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`UNITED STATES PATENT AND TRADEMARK OFFICE
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`BEFORE THE PATENT TRIAL AND APPEAL BOARD
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`Ambry Genetics Corporation,
`Petitioner
`v.
`The Johns Hopkins University,
`Patent Owner
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`
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`Case No. IPR2017-02086 (U.S. Patent No. 6,440,706)
`Case No. IPR2017-02093 (U.S. Patent No. 7,824,889)
`Case No. IPR2017-02095 (U.S. Patent No. 7,915,015)
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`DECLARATION OF FRED RUSSELL KRAMER, PH.D.
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`The Johns Hopkins University Exhibit JHU2001 - Page 1 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`I, Fred Russell Kramer, Ph.D., declare as follows:
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`I.
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`1.
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`Introduction
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`I am over the age of eighteen (18) and am otherwise competent to make this
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`declaration.
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`2.
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`I have been engaged by the law firm of Kilpatrick, Townsend & Stockton
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`LLP, counsel for Laboratory Corporation of America Holdings (LabCorp), to
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`consult with legal counsel, to prepare this and potentially other declarations, and to
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`be available for deposition in connection with responding to the Petitions for Inter
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`Partes Review of U.S. Patent No. 6,440,706 (“the ’706 patent”); U.S. Patent No.
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`8,859,206 (“the ’206 patent”); U.S. Patent No. 7,824,889 (“the ’889 patent”); and
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`U.S. Patent No. 7,915,015 (“the ’015 patent”) (collectively, “the Petitions”) filed
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`by Ambry Genetics Corporation (“the Petitioner”).1 I am being compensated for
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`my time in connection with the Petitions at my standard consulting rate. My
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`1 In each Petition, the respective patent is identified as Exhibit AMB1001. When I
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`refer to specific portions of the patents in my comments below, I identify the patent
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`by this exhibit number and also identify which of the four patents to which I am
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`referring.
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`2
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`The Johns Hopkins University Exhibit JHU2001 - Page 2 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`compensation is hourly and is unaffected by the substance of my opinion or the
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`outcome of the proceedings.
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`II. Expertise
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`3.
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`I am qualified based on my education and experience to testify as an expert
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`in the field of molecular biology. My education and experience qualified me as a
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`person of at least ordinary skill in the art at the time of the invention in 1999. A
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`true and correct copy of my curriculum vitae is attached as Exhibit No. JHU2002.
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`Additionally, I provide the following overview of my background as it pertains to
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`my qualifications for providing expert testimony in this matter.
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`4.
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`I am currently a Professor of Microbiology, Biochemistry and Molecular
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`Genetics at the Public Health Research Institute (PHRI), New Jersey Medical
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`School, at Rutgers University, The State University of New Jersey. I am currently
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`the Co-Director of the Laboratory of Molecular Genetics at PHRI. I am also an
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`Associate Member of the Cancer Institute of New Jersey.
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`5.
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`For 27 years, I served as a Research Professor or Adjunct Professor at the
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`New York University School of Medicine in the Department of Microbiology, and
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`I was a professor and conducted research prior to that for 17 years at Columbia
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`3
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`The Johns Hopkins University Exhibit JHU2001 - Page 3 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`University in the Department of Genetics and Development and the Institute of
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`Cancer Research at the College of Physicians and Surgeons.
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`6.
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`I earned my Bachelor of Science Degree from the University of Michigan in
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`1964 and my Ph.D. from the Rockefeller University in 1969. I conducted
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`postdoctoral research with Dr. Sol Spiegelman at Columbia University from
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`1969-1972.
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`7.
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`I have worked in the areas of microbiology, biochemistry, and molecular
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`genetics for 48 years, and I have worked in research related to nucleic acid
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`detection using a variety of techniques, including polymerase chain reaction (PCR)
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`assays, for over 33 years. For example, I have designed extremely sensitive,
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`multiplex, clinical PCR assays that simultaneously detect four different pathogenic
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`retroviruses in blood, and I have demonstrated the use of Molecular Beacons in
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`PCR assays, including their use in the detection of rare mutations. I also developed
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`a single-tube version of a PCR assay that rapidly identifies multidrug-resistant
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`Mycobacterium tuberculosis in sputum samples, which is now the principal assay
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`for the direct detection of tuberculosis utilized throughout the world. The ongoing
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`focus of my research is the development of highly selective PCR assays for the
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`4
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`The Johns Hopkins University Exhibit JHU2001 - Page 4 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`detection of rare somatic mutations related to cancer diagnosis, prognosis, and
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`therapy.
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`8.
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`In forming my opinions, I relied on my knowledge and experience in the
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`field, as well as on documents and information referenced in this Declaration.
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`All statements in my Declaration, unless indicated otherwise, are based on my
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`knowledge and experience in the field.
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`III. Materials Considered
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`9.
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`In forming my opinions, in addition to my knowledge and experience, I have
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`considered the following documents and things that I have obtained or that have
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`been provided to me:
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`U.S. Patents Nos. 6,440,706; 8,859,206; 7,824,889; and 7,915,015;
`Levran et al., 1997, Sequence Variation in the Fanconi Anemia Gene
`FAA, PNAS 94:13051-13056 (“Levran”);
`Simmonds et al., 1990, Human Immunodeficiency Virus-Infected
`Individuals Contain Provirus in Small Numbers of Peripheral
`Mononuclear Cells and at Low Copy Numbers, Journal of Virology
`64:864-872 (“Simmonds”);
`Sykes et al., 1992, Quantitation of Targets for PCR by Use
`of Limiting Dilution, BioTechniques 13:444-449 (“Sykes”);
`U.S. Patent No. 6,143,496 (Brown et al.) (“Brown”);
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`5
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`The Johns Hopkins University Exhibit JHU2001 - Page 5 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`Chiang et al., 1996, Use of a Fluorescent-PCR Reaction to Detect
`Genomic Sequence Copy Number and Transcriptional Abundance,
`Genome Research 6: 1013-1026 (“Chiang”);
`Inter partes petitions of Ambry Genetics Corporation for IPR2017-
`02086; IPR2017-02093; IPR2017-02095;
`Buck declarations in support of the Ambry Genetics Corporation
`petitions for IPR2017-02086; IPR2017-02093; IPR2017-02095; and
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`All additional references cited herein.
`I further performed internet research and document review to confirm
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`10.
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`my recollection of technology that was available prior to August 1999.
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`IV. Level of Ordinary Skill and the Relevant Art
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`11. Dr. Buck appears to contend that one of ordinary skill in the art would be
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`familiar with the relevant scientific field and its literature at the time when the
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`patent application was filed on August 2, 1999. AMB1007, ¶ 10. In particular,
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`Dr. Buck contends that a person of ordinary skill in the art would typically have
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`either a Master’s degree in the biological sciences or a related field, plus at least
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`four years of laboratory experience, or a Ph.D. degree in the biological sciences or
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`a related field, plus at least two years of molecular biology laboratory experience.
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`AMB1007, ¶ 11.
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`6
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`The Johns Hopkins University Exhibit JHU2001 - Page 6 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`12.
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`I disagree with Dr. Buck’s interpretation as to the level of one of ordinary
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`skill in the art. In my opinion, this person is someone with training and education
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`in molecular biology techniques such as PCR and related laboratory procedures.
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`This could include a person with a Bachelor’s degree in biological or chemical
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`sciences and at least three years of experience in a laboratory, or a person with
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`a Master’s degree in biochemical sciences and at least one year of laboratory
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`experience. I base this opinion on my experience with trained laboratory
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`technicians and graduate students with Bachelor’s and/or Master’s degrees, who
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`are aware of the literature and aware of the various available laboratory techniques.
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`V. Legal Standards
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`13. The section below sets forth certain legal standards that have been provided
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`to me by attorneys for LabCorp. I understand that the issues presented in these
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`inter partes reviews must be considered in view of particular legal standards. I am
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`not an attorney, however, and I am relying on these legal standards only to guide
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`my analysis.
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`14.
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`I understand that the proposed grounds for institution of IPR2017-02086,
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`IPR2017-02093, and IPR2017-02095 rely upon allegations that the challenged
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`claims are anticipated and/or obvious. I further understand that the scope of issues
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`7
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`The Johns Hopkins University Exhibit JHU2001 - Page 7 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`to be considered in an inter partes review are limited to those grounds disclosed
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`in the Petition, and so I limit my analysis to those grounds.
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`15.
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`I understand that, in an inter partes review, claim terms in an unexpired
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`patent are interpreted according to their broadest reasonable interpretation
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`consistent with the specification of the patent in which they appear.
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`16.
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`I have been informed that a claimed invention is not patentable if it is
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`anticipated. I understand that a claimed invention is anticipated if each and every
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`element as set forth in the claimed invention is found, either expressly or
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`inherently described, in a single prior art reference. I understand that “inherent”
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`disclosure means that the claim element, although not expressly described by the
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`prior art reference, must necessarily be present based on the disclosure.
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`I understand that a mere possibility or even probability that the element is present
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`is not sufficient to qualify as “inherent disclosure.” Therefore, I understand that
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`a claim is not anticipated if the single prior art reference does not expressly or
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`inherently teach each element of the claimed invention. It is my understanding that
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`to anticipate a claimed invention when the reference is silent as to an alleged
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`inherent characteristic, the gap in the reference may be filled in by extrinsic
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`evidence, i.e., evidence outside the disclosure of the reference. Such extrinsic
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`8
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`The Johns Hopkins University Exhibit JHU2001 - Page 8 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`evidence must make clear that the missing descriptive matter is necessarily present
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`in the described reference.
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`17.
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`I also have been informed that a claimed invention is not patentable if it is
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`obvious. I understand that a claimed invention is obvious if the differences
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`between the claimed subject matter and the prior art reference or references are
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`such that the subject matter as a whole would have been obvious to one of ordinary
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`skill in the art at the time of the invention. I understand that several factual
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`inquiries underlie a determination of obviousness. These inquiries include (1) the
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`scope and content of the prior art, (2) the level of ordinary skill in the field of the
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`invention, (3) the differences between the claimed invention and the prior art, and
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`(4) any objective evidence of non-obviousness. Such objective evidence of
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`non-obviousness
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`include
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`the
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`invention’s commercial success, commercial
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`acquiescence (i.e., licensing), a long felt but unresolved need, the failure of others,
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`skepticism by experts, praise by others, teaching away by others, recognition of a
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`problem, laudatory statements by the infringer, and copying of the invention by
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`competitors.
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`18.
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`I have been informed that obviousness is determined by looking at the
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`claimed subject matter as a whole through the eyes of one of ordinary skill in the
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`9
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`The Johns Hopkins University Exhibit JHU2001 - Page 9 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`art at the time the claimed invention was made. Therefore, it is my understanding
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`that a claim is not obvious if the combined references fail to disclose or suggest at
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`least one element of the claim. Further, I understand that a claim is not obvious if
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`there is no teaching, suggestion, or motivation to combine the references, or some
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`articulated reasoning with a rational underpinning to support the combination of
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`the references.
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`19.
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`I have further been informed that a claim is not proven obvious by merely
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`demonstrating that each of the elements was independently known in the prior art.
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`Most, if not all, inventions rely on building blocks long since uncovered, and
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`claimed discoveries, almost of necessity will likely be combinations of what is
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`already known. Thus, I understand that it is important to identify whether a reason
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`existed at the time of invention that would have prompted a person of ordinary
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`skill in the art in the relevant field to combine the known elements in the same way
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`the claimed invention does.
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`20.
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`I understand that, in assessing obviousness, one should consider whether the
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`invention was obvious as of the filing date of the earliest application to which the
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`patent claims priority without resorting to hindsight. In other words, the patent
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`claims cannot be used as a roadmap to combine the prior art.
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`10
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`The Johns Hopkins University Exhibit JHU2001 - Page 10 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`21.
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`I have been informed that dependent claims include all of the limitations of
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`the independent claim from which they depend. Therefore, it is my understanding
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`that, if a reference or combination of references fails to properly disclose or
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`suggest a limitation of an independent claim, they also fail to do so when that
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`limitation is deemed incorporated into all the dependent claims. Thus, I have been
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`informed and understand that, if an independent claim is found to be novel and
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`non-obvious, every claim which depends from the independent claim is also novel
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`and non-obvious.
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`VI. Overview of the Claimed Invention
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`22.
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`I understand that this declaration is being submitted together with the Patent
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`Owner’s Preliminary Responses to the petitions for inter partes review regarding
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`the ’706 patent (IPR2017-02086); the ’889 patent (IPR2017-02093), and the ’015
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`patent (IPR2017-02095).
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`23. The technology claimed in the ’706 patent includes methods for determining
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`the relative abundance of two sequences in a sample. The methods include
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` (1) diluting the sequences into assay samples, (2) amplifying the sequences,
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` (3) analyzing the amplified molecules by determining the number of assay
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`samples of the set that contain one sequence and the number of assay samples of
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`11
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`The Johns Hopkins University Exhibit JHU2001 - Page 11 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`the set that contain the second sequence, and (4) comparing the numbers to
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`ascertain a ratio that reflects the composition of the sample. See, e.g., ’706 patent
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`(AMB1001), 2:7-17; AMB1003, 1:24-2:3, 2:12-33.
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`24. The technology claimed in the ’889 patent includes methods for determining
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`an allelic imbalance in a biological sample by distributing nucleic acid molecules
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`to form a set of assay samples, amplifying the template molecules, and analyzing
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`the amplified molecules to determine a first number of assay samples of the set that
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`contain a selected genetic sequence on a first chromosome and a second number of
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`assay samples of the set that contain a reference genetic sequence on a second
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`chromosome, and comparing the first number to the second number to ascertain an
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`allelic imbalance. See, e.g., ’889 patent (AMB1001), 2:11-22; AMB1003, 1:22-43.
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`25. The technology claimed in the ’015 patent includes methods for determining
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`an allelic imbalance in a biological sample by distributing nucleic acid molecules
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`to form a set of assay samples, amplifying the template molecules, and analyzing
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`the amplified molecules to determine a first number of assay samples of the set that
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`contain a first allelic form of a marker and a second number of assay samples of
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`the set that contain a second allelic form of the marker, and comparing the first
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`12
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`The Johns Hopkins University Exhibit JHU2001 - Page 12 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`number to the second number to ascertain an allelic imbalance. See, e.g., ’015
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`patent (AMB1001), 2:11-22; 1:22-2:6, 2:12-28.
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`VII. General View of the Field
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`26.
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`I understand that August 2, 1999 is the earliest U.S. priority date to which
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`the Patent Owner may claim the ’706,’889, and ’015 patents are entitled.
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`27. Prior to August 1999, a need existed for molecular diagnostic methods
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`sensitive enough to detect a mutant nucleic acid sequence among a background of
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`normal nucleic acid sequences or a subtle allelic imbalance. Such methods were
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`needed, for example, to detect mutations present during the early stages of cancer
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`in patient samples. See, for example, references characterizing the art at the time
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`that digital PCR was invented (Pohl and Shih, Expert Rev. Mol. Diagnostics
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`(2004), 4:41-47 (JHU2003); and Diehl and Diaz (2007), Curr. Opin. Oncol. 19:36-
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`42 (JHU2004)). At the time Drs. Vogelstein and Kinzler filed their first patent
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`application related to digital PCR, DNA sequencing was the preferred technique
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`for the detection of mutations, but DNA sequencing had substantial shortcomings.
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`They note, for example, in the Background section of the application, that DNA
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`sequencing was useful only if the fraction of mutated molecules was greater than
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`approximately twenty percent of the total. See, e.g., ’706 patent (AMB1001),
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`13
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`The Johns Hopkins University Exhibit JHU2001 - Page 13 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`1:42-45. Other techniques known at the time, e.g., the use of mutant-specific
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`oligonucleotides or the digestion of polymerase chain reaction (PCR) products
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`with specific restriction endonucleases, were also problematic. See, e.g., ’706
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`patent (AMB1001), 1:45-54. The existing methods had widely variable signal-to-
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`noise ratios that made it difficult to distinguish two different templates. See, e.g.,
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`’706 patent (AMB1001), 1:42-58. Additionally, the existing methods, although
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`sensitive, presented problems with quantification of the fraction of mutant
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`molecules in the starting population. ’706 patent (AMB1001), 1:54-58. I agree
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`with these observations.
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`28.
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`In my opinion, Drs. Vogelstein and Kinzler overcame many of the
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`limitations of the existing methods by developing a method that could accurately
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`and quantitatively detect genetic sequences in mixed populations of sequences, and
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`I disagree with the characterization in the Petitions that the claimed methods were
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`taught by references disclosing traditional PCR followed by well-known detection
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`methods to identify mutations and polymorphisms in a gene. Based on my
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`experience and knowledge, this characterization clearly ignores certain steps
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`required by the claimed methods of Vogelstein and Kinzler (e.g., the analyzing and
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`14
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`The Johns Hopkins University Exhibit JHU2001 - Page 14 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`comparing steps) and the valuable additional information that these steps provide
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`as is discussed in detail below.
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`29.
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`I also disagree with the characterization in the Petitions that “digital
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`amplification” or “digital PCR” as disclosed by Drs. Vogelstein and Kinzler was
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`well known in the art for about a decade prior to the earliest priority date of the
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`patents at issue. In my experience, these terms have been used more broadly by
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`different research groups to include limiting dilution PCR, and this alternative
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`usage has created confusion in the field. As shown by the patents I am addressing
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`here, digital PCR is a ratiometric assay. See, e.g., ’706 patent (AMB1001),
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`2:11-17, 2:23-29, 3:35-45, 11:4-24. More specifically, in my opinion, as based on
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`my knowledge and experience in this field, the extreme sensitivity of the assay is
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`achieved by using limiting dilution techniques and then determining the ratios of
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`the different numbers of assay samples in a single set of assay samples that include
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`individual genetic sequences.
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`30. Specifically, based on my knowledge and experience in this field, it is far
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`more accurate when carrying out experiments to determine the relative abundance
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`of one sequence in a biological sample compared to the abundance of another
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`sequence in the same sample, to measure the abundance of each sequence in the
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`15
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`The Johns Hopkins University Exhibit JHU2001 - Page 15 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`same experiment utilizing the same methodology, than it is if one method or set of
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`assay samples is used to determine the abundance of the first sequence and
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`a different method or different set of assay samples is used to measure the
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`abundance of the second sequence. In my opinion, a key characteristic that
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`distinguishes “digital PCR,” as described and claimed by Drs. Vogelstein and
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`Kinzler, from earlier “limiting dilution PCR” is that Drs. Vogelstein and Kinzler
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`realized and demonstrated that the simultaneous measurement of the abundance of
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`two different sequences in the same limiting dilution PCR assay samples
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`(accomplished by counting the number of assay samples in a set of assay samples
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`that contain the first sequence and by counting the number of assay samples in the
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`same set of assay samples that contain the second sequence), followed by a direct
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`comparison of the abundance of the two different target sequences in the set,
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`enables a far more accurate determination of the relative abundance of those
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`sequences than could be determined by the existing prior art. In my opinion, that is
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`why digital PCR, as invented by Drs. Vogelstein and Kinzler, has been so widely
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`adopted in the field of molecular diagnostics.
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`31. The specification states that digital PCR refers to the method’s ability to
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`convert the intrinsically exponential nature of PCR to a linear one. ’706 patent
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`16
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`The Johns Hopkins University Exhibit JHU2001 - Page 16 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`(AMB1001), 5:34-36. It is my understanding, based on my familiarity with the
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`field and the literature, that for each target sequence of interest, the method looks
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`at the products of each assay sample, and for each assay sample it is determined
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`whether a particular target sequence is present or absent in the assay sample. See,
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`e.g., ’706 patent (AMB1001), 4:34-44. 4:54-62, 5:4-15. The answer for each assay
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`sample is either “yes” (i.e., that particular genetic target sequence is present) or
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`“no” (i.e., that particular target sequence is not present). See, e.g., ’706 patent
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`(AMB1001), 2:48-51. In my experience, this type of answer is referred to as
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`a “binary” response, often represented by the digits “1” if the target is present or
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`“0” if the target is absent. As such, based on my understanding, the origin of the
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`term “digital PCR” arises from the ability to easily determine the presence or
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`absence of each particular single target sequence of interest in the assay samples of
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`the same set.
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`32. Based on my background and experience, it is my opinion that digital PCR
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`solved the need for a molecular diagnostic assay that was sufficiently sensitive and
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`sufficiently specific to identify mutations amongst a large background of normal
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`cells or nucleic acids. When it was introduced, the power of this new method was
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`appreciated by those in the field, including myself. For example, Drs. Vogelstein
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`17
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`and Kinzler’s scientific publication of digital PCR (1999, PNAS 96:9236-9241)
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`(JHU2005) has been cited 1,111 times. JHU2006.2 This large number of citations
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`indicates the significance and transformative nature of digital PCR; it is my
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`opinion that if the references relied upon by Petitioner had in fact disclosed this
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`powerful method (in 1992 or 1996), then digital PCR to determine the relative
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`proportions of two sequences in a biological sample would have been used
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`throughout the scientific community well before 1999.
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`33. Digital PCR includes the steps of diluting, amplifying, analyzing, and
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`comparing, as reflected in the claims of the patents and discussed above. Based on
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`my knowledge and experience in the field, limiting dilution PCR includes a subset
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`of those steps but does not include the analyzing and comparing steps. In digital
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`PCR, amplified molecules in the assay samples of the set (made by limiting
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`2 I determined the number of citations by performing a search for the Vogelstein
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`and Kinzler PNAS paper using Google Scholar on December 26, 2017 and found
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`the results at the following website:
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`https://scholar.google.com/scholar?hl=en&as_sdt=0%2C33&q=vogelstein+kinzler
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`+digital+pcr&btnG. The search results are shown in JHU2006.
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`The Johns Hopkins University Exhibit JHU2001 - Page 18 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`dilution) are analyzed to determine a first number of assay samples that contain
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`the selected genetic sequences (e.g., a mutant sequence) and a second number of
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`assay samples that contain a reference genetic sequence (e.g., a wild-type genetic
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`sequence), and the first number is compared to the second number to ascertain
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`a ratio that reflects the composition of the biological sample or reflects an allelic
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`imbalance. In my opinion, based on my knowledge and experience in this field,
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`these aspects are critical to digital PCR, and distinguish digital PCR from limiting
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`dilution PCR. One of skill in the art would understand that this method requires
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`that a sufficient number of reliable assay samples be in the set and be analyzed in
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`order to provide a ratio that accurately reflects the composition of the biological
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`sample or the allelic imbalance.
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`VIII. Claim Construction
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`a. ’706 Patent
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`34. Claims 1 and 38 of the ’706 patent each recite “to form a set comprising
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`a plurality of assay samples.” In my opinion, one of skill in the art would interpret
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`“a plurality of assay samples” to mean two or more assay samples. The term
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`“plurality” is defined by the Merriam-Webster Dictionary as meaning “the state of
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`The Johns Hopkins University Exhibit JHU2001 - Page 19 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`being plural,” with “plural” being defined as “more than one.”3 Based on my
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`background and experience in the field, in the context of the claim as a whole, and
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`digital PCR as disclosed in the ’706 patent, one of skill in the art would understand
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`that the particular number of assay samples required for the method would depend
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`on the composition of the biological sample. That is, analysis of the plurality of
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`assay samples enables ascertaining a ratio which reflects the composition of the
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`biological sample. When a particular sequence is rare, a larger number of samples
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`would be necessary in order to ascertain a ratio that reflects the composition of the
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`biological sample with any degree of certainty.
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`35. Claims 1 and 38 of the ’706 patent each recite “assay samples of the set” in
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`the amplifying step. Based on my experience and knowledge in the field, one of
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`skill in the art would understand that the assay samples of the set continue to be
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`part of the set throughout the assay (i.e., including through the amplifying,
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`3 I performed this internet search on December 26, 2017 and found the results at the
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`following websites: https://www.merriam-webster.com/dictionary/plurality and
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`https://www.merriam-webster.com/dictionary/plural. The results are shown in
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`JHU2012.
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`The Johns Hopkins University Exhibit JHU2001 - Page 20 of 72
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`analyzing, and comparing steps). This inclusion in the set continues, regardless of
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`the physical location or characteristics of the assay samples at the time of each
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`step. The fact that the assay samples continue to be part of the set throughout the
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`assay is necessary in order for the final claim step to be meaningful. That is, in
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`order to ascertain a ratio which reflects the composition of the biological sample,
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`the set of assay samples must have originated and be analyzed from the same
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`biological sample.
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`36. Claims 1 and 38 of the ’706 patent each recite “comparing the first number
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`to the second number to ascertain a ratio which reflects the composition of the
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`biological sample,” which refers to comparing the number of assay samples of the
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`set that contain the “selected genetic sequence” to the number of assay samples of
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`the set that contain a “reference genetic sequence.” The Petition does not address
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`the claim language “to ascertain a ratio that reflects the composition of the
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`biological sample.” In my opinion, the ratio obtained in the comparing step reflects
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`and relates to the requirements of the remaining steps of the claimed methods.
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`Specifically, one of skill in the art would understand that generating a ratio that
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`reflects the composition of target sequences in a biological sample requires
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`a sufficient number of reliable assay samples in the set, and requires that
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`IPR2017-02086, -02093, -02095
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`Patent Nos. 6,440,706; 7,824,889; 7,915,015
`Declaration of Fred Russell Kramer, Ph.D.
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`a sufficient number of the assay samples be analyzed, in order to provide a ratio
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`that reflects the composition of the biological sample with any degree of certainty.
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`37. Based on my knowledge and experience, the number of assay samples that
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`would be sufficient in any given analysis depends on the frequency of the selected
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`sequence or mutation or the degree of the allelic imbalance in the biological
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`sample. See also ’706 patent (AMB1001), 4:8-10, 6:9-10. Once the nucleic acid
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`template molecules from the original biological sample are diluted to such an
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`extent that many of the assay samples in the set are negative, then the number of
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`positive samples that are needed depends on the degree of accuracy desired when
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`determining the relative abundance of the two different target sequences that are
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`detected by analyzing the positive samples in the set. Generally, the more assay
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`samples, the greater is the accuracy of the ratio that is determined. Moreover,
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`if one of the two target sequences is extremely rare compared to the other target
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`sequence (for example, when comparing the abundance of a rare somatic mutation
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`that occurs in canc