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