PTO/SB/43 (07-09)
`Approved for use through 07/3112012. OMB 0651-0031
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paoerwork Reduction Act of 1995, no oersons are reauired to resoond to a collection of information unless it disolavs a valid OMB control number.
`
`DISCLAIMER IN PATENT UNDER 37 CFR 1.321(a)
`
`Name of Patentee
`COCHLEAR BONE ANCHORED SOLUTIONS AB
`Patent Number
`7,043,040
`Title of Invention
`HEARING AID APPARATUS
`
`Docket Number (Optional)
`
`Date Patent Issued
`May 9, 2006
`
`I hereby disclaim the following complete claims in the above identified patent
`
`1-3 and 13
`
`The extent of my interest in said patent is (if assignee of record, state liber and page, or reel and frame, where
`100% (Reel/Frame: 027062/0314)
`assignment is recorded):
`
`The fee for this disclaimer is set forth in 37 CFR 1.20(d).
`
`D Patentee claims small entity status. See 37 CFR 1.27.
`D Small entity status has already been established in this case, and is still proper.
`D A check in the amount of the fee is enclosed.
`D Payment by credit card. Form PT0-2038 is attached.
`D The Director is hereby authorized to charge any fees which may be required or credit any
`504561
`WARNING: Information on this form may become public. Credit card information should not
`be included on this form . Provide credit card information and authorization on PT0-2038.
`
`overpayment to Deposit Account No.
`
`Signed at
`
`Los Angeles
`California
`State of
` /Laura M. Burson/
`
`22nd
`this --- day of
`
`Signature
`
`Laura M. Burson
`Typed or printed name of patentee/ attorney or agent of record
`333 South Hope Street, 43rd Floor
`
`Los Angeles, California 90071
`City, State, Zip Code or Foreign Country as applicable
`
`Address
`
`December
` 40,929
`
`17
`20 __
`
`Registration Number, if
`applicable
`(213) 617-5527
`Telephone Number
`
`This collection of information is required by 37 CFR 1.321. The information is required to obtain or retain a benefit by the public which is to file (and by the
`USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 12 minutes to
`complete, including gathering, preparing, and submitting the completed application form to the USPTO. Time will vary depending upon the individual case.
`Any comments on the amount of time you require to complete this form and/or suggestions for reducing this burden, should be sent to the Chief Information
`Officer, U.S. Patent and Trademark Office, U.S. Department of Commerce, P.O. Box 1450, Alexandria, VA 22313-1450. DO NOT SEND FEES OR
`COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`If you need assistance in completing the form, ca/11-800-PT0-9199 and select option 2.
`
`