig.2 FINDINGS OF FACT 1. Craig discloses: “This invention relates generally to medical device systems and, more particularly, to medical device systems for applying electrical signals to a cranial nerve for the treatment of various 2 Craig, US Patent Publication No. 2007/0233193 Al, published Oct. 4, 2007 (“Craig”). 3 Appeal 2016-006391 Application 12/359,104 medical conditions, and for improved electrical signals in such systems.” Craig 1 5. 2. Craig discloses: While feedback stimulation schemes have been proposed, conventional vagus nerve stimulation (VNS) usually involves non-feedback stimulation characterized by a number of parameters. Specifically, conventional vagus nerve stimulation usually involves a series of electrical pulses in bursts defined by an “on-time” and an “off-time.” During the on-time, electrical pulses of a defined electrical current (e.g., 0.5—2.0 milliamps) and pulse width (e.g., 0.25—1.0 milliseconds) are delivered at a defined frequency (e.g., 20—30 Hz) for the on-time duration, usually a specific number of seconds, e.g., 10—60 seconds. The pulse bursts are separated from one another by the off-time, (e.g., 30 seconds—5 minutes) in which no electrical signal is applied to the nerve. The on-time and off-time parameters together define a duty cycle, which is the ratio of the on-time to the combination of the on-time and off-time, and which describes the percentage of time that the electrical signal is applied to the nerve. Id. at 111. 3. Craig discloses: Applicant has discovered that it is possible to provide improved therapeutic neurostimulation treatments for a variety of medical conditions by a new type of electrical stimulation of the cranial nerves capable of providing enhanced evoked potentials in the brain. . . . The electrical signal for this improved therapy is substantially different from the electrical signals in conventional VNS. In particular, electrical signals in [Craig’s] invention are characterized by very short bursts of a limited number of electrical pulses. These short[] bursts of less than 1 second are referred to hereinafter as “microbursts,” and electrical stimulation applying microbursts to a cranial nerve is referred to as “microburst stimulation.” Id. at 115. 4 Appeal 2016-006391 Application 12/359,104 4. Craig discloses: In one embodiment, [Craig’s] invention provides a computer readable program storage device encoded with instructions that, when executed by a computer, perform a method, comprising generating an electrical signal comprising a series of micro bursts separated by interburst periods, with each microburst comprising a number of pulses per microburst, an interpulse interval, and a micro burst duration, wherein at least one of the interburst period, the number of pulses per microburst, the microburst duration, or the interpulse period is selected to enhance cranial nerve evoked potentials, and applying the electrical signal to a cranial nerve of the patient to treat the medical condition. Id. at |20. 5. Craig discloses: In a further embodiment, during the off-time of the microburst stimulation, an alternative stimulation technique, such as conventional cranial nerve stimulation, can be performed. Conventional cranial nerve stimulation generally also involves an on-time and an off-time, and the on-time of the micro burst stimulation may be during the off-time of the conventional cranial nerve stimulation. If both microburst stimulation and an alternative stimulation technique are performed, the on-times, the off times, or both of the two stimulation regimes may partially or wholly overlap. Id. at || 64—65. 6. Craig discloses: [Stimulation may be provided in at least two different modalities. Where cranial nerve stimulation is provided based solely on programmed off-times and on-times, the stimulation may be referred to as passive, inactive, or non-feedback stimulation. In contrast, stimulation may be triggered by one or more feedback loops according to changes in the body or mind of the patient. This stimulation may be referred to as active or feedback-loop stimulation. In one embodiment, feedback-loop stimulation may be manually-triggered stimulation, in which the 5 Appeal 2016-006391 Application 12/359,104 patient manually causes the activation of a pulse burst outside of the programmed on-time/off-time cycle. The patient may manually activate the IMD 100 to stimulate the cranial nerve, such as vagus nerve 127, to treat an acute episode of a medical condition. Id. at | 81 7. Craig discloses: In one embodiment, the sensor may sense a body parameter that corresponds to a symptom of a medical condition. If the sensor is to be used to detect a symptom of the medical condition, a signal analysis circuit may be incorporated into the IMD 100 for processing and analyzing signals from the sensor. Upon detection of the symptom of the medical condition, the processed digital signal may be supplied to a microprocessor in the IMD 100 to trigger application of the electrical signal to the cranial nerve, such as vagus nerve 127. In another embodiment, the detection of a symptom of interest may trigger a stimulation program including different stimulation parameters from a passive stimulation program. This may entail providing a higher current stimulation signal or providing a higher ratio of on-time to off-time. Id. at | 84. 8. Craig discloses: The electrodes may be operatively coupled to at least one of a main trunk of the right or left vagus nerve, or any branch thereof. The IMD 100 may then generate a controlled electrical signal characterized by an interburst period, a number of pulses per microburst, an interpulse interval, and a microburst duration, wherein at least one of the interburst period, the number of pulses per microburst, the interpulse interval, or the microburst duration is selected to enhance cranial nerve evoked potentials (block 720). This may include a predetermined electrical signal that is preprogrammed based upon a particular condition of a patient. Id. at | 85. 6 Appeal 2016-006391 Application 12/359,104 ANALYSIS Appellant argues the claims in three groups with Group I comprising claims 1—4, and 6—11 (directed to methods of treating a medical condition), Group 2 comprising claims 23—26 (directed to an implantable medical device), and Group 3 comprising claims 28—33 (directed to a system for treating a medical condition). Appellant’s arguments are substantially the same for each group, focusing on claim language common to claims in all three groups. Accordingly we address all three groups together. Craig discloses a method of treating a medical condition by applying a microburst of pulses to a cranial nerve during a time period when no acute condition has occurred. See e.g., FF1, FF3, and FF6. A second non microburst signal may be applied in response to an acute event. See e.g., FF2, FF5, FF7. The first signal, the microburst signal, may be applied in a predetermined timing pattern. See e.g., FF4, FF8. The second signal may be triggered by an acute event and may have a predetermined duration that is independent of any changes in the triggering signal. See e.g., FF6, FF7. The Examiner found that Craig teaches all of the limitations of and anticipates claims 1—4, 6—11, 23—26 and 28—33. We adopt the Examiner’s findings of fact and reasoning regarding the scope and content of the prior art (Ans. 3—9; Final Act. 2—8) and agree that the claims are anticipated by Craig. We address Appellant’s arguments below. Appellant argues that Craig does not disclose applying the microburst signal in a “predetermined time pattern.” App. Br. 9. We are not persuaded. Craig discloses that its medical device may be controlled by a computer that is programmed to cause the device to generate microbursts in which the number or pulses, duration, or interpulse period is selected to 7 Appeal 2016-006391 Application 12/359,104 “enhance cranial nerve evoked potentials.” FF4. In executing this program, and absent persuasive argument or evidence to the contrary, Craig’s computer would apply the miocroburst signal in a “predetermined timing pattern.” In addition, after disclosing that its device can generate signals characterized by interburst period, number of pulses per microburst, an interpulse interval, and a microburst duration, Craig states that its device may generate “a predetermined electrical signal that is preprogrammed based upon a particular condition of a patient.” FF8. This also conveys that the programmed signal would include a “predetermined timing pattern.” Appellant argues that Craig does not disclose that applying the second electrical signal in an “acute therapy mode which is triggered by the indication of the acute event where the acute therapy mode is implemented in a course that has a predetermined duration where the predetermined duration fis] independent of a change in an initiation signal for the second electrical signal.” App. Br. 9; Reply Br. 3. Appellant concedes that Craig discloses both feedback and non feedback based stimulation, but contends that “Craig does not disclose that one treatment ‘is triggered by the indication of an acute event.’” Reply Br. 4. Appellant argues that in contrast to a treatment triggered by an acute event, as claimed, Craig discloses a treatment that is “manually triggered.” Id. We are not persuaded. Craig discloses that a patient “may manually activate the IMD 100 to stimulate the cranial nerve, such as vagus nerve 127, to treat an acute episode of a medical condition.” FF6. While this passage does describe a manually triggered treatment, the manual trigger is employed to treat an “acute medical condition.” The fact that the acute medical condition is 8 Appeal 2016-006391 Application 12/359,104 sensed by the patient rather than by a medical sensor is immaterial. Nothing in the claim requires that the therapy mode be triggered independent of patient input. In addition, Craig also discloses that a “sensor may sense a body parameter that corresponds to a symptom of a medical condition” and that “detection of the symptom of the medical condition” may “trigger application of the electrical signal to the cranial nerve.” FF7. While this disclosure does not track the “acute event” language of the claim verbatim, it nonetheless contemplates a signal triggered by an acute event. See In re Schaumann, 572 F.2d 312, 317 (CCPA 1978) “([Although appellants would have us hold that Hildebrandt fails as an anticipation because it does not contain a description of the subject matter of the appealed claims, ipsissimis verbis, we cannot countenance a result which so obviously exhalts [sic] form over substance.”). Appellant argues that Craig’s second electrical signal is not disclosed to be implemented in a course that has a “predetermined duration” that is “independent of a change in the initiation signal for the second electrical signal.” Reply. Br. 4. We are not persuaded. Craig discloses that “the detection of a symptom of interest may trigger a stimulation program including different stimulation parameters from a passive stimulation program.” FF7. As “passive stimulation” is expressly defined to be “non-feedback” stimulation (FF6), the stimulation provided would be independent of any changes in the signal that initiated the stimulation. In addition, Craig discloses simultaneously employing microburst and conventional stimulation. FF5. Conventional stimulation “usually involves non-feedback stimulation.” FF2. 9 Appeal 2016-006391 Application 12/359,104 Accordingly, we find that a preponderance of the evidence supported the Examiner’s determination that Craig anticipates claims 1—4, 6—11, 23—26 and 28—33. SUMMARY For the reasons provided herein, and those set forth in the Examiner’s Answer and Final Office Action, we affirm the Examiner’s rejection of claims 1—4, 6—11, 23—26 and 28—33 under 35 U.S.C. § 102(b) as anticipated by Craig. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a)(1). AFFIRMED 10 Copy with citationCopy as parenthetical citation