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`571-272-7822
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`Paper No. 74
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`UNITED STATES PATENT AND TRADEMARK OFFICE
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`CARDIOVASCULAR SYSTEMS, INC.,
`Petitioner
`v.
`SHOCKWAVE MEDICAL, INC.,
`Patent Owner.
`
`Case IPR2019-00409
`Patent 8,728,091 B2
`
`Record of Oral Hearing
`Held: April 16, 2020
`
`Before MITCHELL G. WEATHERLY,
`RICHARD H. MARSCHALL, and
`AVELYN M. ROSS, Administrative Patent Judges.
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`Case IPR2019-00409
`Patent 8,728,091 B2
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`APPEARANCES:
`ON BEHALF OF THE PETITIONER:
`
`MARK C. NELSON, ESQ.
`JUANITA DeLOACH, ESQ.
`Barnes & Thornburg, LLP
`2121 N. Pearl Street
`Suite 700
`Dallas, Texas 75201
`(214) 258-4140
`JEFFREY R. STONE, ESQ.
`Barnes & Thornburg, LLP
`225 S. Sixth Street
`Suite 2800
`Minneapolis, Minnesota 55402
`(612) 367-8704
`
`ON BEHALF OF THE PATENT OWNER:
`COOK ALCIATI, ESQ.
`GREG H. GARDELLA, ESQ.
`Gardella Grace, P.A.
`80 M Street, SE
`1st Floor
`Washington, DC 20003
`(703) 721-8379
`calciati@gardellagrace.com
`MICHAEL A. STALLMAN, ESQ.
`Morrison & Foerster, LLP
`425 Market Street
`San Francisco, California 94105
`(415) 268-7000
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`Case IPR2019-00409
`Patent 8,728,091 B2
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`The above-entitled matter came on for hearing on Thursday, April 16,
`2020, commencing at 1:15 p.m. via video teleconference.
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`P-R-O-C-E-E-D-I-N-G-S
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`1:16 p.m.
`JUDGE ROSS: Okay. Well, let's go on the record. So we are
`here for the final hearing in IPR 2019-00409 concerning U.S. Patent Number
`8728091.
`This hearing is being conducted by video conference. I am Judge
`Ross. Joining me today are Judge Weatherly and Judge Marschall.
`We have spent a lot of time together over the last two days and I feel
`like I know you guys pretty well. But for the sake of the record, I'd like for
`you to introduce yourself and those joining your party by phone.
`Mr. Nelson, let's start with you.
`MR. NELSON: Thank you, your Honor. Mark Nelson on behalf
`of Petitioner. With me on the phone are David Whitescarver, Alex
`Rosenstein, Juanita DeLoach, Jeff Stone, and Nell Butler, I believe. Is there
`anybody else on on the Petitioner's side? Should be it.
`JUDGE ROSS: Okay. Thank you. Mr. Alciati? We can't hear
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`you.
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`JUDGE WEATHERLY: Maybe my problems have infected Mr.
`Alciati's computer.
`MR. ALCIATI: No. No. I just apparently can't figure out that
`when the phone says mute you're not going to hear me. So let me try again.
`So good afternoon, your Honors.
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`Case IPR2019-00409
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`Cook Alciati on behalf of the Patent Owner, Shockwave. I am
`joined on the phone by Greg Gardella, who is lead counsel for Shockwave
`Medical in this proceeding. Also on the phone is backup counsel, Michael
`Stallman.
`As well on the phone is Mike Fleming of Irell & Manella, counsel
`for Shockwave Medical. From the Shockwave side we have Doug
`Godshall, who is the CEO of Shockwave Medical, Hajime Tada, who's the
`general counsel for Shockwave Medical, Pat Stephens -- Patrick Stephens --
`who is the vice president of research and development at Shockwave
`Medical, and John Adams, who is a consultant to Shockwave Medical.
`JUDGE ROSS: Thank you. Okay, we are just going to recap a little
`of what we talked about before. Because we are all joining remotely, we
`need to make sure that you speak clearly, obviously, and allow for a little
`delay. I am horrible about talking over people and so I ask your forgiveness
`in advance.
`We all have electronic versions of your slide presentations, so as you
`go through them please make sure to reference the slide number. That'll
`help us follow along and it will also ensure that the record is clear.
`As we mentioned in our oral hearing order, each side is going to
`have 60 minutes today to present their argument. Because the Petitioner
`bears the burden of persuasion, the Petitioner will go first.
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`Each side may reserve up to 15 minutes of rebuttal. Counsel for
`Petitioner, whenever you're ready you may proceed and just let me know
`how much time you want to reserve for rebuttal, and I also ask you guys to
`bear with me. I am not very skilled at monitoring the timer so I will do my
`best.
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`Mr. Nelson?
`MR. NELSON: Thank you, your Honor. Thank you.
`Before I start, I want to -- I want to check to see if Judge Weatherly
`is on because my screen shows him as a blank box.
`JUDGE ROSS: He's having problems with his video feed. But I
`think he is on and can hear us.
`JUDGE WEATHERLY: I am on.
`MR. NELSON: Okay.
`JUDGE WEATHERLY: And sorry you can't see me but I am going
`to remain unseen, I think, on this video unless the system --
`MR. NELSON: Okay.
`JUDGE WEATHERLY: -- pops me back in.
`MR. NELSON: All right. Well, with that, I can begin. And, your
`Honor, if it's possible I would like to reserve 15 minutes for rebuttal. If
`possible, if I could get a time warning maybe at the five-minute mark and
`then at the 15 -- and then at the 15 minutes left mark, and I'll try to keep time
`myself as well.
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`Case IPR2019-00409
`Patent 8,728,091 B2
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`So, good afternoon, your Honors. I want to start with slide five.
`And the 091patent is a patent about energy control, basically, and this is a
`portion of the specification. There's a need to apply -- to control the applied
`energy to assure the appropriate bubble and shockwave formation while
`conserving electrode materials and assuring safety.
`And if you go over to slide 6, the specification of the patent explains
`that this what's doing -- what's the -- what the 091 patent is really about, at
`least the element that's in dispute, is about what the high voltage power
`supply is doing and the patent explains that there's certain advantages
`minimizing electrode wear, decreasing heat, by including a power source
`with a current sensor.
`So the current sensor is in the power source, part of it, that sends
`signals to terminate the high voltage supply when the current flow reaches a
`predetermined limit.
`And slide seven has the claim, and I just want to focus on the
`language on the claim for a minute. So this is Element E. So the claim
`says wherein the power source includes a current sensor for detecting the
`current flow between the electrodes during each voltage pulse and wherein
`the current reaches a predetermined value during each voltage pulse, the
`sensor generates a signal that causes the power source to terminate the
`voltage supplied to the electrodes for that pulse.
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`Case IPR2019-00409
`Patent 8,728,091 B2
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`And I guess I neglected to mention, your Honors, if there was
`anything you wanted me to focus on before I started. So I'll ask that now.
`JUDGE ROSS: I think you're starting out just fine. This is one of
`my areas of interest.
`MR. NELSON: Okay. And so I really want to focus on Element E
`and what it means. So if we go over to slide 9 this is what we understand
`the law to be. To determine whether the subject matter of a patent claim is
`obvious, neither the particular motivation nor the allotted purpose of the
`patentee controls, what matters is the objective reach of the claim.
`And so when you look at the objective reach of this claim, it's talking
`about the power source that has a current sensor. That current sensor
`generates a value. When the current reaches a predetermined value it
`generates a signal, I should say.
`The signal acts on the power source to terminate the voltage.
`Doesn't say voltage pulse. It says voltage supplied to the electrodes for that
`pulse. And the Patent Owner spends a lot of time on the inductance and
`negative resistance aspects of this and in Petitioner's view all of that goes to
`what this claim actually means.
`And so on slide 11 I have sort of the claim language that Petitioner
`feels the most important carved out there. The sensor generates the signal,
`causing the power source to terminate the voltage supply to the electrodes.
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`Patent 8,728,091 B2
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`So it's clear from the claim that the signal acts on the power source.
`The power source terminates the voltage supplied to the electrodes. The
`claim doesn't recite terminating the voltage supplied at or at the electrodes,
`nor does the claim recite terminating the voltage pulse itself, the current, or
`the arc. It talks about the power supply terminating the voltage. It turns it
`off, and that's what the claim is about.
`And walking through the patent, the figures and the specification --
`the specification describes somewhat how this works. And so switch 86,
`which is outlined in the green box, exists in the power supply. It selectively
`applies the high voltage on line 88, which is shown up here in the HV plus,
`which ultimately leads out to the terminal points here, the electrodes at the
`far end, 22 and 24.
`Microprocessor 90 through optical driver 92, so the microprocessor
`is in yellow on the left and the Opto FET Driver is in the middle sort of in
`purple, causes the switch to apply the voltage to the electrodes. And so it
`does it by applying it to that HV plus line.
`So if we talked about terminating the voltage now, the patent
`describes -- and I am on slide 13 -- terminating the voltage. So the current
`sensor 94, which is within the green switch and includes the sensing resistor
`96, that generates a signal.
`That signal is applied to the Opto isolator, which is 98, when the
`current reaches a predetermined value and the patent gives an example of
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`that value as 50 amp, microprocessor 90 then causes the application of the
`voltage to be terminated, meaning it cuts it off.
`The foregoing occurs for each high voltage pulse supplied to the
`electrodes. So that's the circuitry of Figure 6 that powers this thing.
`And so during his deposition, and I am on slide 14, Dr. van der
`Weide was asked to explain, okay, well, what is it that's turned off within the
`power supply here that's cutting the voltage supplied, and he explains if this
`IGBT transistor that's been marked here -- in the actual exhibit it's more pink
`but in the slide it kind of turned purple and he labeled it IGBT.
`And he explained that this is controlled by the Opto FET Driver 92
`and the termination is accomplished when you open circuit that IGBT
`through the optical driver 92 and power source 80. So you get the signal
`from the sensor. The microprocessor says turn it off. The Opto FET
`Driver says okay, IGBT turn off, and it's turned off.
`And that's what the claim is talking about. It's not talking about
`what's happening out on the longer lead, and that's consistent with what
`Figure 5, which is on slide 15, and Figure 5 is a -- is a diagram based on a
`simplified Figure 4 signal or Figure 4 -- Figure 4 of the patent that doesn't
`have all the circuitry of Figure 6. It doesn't really have any of the power
`supply circuitry the claim is talking about.
`But it -- Figure 5 shows that when the current -- when the circuit
`closes the voltage across the electrodes quickly rise and that's shown in 70.
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`Patent 8,728,091 B2
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`It goes from zero to 70 here -- well, to line 70. The current remains low for
`a period of time and that's called the dwell time, and then it rises rapidly.
`The current is the dashed line indicating arc formation, and then once the
`voltage supplied is terminated ultimately the current drops.
`So what does it mean to terminate? Well, terminate means to stop
`or halt, and this -- these dictionaries of modern electric -- what Modern
`Dictionary of Electronics and other dictionaries are consistent in its
`meaning, that terminating means closing a circuit. Doesn't imply any
`special condition. It basically means you stop something, and the Patent
`Owner didn't respond to that, I don't believe, in the sur-reply.
`So Patent Owner's inductance and negative resistance arguments
`basically ignore all of it. Those arguments are focused on what happens,
`and if you go out on slide 19, for example, Patent Owner's arguments are
`focused on what happens.
`If you look at Figured 2 on slide 19 and the electrodes out here are
`22 and 24, Patent Owner's arguments are focused on what's happening out
`here at the electrodes, not at what the claim actually says.
`The specification contains --
`JUDGE ROSS: So let me interrupt you.
`MR. NELSON: Yes?
`JUDGE ROSS: So isn't the Patent Owner's invention, though,
`directed toward terminating the pulse so that it can get the leading edge of
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`the bubble formation and then shockwaves form -- I guess what I am having
`a hard time understanding is how does that reconcile with you saying that
`inductance and negative resistance doesn't matter in this context because
`their invention really is about the cavitation bubble bursting and causing the
`shockwave?
`MR. NELSON: So, ultimately, the Patent Owner's invention is
`described by what it claimed, and what it claimed was terminating the
`voltage supplied to the electrodes. It didn't claim terminating the arc, didn't
`claim terminating the voltage flow, didn't claim any of that. It claimed it
`terminated the voltage supply to the electrode, and I'll submit, although this
`isn't in the record, that this patent is not enabled because there is nothing in
`this circuit of Figure 6 that actually deals with the inductance at the terminal
`end of the lead that Dr. van der Weide is talking about, or the negative
`resistance. But that isn't part of this proceeding. But it's our position that
`that would be the case.
`But, ultimately, the invention in this case is defined by what was
`claimed and the Patent Owner may wish it had written its claims different
`than it did. But it wrote the claims it wrote, and that's what we are focusing
`on invalidating.
`Does that answer your question?
`JUDGE ROSS: It does. Thank you.
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`MR. NELSON: Okay. And so looking at the specification, the
`specification contains no discussion of inductance or how to overcome it.
`During his deposition, Dr. van der Weide was asked well, is inductance
`mentioned in the claims? No. Specification? No.
`He gave a description in paragraphs 54 to 61 that described the
`purported solution for handling inductance that basically doesn't mention
`inductance. He talked about how the 091 terminates the voltage supply to
`the electrode specifically in Figure 6 during his deposition for 12 or 14
`pages, really not discussing inductance.
`None of the prior art relied upon here by the Petitioners discuss
`inductance, and I am on slide 18. And so going to slide 19, if we look at the
`claim language again, the sensor generates a signal that causes the power
`supply to terminate the voltage supplied to the electrodes for that pulse, and
`Patent Owner seems to be reading the claim differently.
`Patent Owner wants to read it, the sensor generates a signal that
`causes the power source to terminate the voltage at the electrodes for that
`pulse and that's a very different thing, and it's that reading that isn't what the
`claim language says that would be dealing with the inductance on the lead
`that Dr. van der Weide is talking about and the negative resistance. And so
`for that reason, we don't think this argument has merit, based on the claim
`language.
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`In the sur-reply, Patent Owner talks about, well, you could also read
`it terminating the voltage pulse supplied and that, I guess if they omitted the
`word pulse or something from the claim language. But that seems to be the
`logical reading because the claim was amended as the Patent Owner's slides
`say.
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`But if you read it like the Patent Owner says in its sur-reply
`argument the claim would read the sensor generates a signal that causes the
`power source to terminate the voltage pulse or the voltage -- the voltage
`pulse supplied to the electrode for that pulse.
`And so it would kind of be a logical reading and also it's clear from
`other portions of the claim that when the Patent Owner wanted to talk about
`voltage pulse it uses the word voltage pulse.
`Here, it doesn't use the word voltage pulse, and it amended the claim
`specifically to add voltage pulse in certain places. It didn't add it here. It
`added for that pulse instead.
`And so based on what the Patent Owner actually claimed, we believe
`that Patent Owner's inductance and negative resistance arguments just don't
`apply here, and that was on slide 20.
`So Patent Owner's other response to that argument is it tries to push
`the inductance issue back into the switch itself, and Patent Owner refers to,
`and this is on slide 21 -- it's an annotated figure that Patent Owner created
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`for Dr. Jensen's second deposition -- and it refers to a diode A that allows
`current to flow only in one direction.
`And that diode is, in known parlance, is what's called a freewheeling
`diode and that's, I don't think, in the papers anywhere but that's my
`understanding of what it is. And that diode protects from a current surge
`due to inductance.
`But it doesn't do anything with respect to getting rid of inductance at
`that diode on the lead and at the electrode. It's just protecting the circuitry.
`And Patent Owner's own slide 29 reaffirms that point. In Patent Owner's
`slide 29, Patent Owner states diode A acts to protect the IGBT switch from
`the voltage spike caused by the inductance which allows IGBT to open.
`So that's not dealing with generating any delay time in terminating a
`current or an arc caused by the length of the lead and the inductance in the
`lead -- in the lead. It's simply protecting the circuitry.
`And to the extent there is any inductance associated with IGBT, it's
`dealt with in the patent itself, although it's not called inductance. But the
`patent talks about a delay timer embodiment and that it takes approximately
`a hundred nanoseconds for the IGBT switch to open.
`And so to the extent this thing is talking about turning it off, there's a
`hundred nanosecond delay built in there that would account for, you know,
`any inductance that would exist on the IGBT to the extent it does.
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`Patent owner, in their slides, make other switch-related arguments as
`well, talking about the load -- the load on the switch, and that's over on
`Exhibits 2189 to 2192 on slide 22.
`But, again, those arguments all relate to protecting the circuitry from
`the voltage spike. They don't have anything to do with the actual arguments
`that Dr. van der Weide is making with respect to inductance and negative
`resistance.
`Dr. Jensen recognized that. He never stated, to our view anyway,
`that switch 86 would be affected by inductance that would cause substantial
`switching delay, did not admit that it would make it more difficult to open
`the switch, including the IGBT of Figure 6. And so we believe his testimony
`is consistent there.
`Turning to negative resistance, it's really the same issue, negative
`resistance not mentioned in the patent. Dr. van der Weide fails to explain
`how Figure 6 would overcome it to the extent it's existing. He admits the
`claims don't address it.
`It's my understanding that negative resistance would serve to
`basically suck the inductance out faster because the arc was going to try to
`stay alive. So it maybe shortened the delay time and acts to shorten the
`delay time as opposed to make it more unpredictable. But that is attorney
`argument, I don't think that position is in the record anywhere.
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`Going on, negative resistance not mentioned in the other -- in the
`091 patent family anywhere. Shockwave submitted an 824-page handbook
`of Shockwaves, it's not used in there anywhere, not mentioned in the prior
`art.
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`Dr. Berger from the 371 case who had the -- a double E degree from
`MIT, he wasn't familiar with the term, and this is on slide 24. And so for all
`of those reasons, it's Petitioner's viewpoint that this negative resistance and
`inductance argument is really sort of a tangent in the wrong direction, that it
`really is divorced from the actual claim language and therefore has no merit.
`And with that, I'll ask if there's any questions on this. Otherwise, I'll
`move on to the combination.
`JUDGE ROSS: No, I think I understand. Thank you.
`MR. NELSON: Okay. So turning to the combination, slide 28 is --
`I don't think there's any disputes with respect to elements A and B. They
`are all taught by Hawkins 768. So let's go to Li, first of all.
`So on slide 29, Li is an over current protection circuitry in a
`switching power supply just like the 091 patent is a switching power supply.
`It comprises, among other things, the current sense circuit. The switching
`power supply is -- Li teaches two levels with two different thresholds and
`two different possible mechanisms.
`And so on slide 30 Li teaches a first level of over current protection
`that could either deactivate a pulse early or narrow subsequent pulses in
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`response to a first threshold. And then Li's second level over current
`protection teaches that you can skip pulses in a situation where you have a
`short.
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`Slide 31 is basically just showing that the current sensor is connected
`to the respective over current protections and back -- you know, they
`respond to a signal from the current sensor.
`Slide 32, the over current protection -- so this is important. So it's --
`one of Patent Owner's arguments here seems to be either the Petitioner used
`hindsight because it only focused on Li Level 1, or that Li Level 1 wouldn't
`work because it's not teaching using -- it's not -- it's not teaching terminating
`a pulse early in the context of if you have a short circuit, basically.
`But Li is clear that there -- its disclosure here is broad, and this is
`from slide 32. The over current protection circuit 26 may not include both
`Level 1 or Level 2 but instead could include only one of them.
`So either Level 1 or Level 2 is equally applicable in either situation
`in Petitioner's viewpoint, and the choice is dictated by --
`JUDGE ROSS: Let me ask you --
`MR. NELSON: Yes?
`JUDGE ROSS: Let me just ask a quick question. Maybe you can
`clarify this for me. So if we opted only to have Level 1 and we were in a
`short circuit situation, are you saying then that the circuit would just
`completely shut off?
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`MR. NELSON: No, I don't believe so. I think that if you only had
`Li Level 1 and you had a short circuit situation, the circuit could terminate
`the pulse earlier to essentially get rid of the short circuit. Or it could narrow
`subsequent pulses in hopes the short circuit would go away. But in
`Petitioner's view, Li is teaching that you can use either Level 1 or 2,
`depending on what choice of application you want to use and that they are
`not mutually exclusive of one another. And I'll --
`JUDGE ROSS: Okay, I see your distinction.
`MR. NELSON: Okay. Let me cite through one other portion of Li
`that's not on the slide for that argument as well.
`So Li in paragraph 41, it talks about the first determined over current
`threshold could be an overload condition. The second predetermined
`threshold could be a short circuit condition. But it doesn't say they have to
`be. It just said they could be. And so, again, Li's language here is
`permissive.
`So what does Patent Owner say in response to this other than the
`hindsight argument? Well, Patent Owner basically does sort of a physical
`embodiment argument that, well, you wouldn't combine Li with Hawkins
`because Li uses MOSFETs transistors and MOSFETs can't handle the
`voltage.
`But, you know, the law is clear that, as we said in other cases here,
`that the board has said, that the test here isn't -- you know, isn't a
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`combination. It's not a bodily incorporation standard. It's what a reference
`would teach one of ordinary skill in the art.
`But that notwithstanding, Li -- first of all, it's not clear at all from
`Hawkins that we are limited to these really high voltages. On slide 33 and
`in the reply brief, Hawkins says you can have voltages as low as a hundred
`volts. Now, Patent Owner says that's a mistake and filed a certificate of
`correction. But as we pointed out in the reply, there are many other patents
`that are within the 091 Patent family that have this same 100 to 3,000 volt
`language and those patents don't have -- those applications don't have
`certificates of correction. The 091 Patent itself teaches as low as 500 volts.
`And so I think the whole idea that Hawkins is limited to a high voltage,
`depending on what, quote, high voltage is, isn't backed up by the
`specification. But even if it was, Li teaches MOSFETs that can handle
`voltages of at least a thousand volts, and this is on slide 34. The bodily
`incorporation isn't the standard, but even if it was, Li teaches MOSFETs
`called power MOSFETs that can go over a thousand volts. But I think -- I
`think in Exhibit 5 there's one example where you can get up to 4,500 volts.
`So what does Patent Owner say in response? Well now Patent
`Owner says, well, it comes back and talks about higher current and that Li
`couldn't handle -- Li's MOSFETs couldn't handle the higher current.
`But again, as we talked about before, this bodily incorporation isn't
`the standard and this is the sur-reply argument. And Dr. Jensen was asked
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`to explain, well, could you design a circuit using MOSFETs that didn't have,
`and I don't know if the example was a hundred volts or something, and he
`said, well, yeah, you could -- you could certainly design circuitry that would
`allow the MOSFETs to basically share the volt -- the current if you needed
`to.
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`But, you know, again, bodily incorporation isn't the standard. Li is
`not limited to MOSFETs. Even if it were, they can handle the issues here,
`particularly because Hawkins isn't nearly limited to the high voltages that
`Patent Owner claims and the claims themselves don't have any voltage
`limitations that I am aware of.
`This sort of goes along with Patent Owner's non-analogous
`arguments on slide 36. The 091 patent talks about a need to control the
`energy applied to the electrode of an electronic arc Shockwave generated.
`This isn't -- in the petition we -- Petitioner said this type of electrical control,
`it's not unique to surgery or medical devices. I mean, this is basically a
`straightforward feedback type circuit.
`Dr. van der Weide was asked what the field of endeavor was for the
`091 and he said concerned with voltage pulse production and control --
`again, getting at the energy control aspect of this. And that's exactly what
`Li does. It's designed over current protection to control the energy in a
`switch power supply. So we think Li should certainly be considered
`analogous art.
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`For motivation to combine, as the board noted, Hawkins itself
`teaches a motivation to combine. It's talking about the magnitude of the
`shockwave that can be controlled by controlling the magnitude of the pulse
`voltage, the current, the duration, and the repetition rate.
`And so Hawkins itself recognizes -- Hawkins 768 recognizes that,
`you know, it might be beneficial to control the duration of the pulse of the
`voltage supply. And so that's implicit in the reference itself.
`I know the former -- well, I'll leave it at that. And Dr. Jensen also
`offered safety-related rationales and heat-related rationales of motivation to
`combine that Patent Owner, largely, didn't address.
`We talked about the hindsight argument a little bit. This is on slide
`38. But Dr. Jensen he did consider both Level 1 and Level 2 as an analysis,
`but then looked at what the specification of Hawkins said, which is quoted
`here at paragraph 27, I believe, of -- I'm sorry, of what Li said. I think this
`is quoted on paragraph 27 of Li.
`But, again, you don't have to have Level 1 or Level 2. You can
`have either one, depending on what design you're using. So with that, I'll
`move on to the Heeren combination and just with respect to the inductance
`negative resistance argument, it's Petitioner's view that those arguments
`equally apply to all of these references.
`The claim here isn't requiring -- you know, isn't claiming what Patent
`Owner's patent believes it's claiming and that the inductance and negative
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`resistance here, you know, wouldn't play a part in any of these -- in the
`combination of any of these references.
`So turning to slide 39 on the Heeren reference, so Heeren is a
`surgical device that's used for a type of eye surgery, that you want to prevent
`or reduce damage that happens when there's been a dielectric breakdown.
`Ideally, you want to prevent dielectric breakdown from happening if
`you can help it. So it has a current sensor -- Heeren teaches a lot of
`different sensors, one of which is a current sensor at the tip of the probe 114
`that can measure the strength of the electric current passing through the
`probe to detect a sudden increase in current.
`So Heeren teaches, on slide 40, the sensor readings including sensor
`readings from that current sensor are sent to a transducer monitor 155
`configured to compare the data collected by the sensors including the current
`sensor to a threshold.
`What is a threshold? Well, a threshold is a value, to determine
`whether the dielectric breakdown is imminent or whether it has occurred.
`What does Heeren do in response? Heeren teaches, based on the results of
`the comparison between the sensor data and one of the predetermined
`thresholds, so we know the thresholds in advance.
`Transducer monitor instructs the pulse generator to adjust
`operational parameters, and Heeren identifies a lot of operational
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`parameters, one of which is pulse duration. It also says adjusting the
`voltage in the pulses and you can do it in the middle of the pulse.
`So let me go to slide 42 real quick, and slide 42 diagram 702 that --
`Heeren there is showing an adjustment in the middle of a call. So here
`Heeren is not terminating it completely to zero. It looks like it's cutting the
`value at about half.
`But paragraph three of Heeren, or paragraph 33 of Heeren -- let me
`double check to make sure it's 33. Paragraph 33 of Heeren teaches that the
`operational parameters such as t

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