Ex Parte Vogel et alDownload PDFPatent Trial and Appeal BoardSep 28, 201812122590 (P.T.A.B. Sep. 28, 2018) Copy Citation UNITED STA TES p A TENT AND TRADEMARK OFFICE APPLICATION NO. FILING DATE 12/122,590 05/16/2008 69821 7590 10/02/2018 MERIT MEDICAL SYSTEMS, INC. C/0 STOEL RIVES, LLP ONE UTAH CENTER 201 SOUTH MAIN STREET -- SUITE 1100 SALT LAKE CITY, UT 84111 FIRST NAMED INVENTOR Jean-Marie Vogel 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. 37621/60603 9157 EXAMINER KISHORE, GOLLAMUDI S ART UNIT PAPER NUMBER 1612 NOTIFICATION DATE DELIVERY MODE 10/02/2018 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): msbethards@STOEL. COM patlaw@stoel.com PTOL-90A (Rev. 04/07) UNITED STATES PATENT AND TRADEMARK OFFICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Ex parte JEAN-MARIE VOGEL and EGISTO BOSCHETTI 1 Appeal2016-006789 Application 12/122,590 Technology Center 1600 Before TONI R. SCHEINER, FRANCISCO C. PRATS, and SUSAN L.C. MITCHELL, Administrative Patent Judges. SCHEINER, Administrative Patent Judge. DECISION ON APPEAL This is an appeal under 35 U.S.C. § 134(a) from the Non-Final Rejection of claims directed to a method of treating prostatic hyperplasia. The claims have been rejected as obvious. We have jurisdiction under 35 U.S.C. § 6(b ). We reverse. 1 Appellants identify the Real Party in Interest as BioSphere Medical, Inc. Appeal Br. 4. Appeal 2016-006789 Application 12/122,590 BACKGROUND Therapeutic embolization involves partial or total occlusion of arteries or veins in order "to correct a dysfunction ... or to stop the blood flow." Spec. ,r 78. In particular, embolization methods and compositions "are provided for inhibiting angiogenesis in patients with non-tumorigenic, angiogenesis-dependent diseases" (id. ,r 41 ), or "non-tumorigenic, non- angiogenesis-dependent diseases" (id. ,r 42). The Specification describes, in relevant part, "compositions comprising bioactive therapeutic factors in association with microspheres as carriers (which have been coated with or otherwise contain such factors), as well as methods for using such compositions for active embolization therapy." Id. ,r 2. Therapeutic embolization may also be "a 'passive' operation in the sense that no active molecules are carried and/or delivered where the embolic material is deposited." Id. ,r 78. STATEMENT OF THE CASE Claims 1, 2, 8-10, 18, 19, 23, 25-34, and 40-43 are on appeal; claims 3-7, 11-17, 20-22, 24, and 35-39 have been canceled. Independent claims 1, 29, and 40 are representative and read as follows: 1. A method of reducing the blood supply to a prostate of a patient to treat a hyperplasia, comprising administering to the prostate of the patient biocompatible, hydrophilic and substantially spherical microspheres compnsmg (i) an acrylamide, acrylate, or acrylic polymer or copolymer, and (2) a drug, wherein the drug is associated with the polymer by an ionic interaction, and wherein the diameter of the microspheres ranges from 10 µm to 2000 µm. 2 Appeal 2016-006789 Application 12/122,590 29. A method of treating a benign hyperplasia in the prostate of a patient by embolization, said method comprising administering to the prostate of the patient, biocompatible, hydrophilic and substantially spherical microspheres comprising an acrylamide polymer, wherein the diameter of the microspheres ranges from 10 µm to 2000 µm. 40. A method of treating a benign hyperplasia in the prostate of a patient by embolization, said method comprising administering to the prostate of the patient, biocompatible and substantially spherical polymer microspheres, wherein the diameter of the micro spheres ranges from 10 µm to 2000 µm. In rejecting the claims, the Examiner relies on the following evidence: Okada et al. Boschetti et al. ("Boschetti '215") Boschetti et al. ("Boschetti '100") us 5,202,352 us 6,635,215 us 5,648,100 Amsden et al. US 6,224,794 Bl Garibaldi et al. US 6,364,823 Bl Hunter et al. US 2003/0203976 Al Amberg et al. US 2013/0261431 Al Hori JP 60 56676 A (English language translation ("Hori-II")) Apr. 13, 1993 June 3, 1997 July 15, 1997 May 1, 2001 Apr. 2, 2002 Oct. 30, 2003 Oct. 3, 2013 Mar. 1, 1994 Shuji Kitamura et al., Polymer with a High Water Absorption Property- Sumika Gel, SUMITOMO CHEMICAL 1-9 (1980) ("Kitamura"). Yao Jiaqi et al., A New Embolic Material: Super Absorbent Polymer (SAP) Microsphere and Its Embolic Effects, 56 NIPPON ACTA RADIOLOGICA 19-24 (1996) ("Jiaqi"). Shinichi Hori et al., Study on the Effect of Arterial Embolism with Super- Absorbent polymer, 11 JAPANESE J. INTERVENTIONAL RADIOLOGY 375-381 (1996) ( citations are to English language translation, pages 1-11) ("Hori-I"). 3 Appeal 2016-006789 Application 12/122,590 Appellants rely on the following additional evidence: Francisco Cesar Carnevale et al., Prostatic Artery Embolization as a Primary Treatment for Benign Prostatic Hyperplasia: Preliminary Results in Two Patients, 33 CARDIOVASC INTERVENT RADIOL 355-361 (2010) ("Carnevale") Declaration of Dr. Melodie Domurad, submitted under 37 C.F.R. § 1.132, dated November 30, 2012 ("Domurad Declaration" or "Domurad Deel.") Declaration of Dr. Shivank Bhatia, submitted under 3 7 C.F .R. § 1.132, dated March 30, 2015 ("Bhatia Declaration" or "Bhatia Deel.") The claims stand rejected under 35 U.S.C. § 103(a) as follows: Claim(s) Reference( s) I 1, 2, 8-10, 18, 19, Hunter 23,25,40,41,43 II 29,30,40,41,43 Boschetti ' 100 III 29-32 Hunter and Boschetti '215 IV 1, 8-10, 18, 19, 23, Hunter and Kitamura, Jiaqi, or Hori-I 25,40-43 V 25-28,31-34 Hunter alone, or further in view of Kitamura, Jiaqi, or Hori-I, and further in view of Garibaldi VI 25-28,31-34 Boschetti '100, Hunter, and Garibaldi VII 1, 2, 8-10, 18, 19, Okada and Kitamura, optionally in view of 23,25-34,40-43 Hunter and/ or Boschetti ' 100 VIII 1, 2, 8-10, 18, 19, Okada and Jiaqi or Hori-I 23,25-28,34,40-43 IX 1, 2, 8-10, 18, 19, Hori-II and Okada 40-43 X 10 Okada and Kitamura; or Okada and Jiaqi or Hori-I; or Boschetti '100 alone, or in combination with Hunter, and further in view of Amsden 4 Appeal 2016-006789 Application 12/122,590 THE PRIOR ART Hunter Hunter discloses "methods for treating cancer and other angiogenic- dependent diseases, and more specifically, to compositions comprising anti- angiogenic factors and polymeric carriers, stents which have been coated with such compositions, as well as methods for utilizing these stents and compositions." Hunter ,r 2. In other words, Hunter discloses microspheres coated with anti-angiogenic agents, and also discloses stents coated with anti-angiogenic agents. Hunter teaches that "there are a number of clinical situations (e.g., bleeding, tumor development) where it is desirable to reduce or abolish the blood supply to an organ or region" (id. ,r 167), and also teaches that "benign and malignant tumors may be embolized utilizing [these] compositions" (id. ,r 176). Hunter teaches that "this may be accomplished by injecting anti-angiogenic compositions ... into a desired blood vessel," thereby "occluding the blood vessel." Id. ,r 167. Hunter explains that "the reduced or abolished blood flow to the selected area results in infarction ( cell death due to an inadequate supply of oxygen and nutrients) or reduced blood loss from a damaged vessel." Id. "In addition to this effect, the presence of an anti-angiogenic factor(s) prevents the formation of new blood vessels to supply the tumor or vascular mass, enhancing the devitalizing effect of cutting off the blood supply." Id. ,r 173. Hunter does not discuss embolization of benign prostatic hyperplasia, or indicate that BPH is included in the conditions treatable by embolization. Hunter does, however, teach that "[ e ]xtrinsic narrowing of the urethra as it passes through the prostate, due to hypertrophy of the prostate," i.e., BPH, 5 Appeal 2016-006789 Application 12/122,590 may be treated by "inserting a urethral stent into a urethra, the stent having a generally tubular structure ... coated with an anti-angiogenic composition, such that the urethral obstruction is eliminated." Id. ,r 196. Boschetti 'JOO and Boschetti '215 Boschetti '100 discloses "calibrated and adhesive particles, especially suited to embolization" of "tumors, vascular malformations, hemorrhagic processes, etc." Boschetti '100, 1: 8-9, 15-16. The embolic particles comprise nonresorbable and nonbiodegradable microspheres composed of a hydrophilic acrylic copolymer, with diameters ranging between about 10 to about 2,000 µm, and coated with a cell adhesion promoter. Id. at 1 :49-63. The disclosure ofBoschetti '215, in relevant part, is the same as that of Boschetti '100. Okada Okada "relates to a therapeutic agent for the treatment of cancer which forms emboli in the vascular system surrounding the cancer lesion or tumor. The agent comprises an intravascular embolizing substance and an angiogenesis-inhibiting substance. Okada, 1 :8-12. The embolizing substance may comprise microspheres made from copolymers of acrylic acid and vinyl alcohol. Id. at 7:62---68, 9: 1. Okada teaches that "the intravascular embolizing agent ... is effective for the chemotherapy by intraarterial injection ... to tumors including hepatic tumor, renal tumor, pyelo tumor, pancreatic tumor, urinary bladder tumor, prostatic tumor, breast cancer, stomach cancer, large intestinal tumor, colonic tumor, etc." Id. at 11 :62---68. 6 Appeal 2016-006789 Application 12/122,590 Kitamura Kitamura discloses "a polymer (Sumika Gel®) with a high water absorption property mainly composed of a vinyl alcohol-acrylate copolymer." Kitamura 7. Kitamura teaches that "Sumika Gel in a fine powder state exhibits considerable thickening [ viscosity improving] effect when it absorbs water" (id. at 19), and suggests the gel would be useful as a water retention agent for agriculture, an absorbent for sanitary materials, a perfume carrier, a drying agent, and a thickening agent (id. at 20-22). Kitamura does not disclose microspheres made from the gel, nor does the reference discuss using the gel as an embolizing agent. Hori-I, Hori-II, and Jiaqi These three references discuss multiple advantages of the SAP- microsphere, an arterial embolic material comprising particles of a super absorbing sodium acrylic acid-vinyl alcohol copolymer. For example, according to Hori-I: After embolization and even after 16 weeks, the SAP- Microsphere retains the spherical shape in the artery. Its destruction [decomposition] was not observed ... [I]f the SAP- Microsphere is used as the embolization material, ... there is no problem in classifying it as a long-term-use embolus material. Hori-I, 11. Garibaldi Garibaldi discloses an embolic agent "for treating vascular defects such as aneurysms." Garibaldi, Abstract. The embolic agent comprises a mixture of a biocompatible polymer material ( e.g., polymethylmethacrylate ), a biocompatible solvent, an adhesive, and magnetic particles ( e.g., iron or 7 Appeal 2016-006789 Application 12/122,590 iron oxide) for controlling the delivery of the embolic agent. Id. at 3:56-67, 12: 17-26. The embolic agent may also include radiopaque particles, which may be the magnetic particles, to facilitate imaging the embolic material. Id. at 4:16-20. Amsden Amsden discloses microspheres suitable for embolization to treat vascular diseases, and teaches that the microspheres may also be used to deliver a bioactive agent, e.g., an antibiotic, to a subject in need of treatment. Amsden, 13:58-14: 11. DISCUSSION The dispositive issue raised by each of Rejections I-Xis whether the Examiner has established by a preponderance of the evidence that it would have been obvious for one of ordinary skill in the art to use embolization to treat hyperplasia of the prostate (i.e., benign prostatic hyperplasia, or BPH). Rejection I Claims 1, 2, 8-10, 18, 19, 23, 25, 40, 41, and 43 stand rejected under 35 U.S.C. § 103(a) as unpatentable over Hunter (Ans. 2). The Examiner finds that Hunter "teaches that both benign and cancerous tumors can be treated using arterial embolization," and discloses "anti-angiogenic compositions (microspheres)" for that purpose. Ans. 2 (citing Hunter,r,r 151, 155,156,159, 166-178, Abstract, Example 8). The Examiner acknowledges that "Hunter does not specifically teach through examples the use of polymethyl methacrylate microspheres," but concludes that "it would have been obvious to one of ordinary skill in the art to use this 8 Appeal 2016-006789 Application 12/122,590 polymer for the preparation of microspheres from the guidance provided by Hunter in Example 8, manufacture of microspheres." Id. Appellants contend that the claims are directed to embolization of "a benign hyperplasia in the prostate of a patient, also known as benign prostatic hyperplasia (BPH)" (Appeal Br. 8), but Hunter makes no mention of BPH, "which is not a tumor, benign or malignant" (id. at 14 ( citing Bhatia Deel. ,r 6)). Appellants contend that "the Examiner's assertions are based on an impermissibly broad interpretation of Hunter" (id. at 13), and Hunter does not "disclose or even suggest that the principles of embolization could be used in the treatment of benign prostate hyperplasia" (id. at 13-14). Appellants, relying on Dr. Bhatia's Declaration,2 additionally contend that "benign prostatic hyperplasia has a pathogenesis that differs from that of a tumor" (id. at 15 ( citing Bhatia Deel. ,r,r 6-11) ), and "traditional methods of treating benign prostate hyperplasia also differ significantly from methods of treating tumors, and thus one would not look to use methods of treating tumors (benign or malignant) for use in treating benign prostate hyperplasia" (id. at 16 ( citing Bhatia Deel. ,r,r 12-24) ). In particular, Appellants attest that "none of the traditional treatment therapies for benign prostate hyperplasia discussed by Dr. Bhatia alter the dynamics of blood flow to the prostate gland." Id. (citing Bhatia Deel. ,r 25). Briefly, according to Dr. Bhatia, "[t]he pathogenesis of BPH is very different from that of tumors" (Bhatia Deel. ,r 7) and involves "the 2 Dr. Bhatia asserts that his experience includes "working with patients with benign prostatic hyperplasia (BPH), and ... patients with various types of cancers, both benign and malignant" and also "working with various embolic agents." Bhatia Deel. ,r 2. 9 Appeal 2016-006789 Application 12/122,590 proliferation of normal cells ... [which] appear identical to normal cells but are increased in number leading to organ enlargement" (id. ,r 10). Dr. Bhatia explains that BPH is at least partially dependent on androgens, e.g., dihydrotestosterone (DHT), the biologically active form of testosterone (id. ,r,r 8, 10), and that the cells in BPH "remain subject to normal regulatory control mechanisms, while neoplastic growths involve genetically abnormal cells proliferating in a non-physiological manner that is unresponsive to normal stimuli" (id. ,r 11 ). More importantly, Dr. Bhatia asserts that "one of ordinary skill in the art would not have been led to employ methods of embolization in the treatment of BPH" because "BPH is not a hypervascular tumor and therefore does not selectively take up the embolic materials" (id. ,r 33); "angiogenesis has never been implicated in the pathophysiology of BPH" (id. ,r 25); and "none of the traditional treatment therapies for BPH described above alter the dynamics of blood flow to the prostate gland" (id.). For example, Dr. Bhatia contends that "[t]raditional treatment strategies for BPH can be broadly divided into two categories" (id. ,r 16): lifestyle/medical management, and surgical treatment (id.). For example, BPH may be treated with medications promoting relaxation of the prostatic smooth muscle and bladder neck (e.g., al-adrenergic receptor antagonists) (id.), or medications preventing the conversion of testosterone to DHT (e.g., 5a-reductase inhibitors) (id. ,r 17). In addition, surgical options for BPH include transurethral resection of the prostate, laser therapy, transurethral microwave thermotherapy, and transurethral needle ablation. Id. ,r 19. The Examiner does not address Dr. Bhatia' s Declaration in any meaningful way, but responds that Amberg, a post-filing date reference, 10 Appeal 2016-006789 Application 12/122,590 provides evidence "that some in the art would consider BPH as a benign tumor as opposed to [a] malignant tumor (cancer)." Ans. 11 ( citing Amberg ,r,r 2, 34, 52, wherein the phrase "BPH tumor" appears). 3 The Examiner also contends that "the name itself indicates BPH is a benign tissue of hyperplastic prostate gland." Id. at 8. Further in response, the Examiner contends that "Hunter teaches in paragraph 0167 that there are a number of clinical situations (e.g. bleeding, tumor development) where it is desirable to reduce or abolish the blood supply to an organ or region." Id. at 12. According to the Examiner, "[ t ]his statement certainly implies that one could use the process of embolization in blood vessels in prostatic hyperplasia situations also ... since blood vessels are present whether the tumor is malignant or benign or whether the tissue has hyperplasia." Id. Whether or not benign prostatic hyperplasia is properly classified as a benign tumor, we agree with Appellants that the Examiner's assertions are based on an unreasonably broad interpretation of Hunter, and the Examiner has not established a commonality between the pathogenesis and/or conventional treatment of benign prostatic hyperplasia and any of the conditions discussed in Hunter, such that one of ordinary skill in the art would have a reason look to embolization for treatment of benign prostatic hyperplasia. That being the case, the Examiner's assertion that "Hunter teaches ... that there are a number of clinical situations ( e.g. bleeding, 3 We note that Carnevale, a reference cited by Appellants as "[ e ]vidence that the claimed methods of treating BPH are effective" (Domurad Deel. ,r 9), also refers to BPH as a tumor. For example, Carnevale indicates that "[ s ]ymptomatic benign prostatic hyperplasia (BPH) typically occurs in the sixth and seventh decades, and more than 40% of men older than this present with clinical manifestations of this tumor." Carnevale 355. 11 Appeal 2016-006789 Application 12/122,590 tumor development) where it is desirable to reduce or abolish the blood supply to an organ or region" (Ans. 12) is beside the point. We determine that the Examiner has not shown by a preponderance of the evidence that one of ordinary skill in the art would have had a reason to treat benign prostatic hyperplasia using embolization. Accordingly, the rejection of claims 1, 2, 8-10, 18, 19, 23, 25, 40, 41, and 43 as unpatentable over Hunter is reversed. Rejections II & III Claims 29, 30, 40, 41, and 43 stand rejected under 35 U.S.C. § 103(a) as unpatentable over Boschetti '100 (Ans. 2-3); and claims 29-32 stand rejected under 35 U.S.C. § 103(a) as unpatentable over Hunter and Boschetti '215 (Ans. 3). Rejection II, in its entirety, is as follows: Boschetti teaches various acrylate polymers acrylamide copolymer microspheres for embolization concerning blood vessels of various processes including vascular malformations, tumors, hemorrhagic processes etc. ( col. 1, line 5 through col. 2, line 59, Examples and claims). Although Boschetti does not specifically teach embolization of blood vessels in benign prostatic hyperplasia tissue, in the absence of showing unexpected results it is deemed obvious to one of ordinary skill in the art to use Boschetti's microspheres in the treatment of BPH since the principle[] of embolization is the same. Ans. 3. Rejection III, in its entirety, is as follows: The teachings of Hunter have been discussed above. What is lacking in Hunter is use of micro spheres of acrylamide polymer. Boschetti ['215] similar to Boschetti ['100] teaches various acrylate polymers acrylamide copolymer microspheres for embolization concerning blood vessels of various processes 12 Appeal 2016-006789 Application 12/122,590 including vascular malformations, tumors, hemorrhagic processes etc. ( col. 1, line 5 through col. 2, line 59, Examples and claims). The use of micro spheres of acrylamide copolymer in Hunter would have been obvious to one of ordinary skill in the art with a reasonable expectation of success since Boschetti ['215] teaches hydrophilic acrylates and acrylamide microspheres could be used for embolization. Ans. 3. With respect to Rejection II, Appellants contend that "Boschetti [' 100], like Hunter, does not disclose methods of 'treating a benign hyperplasia in the prostate of a patient by embolization"' (Appeal Br. 19), and "nowhere does Boschetti ['100] disclose or even suggest that the principles of embolization could be used in the treatment of benign prostate hyperplasia" (id.). Appellants contend that the Examiner's rejection is flawed "for reasons analogous to those set forth above with respect to the first rejection." Id. at 20. Similarly, with respect to Rejection III, Appellants contend that the Examiner's rejection is flawed "for reasons analogous to those set forth above with respect to the first rejection." Id. The Examiner's response is "the same response ... as discussed above for Hunter's teachings." Ans. 14, 15. As discussed above, Boschetti '100 discloses particles suitable for embolization of "tumors, vascular malformations, hemorrhagic processes, etc." Boschetti '100, 1:15-16. Boschetti '215's disclosure is the same. Boschetti '215, 1: 14--15. Thus, the Boschetti references disclose no more than Hunter with respect to conditions treatable by embolization. 13 Appeal 2016-006789 Application 12/122,590 With respect to Rejections II and III, we determine that the Examiner has not shown by a preponderance of the evidence that one of ordinary skill in the art would have had a reason to treat benign prostatic hyperplasia using embolization, for the same reasons discussed above in connection with Rejection I. Accordingly, rejections II and III are reversed. Rejections IV-VI Claims 1, 8-10, 18, 19, 23, 25, and 40-43 stand rejected as unpatentable over Hunter and Kitamura, Jiaqi, or Hori-I (Ans. 4); claims 25-28 and 31-34 stand rejected as unpatentable over Hunter alone, or further in view of Kitamura, Jiaqi, or Hori-I, and further in view of Garibaldi (Ans. 4--5); and claims 25-28 and 31-34 stand rejected as unpatentable over Boschetti '100, Hunter, and Garibaldi (Ans. 5---6). In these three rejections, the Examiner relies on the teachings of Hunter and/ or Boschetti '100 as evidence that one of ordinary skill in the art would have had a reason to use embolization to treat BPH. Again, we agree with Appellants that Rejections IV-VI are flawed "for reasons analogous to those set forth above with respect to the [previous] rejections" (Appeal Br. 21 ), and the teachings of Kitamura, Jiaqi, Hori-I, and Garibaldi do not remedy the underlying deficiencies. Accordingly, Rejections IV, V, and VI are reversed. Re} ections VII-X Claims 1, 2, 8-10, 18, 19, 23, 25-28, 34, and 40-43 stand rejected as unpatentable over Okada and Kitamura, optionally in view of Hunter and/or Boschetti '100 (Ans. 6-8); claims 1, 2, 8-10, 18, 19, 23, 25-28, 34, and 40- 43 stand rejected as unpatentable over Okada and Jiaqi or Hori-I (Ans. 8-9); 14 Appeal 2016-006789 Application 12/122,590 claims 1, 2, 8-10, 18, 19, and 40-43 stand rejected as unpatentable over Hori-II and Okada (Ans. 9-10); and claim 10 stands rejected as unpatentable over Okada and Kitamura; or Okada and Jiaqi or Hori-I; or Boschetti '100 alone, or in combination with Hunter, and further in view of Amsden (Ans. 10-11). In these four rejections, the Examiner relies on the teachings of Hunter and/ or Boschetti '100 and/ or Okada as evidence that one of ordinary skill in the art would have had a reason to use embolization to treat BPH. The Examiner's contentions with respect to Hunter and Boschetti '100 are discussed above. With respect to Okada, the Examiner contends, in relevant part, that Okada discloses "microsphere compositions for embolizing vascular structures in tumors including prostate tumors" (Ans. 6), but acknowledges that "Okada does not specifically teach the nature of the prostate tumors" (id.). That being the case, we find that Okada discloses no more than Hunter or Boschetti '100 with respect to conditions treatable by embolization. Again, we agree with Appellants that Rejections VII-X are flawed "for reasons analogous to those set forth above with respect to the [previous] rejections" (Appeal Br. 22, 23), and the teachings of Kitamura, Jiaqi, Hori-I, and Amsden do not remedy the underlying deficiencies. Accordingly, Rejections VII, VIII, IX, and X are reversed. SUMMARY Rejections I-X of claims 1, 2, 8-10, 18, 19, 23, 25-34, and40-43 under 35 U.S.C. § 103(a) are reversed. REVERSED 15 Copy with citationCopy as parenthetical citation