Ex Parte ReuterDownload PDFPatent Trial and Appeal BoardDec 9, 201512094795 (P.T.A.B. Dec. 9, 2015) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE FIRST NAMED INVENTOR 12/094,795 05/23/2008 James M. Reuter 24737 7590 12/11/2015 PHILIPS INTELLECTUAL PROPERTY & STANDARDS P.O. BOX 3001 BRIARCLIFF MANOR, NY 10510 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. 2005P0261 OWOUS 5539 EXAMINER JIAN, SHIRLEY XUEYING ART UNIT PAPER NUMBER 3769 NOTIFICATION DATE DELIVERY MODE 12/11/2015 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): debbie.henn@philips.com marianne.fox@philips.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte JAMES M. REUTER Appeal2013-003988 Application 12/094,795 Technology Center 3700 Before LYNNE H. BROWNE, JAMES J. MAYBERRY, and JASON W. MELVIN, Administrative Patent Judges. BROWNE, Administrative Patent Judge. DECISION ON APPEAL STATEMENT OF THE CASE James M. Reuter (Appellant) appeals under 35 U.S.C. § 134 from the Examiner's decision rejecting claims 2, 3, 7-11, 13, 15-17, 19, 20, and 28- 34.1 We have jurisdiction under 35 U.S.C. § 6(b). We AFFIRM-IN-PART. CLAIMED SUBJECT MATTER The claims are directed to a method and apparatus for remote patient monitoring. Claim 7, reproduced below, is illustrative of the claimed subject matter: 1 Claims 1, 4--6, 12, 14, 18, and21-27 are canceled. Appeal2013-003988 Application 12/094,795 7. An apparatus comprising: a medical device which measures physiological data from a patient; a patient terminal which receives the physiological data from the medical device and transmits the physiological data; a clinician terminal which receives manual inputs and audio inputs; and a server which receives the physiological data from the patient terminal and inputs from the clinician terminal; the server including a processor and being configured to: convert the manual and the audio inputs into text and to transmit the text to the patient terminal for display, store the physiological data, analyze the physiological data by comparing the physiological data with (1) a first criteria indicating a medically threatening physiological condition and (2) a second criteria indicating that the physiological data is flawed, based on the analysis indicating the medically threatening physiological condition, transmit an alarm message to the patient terminal, and based on the analysis indicating that the physiological data is flawed, transmit a check monitor message to the patient terminal. REFERENCES The prior art relied upon by the Examiner in rejecting the claims on appeal is: Lavin West Schulze US 5,772,585 June 30, 1998 US 2002/0013518 Al Jan. 31, 2002 US 2002/0019584 Al Feb. 14, 2002 2 Appeal2013-003988 Application 12/094,795 REJECTIONS I. Claims 2, 3, 7, 8, and 28 stand rejected under 35 U.S.C. § 103(a) as being unpatentable over Schulze, West, and Lavin. II. Claims 9-11, 13, 15-17, 19, 20, 29-31, and 34 stand rejected under 35 U.S.C. § 103(a) as being unpatentable over Schulze and West. III. Claims 32 and 33 stand rejected under 35 U.S.C. § 103(a) as being unpatentable over Schulze, West, as applied to claims 9 and 16, and further in view of Lavin. OPINION Rejection I Claims 7 and 28 The Examiner finds that the combined teachings of Schulze, West and Lavin disclose or suggest all of the limitations of independent claim 7. In particular, the Examiner finds that Schulze discloses a Host that analyzes the physiological data by comparing the physiological data with (1) a first criteria indicating a medically threatening physiological condition ([O 114-115] alarm conditions triggered physiological measurement falling out of threshold bounds) and (2) a second criteria indicating that the physiological data is flawed ([O 11 OJ criteria to set off an alert, i.e. sensor error; when a sensor is off/broken/ disconnected, it inherently indicates that the physiological data subsequently collected is flawed). Final Act. 3--4 (emphasis added). In addition, the Examiner finds that West discloses a primary central station. See id. at 5. Based on these findings the Examiner determines that it would have been obvious "to modify Schulze such that the data analysis software program resides in the Host." Id. at 5---6 (citing KSR Int'! Co. v. Teleflex, Inc., 550 U.S. 398, 421 (2007)). 3 Appeal2013-003988 Application 12/094,795 Appellant notes that Schulze fails to disclose a server that performs the analysis. See Br. 9. Although Appellant's observation is correct, it is not indicative of error, as the rejection is based on the combined teachings of Schulze, West, and Lavin. Specifically, the rejection relies on West's disclosure of analysis at a primary central station. Nonobviousness cannot be established by attacking the references individually when the rejection is predicated upon a combination of prior art disclosures. See In re Merck & Co., 800 F.2d 1091, 1097 (Fed. Cir. 1986). Appellant then argues that "paragraph [0110] does not describe analyzing the physiological data with a criteri[ on] that indicates that the physiological data is flawed. Rather, paragraph [O 11 OJ only discloses analyzing for medically threatening conditions and for the lack of signal due to the sensor being OFF, broken, or disconnected." Br. 9. We understand the Examiner to find that in Schulze' s apparatus, the data continues to be collected from a sensor that is off, broken, or disconnected. See Final Act. 4. Appellant does not contest this finding. Rather, Appellant argues that in Schulze' s apparatus, the data collected is not used by the processor in the manner claimed. However, a claim containing a "recitation with respect to the manner in which a claimed apparatus is intended to be employed does not differentiate the claimed apparatus from a prior art apparatus" if the prior art apparatus teaches all the structural limitations of the claim. Ex parte Masham, 2 USPQ2d 1647 (BP AI 1987). Here, Schulze discloses a processor that collects flawed data as discussed, supra. The Examiner determines that Schulze' s processor is capable of analyzing the flawed data in the manner claimed. See Ans. 11. Appellant does not explain why Schulze' s processor could not be used to perform the claimed analysis. Thus, Appellant does not apprise us of error. 4 Appeal2013-003988 Application 12/094,795 Appellant further argues that Schulze's teachings "refer to recoverable alerts and system failures, particularly recoverable alerts," and as such, "[t]here is no motivation to add the cost, complexity, and potential for miscommunications by performing such a recoverable alert analysis at a remote location." Br. 9; see also Br. 10 (West makes no suggestion that one should move Schulze's functions of generating alerts indicative of a detached or disconnected sensor, that the PDM is out of range, that the battery is low, or that the memory of the PDM is full from the PDM to a server). Schulze's teachings are not so limited. As the Examiner correctly finds, Schulze describes "[i]nstigating a specific audible sound phrase or tone of the voice synthesizer can be done from a Host device. Such requests can be used to alert the patient under unusual conditions. Such requests also serve as diagnostic tools to ensure the PDM is working properly." Schulze i-f 100; see also Final Act. 3. In Schulze, the Host is remote from the PDM. Appellant does not explain why sending alerts from a server or other remote location would involve more cost, complexity, or potential for miscommunication than sending alerts from Schulze' s remote Host. Moreover, Appellant's arguments are not responsive to the rejection as articulated by the Examiner, because the rejection does not propose a modification that would result in "all of the other malfunctioning determinations [failing] when the PCM is out of range." Br. 10; see Final Act. 4---6. Thus, Appellant's argument is not convincing. In addition, Appellant argues that "Schulze teaches against analyzing the physiological data at the server" and directs our attention to Schulze's paragraphs 21 and 22. Id. These paragraphs state: 5 Appeal2013-003988 Application 12/094,795 It is still another objective of the present invention to provide automatic testing and troubleshooting functions for the physiological monitoring device. It is a further objective of the present invention to accomplish all the above objectives using a device that is worn by the patient in a relatively unobtrusive fashion. Schulze i-fi-1 21 and 22. Appellant's argument is unconvincing because "teaching away" requires that the reference "criticize, discredit, or otherwise discourage" the use of other alternatives. See In re Fulton, 391 F.3d 1195, 1201 (Fed. Cir. 2004 ). Here, the portions of Schulze cited by Appellant do not appear to criticize, discredit, or otherwise discourage analysis of physiological data at a server. We will not read into a reference a teaching away from a proposed combination when no such language exists. See Dystar Textilfarben GmbH & Co. Deutschland KG v. C.H. Patrick Co., 464 F.3d 1356, 1364 (Fed. Cir. 2006). For these reasons, we sustain the Examiner's decision rejecting claim 7. Appellant does not present separate arguments for the patentability of claim 28 which depends from claim 7. Accordingly, we likewise sustain the Examiner's decision rejecting claim 28. Claims 2 and 3 Claim 2 requires a "patient terminal comprises a stationary patient device and a remote patient device configured to communicate with the server via the stationary patient device." Br. 17. Appellant argues that "[p ]aragraph [0032] of Schulze, contrary to the Examiner's assertion, does not relate to the transmission of data. Rather, paragraph [0032] of Schulze indicates that the PDM can be connected to a personal computer for advanced servicing." Br. 11. 6 Appeal2013-003988 Application 12/094,795 Paragraph 32 states: The PDM also comprises circuitry for self-testing its various sub-systems and sensors and for communicating any trouble shooting information directly to the patient in the event that the sensor becomes dislodged, for example. Further, such trouble-shooting data can also be sent in a wireless mode to the central server such that trouble-shooting can take place remotely, or in the alternative, a new PDM unit can be sent to the patient. The patient may further connect the PDM to a personal computer (PC) for advanced servicing performed by a technician at a remote location. Schulze i-f 32. Clearly, paragraph 32 relates to the transmission of data in the context of trouble shooting the PDM. Accordingly, Appellant's argument is not convmcmg. We sustain the Examiner's decision rejecting claim 2. Appellant does not present separate arguments for the patentability of claim 3 which depends from claim 2. Accordingly, we likewise sustain the Examiner's ,..l • • • • 1 • 'J uec1s1on rejectmg c1aim .J. Claim 8 Claim 8 requires "physiological data further include[ing] a time and a date, and the physiological data received by the server is analyzed for signal quality." Br. 18. The Examiner finds that Schulze "teaches wherein the physiological data further includes a time and a date." Final Act. 7 (citing Schulze i-f 105). The Examiner further finds that "Schulze monitors 'signal quality' by analyzing physiological parameters and determining an alert status as a result of bad signal from malfunctioning sensors." Ans. 13 (citing Schulze i-fi-1 134 and 116). 7 Appeal2013-003988 Application 12/094,795 Schulze paragraph 105 states: The timekeeping mechanism for determining when a measurement recording is to take place is the Real-Time Clock (R TC) that provides time 48. Each stored record of measurements contains a time stamp and the current internal status of the PDM. Schulze i-f 105. Schulze paragraph 116 states: Alerts relate to sensor errors or device hardware warning/malfunction. Alerts are used to inform the patient that the system is not operating properly and that corrective action is required[.] If an alert is in force for a measured parameter, then any alarms associated with the parameter are not allowed to activate. There are two classes of alerts; (1) recoverable and (2) system failures[.] Schulze i-f 116. Schulze paragraph 134 states: The PDM further monitors its own internal status. The PDM records: (1) the status of measurement systems (active, disabled, etc.); (2) alarm status for each measurement system; (3) alert status; (4) current operation mode; (5) current profile in force; ( 6) communication signal status; and (7) recording memOf'J status. Status \~1ill be preseP1ed during po\~1er-do\~1n periods and restored on subsequent Power-On. This preservation requirement extends to abnormal power-down situations as well, such as an accidental power disconnection. Schulze i-f 134. One skilled in the art would understand a time stamp from a Real- Time Clock includes the date. Therefore, the Examiner correctly finds that Schulze discloses physiological data including a time and date. Final Act. 7. Neither paragraph 116 nor paragraph 134 describes analyzing the physiological data for signal quality; however, claim 8 is an apparatus claim. Therefore, the limitation "the physiological data received by the server is analyzed for signal quality" is merely a statement of how the physiological data, in particular the signal status portion of the physiological data, is 8 Appeal2013-003988 Application 12/094,795 intended to be used. As discussed supra, the manner in which the signal status data is intended to be used does not patentably distinguish the claim. For these reasons, we sustain the Examiner's decision rejecting claim 8. Rejection II Claims 9-11, 13, 15, and 29 The Examiner finds that the combined teachings of Schulze and West disclose or suggest all of the limitations of claim 9. Final Act. 7-11. Appellant's arguments with respect to claim 9 are essentially the same as the arguments presented regarding claim 7. Appellant again argues that Schulze's "paragraph [0110] refers to determinations made [at] the PDM, not the server." Br. 12. As discussed supra, Appellant's argument is not persuasive, because West, not Schulze, is relied upon to meet the limitations directed to a server. See Final Act. 10. Appellant's argument that "paragraph [0110] does not describe determmmg whether physiological state or other data is inaccurate" (Br. 12) does not take into consideration the Examiner's finding, discussed supra, that in Schulze data continues to be collected even if a sensor is turned off, broken, or has become disconnected. Thus, Appellant's argument is not convincing because it is not responsive to the rejection as articulated by the Examiner. Further, Appellant's statement that "Schulze determines proper functioning of the PDM at the PDM, not the server" (Br. 13) is factually incorrect as discussed, supra. For these reasons, we sustain the Examiner's decision rejecting claim 9. Appellant does not present separate arguments for the patentability of claims 10, 11, 13, 15 and 29 which depend from claim 9. Br. 13. Accordingly, we sustain the Examiner's decision rejecting these claims. 9 Appeal2013-003988 Application 12/094,795 Claims 16 and 19 Appellant essentially repeats the same arguments for claim 16 as previously presented for claims 7 and 9, and these arguments are not persuasive for the reasons discussed supra. We sustain the Examiner decision rejecting claim 16. Appellant does not present separate arguments for the patentability of claim 19 which depends from claim 16. We sustain the Examiner's decision rejecting claim 19. Claim 17 Claim 17 requires "a second interface which transmits the action message to a clinician terminal." Br. 21. Appellant argues that Schulze fails to disclose a second interface. Br. 14. In response to this argument, the Examiner determines that "the claim does not specify that the first and second interfaces are different. Therefore, the broadest reasonable interpretation provides that the first and second interfaces may be the same or different." Ans. 15. The Examiner's analysis is in error. By specifying first and second interfaces, the claim requires different interfaces. We do not sustain the Examiner's decision rejecting claim 17. Claim 20 Claim 20 requires "vital signs data includ[ing] an elapsed time to acquire measurement data from the medical device and a time of day and a date of a measurement from the medical device." Br. 22. Appellant argues that "Schulze wants to only measure the data periodically. The profiles determine what this interval is. Significant by its absence in these paragraphs is any suggestion that a periodicity to acquire the measurement data is incorporated into the vital signs data." Br. 14. 10 Appeal2013-003988 Application 12/094,795 In response to this argument, the Examiner explains that Schulze has "operation profiles which include schedules of START and STOP times for detecting each physiological parameter; this is sufficient to reject an elapsed time as claimed." Ans. 15 (citing Schulze i-f 124). Paragraph 124 states: Each profile contains a control block made up of multiple parameters. The following parameters and rules set comprise one embodiment of parameters, but is not meant to be a limitation. A Start and Stop Time is set in minutes. A Periodic Posting Period is set in minutes. The Periodic Posting Period is the periodic interval in which the PDM will attempt to post data to the Host Site. An Enable/Disable switch is set for each measurement system. Disable means that the particular measurement system will be put to sleep entirely while the profile is in force. A Measurement Interval Time (in seconds) is provided for each measurement system run by the PDM. This interval time determines the length of time between a measurement recording session. A Measurement Duration Time (in seconds) is set for each measurement system. For example, the ECG measurement may be data logged every 20 minutes for a measurement duration of 30 seconds. For this example, the measurement duration is set to 30 and the interval is set to 1200 seconds. Schulze i-f 124. Appellant is correct. Although, the profiles contain start and stop times, they are files in the PDM and do not pertain to the vital signs data. We do not sustain the Examiner's decision rejecting claim 20. Claim 30 Claim 30 requires "medical devices include[ing] a scale which weighs the patient and the central server generates a check scale message in response to patient weight changing by more than a threshold amount." Br. 22-23. 11 Appeal2013-003988 Application 12/094,795 Appellant argues that "[p ]aragraph [0040] indicates that weight could be monitored, but makes no suggestion of error messages based on weight." Id. at 15. Appellant further argues that "[p]aragraph [0174] indicates that the PDM can interface with external devices. Again, paragraph [0174] makes no suggestion of a check scale message, much less the generation of a check scale message in response to patient weight changing by more than a threshold amount." Id. Appellant is correct. We do not sustain the Examiner's decision rejecting claim 30. Claim 31 Claim 31 requires, inter alia, that the processor analyze "the vital signs data with an algorithm which determines whether each message is to be sent to the patient, the clinician, or both." Br. 23. Appellant argues that "the host 30 of Schulze does not perform an analysis on vital signs data to determine whether to send a message to the patient, the clinician, or both." Id. at 15. Appellant is correct. We do not sustain the Examiner's decision rejecting claim 31. Claim 34 Claim 34 requires analysis of the "signal quality of the vital signs data provided by the medical devices." Br. 23. Appellant raises essentially the same arguments for claim 34 as presented for claim 8. These arguments are not persuasive for the reasons discussed supra. We sustain the Examiner's decision rejecting claim 34. Rejection III Appellant does not present any separate arguments for the patentability of claims 32 and 33. Br. 13, 14. We sustain the Examiner's decision rejecting claims 32 and 33. 12 Appeal2013-003988 Application 12/094,795 DECISION The Examiner's rejections of claims 2, 3, 7-11, 13, 15, 16, 19, 28, 29, and 32-34 are AFFIRMED. The Examiner's rejections of claims 17, 20, 30, and 31 are REVERSED. No time period for taking any subsequent action in connection with this appeal may be extended under 37 C.F.R. § 1.136(a). See 37 C.F.R. § 1.136(a)(l )(iv). AFFIRMED-IN-PART mls 13 Copy with citationCopy as parenthetical citation