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`____________
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`BEFORE THE PATENT TRIAL AND APPEAL BOARD
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`____________
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`LUMENIS BE LTD.,
`Petitioner,
`
`v.
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`BTL HEALTHCARE TECHNOLOGIES A.S.,
`Patent Owner
`
`____________
`
`Case IPR2022-00126
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`U.S. Patent No. 10,695,576
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`____________
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`DECLARATION OF DR. MAROM BIKSON
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`TABLE OF CONTENTS
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`I.
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`II.
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`INTRODUCTION ........................................................................................... 1
`A.
`Engagement ........................................................................................... 1
`B.
`Background and Qualifications ............................................................. 1
`C.
`Basis of My Opinion and Materials Considered ................................... 7
`D.
`Legal Standards for Patentability .......................................................... 7
`1.
`Obviousness ................................................................................ 7
`2.
`Claim Construction ................................................................... 13
`DESCRIPTION OF THE RELEVANT FIELD AND THE
`RELEVANT TIMEFRAME .......................................................................... 14
`III. THE PERSON OF ORDINARY SKILL IN THE RELEVANT FIELD
`IN THE RELEVANT TIMEFRAME ........................................................... 17
`IV. TECHNICAL BACKGROUND AND STATE OF THE ART .................... 19
`A. Developments in Magnetic Muscle-Stimulation Technology ............ 19
`1.
`Problems Discussed in the ʼ576 Patent ..................................... 19
`2.
`Stimulation Occurs by Inducing Current in Biological
`Tissue ........................................................................................ 20
`Stimulation Parameters ............................................................. 21
`3.
`Components of a Magnetic Stimulation Device ....................... 26
`4.
`B. Magnetic Stimulation for Rehabilitation, Healing, and Toning. ........ 27
`C.
`There Is No Technological Difference in Magnetic Stimulation
`for Rehabilitation, Healing, or Toning ................................................ 32
`Conventional Features of Magnetic Stimulators and Treatment ........ 36
`1.
`Two Independently Positionable Applicators ........................... 36
`2.
`Belt to Attach Applicators to the Body ..................................... 39
`3.
`Capacitors as Energy Storage Devices for Coils ...................... 41
`4.
`Cooling Magnetic Field Generating Coils ................................ 42
`5.
`Generating Consecutive Impulses ............................................ 46
`6.
`Varying the Repetition Rate of a Time-Varying Magnetic
`Field........................................................................................... 47
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`D.
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`E.
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`C.
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`V.
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`Trapezoidal Envelope ............................................................... 49
`7.
`Symmetrical Stimulation .......................................................... 51
`8.
`Simultaneous Applications of Magnetic Field and Radio-
`Frequency or Optical Wave in Treating Tissues ................................. 51
`THE ’576 PATENT ....................................................................................... 53
`A.
`Patent Overview .................................................................................. 53
`VI. CLAIM INTERPRETATION ....................................................................... 57
`VII. GROUND 1: THE CHALLENGED CLAIMS ARE RENDERED
`OBVIOUS BY SIMON ................................................................................. 58
`A.
`Overview of Simon ............................................................................. 58
`B.
`Independent Claims 1 and 16 .............................................................. 65
`1.
`Claim 1 ...................................................................................... 65
`2.
`Claim 16 .................................................................................... 89
`Dependent Claims 2-7 and 17-22 ......................................................103
`1.
`Claim 2 ....................................................................................103
`2.
`Claim 3 ....................................................................................104
`3.
`Claim 4 ....................................................................................106
`4.
`Claim 5 ....................................................................................107
`5.
`Claim 6 ....................................................................................108
`6.
`Claim 7 ....................................................................................109
`7.
`Claim 17 ..................................................................................109
`8.
`Claim 18 ..................................................................................110
`9.
`Claim 19 ..................................................................................111
`10. Claim 20 ..................................................................................111
`11. Claim 21 ..................................................................................111
`12. Claim 22 ..................................................................................112
`Claim Charts ......................................................................................113
`D.
`VIII. GROUND 2: THE CHALLENGED CLAIMS ARE RENDERED
`OBVIOUS BY BURNETT-’870 IN VIEW OF MAGSTIM ......................113
`A.
`Overview of Burnett-’870 .................................................................114
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`E.
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`B.
`Overview of Magstim ........................................................................120
`C. Motivation to Modify Burnett-’870 in view of Magstim ..................126
`D.
`Independent Claims 1 and 16 ............................................................130
`1.
`Claim 1 ....................................................................................130
`2.
`Claim 16 ..................................................................................152
`Dependent Claims 2-7 and 17-22 ......................................................166
`1.
`Claim 2 ....................................................................................166
`2.
`Claim 3 ....................................................................................166
`3.
`Claim 4 ....................................................................................168
`4.
`Claim 5 ....................................................................................169
`5.
`Claim 6 ....................................................................................169
`6.
`Claim 7 ....................................................................................170
`7.
`Claim 17 ..................................................................................171
`8.
`Claim 18 ..................................................................................172
`9.
`Claim 19 ..................................................................................172
`10. Claim 20 ..................................................................................173
`11. Claim 21 ..................................................................................173
`12. Claim 22 ..................................................................................174
`Claim Charts ......................................................................................175
`F.
`IX. GROUND 3: THE CHALLENGED CLAIMS 1-7, 16-22 ARE
`RENDERED OBVIOUS BY SIMON IN VIEW OF BURNETT-ʼ870 .....175
`SECONDARY CONSIDERATIONS .........................................................181
`X.
`XI. CONCLUSION ............................................................................................181
`
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`I.
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`INTRODUCTION
`A. Engagement
`1.
`I submit this report on behalf of Lumenis Be Ltd. in connection with
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`its request for inter partes review of U.S. Patent No. 10,695,576 (the “’576
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`patent”) to review and to provide my opinion on the scope and content of “prior
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`art” predating the application for the ’576 patent and regarding the subject matter
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`recited in the claims 1-7, 16-22 of the ’576 patent. I understand that this
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`Declaration relates to a Petition for the above-captioned inter partes review (IPR)
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`of the ’576 patent.
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`2.
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`For my efforts in connection with the preparation of this declaration, I
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`have been compensated at my standard hourly consulting rate. My compensation
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`is in no way contingent on the results of these or any other proceedings relating to
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`the above-captioned patent. I have no expectation or promise of additional
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`business with the Petitioner in exchange for the positions explained herein.
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`3.
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`B.
`4.
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`I make this declaration based on personal knowledge.
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`Background and Qualifications
`A detailed description of my professional qualifications, including a
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`listing of my specialties/expertise and professional activities, is contained in my
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`curriculum vitae, a copy of which is attached as Appendix A. In what follows, I
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`provide a short summary of my professional qualifications.
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`5.
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`I am a tenured Professor in the College of Engineering at The City
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`College, where I began as an Associate Professor in 2003. I serve as the
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`University’s (Shames) Professor of Biomedical Engineering, a position I have held
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`since 2014.
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`6.
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`I earned my Bachelor of Science in Biomedical Engineering, with a
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`concentration in Electrical Engineering, from Johns Hopkins University in 1995. I
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`earned my Ph.D. in Biomedical Engineering from Case Western Reserve
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`University in 2000. The primary emphasis of my doctoral research pertained to the
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`mechanisms by which electrical stimulation effects the body including leading to
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`excitation of tissue, how parameters of a stimulation device impact the effects of
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`stimulation, and experience with a range of technology used to stimulate the body
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`and quantify the effects of stimulation.
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`7.
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`In 2009, I founded Soterix Medical Inc. (“SMI”), for which I currently
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`serve as a board member and technical advisor. Soterix Medical design, builds,
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`distributes, and validates technology to stimulate the body as well as devices to
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`measure the effects of that stimulation on the body. Soterix Medical technology is
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`used in hundreds of medical centers around the world.
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`8.
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`I serve on the leadership of numerous key scientific organizations in
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`the field of body stimulation. This includes as a member of the scientific program
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`committee of the North American Neuromodulation Society, and the scientific
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`program committee of the International Brain Stimulation Conference. I am the
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`founding chairman of the NYC Neuromodulation meeting and have co-chaired
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`each occurrence of this meeting.
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`9.
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`From 2003-2007, in addition to serving as the Harold Shames
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`Assistant Professor of Biomedical Engineering at the City College of the City
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`University of New York, I also served as an Assistant Professor for Programs in
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`Engineering and Biology – Neuroscience at The Graduate School of the University
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`Center of the City University of New York.
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`10. From 2008-2014, in addition to serving as an Associate Professor of
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`Biomedical Engineering at The City College of the City University of New York, I
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`also served as an Associate Professor for Programs in Engineering and Biology –
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`Neuroscience at The Graduate School of the University Center of the City
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`University of New York.
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`11. The claimed subject matter of the Challenged Patent pertains to a
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`medical device for toning muscles by repeatedly inducing current in tissue to cause
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`muscle contractions. This subject matter is within the scope of my education and
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`professional experience.
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`12.
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`In regard to establishing what principles of magnetic stimulation
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`device design impact resulting changes in the body, I have published an
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`authoritative document (DOI: 10.1016/j.brs.2011.10.001). This document explains
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`how waveform parameters (pulse shape, frequency) and coil design govern the
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`resulting electrical current flow through the body and hence all physiological
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`effects. I am a co-author and among the leaders on the technology section,
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`specifically device design, of what is considered the definite guidance paper on
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`transcranial magnetic stimulation (DOI: 10.1016/j.clinph.2020.10.003). I co-
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`authored among the most studied and impactful papers on the design of electrical
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`stimulation parameters (https://doi.org/10.1016/j.jneumeth.2004.10.020) which has
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`been cited over 1906 times in scientific publications. I am the deputy editor
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`responsible for technology at Brain Stimulation, among the most highly regarded
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`journals in the field, where my responsibly includes oversight of the review of
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`magnetic stimulation devices. I have lectured broadly on the principles of
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`electromagnetic stimulation including providing the keynote or plenary lecture at
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`major national and international meetings, as well as more focused lectures such as
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`a lecture on the mechanisms of magnetic stimulation at the NYC Visiting
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`Fellowship in Transcranial Magnetic Stimulation (2015).
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`13.
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`I have received numerous grants in the fields of electrical and
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`biomedical engineering. I am currently in receipt of, or am involved in work
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`associated with: a $1.7m grant from the National Institute of Health (“NIH”) for
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`developing a new mechanism of brain stimulation via the coupled vascular
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`hypothesis for transcranial direct current stimulation (“tDCS”); a $2.2m grant from
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`the NIH for developing automatic modeling software regarding tDCS; a $955K
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`grant from New York University and the City College of New York for advancing
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`technology for home Neuromodulation in multiple sclerosis; a $1.7m grant from
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`the NIH for evaluating the effects of tDCS on neuronal plasticity in brain slices;
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`and a $250K grant from Boston Scientific for researching high frequency spinal
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`cord stimulation.
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`14.
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`I am the previous recipient of at least an additional 52 other grants or
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`awards, totaling millions of dollars in direct costs awarded.
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`15.
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`I have written and published widely in the fields of electrical and
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`biomedical engineering. I have published, or currently have in press, at least 268
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`articles with various academic journals across the world. I have written and
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`published at least an additional 120 abstracts, in addition to being featured in at
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`least 99 selected news and features in the press. My works have been cited over
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`26,744 times in scientific publications. The topics of my publications include:
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`
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`Transcranial electrical and magnetic stimulation (tES and TMS) for
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`addiction medicine: A consensus paper on the present state of the
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`science and the road ahead. Neuroscience and Biobehavioral Reviews,
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`104, 118-140 (2019);
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`Higher-order power harmonics of pulsed electrical stimulation
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`modulates corticospinal contribution of peripheral nerve stimulation.
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`Scientific Reports, 7 (2017)
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`Moreno-Duarte, I., Morse, L. R., Alam, M., Bikson, M., Zafonte, R.,
`
`& Fregni, F. Targeted therapies using electrical and magnetic neural
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`stimulation for the treatment of chronic pain in spinal cord injury.
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`NeuroImage, 85, 1003-1013 (2014);
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`Comparing cortical plasticity induced by conventional and high-
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`definition 4 × 1 ring tDCS: A neurophysiological study. Brain
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`Stimulation, 6(4), 644-648 (2013) (doi:10.1016/j.brs.2012.09.010);
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`Fundamentals of transcranial electric and magnetic stimulation dose:
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`Definition, selection, and reporting practices. Brain Stimulation, 5(4),
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`435-453 (2012); and
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`Electrical stimulation of excitable tissue: Design of efficacious and
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`safe protocols. Journal of Neuroscience Methods, 141(2), 171-198
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`(2005).
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`16.
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`I am a named inventor on a U.S. patent regarding neurocranial
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`electrostimulation models, systems, devices, and methods, in addition to two
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`foreign patents. I am a named inventor on an additional nine U.S. patent
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`applications and five international patent applications. Several of these patent
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`applications relate to neurocranial electrostimulation devices and other transcranial
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`stimulation systems and devices.
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`C. Basis of My Opinion and Materials Considered
`17.
`I have reviewed the ’576 patent and the prior art and other documents
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`and materials cited herein. For ease of reference, the full list of documents that I
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`have considered is included in Appendix B.
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`18. My opinions in this declaration are based on my review of these
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`documents, as well as upon my education, training, research, knowledge, and
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`experience.
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`19.
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`I have reviewed, had input into, and endorse as set forth fully herein
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`the discussions in the accompanying Petition.
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`D. Legal Standards for Patentability
`20.
`I am not an attorney and I offer no opinions on the law itself. My
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`understanding of the relevant law principles this section is based on information
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`provided to me by counsel.
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`1. Obviousness
`I have been informed that a claim may be unpatentable under 35
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`21.
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`U.S.C. § 103(a) if the subject matter described by the claim as a whole would have
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`been obvious in view of a prior art reference or in view of a combination of
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`references at the time the alleged invention was made. I have been informed that
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`obviousness is determined from the perspective of a hypothetical person of
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`ordinary skill in the art (“POSITA”) and that the challenged claims of the patent
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`should be read from the point of view of such a person at the time the alleged
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`invention was made. I have been informed that a hypothetical person of ordinary
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`skill in the art is assumed to know and to have all relevant prior art in the field of
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`endeavor covered by the patent in suit, and would thus have been familiar with
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`each of the references cited herein, as well as the background knowledge in the art,
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`and the full range of teachings they contain.
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`22.
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`I have been informed that there are two criteria for determining
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`whether prior art is analogous and thus can be considered prior art: (1) whether the
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`art is from the same field of endeavor, regardless of the problem addressed, and (2)
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`if the reference is not within the field of the patentee’s endeavor, whether the
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`reference still is reasonably pertinent to the particular problem with which the
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`patentee is involved. I have also been informed that the field of endeavor of a
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`patent is not limited to the specific point of novelty, the narrowest possible
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`conception of the field, or the particular focus within a given field. I have also
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`been informed that a reference is reasonably pertinent if, even though it may be in
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`a different field from that of the patentee’s endeavor, it is one which, because of
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`the matter with which it deals, logically would have commended itself to a
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`patentee’s attention in considering his problem.
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`23.
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`I have also been informed that an analysis of whether an alleged
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`invention would have been obvious should be considered in light of the scope and
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`content of the prior art, the differences (if any) between the prior art and the
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`alleged invention, and the level of ordinary skill in the pertinent art involved. I
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`have been informed as well that a prior art reference should be viewed as a whole.
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`24.
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`I have also been informed that in considering whether an invention for
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`a claimed combination would have been obvious, I may assess whether there are
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`apparent reasons to combine known elements in the prior art in the manner claimed
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`in view of interrelated teachings of multiple prior art references, the effects of
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`demands known to the design community or present in the market place, and/or the
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`background knowledge possessed by a person having ordinary skill in the art. I
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`have been informed that other principles may be relied on in evaluating whether an
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`alleged invention would have been obvious, and that these principles include the
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`following:
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`A combination of familiar elements according to known methods is
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`likely to be obvious when it does no more than yield predictable
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`results;
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`When a device or technology is available in one field of endeavor,
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`design incentives and other market forces can prompt variations of it,
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`either in the same field or in a different one, so that if a person of
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`ordinary skill can implement a predictable variation, the variation is
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`likely obvious;
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`If a technique has been used to improve one device, and a person of
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`ordinary skill in the art would recognize that it would improve similar
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`devices in the same way, using the technique is obvious unless its
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`actual application is beyond his or her skill;
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`
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`An explicit or implicit teaching, suggestion, or motivation to combine
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`two prior art references to form the claimed combination may
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`demonstrate obviousness, but proof of obviousness does not depend
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`on or require showing an explicit teaching, suggestion, or motivation
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`to combine;
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`Market demand, rather than scientific literature, can drive design
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`trends and may show obviousness;
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`In determining whether the subject matter of a patent claim would
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`have been obvious, neither the particular motivation nor the avowed
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`purpose of the named inventor controls;
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`One of the ways in which a patent’s subject can be proved obvious is
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`by noting that there existed at the time of invention a known problem
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`for which there was an obvious solution encompassed by the patent’s
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`claims;
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`Any need or problem known in the field of endeavor at the time of
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`invention and addressed by the patent can provide a reason for
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`combining the elements in the manner claimed;
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`“Common sense” teaches that familiar items may have obvious uses
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`beyond their primary purposes, and in many cases a person of
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`ordinary skill will be able to fit the teachings of multiple patents
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`together like pieces of a puzzle;
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`A person of ordinary skill in the art is also a person of ordinary
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`creativity, and is not an automaton;
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`A patent claim can be proved obvious by showing that the claimed
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`combination of elements was “obvious to try,” particularly when there
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`is a design need or market pressure to solve a problem and there are a
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`finite number of identified, predictable solutions such that a person of
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`ordinary skill in the art would have had good reason to pursue the
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`known options within his or her technical grasp; and
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`One should be cautious of using hindsight in evaluating whether an
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`alleged invention would have been obvious.
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`25.
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`I have further been informed that, in making a determination as to
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`whether or not the alleged invention would have been obvious to a person of
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`ordinary skill, the Board may consider certain objective factors if they are present,
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`such as: commercial success of products practicing the alleged invention; long-felt
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`but unsolved need; teaching away; unexpected results; copying; and praise by
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`others in the field. These factors are generally referred to as “secondary
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`considerations” or “objective indicia” of nonobviousness. I have been informed,
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`however, that for such objective evidence to be relevant to the obviousness of a
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`claim, there must be a causal relationship (called a “nexus”) between the claim and
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`the evidence and that this nexus must be based on what is claimed and novel in the
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`claim rather than something in the prior art. I also have been informed that even
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`when they are present, secondary considerations may be unable to overcome
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`primary evidence of obviousness (e.g., motivation to combine with predictable
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`results) that is sufficiently strong.
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`26.
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`I have been asked to consider the patentability of Claims 1-7, 16-22
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`(the “Challenged Claims”) of the ’576 patent that are challenged in the Petition. I
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`have been informed that for inter partes reviews, unpatentability must be shown
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`under a preponderance of the evidence standard. I have been informed that to
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`establish something by a preponderance of the evidence one needs to prove it is
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`more likely true than not true. I have concluded that the Challenged Claims is
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`unpatentable under 35 U.S.C. § 103 based on Simon, on Burnett-ʼ870 in view of
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`Magstim, and on Simon in view of Burnett-ʼ870, as described below, under both
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`the preponderance of the evidence standard as well as the higher standard of clear
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`and convincing evidence.
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`2.
`Claim Construction
`I have been informed that patent claims are construed from the
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`27.
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`viewpoint of a person of ordinary skill in the art at the time of the alleged
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`invention. I have been informed that patent claims generally should be interpreted
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`consistent with their plain and ordinary meaning as understood by a person of
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`ordinary skill in the art in the relevant time period (i.e., at the time of the purported
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`invention, or the so called “effective filing date” of the patent application), after
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`reviewing the patent claim language, the specification and the prosecution history
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`(i.e., the intrinsic record).
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`28.
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`I have further been informed that a person of ordinary skill in the art
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`must read the claim terms in the context of the claim itself, as well as in the context
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`of the entire patent specification. I understand that in the specification and
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`prosecution history, the patentee may specifically define a claim term in a way that
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`differs from the plain and ordinary meaning. I understand that the prosecution
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`history of the patent is a record of the proceedings before the U.S. Patent and
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`Trademark Office, and may contain explicit representations or definitions made
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`during prosecution that affect the scope of the patent claims. I understand that an
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`applicant may, during the course of prosecuting the patent application, limit the
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`scope of the claims to overcome prior art or to overcome an examiner’s rejection,
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`by clearly and unambiguously arguing to overcome or distinguish a prior art
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`reference, or to clearly and unambiguously disavow claim coverage.
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`29.
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`In interpreting the meaning of the claim language, I understand that a
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`person of ordinary skill in the art may also consider “extrinsic” evidence, including
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`expert testimony, inventor testimony, dictionaries, technical treatises, other patents,
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`and scholarly publications. I understand this evidence is considered to ensure that
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`a claim is construed in a way that is consistent with the understanding of those of
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`skill in the art at the time of the alleged invention. This can be useful for technical
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`terms whose meaning may differ from its ordinary English meaning. I understand
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`that extrinsic evidence may not be relied on if it contradicts or varies the meaning
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`of claim language provided by the intrinsic evidence, particularly if the applicant
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`has explicitly defined a term in the intrinsic record.
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`II. DESCRIPTION OF THE RELEVANT FIELD AND THE RELEVANT
`TIMEFRAME
`30.
`I have carefully reviewed the ’576 patent and its prosecution history.
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`31.
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`I understand, based on the Cross-Reference to Related Applications
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`section of the ʼ576 patent (ʼ576, 1:5–50), that the ʼ576 patent issued from U.S.
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`Patent Application 16/674,144, filed November 5, 2019, which is continuation of
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`U.S. Patent Application, filed December 13, 2018, which is a continuation-in-part
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`of each of: U.S. Patent Application 16/042,093, filed July 23, 2018; U.S. Patent
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`Application 16/034,093, filed July 13, 2018; U.S. Patent Application 16/034,793,
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`filed July 13, 2018; U.S. Patent Application 16/196,798, filed November 20, 2018;
`
`and U.S. Patent Application 16/196,827, filed November 20, 2018.
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`32.
`
`I understand that U.S. Patent Application 16/042,093 is a
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`continuation-in-part of U.S. Patent Application 15/344,811, filed November 7,
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`2016, and of U.S. Patent Application 15/954,783, filed April 17, 2018.
`
`33.
`
`I understand that U.S. Patent Application 15/954,783 is a
`
`continuation-in-part of each of: U.S. Patent Application 15/862,410, filed
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`January 4, 2018; U.S. Patent Application 15/677,371 filed August 15, 2017; and
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`U.S. Patent Application 15/601,719, filed May 22, 2017.
`
`34.
`
`I understand that U.S. Patent Application 15/862,410 is a
`
`continuation-in-part of U.S. Patent Application 15/473,390, filed March 29, 2017,
`
`and of U.S. Patent Application 15/860,443, filed January 2, 2018
`
`35.
`
`I understand that U.S. Patent Application 15/677,371 is a
`
`continuation-in-part of U.S. Patent Application 15/446,951, filed March 1, 2017,
`
`and of U.S. Patent Application 15/404,384, filed January 12, 2017.
`
`36.
`
`I understand that U.S. Patent Application 15/446,951 is a
`
`continuation-in-part of U.S. Patent Application 15/396,073, filed December 30,
`
`2016; which is a continuation-in-part of U.S. Patent Application 15/178,455 filed
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`June 9, 2016; which is a continuation-in-part of U.S. Patent Application
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`15/151,012 filed May 10, 2016.
`
`37.
`
`I understand that the application claims the benefit of priority to the
`
`following U.S. Provisional Applications: 62/441,805, filed January 3, 2017;
`
`62/440,922, filed December 30, 2016; 62/440,940, filed December 30, 2016;
`
`62/440,936, filed December 30, 2016; 62/440,912, filed December 30, 2016;
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`62/440,905, filed December 30, 2016; 62/357,679, filed July 1, 2016.
`
`38.
`
`In the Application Data Sheet, Applicant indicates that the ʼ576 patent
`
`claims priority to U.S. Application 14/926,365, filed on July 1, 2015. Ex-1003,
`
`188. It appears that this application is the earliest application to which the ʼ576
`
`patent may claim priority.
`
`39. Accordingly, I have been instructed by counsel to assume the relevant
`
`timeframe for my analysis in this declaration to be on or before July 1, 2015.1
`
`40. Based on my review of this material, I believe that the relevant
`
`general field for the purpose of the ’576 patent is electromagnetic stimulation of
`
`the body.
`
`
`1 I have not been asked to consider whether this date is the correct priority date.
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`III. THE PERSON OF ORDINARY SKILL IN THE RELEVANT FIELD
`IN THE RELEVANT TIMEFRAME
`41. My opinions are provided based on what a person of ordinary skill in
`
`the art in the technical field of the invention would have understood at the time of
`
`the invention of the Challenged Claims. As I explained above, the relevant
`
`timeframe in this Declaration is on or before July 1, 2015. I have been informed
`
`and understand that the content of a patent and prior art should be interpreted the
`
`way a person of ordinary skill in the art (“person of ordinary skill”) would have
`
`interpreted those references at the time of the invention of the patent using the
`
`ordinary and customary meanings of the claim terms. I understand that the factors
`
`considered in determining the ordinary level of skill in a field of art include the
`
`level of education and experience of persons working in the field; the types of
`
`problems encountered in the field; the teachings of the prior art; and the
`
`sophistication of the technology at the time of the alleged invention. I understand
`
`that a person of ordinary skill in the art is not a specific real individual, but rather
`
`is a hypothetical individual having the qualities reflected by the factors above. I
`
`understand that a person of ordinary skill in the art would also have knowledge
`
`from the teachings of the prior art, including the art cited below.
`
`42. Taking these factors into account, it is my opinion that, on or before
`
`July 1, 2015, a person of ordinary skill in the field of the Challenged Claims would
`
`have been someone with a good working knowledge of devices that apply
`
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`electromagnetic energy to stimulate biological tissue (e.g., brains, spinal cords,
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`nerves, or muscles). A person of ordinary skill to whom the patent is addressed
`
`would have a bachelor’s degree in biomedical engineeri