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UNITED STATES PATENT AND TRADEMARK OFFICE
`
`____________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`____________________
`
`Intuitive Surgical, Inc.
`
`Petitioner,
`
`v.
`
`Ethicon Endo-Surgery, Inc.
`
`Patent Owner
`
`____________________
`
`IPR Case No. IPR2018-00938
`
`U.S. Patent No. 9,113,874
`
`____________________
`
`PETITIONER’S REQUEST FOR REHEARING
`PURSUANT TO 37 C.F.R. § 42.71(d)
`
`
`
`
`

`

`
`

`
`
`
`
`

`

`
`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`
`
`TABLE OF CONTENTS
`
`The Board Misapprehended Hooven Because It Overlooked a Key
`Passage Confirming Hooven Independently Applies Different Closing
`and Firing Motions ....................................................................................... 1 
`
`The Board Construed the “Closing Motion” and “Firing Motion”
`Terms Too Narrowly .................................................................................... 8 
`
`  Legal Standard ............................................................................................ 10 
`
`  Precise Relief Requested ............................................................................ 10 
`
`It Would Have Been Obvious to Modify Hooven to Use an
`Articulation Joint As Provided By Claims 1-8 and 19 ............................... 11 
`
`
`
`i
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`TABLE OF AUTHORITIES
`
` Page(s)
`
`Cases
`Allied Erecting & Dismantling Co. v. Genesis Attachments, LLC,
`825 F.3d 1373 (Fed. Cir. 2016) .................................................................... 12, 13
`Becton, Dickinson & Co. v. Tyco Healthcare Group,
`616 F.3d 1249 (Fed. Cir. 2010) ............................................................................ 9
`In re Etter,
`756 F.2d 852 (Fed. Cir. 1985) (en banc) ............................................................ 13
`Palo Alto Networks, Inc. v. Juniper Networks, Inc.,
`IPR 2013-00369 .................................................................................................. 10
`Powell v. Home Depot U.S.A., Inc.,
`663 F.3d 1221 (Fed. Cir. 2011) ............................................................................ 9
`Other Authorities
`37 C.F.R. § 42.71(c) ........................................................................................... 10, 11
`37 C.F.R. § 42.71(d) .......................................................................................... 10, 11
`
`
`
`
`
`
`
`
`
`
`
`ii
`
`

`

`
`
`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`The Board Misapprehended Hooven Because It Overlooked a Key
`Passage Confirming Hooven Independently Applies Different Closing
`and Firing Motions
`The Board denied institution based on a misapprehension of Hooven. The
`
`Board overlooked that part of Hooven which discloses that the closing motion may
`
`be applied independently of the firing motion, and thus the two motions cannot be
`
`the “same” motion, as the Board found.
`
`The overlooked passage is found at column 5, lines 50-65, and was quoted in
`
`part in the Petition at page 59 and the accompanying Knodel declaration at
`
`paragraph 142. That passage confirms what Petitioner describes throughout its
`
`petition—that the closing motion (provided by closure nut 77 and its closure pin
`
`78) is different from the firing motion (provided by the small diameter portion 73
`
`of threaded rod 71 when engaged with the firing nut). These two motions are
`
`not—as the Board found—merely the motion of the threaded rod.
`
` Petitioner respectfully requests that the Board rehear its decision denying
`
`institution on all grounds.
`
`Claim 9, which is representative, requires a “reciprocatable closure element”
`
`which applies “opening and closing motions” to one of the end effector jaws and a
`
`“firing element” which applies “firing motions” to a driver element.
`
`Patent Owner argued that the ’874 Patent requires that the claimed
`
`instrument had to be capable of closing and opening before firing:
`
`
`
`1
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`The 874 Patent notes as much in the Background section,
`explaining that “[o]ne specific advantage of being able to close
`upon tissue before firing is that the clinician is able to verify via
`an endoscope that the desired location for the cut has been
`achieved[.]” Ex. 1001 at 3:22-25.
`
`
`POPR at 3. In other words, Patent Owner asserted that the device of the ’874 Patent
`
`could close without firing so that the surgeon could close the jaws, but then open
`
`them and reposition the instrument if necessary.
`
`The misapprehension concerning Hooven occurred because Patent Owner
`
`argued that Hooven failed to disclose this ability to close without firing, implying
`
`that Hooven closes and then fires as part of the same “motion”:
`
`[T]he device described and claimed in the 874 Patent provides two
`motions for performing the opening/closing and firing functions. . . .
`Conversely, with Hooven the risk of error is always present, since both
`functions are controlled through application of the same motion (the
`rotation of the threaded rod).
`Id. at 2-3.
`
`The Board agreed with Patent Owner and held that Hooven could not
`
`anticipate (or render obvious) the challenged claims of the ’874 Patent because
`
`Hooven allegedly disclosed only a single motion for closing and firing:
`
`Patent Owner asserts that “Hooven’s surgical instrument
`only applies a single motion – the rotation of a threaded
`rod.” Prelim. Resp. 23. We agree with Patent Owner.
`
`2
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`
`* * *
`[W]e agree with Patent Owner that in Hooven “the rotation
`of the threaded rod is applied to the jaw to close the anvil
`portion of the end effector” and “also applied to drive the
`knife member and driving wedge member to cut/staple
`tissue.” Prelim. Resp. 25 (citing Ex. 1004, 5:46–50, 6:10–
`15).
`
`Non-Institution Decision at 15-17.
`
`But the Board misapprehended that rotation of the threaded rod is not
`
`sufficient to cause either the closing or firing motions, and the closing motion may
`
`be applied independently of the firing motions. The “firing motion” is only
`
`applied when the “smaller diameter portion 73” of threaded rod 71 is in threaded
`
`engagement with firing nut 86. See, e.g., Petition at 20-21, 43, and 45. When the
`
`firing nut 86 is not engaged with the threaded rod, no firing motions are applied.
`
`Accordingly, Hooven provides for a closing motion before firing so that a surgeon
`
`can reposition the instrument, if necessary, before firing the stapler—just as in the
`
`’874 patent.
`
` The critical passage overlooked by the Board is sandwiched in between the
`
`passages cited by Patent Owner above (and quoted by the Board). Specifically,
`
`Hooven clearly teaches the ability to close and open the anvil without firing the
`
`device. At column 5, lines 50-65, Hooven teaches that the instrument can inform
`
`3
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`the surgeon if the surgeon has gripped to little or too much tissue, in which case
`
`the surgeon should remanipulate the instrument (in other words, open and close
`
`again, before—and without—stapling and cutting):
`
`Tissue to be treated or manipulated is placed between the anvil portion
`and the staple portion of the head of the instrument when in the open
`position. Power is applied to the flexible shaft to rotate the shaft and the
`threaded rod and close the anvil portion. As can be appreciated, the
`amount of torque required to pivot the anvil portion about the pivot pin
`can be sensed and the thickness of tissue between the anvil and the
`staple portion determined. It is a simple matter for a controller to
`manipulate this information and inform the surgeon as to whether
`or not he has the appropriate amount of tissue between the anvil
`portion and the staple portion of the head of the instrument upon
`closure or whether he has too much or too little tissue and should
`re-manipulate the instrument.
`
`’874 Patent at column 5, lines 50-65 (bolded text cited at Petition at 59;
`
`Knodel Declaration, ¶142) (emphasis added).
`
`The Petition explained how Hooven has a closure element that applies a
`
`closing motion and a firing element (different from the closure element) that applies
`
`a firing motion (which is likewise different from the closing motion).
`
`4
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`
`
`
`Petition at 26-27.
`
`As shown in Fig. 6 of Hooven, the closure nut 77 is in its proximal position
`
`and the closure pin 78 is at the proximal location in the closure slot 79. When the
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`closure nut 77 is moved distally, its closure pin 78 also moves distally. Because
`
`the closure slot is curved upward, the distal movement of closure pin 78 forces the
`
`anvil downward as it moves through the slot in the distal direction:
`
`
`
`5
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`
`Petition at 28.
`
`
`
`Patent Owner criticized Petitioner’s argument as being in “conflict” with
`
`itself. Patent Owner Preliminary Response at 26-27. However, Patent Owner
`
`misrepresents what the Petition makes clear: The “closure nut 77” is the closure
`
`element which moves proximally and distally, causing its “closure pin 78” to
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`likewise move proximally and distally, which interacts with closure slot 79 on the
`
`anvil to open and close the anvil. Petition at 17-19.
`
`
`
`Thus, the closure nut 77 moves only when the threaded rod is engaged with
`
`the closure nut, and the closure pin travels proximally and distally in response to a
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`combination of the movement of threaded rod 71 and the location of closure nut
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`77. Knodel Declaration, ¶32. Simply, the movement of the threaded rod is not the
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`same as, and does not always cause, movement of the closure nut 77 and its
`
`closure pin 78. They are not the “same motion.”
`
`
`
`The “firing motion,” on the other hand can only occur when the closure nut
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`77 is in the distal-most position, as shown in Figure 8 of Hooven, at which point
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`the closure nut is decoupled from the threaded rod 71. At this time, no opening or
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`closing motions are applied to the anvil even though the threaded rod is turning.
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`Firing mode can only occur when closure nut 77 engages and pushes lever 85 from
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`a position shown in Fig 6 to a position shown in Fig 8 thereby causing firing nut 86
`
`6
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`to engage with threaded rod – small diameter portion 73 to travel distally. Petition
`
`at 19-21, 26, 36, and 39 (describing the firing mode after the anvil has closed).
`
`
`
`This structure provides the exact benefit that Patent Owner focused on in its
`
`Preliminary Response—the structure allows a surgeon to close before firing so
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`that the surgeon can reposition the instrument, if necessary, before choosing to fire
`
`the stapler. See, e.g., Petition at 59-60 (discussing Hooven’s use of sensors to
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`determine if the instrument should be repositioned before firing).1
`
`
`1 We note that after the Petition was filed, the Examiner read Hooven as Petitioner
`
`does here—that Hooven discloses “separate and distinct” closing and firing
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`motions, and rejected Patent Owner’s claims in an application related to the ’874
`
`Patent. Office Action, August 24, 2018, U.S. Application Serial No. 16/023,523
`
`(filed June 29, 2018), pp. 4-5.
`
`7
`
`

`

`
`
`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`The Board Construed the “Closing Motion” and “Firing Motion”
`Terms Too Narrowly
`As discussed in Section I, above, Hooven does indeed teach two
`
`independently applied motions, and thus invalidates under the Board’s claim
`
`construction.
`
`Even though Hooven teaches two independently applied motions, this
`
`requirement, urged by the Patent Owner and adopted by the Board, is not explicitly
`
`or implicitly in these apparatus claims.
`
`For anticipation, each limitation must be found in the prior art arranged in
`
`the manner claimed. Beyond that, there is no requirement that each limitation be
`
`found in components that are unrelated or disconnected.
`
`In accordance with representative claim 9, Hooven discloses a structure
`
`having a “reciprocatable closure element” (“closure nut 77”), which is a
`
`component “configured to apply said opening and closing motions to said one of
`
`said first and second jaws.” and a “motor powered firing element” (“small diameter
`
`portion 73” of the threaded rod), which is a component “configured to apply said
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`firing motions to said driver element.” Knodel, ¶¶45, 59. Nothing more is
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`required. That the threaded rod provides the rotary power to the closure nut 77 is
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`immaterial. Even if the threaded rod necessarily turned both the closure nut and
`
`firing nut in a single motion (it does not) or if Hooven were silent in that regard (it
`
`8
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`is not), such a structure would still meet the claims. The threaded rod may be a
`
`“firing element” and may also provide rotary motion to the “closure element.”
`
`The Federal Circuit has confirmed that a single component can meet
`
`separate claim limitations, unless the structure of the claims or the specification
`
`compels a different result. See Powell v. Home Depot U.S.A., Inc., 663 F.3d 1221,
`
`1231 (Fed. Cir. 2011) (holding that a claim separately reciting a “cutting box” and
`
`a “dust collection structure” did not require separate components, and was met by a
`
`single structure: a cutting box with integrated dust collection).2
`
`
`2 In Powell, the Federal Circuit distinguished Becton, Dickinson & Co. v. Tyco
`
`Healthcare Group, 616 F.3d 1249 (Fed. Cir. 2010) and a review of that case is
`
`instructive. In Becton, Dickinson & Co., the claim required a spring means to be
`
`“connected to” a hinged arm. The Patent Owner argued that an accused product
`
`with a springy hinged arm met the claims. The Federal Circuit disagreed, holding
`
`that because the claim recited a hinged arm “connected to” a spring means, the
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`“hinged arm” could not serve double duty as the “spring means.” A component
`
`cannot be “connected to” itself. See Becton, Dickinson & Co., 616 F.3d at 1255.
`
`Here, the claims specify no relationship between the “closing motion” and the
`
`“firing motion”.
`
`9
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`
` Legal Standard
`“When rehearing a decision on petition, a panel will review the decision for
`
`an abuse of discretion.” 37 C.F.R. § 42.71(c). “An abuse of discretion may be
`
`indicated if a decision is based on an erroneous interpretation of law, if a factual
`
`finding is not supported by substantial evidence, or if the decision represents an
`
`unreasonable judgment in weighing relevant factors.” Palo Alto Networks, Inc. v.
`
`Juniper Networks, Inc., IPR 2013-00369, Paper 30 at 2-3 (citing Star Fruits S.N.C.
`
`v. United States, 393 F.3d 1277, 1281 (Fed. Cir. 2005)). The request for rehearing
`
`must “specifically identify all matters the party believes the Board misapprehended
`
`or overlooked.” 37 C.F.R. § 42.71(d).
`
`As explained herein, the Board misapprehended and overlooked the
`
`teachings of Hooven. That error led the Board to deny institution on Ground 1,
`
`and also carried over to the Board’s analysis for Grounds 2-4 as well.
`
` Precise Relief Requested
`Petitioner respectfully requests that the Board institute on all grounds of the
`
`Petition.3 This Motion specifically addresses the error for Ground 1 in Section I
`
`(relevant to all claims) and the errors for Ground 4 in Section V (claims 1-8, and
`
`19).
`
`
`3 Originally challenged claims 16, 17, and 21 have been disclaimed.
`
`10
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`Petitioner has set forth the detailed basis for this Motion, as well as “the
`
`place where each matter was previously addressed in a motion, an opposition, or a
`
`reply,” as required by 37 C.F.R. § 42.71(d). This Motion is timely filed. This
`
`Motion is authorized under 37 C.F.R. § 42.71(c) and prior authorization of the
`
`Board is not required prior to filing. 37 C.F.R. § 42.71(d).
`
`
`
`It Would Have Been Obvious to Modify Hooven to Use an Articulation
`Joint As Provided By Claims 1-8 and 19
`Claims 9 and 20 do not require an “articulation joint” and therefore those
`
`claims and their dependent claims should be instituted solely based on the previous
`
`discussion.
`
`The remaining independent claims (claims 1 and 19) recite an “articulation
`
`joint.” In Ground 4, Petitioner argued it would have been obvious to replace
`
`Hooven’s flexible shaft with a stiff shaft and articulation joint. Petition at 70-73.
`
`Petitioner submits that the Board misapprehended or overlooked the import of Dr.
`
`Knodel’s discussion in support. Indeed, the pervasiveness of articulation joints in
`
`endoscopic surgical instruments in the prior art confirms the obviousness of adding
`
`an articulation joint to any such instrument. Knodel Declaration, ¶169.
`
`Articulation joints were commonplace.
`
`11
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`Dr. Knodel explains why a POSITA would be motivated to add Wales
`
`pivoting linkage to Hooven. Knodel Declaration, ¶167.4 Dr. Knodel further
`
`explains how the combination would be made. Specifically, Dr. Knodel stated that
`
`a POSITA would “replace Hooven’s flexible articulation shaft with Wales’s
`
`particular ‘articulation joint’ [shown in] Wales, Figs. 1, 4,” Knodel Declaration,
`
`¶166, and use Wales’ pivoting linkage “for manipulating Hooven’s end effector.”
`
`Knodel Declaration, ¶169. See also id., ¶170.
`
`The following composite figure depicts what Dr. Knodel states in words:
`
`
`
`Handle to move
`linkage
`
`This figure combines Wales, Fig. 4 (in yellow) with Hooven, Fig. 2 (with shaft
`
`straightened).
`
`Moreover, even though Dr. Knodel described how Wales could be
`
`physically combined with Hooven, such a description was not necessary. “It is not
`
`
`
`
`4 This paragraph discusses four motivations, none of which are mere “design
`
`choice” as argued by Patent Owner.
`
`12
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`necessary that [the references] be physically combinable to render [a claim]
`
`obvious.” Allied Erecting & Dismantling Co. v. Genesis Attachments, LLC, 825
`
`F.3d 1373, 1381 (Fed. Cir. 2016) (quoting In re Sneed, 710 F.2d 1544, 1550 (Fed.
`
`Cir. 1983)). That is so because “‘[t]he test for obviousness is not whether the
`
`features of a secondary reference may be bodily incorporated into the structure of
`
`the primary reference,’ but rather whether ‘a skilled artisan would have been
`
`motivated to combine the teachings of the prior art references to achieve the
`
`claimed invention.’” Id. (quoting In re Keller, 642 F.2d 413, 425 (CCPA 1981),
`
`and Pfizer, Inc. v. Apotex, Inc., 480 F.3d 1348, 1361 (Fed. Cir. 2007)). Whether
`
`the Wales articulation joint can be physically combined with the Hooven device is
`
`thus “basically irrelevant.” In re Etter, 756 F.2d 852, 859 (Fed. Cir. 1985) (en
`
`banc). What is relevant is the teachings of Wales—and Wales teaches that adding
`
`a proximally-controlled articulation joint to a device like Hooven would be
`
`beneficial. Id. See Knodel, ¶166-169.
`
`Dated
`
`December 20, 2018
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`/Steven R. Katz/
`Steven R. Katz, Reg. No. 43,706
`John C. Phillips, Reg. No. 35,322
`Fish & Richardson P.C.
`3200 RBC Plaza, 60 South Sixth Street
`Minneapolis, MN 55402
`T: 858-678-5070
`F: 877-769-7945
`
`Attorneys for Petitioner
`
`13
`
`

`

`Proceeding No. IPR2018-00938
`Attorney docket No. 11030-0049IP6
`CERTIFICATE OF SERVICE
`
`Pursuant to 37 CFR §§ 42.6(e)(1) and 42.6(e)(4)(iii), the undersigned
`
`certifies that on December 20, 2018, a complete and entire copy of this Petitioner’s
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`Request for Rehearing was provided via email to the Patent Owner by serving the
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`email correspondence addresses of record as follows:
`
`Anish R. Desai
`Elizabeth Stotland Weiswasser
`Adrian Percer
`Christopher T. Marando
`Christopher M. Pepe
`Weil, Gotshal & Manges LLP
`767 Fifth Avenue
`New York, NY 10153
`
`Email:
`
` Ethicon.IPR.Service@weil.com
`
`
`
`
`
`/Diana Bradley/
`
`Diana Bradley
`Fish & Richardson P.C.
`60 South Sixth Street, Suite 3200
`Minneapolis, MN 55402
`(858) 678-5667
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