Ex Parte Bolea et alDownload PDFPatent Trial and Appeal BoardJun 8, 201812980840 (P.T.A.B. Jun. 8, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 12/980,840 12/29/2010 Stephen L. Bolea 137985 7590 06/12/2018 FOLEY & LARDNER LLP 3000 K STREET N.W. SUITE 600 WASHINGTON, DC 20007-5109 UNITED STATES DEPARTMENT OF COMMERCE United States Patent and Trademark Office Address: COMMISSIONER FOR PATENTS P.O. Box 1450 Alexandria, Virginia 22313-1450 www .uspto.gov ATTORNEY DOCKET NO. CONFIRMATION NO. 104292-1314 5443 EXAMINER D ABREU, MICHAEL JOSEPH ART UNIT PAPER NUMBER 3762 NOTIFICATION DATE DELIVERY MODE 06/12/2018 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 STEPHEN L. BOLEA, THOMAS B. HOEGH, BRIAND. KUHNLEY, DALE G. SUILMANN, BRUCE J. PERSSON, JOHN P. BECK, SIDNEY F. HAUSCHILD, PAULA M. KAPLAN, ADAM K. HOYHTY A, WONDIMENEH TESF A YESUS, and ROBERT E. ATKINSON Appeal2017-004842 1 Application 12/980,840 Technology Center 3700 Before FRANCISCO C. PRATS, ELIZABETH A. LA VIER, and RYAN H. FLAX, Administrative Patent Judges. PRATS, Administrative Patent Judge. DECISION ON APPEAL This appeal under 35 U.S.C. § 134(a) involves claims to methods of positioning an electrode cuff on a patient's hypoglossal nerve. The Examiner rejected the claims as being directed to subject matter ineligible for patenting, for failing to comply with the written description requirement, as anticipated, and for obviousness. 1 Appellants state that the "real party of interest in this appeal is Cyberonics, Inc., the assignee of this application." Appeal Br. 2. Appeal2017-004842 Application 12/980,840 We have jurisdiction under 35 U.S.C. § 6(b)(l). We reverse. STATEMENT OF THE CASE Appellants' invention involves the use of a "hypoglossal nerve stimulation (HGNS) system ... [which] treats obstructive sleep apnea (OSA) by restoring neuromuscular activity to the genioglossus muscle via stimulation of the hypoglossal nerve (HGN) synchronous with inspiration to mitigate upper airway collapse during sleep." Spec. i-f 36. "Stimulation is generated by an implantable neurostimulator (INS) 1100, synchronized with inspiration as measured by respiration sensing leads (RSLs) 1200 using bio-impedance, and delivered to the hypoglossal nerve by a stimulation lead (STL) 1300." Id. (discussing Fig. 1). Claims 13 and 41 are the independent claims on appeal, and read as follows: 13. A method of positioning an electrode cuff on a hypoglossal nerve of a patient, the method comprising: positioning the electrode cuff at a first location on the hypoglossal nerve, wherein the electrode cuff includes a plurality of electrode contacts; delivering a first electrical stimulation to the hypoglossal nerve via the electrode cuff at the first location on the hypoglossal nerve; monitoring an upper airway of the patient at a first time to evaluate a positioning of the electrode cuff at the first location on the hypoglossal nerve, wherein monitoring the upper airway includes visualizing the upper airway, and wherein the monitoring at the first time indicates that a predetermined response is not fully achieved; and repositioning the electrode cuff at a second location on the hypoglossal nerve, wherein the second location on the 2 Appeal2017-004842 Application 12/980,840 hypoglossal nerve is different from the first location on the hypoglossal nerve; delivering a second electrical stimulation to the hypoglossal nerve via the electrode cuff at the second location on the hypoglossal nerve; and monitoring the upper airway of the patient at a second time for the predetermined response to evaluate a positioning of the electrode cuff at the second location on the hypoglossal nerve. 41. A method of positioning an electrode on a hypoglossal nerve of a patient, the method comprising: positioning the electrode at a first location on the hypoglossal nerve; delivering an electrical stimulation to the hypoglossal nerve; confirming desired positioning of the electrode by monitoring an upper airway of the patient for a desired response, wherein monitoring the upper airway includes visualizing the upper airway with an imaging device; and repeating the steps of positioning the electrode and delivering an electrical stimulation until the desired response is observed. Appeal Br. 26, 28 (Claims App 'x). The following rejections are before us for review: (1) Claims 13, 15-21, 23, and 40-47, as being directed to subject matter ineligible for patenting (Final Act. 5-6); (2) Claims 13, 15-21, 23, 40, and 43--47, under 35 U.S.C. § 112, first paragraph, as failing to comply with the written description requirement (id. at 7); 3 Appeal2017-004842 Application 12/980,840 (3) Claim 41, under 35 U.S.C. § 102(e) as being anticipated by Meadows2 (id. at 8); and (4) Claims 13, 15-21, 23, and 42, under 35 U.S.C. § 103(a) as being obvious over Meadows, Frei, 3 and Boggs4 (id. at 8-11). 5 STANDARD OF REVIEW As stated in Jn re Oetiker, 977 F.2d 1443, 1445 (Fed. Cir. 1992): [T]he examiner bears the initial burden ... of presenting a primafacie case ofunpatentability .... After evidence or argument is submitted by the applicant in response, patentability is determined on the totality of the record, by a preponderance of evidence with due consideration to persuasiveness of argument. PATENT ELIGIBILITY The Examiner's Position The Examiner originally determined that the process recited in claim 13 "includes steps which require positioning of an electrode cuff, delivering electrical stimulation, and repositioning the electrode cuff based on the observed stimulation results; however, these limitations do not require additional elements beyond the abstract idea of organizing human activity." Final Act. 6. The Examiner rejected claim 41 "under the same rationale, along with all claims dependent on the two independent claims [13 and 41]." Id. 2 US 2010/0094379 Al (published Apr. 15, 2010). 3 US 2004/0138581 Al (published July 15, 2004). 4 US 2006/0149345 Al (published July 6, 2006). 5 Although the Examiner's rejection includes claims 14, 22, 24, 27-31, and 33 (Final Act. 9), those claims have been canceled (see Appeal Br. 26-27 (Claims App'x)). 4 Appeal2017-004842 Application 12/980,840 In the Examiner's Answer, however, the Examiner conceded that he "misapplied what constitutes 'organizing human activities', based on the updated Subject Matter Eligibility [guidance] clearly indicating that the category does not cover human operation of machines." Ans. 2. The Examiner determined, however, that "based upon consideration of all of the relevant factors with respect to the claim as a whole, the claims appear to be directed to a judicial exception (i.e. an abstract idea) without significantly more." Id. Specifically, the Examiner determined that claim 13 "does not require additional elements beyond the abstract idea of evaluating a positioning of the electrode cuff." Id. In making those determinations, the Examiner reasoned as follows: [T]hese [claimed] steps/elements describe limitations corresponding to concepts identified as abstract ideas by the courts - similar to "Diagnosing an abnormal condition by performing clinical tests and thinking about the results", with various other extra, pre, and post solution activity which fail in providing meaningful limitations which result in significantly more than the judicial exception. Essentially, the claim can be accomplished by a basic computing device, software program, or algorithm, without any non-standard hardware or elements. Viewed as a whole, the claim lacks elements that provide meaningful limitations to transform the abstract idea into a patent eligible application of the abstract idea with additional elements to add significantly more than the judicial exception (i.e. any tangible result, problem solved, or end goal, etc.). Id. at 3. Analysis 35 U.S.C. § 101 states that "[w]hoever invents or discovers any new and useful process, machine, manufacture, or composition of matter, or any new and useful improvement thereof, may obtain a patent therefor, subject to the conditions and requirements of this title." 5 Appeal2017-004842 Application 12/980,840 The Supreme Court has "long held that this provision contains an important implicit exception: Laws of nature, natural phenomena, and abstract ideas are not patentable." Alice Corp. Pty. Ltd. v. CLS Bank Int 'l, 134 S. Ct. 2347, 2354 (2014). Our reviewing court has summarized the Supreme Court's two-part test for distinguishing between claims to patent-ineligible exceptions, and claims to patent-eligible applications of those exceptions, as follows: Step one asks whether the claim is "directed to one of [the] patent-ineligible concepts." [Alice, 134 S. Ct. at 2354]. If the answer is no, the inquiry is over: the claim falls within the ambit of § 101. If the answer is yes, the inquiry moves to step two, which asks whether, considered both individually and as an ordered combination, "the additional elements 'transform the nature of the claim' into a patent-eligible application." Id. (quoting Mayo [Collaborative Services v. Prometheus Labs, Inc., 566 U.S. 66, 1297 (2012)]). Step two is described "as a search for an 'inventive concept."' Id. (quoting Mayo, [566 U.S. at 71-73]). At step two, more is required than "well-understood, routine, conventional activity already engaged in by the scientific community," which fails to transform the claim into "significantly more than a patent upon the" ineligible concept itself. Mayo, [566 U.S. at 79-80, 71-73]. Rapid Litigation Mgmt. Ltd. v. CellzDirect, Inc., 827 F.3d 1042, 1047 (Fed. Cir. 2016) (paragraphing added). In the present case, Appellants persuade us that the preponderance of the evidence does not support the Examiner's conclusion that the rejected claims recite subject matter ineligible for patenting. In particular, Appellants persuade us that the Examiner has not sufficiently shown that Appellants' claims are directed to abstract ideas. 6 Appeal2017-004842 Application 12/980,840 Appellants persuade us that the Alice inquiry, therefore, ends in this case at step one, with our conclusion, as discussed further below, that the claims recite subject matter eligible for patenting. Even applying step two of the Alice inquiry, however, we are not persuaded that the Examiner has sufficiently shown that the physical steps required by independent claims 13 and 41 were routine and conventional activity already engaged in by the scientific community. As to step one of the Alice inquiry, our reviewing court has explained that, when determining whether a claim is directed to an abstract idea, "both this court and the Supreme Court have found it sufficient to compare claims at issue to those claims already found to be directed to an abstract idea in previous cases." Enfzsh, LLC v. Microsoft Corp., 822 F.3d 1327, 1334 (Fed. Cir. 2016). As noted above, the Examiner reasons that Appellants' claims involve "concepts identified as abstract ideas by the courts - similar to 'Diagnosing an abnormal condition by performing clinical tests and thinking about the results', with various other extra, pre, and post solution activity which fail in providing meaningful limitations which result in significantly more than the judicial exception." Ans. 3. The Examiner, however, does not specifically identify any prior cases in which claims similar to Appellants' independent claims 13 and 41 were held to be abstract ideas. Nor does the Examiner cite any specific case as the source of the "[d]iagnosing" language quoted on page 3 of the Answer. In that regard, the Examiner appears to rely on MPEP § 2106.04(a)(2)(III)(A), which identifies as abstract ideas "[ c ]oncepts relating to data comparisons that can be performed mentally or are analogous to human mental work" (emphasis 7 Appeal2017-004842 Application 12/980,840 omitted). In particular, subsection (ii) of§ 2106.04(a)(2)(III)(A) identifies, as "[an] example[] of this type of concept ... diagnosing an abnormal condition by performing clinical tests and analyzing the results." MPEP § 2106.04(a)(2)(III)(A)(ii) (citing In re Grams, 888 F.2d 835, 840 (Fed. Cir. 1989) and CyberSource Corp. v. Retail Decisions, Inc., 654 F.3d 1366, 1372 n.2 (Fed. Cir. 2011) (describing the abstract idea in Grams)). In Grams, the sole physical process step in the claims at issue was collecting data by performing a plurality of unspecified clinical tests, for which little detail was provided in the supporting specification. Grams, 888 F.2d at 836-37, 840. Because the specification provided few specific details regarding the clinical tests, and instead focused on the algorithm recited in the claim for analyzing the data, the court concluded that the claims at issue were directed to the algorithm itself, and were therefore ineligible for patenting. Id. at 840-41. Although relating to credit card transactions, in CyberSource the claims held to be patent-ineligible were directed to unspecified data gathering steps and subsequent analysis of the gathered data. Cy her Source, 654 F.3d at 1376 ("[T]he method consists of only the general approach of obtaining information about credit card transactions utilizing an Internet address and then using that information in some undefined manner to determine if the credit card transaction is valid."). In contrast to undetailed data gathering steps like those in Grams and CyberSource, Appellants' claim 13 recites the tangible, specific process steps of placing a particular device (an electrode cuff) on a particular nerve (the hypoglossal nerve), using the electrode cuff to deliver electrical stimulation to that particular nerve, and visually monitoring the patient's 8 Appeal2017-004842 Application 12/980,840 upper airway to determine the response to the stimulation. Appeal Br. 26 (Claims App'x). Appellants' claim 41 also includes those steps, as well as the use of an imaging device to monitor the response of the patient's airway to the stimulation. Id. at 28. Appellants' Specification makes it clear that placing the electrode on the hypoglossal nerve, which lies under the skin, requires surgical intervention, which may be performed according to a detailed exemplified procedure. Spec. i-fi-1 90-96. The Specification also provides significant details as to the electrode cuff that may be used in the claimed methods. Id. i-fi-139--45; Figs. 2, 3A, 3B. Thus, although Appellants' claims 13 and 41 include the mental steps of evaluating whether placing the electrode at a particular location elicits a predetermined response, those claims also include tangible and specific physical process steps that involve surgical activity, as opposed to mere data gathering, as evidenced by detailed disclosures in Appellants' Specification. Because the processes recited in Appellants' claims involve tangible and specific physical process steps rather than simple data gathering and subsequent analysis of that data, we are not persuaded that the Examiner has shown sufficiently that, under step one of the Alice inquiry, Appellants' claims are directed to an abstract idea. In addition, as seen below, the sole reference cited by the Examiner as evidence that it was known in the art to place an electrode on the hypoglossal nerve, Meadows, is not prior art to the appealed claims. Accordingly, even if we were persuaded that analysis under step two of the Alice inquiry was required in this instance, the Examiner has not established that, beyond the asserted abstract idea, the specific process steps recited in 9 Appeal2017-004842 Application 12/980,840 Appellants' claims were routine and conventional activities already engaged in by the scientific community. WRITTEN DESCRIPTION The Examiner's Position In rejecting claims 13, 15-21, 23, 40, and 43--47, as failing to comply with the written description requirement, the Examiner determined that, in claim 13, Appellants' "newly added phrase, 'wherein the monitoring at the first time indicates that a predetermined response is not fully achieved' and in claims 43-47, the phrase 'the predetermined response', in combination with the other steps of the claim, fails to be supported by the originally filed disclosure." Final Act. 7. The Examiner determined, in particular, that the Specification "indicates that the cuff may be repositioned at a different location to obtain the desired effect, and that incorrect placement of the cuff on the nerve is indicated based on specific responses in airway or tongue observation; however, there is not a broad 'predetermined response' described within the [S]pecification." Id. The Examiner also determined that a "similar issue is present in the final claim limitation of claim 13, where the upper airway is monitored again for the predetermined response." Id. Analysis As stated in Turbo Care Division of Demag Delaval Turbomachinery Corp. v. General Electric Co., 264 F.3d 1111, 1118 (Fed. Cir. 2001): The written description requirement and its corollary, the new matter prohibition of 35 U.S.C. § 132, both serve to ensure that the patent applicant was in full possession of the claimed subject matter on the application filing date. When the applicant adds a claim or otherwise amends his specification 10 Appeal2017-004842 Application 12/980,840 after the original filing date ... , the new claims or other added material must find support in the original specification. However, "[i]t is not necessary that the application describe the claim limitations exactly, but only so clearly that persons of ordinary skill in the art will recognize from the disclosure that appellants invented processes including those limitations." In re Wertheim, 541F.2d257, 262 (CCPA 1976) (citation omitted); see also Purdue Pharma L.P. v. Faulding Inc., 230 F.3d 1320, 1323 (Fed. Cir. 2000) ("In order to satisfy the written description requirement, the disclosure as originally filed does not have to provide in haec verba support for the claimed subject matter at issue."). In this instance, Appellants persuade us that a preponderance of the evidence does not support the Examiner's determination that Appellants' claims fail to comply with the written description requirement. Paragraph 97 of the Specification, cited by Appellants in response to the Examiner's rejection, describes performing a "test stimulation ... to confirm correct positioning of the [electrode] cuff 1350 on the nerve." Spec. i-f 97. The Specification explains how correct placement of the electrode cuff may be determined: Id. Correct placement of the cuff on the nerve may be confirmed by, for example, observing tongue protrusion, an increase in retroglossal airway caliber, an increase in retro-palatal airway caliber, an increase in stiffness of the anterior and/or lateral walls of the retro-glossal airway with or without an increase in airway caliber, anterior movement with or without inferior movement of the hyoid bone, among others. The Specification then explains how incorrect placement of the electrode cuff may be determined: "Incorrect placement of the cuff on the nerve is indicated, for example, when the tongue is observed to retract 11 Appeal2017-004842 Application 12/980,840 (posterior movement), a decrease in retro-glossal airway caliber, a decrease in retro-palatal airway caliber, superior movement and particularly unilateral superior movement of the hyoid bone, among others." Id. The Specification then explains that, "[i]f necessary, the cuff 1350 may be repositioned at a different location along the length of the nerve to obtain the desired effect." Id. (emphasis added). We acknowledge, as the Examiner found, that the Specification does not use the term "predetermined response" recited in claim 13 or "desired response" in claim 41. See App. Br. 26, 28 (Claims App 'x). We acknowledge also the Examiner's apparent concern that the scope of a "predetermined response" is broader than the specific responses exemplified at paragraph 97 of the Specification. Ans. 4. As noted above, however, word-for-word support is not necessary under the written description requirement. Purdue Pharma, 230 F.3d at 1323. Moreover, as seen above, the Specification at paragraph 97 describes an electrode cuff-positioning process, which specifically identifies desired effects produced by stimulation when the electrode is correctly placed, as well as the effects of stimulation when the electrode is placed incorrectly. Given the disclosure at paragraph 97, the Examiner does not persuade us that the Specification fails to describe determining whether stimulation fully achieves a predetermined or desired response, as required by claims 13 and 41, or that Appellants failed to possess a process having those steps. Because the Examiner does not persuade us that claims 13 and 41 fail to comply with the written description requirement, we reverse the Examiner's rejection of those claims, and their dependent claims, on that ground. 12 Appeal2017-004842 Application 12/980,840 ANTICIPATION The Examiner's Position In determining that Meadows anticipates claim 41 under 35 U.S.C. § 102( e ), the Examiner cited paragraph 118 of Meadows as describing the claimed step of confirming desired positioning of the electrode by monitoring an upper airway of the patient for a desired response via an imaging device. Final Act. 8. Analysis Appellants persuade us that the preponderance of the evidence does not support the Examiner's prima facie case of anticipation. In particular, Appellants persuade us that paragraph 118 of Meadows, relied upon by the Examiner to show anticipation, is not prior art to Appellants' claims. It is undisputed that each of Appellants' claims on appeal are entitled to a priority date of December 31, 2008, the filing date of provisional application 61/204,008. Spec. i-f 1. Accordingly, the provisions of 35 U.S.C. § 102( e) apply to Appellants' claims. See the Leahy-Smith America Invents Act ("AIA"), Pub. L. No. 112-29, 125 Stat. 284, § 3(n)(l) (2011) (first inventor to file provisions of AIA only apply to applications with effective filing date on or after March 16, 2013). Although Meadows' filing date of October 2, 2009 (Meadows, cover sheet) is after Appellants' earliest priority date, Meadows "claims the benefit of U.S. Provisional Patent Application No. 61/136,857 [('the '857 provisional')] filed Oct. 9, 2008" (Meadows i-f 1 ), which is before Appellants' earliest priority date. While published non-provisional applications like Meadows are properly cited as prior art under 35 U.S.C. § 102(e)(l), for Meadows to be 13 Appeal2017-004842 Application 12/980,840 prior art as of the filing date of the '857 provisional, the disclosures in Meadows relied upon by the Examiner as being anticipatory must find descriptive support in the '857 provisional, in a manner that complies with 35 U.S.C. § 112, first paragraph. See 35 U.S.C. § 119(e)(l). Regarding the limitation in Appellants' claim 41 of using an imaging device to confirm a desired response upon stimulation of the hypoglossal nerve by an electrode, paragraph 118 of Meadows, cited by the Examiner as anticipating, discloses as follows: Stimulation is started at the threshold amplitude and slowly increased to the target amplitude until significant tongue movement is observed. Significant movement is defined as at least one movement that decreases airway resistance or results in increased airway air flow. The movement of the tongue and its [e]ffect on the airway can be observed with an endoscope placed in the nasal cavity, by use of jluoroscopy, or by observing the front of the oral cavity and the overall position of the tongue. Other ways of observing known to those skilled in the art can be used without departing from the scope of the invention. This is the operational point or targeted stimulation level that will be used if it is decided that this contact is to be included in the programmed stimulation protocol designed to affect the tongue during the sleeping session. Meadows i-f 118 (emphases added). The Examiner contends that paragraphs 23 and 58 of the '857 provisional provide support for the above disclosure, in a manner that complies with 35 U.S.C. § 112. Ans. 5. We are not persuaded. Rather than describing a step of monitoring a patient's airway with an imaging device, paragraph 23 of the '857 provisional describes how injection of dyes may be used to map the hypoglossal nerve: 14 Appeal2017-004842 Application 12/980,840 Referring to exemplary FIGS. 7 - 11, the present invention's novel method of mapping hypoglossal nerve efferents using ... fluorescent dyes manufactured by Molecular Probes, discloses a surprising and unexpected anatomical and topographical organization. This anatomical and topographical organization permits selective stimulation of portions of the hypoglossal nerve to maximize the efficacy of the stimulation. The '857 provisional i-f 23. Similarly, paragraph 58 of the '857 provisional does not describe monitoring the airway of an individual whose hypoglossal nerve has been stimulated, but instead simply describes the muscles targeted by that stimulation: In one embodiment, the method of treating, controlling, or preventing obstructive sleep apnea consists essentially of the recruitment of protrusor 410 motor efferents. In one embodiment, the method includes activating at least one protrusor 400 muscle. In one embodiment, the at least one protrusor muscle 400 activated is the genioglossus muscle. In one embodiment, the method includes selective stimulation of protrusor 410 motor efferents located within the hypoglossal nerve proper 100 that activate the genioglossus muscle, causing protrusion of the tongue to increase the patency of the upper airway channel. In one embodiment, the method consists of the recruitment of a ratio of retrusor 310 to protrusor 410 motor efferents such as the ratios described above for the treatment of a neurological disorder. Id. i-f 58. We are not persuaded that the disclosures in the '857 provisional of using fluorescent dyes to map the hypoglossal nerve, and of muscles which may potentially be activated in hypoglossal nerve-stimulating sleep apnea treatments, discloses using an imaging device to confirm a desired response upon stimulation of the hypoglossal nerve by an electrode, as described by paragraph 118 of Meadows, and as required by Appellants' claim 41. 15 Appeal2017-004842 Application 12/980,840 Accordingly, because the disclosures in Meadows relied upon by the Examiner are not prior art to Appellants' claim 41, we reverse the Examiner's rejection of claim 41 as anticipated by Meadows. OBVIOUSNESS The Examiner's Position In rejecting claims 13, 15-21, 23, and 42 over Meadows, Frei, and Boggs, the Examiner determined that Meadows described a process having nearly all of the steps and features required by the rejected claims, and again cited paragraph 118 of Meadows for its disclosure of using an imaging device to monitor an upper airway of a patient for a predetermined response to hypoglossal nerve stimulation. Final Act. 9. The Examiner determined that Meadows differs from the claimed processes in that Meadows "fails to teach removing and repositioning of the electrode at a second location, different from the first location, if the desired response is not observed." Id. at 10. In determining that the claimed processes nonetheless would have been obvious, the Examiner asserted that it is "notorious in the art of implantable medical devices to reposition electrodes in order to be closer to their target location" and cited Frei and Boggs in support of that assertion. Id. Based on the references' combined teachings, the Examiner concluded that it would have been "an obvious design choice ... to remove and reposition the electrode cuff at a second location as exemplified by Boggs OR Frei, in order to yield the predictable results of providing the best positioning of the cuff electrode for stimulation delivery to the target location." Id. 16 Appeal2017-004842 Application 12/980,840 Analysis In traversing the Examiner's obviousness rejection, Appellants again assert that Meadows is not prior art to the rejected claims because paragraph 118 of Meadows, relied upon by the Examiner in the obviousness rejection, lacks support in the '857 provisional. Appeal Br. 20. In response, the Examiner relies on the assertions, discussed above in relation to the anticipation rejection, that paragraphs 23 and 58 of the '857 provisional support the disclosure in paragraph 118 of Meadows of monitoring the upper airway of the stimulated patient. See Ans. 6 ("Appellant[ s '] argument with respect to Meadows not eligible as prior art has been addressed above with respect to the[§] 102(e) rejection."). As discussed above, however, we are not persuaded that paragraphs 23 and 58 of the '857 provisional support the disclosure in the Examiner's- relied-upon paragraph 118 of Meadows of monitoring the upper airway of the stimulated patient. The Examiner, moreover, provides no specific explanation why any disclosures available as prior art in Meadows or the '857 provisional teach or suggest monitoring the upper airway of the stimulated patient in the fashion required by the rejected claims, even when combined with Frei or Boggs. To the contrary, the Examiner asserts that "Frei and Boggs are used in combination with Meadow[ s] to obviate the claimed repositioning of the electrode cuff at a second location. Meadow[ s] clearly anticipates the other steps of the claimed method as clearly indicated and cited in the rejection." Ans. 6. In sum, for the reasons discussed above, the Examiner does not persuade us that paragraph 118 of Meadows is available as prior art against the rejected claims. Because the Examiner does not explain specifically why 17 Appeal2017-004842 Application 12/980,840 any disclosures in Meadows available as prior art teach or suggest monitoring the upper airway of the stimulated patient in the fashion required by the rejected claims, even viewed alongside Frei or Boggs, we reverse the Examiner's rejection of claims 13, 15-21, 23, and 42 over Meadows, Frei, and Boggs. SUMMARY For the reasons discussed, we reverse each of the Examiner's rejections. REVERSED 18 Copy with citationCopy as parenthetical citation