Ex Parte Hahn et alDownload PDFPatent Trial and Appeal BoardSep 13, 201713306745 (P.T.A.B. Sep. 13, 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. 13/306,745 11/29/2011 Stephen J. Hahn 279.I90US1 1083 45458 7590 09/15/2017 smwfPtMan t t tndrf.ro & wofnnnfr/rnf EXAMINER PO BOX 2938 LEE, ERICA SHENGKAI MINNEAPOLIS, MN 55402 ART UNIT PAPER NUMBER 3766 NOTIFICATION DATE DELIVERY MODE 09/15/2017 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): uspto@slwip.com SLW @blackhillsip.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte STEPHEN J. HAHN, JASON J. HAMANN, and DAVID J. TERNES Appeal 2016-006014 Application 13/306,7451 Technology Center 3700 Before DONALD E. ADAMS, RICHARD J. SMITH, and RYAN H. FLAX, Administrative Patent Judges. ADAMS, Administrative Patent Judge. DECISION ON APPEAL This appeal under 35 U.S.C. § 134(a) involves claims 1—11 and 23—31 (Final Act.2 1). Examiner entered rejections under 35 U.S.C. § 112, second paragraph, the written description provision of 35 U.S.C. § 112, first paragraph, and 35 U.S.C. § 103(a). We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM-IN-PART. 1 Appellants identify the real party in interest as “Cardiac Pacemakers, Inc.” (App. Br. 2.) 2 Examiner’s May 1, 2015 Office Action. Appeal 2016-006014 Application 13/306,745 STATEMENT OF THE CASE Appellants’ disclosure “relates generally to medical devices and, more particularly, to systems, devices and methods for setting a dose of a neural stimulation therapy” (Spec. 12). Independent claims 1 and 31 are representative and reproduced below: 1. An implantable neural stimulator for implantation in a patient, comprising: controller circuitry; neural stimulation output circuitry configured to deliver neural stimulation, wherein the controller circuitry is configured to control an intensity of the neural stimulation delivered by the neural stimulation output circuitry; an input configured to receive a patient-controlled trigger, wherein the controller circuitry is configured to detect the patient-controlled trigger; a memory with instructions operable on by the controller circuitry, wherein the instructions include: instructions for delivering neural stimulation using the neural stimulation output circuitry; instructions for implementing an up-titration routine to automatically increase the intensity of the neural stimulation from a lower intensity level to a higher intensity level; and instructions for automatically decreasing the intensity of the neural stimulation from the higher intensity level to the lower intensity level in response to receiving the patient- controlled trigger, wherein the automatically increased intensity is maintained if the trigger from the patient is not received, wherein the neural stimulator is configured to detect a specific condition, and the neural stimulator is configured to allow the up-titration routine, implemented by the controller circuitry operating on the instructions in the memory, to 2 Appeal 2016-006014 Application 13/306,745 increase the intensity only when the specific condition is detected. (App. Br. 30.) 31. An implantable neural stimulator for implantation in a patient, comprising: controller circuitry; neural stimulation output circuitry configured to deliver neural stimulation, wherein the controller circuitry is configured to control an intensity of the neural stimulation delivered by the neural stimulation output circuitry; an input configured to receive a patient-controlled trigger, wherein the controller circuitry is configured to detect the patient-controlled trigger; a memory with instructions operable on by the controller circuitry, wherein the instructions include: instructions for delivering neural stimulation using the neural stimulation output circuitry; instructions for implementing an up-titration routine to automatically increase the intensity of the neural stimulation from a lower intensity level to a higher intensity level; and instructions for automatically decreasing the intensity of the neural stimulation from the higher intensity level to the lower intensity level in response to receiving the patient- controlled trigger, wherein the automatically increased intensity is maintained if the trigger from the patient is not received; an activity detector configured to detect a specific condition, the specific condition being a period of rest or a period of activity, 3 Appeal 2016-006014 Application 13/306,745 wherein the neural stimulator is configured to use detection of the specific condition to enable the automatic increase in the intensity by the up-titration routine. (Id at 33-34.) The claims stand rejected as follows: Claims 26—30 stand rejected under 35U.S.C. § 112, second paragraph, as indefinite and for omitting essential steps. Claims 26—30 stand rejected under the written description provision of 35 U.S.C. § 112, first paragraph. Claims 1—11, 23, 25, and 31 stand rejected under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak3 and Torgerson.4 Claim 24 stands rejected under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak, Torgerson, and Libbus.5 Claims 1, 26, 27, 29, and 30 stand rejected under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak and Shafer.6 Claims 1 and 28 stand rejected under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak and Shuros.7 Definiteness & Omission of Essential Steps'. ISSUE Does the preponderance of evidence support Examiner’s conclusion that Appellants’ claims 26—30 are indefinite and omit essential steps? 3 Maniak et al., US 2010/0168820 Al, published July 1, 2010. 4 Torgerson, US 2010/0274320 Al, published Oct. 28, 2010. 5 Libbus et al., US 2007/0142864 Al, published June 21, 2007. 6 Shafer, US 2005/0075702 Al, published Apr. 7, 2005. 7 Shuros et al., US 2010/0228310 Al, published Sept. 9, 2010. 4 Appeal 2016-006014 Application 13/306,745 FACTUAL FINDINGS (FF) FF 1. Appellants disclose: Some system embodiments are configured to allow the dose to increment only when specified conditions are met. For example, an activity sensor may be used to detect periods of rest or periods of activity, and the device may be programmed to enable increments only during periods of rest or to enable increments only during periods of activity. Additional conditions may be required as well, such as a time of day, or particular levels for cardiac demand, respiration activity, blood pressure, heart rate, and the like. (Spec. 140 (emphasis added); see Ans. 19; see also Ans. 11.) FF 2. Examiner finds that “particular levels for cardiac demand, respiration activity, blood pressure, heart rate, and the like” are disclosed by Appellants to represent conditions that may be required to be met in addition to meeting “specified conditions” (see Ans. 12—13; see also id. at 11 and 19—20; cf. Spec. 140). FF 3. Examiner finds that Appellants’ claim 1 requires an implantable neural stimulator that “is configured to detect a specific condition, and ... to increase the intensity [of the neural stimulation delivered by the neural stimulation output circuitry] only when the specific condition is detected'1'’ (Ans. 12 (emphasis added); see App. Br. 30). FF 4. Appellants’ claims 26—30 depend from Appellants’ claim 1 (see App. Br. 30 and 33). FF 5. Examiner finds the phrases “cardiac demand (elm 26, 27), respiratory activity (elm 28), blood pressure (elm 29) or heart rate (elm 30)” indefinite, because Appellants’ claims 26—30 fail to make clear whether the phrases are intended to represent “a specific condition” or an “additional condition” (see Ans. 12; see also App. Br. 33; Spec. 140). 5 Appeal 2016-006014 Application 13/306,745 FF 6. Examiner finds that if the phrases “cardiac demand,” “respiratory activity,” “blood pressure,” and “heart rate,” of Appellants’ claims 26—30, are interpreted as something other than “specific conditions” then Appellants’ claims 26—30 are “incomplete for omitting essential steps [establishing a linking relationship between the cardiac demand, respiratory activity, blood pressure or heart rate and the “specific condition” of Appellants’ claim 1]. . . amounting to a gap between the steps” (Ans. 13; see id. at 19). FF 7. Appellants’ Specification discloses that “some embodiments [of Appellants’ disclosure] automatically create a schedule (such as a schedule reflecting a patient’s circadian rhythm) for switching intensity levels” (Spec. 132). ANALYSIS Definiteness'. Examiner finds Appellants’ claims 26—30 indefinite (see FF 5). Appellants contend that one of ordinary skill in the art would understand that the first sentence of paragraph [0040] introduces the feature that some system embodiments are configured to allow the [doses] to increment only when specific conditions are met, and that the following sentences provide examples of the specific condition. “For example,” in [0040] clearly indicates that the Appellant is providing examples of the specific condition. (App. Br. 27 (alteration original); see Reply Br. 10.) We are not persuaded (see FF 1—2; see also Ans. 20 (Paragraph 40 of Appellants’ Specification does not support Appellants’ arguments)). We are not persuaded by Appellants’ contention that paragraph 32 of their Specification “provides an example of the use of circadian rhythm 6 Appeal 2016-006014 Application 13/306,745 (‘time of day’) without an activity sensor” (Reply Br. 10). Paragraph 32 of Appellants’ Specification relates to the creation of “a schedule for switching intensity levels,” wherein the schedule “reflect[s] a patient’s circadian rhythm” (FF 7). Appellants fail to provide an evidentiary basis on this record to support a finding that the creation of “a schedule” that reflects a patient’s circadian rhythm provides written descriptive support for the detection of: (a) a specific condition and (b) “cardiac demand,” “respiratory activity,” “blood pressure,” or “heart rate”; wherein “the intensity [of the neural stimulation delivered by the neural stimulation output circuitry increases] only when the specific condition is detected” (see FF 7; cf. FF 1— 3). Further, Appellants fail to provide an evidentiary basis on this record to support a finding that their disclosure of switching intensity levels according to a schedule that may reflect a patient’s circadian rhythm provides written descriptive support for defining a “specific condition” as “cardiac demand,” “respiratory activity,” “blood pressure,” or “heart rate” (cf. Reply Br. 10). Omission of Essential Steps'. Examiner finds that Appellants’ claims 26—30 are “incomplete for omitting essential steps [establishing a linking relationship between the cardiac demand, respiratory activity, blood pressure or heart rate and the “specific condition” of Appellants’ claim 1]. . . amounting to a gap between the steps” (FF 6). Appellants contend that for the reasons provided with regard to the indefmiteness rejection, “one o[f] ordinary skill in the art, particularly when enlightened by [Appellants’] [Specification, would understand that claims 26-30 are providing examples of the specific condition for increasing the 7 Appeal 2016-006014 Application 13/306,745 dose” (App. Br. 27; see Reply Br. 10). For the reasons discussed above, we are not persuaded. Appellants contend that Examiner did not enter Appellants’ After- Final Claim Amendments and request the entry of these amendments (App. Br. 27—28). “[Ejxaminer’s refusal to enter an amendment... is a petitionable matter that is not subject to review by the Board ...” (Manual of Patent Examining Procedure § 1204.04). CONCLUSION OF LAW The preponderance of evidence supports Examiner’s conclusion that Appellants’ claims 26—30 are indefinite and omit essential steps. Therefore, the rejection of claims 26—30 under 35U.S.C. § 112, second paragraph as indefinite and for omitting essential steps is affirmed. Written Description: ISSUE Does the preponderance of evidence on this record support Examiner’s finding that Appellants’ Specification fails to provide written descriptive support for the claimed invention? FACTUAL FINDINGS (FF) FF 8. Examiner finds that paragraph 40 of Appellants’ Specification does not provide written descriptive support for an interpretation of Appellants’ claims 26—30 that: (a) permits a neural stimulator to increase the intensity of neural stimulation delivered by the neural stimulation output circuity based solely on the detection of particular levels of: cardiac demand, respiration activity, blood pressure, or heart rate or (b) allows for the “specific 8 Appeal 2016-006014 Application 13/306,745 condition” to represent: cardiac demand, respiration activity, blood pressure, or heart rate (Ans. 11; cf. Spec. 140). ANALYSIS Examiner finds that Appellants’ Specification fails to provide written descriptive support for Appellants’ claims 26—30 (see FF 8). We are not persuaded by Appellants’ contention that “[o]ne of ordinary skill in the art would appreciate [that the terms] ‘for example’ and ‘may’[, as set forth in paragraph 40 of Appellants’ Specification,] indicate] that [] Appellants’] [are] providing examples of the specific condition” (App. Br. 26; see Reply Br. 10). As discussed above, Appellants fail to provide an evidentiary basis on this record to support a finding that their disclosure of switching intensity levels according to a schedule that may reflect a patient’s circadian rhythm provides written descriptive support for defining a “specific condition” as “cardiac demand,” “respiratory activity,” “blood pressure,” or “heart rate” {cf. Reply Br. 10). Further, as Examiner explains, “[d]etails are not provided [in Appellants’ Specification] for [the phrases] cardiac demand, respiration activity, blood pressure, or heart rate, except for stating that these parameters are considered ‘[additional conditions [that] maybe required . . .’” in addition to specific conditions (Ans. 11; see FF 8; cf. FF 1^4). CONCFUSION OF FAW The preponderance of evidence on this record supports Examiner’s finding that Appellants’ Specification fails to provide written descriptive support for the claimed invention. Therefore, the rejection of claims 26—30 under the written description provision of 35 U.S.C. § 112, first paragraph is affirmed. 9 Appeal 2016-006014 Application 13/306,745 Obviousness: ISSUE Does the preponderance of evidence relied upon by Examiner support a conclusion of obviousness? FACTUAL FINDINGS (FF) FF 9. Appellants disclose that the term “[tjitration . . . refers to the process of adjusting the dose of [] stimulation, ultimately to a level that is therapeutically or prophylactically effective” (Spec. 136). FF 10. Appellants disclose that “an up-titration routine . . . automatically increase [s] the intensity of the neural stimulation from a lower intensity level to a higher intensity lever (Spec. 14 (emphasis added)). FF 11. Maniak “relates to [the use of] patient feedback to optimize neuromodulation of the sympathetic nervous system” (Maniak 12). FF 12. Maniak discloses that [w]hen peripheral nerves are electrically stimulated for the purpose of driving a therapeutic effect it is common that stimulation intensity is ramped up over a period of days or weeks in order to optimize therapeutic effect while minimizing patient discomfort. . . . This ramping process[, however,] is very burdensome in its own right in that it requires multiple visits to the clinic for the patient along with additional clinician time. (Maniak || 3 4.) FF 13. Maniak discloses “a system ... in which a chronically implanted pulse generator . . . autonomously proceed[es] through an intensity ramping profile over a programmable period of days or weeks” to attain an optimal level of stimulation intensity for a patient (Maniak | 5). FF 14. Maniak’s “implanted pulse generator . . . is [] capable of receiving patient input from a patient programmer, or magnet, sound activated sensor, 10 Appeal 2016-006014 Application 13/306,745 or tactile activated sensor (collectively . . . referred [to] as a ‘patient intervention device,’ or PID) that indicates patient discomfort at a particular level of stimulation” (id.; see id. (Maniak’s “system . . . incorporate[s] patient feedback from the PID to customize the maximum stimulation intensity for the individual patient without clinical interaction”)). FF 15. Maniak discloses that [w]hen [an] optimal level of stimulation intensity is determined (i.e., maximum tolerable stimulation intensity) the implanted pulse generator may autonomously transition to a sequence of programmed therapeutic algorithms (stimulation patterns) in which th[e] optimal intensity level is then utilized as the upper bound of intensity for these algorithms such that therapeutic effect is optimized while minimizing discomfort. (id.) FF 16. Examiner finds that Maniak discloses Appellants’ claimed invention, with the exception of: (A) a “neural stimulator [] configured to detect[:]” (i) “a specific condition, and . . . configured to allow the up-titration routine, implemented by the controller circuitry operating on the instructions in the memory, to increase the intensity only when the specific condition is detected”; (ii) ‘ ‘'cardiac demand, blood pressure, or heart rate, and . . . configured to allow the up-titration routine, implemented by the controller circuitry operating on the instructions in the memory, to increase the intensity only for particular levels of cardiac demand, blood pressure, or heart rate”; or (iii) “respiratory activity, and the neural stimulator is configured to allow the up-titration routine, implemented by the controller circuitry operating on the instructions in the memory, to increase the intensity only for particular levels of respiratory activity”; and (B) “instructions within the memory, wherein the instructions include: 11 Appeal 2016-006014 Application 13/306,745 instructions for implementing the up-titration of stimulation intensity and the decrease in stimulation intensity based on the trigger from the patient” (Ans. 3—10 (emphasis added) (citing Maniak || 62, 93, 98, 105, 106 and Figures 8, 11, and 13)). FF 17. Torgerson “relates to medical systems and, more particularly, medical systems that deliver electrical stimulation therapy” (Torgerson 11). FF 18. Torgerson discloses that a user may program [an implantable medical device (IMD)] . . . to automatically select different functions at different times of day or in response to a sensor signal, such as an accelerometer, indicating different levels o[f] activity or different postures, e.g., a more aggressive function during the day or during high activity, and a less aggressive function at night or during low activity. (Torgerson | 63 (reference number omitted); see Ans. 3 4.) FF 19. Examiner finds that the combination of Maniak and Torgerson fails to suggest an “activity detector [] configured to detect a period of rest, [as] the specific condition” and relies on Libbus to “teach[] providing and increasing stimulation when it is detected that the patient is at rest” (Ans. 6 (citing Libbus 1114)). FF 20. Shafer “relates to medical devices and methods for modulating neurons and modulating an immune response” (Shafer 12; see also id. 19 (Shafer discloses “a device capable of stimulating a sympathetic nervous system of a subject”)). FF 21. Shafer discloses a “sensor . . . coupled to [a] device to modify parameters of the device such that the device increases stimulation or decreases stimulation of a sympathetic neuron,” when a sensed signal falls 12 Appeal 2016-006014 Application 13/306,745 below or rises above a predetermined threshold (Shafer || 109 and 119 (reference numbers omitted)). FF 22. Shafer’s [sjensor may detect biochemical parameters, physiological parameters, and combinations thereof. Biological parameters include pH, a chemical, an ion, a biological molecule, a gas, spectral indicators thereof, and combinations thereof. Physiological parameters such as body temperature, heart rate, blood pressure, cardiac output, electrical activity of a neuron, and the like, or combinations thereof. (Shafer 1110 (reference number omitted).) FF 23. Shuros “relates generally to medical devices and, more particularly, to systems, devices and methods for modulating the autonomic nervous system” (Shuros 12; see generally Ans. 9). FF 24. Shuros discloses the use of a “respiration sensor ... to guide the neural stimulation to block sympathetic activity during the inspiratory phase when sympathetic activity is intrinsically high, and to stimulate the vagus nerve during an expiratory phase to enhance the parasympathetic activity” (Shuros 125; see id. 1 59; Ans. 9). ANALYSIS The combination ofManiakand Torgerson, with or without Libbus: Based on the combination of Maniak and Torgerson, Examiner concludes that, at the time Appellants’ invention was made, it would have been prima facie obvious “to modify Maniak [] to include a sensor such as an accelerometer for detecting periods of high activity and increasing the intensity of stimulation as taught by Torgerson in order to accommodate stimulation levels according to the patient’s needs” (Ans. 4). We are not persuaded. 13 Appeal 2016-006014 Application 13/306,745 Appellants’ independent claims require, inter alia, that an implantable neural stimulator comprises controller circuitry that detects a specific condition prior to an increase in stimulation intensity during an up-titration routine (see App. Br. 30 and 33—34). We recognize that: Maniak discloses a system comprising an implanted pulse generator that autonomously executes an intensity ramping profile, or up-titration routine, to determine the optimal level of stimulation intensity for the patient (FF 13); Maniak’s system further comprises a PID, wherein patient feedback from the PID is incorporated into intensity ramping profile to customize the maximum stimulation intensity for the patient (FF 14); and, when Maniak’s system determines an optimal level of stimulation intensity, Maniak’s implanted pulse generator autonomously transitions into a sequence of programmed therapeutic algorithms (stimulation patterns) in which the optimal intensity level determined by Maniak’s system is utilized as the upper bound of intensity for the algorithms (FF 15). Thus, Maniak discloses a system that is divided into two phases, wherein the implanted pulse generator operates to either: (1) determine an optimal therapeutic stimulation intensity through performance of an up-titration routine or (2) deliver stimulation therapy through programmed therapeutic algorithms, wherein the upper bound of intensity for the therapy is the optimal therapeutic stimulation intensity determined in phase (1). Examiner finds that Maniak fails to disclose a neural stimulator configured to allow the up-titration routine to increase the intensity only when a specific condition is detected (FF 16). At best, Maniak’s system 14 Appeal 2016-006014 Application 13/306,745 makes use of a PID during an up-titration routine, wherein the PID “indicates patient discomfort at a particular level of stimulation” (FF 14). Torgerson discloses “medical systems that deliver electrical stimulation therapy,” i.e., phase (2) of Maniak’s system (FF 17). A user of Torgerson’s system may program an IMD “to automatically select different functions at different times of day or in response to a sensor signal, such as an accelerometer, indicating different levels of activity or different postures” (FF 18). Thus, Torgerson would modify phase (2) of Maniak’s system, such that Torgerson’s sensor is combined with Maniak’s implanted pulse generator to provide Maniak’s device the added benefit of delivering stimulation therapy in response to a sensor signal (see id.). Examiner failed to explain or otherwise establish an evidentiary basis to support a conclusion that Torgerson’s sensor could be combined with Maniak’s device in such a way as to affect the up-titration phase, phase (1), of Maniak’s system (see generally App. Br. 15 (“Torgerson does not disclose ... [a] neural stimulator [Jconfigured to allow [an] up-titration routine, implemented by the controller circuitry operating on the instructions in the memory, to increase the intensity only when [a] specific condition is detected”); see also Reply Br. 3—5). Examiner failed to establish that Libbus makes up for the foregoing deficiencies in the combination of Maniak and Torgerson (see App. Br. 20; cf. FF 19; Ans. 6-7). The combination of Maniak and Shafer. Based on the combination of Maniak and Shafer, Examiner concludes that, at the time Appellants’ invention was made, it would have been prima 15 Appeal 2016-006014 Application 13/306,745 facie obvious “to modify Maniak [] to include a sensor for detecting cardiac demand, blood pressure, or heart rate and increasing the intensity of stimulation as taught by Shafer in order to accommodate stimulation levels according to the patient’s needs” (Ans. 8). We are not persuaded. As discussed above, Maniak discloses a system that operates in two phases: (1) an up-titration phase and (2) a therapeutic stimulation phase (see FF 13-15 ; see Reply Br. 7 (“the purpose of Maniak is to automatically increase maximum stimulation,” wherein “Maniak is pushing the patient’s tolerance of the stimulation in a ramp up process over [a] period of days or weeks”). Like Torgerson, discussed above, Shafer discloses a “sensor . . . coupled to [a] device to modify parameters of the device such that the device increases stimulation or decreases stimulation of a sympathetic neuron,” when a sensed signal falls below or rises above a predetermined threshold (FF 21; see generally Reply Br. 7). Thus, Shafer, like Torgerson, relates to the delivery of stimulation therapy phase, phase (2), of Maniak’s system not the up-titration phase of Maniak’s system. Examiner failed to explain or otherwise establish an evidentiary basis to support a conclusion that Shafer’s sensor could be combined with Maniak’s device in such a way as to affect the up-titration phase, phase (1), of Maniak’s system {see generally Reply Br. 8; App. Br. 21). The combination of Maniak and Shuros: Based on the combination of Maniak and Shuros, Examiner concludes that, at the time Appellants’ invention was made, it would have been prima facie obvious “to modify Maniak [] to include a sensor for detecting respirator activity and increasing the intensity of stimulation as taught by 16 Appeal 2016-006014 Application 13/306,745 Shuros [] in order to accommodate stimulation levels according to the patient’s needs” (Ans. 9-10). We are not persuaded. As discussed above, Maniak discloses a system that operates in two phases: (1) an up-titration phase and (2) a therapeutic stimulation phase (see FF 13—15; see generally App. Br. 24). Like Torgerson and Shafer, discussed above, Shuros discloses a sensor, specifically a “respiration sensor ... to guide the neural stimulation to block sympathetic activity during the inspiratory phase when sympathetic activity is intrinsically high, and to stimulate the vagus nerve during an expiratory phase to enhance the parasympathetic activity” (FF 24; see generally App. Br. 24—25; Reply Br. 10). Thus, Shuros, like Torgerson and Shafer, relates to the delivery of stimulation therapy phase, phase (2), of Maniak’s system not the up-titration phase of Maniak’s system. Examiner failed to explain or otherwise establish an evidentiary basis to support a conclusion that Shuros’s sensor could be combined with Maniak’s device in such a way as to affect the up-titration phase, phase (1), of Maniak’s system {see generally App. Br. 25; Reply Br. 10 (“the reasoning of the rejection does not articulate the reasoning with the rational underpinning required to support the legal conclusion of obviousness”)). CONCLUSION OF LAW The preponderance of evidence relied upon by Examiner fails to support a conclusion of obviousness. The rejection of claims 1—11, 23, 25, and 31 under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak and Torgerson is reversed. The rejection of claim 24 under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak, Torgerson, and Libbus is reversed. 17 Appeal 2016-006014 Application 13/306,745 The rejection of claims 1, 26, 27, 29, and 30 under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak and Shafer is reversed. The rejection of claims 1 and 28 under 35 U.S.C. § 103(a) as unpatentable over the combination of Maniak and Shuros is reversed. TIME PERIOD FOR RESPONSE 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 18 Copy with citationCopy as parenthetical citation