Ex Parte Giuffrida et alDownload PDFPatent Trial and Appeal BoardMay 19, 201613153063 (P.T.A.B. May. 19, 2016) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 13/153,063 06/03/2011 14783 7590 05/20/2016 Great Lakes NeuroTechnologies Inc. 4415 Euclid Ave. Ste. 500 Cleveland, OH 44103 FIRST NAMED INVENTOR Joseph P. Giuffrida 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. GLN-002 8223 EXAMINER SOREY, ROBERT A ART UNIT PAPER NUMBER 3626 MAILDATE DELIVERY MODE 05/20/2016 PAPER 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. PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte JOSEPH P. GIUFFRIDA, DUSTIN A. HELDMAN, and THOMAS 0. MERA1 Appeal2014-005677 Application 13/153,063 Technology Center 3600 Before JOSEPH A. FISCHETTI, ROBERT L. KINDER, and CARLL. SILVERMAN, Administrative Patent Judges. KINDER, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE Appellants seek our review under 35 U.S.C. § 134(a) of the Examiner's Final Rejection of claims 1-20. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM-IN-PART. 1 The Appellants identify Great Lakes NeuroTechnologies Inc. as the real party in interest. App. Br. 2. Appeal2014-005677 Application 13/153,063 Appellants' Invention Appellants' invention generally relates to an apparatus and method for using neural stimulation to alleviate the symptoms of movement disorders. Spec. 1, 11. 16-21. "The present invention relates to methods for automatically and semi-automatically adjusting treatment parameters in therapy systems." Id. 5, 11. 15-16. In one embodiment, "[ o ]bjective quantification of a subject's movement disorder symptoms" occurs by first taking a "measurement of the movement" using "any [] parameter that could give a quantitative indication of motion" and then processing this "movement data" to develop "suggested changes to the therapy system parameter settings based on the result of the symptom quantification algorithm and known or predicted current therapy system parameter settings." Id. 5, 1. 26-7, 1. 30. Claims on Appeal Claims 1, 8, and 13 are the independent claims on appeal. Claim 1, reproduced below, is illustrative of the subject matter on appeal: 1. A method for adjusting brain stimulation electrodes m a subject for treating a subject's movement disorder comprising the steps of: applying at least one sensor having a signal to measure at least one motor symptom of a subject's movement disorder, the sensor having an implanted brain stimulation device for treatment of a movement disorder; quantifying at least one motor symptom of the subject's movement disorder with the signal from the at least one sensor usmg a processor; outputting the quantification of the at least one motor symptom to a display; and 2 Appeal2014-005677 Application 13/153,063 adjusting the implanted brain stimulation device for treatment of the movement disorder based at least in part on the outputted quantification of the at least one motor symptom to alleviate in part the at least one motor symptom. App. Br. 53 (Claims App'x). Examiner's Rejections I. Claims 1--4, 6-8, 10-13, 16-18 and 20 are rejected under 35 U.S.C. § 102(b) by Firlik (US 2007 /0179534 Al, pub. Aug. 2, 2007). II. Claim 5 is rejected under 35 U.S.C. § 103(a) over Firlik and Klapper (US 2005/0234309 Al, pub. Oct. 20, 2005). III. Claims 9 and 19 are rejected under 35 U.S.C. § 103(a) over Firlik and Sun (US 2008/0195166 Al, pub. Aug. 14, 2008). IV. Claims 14 and 15 are rejected under 35 U.S.C. § 103(a) over Firlik and Giftakis (US 2009/0083070 Al, pub. Mar. 26, 2009). ANALYSIS Rejection I Anticipation by Firlik Claim 1 The citations and explanations provided by the Examiner adequately demonstrate where each limitation of claim 1 is disclosed by Firlik. See Final Act. 3--4; see also Ans. 2-6. We adopt these as our own and add the following for emphasis. Appellants first contend that Firlik fails to disclose applying at least one sensor having a signal to measure at least one motor symptom. App. Br. 6; see also Reply Br. 2-3. Appellants concede Firlik discloses measuring "patient performance," but Appellants contend this measurement is related to the patient's functionality, and not motor symptoms. App. Br. 6. 3 Appeal2014-005677 Application 13/153,063 According to Appellants "[t]he measurement of motor symptoms of a subject's movement disorder requires a differentiation between the subject's normal movement and the disordered or symptomatic movement. Merely measuring movement, as the Examiner suggested, does not necessarily provide the differentiated measurement of symptoms, as is claimed, even when symptoms are present." Reply Br. 3. Claim 1 does not, however, require a differentiation between the subject's normal movement and the disordered or symptomatic movement. To the extent "one motor symptom" could be interpreted to require this differentiation, Firlik discloses use of "diagnostic session information" for first time users (or others) to determine various parameters for establishing what Appellants argue would be normal movement. Firlik i-fi-1 88, 89. Appellants' Specification recognizes that measurement of motor symptoms must begin with measurement of body movement. The Specification states that "quantification of a subject's movement disorder symptoms" includes, "as a first step, measurement of the movement." Spec. 5, 11. 26-23. The Specification notes that numerous measurement parameters may be used, including any "parameter that could give a quantitative indication of motion." Id. Indeed, the Specification describes "movement data" as including any signal corresponding to movement of any part of the body, which may be continuously measured or measured for a short period of time. See Spec. 6, 11. 7-16. We agree with the Examiner that Firlik discloses measurement of motor symptoms through measurement of body motion. See Ans. 3--4 ("Firlik's sensors measure patient movement, whether or not the movement 4 Appeal2014-005677 Application 13/153,063 is disordered; hence, they measure motor symptoms assuming said patient presents said symptoms."); see, e.g., Firlik i-fi-1 63, 89. One of the purposes of Firlik is the treatment of movement disorders related to Parkinson's disease. Firlik discloses use of prior patient performance to manage or direct neural stimulation. See, e.g., id. i1 90 ("The [therapy management computer] TMC 800 may further manage or direct the application of neural stimulation to the patient 10 in an anticipatory or approximately anticipatory manner based upon expected and/or prior patient movements."). Firlik describes the purpose of this neural stimulation is for "providing, maintaining, or prolonging symptomatic relief from neurologic dysfunction." Id. i133. Likewise, Firlik makes clear that stimulation sites are selected to treat movement disorders related to Parkinson's disease. See id. i132 (incorporating by reference US patent applications that describe determining stimulation sites for treating movement disorders related to Parkinson's Disease). The numerous sensors disclosed in Firlik detect patient performance, which includes motor symptoms, so that stimulation can be provided for treatment of the symptoms. Thus, we disagree with Appellants' contentions that Firlik fails to disclose applying sensors to measure motor symptoms. Appellants also contend "that Firlik does not teach or disclose of quantifying a motor symptom of the subject's movement disorder, and actually fails to explicitly point out quantifying symptoms or anything else related to movement disorders." App. Br. 7. Although Firlik discloses a "score," Appellants contend "[i]t is unclear how evaluating or scoring 'patient performance' information, as Firlik calls it, is equivalent to 5 Appeal2014-005677 Application 13/153,063 quantifying at least one symptom of a movement disorder." Id. at 8; see also Reply Br. 2-5. We disagree. Firlik discloses numerous examples of using sensors to obtain movement data used for analysis of movement disorders and to provide patient interactive neural stimulation for treatment and therapy based on the information obtained through the sensors. See Firlik, Abstract; see also Ans. 4 ("Firlik teaches an assessment unit (P AU) processing/analyzing/ evaluating/scoring patient information to determine patient performance."). Firlik describes acquiring and characterizing diagnostic session information, as well as scoring patient performance information associated with patient performance tests. See id. i-fi-189, 63. Firlik also discloses analyzing and scoring performance evaluation tests for later use in treatment. See id. A skilled medical professional, or the TMC, may use the characterization or scoring information to define or adjust therapy or treatment session parameters. Id.; see also Ans. 4--5 ("a therapy management computer (TMC) assessing and monitoring patient motion ... and processing or analyzing signals to determine a level of patient performance"). Firlik discloses use of measured sensor signals, and then analyzing or characterizing those signals to establish or adjust neural stimulation parameters based upon present or historical patient performance. Firlik i195. Both the characterization and scoring of session information related to patient testing corresponds to the claimed "quantifying at least one motor symptom of the subject's movement disorder with the signal from the at least one sensor using a processor." App. Br. 26, Claims App'x. The fact that Firlik describes adjusting neural stimulation based on historical patient performance to provide symptomatic relief also demonstrates the 6 Appeal2014-005677 Application 13/153,063 quantification of the motor symptom may be stored for later use by either a skilled clinician or the TMC for treatment. Because Appellants have offered no persuasive argument as to Examiner error for the rejection of claim 1, we sustain the Examiner's rejection of claim 1 under 35 U.S.C. § 102(b) based on Firlik. Claim 2 Appellants' contentions with respect to claim 2 incorporate the arguments of claim 1, which we find unpersuasive, but otherwise fail to explain why the Examiner erred. See 37 CPR§ 41.37(c)(l)(iv) ("The arguments shall explain why the examiner erred as to each ground of rejection contested by appellant. ... [A]ny arguments or authorities not included in the appeal brief will be refused consideration by the Board for purposes of the present appeal.") (emphasis added). Regardless, the Examiner cites several portions of Firlik that disclose the sensors as both an accelerometer and a gyroscope as required by claim 2. See Ans. 7. Claims 4, 6, and 7 Claim 4 requires "wherein the quantification of at least one motor symptom of the subject's movement disorder is based at least in part on historical data." Claim 6 requires "the adjustment made to the implanted brain stimulation device is based at least in part on historical data." Claim 7, dependent from claim 6, further requires "wherein the historical data comprises recorded adjustments made to brain stimulation devices implanted in movement disorder patients, said recorded adjustments made by at least one expert clinician." For the reasons set forth above for claim 1, and for the reasons provided by the Examiner, we sustain the Examiner's rejection of claims 4, 6, and 7 based on Firlik. See Final Act. 5---6; see also Ans. 7-8. 7 Appeal2014-005677 Application 13/153,063 We add for emphasis that Firlik discloses storing and retrieving diagnostic session information. Based on an analysis of the diagnostic session information (or scores) by a clinician, Firlik discloses defining or adjusting treatment session parameters. Firlik i-f 89; see also Ans. 8 (citing Firlik i-f 89). The stored diagnostic session information would include recorded adjustments made to brain stimulation devices. See, e.g., Firlik i-f 88 ("TMC 800 may direct the NSS 100 to apply neural stimulation signals and/or activate implanted monitoring devices during one or more portions of a diagnostic session"); see also Fig. 12 (historical data would correspond to the recorded adjustments made in the disclosed feedback loop). Claim 8 The citations and explanations provided by the Examiner adequately demonstrate where each limitation of claim 8 is disclosed by Firlik. See Final Act. 6-8; see also Ans. 9-10. We adopt these as our own and add the following for emphasis. Independent claim 8 is similar in scope to claim 1, but has additional limitations argued by Appellants. In pertinent part, claim 8 requires: estimating or calculating a level of adjustment to be applied to the selected at least one parameter of the therapeutic medical device using a processor, the estimation or calculation being based at least in part on the measurement of the at least one motor symptom and at least in part on recorded data representing the judgment of one or more expert clinicians; presenting the estimated or calculated level of adjustment for the selected at least one parameter of the therapeutic medical device to a medical professional and/or the subject; App. Br. 54--55 (Claims App'x). Appellants contend Firlik fails to disclose these limitations. App. Br. 18; see also Reply Br. 11 ("one of ordinary skill 8 Appeal2014-005677 Application 13/153,063 in the art would readily and clearly understand that patient performance feedback in no way teaches or even suggests adjustments of a parameter of a therapy device"). Appellants argue claim 8 "requires that the estimated or calculated adjustments are made based in part on recorded data representing the judgment of one or more expert clinicians," and "the adjustments are estimated or calculated based in part on past clinician judgment, not that the clinicians use past patient performance to determine adjustments." App. Br. 19. Appellants also contend that Firlik fails to disclose "the step of presenting the estimated or calculated level of adjustment for the selected at least one parameter of the therapeutic medical device to a medical professional and/or the subject." App. Br. 19. The Examiner finds Firlik discloses a "performance assessment unit (PAU) processing/analyzing/ evaluating/scoring patient information to determine patient performance" as well as "a therapy management computer (TMC) assessing and monitoring patient motion" and "processing or analyzing signals to determine a level of patient performance." App. Br. 7. The Examiner finds the recorded data representing the judgment of one or more expert clinicians "is met by adjusting stimulation, a function of a patient performance analysis, based on prior/historical patient performance," which can be reviewed, included, and used at the discretion of clinicians or physicians thereby representing their judgment. Id. The Examiner finds "[f]eedback information according to Firlik is utilized in directing neural stimulation based upon signals generated by the sensors," and "Firlik's patient performance feedback information is sufficient to meet broad 'level 9 Appeal2014-005677 Application 13/153,063 of adjustment' information and such information is displayed by Firlik." Ans. 9-10. Regarding the "presenting the estimated or calculated level of adjustment" limitation, the Examiner cites several portions of Firlik that disclose presenting information to the patient or a professional through a display device. See Final Act. 8. The Examiner finds Firlik's presentation of patient performance feedback information on a display would satisfy the challenged limitation. Id. We first note that the claimed "recorded data representing the judgment of one or more expert clinicians" is not claiming the judgment of the clinicians themselves, but instead claiming data that is representative of that judgment. See Spec. 9. Further, a broad, but reasonable, interpretation of "judgment" would include data derived from prior adjustment of treatment session parameters performed by a clinician. Thus, and as explained below, we agree with the Examiner that use of patient performance data would represent the judgment of a clinician. Firlik discloses that patient performance information may comprise signals, video images, scores associated with performance evaluation tests, or other information. Firlik i-f 63. Each of these forms of information are recorded data that may be defined and analyzed at the direction of a medical professional. Id. Figure 12, cited by the Examiner (Ans. 9), depicts a continual feedback loop where neural stimulation is adjusted and the patient responses from these adjustments are monitored (measured motor symptom) to determine impact. The loop (Figure 12) then repeats with additional neural stimulation adjustments, which may be based on prior recorded data representing clinician input or judgment. We therefore agree with the 10 Appeal2014-005677 Application 13/153,063 Examiner that Firlik discloses adjusting neural stimulation based on clinician analysis andjudgment. See id. i-fi-f 172, 174; see also id. i163 ("PAU 860 may analyze such information on a regular or periodic basis, and/or in response to a request received from a medical professional."). Firlik explains that "a medical professional ... may select, define, or adjust therapy period or treatment session parameters." Id. i189. Each loop (Figure 12) occurring after the first adjustment would be based on past recorded data representing the clinician's prior judgment, as well as continued measurement of the motor symptom. Thus, we agree with the Examiner that Firlik discloses the disputed "estimating or calculating" limitation as required by Claim 8. We also agree with the Examiner that Firlik discloses the "presenting the estimated or calculated level of adjustment" limitation. Ans. 9. Firlik discloses that "a medical professional ... may select, define, or adjust therapy period or treatment session parameters." Id. i189. Treatment session parameters would include the level of adjustment. See, e.g., id. i133 ("parameters may be varied in one or more manners to enhance a likelihood of providing, maintaining, or prolonging symptomatic relief from neurologic dysfunction"), i-f 80, i-f 86 ("Such parameters may correspond to ... sensory stimuli, neural stimulation parameters."). To select a treatment session parameter, or level of neural stimulation, it is presented to a professional for selection as depicted in the "process for interactive neural stimulation" of Figure 12. Id. i122. Firlik discloses that such information may be presented to the professional or patient via a display device. See Final Act. 8; see also Firlik i-fi-1 82, 145, 171 ("monitoring various types of 11 Appeal2014-005677 Application 13/153,063 patient performance related signals, patient responses, and/or biological signals or markers associated with neural stimulation"). For the reasons set forth above, and for the reasons provided by the Examiner, we sustain the Examiner's rejection of claim 8 under 35 U.S.C. § 102(b) based on Firlik. Claims 10-12 Each of claims 10-12 depend directly from claim 8. For the reasons set forth above for claim 8, and for the reasons provided by the Examiner, we disagree with Appellants' contention and sustain the Examiner's rejection of claims 10-12 based on Firlik. See Final Act. 8-9. For claims 10 and 11, Appellants' contentions fail to explain why the Examiner erred and are therefore unpersuasive. See App. Br. 20. As to claim 12, Appellants contend Firlik fails to disclose "wherein the step of adjusting the at least one parameter of the therapeutic medical device is executed upon the manual or vocal confirmation of the presented estimated or calculated level of adjustment, the confirmation being made by a medical professional or the subject." Id. According to Appellants Firlik "never teaches or discloses that a clinician can approve or confirm estimated or calculated levels of any adjustment." Id. at 21. We add for emphasis that Firlik's Figure 12 depicts "a process for interactive neural stimulation." Firlik i-f 22. The interactive nature of Figure 12 discloses adjusting neural stimulation (blocks 3220 and 3230) by a professional based on continued monitoring of patient motor symptoms (block 3050). See id. i-f 174 ("Process portion 3220 can include determining whether to adjust neural stimulation."). As discussed above, the embodiment relied on by the Examiner allows "a medical professional" to 12 Appeal2014-005677 Application 13/153,063 "select, define, or adjust therapy period or treatment session parameters." Id. i-f 89. Thus, the medical professional' s adjustment of the treatment session parameters in Firlik corresponds to the claimed manual confirmation of the presented estimated or calculated level of adjustment. Claim 13 Independent claim 13 recites subject matter similar to claims 1 and 8. Appellants largely repeat many of the arguments discussed above for claims 1 and 8, which we determined to be unpersuasive. See App. Br. 21-23. Appellants challenge whether or not Firlik discloses the following limitations of claim 13: a command module for receiving the analog signal acquired by the sensor unit, the electronic module comprising a memory and an analog-to-digital converter for converting the analog signal into a digital signal corresponding to the at least one quantified motor symptom; and a clinician unit for receiving the digital signal and for processing the signal acquired by the sensor unit, for rece1vmg an input related to the subject's deep brain stimulation implant's parameter settings during measurement of the analog signal with the sensor unit, and to produce an output comprising computed adjustments for one or more of the adjustable parameters of the deep brain stimulation implant, the output being based at least in part on the signal acquired by the sensor and at least in part on the input related to the subject's deep brain stimulation implant's parameter settings; and a display for receiving the output. App. Br. 56 (Claim App'x); see id. at 23-24. Appellants contend "Firlik fails to teach or disclose any such [clinician] unit that receives both an input from the sensor unit and an input relating to the stimulation implant's parameter settings during measurement of the analog signal." Id. at 24. 13 Appeal2014-005677 Application 13/153,063 According to Appellants "[a]t best, Firlik's therapy management computer (TMC), may be construed to receive a signal from the sensors to produce an output that might comprise adjustments, but there is no indication in Firlik that the TMC receives an input related to the stimulation implant's parameter settings used during measurement of the analog signal with the sensors." Id. We agree with the Examiner that Firlik discloses the claimed "command module" and the "clinician unit" limitations. See Final Act. 10- 11. As cited by the Examiner, Figure 12 and corresponding text, describe a feedback loop where the input from the sensors (at block 3050) and the input relating to the adjustment of the neural stimulation (from blocks 3220 and 3230) are both received at monitoring block (3050). The output of this monitoring block (3050) is based on the received sensor signals as well as feedback of patient performance from the neural stimulation. See Final Act. 10-11. As explained by the Examiner, Firlik thus allows a "determin[ation] to adjust neural stimulation based on monitored signals and patient performance." Id. at 11. We have considered Appellants remaining arguments but find them unpersuasive. Claim 16 Appellants argue the Examiner's rejections of claim 16 is erroneous for reasons similar to those that Appellants argue the rejection of claim 13 is erroneous. See App. Br. 24--25. Inasmuch as we are not persuaded by any of Appellants' argument regarding claim 13, we sustain the rejection of claim 16. Appellants' additional contention fails to explain why the Examiner erred, and is therefore unpersuasive. Id. 14 Appeal2014-005677 Application 13/153,063 Claims 3, 17, 18, and 20 Claim 3, dependent from claim 1, requires "the enclosure and sensors altogether having a volume of no more than or about 12 cubic centimeters and a mass of no more than or about 12 grams." The Examiner finds that the language "no more than or about" is broad and one of ordinary skill in the art at the time of the invention would recognize Firlik's sensors meet the broad limitation. Ans. 7. The cited portions of Firlik do not, however, provide any indication of volume or mass of the claimed sensors as required by claim 3. See App. Br. 13. Likewise, the volume and mass of the disclosed sensors are not necessarily inherent from Firlik's disclosure, the only reference before us for consideration. Claims 17, 18, and 20 depend from claim 13. Claim 17 requires "the sensor unit comprises at least one accelerometer and at least one gyroscope and has a volume of no more than or about 12 cubic centimeters and a mass of no more than or about 12 grams." The Examiner cites Firlik Figure 4 and paragraph 110 as disclosing these limitations. The cited portions of Firlik do not, however, provide any indication of volume or mass of the claimed sensors as required by claim 17. See App. Br. 25. Claim 18 requires "the command module has a mass of no more than or about 85 grams." The Examiner again cites Firlik Figure 4 and paragraph 110 (Final Act. 12), but these portions of Firlik lack any disclosure of volume or mass of the claimed command module. See App. Br. 25. Claim 20 requires "the sensor unit and command module are integrated into the same enclosure having a volume of no more than or [] about 82 cubic centimeters and a mass of no more than or about 97 grams." The Examiner cites Firlik Figure 4 and paragraphs 110, 111, and 117. The 15 Appeal2014-005677 Application 13/153,063 cited portions of Firlik fail to disclose an enclosure with a mass of no more than about 97 grams. Accordingly, based on the record before us, we do not sustain the Examiner's anticipation rejection of claims 3, 17, 18, and 20 based on Firlik. Rejection II Obviousness Over Firlik and Klapper Claim 5 Claim 5 depends from claim 4 and further requires "the historical data comprises scores based on the Unified Parkinson's Disease Rating Scale (UPDRS) assigned to movement disorder patients by at least one expert clinician." The Examiner finds that this limitation is taught by Klapper, which describes use of a UPDRS motor score and creating an algorithm capable of predicting the movement states of a current Parkinson's patient based upon information collected from prior patients. Final Act. 13. The Examiner finds "[t]he limitation gives no guidance as to how the assignment is performed/made or what the aspect of the UPDRS is utilized to determine the historical score." Ans. 10. Regardless, the Examiner finds "Klapper teaches the UPDRS motor score and creating an algorithm capable of predicting the movement states of a current Parkinson's patient based upon information collected from prior patients." Id. at 10-11. Further, the Examiner finds that Firlik and Klapper could be "combined according to known methods to yield predictable results" and the use of the combination would be predictable because the "second sensor is used to collect movement data as expected." Id. at 11. Appellants contend "Klapper does not provide a score given by a skilled clinician using the UPDRS and recorded into historical data, and in 16 Appeal2014-005677 Application 13/153,063 fact teaches away from doing so." App. Br. 32. Appellants offer various theories as to why Klapper teaches away from the use of a UPDRS or UPDRS-like system. Id. at 33. For example, Appellants contend Klapper creates its own score with a scoring system that may be similar in range but in no other way related to or correlated with the UPDRS. Id. Instead, according to Appellants, "Klapper's scores are based on sensor data measured during ambulatory monitoring, self-assessment scores provided by the prior users, and/ or a combination thereof - not scores provided by a clinician using the UPDRS." Id. Appellants also contend the Examiner's motivation for combining Firlik and Klapper is flawed. Id. at 33-36. We have considered, and rejected, similar arguments related to Klapper made by Appellants in a related appeal-Appeal No. 2012-006524 - involving Application Serial No. 12/250,792. In our Decision on Request for Rehearing, we determined: Klapper also suggests that one type of predictive algorithm for use in this apparatus and method is a predictive algorithm based on the UPDRS scale. Klapper i-fi-129-30. Klapper states that UPDRS scale is a "more general assessment[] of Parkinsonism" and that the assessment "could be of value simply as a means to demonstrate how severely the patients were affected and whether the experience with them generalizes to other patient populations." Id. i129. Klapper explains that the general assessments "serve as a means of stratifying patients so that different prediction algorithms could be constructed for different subgroups of patients. These general assessments of Parkinsonism include: ... The UPDRS scale. Id. i-fi-129-30. Appeal No. 2012-006524, Decision on Request for Rehearing, 7 (Apr. 13, 2015) ("Dec."); see also id. at 8 ("Paragraph 114 of Klapper provides support for using a predictive algorithm that would have an output substantially predictive of a UPDRS."). Thus, we agree with the Examiner's 17 Appeal2014-005677 Application 13/153,063 finding that Klapper creates an algorithm creating scores based on the UPDRS. The Examiner has persuasively established that integrating Klapper' s use of a historical data, or scores, based on the UPDRS would have been combining known elements according to known methods to yield predictable results. See Ans. 11-12. We further agree that integrating this aspect of Klapper into Firlik would achieve the predictable result of using a "second sensor ... to collect movement data as expected." Ans. 11. Rejection III Obviousness Over Firlik and Sun Claims 9 and 19 The Examiner rejects claims 9 and 19 as obvious based on a combination of Firlik and Sun. Final Act. 14. Appellants contend that Sun is non-analogous art and therefore improper for use in the combination. App. Br. 37. Appellants contend "Sun is directed to 'implantable devices and methods for monitoring physiological information relating to sleep"' and that "[ s ]leep stage detection is not the same field of endeavor as the present claim which is directed to a method for adjusting treatment parameters to alleviate motor symptoms of a movement disorder." Id. at 38 Appellants also argue "detecting sleep stage and altering therapy to improve sleep is not reasonably pertinent to the problem of adjusting stimulation parameters to alleviate movement disorder motor symptoms." Id. The Examiner has persuasively established Sun is in the same field of endeavor as the claimed invention. Appellants' invention relates to an apparatus and method for using neural stimulation to alleviate the symptoms of movement disorders. Sun relates generally to sleep monitoring, however, 18 Appeal2014-005677 Application 13/153,063 its application is broader. Sun discloses its invention "may also be used to treat various medical conditions," and specifically, "it may be used to treat neurological ... conditions ... such as Parkinson's disease." Sun i-f 149; see also Sun claims 25 ("treating a condition"), 27 ("a movement disorder"), and 28 ("Parkinson's disease"). Thus, Sun is both in the same field of endeavor, as well as reasonably pertinent to the same problem faced by the inventors of the current application. Appellants' contentions to the contrary are unpersuasive. These same disclosures in Sun provide sufficient motivation to one of ordinary skill in the art to combine the teachings of Sun into the system of Firlik to address the same problem in a predictable manner. See Final Act. 14 (explaining reasons for combining Sun and Firlik). We have considered Appellants' remaining arguments related to claims 9 and 19 but find them unpersuasive for the reasons set forth by the Examiner. As such, we sustain the Examiner's rejection of claims 9 and 19 based on Firlik and Sun. Rejection IV Obviousness Over Firlik and Giftakis Claims 14 and 15 Appellants contend "Firlik and Giftakis fail to teach or disclose wherein the clinician unit additionally comprises electronic components for wirelessly transmitting the output to the deep brain stimulation implant via Bluetooth, as is claimed." App. Br. 46. Further, Appellants contend even though Giftakis may disclose the use of Bluetooth for its patient programmer to communicate with an IMD, it fails to teach or disclose transmitting an output comprising computed adjustments for one or more of the adjustable parameters of the deep brain stimulation implant, the output being based at least in part on the signal acquired by the sensor and at least in part 19 Appeal2014-005677 Application 13/153,063 on the input related to the subject's deep brain stimulation implant's parameter settings, as is claimed. Id. Appellants also contend there is no basis for combining the references as proposed by the Examiner. Id. at 47--48. We have considered Appellants' contentions but find them unpersuasive for the reasons set forth by the Examiner. Initially, we note that Appellants argue the Examiner's rejections of claims 14 and 15 are improper for reasons similar to those that Appellants argue the rejections of claims 1 and 13 are improper. Next, we find unpersuasive Appellants' arguments that are premised on Giftakis failing to teach limitations that the Examiner does not rely on it to teach. See App. Br. 46--47; see also Ans. 15 ("Giftakis was not relied upon to teach the elements met by Firlik as suggested in Appellants' argument."). The Examiner relies on Giftakis to teach integrating Bluetooth protocol into the invention of Firlik, which already teaches wireless communication with the implant. See Ans. 15; see also Firlik i-f 160. We find the reasons for the combination supported and agree with the Examiner that the combination teaches the elements as claimed. We have considered Appellants' remaining arguments related to claims 14 and 15 but find them unpersuasive for the reasons set forth by the Examiner. As such, we sustain the Examiner's rejection of claims 14 and 15 based on Firlik and Giftakis. 20 Appeal2014-005677 Application 13/153,063 CONCLUSION The rejection of claims 1, 2, 4, 6-8, 10-13, and 16 under 35 U.S.C. § 102(b) as anticipated by Firlik is affirmed. The rejection of claims 3, 17, 18, and 20 under 35 U.S.C. § 102(b) as anticipated by Firlik is reversed. The rejection of claim 5 under 35 U.S.C. § 103(a) as unpatentable over Firlik and Klapper is affirmed. The rejection of claims 9 and 19 under 35 U.S.C. § 103(a) as unpatentable over Firlik and Sun is affirmed. The rejection of claims 14 and 15 under 35 U.S.C. § 103(a) as unpatentable over Firlik and Sun is affirmed. DECISION We affirm the Examiner's Final Rejection of claims 1, 2, 4--16, and 19. We reverse the Examiner's Final Rejection of claims 3, 17, 18, and 20. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). AFFIRMED-IN-PART 21 Copy with citationCopy as parenthetical citation