Ex Parte MalhiDownload PDFPatent Trial and Appeal BoardSep 28, 201713630475 (P.T.A.B. Sep. 28, 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. 13/630,475 09/28/2012 Arnaz S. Malhi H-KN-02424US/1216-009US01 9836 77218 7590 10/02/2017 MeHtrnnio Vasionlar - APV Division EXAMINER c/o IP Legal Department 3576 Unocal Place ULSH, GEORGE J Santa Rosa, CA 95403 ART UNIT PAPER NUMBER 3731 NOTIFICATION DATE DELIVERY MODE 10/02/2017 ELECTRONIC Please find below and/or attached an Office communication concerning this application or proceeding. The time period for reply, if any, is set in the attached communication. Notice of the Office communication was sent electronically on above-indicated "Notification Date" to the following e-mail address(es): rs. docketingap v @ medtronic .com medtronic_apv_docketing@cardinal-ip.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte ARNAZ S. MALHI Appeal 2016-008053 Application 13/630,4751 Technology Center 3700 Before RICHARD M. LEBOVITZ, ULRIKE W. JENKS, and DEVON ZASTROW NEWMAN, Administrative Patent Judges. NEWMAN, Administrative Patent Judge. DECISION ON APPEAL This appeal under 35 U.S.C. § 134 involves claims to an occlusion treatment device. The Examiner entered final rejections for obviousness. We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM. 1 Appellant identifies the Real Party in Interest as “Medtronic pic of Dublin, Ireland, which is the ultimate parent entity of the assignee of record, Covidien LP, a Delaware limited partnership, having a place of business in Mansfield, MA.” App. Br. 3. Appeal 2016-008053 Application 13/630,475 STATEMENT OF THE CASE Background Known thrombectomy catheters treat occlusions in the immediate vicinity of their cutting tips. However, the transverse (radial) position of the cutting tips of these known thrombectomy catheters is not amenable to alteration. For example, transverse (radial) movement of the cutting tip in situ can result in contact between the cutting tip and an inner wall of the body lumen. Spec. 13. “The present disclosure relates to treatment of an occluded body lumen, specifically adjustable treatment of a body lumen.” Spec. 11. The Claims Claims 1—4 and 22—28 are on appeal. App. Br. 3. Sole independent claim 1 is illustrative and reads as follows: 1. An occlusion treatment device comprising: an outer catheter positionable within a body lumen, the outer catheter including a proximal end portion and a distal end portion, the outer catheter defining a passageway extending longitudinally therethrough; a first expandable member and a second expandable member, each expandable member secured to an outer surface of the outer catheter; and an inner catheter having a body portion including a proximal end portion and a distal end portion, and the inner catheter including a cutting tip adjacent the distal end portion of the body portion, the inner catheter axially movable along the passageway between a retracted position, in which the inner catheter is stressed within the passageway in a substantially linear orientation, and an advanced position, in which at least a portion of the cutting tip is exposed from the outer catheter, and the inner catheter assumes a nonlinear orientation as the inner catheter is advanced out of the passageway of the outer catheter, wherein advancement and retraction of the inner 2 Appeal 2016-008053 Application 13/630,475 catheter relative to the outer catheter transversely moves the cutting tip of the inner catheter relative to the outer catheter. App. Br. 14 (Claims Appendix). The following rejections are before us to review: Claims 1—4, 22—24, and 26—28 are rejected under pre-AIA § 103(a) as unpatentable over Bonnette2 in view of Bertolero.3 Ans. 2. Claim 25 is rejected under pre-AIA § 103(a) as unpatentable over Bonnette, Bertolero, and in further view of Pageard.4 Id. I The Examiner has rejected claims 1—4, 22—24, and 26—28 as obvious based on Bonnette and Bertolero. In making the rejection, the Examiner finds that Bonnette discloses an occlusion treatment device comprising all of the elements of claim 1, except that it does not disclose “a first expandable member and a second expandable member, each expandable member secured to an outer surface of the outer catheter” as recited in the claim. Ans. 3. The Examiner finds that Bertolero discloses a medical device having a first and second expandable member each “secured to an outer surface of the outer catheter.” Ans. 3^4. The Examiner concludes that it would have been obvious “to have modified Bonnette to incorporate the expandable members taught by Bertolero ... to provide advantages in steering the catheter as well as positioning the cutting element.” Ans. 4. 2 U.S. 2008/0319386 Al, published December 25, 2008 (“Bonnette”). 3 U.S. 2005/0159645 Al, published July 21, 2005 (“Bertolero”). 4 U.S. 2011/0184400 Al, published July 28, 2011 (“Pageard”). 3 Appeal 2016-008053 Application 13/630,475 The issue with respect to this rejection is whether a preponderance of the evidence supports the Examiner’s rejection of the claimed subject matter over Bonnette and Bertolero. We select claim 1 as representative of the claims subject to this ground of rejection. 37 C.F.R. § 41.37(c)(l)(iv). Findings of Fact (FF) FF1. Bonnette discloses: a forwardly directable fluid jet crossing catheter used for the purpose of crossing a Chronic Total Occlusion (CTO), whereby a moderate speed and safe velocity fluid jet is used to wear away arterial lesions forming a CTO and advancing therethrough. . . . This invention is intended to help a guidewire penetrate the chronic total occlusion by directing a moderate speed fluid jet at the occlusion. Bonnette 13. FF2. Bonnette’s Figures 9a, 9b, and 9c are reproduced below: NON exreasiON posmoN ,.-SS f~ 34 r ^ .............. m AfJSiE FIG. 9a EisfT&NStOM POSITION FIG. 9b 34-r‘ 40 —’ / f aSEDSUM ANGLE Z'l LAftGE EXTSNSK3N POSiTiGN too- jf 34"“ FIG, 9c ........f i LARGE ANGLE 46 • 102 — >/ 4 Appeal 2016-008053 Application 13/630,475 Figures “9a, 9b and 9c illustrate the longitudinal positional and slideable relationships of the tip, the bend and a distal portion of the nitinol tube of the jet body to the distal end of the sheath.” Bonnette 132. FF3 The Examiner finds Bonnette’s Figures 9a—c show an occlusion treatment device comprising “an outer catheter (22) positionable within a body lumen, the outer catheter (22) including a proximal end portion and a distal end portion, the outer catheter (22) defining a passageway (100) extending longitudinally there through; and an inner catheter (26) having a body portion including a proximal end portion and a distal end portion, and the inner catheter (26) including a cutting tip (34) adjacent the distal end portion of the body portion, the inner catheter (26) axially movable along the passageway between a retracted position, in which the inner catheter (26) is stressed within the passageway in a substantially linear orientation, and an advanced position, in which at least a portion of the cutting tip (34) is exposed from the outer catheter (22), and the inner catheter (26) assumes a nonlinear orientation as the inner catheter (26) is advanced out of the passageway of the outer catheter (26), wherein advancement and retraction of the inner catheter (22) relative to the outer catheter (26) transversely moves the cutting tip (34) of the inner catheter (22) relative to the outer catheter (26).” Ans. 3—4, citing Bonnette Figures 9a-c and H 3, 7—22, 38, and 45 49. FF4. Bonnette discloses: The distal portion of the nitinol tube 26 includes a tip 34 which is annealed and atraumatic being distal to a super-elastic shaped bend 36. The tip 34 is soft, flexible and shapeable. The portion of the nitinol tube 26 proximal to the bend 6 is super-elastic, as is the bend 36, and each are soft and bendable and predisposed to return to an original memory shape. Bonnette 138. FF5. Bonnette discloses Figure 11, reproduced below: 5 Appeal 2016-008053 Application 13/630,475 FIG. 11 Figure 11 “shows the distal end of the sheath and the tip of the forwardly directable fluid jet crossing catheter aligned in a vessel having a chronic total occlusion.” Id. 134. FF6. Bertolero discloses “disposable jackets or sheaths for use with many kinds of surgical devices, but is particularly beneficial for use on catheters, endoscopes, and the like ... to add functionality to the devices on which they are used.” Id. 1 5. FF7. Bertolero discloses Figure 3A, reproduced below: 40' Figure 3A “shows an embodiment with separately inflatable balloon chambers [40 and 40’].” Id. 116. FF8. Bertolero discloses: The balloons of the invention may have more than one compartment, which may be inflated individually, or all compartments may be inflated at once. For example, FIG. 3 A shows an embodiment of the sheath 38 with separately inflatable balloon chambers 40, 40’. Differential inflation of the 6 Appeal 2016-008053 Application 13/630,475 balloons 40, 40’ may provide advantages including but not limited to assisting in steering the catheter 100. Id. 127. Principles of Law “The combination of familiar elements according to known methods is likely to be obvious when it does no more than yield predictable results.” KSR Inti Co. v. Teleflex Inc., 550 U.S. 398, 416 (2007). “If a person of ordinary skill can implement a predictable variation, § 103 likely bars its patentability.” Id. at 417. The KSR Court noted that a combination of old elements has been held to be obvious when “[t]he two [elements] in combination did no more than they would in separate, sequential operation.” Id. (citing Anderson’s-BlackRock, Inc. v. Pavement Salvage Co., 396 U.S. 57 (1969)). Analysis We adopt the Examiner’s findings regarding the scope and content of the prior art (Ans. 3^4; FF 1—8) and agree that the claimed device would have been obvious over the teachings of Bonnette and Bertolero. Only those arguments made by Appellant in the Briefs have been considered in this Decision. Arguments not presented in the Briefs are waived. See 37 C.F.R. § 41.37(c)(l)(iv) (2015). We address Appellant’s arguments below. Appellant argues Bonnette teaches away from any modification that would include a first and second expandable member with each expandable member secured to an outer surface of the outer catheter because the modification proposed by the Examiner “would have frustrated the purpose of the Bonnette disclosure.” App. Br. 6. According to Appellant, Bonnette emphasizes that the catheter tip should have a “small crossing profile” to increase the chance “to successfully navigating across the lesion.” Id. 7 Appeal 2016-008053 Application 13/630,475 Appellant further argues that the skilled artisan would not have modified the catheter of Bonnette to add an expandable member as taught by Bertolero “because such a modification would have increased the crossing profile of the Bonnette device” and frustrated the intended use of a small profiled catheter. Id. at 6—7. Appellant argues that “other structures would also have been required to allow the expandable member to expand, which would have further increased the crossing profile of the modified Bonnette device” such as the inflation lumen taught in Bolero, along with the balloons themselves. Id. Appellant further argues that the Examiner has not provided any disclosure indicating “that steering the catheter or positioning the fluid jet was an issue that needed to be improved.” Id. at 9. Appellant argues the proposed combination therefore lacks a rational underpinning. Id. In response, the Examiner cites paragraphs 38 and Figures 1 and 2 as evidence that the entire device of Bonnette could not be used to navigate the lesion because part of the unit is the “manually grasped handle.” Ans. 6. Furthermore, the Examiner argues that Bonnette discloses “‘a wide expanse of directed fluid jet stream (102) for crossing a chronic total occlusion, and where the fluid jet stream (102) is distally directed toward the chronic total occlusion (CTO 108) in order to provide a path through the chronic total occlusion (CTO 108) thereby perfecting a crossing therethrough.’” Id. at 7— 8 (emphasis removed). The Examiner finds, therefore, that “the fluid jet is the only thing that crosses the occlusion.” Id. at 8. The Examiner provides annotated Figures 11 and 9a—c (see Ans. 8) showing that the addition of the expandable members of Bertolero would not interfere with the action of the fluid jet. Id. 8 Appeal 2016-008053 Application 13/630,475 The Examiner further responds that because “Bonnette’s device comprises mostly a catheter with no imaging or marker component, and steering is done bluntly via threading the device through the vasculature[, the] addition of the expandable members provides a much needed boost in steering capability and positioning.” Id. at 8—9. For instance, the Examiner posits, “if the target vasculature occurs just past a vessel branch or arch the two expandable members would prevent the distal end of the catheter from penetrating/bumping into the interior of the vessel while traversing the branch or arch.” Id. at 9. In reply, Appellant argues that the Examiner mischaracterizes the argument and that “when Bonnette describes that ‘the device of this invention is used to cross chronic total occlusions,’ Bonnette is describing the portions of the fluid jet crossing catheter that are actually inserted within the patient, such as the sheath 22 and the nitinol tube 26.” Reply Br. 4. Appellant further argues that the skilled artisan would understand Bonnette’s disclosure to refer to “portions of the device, such as the sheath 22, when describing the need for a smaller crossing profile” and that the Examiner’s contention that the fluid jet of Bonnette is the only thing crossing the occlusion is erroneous. Id. at 4—5. Appellant further argues the Examiner has not provided evidence that the steering system of Bonnette’s device was “blunt” or needed improvement. Id. at 5. Appellant further argues that because “the Examiner has not shown that the two expandable members would be deployed while traversing any portion of the vasculature, the skilled artisan would not have understood this to be a reason for modifying Bonnette with the balloons of Bertolero.” Id. Appellant further argues that the Examiner’s proposed 9 Appeal 2016-008053 Application 13/630,475 combination “do not address the alleged problems with the Bonnette device,” which are that the device “comprises mostly a catheter with no imaging or marker component.” Id. at 5—6. For this reason, Appellant argues, the proposed combination lacks a reason to modify the Bonnette device as proposed. Id. at 6. We are not persuaded that the Examiner erred in finding that Bonnette and Bertolero render the claimed device obvious. Bonnette discloses a forwardly directable fluid jet crossing catheter for use in crossing occlusions and advancing through them. FF1. The device contains the recited elements of claim 1, which Appellant does not contest. Control of the catheter is provided by easing the tension or stress placed on the catheter through the bend 36 as the catheter exits the distal end of the sheath. FF2. The nitinol tube 26 provides strength but also elasticity due to its ability to “return to an original memory shape.” FF3. The catheter is navigable in a complete arc (see Bonnette Figure 10) and the forward end of the tip issues a fluid jet directed at the occlusion (102). FF4, FF5. We agree with Appellant that the sheath portion of the Bonnette device would traverse the occlusion in addition to the tip, as supported by Figure 11. However, as shown in the Examiner’s annotated version of Figure 11 (Ans. 8), reproduced below, the addition of the balloon sheaths taught by Bertolero would not alter the size of the portion of the catheter that would traverse the occlusion: 10 Appeal 2016-008053 Application 13/630,475 u j ^ A ' 1 ' N N .-..... 'AN Va*l s* "V* ■‘•'V4 ■"* «• ** s N N * veW- ■'•>’ wv \ N V‘s‘ A*V * .vvy^^*»W:;. Annotated Figure 11 “shows the distal end of the sheath and the tip of the forwardly directable fluid jet crossing catheter aligned in a vessel having a chronic total occlusion.” Id. 134 (as modified by Examiner at Ans. 8). Appellant has not sufficiently explained why the balloons of Bertolero or the inclusion of an inflation lumen would negatively impact the ability of the directable tip and catheter to cross an occlusion because the balloons can be placed distal to the advancing tip (shown in the annotated figure as the structures between numerals 26 and 100). In other words, the crossing profile is not increased by the addition of the balloon members. Without evidence, Appellant’s argument to the contrary is unpersuasive. In re Geisler, 116 F.3d 1465, 1469 (Fed. Cir. 1997) (citing In re Antonie, 559 F.2d 618, 620 (CCPA 1977)). “Furthermore, it is well settled that unexpected results must be established by factual evidence. ‘Mere argument or conclusory statements in the specification does not suffice.’” Id. (citing In re De Blauwe, 736 F.2d 699, 705 (Fed.Cir.1994)). Moreover, we do not agree that Bonnette teaches away from the proposed modification. “Under the proper legal standard, a reference will teach away when it suggests that the developments flowing from its disclosures are unlikely to produce the objective of the applicant’s invention. A statement that a particular combination is not a preferred embodiment does not teach away absent clear discouragement of that combination.” 11 Appeal 2016-008053 Application 13/630,475 Syntex (U.S.A.) LLCv. Apotex, Inc., 407 F.3d 1371, 1380 (Fed. Cir. 2005) (citations omitted). Appellant has not directed us to any teaching in Bonnette that would discourage the modification as suggested by the Examiner. We are persuaded that the proposed modification provides the advantages of assisting in steering the catheter, including by inflating the balloons at separate times to traverse a bend, as proposed by the Examiner. FF6—8. We are not persuaded that the Examiner has failed to show that the expandable members would be deployed while traversing the occlusion as the Examiner has cited to portions in Bertolero that suggest general use with a catheter, without restriction. See Bertolero 127 (“Differential inflation of the balloons 40, 40’ may provide advantages including but not limited to assisting in steering the catheter 100.”) Nor do we agree that the Examiner’s characterization of the Bonnette device as “mostly a catheter with no imaging or marker component” need guide or constrain the proposed modifications; the Examiner has proposed a reason for modifying Bonnette to include the balloon sheaths of Bertolero regardless of other characteristics the device may have. We are not persuaded that the Examiner was required to produce evidence that the steering system of Bonnette was blunt in order to justify the proposed combination as “interrelated teachings of multiple patents; the effects of demands known to the design community or present in the marketplace; and the background knowledge possessed by a person having ordinary skill in the art, all [can provide] an apparent reason to combine the known elements in the fashion claimed.” KSR 550 U.S. at 418. In addition, where “two [elements] in combination did no more than they would in 12 Appeal 2016-008053 Application 13/630,475 separate, sequential operation,” the combination of elements is obvious. Id. at 417. Here, Bonnette shows a catheter with the ability to traverse occlusions and Bertolero shows a sheath that can be added to the catheter to enhance the user’s ability to control the catheter. “If a person of ordinary skill can implement a predictable variation [of a known work], § 103 likely bars its patentability.” Id. at 417. Appellant has not persuasively shown why the skilled artisan could not have combined these two elements, and we are not persuaded by Appellant’s proposed reasons not to do so. Accordingly, we affirm the rejection of claim 1. Conclusion of Law The rejection of claim 1 is affirmed. Claims 2-4, 22—24, and 26—28 have not been argued separately and therefore fall with claim 1. 37 C.F.R. § 41.37(c)(l)(iv). II Issue The Examiner has rejected claim 25 as obvious over Bonnette, Bertolero, and in further view of Pageard. The Examiner finds that Bonnette and Bertolero do not disclose the elements of claim 25 “wherein the first expandable member and the second expandable member are formed from different materials, the material of the first expandable member having a coefficient of elasticity differing from a coefficient of elasticity of the material of the second expandable member.” Ans. 5. The Examiner finds that Pageard discloses “a similar device wherein the first expandable member (150) and the second expandable member (152) are formed from different materials, the material of the first expandable member (150) having 13 Appeal 2016-008053 Application 13/630,475 a coefficient of elasticity differing from a coefficient of elasticity of the material of the second expandable member (152). Id. The Examiner concludes that it would have been obvious to have incorporated the teachings of Pageard into the modified Bonnette/Bertolero combination because the “sufficiently-compliant interface with the contacting tissue [would allow] the second balloon to conform to the uneven surface topography of the occluded vessel, resulting in an enhanced, more effective [treatment of an] occlusion.” Ans. 6. The issue with respect to this rejection is whether a preponderance of the evidence supports the Examiner’s rejection of the claimed subject matter over Bonnette, Bertolero and Pageard. Findings of Fact (FF) FF9. Pageard discloses: A cryogenic device is also provided, including a first substantially non-compliant balloon; a second substantially compliant balloon positioned distal to the first balloon; and a third substantially compliant balloon surrounding the first and second balloons. The first balloon may be constructed from PET, nylon or similar polymeric materials or composites, and the second balloon may be constructed from polyurethane, latex, or similar polymeric materials or composites. The first balloon may have an elastic modulus between approximately 2700 MPa and approximately 4250 MPa, while the second balloon may have an elastic modulus between approximately 50 MPa and approximately 600 MPa. The first and second balloons may be expandable independently of one another, and may not be in fluid communication with each other. The device may also include a cryogenic fluid supply in fluid communication with the first balloon, and a non-cryogenic fluid in fluid communication with the second balloon. Further, an interstitial region may be defined between the third balloon and at least one of the first and second balloons; and a vacuum 14 Appeal 2016-008053 Application 13/630,475 source can be placed in fluid communication with the interstitial region. Pageard 115. FF10. Pageard discloses: FIG. 17a provides an additional illustration of a triple-balloon configuration of the catheter 34 for the medical system. In particular, a first balloon 150 may be disposed on the elongate body of the catheter 34. The first balloon 150 may be substantially non-compliant when in an inflated state. For example, the first balloon 150 may be constructed from polyethylene terephthalate (“PET”), nylon or similar polymeric materials or composites. Located distally of the first balloon 150 on the catheter 34 may be a substantially compliant, second balloon 152. The second balloon 152 may be constructed from polyurethane, latex, or similar polymeric materials or composites. The substantially increased elasticity or compliance of the second balloon 152 as compared to the first balloon 150 may result in the second balloon 152 being more readily deformable than the first balloon 150 when inflated and/or in contact with a targeted tissue area. To facilitate the desired conformity or lack thereof, the first balloon may have an elastic modulus approximately five to fifty times that of the second balloon. For example, the first balloon may define an elastic modulus between approximately 2700 MPa and approximately 4250 MPa, while the second balloon may have an elastic modulus between approximately 50 MPa and approximately 600 MPa. Id. 1 56. FF11. Pageard recites claims 1—4 and 5 as follows: 1. A cryogenic device, comprising: a first substantially non-compliant balloon; a second substantially compliant balloon positioned distal to the first balloon; and a third substantially compliant balloon surrounding the first and second balloons. 15 Appeal 2016-008053 Application 13/630,475 2. The cryogenic device of claim 1, wherein the first balloon is constructed from at least one of polyethylene terephthalate or nylon. 3. The cryogenic device of claim 2, wherein the second balloon is constructed from at least one of polyurethane and latex. 4. The cryogenic device of claim 1, wherein the first and second balloons are expandable independently of one another. 9. A medical system, comprising: a flexible catheter body; a first balloon disposed on the catheter body; a second balloon disposed distally of the first balloon, wherein the second balloon is more readily deformable than the first balloon; and a third balloon substantially enclosing the first and second balloons to [] define an interstitial region therebetween. Analysis We adopt the Examiner’s findings regarding the scope and content of the prior art (Ans. 5—6; FF9—11) and agree that the claimed device would have been obvious over the teachings of Bonnette, Bertolero, and Pageard. We address Appellant’s arguments below. Appellant incorporates arguments raised with respect to the rejection based on Bonnette and Bertolero in the response to this rejection. App. Br. 10. As discussed above, those arguments are unpersuasive. Appellant argues that the Examiner has not shown that the skilled artisan “would have had any reason to modify the device of Bonnette, alone or in combination with Bertolero, with the disclosure of Pageard.” Id. Appellant argues that inclusion of the ablative balloon as disclosed by Pageard would frustrate the purpose of Bonnette and would have been avoided. Id. 16 Appeal 2016-008053 Application 13/630,475 Appellant further argues that the Examiner’s proposed modification does not explain the specificity required of the claim with respect to use of different materials with different coefficients of elasticity. Id. According to Appellant, the Examiner has not explained why “allowing the second balloon to conform to the uneven surface topography of the occluded vessel, resulting in an enhanced, more effective [treatment of]5 occlusion” would improve the treatment, and is speculative or hindsight reasoning. Id. at 12. The Examiner responds that Pageard is relied upon not for its structure or ablation features, but for “using [the] expandable members[’] chemical composition and inherent physical properties.” Ans. 9. The Examiner further explains the basis for the reason for modification as: [t]he human vasculature is not a perfect cylinder, smaller deposit of debris (clots, cholesterol, previously embedded medical devices, and etc.) and anatomical features (one way venous valves, tissue abnormalities, etc.) having an expandable member that is sufficiently compliant to occlude the vessel without damaging or dislodging debris or anatomical features is obvious to one of ordinary skill in the art. Id. In reply, Appellant argues that regardless of what portion of Pageard the Examiner relied upon, Pageard must be considered as a whole, including for any portions leading away from the claimed invention. Reply Br. 7. Appellant reiterates that Pageard teaches ablation and that Pageard’s reason for using expandable members having materials of differing coefficients of elasticity, if disclosed, is done so because “Pageard’s balloon 150 exchanges 5 Given the Examiner’s rejection as a whole, we find that “treatment of’ or a similar phrase was inadvertently omitted by the Examiner, and we read the rejection with this understanding. 17 Appeal 2016-008053 Application 13/630,475 thermal energy and the other balloon 152 occludes the targeted vessel.” Id. at 7—8. According to Appellant, the skilled artisan would only use this teaching of Pageard “to modify Bonnette’s device to cryogenically ablate areas of tissue,” which, because it would have been avoided in this scenario, means the Examiner was using hindsight reasoning in constructing the rejection. Id. at 8. We are not persuaded that the Examiner erred in finding that Bonnette, Bertolero, and Pageard render claim 25 obvious. Pageard teaches a system for ablating tissue that uses deformable balloons and/or flexible elements that can be controlled to regulate pressure within the balloons or elements. Pageard Abstract. Pageard teaches that the balloons have different “compliance,” in that one is more flexible than the other due to its construction from a more rigid materials. FF9, FF10. Pageard teaches that “[t]he substantially increased elasticity or compliance of the second balloon 152 as compared to the first balloon 150 may result in the second balloon 152 being more readily deformable than the first balloon 150 when inflated and/or in contact with a targeted tissue area.” FF10. Pageard claim 9 recites use of the system with a flexible catheter: 9. A medical system, comprising: a flexible catheter body; a first balloon disposed on the catheter body; a second balloon disposed distally of the first balloon, wherein the second balloon is more readily deformable than the first balloon; and a third balloon substantially enclosing the first and second balloons to [] define an interstitial region therebetween. 18 Appeal 2016-008053 Application 13/630,475 FF11. We are persuaded by the Examiner’s reasoning (Ans. 9) that in performing an occlusion treatment, the skilled artisan may need to adapt to the varying anatomy of the human body, and that using balloons with varying compliance would permit better contact with the targeted tissue area. FF9. “A person of ordinary skill is also a person of ordinary creativity, not an automaton.” KSR, 550 U.S. at 421. Thus, one of ordinary skill in the art, as found by the Examiner, would have recognized that the properties of the materials would be useful in the context of assisting in steering the catheter of Bonnete. Because Pageard both discloses and claims use of such balloons in general medical systems employing a flexible catheter, we are not persuaded by Appellant’s argument (App. Br. 10-11) that they are useful only for arterial ablation procedures. The rejection is affirmed. SUMMARY We affirm the rejection of claims 1—4, 22—24, and 26—28 under pre- AIA § 103(a) as obvious over Bonnette and Bertolero. We affirm the rejection of claim 25 under pre-AIA § 103(a) as obvious over Bonnette, Bertolero, and Pageard. 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 19 Copy with citationCopy as parenthetical citation