throbber
Paper No. __
`Filed: September 20, 2017
`
`UNITED STATES PATENT AND TRADEMARK OFFICE
`_________________________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`_________________________________
`
`PAIN POINT MEDICAL SYSTEMS, INC.,
`d/b/a MIBO MEDICAL GROUP,
`Petitioner,
`
`v.
`
`BLEPHEX, LLC,
`Patent Owner
`___________________
`
`Case IPR2016-01670
`Patent 9,039,718 B2
`___________________
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`PETITIONER PAIN POINT MEDICAL SYSTEMS, INC.’S REPLY
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`TABLE OF CONTENTS
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`
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`I.
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`II.
`
`INTRODUCTION …………………………………………………………..1
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`STATEMENT OF FACTS ………………………………………...………..1
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`III. PATENT OWNER IMPROPERLY ATTACKS
`THE PRIOR ART REFERENCES IN ISOLATION …………………..….17
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`IV. GROUND 1: CLAIMS 1-11 AND 14-17 ARE OBVIOUS
`IN VIEW OF ALGERBRUSH II, SEMINARA AND STEVENS ……..…18
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`V. GROUND 2: CLAIMS 1-11 AND 14-17 ARE OBVIOUS
`IN VIEW OF ALGERBRUSH II AND HAMBURG ………………..……21
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`VI. GROUND 3: CLAIMS 1-11 AND 14-17 ARE OBVIOUS
`IN VIEW OF YAMAURA AND STEVENS ……………………….…….22
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`VII. THE EVIDENCE OF SECONDARY CONSIDERATIONS
`DOES NOT OUTWEIGH THE STRONG SHOWING
`OF OBVIOUSNESS ………………………………………………………23
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`a. Alleged Long-Felt Need …………………………………………….24
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`b. Alleged Praise for the Invention ……………………………......…..24
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`c. Alleged Copying ……………………………………………......…..24
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`d. Alleged Commercial Success ……………………………………….25
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`VIII. PATENT OWNER SHOULD BE PRECLUDED FROM
`RELYING ON THE TRATTLER DECLARATION ………………..……27
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`IX. CONCLUSION ……………………………………………………………27
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`APPENDIX – LIST OF EXHIBITS ………………………………...…….29
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`i
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`I.
`
`INTRODUCTION
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`The record in this proceeding is clear and compelling. It establishes that
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`claims 1-11 and 14-17 of U.S. Patent No. 9,039,718 (“the ‘718 Patent”) are
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`unpatentable on each of the following instituted grounds: (1) claims 1-11 and 14-17
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`are obvious over AlgerBrush II, Siminara, and Stevens; (2) claims 1-11 and 14-17
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`are obvious over AlgerBrush II and Hamburg; and (3) claims 1-11 and 14-17 are
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`obvious over Yamaura and Stevens.
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`
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`II.
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`STATEMENT OF FACTS
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`Petitioner Pain Point Medical Systems, Inc. d/b/a MiBo Medical Group
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`highlights the following facts in support of the present petition for the convenience
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`of the Board.
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`The ‘718 Patent
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`1.
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`The ‘718 patent was issued on May 26, 2015 from an application that
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`was filed on July 24, 2012. It is generally directed to a method for treating occular
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`disorders, such as blepharitis, meibomitis, and dry eye syndrome. EX1001, p. 1.
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`2.
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`In response to a prior art rejection during prosecution, Patent Owner
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`agreed to amend claim 1 of the ‘718 patent to require contacting a portion of the eye
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`“between the eyelashes and the inner edge of the eyelid margin.” EX2001, pp. 174,
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`186, 196, 203, 271, 277, and 279.
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`1
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`3.
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`To avoid the same prior art during prosecution, Patent Owner presented
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`a new claim 17 that requires “contacting at least an inner edge portion of the eyelid
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`margin.” EX2001, pp. 174, 191, 199, and 203. 1
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`4.
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`As shown in the image below, the orifices, or pores, of the meibomian
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`glands are located on the inner portion of the eyelid margin. EX2025, p. 10; EX1026,
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`77:3-11.
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`5.
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`Blepharitis is inflamation of the eyelids. EX2025, ¶34. A primary cause
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`of blepharitis is meibomian gland dysfunction (“MGD”), which in turn is primarily
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`caused by obstruction of the meibomian glands. EX2025, ¶¶36-38.
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`1 Application claims 1 and 29 became claims 1 and 17, respectively, in the ‘718
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`patent. EX2001, p. 294.
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`2
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`6.
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`Obstruction of the meibomian glands occurs when the orifices of the
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`glands become capped or plugged by solidified meibum (an oily substance secreted
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`by the glands) and clusters of desquamated skin cells. EX2025, ¶¶39-40.
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`7.
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`The Background section of the ‘718 patent admits that prior art
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`techniques for treating ocular disorders such as blepharitis included the application
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`of warm compresses followed by physicaly scrubbing the eyelid margins with a
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`swab (EX1001, 1:40-55 (emphasis added)):
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`Hygienic home treatment of such ocular disorders is
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`generally a two-step process. First, the patient softens the
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`debris and scurf by applying a warm compress, diluted
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`baby shampoo, or a specialized liquid solution to the
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`eyelid margin. This first step is intended to prepare the
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`debris for removal while preventing further irritation to the
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`eye. Second, the patient attempts to remove the debris by
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`physically scrubbing the eyelid margin, the base of the
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`eyelashes, and the pores of the meibomian glands. This
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`scrubbing is routinely attempted with either a generic
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`cotton swab, a fingertip, or a scrub pad placed over the
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`fingertip and applied against the eye. By cleaning debris
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`and scurf free from the base of the eyelashes and
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`unclogging the pores of the meibomian glands, the
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`patient may improve the overall health of the eyelid
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`margin; thereby reducing irritation, burning, and other
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`symptoms related to the disorder.
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`3
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`8.
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`Because the pores of the meibomian glands are located between the
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`eyelashes and the inner edge of the eyelid margin, the ‘718 patent admits that
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`scrubbing the inner portion of the eyelid margin with a cotton swab was known in
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`the prior art as a method of treating ocular disorders like blepharitis.2 EX1001, 1:45-
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`55; EX1026, 77:3-11; EX1027, 64:16-65:12.
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`9.
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`Other methods that were known in the prior art for the treatment of
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`blepharitis included:
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`(a) manual expression of the meibomian glands through the use of special
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`forceps (EX1026, 24:14-25:8, 26:4-27:7, 29:10-30:4, 82:23-84:12;
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`EX1027, 74:5-75:17);
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`(b)
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`the insertion of needle-like probes directly into the meibomian gland
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`orifices to remove obstructions (EX1026, 35:24-36:20, 84:13-19;
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`EX1027, 52:11-53:19); and
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`2 Patent Owner’s expert Dr. Paugh has taken the position that this passage in the
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`‘718 patent is “incorrect.” EX1026, 100:3-103:25. However, Patent Owner’s other
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`expert, Dr. McDonald, disagrees with Dr. Paugh and believes the passage in the ‘718
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`patent correctly states the treatment technique that was used prior to the July 24,
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`2012, filing date of the application for the ‘718 patent. EX1027, 63:21-65:13.
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`4
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`(c) mechanical debridement (i.e., scraping) of the lid margins with surgical
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`instruments known as golf club spuds to remove the caps or plugs
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`covering the meibomian gland orifices (EX1026, 31:7-15; EX1027,
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`75:20-76:12, 77:3-8, 78:13-79:10, 83:16-23, 101:9-20).
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`10. The inventor of the ‘718 patent set out to address two problems in the
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`treatment of blepharitis and similar ocular disorders:
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`(a)
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`“the practical difficulties of cleaning one’s own eye with an imprecise
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`instrument such as a fingertip or cotton swab” (EX1001, 1:57-58); and
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`(b)
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`“the failure of patients to totally cleanse the margin of the eyelid, the
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`base of the eyelashes, and the meibomian glands” (EX1001, 2:1-3).
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`11. The ‘718 patent admits that “Algerbrush I” and “Algerbruse II” were
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`known in the prior art as examples of devices that could be used for the “mechanical
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`drive unit 12” disclosed in the patent. EX1001, 5:12-19.
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`12. The ‘718 patent disloses that, in at least one embodiment, the claimed
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`“swab” must be capable of absorbing a liquid solution (EX1001, 5:64-67 (emphasis
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`added)):
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`Furthermore, a liquid solution configured to loosen the
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`debris may be absorbed within the swab 14 to further aid
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`in removing the debris from the eye 15 and/or minimizing
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`irritation to the eye 15.
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`5
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`13. The article entitled “DEBS - a unification theory for dry eye and
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`blepharitis,” written by Dr. Rynerson, the inventor listed on the ‘718 patent, was not
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`published until 2016, long after the ‘718 patent was issued and after the present inter
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`partes review was instituted. EX2020; EX1027, 112:8-114:25.
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`14. Dr. Rynerson’s DEBS theory is not mentioned in the ‘718 patent.
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`EX1026, 176:21-178:7; EX1027, 112:8-114:25.
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`AlgerBrush II
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`15. Patent Owner’s expert Dr. Paugh testified that, like eyelid tissue, the
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`cornea and the conjunctiva of the eye are highly sensitive and highly delicate tissues.
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`EX1026, 77:12-20.
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`16. Dr. Paugh admits that removal of rust rings from the eye with a tool
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`such as the AlgerBrush II necessarily involves removal of “debris” because the rings
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`are formed from the presence of rust and residual metal (i.e., debris) in the eye.
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`EX1013; EX1026, 132:2-135:7.
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`17. Patent Owner’s expert, Dr. Paugh, admits that persons of ordinary skill
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`in the art would have known as early as 1975 that automation of the manual process
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`of removing rust rings from the cornea by using an electromechanical motor to
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`operate the burr, as in the AlgerBrush II, was actually a more effective way to
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`remove such rust rings. EX2027; EX1026, 143:13-145:4.
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`6
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`18. Dr. Paugh admits that the AlgerBrush II is an example of the
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`automation of a process that was previously performed manually. EX2027; EX1026,
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`156:11-157:3.
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`19. Dr. Paugh admits he is not in a position to opine on what a person of
`
`ordinary skill in the art would understand from the use of the word “torque” in the
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`AlgerBrush II reference. EX1013 (referring to a “low torque motor”); EX1026,
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`135:8-136:15.
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`20. Dr. Paugh admits that, based on a reading of the AlgerBrush II
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`reference, a person of ordinary skill in the art would understand that different tips
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`can be used with the device depending upon the particular purpose at hand. EX1014;
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`EX1026, 137:22-140:21.
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`21. Dr. Paugh admits that the device disclosed in the AlgerBrush II
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`reference was used to remove pterygium from the corneas of patients. EX1026,
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`140:22-142:13. A pterygium is a vascularized growth of the conjunctiva that extends
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`over the cornea and can obstruct a patient’s vision. EX1023; EX1026, 141:6-9;
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`EX2028, 22:15-20. A pterygium is shown in the image below (EX1023):
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`7
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`Seminara
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`22. Patent Owner’s expert Dr. Paugh agrees that the Seminara reference
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`teaches a person of ordinary skill in the art that the size of the disclosed sponge can
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`be varied depending on the particular use or application. EX1016; EX1026, 153:14
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`– 155:12.
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`23. Petitioner’s expert Dr. Benjamin states that a person of ordinary skill in
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`the art would understand that the sponge disclosed in Seminara can be made smaller
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`for a particular purpose. EX2028, 62:7-21; 86:22-88:15.
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`24. Dr. Paugh admits that the Seminara reference discloses a sponge having
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`a capstan shape. EX1016, Fig. 8G; EX1026, 155:13-156:9.
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`25. Dr. Paugh admits that Seminara teaches adapting the shape of a swab
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`to confirm to anatomy within the body. EX1016; EX1026, 160:24-161:3.
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`Stevens
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`26. The Stevens reference states that one of the reasons for cleaning eyelids
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`is “to remove crusting on the eyelid margins” associated with blepharitis. EX1017,
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`p. 1 (emphasis added).
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`27. The method disclosed in Stevens comprises three parts: (1) cleaning the
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`“eyelashes,” (2) cleaning the “lower eyelid,” and (3) cleaning the “upper eyelid.”
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`EX1017, p. 7.
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`8
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`28. Regardng the first step, cleaning the eyelashes, Stevens teaches that the
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`swab should be used to “clean gently along the eyelashes.” Id.
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`29. Regarding the second step, cleaning the lower eyelid, Stevens teaches
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`that the caregiver should, “[w]ith the index finger of the other hand, gently hold
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`down the lower eyelid.” EX1017, p. 7. Next, the swab should be used to “clean
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`gently along the lower eyelid margin.” Id. (emphasis added). This is demonstrated
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`in Figure 8 from the Stevens reference, which is reproduced below:
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`30. Regarding the third step, cleaning the upper eyelid, Stevens teaches that
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`the caregiver should, “[w]ith the thumb or finger of the other hand, gently ease the
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`upper eyelid up against the orbital rim (just below the eyebrow), taking care not to
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`put any pressure on the eyeball.” EX1017, p. 8. The swab or bud should then be used
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`to “clean gently along the upper eyelid margin.” Id. (emphasis added). This is
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`demonstrated in Figure 9 from the Stevens reference, which is reproduced below:
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`9
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`31. Finally, the Stevens reference teaches that the method should be
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`repeated “until all debris or discharge is removed.” Id.
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`32. Patent Owner’s expert Dr. Paugh testified that to “evert the eyelid”
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`means to “pull it away from the eye in such a way that you expose the inner portion
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`of the eyelid.” EX1026, 129:19 – 130:4.
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`33. The Stevens reference was not alone in teaching that scrubbing the
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`eyelid margin, including the inner portion of the eyelid margin where the meibomian
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`gland orifices are located, is a useful method of treating blepharitis and similar ocular
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`disorders. A group of six doctors published a paper in the December 2010 edition of
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`the journal Cornea that stated (EX2021, p. 8 (emphasis added)):
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`Eyelid scrubs, although primarily suggested for
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`anterior blepharitis, can help
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`remove crusts and
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`inspissated secretions blocking the gland orifices. Eyelid
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`scrubs are performed on the eyelid margin over the
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`meibomian gland orifices
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`to prevent obstructive
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`overgrowth of material from sealing the orifice.
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`10
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`34. Petitioner’s expert Dr. Benjamin testified that a person of ordinary skill
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`in the art would know how to “take a swab and clean the eyelid margin and do what
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`you needed to do to focus on where the crusting was” without relying on the
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`teachings of Stevens. EX2028, 28:3-15.
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`35. Dr. Benjamin further testified that, when he received his training, he
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`was taught to take a swab, dampen it, “rub along the eyelid margin gently to remove
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`the caps on the eyelid margin,” and also remove the crusting on the eyelashes.
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`EX2028, 31:21-32:11.
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`36. Dr. Paugh admits that Stevens discusses using a swab to clean the
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`“lower eyelid margin” and the “upper eyelid margin.” EX1026, 148:5-10.
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`37. Despite the clear descriptions of cleaning eyelid margins in Stevens,
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`however, Patent Owner’s expert Dr. Paugh claims that Stevens is “obviously
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`wrong,” that her choice of words was “unfortunate,” and that she doesn’t actually
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`teach using a swab to clean the eyelid margins. EX1026, 149:19-151:21; 157:25-
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`158:15.
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`38. Yet Dr. Paugh also testified that a patient performing the method
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`described in Stevens at home would not have sufficient control over the swab to
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`avoid crossing the gray line. EX1026, 183:17-21. The gray line is, of course, located
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`on the inner portion of the eyelid margin behind the eyelashes. EX2025, p. 10.
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`11
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`Hamburg
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`39. Dr. Paugh agrees that Hamburg teaches adapting a swab or sponge to
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`conform to the anatomy of an eyelid margin. EX1018; EX1026, 161:5-7; 163:21-
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`164:9.
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`40. Dr. Paugh further agrees that the Hamburg refernce teaches using the
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`swab to contact the inner portion of the eyelid margin. EX1018; EX1026, 164:10-
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`166:13.
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`41. Petitioner’s expert Dr. Benjamin testified that a person skilled in the art
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`would easily know how to adapt or modify the shape of the swab disclosed in
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`Hamburg to give it a capstan shape that is rotationally symetric. EX2028, 54:12-
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`55:8; 83:20-85:10.
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`42. Dr. Benjamin further testified that Figure 8D of the Seminara reference
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`discloses a swab or sponge having a capstan shape. EX1016; EX2028, 85:11-86:21.
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`Yamaura
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`43. The Yamaura referance was cited during prosecution of the ‘718 patent,
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`but there is nothing to indicate that the patent examiner had access to a full English
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`translation of the reference. EX1001; EX2001, pp. 138-141.
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`44. Yamaura discloses a electric device for automatically removing earwax
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`to make ear-cleaning easier. EX1019, p.1. The device comprises a body 1 that houses
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`a built-in electric motor 2 and a battery 3. EX1019, pp. 1-2. A cotton swab 11 is
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`12
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`inserted into the cotton swab holder pipe 9. Id. The first image from the Yamaura
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`reference is reproduced below (EX1019):
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`
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`45. The Yamaura reference teaches that an automatic swab is safer and
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`easier than a conventional ear pick for removing earwax. Id., p. 3. It also teaches that
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`an “electrically-powered ear-cleaning device” can be used to replace the
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`“conventional manual method” and that the spinning connon swab will not damage
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`“delicate intra-aural skin.” Id., p. 3.
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`46. Petitioner’s expert Dr. Benjamin testified that removing earwax from
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`an ear is “conceptuallly similar” to removing debris from the eyelid margin because
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`both involve “a buildup of oily waxy type material” and “a swab can be used to
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`totally or partially remove both.” EX2028, 46:5-17.
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`47. Dr. Benjamin also testified that the device of the Yamaura reference
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`could be used to practice the method of the ‘718 patent without modification.
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`EX2028, 63:2-64:8.
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`13
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`48. Patent Owner’s expert Dr. Paugh agrees that Yamaura discloses an
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`electromechanical device for rotating a cotton swab, but he does not believe that a
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`person of ordinary skill in the art would necessarily understand that the device could
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`be used on the eyelid margin. EX1026, 166:16-167:9.
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`49. But Dr. Paugh did not know that Yamaura teaches that a motorized
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`swab is safer than a conventional ear pick for cleaning out the ear canal. EX1026,
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`167:20-169:10.
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`Level of Ordinary Skill in the Art
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`50. Patent Owner’s expert Dr. Paugh does not dispute the description of the
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`level of ordinary skill in the art provided by Petitioner’s expert Dr. Benjamin.
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`EX2025, ¶24.
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`Secondary Considerations
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`51. Patent Owner’s expert on secondary consideration, Dr. McDonald, was
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`not advised of the legal standards used by the courts or the Board for patent claim
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`construction and therefore could not have applied such standards in formulating her
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`opinions in this matter. EX2029; EX1027, 89:24-91:13.
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`52. Dr. McDonald did not review the prosecution history of the ‘718 patent
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`in formulating her opinions in this matter. EX1027, 66:14-24.
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`53. Dr. McDonald did not review any of the prior art references that were
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`cited during prosecution of the ‘718 patent. EX1027, 66:25-67:18.
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`14
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`54. Dr. McDonald failed to analyze whether any nexus exists between
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`challenged claims 2-11 or 14-16 and her evidence of secondary considerations.
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`EX2029, ¶¶27-36; EX1027, 98:9-99:20.
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`55. Dr. McDonald failed to establish a sufficient nexus between the
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`challenged method claims and the alleged evidence of praise for the invention and
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`commercial success of the invention because her analysis improperly focused on the
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`“Blephex device.” EX2029, ¶¶47-58 and 65-68 (consistently referring to the
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`“Blephex device”).
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`56.
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`In formulating her opinions regarding alleged praise for the Blephex
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`device, Dr. McDonald failed to analyze whether praise exists for any similar
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`products in the same field. EX1027, 127:13-130:8.
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`57.
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`In formulating her opinions regarding alleged copying, Dr. McDonald
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`failed to analyze whether Petitioner’s product or method fall within the scope of the
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`claims of the ‘718 patent. EX2029, ¶¶59-64; EX1027, 134:13-136:4. Among other
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`things, Dr. McDonald failed to analyze whether Petitioner’s LidPro product includes
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`a “swab,” as required by the claims of the ‘718 patent. Id.
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`58. Regarding commercial success, Dr. McDonald was unaware of the
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`number of Blephex devices or Blephex treatment tips that had been sold as of the
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`date of her deposition, and she was unaware of how such Blephex sales compared
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`to sales of other products in the same field. EX1027, 136:24-138:16.
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`15
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`59. The Blephex device sold by Patent Owner includes a cutoff feature that
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`automatically stops the tip from rotating if too much force is applied to the tip during
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`use. EX2021; EX2028, 88:16-90:13; EX1027, 101:11-102:24. The cutoff feature is
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`important for promoting consumer acceptance of the device. EX2021; EX2028,
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`90:14-21. However, the ‘718 patent does not disclose or claim the cutoff feature as
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`part of the patented method. EX1001; EX2028, 90:22-91:19.
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`60. Use of the Blephex device requires use of anesthetic drops in both eyes
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`of the patient. EX2004, p. 3; EX1027, 102:25-103:18. The ‘718 patent, however,
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`does not disclose or claim the use of anesthetic drops as part of the patented method.
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`EX1001.
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`61. Use of the Blephex device requires premoistening of the tips in a lid
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`cleaning solution. EX2004, pp. 3-4; EX1027, 103:19-104:1. Dr. McDonald believes
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`the lid-cleaning solution contributes to the effectiveness of the Blephex procedure.
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`EX1027, 104:8-17. Although the ‘718 patent discloses that “a liquid solution
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`configured to loosen the debris may be absorbed within swab 14,” EX1001, 5:64-6,
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`the use of such a solution is not claimed as part of the patented method.
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`62. Use of the Blephex device requires treatment of the “entire width of the
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`lid margin,” including the “lash line.” EX2004, p. 4; EX1027, 107:14-108:8. The
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`claimed method of the ‘718 patent, in contrast, is limited to treatment of a portion of
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`the eye “between the eyelashes and the inner edge of the eyelid margin” as recited
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`16
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`in claim 1, and “an inner edge portion of the eyelid margin” as recited in claim 17.
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`EX1001.
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`63. Doctors typically charge their patients between $120 and $140 per
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`procedure for the Blephex treatment and recommend that the procedure be repeated
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`every 3 to 6 months. EX1024, p.2; EX1027, 111:6-18.
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`
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`III. PATENT OWNER IMPROPERLY ATTACKS THE PRIOR ART
`REFERENCES IN ISOLATION
`
`The SupremeCourt has instructed that an expansive and flexible approach
`
`should be taken in determining whether a patented invention was obvious at the
`
`time it was made. KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 415 (207). In that
`
`regard, it is improper to attack prior art references in isolation from one another. In
`
`re Merck & Co., Inc., 800 F.2d 1091, 1097 (Fed. Cir. 1986) (“Non-obviousness
`
`cannot be established by attacking references individually where the rejection is
`
`based upon the teachings of a combination of references.”). Throughout its briefing,
`
`however, Patent Owner has improperly focused narrowly on each reference in
`
`isolation and closed its eyes to the collective teachings of the combined references
`
`as a whole. The Board should reject Patent Owner’s narrow approach and follow
`
`the expansive and flexible approach required by the Court. KSR, 550 U.S. at 415.
`
`
`
`
`
`17
`
`

`

`
`
`
`IV. GROUND 1: CLAIMS 1-11 AND 14-17 ARE OBVIOUS IN VIEW OF
`ALGERBRUSH II, SEMINARA AND STEVENS
`
`Contrary to Patent owner’s arguments, it was well known in the prior art that
`
`blepharitis and similar ocular disorders could be treated by physically scrubbing the
`
`lid margin – including the inner portion of the lid margin – with a cotton swab.
`
`Stevens clearly teaches this. SOF 26-313. Stevens refers to the “eyelid margin,” and
`
`there is no legitimate reason to interpret that as meaning anything less than the entire
`
`lid margin, including the inner portion of the lid margin. Id.
`
`
`
`Indeed, the specification of the ‘718 patent admits that it was known to use a
`
`cotton swab to clean the inner portion of the lid margin. SOF 4, 7-8. Patent Owner’s
`
`statements in the specification constitute admitted prior art. Pharmastem
`
`Therapeutics, Inc. v. Viacell, Inc., 491 F.3d 1342, 1362 (Fed. Cir. 2007)
`
`(“Admissions in the specification regarding the prior art are binding on the patentee
`
`for purposes of a later inquiry into obviousness.”). Patent Owner made the same
`
`admission in a paper filed in this proceeding. Patent Owner’s Prelim. Resp., p. 18.
`
`Patent Owner’s narrow interpretation of Stevens should be rejected in view of its
`
`admission that scrubbing the pores of the meibomian glands was known in the prior
`
`art.
`
`
`3 “SOF 26-31” refers to paragraphs 26-31 contained in the Statement of Facts
`
`section of this reply.
`
`
`
`18
`
`

`

`
`
`
`
`
`The benefits of automating a manual process were also well known in the
`
`prior art. AlgerBrush II itself is an example of the automation of a manual process.
`
`SOF 17 and 18. Prior to the invention of AlgerBrush II, doctors would manually
`
`apply burrs to the cornea to remove rust rings from patients. Id. AlgerBrush
`
`automated the process by attaching the burr to an electric motor, and the
`
`modification was known to be successful as early as 1975. Id. The Yamaura
`
`reference, which automates the manual process of cleaning ears with a swab, is
`
`another example showing that the benefits of automation of a manual process were
`
`well known. SOF 43-45.
`
`
`
`AlgerBrush II teaches that the device is adapted to use different tips depending
`
`on the particular purpose at hand. SOF 20. The tips of the AlgerBrush II were
`
`mounted in a chuck for easy replacement and came in different levels of
`
`abrasiveness, with tips some being less abrasive than others. Id.
`
`
`
`Moreover, use of the AlgerBrush II was not limited to just removing tissue.
`
`Dr. Paugh admits in his testimony that, when used to remove rust rings, the
`
`AlgerBrush II necessarily removes debris from the eye as well. SOF 16.
`
`
`
`Seminara discloses a medical grade sponge having a shape that is adapted to
`
`access the inner edge portion of the lid margin, and a person of ordinary skill would
`
`understand that the sponge could be made of size appropriate for that task. SOF 22
`
`and 23. The sponge of Seminara is depicted as being attached to a handle, much like
`
`
`
`19
`
`

`

`
`
`
`a cotton swab is attached to a handle. EX1016, Fig. 20. A person skilled in the art
`
`would easily understand that the handle on the sponge of Seminara could be used to
`
`mount the sponge in the chuck of AlgerBrush II.
`
`
`
`In view of AlgerBrush II and Yamaura, a person skilled in the art would know
`
`of the benefits of automating the manual lid scrubbing process disclosed by Stevens
`
`(and which is admitted by Patent Owner in the specification of the ‘718 patent). As
`
`Patent Owner admits, the AlgerBrush II would be an obvious starting point. SOF 11.
`
`Pharmastem, 491 F.3d at 1362. But the AlgerBrush was also a well known example
`
`of the successful automation of a manual process, so it would be obvious for that
`
`reason as well. It would be a simple task to mount an appropriately sized sponge of
`
`Siminara in the chuck of the AlgerBrush II and use it to clean the inner portions of
`
`eyelids to treat blepharitis.
`
`
`
`A person skilled in the art would have a reasonable expectation of success
`
`with this combination because the AlgerBrush II (and the Yamaura reference) had
`
`already demonstrated the benefits of using an electromechanical motor to automate
`
`a manual process. There would be little concern of harming tissue because the
`
`sponge of Seminara is intended for use with fragile anatomical structures. EX1016,
`
`¶42.
`
`
`
`Therefore, the challenged claims of the ‘718 patent would have been obvious
`
`in view of AlgerBrush II, Seminara, and Stevens.
`
`
`
`20
`
`

`

`
`
`
`V. GROUND 2: CLAIMS 1-11 AND 14-17 ARE OBVIOUS IN VIEW OF
`ALGERBRUSH II AND HAMBURG
`
`The combination of AlgerBrush II with Hamburg is much the same as in
`
`Ground 1, except that Hamburg (as well as Patent Owner’s admittion, SOF 7-8)
`
`supplies the teaching of using a swab or sponge to clean the inner portion of an eyelid
`
`margin. Like Seminara, the swab of Hamburg is depicted on the end of a handle that
`
`could easily be mounted within the chuck of the AlgerBrush. EX1018, Figs. 1 and
`
`2.
`
`
`
`In view of AlgerBrush II, a person skilled in the art would appreciate the
`
`benefits of automating a manual process and would understand the AlgerBrush II
`
`itself would be a good starting point for the reasons discussed above. Similarly, it
`
`would be a simple matter to mount the swab of Hamburg in the chuck of the
`
`AlgerBrush II and use it to clean the inner portions of lid margins in the treatment
`
`of blepharitis. The combination would have a reasonable expectation of success
`
`because AlgerBrush II (and Yamaura) and already demonstrated the success of such
`
`a combination.
`
`
`
`Patent Owner argues that such a combination would not be successful because
`
`the swab of Hamburg is not rotationally symetrical. However, the claims of the ‘718
`
`patent do not require a swab of any particular shape. EX1001. But even if they did,
`
`a person of ordinary skill in the art would understand how to modify the shape of the
`
`
`
`21
`
`

`

`
`
`
`Hamburg swab to make it rotationally symetrical. SOF 41 and 42. Such a shape is
`
`disclosed in Figures 8G and 10 of Seminara.
`
`
`
`Accordingly, claims 1-11 and 14-17 of the ‘718 patent would have been
`
`obvious in view of AlgerBrush II and Hamburg.
`
`
`
`VI. GROUND 3: CLAIMS 1-11 AND 14-17 ARE OBVIOUS IN VIEW OF
`YAMAURA AND STEVENS.
`
`In view of Stevens (and as admitted in the ‘718 patent, SOF 7 and 8), a person
`
`skilled in the art would know that blepharitis can be treated by scrubbing the lid
`
`margin, including the inner lid margin, with a cotton swab. The Yamaura reference
`
`teaches that a manual cleaning method using a swab can be automated by attaching
`
`the swab to an electromechanical device. SOF 44. Of course, the AlgerBrush II also
`
`teaches the benefits of automating a manual process. In view of this knowledge, it
`
`would be simple matter to merely use the device of Yamaura to clean eyelids
`
`according to the method of Stevens (and as admitted in the ‘718 patent) for the
`
`treatment of blepharitis and similar ocular conditions.
`
`There would be a reasonable expectation of success because the Yamaura
`
`reference itself states that automation leads to a safer and easier process. AlgerBrush
`
`II is also evidence showing a reasonable expectation of success for this combination.
`
`Accordingly, the challenged claims of the ‘718 patent would have been
`
`obvious in view of Yamaura and Stevens.
`
`
`
`22
`
`

`

`
`
`
`VII. THE EVIDENCE OF SECONDARY CONSIDERATIONS DOES NOT
`OUTWEIGH THE STRONG SHOWING OF OBVIOUSNESS
`
`Patent Owner’s evidence of secondary considerations should not be given
`
`significant weight because Patent Owner has failed to establish a sufficient nexus
`
`between the evidence and the merits of the claimed method. In re GPAC Inc., 57
`
`F.3d 1573, 1580 (Fed. Cir. 1995); see also In re Huang, 100 F.3d 135, 140 (Fed. Cir.
`
`1996) (“[S]uccess is relevant in the obviousness context only if there is proof that
`
`the sales were a direct result of the unique characteristics of the claimed invention.”).
`
`Patent Owner bears the burden of showing that sufficient nexus exists. In re Paulsen,
`
`30 F.3d 1475, 1482 (Fed. Cir, 1994).
`
`Patent Owner’s expert on secondary considerations, Dr. McDonald, did not
`
`consider the prosecution history of the ‘718 patent or any of the prior art that was
`
`cited during examinarion of the patent. SOF 52 and 53. Without reviewing these
`
`documents, she cannot identify the unique or novel features of the claimed method,
`
`and she therefore cannot opine on whether any evidence of secondary considerations
`
`is the result of the “unique charistics of the claimed invention.” Huang, 100 F.3d at
`
`140.
`
`Further, Dr. McDonald failed to consider whether there is any nexus between
`
`dependent claims 2-11 and 14-16 and the evidence of secondary considerations. SOF
`
`54. Patent Owner has therefore not produced any reliable evidence of secondary
`
`considerations as to claims 2-11 and 14-16.
`
`
`
`23
`
`

`

`
`
`
`a. Alleged Long-Felt Need
`
`Patent Owner identifies the following long felt needs that are allegedly
`
`satisfied by the claimed invention: (1) the need for providing “long-lasting symptom
`
`relief” and (2) the need for “reducing the time and financial burden on the patient
`
`that had been associated with conventional treatment approaches.” Patent Ornwer’s
`
`Resp., p. 52. Nothing in the challenged claims, however, addresses long-lasting
`
`symptom relief or time and financial burdens. Rather than satisfying these identified
`
`needs, the evidence indicates that patients must undergo a repeat treatment procedure
`
`with the Blephex device every 3-6 months and must pay their doctors between $120
`
`and $140 per procedure. SOF 63.
`
`b. Alleged Praise for the Invention
`
`Patent Owner’s assertions regarding praise for the invention are based upon
`
`the Blephex device, not on praise for the claimed method. SOF 55. In addition, Dr.
`
`McDonald cites to claims of providing “immediate relief and results” and addressing
`
`“the root sourc

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