Case 3:18-cv-00347-CAB-MDD Document 307-23 Filed 02/16/21 PageID.30043 Page 1 of
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`EXHIBIT 22
`
`TO THE DECLARATION OF BRIAN J.
`NISBET IN SUPPORT OF DEFENDANTS’
`OPPOSITION TO NUVASIVE’S MOTION
`FOR PARTIAL SUMMARY JUDGMENT
`AND MOTION TO EXCLUDE
`
`

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`Confidential – Outside Counsel Only
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`
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`NIMALKA R. WICKRAMASEKERA (SBN: 268518)
`nwickramasekera@winston.com
`DAVID P. DALKE (SBN: 218161)
`ddalke@winston.com
`WINSTON & STRAWN LLP
`333 S. Grand Avenue
`Los Angeles, CA 90071-1543
`Telephone: (213) 615-1700
`Facsimile:
`(213) 615-1750
`
`GEORGE C. LOMBARDI (Pro Hac Vice)
`glombardi@winston.com
`BRIAN J. NISBET (Pro Hac Vice)
`bnisbet@winston.com
`SARANYA RAGHAVAN (Pro Hac Vice)
`sraghavan@winston.com
`WINSTON & STRAWN LLP
`35 West Wacker Drive
`Chicago, IL 60601-9703
`Telephone: (312) 558-5600
`Facsimile: (312) 558-5700
`
`CORINNE STONE HOCKMAN (Pro Hac Vice)
`chockman@winston.com
`WINSTON & STRAWN LLP
`800 Capitol Street, Suite 2400
`Houston, TX 77002-2925
`Telephone: (713) 651-2600
`Facsimile:
`(713) 651-2700
`
`Attorneys for Defendants
`ALPHATEC HOLDINGS, INC. and ALPHATEC SPINE, INC.
`
`UNITED STATES DISTRICT COURT
`
`SOUTHERN DISTRICT OF CALIFORNIA – SAN DIEGO DIVISION
`Case No. 3:18-CV-00347-CAB-MDD
`NUVASIVE, INC., a Delaware
`corporation,
`
`
`[Assigned to Courtroom 4C – Honorable
`Cathy Ann Bencivengo]
`
`
`v.
`[Magistrate: Hon. Mitchell D. Dembin]
`
`
`DEFENDANTS’ SUPPLEMENTAL
`ALPHATEC HOLDINGS, INC., a
`RESPONSES TO PLAINTIFF
`Delaware corporation and
`NUVASIVE, INC.’S INTERROGATORIS
`ALPHATEC SPINE, INC., a
`NOS. 2, 7, 11, AND 17
`California corporation,
`
`
`
`Defendants.
`Confidential – Outside Counsel Only
`
`
`Complaint Filed: February 13, 2018
`
`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, AND 17)
`
`
`
`
`Plaintiff,
`
` CASE NO. 3:18-CV-00347-CAB-MD
`
`
`EXHIBIT 22 - PAGE 376
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`

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`Squadron retractor, Alphatec’s LLIF product offerings, LLIF interbody, and
`information stating that Alphatec planned to develop and release a “next generation”
`LLIF interbody in 2018. E.g. NUVA_ATEC0318805 at 0318823–24, 0318826,
`0318829; NUVA_ATEC0318771; NUVA_ATEC0318760; NUVA_ATEC0319014.
`NuVasive did not tell Alphatec that it believed Alphatec’s implant offerings might
`infringe the ’156 patent and the ’334 patent. Alphatec relied on NuVasive’s silence
`throughout that time period when it expended significant time and resources to launch
`its lateral products.
`
`NuVasive is also judicially estopped from taking positions that are contrary to
`prior assertions concerning its damages claims, including whether posterior fixation
`products are eligible for lost profits damages or irreparable harm.
`INTERROGATORY NO. 17:
`Separately and for each and every Patents-in-Suit, identify and describe in detail
`any past, present or prospective alternative design or alternative method that You
`contend to be an acceptable, non-infringing alternative to the Accused Products. Such
`identification and description shall include an explanation of whether such alternative
`design actually exists and is currently or has been used by Alphatec or others, a detailed
`explanation of all steps Alphatec has taken to develop any alternative design (including,
`but not limited to the timeline for such development, all costs and cost estimates related
`to such development, and the people involved in such development), an explanation of
`the availability of the alleged non-infringing alternative, and a detailed explanation of
`whether and the extent to which Alphatec has taken any steps to implement any
`alternative design, and to the extent Alphatec has not implemented a non-infringing
`alternative described in response to this Interrogatory a detailed explanation of the
`reasons Alphatec decided not to implement such non-infringing alternatives, including
`an identification of all persons with knowledge of such facts and all documents relating
`to the foregoing.
`
`53
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`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, 11 AND 17)
`
`
`
`
`
` CASE NO. 3:18-CV-00347-CAB-MD
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`EXHIBIT 22 - PAGE 377
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`

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`Unitary PEEK Implant.
`(See,
`e.g.,
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2014/02/OsteoMed-primaLIF-Surgical.pdf)
`• Astura Medical implants, including without limitation the Sirion Lateral
`Lumbar Interbody Spacers.
`(See, e.g., https://asturamedical.com/product/sirion-llif-system/)
`• Life Spine implants, including without limitation the PLATEAU®-X
`spacer system.
`(See, e.g., https://lifespine.com/plateau-x/)
`• AltusSpine, including without limitation the Imola Lateral IBF System;
`(See,
`e.g.,
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2013/06/Imola-Lateral-IBF-System-Surgical-
`Technique.pdf)
`• ChoiceSpine implants, including without limitation the VEO® Lateral
`System.
`(See, e.g., https://choicespine.com/products/lateral-system/veo/)
`THIRD SUPPLEMENTAL RESPONSE TO INTERROGATORY NO. 17:
`Subject to and without waiving the foregoing General and Specific Objections,
`Defendants respond: Alphatec’s LLIF Battalion Lateral Spacer and Transcend™
`Implant do not infringe any valid claim of the ’156 and ’334 patents. In addition, the
`following products constitute non-infringing alternatives:
`• Alphatec’s IdentTi™ implant;
`(See, e.g., https://atecspine.com/lif-identiti-lif/)
`• U.S. Patent No. 5,192,327 (Brantigan);
`• U.S. Patent No. 5,860,973 (Michelson);
`• U.S. Patent Application No. 2002/0165550 (Frey);
`• U.S. Patent App. Pub. No. 2003/0028249 (Baccelli);
`• J.L. Berry et al., A Morphometric Study of Human Lumbar and Selected
`60
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`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, 11 AND 17)
`
`
`
` CASE NO. 3:18-CV-00347-CAB-MD
`
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`EXHIBIT 22 - PAGE 378
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`

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`the
`
`Thoracic Vertebrae, Spine, Vol. 12, No. 4, 363 (1987);
`• Medtronic implants, including without limitation CLYDESDALE®
`Spinal System;
`(See,
`e.g.,
`https://www.medtronic.com/us-en/healthcare-
`professionals/therapies-procedures/spinal-orthopaedic/olif/indications-
`safety-warnings/clydesdale-spinal-system.html;
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2014/09/Direct-Lateral-Surgical-Technique.pdf)
`• DePuy-Synthes implants, including without limitation the Oracle Cage,
`PROTI 360°™ Ti Integrated Technology, CONCORDE Interbody System
`and Cougar LS Lateral Cage System;
`(See,
`e.g.,
`https://www.jnjmedicaldevices.com/en-US/product/proti-
`360degtm-ti-integrated-technology;
`http://www.spinaldeformity.com/Educational/Surgical%20Technique%2
`0Guides/Depuy/MIS%20Lateral%20Platform%20STG.pdf;
`http://synthes.vo.llnwd.net/o16/LLNWMB8/INT%20Mobile/Synthes%2
`0International/Product%20Support%20Material/legacy_Synthes_PDF/09
`8052-180831_LR.pdf;
`http://synthes.vo.llnwd.net/o16/LLNWMB8/US%20Mobile/Synthes%20
`North%20America/Product%20Support%20Materials/Catalogs/DSUSSP
`N06140231_Spine_MIS_Lateral_Platform_Product_Catalog.pdf)
`implants,
`including without
`limitation
`• Globus Medical
`TransContinental® Spacer System and Caliber-L®;
`(See, e.g., https://www.globusmedical.com/products/transcontinental-
`lateral-lumbar-interbody-spacer/;
`https://www.globusmedical.com/expandabletechnology/caliber-l/)
`• Stryker Spine implants, including without limitation Cascadia;
`(See, e.g., https://www.stryker.com/us/en/portfolios/orthopaedics/spine--
`61
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`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, 11 AND 17)
`
`
`
` CASE NO. 3:18-CV-00347-CAB-MD
`
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`EXHIBIT 22 - PAGE 379
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`

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`ortho-.html)
`• Zimmer Biomet implants, including without limitation Timberline;
`(See,
`e.g.,
`https://www.zimmerbiomet.com/content/dam/zimmer-
`biomet/medical-professionals/000-surgical-techniques/spine/timberline-
`lateral-fusion-system-surgical-technique.pdf;
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2020/07/Timberline-Lateral.SGT-Zimmer-Biomet.pdf)
`• SeaSpine implants, including without limitation Regatta®; (See e.g.
`https://www.seaspine.com/products/regatta/)
`• CoreLink implants, including without limitation the CL5 LATERAL
`INTERBODY;
`(See, e.g., https://corelinksurgical.com/product/cl5-lateral/)
`• GSMedical implants, including without limitation the AnyPlus® Direct
`Lateral Interbody Fusion implant;
`(See, e.g., https://gsmedicalusa.com/anyplus-dlif-interbody-system/)
`• Neuro Structures implants, including the Pinnacle Lateral Cage; (See e.g.
`https://neurostructures.com/product/pinnacle-lateral/)
`• SpineWave implants, including without limitation the Abacus® Lateral
`Spacer System.
`(See, e.g., http://www.spinewave.com/abacus-lateral-spacer-system.html)
`• Surgalign implants, including without limitation the Fortilink®-L IBF
`System.
`(See, e.g., https://www.surgalign.com/product/fortilink-l-ibf-system-with-
`tetrafuse-3d-technology/)
`• Pinnacle Spine Group implants, including without limitation the InFill V2
`Lateral Implants.
`(See,
`e.g.,
`http://www.pinnaclespinegroup.com/wp-
`content/uploads/2016/09/PSG_InFill_Lateral_Overview_Digital_Print.pd
`62
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`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, 11 AND 17)
`
`
`
` CASE NO. 3:18-CV-00347-CAB-MD
`
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`EXHIBIT 22 - PAGE 380
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`

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`f)
`• LnK implants, including without limitation the DLIF Cage System.
`(See,
`e.g.,
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2014/09/LnK-Lateral-Cage-Brochure.pdf)
`• RTI Surgical, including without limitation the Cross-Fuse® II Lateral
`Fusion System.
`e.g.,
`(See,
`https://myspineteam.com/wp-
`content/uploads/2019/07/Crossfuse-ST.pdf)
`• OsteoMed implants, including without limitation the PrimaLIF™ LLIF
`Unitary PEEK Implant.
`(See,
`e.g.,
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2014/02/OsteoMed-primaLIF-Surgical.pdf)
`• Astura Medical implants, including without limitation the Sirion Lateral
`Lumbar Interbody Spacers.
`(See, e.g., https://asturamedical.com/product/sirion-llif-system/)
`• Life Spine implants, including without limitation the PLATEAU®-X
`spacer system.
`(See, e.g., https://lifespine.com/plateau-x/)
`• AltusSpine, including without limitation the Imola Lateral IBF System;
`(See,
`e.g.,
`http://www.thespinemarketgroup.com/wp-
`content/uploads/2013/06/Imola-Lateral-IBF-System-Surgical-
`Technique.pdf)
`• ChoiceSpine implants, including without limitation the VEO® Lateral
`System.
`(See, e.g., https://choicespine.com/products/lateral-system/veo/)
`Alphatec also incorporates by reference its response to Interrogatory No. 7.
`
`
`
`
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`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, 11 AND 17)
`
`
`
`
`
` CASE NO. 3:18-CV-00347-CAB-MD
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`EXHIBIT 22 - PAGE 381
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`

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`Dated: November 6, 2020
`
`WINSTON & STRAWN LLP
`
`
`
`By: /s/ Nimalka R. Wickramasekera
`NIMALKA R. WICKRAMASEKERA
`GEORGE C. LOMBARDI
`BRIAN J. NISBET
`DAVID P. DALKE
`SARANYA RAGHAVAN
`CORINNE STONE HOCKMAN
`
`Attorneys for Defendants
`ALPHATEC HOLDINGS, INC. AND
`ALPHATEC SPINE, INC.
`
`64
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`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF NUVASIVE, INC.’S
`INTERROGATORIES (NOS. 2, 7, 11 AND 17)
`
`
`
`
`
` CASE NO. 3:18-CV-00347-CAB-MD
`
`
`EXHIBIT 22 - PAGE 382
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`

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`CERTIFICATE OF SERVICE
`United States District Court for the Southern District of California
`Case No. 3:18-CV-00347-CAB-MDD
`I, Lev Tsukerman, certify and declare as follows:
`I am over the age of 18 years and not a party to this action. My business address
`is 333 South Grand Avenue, 38th Floor, Los Angeles, California 90071. On November
`6, 2020, I served the following document:
`DEFENDANTS’ SUPPLEMENTAL RESPONSES TO PLAINTIFF
`NUVASIVE, INC.’S INTERROGATORIS NOS. 2, 7, 11, AND 17
`
`by electronically transmitting copy(ies) of the document(s) listed above via
`email to the addressees as set forth below, in accordance with the parties’
`agreement to be served electronically pursuant to Fed. R. Civ. P. 5, or
`Local Rule of Court, or court order. No error messages were received after
`said transmission.
`
`
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`SEE ATTACHED SERVICE LIST
`
`I declare under penalty of perjury under the laws of the State of California and
`the United States that the foregoing is true and correct.
`Executed on November 6, 2020 at Los Angeles, California.
`
`
`By: /s/ Lev Tsukerman
`Lev Tsukerman
`
`
`
`
`
`
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`CERTIFICATE OF SERVICE
`
`
`
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`
`
`
`CASE NO. 3:18-CV-00347-CAB-MDD
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`EXHIBIT 22 - PAGE 383
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`SERVICE LIST
`
`
`Paul D. Tripodi II, Esq.
`Erik Carlson
`Christiana Garrett
`Rhyea Malik
`Wilson Sonsini Goodrich & Rosati P.C.
`633 West Fifth Street, Suite 1550
`Los Angeles, CA 90071
`Telephone: (323) 210-2900
`Facsimile: (866) 974-7329
`Email: ptripodi@wsgr.com
`Email: ecarlson@wsgr.com
`Email: cgarrett@wsgr.com
`Email: rmalik@wsgr.com
`Email: nuva/atec@wsgr.com
`Email: NUVA_ATEC-IP@list.wsgr.com
`
`Wendy L. Devine, Esq.
`Wilson Sonsini Goodrich & Rosati P.C.
`One Market Plaza
`Spear Tower, Suite 3300
`San Francisco, CA 94105
`Telephone: (415) 947-2000
`Facsimile: (415) 947-2099
`Email: wdevine@wsgr.com
`
`Natalie J. Morgan, Esq.
`Christina Elizabeth Dashe, Esq.
`Wilson Sonsini Goodrich & Rosati P.C.
`12235 El Camino Real, Suite 200
`San Diego, CA 92130
`Telephone: (858) 350-2363
`Facsimile: (858) 350-2399
`Email: nmorgan@wsgr.com
`Email: cdashe@wsgr.com
`
`Sara L. Tolbert, Esq.
`Wilson Sonsini Goodrich & Rosati P.C.
`650 Page Mill Road
`Palo Alto, CA 94304
`Telephone: (650) 493-9300
`Facsimile: (650) 565-5100
`Email: stolbert@wsgr.com
`Hilgers Graben PLLC
`NuVa-HG@hilgersgraben.com
`Michael T. Hilgers (Pro Hac Vice)
`mhilgers@hilgersgraben.com
`J. Bub Windle (Pro Hac Vice)
`bwindle@hilgersgraben.com
`Trenton T. Tanner (Pro Hac Vice)
`ttanner@hilgersgraben.com
`575 Fallbrook Blvd, Suite 202
`
`CERTIFICATE OF SERVICE
`
`
`
`
`
`
`
`CASE NO. 3:18-CV-00347-CAB-MDD
`
`EXHIBIT 22 - PAGE 384
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`Lincoln, NE 68521
`Telephone: 402-260-2106
`Fax: 402-413-1880
`
`Andrew R. Graben (Pro Hac Vice)
`agraben@hilgersgraben.com
`10000 N. Central Expy, Suite 400
`Dallas, TX 75231
`Telephone: 214-842-6828
`Fax: 402-413-1880
`Attorneys for Plaintiff NuVasive, Inc.
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`CERTIFICATE OF SERVICE
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`CASE NO. 3:18-CV-00347-CAB-MDD
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`EXHIBIT 22 - PAGE 385
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