Ex Parte Johnson et alDownload PDFPatent Trial and Appeal BoardJun 29, 201814595771 (P.T.A.B. Jun. 29, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 14/595,771 01/13/2015 25281 7590 07/03/2018 DICKE, BILLIG & CZAJA FIFTH STREET TOWERS 100 SOUTH FIFTH STREET, SUITE 2250 MINNEAPOLIS, MN 55402 FIRST NAMED INVENTOR Blake D. Johnson 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. 1618.115.103 8297 EXAMINER TEJANI, ANKIT D ART UNIT PAPER NUMBER 3762 NOTIFICATION DATE DELIVERY MODE 07 /03/2018 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): USPTO.PA TENTS@dbclaw.com dmorris@dbclaw.com DBCLA W-Docket@dbclaw.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte BLAKE D. JOHNSON, MARK CHRISTOPHERSON, JOHN RONDON!, and QUAN NI Appeal2017-004143 Application 14/595, 771 Technology Center 3700 Before ULRIKE W. JENKS, RICHARD J. SMITH, and RYAN H. FLAX, Administrative Patent Judges. JENKS, Administrative Patent Judge. DECISION ON APPEAL Pursuant to 35 U.S.C. § 134(a), Appellant 1 appeals from Examiner's rejection of the claims as obvious. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM-IN-PART. STATEMENT OF THE CASE Claims 12-34 are on appeal, and can be found in the Claims Appendix of the Appeal Brief. Claims 12, 18, and 26 are representative of 1 Appellant is the Applicant, Inspire Medical Systems, Inc., which, according to the Brief, is the real party in interest. Appeal Br. 3. Appeal2017-004143 Application 14/595,771 the claims on appeal, and read as follows: 12. An electrode system, comprising: an implantable cuff body at least partially self-wrappable about a nerve; and a plurality of rows of selectively activatable electrodes supported by the cuff body and including a first row and a second row, wherein at least some of the selectively activatable electrodes of the first row extend generally perpendicular to at least some of selectively activatable electrodes of the second row. 18. An electrode system comprising: an implantable cuff body at least partially self-wrappable about a nerve; a plurality of rows of selectively activatable electrodes supported by the cuff body and including a first row and a second row, wherein at least some of the selectively activatable electrodes of the first row extend generally perpendicular to at least some of selectively activatable electrodes of the second row; and an anchor spaced longitudinally from all of the respective electrodes, with the anchor extending longitudinally from, and spaced apart from, the cuff body to secure the cuff body relative to a body structure. 26. A stimulation system comprising: an electrode system, comprising: an implantable cuff body at least partially self-wrappable about a nerve; and a plurality of rows of selectively activatable electrodes supported by the cuff body and including a first row and a second row, wherein at least some of the selectively activatable electrodes of the first row extend generally perpendicular to at least some of selectively activatable electrodes of the second row; a sensing portion to sense physiologic information regarding a patient, wherein the sensing portion is separate from, and independent of, at least the selectively activatable electrodes. 2 Appeal2017-004143 Application 14/595,771 Appellant requests review of the following rejections: I. Claims 12-17, 20, 30 and 31 under 35 U.S.C. § 103(a) as unpatentable over Ternes2 in view of Guntinas-Lichius. 3 II. Claims 21-25 under 35 U.S.C. § 103(a) as unpatentable over Ternes in view of Guntinas-Lichius and further in view of Richmond. 4 III. Claims 18, 19, 32, and 33 under 35 U.S.C. § 103(a) as unpatentable over Ternes in view of Guntinas-Lichius and further in view ofMrva. 5 IV. Claims 26-29 and 34 under 35 U.S.C. § 103(a) as unpatentable over Ternes in view of Guntinas-Lichius and further in view ofTroosters. 6 I. and II. Obviousness over Ternes and Guntinas-Lichius Examiner has rejected claims 12-17, 20, 30, and 31 as obvious over the combination of Ternes and Guntinas-Lichius; and rejected claims 21-25 as obvious over the same references, also adding Richmond. Because both of these rejections rely on the underlying teachings of Ternes and Guntinas- Lichius we discuss them together. The issue is: Does the preponderance of the evidence of record support Examiner's position that the combination of references renders obvious a plurality of activatable electrodes that are arranged in rows perpendicular to each other? 2 Ternes et al., US 2010/0121405 Al, publ. May 13, 2010 ("Ternes"). 3 Guntinas-Lichius et al., US 2010/0114240 Al, publ. May 6, 2010 ("Guntinas-Lichius"). 4 Richmond et al., US 2001/0010010 Al, publ. July 26, 2001 ("Richmond"). 5 Mrva et al., US 2008/0172116 Al, publ. July 17, 2008 ("Mrva"). 6 Troosters et al., US 2010/0222844 Al, publ. Sept. 2, 1010 ("Troosters"). 3 Appeal2017-004143 Application 14/595,771 Findings of Fact FPL Ternes discloses an implantable medical device (IMD) that includes a pulse generator. Ternes i-f 17. Figure IA, reproduced below, shows the various components making up the Ternes IMD: ~ ( -------' i.------.i i.-----' lo---' ~ 30 Fig. 1 A shows "a system 10 including an implantable medical device (IMD) 12 with a lead 14 having a proximal end 16 and a distal end 18." Id. i-f 1 7. Further, The distal end 18 of the lead 14 includes a plurality of electrodes 20a, 20b, 20c, 20d, 20e, 20/, 20g, and 20h and a retention cuff 22. . . . The electrodes may be separately controlled by IMD 12 such that energy having different magnitude, phase, and/ or timing characteristics may be delivered to or from each of the electrodes 20. Id. i-f 18. Further, The system 10 also includes a converter 30. The converter 30 includes a converter body 32, cuff 4 Appeal2017-004143 Application 14/595,771 electrodes 34a and 34b, a strain relief cuff36, and a securing mechanism 3 8. . . . The cuff electrodes 34a and 34b also include a conductive material (not shown) that is suitable for carrying electrical energy to the excitable tissue. Id. i-f 19, see also id. i-f 22. "When the cuff electrodes ... are secured to excitable tissue, the IMD 12 can deliver energy having different characteristics to each of the cuff electrodes. . . . Consequently, different therapies can be delivered to different parts of the patient's anatomy." Id. i-f 31. FF2. Ternes teaches an electrode matrix as shown in Figure 3, reproduced below: ~78 14 ( 72 84f Figure 3 shows a matrix 7 6 that includes conductive elements 84a - 84g that are arranged substantially perpendicular to conductive 5 Appeal2017-004143 Application 14/595,771 elements 88a- 88g. Id. i-f 32. A matrix electrode 90 is provided at a point where conductive element 84 and 88 are connected. Ternes i-f 33. Figure 3 shows the matrix electrodes 90 arranged in a diagonal line with respect to the lead 14, however, "the electrode matrix 7 6 can be configured to include any number of matrix electrodes 90 in any pattern." Id. i-f 33. "The electrode matrix 76 may be configured to wrap around excitable tissue, such as a nerve or nerve bundle, to deliver stimulation energy." Id. i-f 34. FF3. Guntinas-Lichius teaches a method of stimulating nerves, specifically facial nerves, with a system having a plurality of contacts. Guntinas- Lichius, Abstract. Guntinas-Lichius teaches the use of a cuff- electrode to stimulate around a neural stump of a neuromuscular transplant. Id. i-f 35. FF4. Figure 5 of Guntinas-Lichius is reproduced below: FIG. 5 6 Appeal2017-004143 Application 14/595,771 "FIG. 5 shows an array electrode in the parotic region in relation to the branches of the facial nerve." Guntinas-Lichius i-f 20. Guntinas- Lichius teaches an "electrode 16 has a plurality of contacts 18, which may be configured in rows and columns. . . . The contacts 18 may be used to stimulate nerve branches 24 or to record nerve impulses or potentials from the nerve branches 24." Id. i-f 45. The electrode is coupled to processor and "[ t ]he processor has program code for stimulating each of the plurality of contacts separately." Guntinas- Lichius i-f 11. FF5. Richmond teaches using implanted electrodes to stimulate and control muscle or nerve tissue. Richmond, Abstract. Richmond teaches using a bedside controller that is powered from conventional power lines and sends preprogrammed sequence of stimulation commands to the implanted device. Id. i-f 47. Principle of Law "If a person of ordinary skill can implement a predictable variation [of a known work], § 103 likely bars its patentability." KSR Int'! Co. v. Teleflex Inc., 550 U.S. 398, 417 (2007). Analysis Examiner finds that Ternes discloses an electrode system that is partially self-wrappable around a nerve. Ans. 2; FFl, FF2. Examiner finds that "electrodes 90 [of Ternes] are the elements that are considered analogous to the recited electrodes. The first [conductive] row 84 and second [conductive] row 88 merely act as a scaffold on which the electrodes 90 may be housed." Ans. 12; FF2. Examiner does not dispute that Ternes' Figure 3 shows only "one diagonal row of electrodes." Ans. 13; FF2. 7 Appeal2017-004143 Application 14/595,771 Examiner acknowledges that Ternes "does not, however, explicitly disclose wherein the electrodes are selective the activatable." Ans. 2. Examiner relies on the teachings of Guntinas-Lichius to describe electrodes, including cuff electrodes. Ans. 2; FF3. Examiner finds that Guntinas-Lichius electrode has a plurality of contacts that may be configured in rows and columns and where each of the contacts in the electrode is stimulated separately. See Ans. 2, 14; FF4. Based on these teachings of the prior art, Examiner concludes: As Ternes discloses nerve cuffs including a plurality of electrodes configured on a matrix, and as Guntinas-Lichius discloses selectively activating a subset of electrodes on an electrode matrix for a specific stimulation scheme, regardless of the location of the electrode matrix, it would have been obvious to a person having ordinary skill in the art at the time the invention was made to incorporate a selective stimulation scheme similar to that described by Guntinas-Lichius into the nerve cuff described by Ternes, as doing so advantageously allows a user to tailor the therapy to a particular region of the patient's body or a particular stimulation scheme which may provide optimal results. Ans. 3. Examiner acknowledges that "neither Ternes nor Guntinas-Lichius explicitly discloses wherein the controller is an external controller located external to a patient's body." Id. at 5. Examiner relies on Richmond to disclose a nerve stimulation system including the use of an external controller. Ans. 5; FF5. Examiner concludes that based on the combined teachings of Ternes, Guntinas-Lichius, and Richmond one of ordinary skill in the art at the time of the invention was made would have found it obvious to incorporate an external controller discussed in Richmond into the electrode system discussed in the combination of Ternes and Guntinas- 8 Appeal2017-004143 Application 14/595,771 Lichius in order to achieve the "known advantage of allowing for patient stimulation without a separate implantable controller." Ans. 5. We agree with Examiner that it would have been obvious to one of ordinary skill in the art to substitute the Guntinas-Lichius electrode array for the electrode array disclosed in Ternes. See FF1-FF4. "[W]hen a patent claims a structure already known in the prior art that is altered by the mere substitution of one element for another known in the field, the combination must do more than yield a predictable result." KSR, 550 U.S. at 416 (citing United States v. Adams, 383 U.S. 39, 50-51 (1966)). As Examiner pointed out, both Guntinas-Lichius and Ternes teach the use of cuff electrodes to wrap around nerves for the purpose of stimulating the nerve. See Ans. 2; FFl, FF3. Ternes teaches that the electrode matrix 76 can be configured to include any number of electrodes 90 in any pattern. FF2. In addition, Ternes electrodes 20, the electrodes that supply energy through a converter 30 to the cuff electrodes and conductive material of the IMD, can each be controlled separately such that "different magnitude, phase, and/or timing characteristics may be delivered to or from each of the electrodes 20." FPL Based on these disclosures in Ternes, electrodes 90 of matrix 7 6 can, therefore, be separately controlled as long as the electrodes are arranged along the conductive elements 84a-84h. Examiner, however does not end the analysis there, instead Examiner looks to the electrode array of Guntinas-Lichius to be substituted into the implantable medical device of Ternes to provide an electrode array having columns and lines; a potentially larger number of electrodes arranged in columns and rows. See Ans. 3 (obvious to "incorporate a selective stimulation scheme similar to that described by Guntinas-Lichius into the nerve cuff described by Ternes"). 9 Appeal2017-004143 Application 14/595,771 We find no error with the Examiner's reliance on substituting one known equivalent electrode array of Guntinas-Lichius for the array in Ternes to arrive at the claimed invention. We address Appellant's contentions below: Claim 12 Appellant contends that conductive elements 88a- 88h of Ternes do not function as electrodes. "Only when a matrix electrode (e.g. 90a) is present, does a second conductive element (e.g. 88a) become electrically connected." Appeal Br. 9. Appellant contends that Ternes does not provide a second row of selectively activatable electrodes. Appeal Br. 9. Appellant contends that if an extra electrode was added below electrode 90a as shown in Figure 3 of Ternes "then both matrix electrodes 90a, and 90extra would be electrically common to each other by virtue of second conductive element 88a then both matrix electrodes 90a, 90extra would be electrically common to each other by virtue of second conductive element 88a." Appeal Br. 11. We are not persuaded. It is the combination of Ternes and Guntinas- Lichius which renders the alternative structures obvious as known equivalents. See In re Keller, 642 F.2d 413, 425 (CCPA 1981) ("The test for obviousness is not whether the features of a secondary reference may be bodily incorporated into the structure of the primary reference; nor is it that the claimed invention must be expressly suggested in any one or all of the references. Rather, the test is what the combined teachings of the references would have suggested to those of ordinary skill in the art"). Discussing the shortcomings of the individual references does not address the rejection as proposed by Examiner, which relies upon a combination of prior art. Here, Examiner acknowledges that Ternes does not have an electrode array 10 Appeal2017-004143 Application 14/595,771 arrangement with lines and columns of electrodes that are each individually activatable as claimed, but relies on the rows and columns of contacts in the electrode array as disclosed in Guntinas-Lichius for supplying this element in order to arrive at the claimed invention. See Ans. 2. Specifically, Guntinas-Lichius teaches an electrode array that has a plurality of contacts ( 18) that are "configured in rows and columns" that are coupled to processor for stimulating each of the plurality of contacts separately. See Ans. 2; FF4. Appellant also contends that the electrode array of Guntinas-Lichius does not wrap around one of the respective nerve branches. Appeal Br. 14. "[I]t is impermissible for the Examiner to take favorable aspects of Ternes or Guntinas-Lichius while ignoring the components and structure of Ternes or Guntinas-Lichius ... that diverge from each other." Id. In other words, Appellants contend that the references or at least the portion of the reference relied on by the Examiner are non-analogous and thereby not combinable. We are not persuaded. Art is analogous if it is ( 1) from the same field of endeavor, regardless of the problem addressed, or (2) reasonably pertinent to the particular problem with which the inventor is involved. In re Clay, 966 F.2d 656, 658-59 (Fed. Cir. 1992). Here, Ternes teaches a cuff electrode for stimulating nerves. FF2. Guntinas-Lichius also teaches the use of cuff electrode that wraps around a nerve, specifically, a neural stump. FF3. Guntinas-Lichius suggests arranging contacts of an electrode into rows and columns, and there is nothing in the reference to suggest that this electrode arrangement could not be used in the cuff electrodes also contemplated by the reference. See FF3, FF4. Because both cited prior art references disclose stimulating nerves using cuff electrodes we find that the references are from the same field of endeavor and, therefore, are each 11 Appeal2017-004143 Application 14/595,771 reasonably pertinent to the problem of electrical stimulation of a nerve as claimed. Accordingly, we are not persuaded that the evidence supports Appellant's position that the references are non-analogous art. Appellant contends that Ternes and Guntinas-Luchius are divergent references and one or ordinary skill in the art would not arrive at the subject matter of independent claim 12 absent improper hindsight reconstruction. Appeal Br. 14. Any judgment on obviousness is in a sense necessarily a reconstruction based upon hindsight reasoning, but so long as it takes into account only knowledge which was within the level of ordinary skill at the time the claimed invention was made and does not include knowledge gleaned only from applicant's disclosure, such a reconstruction is proper. In re McLaughlin, 443 F.2d 1392, 1395, (CCPA 1971). Appellant has not directed us to any information that could have only been gleaned from Appellant's own Specification, rather than from the cited prior art combination, and that was relied on by Examiner in arriving at the claimed invention based on the prior art combination. Accordingly, we are not persuaded by Appellant's contention that Examiner improperly relied on hindsight in rejecting the claims as obvious. Having considered each of Appellant's arguments and having found them to be unpersuasive, we affirm Examiner's rejection of claim 12 as described above and in conjunction with the reasons of record set out in the Final Office Action 7 and Answer. Claims 13-17, 20, 30, and 31 fall with claim 12 as not argued separately. 37 C.F.R. § 41.37 (c)(l)(iv). 7 Final Office Action mailed February 19, 2018 ("Final Act."). 12 Appeal2017-004143 Application 14/595,771 Claim 21 Having found no error in the combination of Ternes and Guntinas- Lichius as relied upon by Examiner nor a deficiency as alleged by Appellant (see above claim 12), we are not persuaded by Appellant's argument that the inclusion Richmond fails to make up for any alleged deficiency in the combination of Ternes and Guntinas-Lichius. See Appeal Br. 15. Accordingly, we affirm the rejection of claims 21-25 for the reasons set out by Examiner in the Final Office Action and Answer. See Ans. 5---6; Final Act. 6-7. III. Obviousness over Ternes, Guntinas-Lichius, and Marva The issue is: Does the preponderance of the evidence of record support Examiner's conclusion that the combination references renders obvious an anchor spaced longitudinally from the electrodes and apart from the cuff body as claimed? Findings of Fact FF6. Mrva teaches an implant nerve cuff electrode. Mrva, Abstract. Figure 14 of Mrva, reproduced below, shows a fastener means for anchoring a cuff to the nerve. 10 \ \ 56 ......... Fig.14 13 Appeal2017-004143 Application 14/595,771 "FIG. 14 is a perspective view of one embodiment of a securing means coupled to the lead of the nerve cuff ... , the securing means including an aperture to allow a loop of suture to wrap loosely about the nerve to aid in maintaining the position of the implant system." Mrva i-f 32. The Mrva system includes: molded or overmolded fastener means used to hold or anchor the distal portion of the lead 12 and cuff(s) 14, 16, to the target nerve N or other surrounding tissue. . . . The fastener 52 includes an aperture 54 to allow a length of suture 56 to pass through ... [and t ]he suture 56 may also include one or more barbed elements 58 that may anchor into surrounding tissue to help secure the system 10 to the nerve, in addition to, or in place of tying. Id. i-f 79. "[T]he lead 12 provides electrical continuity and mechanical attachment to the mating connector 48 of an implantable pulse generator 50." Id. at 75. Analysis Examiner relies on the combination of Ternes and Guntinas-Lichius to meet the arrangement of the electrode elements as claimed. Examiner finds Mrva also teaches nerve cuff electrodes and methods of securing the nerve cuff electrode to the body structure, i.e. the nerve, using an anchoring means. Ans. 7; FF6. Examiner finds that "Mrva describes wherein the anchor is associated with a free standing cuff module." Ans. 9, see also id. at 18-19. Based on the combined teachings of the references, Examiner concludes that it would have been obvious "to incorporate a separate anchoring element similar to that described by Mrva into the electrode system described by Ternes in view of Guntinas-Lichius, as this advantageously allows the nerve 14 Appeal2017-004143 Application 14/595,771 cuff electrode to be secured in place and therefore allows for repeated, reliable stimulation of a desired portion of the subject's nerve." Ans. 7-8. We address Appellant's contentions below: Claim 18 Appellant contends that, for the same reasons discussed for claim 12, the combination of Ternes and Guntinas-Lichius with Mrva similarly fails to render obvious claim 18. Appeal Br. 16. With respect to claim 18, Appellant further contends that Mrva fails to cure the deficiencies of the other two references. Id. Having found no error in the combination of Ternes and Guntinas- Lichius as relied upon by Examiner nor a deficiency as alleged by Appellant (see above claim 12), we are not persuaded by Appellant's argument that the inclusion Mrva fails to make up for any alleged deficiency in the combination of Ternes and Guntinas-Lichius. See Appeal Br. 15. Accordingly, we affirm the rejection of claim 18 for the reasons set out by Examiner in the Final Office Action and Answer. See Ans. 5---6; Final Act. 6-7. Claims 19 and 32 were not argued separately and fall with claim 18. Claim 33 With respect to claim 33, Appellant contends that Mrva "fails to meet the recitation of 'the anchor is associated with a freestanding cuff module, including the cuff body' and, therefore Mrva fails to cure the deficiencies of Ternes and Guntinas-Lichius." Appeal Br. 17. Appellant contends that "it would be clear to one skilled in the art that a freestanding cuff module 390 is not connected to, or part of, a lead." Reply Br. 9. On this point, we find that Appellant's have the better position. The term "freestanding cuff module," when read in light of the Specification, is a 15 Appeal2017-004143 Application 14/595,771 wireless communication cuff module that avoids the need of having a power unit implanted in the body. See Spec. i-f 52 ("implanted cuff module 310 to enable wireless communication between the cuff module 310 and the external support module 312. In one aspect, by housing power unit 338 in garment 360, the patient avoids having a power unit implanted in their body"), see also id. i-f 53 ("the anchor portion 382 is implemented on a freestanding cuff module, such as cuff 390 ... or cuff module 31 O"). Mrva explains that lead 12 provides electrical continuity and mechanical attachment to an implantable pulse generator. See FF6 ("the lead 12 provides electrical continuity and mechanical attachment to the mating connector 48 of an implantable pulse generator 50"). Mrva electrodes are not "freestanding," as understood in light of the Specification, because they are attached to an implantable pulse generator, thereby Mrva does not teach the element of freestanding cuff. For the reasons discussed above, we agree with Appellant that Examiner has not persuasively shown that the limitation of "freestanding cuff," which is missing from Ternes and Guntinas-Lichius, would have been obvious based on the disclosure of Mrva. Furthermore, because Examiner has not articulated any other rationale for how the cited combination of references discloses a freestanding cuff device or would render such a freestanding cuff obvious we are constrained to reverse the rejection of claims reciting the element of a "freestanding cuff." We reverse the rejection of claim 33. 16 Appeal2017-004143 Application 14/595,771 IV. Obviousness over Ternes, Guntinas-Lichius, and Troosters The issue is: Does the preponderance of the evidence of record support Examiner's conclusion that the combination references renders obvious and electrode system that also contains a sensing portion to obtain physiologic information about the patient? Findings of Fact FF7. Troosters teaches an implanted electrode in contact with neural tissue, that contains stimulation electrode contacts for applying electrical stimulation as well as one or more sensing electrode contacts at a distance from said simulation electrodes. Troosters, Abstract. Troosters Figure 2, reproduced below, shows the arrangement of the sensors and electrodes. 30'\ ;33~ l ' Fig.2 Figure 2 above, shows distances between sensing electrodes (33a, 33b, and 33c) and stimulating electrodes (32a and 32b ). Id. i-f 70. The 17 Appeal2017-004143 Application 14/595,771 sensing electrodes are located at a predetermined axial distance ~e from the stimulation electrode contacts. Id. "[T]he predetermined distance of ~e is 10 mm, so that the compound action potential reaches the sensing electrode [] after 1.2 ms," but also recognizes that different values ~e may also be chosen. Id. Analysis Examiner finds that "Ternes does not explicitly disclose wherein the electrodes are selectively activatable and wherein the sensing portion is separate from and independent of at least the selectively activatable electrodes." Ans. 9. Examiner relies on Troosters for teaching these limitations. See Ans. 9--10. We address Appellant's arguments below: Claim 26 Appellant contends that claim 26 recites a "cuff body, which supports the electrodes, [and] is part of the electrode system," and contains sensing elements separate from the stimulating electrode that are missing from the references. Reply Br. 10. Examiner responds that Ternes describes a system that contains both a sensor and electrode. Ans. 20 (citing Ternes 24 ). "[T]he cuff electrode 34a [of Ternes] receives the electrical energy delivered to the electrode 20e by the IMD 12 .... In addition, one or both of the cuff electrodes 34a and 34b may be employed to sense physiological characteristics of the tissue to which it is attached. Furthermore, the cuff electrodes 34a and 34b may provide combined sensing and stimulation capabilities." Ternes i-f 24. We agree with Examiner that the disclosure relied on in Ternes reasonably 18 Appeal2017-004143 Application 14/595,771 suggests that the "system" contains both sensing and stimulating electrodes, and that both are part of the cuff. See Ans. 20. Here, Examiner additionally relies on Troosters to show both sensor and electrode can be on the same cuff. See FF7. Figures 2 of Troosters embody "stimulation components 3 2a and 32b may be electrically and physically separate from sensing components 33a, 33b, and 33c." Ans. 22; FF7. For the reasons set out above and those provided by Examiner in the Final Office Action and Answer, we affirm the rejection of claim 26. Claims 27-29 were not separately argued and fall with claim 26. Claim 34 Appellant contends that "Ternes stands in conflict with the recitation and/or diverges from the recitation of 'a sensing portion to sense physiologic information regarding a patient, wherein the sensing portion is separate from, and independent of, at least the selectively activatable electrodes."' Appeal Br. 19 (emphasis removed). Appellant contends that claim 34 recites "sensor portion is separate from, and independent of, the electrode system, then the sensor portion is then by extension separate from, and independent of, the cuff body (which is part of the electrode system)." Reply Br. 10. Examiner finds that "[b ]oth Ternes and Guntinas-Lichius contain electrodes which may be configured to sense nerve properties and electrodes which may be configured to stimulate nerves." Ans. 20. We agree with Examiner that the references disclose using sensing electrodes that are separate from the stimulation electrodes. Here, Guntinas-Lichius discloses that the "the electrode may be an array electrode and/or a rod electrode. The system may further include one or more sensors in communication with the processor." Guntinas-Lichius i-f 12. "The movement of the various facial 19 Appeal2017-004143 Application 14/595,771 muscles may be measured by sensors 32 placed on the skin or implanted under the skin." Id. i-f4 7. Here, the sensor that is placed on the skin is at a different location from Guntinas-Lichius 's electrode that stimulates the nerve, because those electrodes are implanted. Because Guntinas-Lichius' s processor obtains information from both stimulating electrode and sensing electrode we agree with the Examiner's conclusion that combination of references teach a system where the electrodes and sensors are separate from each other. For the reasons set out above and those provided by Examiner in the Final Office Action and Answer, we affirm the rejection of claim 26. SUMMARY We affirm the rejection of claims 12-17, 20, 30 and 31 under 35 U.S.C. § 103(a) over Ternes and Guntinas-Lichius. We affirm the rejection of claims 21-25 under 35 U.S.C. § 103(a) over Ternes, Guntinas-Lichius, and Richmond. We affirm the rejection of claims 18, 19, and 32 under 35 U.S.C. § 103(a) over Ternes, Guntinas-Lichius, and Marva. We reverse the rejection of claim 33 under 35 U.S.C. § 103(a) over Ternes, Guntinas-Lichius, and Mrva. We affirm the rejection of claims 26-29 and 34 under 35 U.S.C. § 103(a) over Ternes, Guntinas-Lichius, and further Troosters. 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 20 Copy with citationCopy as parenthetical citation