`571.272.7822 Filed: February 11, 2015
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`UNITED STATES PATENT AND TRADEMARK OFFICE
`____________________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`____________________
`
`MEDTRONIC, INC.,
`Petitioner,
`v.
`NUVASIVE, INC.,
`Patent Owner.
`____________________
`
`Case IPR2013-00506
`Patent 8,361,156 B2
`___________________
`
`Before SALLY C. MEDLEY, LORA M. GREEN, and STEPHEN C. SIU,
`Administrative Patent Judges.
`
`
`GREEN, Administrative Patent Judge.
`
`
`FINAL WRITTEN DECISION
`35 U.S.C. § 318(a) and 37 C.F.R. § 42.73
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`
`I. INTRODUCTION
`A. Background
`Petitioner, Medtronic, Inc. (“Medtronic”), filed a Petition requesting
`inter partes review of claims 1–14, 19, 20, and 23–27 (“the challenged
`claims”) of U.S. Patent No. 8,361,156 B2 (“the ’156 patent”). Paper 1
`(“Pet.”). Patent Owner, NuVasive, Inc. (“NuVasive”), filed a Patent Owner
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`Preliminary Response. Paper 8. We determined that the information
`presented in the Petition and the Preliminary response demonstrated that
`there was a reasonable likelihood that Petitioner would prevail in
`challenging claims 1–14, 19, 20, and 23–27 as unpatentable under 35 U.S.C.
`§ 103(a). Pursuant to 35 U.S.C. § 314, the Board instituted trial on February
`13, 2014 , as to the challenged claims of the ’156 patent. Paper 9
`(“Institution Decision”; “Dec. Inst.”).
`Patent Owner filed a Response (Paper 21, “PO Resp.”), but did not
`file a motion to amend. Petitioner subsequently filed a Reply. Paper 28
`(“Reply”). An oral hearing was held on November 18, 2014. The transcript
`of the hearing has been entered into the record. Paper 46. Patent Owner
`also filed a Corrected Motion for Observation on certain cross-examination
`testimony of Petitioner’s declarant, Richard A. Hynes, M.D. (Paper 38,
`“Hynes Obs.”) and a Corrected Motion for Observation on certain cross-
`examination testimony of Petitioner’s declarant, Loic Josse (Paper 39, “Josse
`Obs.”). Petitioner filed a Response to each of Patent Owner’s Motions for
`Observation (Paper 44, “Hynes Obs. Resp.”; Paper 43, “Josse Obs. Resp.”).
`We have jurisdiction under 35 U.S.C. § 6(c). This final written
`decision is issued pursuant to 35 U.S.C. § 318(a) and 37 C.F.R. § 42.73.
`Based on the record before us, we conclude that Petitioner has demonstrated
`by a preponderance of the evidence that claims 1–14, 19, 20, and 23–27 of
`the ’156 patent are unpatentable.
`B. Related Proceedings
`Medtronic filed concurrently another petition for an inter partes
`review of the ’156 patent, IPR2013-00504, in which we declined to institute
`inter partes review. IPR2013-00504, Paper 8. Petitioner subsequently filed
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`another petition for an inter partes review, IPR2014-00487, in which we
`also declined to institute inter partes review. IPR2014-00487, Paper 8.
`Medtronic indicates further that it is a named counterclaim-defendant
`in the district court action titled Warsaw Orthopedic, Inc. v. NuVasive Inc.,
`Case No: 3:12-cv-02738-CAB-MDD (S.D. Cal.), which also involves the
`’156 patent. Pet. 1.
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`C. The ’156 Patent (Ex. 1115)
`The ’156 patent issued on January 29, 2013, with Matthew Curran and
`Mark Peterson as the listed co-inventors. The ’156 patent is drawn to a
`spinal implant, and methods of spinal fusion using the implant. Ex. 1115,
`1:20–24. A spinal fusion procedure generally involves removing some or all
`of a diseased spinal disc, and inserting an intervertebral implant into the disc
`space. Id. at 1:30–33. The spinal fusion implant is introduced into the disc
`space via a lateral approach to the spine, or via a posterior, anterior, antero-
`lateral, or postero-lateral approach, depending on the size of the implant. Id.
`at 5:29–35. As taught by the ’156 patent, the implant is made from a
`material “having suitable radiolucent characteristics,” such as PEEK (poly-
`ether-ether-ketone). Id. at 5:10–15.
`The ’156 patent teaches further that the implant “may be provided in
`any number of suitable shapes and sizes depending on the particular surgical
`procedure or need,” and that it “may be dimensioned for use in the cervical
`and/or lumbar spine.” Id. at 2:12–16. Thus, before a spinal fusion
`procedure is performed, “the clinician must first designate the appropriate
`implant size.” Id. at 11:10–12.
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`D. Illustrative Claim
`Petitioner challenges claims 1–14, 19, 20, and 23–27 of the ’156
`patent. Claims 1, 5, and 9 read as follows:
`1.
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`A spinal fusion implant of non-bone construction positionable
`within an interbody space between a first vertebra and a second
`vertebra, said implant comprising:
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`an upper surface including anti-migration elements to contact
`said first vertebra when said implant is positioned within the interbody
`space, a lower surface including anti-migration elements to contact
`said second vertebra when said implant is positioned within the
`interbody space, a distal wall, a proximal wall, a first sidewall, and a
`second sidewall generally opposite from the first sidewall, wherein
`said distal wall, proximal wall, first sidewall, and second sidewall
`comprise a radiolucent material;
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`wherein said implant has a longitudinal length extending from a
`proximal end of said proximal wall to a distal end of said distal wall,
`said implant has a maximum lateral width extending from said first
`sidewall to said second sidewall along a medial plane that is generally
`perpendicular to said longitudinal length, and said longitudinal length
`is greater than said maximum lateral width;
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`at least a first fusion aperture extending through said upper
`surface and lower surface and configured to permit bone growth
`between the first vertebra and the second vertebra when said implant
`is positioned within the interbody space, said first fusion aperture
`having: a longitudinal aperture length extending generally parallel to
`the longitudinal length of said implant, and a lateral aperture width
`extending between said first sidewall to said second sidewall, wherein
`the longitudinal aperture length is greater than the lateral aperture
`width; and
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`at least first and second radiopaque markers oriented generally
`parallel to a height of the implant, wherein said first radiopaque
`marker extends into said first sidewall at a position proximate to said
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`5.
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`9.
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`medial plane, and said second radiopaque marker extends into said
`second sidewall at a position proximate to said medial plane.
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`The spinal fusion implant of claim 1, further including at least one
`receiving aperture position at said proximal wall wherein said
`longitudinal length is greater than 40 mm.
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`The spinal fusion implant of claim 1, wherein said maximum lateral
`width of said implant is approximately 18 mm.
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`E. Instituted Challenges
`References
`Claims
`Basis
`1–4, 7, 8, 10–14, 19, 20,
`§ 103(a) SVS1 and Baccelli2
`23, 24, 26, and 27
`5, 6, and 9
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`§ 103(a) SVS, Baccelli, and Michelson3
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`25
`1–4, 7, 10–14, 19, 20, and
`23–27
`5, 6, 8, and 9
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`§ 103(a) SVS, Baccelli, and Telamon4
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`§ 103(a) Telamon and Baccelli
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`§ 103(a) Telamon, Baccelli, and Michelson
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`II. ANALYSIS
`A. Claim Construction
`In an inter partes review, claim terms in an unexpired patent are
`interpreted according to their broadest reasonable construction in light of the
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`1 Synthes Vertebral Spacer – PR Brochure, Synthes Spine 2002 (“SVS”,
`Ex. 1106).
`2 Baccelli, US 2003/0028249 A1, filed February 6, 2003 (Ex. 1104).
`3 Michelson, US 5,860,973, issued January 19, 1999 (Ex. 1105).
`4 Medtronic Sofamor Danek, Telamon, Verte-Stack PEEK Vertebral Body
`Spacer, ©2003 Medtronic Sofamor Danek USA, Inc (Ex. 1107); and
`Telamon, Posterior Impacted Devices, ©2003 Medtronic Sofamor Danek
`USA, Inc. (Ex. 1108) (collectively, “Telamon”).
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`specification of the patent in which they appear. 37 C.F.R. § 42.100(b);
`Office Patent Trial Practice Guide, 77 Fed. Reg. 48,756, 48,766
`(Aug. 14, 2012). Claim terms also are given their ordinary and customary
`meaning, as would be understood by one of ordinary skill in the art in the
`context of the entire disclosure. In re Translogic Tech., Inc., 504 F.3d 1249,
`1257 (Fed. Cir. 2007). If an inventor acts as his or her own lexicographer,
`the definition must be set forth in the specification with reasonable clarity,
`deliberateness, and precision. Renishaw PLC v. Marposs Societa’ per
`Azioni, 158 F.3d 1243, 1249 (Fed. Cir. 1998).
`In the Institution Decision, we “interpret[ed] the claim language
`consistently with its plain and ordinary meaning, when read in view of the
`Specification.” See, e.g., Dec. Inst. 6. The parties appear to agree on the
`interpretation of the claim terms, and we see no reason to depart from our
`interpretation in the Institution Decision.
`B. Patentability
`1. Principles of Law
`To prevail on its challenges to the patentability of claims, Petitioner
`must prove unpatentability by a preponderance of the evidence. 35 U.S.C.
`§ 316(e); 37 C.F.R. § 42.1(d).
`A claim is unpatentable under 35 U.S.C. § 103(a) if the differences
`between the subject matter sought to be patented and the prior art are such
`that the subject matter as a whole would have been obvious at the time the
`invention was made to a person having ordinary skill in the art to which said
`subject matter pertains. KSR Int’l Co. v. Teleflex Inc., 550 U.S. 398, 406
`(2007). The question of obviousness is resolved on the basis of underlying
`factual determinations including: (1) the scope and content of the prior art;
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`(2) any differences between the claimed subject matter and the prior art;
`(3) the level of ordinary skill in the art; and (4) objective evidence of
`nonobviousness. Graham v. John Deere Co., 383 U.S. 1, 17–18 (1966).
`The level of ordinary skill in the art usually is evidenced by the references
`themselves. See Okajima v. Bourdeau, 261 F.3d 1350, 1355 (Fed. Cir.
`2001); In re GPAC Inc., 57 F.3d 1573, 1579 (Fed. Cir. 1995); In re Oelrich,
`579 F.2d 86, 91 (CCPA 1978).
`Prior art references must be “considered together with the knowledge
`of one of ordinary skill in the pertinent art.” In re Paulsen, 30 F.3d 1475,
`1480 (Fed. Cir. 1994) (quoting In re Samour, 571 F.2d 559, 562 (CCPA
`1978)). Moreover, “it is proper to take into account not only specific
`teachings of the reference but also the inferences which one skilled in the art
`would reasonably be expected to draw therefrom.” In re Preda, 401 F.2d
`825, 826 (CCPA 1968). That is because an obviousness analysis “need not
`seek out precise teachings directed to the specific subject matter of the
`challenged claim, for a court can take account of the inferences and creative
`steps that a person of ordinary skill in the art would employ.” KSR, 550 U.S.
`at 418; see In re Translogic Tech., Inc., 504 F.3d. 1249, 1259 (Fed. Cir.
`2007).
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`2. Obviousness of Claim 1 under 35 U.S.C. § 103(a) Over One
`of SVS or Telamin, Combined with Baccelli
`Petitioner contends that the combination of one of SVS or Telamon
`
`with Baccelli renders obvious independent claim 1. Pet. 14–16; 38–39.
`Petitioner sets forth claim charts demonstrating where each element of the
`claim is taught by the reference (Id. at 16–18; 39–42), and relies, initially, on
`the Declaration of Dr. Hynes (Ex. 1101). Patent Owner disagrees with
`Petitioner’s assertions (PO Resp. 32–47), and relies on the Declaration of
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`Dr. Hansen A. Yuan (Ex. 2020) as evidence that the asserted combination
`does not render obvious the challenged claims.
`a. SVS (Ex. 1106)
`SVS discloses a vertebral spacer (or spinal implant) made of a
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`radiolucent polymer that allows fusion to occur through the implant. In one
`embodiment, the implant measures 22 mm depth by 8 mm width and
`includes two radiopaque marker pins. Ex. 1106, 1–2.
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`b. Telamon (Ex. 1107)
`Telamon discloses a radiolucent spinal implant measuring 22-26 mm
`length by 10 mm width. Ex. 1107, p. 2. The implant further includes
`radiographic markers. Id.
`c. Baccelli (Ex. 1104)
`Baccelli discloses an intervertebral implant. Ex. 1104 ¶ 1. The
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`implant has a front wall (id. ¶ 6, Fig. 8 – element 4b) that contains an orifice
`(id. ¶ 39, Fig. 8, element 18) into which a threaded endpiece is connected for
`placing the implant into position between vertebrae. Id. ¶¶ 44–45.
`The implant is made of a material that is transparent to X-rays, such as
`PEEK. Id. ¶ 50. One or more markers that are opaque to X-rays may be
`used to identify the position and/or the presence of the implant when X-rays
`are taken. Id. The radiopaque markers may be positioned within the
`anterior (i.e., proximal) wall and/or the posterior (i.e., distal) wall of the
`implant. Id. at Figs. 1–4, 8, 9.
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`The implant may further include spikes positioned symmetrically
`about the sagittal midplane and extending in the frontal midplane in a
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`vertical axis. Id. ¶ 41, Figs. 1–5, 8, 9. The spikes may be made of a
`radiopaque material (i.e., a material that is opaque to X-rays). Id. ¶ 51.
`d. Analysis
`Petitioner asserts that SVS and Telamon disclose almost all the
`limitations of independent claim 1. Pet. 14–15, 38. The SVS and Telamon
`implants have radiopaque markers in their distal and proximal walls. Id at
`15, 38. Petitioner asserts that Baccelli also teaches the use of radiopaque
`markers, wherein the “at least first and second radiopaque markers . . .
`extend into a first sidewall and a second sidewall at positions proximate to a
`medial plane of the implant.” Id. at 15, 39.
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`According to Petitioner, it would have been obvious to the ordinary
`artisan at the time of invention to include the radiopaque markers of Baccelli
`in the implants of SVS or Telamon in order to provide additional
`information regarding the location and/or orientation of the implant, both
`during surgery and after implantation. Id. at 15, 39 (citing Ex. 1101 ¶ 68).
`Petitioner contends further that such a combination is “nothing more than an
`application of known prior art elements to improve a similar device in the
`same way.” Id. at 15, 39.
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`Patent Owner contends that neither Telamon nor SVS disclose an
`interbody fusion implant “with radiopaque markers in the medial plane.”
`PO Resp. 33. Patent Owner contends further that the implant designed by
`Dr. Hynes, the Saber implant, does not include radiopaque markers in the
`medial plane. Id. (citing Ex. 2011; Ex. 2020 ¶ 95). Rather, the markers are
`only at the proximal and distal ends. Id. at 33–34. Thus, Patent Owner
`contends, “it is plainly apparent that the implant designers for each of
`Medtronic, Synthes, and DePuy Spine all considered radiopaque markers to
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`be inappropriate or at least unnecessary in the medial plane for PLIF
`[posterior lumbar interbody fusion] implants.” Id. at 34 (citing Ex. 2020
`¶¶ 45, 98–99, and 102). We are not persuaded by Patent Owner’s argument,
`because the question is whether it would have been obvious to one of
`ordinary skill in the art to combine the cited references, and not whether any
`specific implants on the market contain a radiopaque marker in a central
`region.
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`Patent Owner contends further that none of the references relied upon
`by Petitioner provide a reason to add a pair of radiopaque markers to the
`medial plane of a PLIF implant, such as those of Telamon and SVS. Id. at
`36 (citing Ex. 2020 ¶¶ 89, 98, 99). Patent Owner argues that the reason
`articulated by Petitioner’s expert, Dr. Hynes, of providing additional
`information “is simply a vague explanation with no rational underpinning.”
`Id. at 37 (citing Ex. 1101 ¶ 68). In particular, Patent Owner contends that
`Dr. Hynes “does not provide a rational explanation for what ‘additional
`information’ and certainly does not cite any evidence that what he proposes
`was ‘common sense’ in 2004 or ever.” Id. at 37–38. Patent Owner argues
`that any information provided by adding markers to the medial plane would
`be at best redundant, or at worst, a possible source of confusion. Id. at 38.
`Dr. Hynes, Patent Owner contends, engaged in impermissible hindsight to
`combine Bacelli with SVS and Telamon to arrive at an implant having
`radiopaque markers at the medial plane. Id. at 38–40.
`
`Patent Owner contends that the ordinary artisan would not have added
`markers to the medial plane “because doing so would add no meaningful
`‘additional information’ beyond that already provided by the existing
`markers and would increase the likelihood of causing confusion.” Id. at 49
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`(citing Ex. 2020 ¶¶ 98–99). Patent Owner cites their expert, Dr. Yuan, in
`arguing that the “conventional and proper position for radiopaque markers in
`PLIF implants is at the proximal and distal ends,” as they allow the surgeon
`to determine the location and orientation of the PLIF implant in PLIF
`implantation procedures. Id. at 40–41 (citing Ex. 2020 ¶¶ 45, 98, 99). Thus,
`having markers as the proximal and distal walls provides all the information
`necessary for both during and after the surgery. Id. at 42.
`
`Moreover, according to Patent Owner, Petitioner’s expert, Dr. Hynes,
`testified that markers in the wrong place may actually create confusion. Id.
`at 43 (citing Ex. 2013, 163:23–164:25). “Every excess marker increases the
`risk of confusing one marker for another,” and, thus, “designers are very
`purposeful about the number and location of markers added to fusion
`implants.” Id. at 44 (citing Ex. 2020, ¶¶ 45–46, 98, 99).
`
`We do not find Patent Owner’s arguments persuasive. As Petitioner
`notes (Reply 11), Baccelli teaches the use of radiopaque markers in the
`central regions of an implant. See Ex. 1104 ¶¶ 41, 51; Figs. 1–5, 8, 9. We
`also agree with Petitioner that the addition of markers along the medial plan
`would not confuse a surgeon of ordinary skill in the art, and “vastly
`underestimates the ordinary skill of surgeons in this field.” Reply 11 (citing
`Ex. 1104, FIG. 2; Ex. 1129).
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`In that regard, we credit the testimony of Patent Owner’s Declarant,
`Dr. Yuan, that one of ordinary skill in the art would have understood that an
`implant that “includes two radiopaque markers in the central region [would
`provide] . . . better align[ment of] the implant” and “also allows a surgeon to
`see in an anterior-to-posterior x-ray view whether the implant is askew and
`the degree to which the implant is askew.” Ex. 2020 ¶ 60. Given the
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`relative level of skill in the art, we agree with Dr. Yuan that the use of
`markers to improve x-ray visualization of the alignment of implants, for
`example, would have been well within the purview of one of ordinary skill
`in the art at the time of the invention.
`We note that Dr. Yuan testified that one “complication with using
`markers . . . is that the implant can have too many of them” (Ex. 2020 ¶ 45),
`and testified also that the use of a radiopaque marker in the central region of
`an implant “could cause problems, including confusing the surgeon” (Ex.
`2020 ¶ 98). Dr. Yuan, however, provides insufficient evidence in support of
`this contention. For example, Dr. Yuan does not provide persuasive
`evidence supporting the contention that problems would arise in the use of a
`radiopaque marker in the central region of an implant, the nature and extent
`of any potential problems, or how any such problems would confuse a
`surgeon of ordinary skill in the art and to what extent. Indeed, as previously
`discussed, Baccelli discloses radiopaque markers in the central region of an
`implant, and does not disclose that one of ordinary skill in the art is confused
`by such an arrangement.
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`As to Patent Owner’s argument that Petitioner’s Declarant, Dr.
`Hynes), testified that it would not have been obvious to one of ordinary skill
`in the art to have incorporated a radiopaque marker in the central region of
`an implant because doing so may cause confusion, Dr. Hynes merely
`testifies that using “the wrong marker” in “the wrong place” may “create[]
`confusion sometimes.” Ex. 2013, 164:11, 12–13. As already noted,
`however, Baccelli discloses the use of such a marker in the central region of
`an implant, thus suggesting to one of ordinary skill in the art that such a
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`marker would not have been “wrong” and that the central region would not
`have been a “wrong place” for such a marker.
`Hence, we are not persuaded by Patent Owner’s contention that the
`addition of pair of radiopaque markers to the medial region of an implant
`would not add any meaningful information and would cause confusion.
`
`Patent Owner contends further that neither Telamon nor SVS disclose
`an interbody fusion implant with elongate metal fixation spikes, such as
`those taught by Baccelli, and that the Saber implant designed by Dr. Hynes
`also did not incorporate such spikes. PO Resp. 34. According to Patent
`Owner, such spikes “would hinder or interfere with the intended PLIF usage
`of those implants.” Id. That is, Patent Owner argues, as the Medtronic,
`Synthese, and DePuy Spine did not incorporate such spikes, it is “plainly
`apparent” that the designers “considered such metal fixation spikes to be
`inappropriate for the PLIF implant.” Id. at 35. Thus, Patent Owner argues,
`the ordinary artisan would not have included the metal spikes of Baccelli on
`the implants of SVS or Telamon. Id. at 46.
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`Petitioner responds that the disclosure of Baccelli was not relied upon
`for the disclosure of spikes, but for locating radiopaque markers along the
`medial plane. Reply 12. We agree with Petitioner that the ordinary artisan
`would understand from the disclosure of Baccelli that radiopaque markers
`could be also located at the medial plane of the implant. “The test for
`obviousness is not whether the features of a secondary reference may be
`bodily incorporated into the structure of the primary reference; nor is it that
`the claimed invention must be expressly suggested in any one or all of the
`references. Rather, the test is what the combined teachings of the references
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`would have suggested to those of ordinary skill in the art.” In re Keller, 642
`F.2d 413, 425 (CCPA 1981) (citations omitted).
`3. Obviousness of Claims 5 and 9 under 35 U.S.C. § 103(a)
`Over One of SVS or Telamin, Combined with Baccelli and
`Michelson
`a. Michelson
`The disclosures of SVS, Telamon, and Baccelli are discussed above as
`to the challenge of claim 1. Michelson discloses a translateral spinal fusion
`implant. Ex. 1105, 5:44-45. In one embodiment, the implant has “a length
`in the range of 32 mm to 50 mm, with 42 mm being the preferred length.”
`Id. at 10:46-47. The implant may also have “a maximum diameter in the
`range of 14-26 mm, with the preferred diameter being 20 mm.” Id. at 7:28-
`30.
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`b. Claims 5 and 9
`Petitioner contends that the combination of SVS or Telamon with
`Baccelli and Michelson renders obvious claims 5 and 9. Pet. 21–24, 27–29,
`45–49, 52–53. Petitioner sets forth a claim chart demonstrating where each
`element of the claims is taught by the reference (id. at 25–26, 29, 49–50, 53),
`and relies, initially, on the Declaration of Dr. Hynes (Ex. 1101). Patent
`Owner disagrees with Petitioner’s assertions (PO Resp. 47–59), and relies on
`the Declaration of Dr. Yuan. (Ex. 2020) as evidence that the asserted
`combination does not render obvious the challenged claims.
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`Specifically, as to the limitation of claim 5 that the longitudinal length
`is greater than 40 mm, Petitioner relies on Michelson for its disclosure of a
`spinal fusion implant that may have a longitudinal length greater than 40
`mm. Pet. 22, 47. According to Petitioner, it would have been obvious to the
`ordinary artisan to include a longitudinal length greater than 40 mm to the
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`SVS or Telamon implant, as the implant would span the disc space and
`provide for more stable support. Id. at 22, 47 (Ex. 1101 ¶ 81). Petitioner
`contends that increasing the length of the SVS or Telamon implant would
`involve nothing more than routine optimization, requiring only the “exercise
`of ordinary skill and common sense to apply an identified, predictable
`solution to a known design need.” Id. at 24, 49.
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`Claim 9 adds the limitation that the maximum lateral width of the
`implant is approximately 18 mm. Petitioner relies on Michelson’s teaching
`of an implant having a width in the range of 14 to 26 mm, as disclosing an
`embodiment of a lumbar spinal fusion implant having a width of 18 mm. Id.
`at 27,52 . According to Petitioner, the ordinary artisan would have modified
`the implant of SVS or Telamon to have a maximum width of approximately
`18 mm, as Michelson teaches that a greater surface area of contact of the
`implant with the adjacent vertebra allows for greater stability. Id. at 27–28,
`52 (citing Ex. 1105, 7:11–20).
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`Patent Owner contends that the SVS and Telamon “disclose PLIF
`implants designed with the intended purpose of use in PLIF procedures.”
`PO resp. 47 (citing Ex. 2020, ¶¶ 79, 80, 84, 85). Although Petitioner relies
`on Michelson to meet the limitation of the implant being lengthened to
`exceed 40 mm in length, Patent Owner asserts that “Michelson discloses
`length in excess of 40 mm only for laterally inserted implants.” Id.
`Petitioner asserts that modifying the implant of either SVS or Telamon to be
`greater than 40 mm would eliminate SVS and Telamon’s “specifically
`intended insertion path and usage,” making the SVS and Telamon implants
`inoperable for their intended use in PLIF procedures. Id. at 51 (citing Ex.
`2020 ¶¶ 105, 106). That is, Patent Owner argues, the increased length would
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`make the implant of SVS and Telamon unsafe for a posterior insertion path.
`Id. at 51–55. Patent Owner asserts that Petitioner’s approach that “require[s]
`a wholesale abandonment of the primary reference’s intended PLIF purpose
`so as to achieve an entirely different use and operation.” Id. at 53. Patent
`Owner contends that “[t]he fact that Dr. Hynes proposes modifying the SVS-
`PR and Telamon implants in a way that would cause them to be unsafe in
`PLIF procedures is evidence that Dr. Hynes is simply reading the claim
`language and then improperly inventing combinations using the benefit of
`hindsight.” Id. at 56.
`
`Petitioner responds that the claims are drawn to an apparatus, that is, a
`spinal implant, and are not method claims. Reply 1. Moreover, Petitioner
`notes that the Specification of the ’156 patent states that the implants may be
`introduced through a variety of approaches. Id. (citing Ex. 1115, 5:31–34).
`Petitioner asserts further that Patent Owner’s expert, Dr. Yuan, testifies that
`he had inserted implants suitable for a PLIF or ALIF approach using a lateral
`or oblique approach. Id. (citing Ex. 2020 ¶ 51).
`
`Petitioner responds further that both Dr. Hynes and Dr. Yuan
`acknowledge that “a longer implant increases stability and provides more
`structural support to the adjacent vertebrae.” Reply 4 (citing Ex. 1157 ¶¶ 7,
`24; Ex. 2020 ¶ 41). Moreover, Petitioner argues, longer implants have been
`inserted using a posterior approach, and Dr. Yuan in fact “admitted that the
`disc space can accommodate such implants, much like the ones he himself
`inserted.” Id. at 5 (citing Ex. 1173, 62, 121–122, 245). Dr. Yuan also
`testified that the Telamon implant, “as a vertebral body spacer, could be put
`in laterally, at an angle, or anteriorly,” and that the SVS implant “could be
`inserted laterally, at an angle, or anteriorally.” Id. at 7 (citing Ex. 1173, 62,
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`121–122). Dr. Yuan testified also that “an implant over 40 mm could be
`inserted posterior laterally (at an angle) from the back and fit in the disc
`space.” Id. at 10 (citing Ex. 1173, 233–234). According to Petitioner, Dr.
`Hynes agrees, and has done such surgeries. Id. (citing Ex. 1157 ¶ 5).
`
`After considering the parties respective positions and evidence, we do
`not find Patent Owner’s contentions persuasive SVS discloses that “[t]he
`Vertebral Spacer is a vertebral body replacement device intended for use in
`the thoracolumbar spine (T1-L5) to replace a collapsed, damaged, or
`unstable vertebral body due to tumor or trauma (i.e., fracture).” Ex. 1106, 1.
`Hence, the “intended purpose” of the implant of SVS is to replace
`components within vertebrae. Telamon discloses a process of inserting an
`implant into an intervertebral space to achieve “decompression of the neural
`elements” and “satisfactory immobilization of the grafted interspace.” Ex.
`1108, 9. Hence, the “intended purpose” of the implant of Telamon is to
`achieve immobilization of the grafted interspace (and/or decompression of
`neural elements). We disagree with Patent Owner that Michelson, which
`discloses an implant that “engage[s] more of the adjacent vertebrae,” and,
`thus, “permits greater stability” (Ex. 1105, 3:49–51) would have “fully
`eliminated” the purpose of the SVS or Telamon implants of replacing
`collapsed, damaged, or unstable intervertebral components or immobilizing
`the interspace. Instead, the intended purpose of Michelson (a spinal fusion
`implant) appears to be the same as the intended purpose of either of SVS or
`Telamon, i.e., to achieve immobilization of the grafted interspace.
`
`As to the argument that inserting a longer implant, such as an implant
`that is approximately 40 mm in length, posteriorly, would have been
`dangerous, Petitioner submits evidence supporting the contention that the
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`insertion of implants measuring over 40 mm in length via a posterior
`approach is practiced safely in the art and, therefore, we are not persuaded
`by Patent Owner (PO Resp. 53–54) that “no responsible surgeon” would
`insert an implant measuring greater than 40 mm in length posteriorly. For
`example, Petitioner explains that Tohmeh (US Patent No. 8,623,088 B1 (Ex.
`1131)) discloses a spinal implant measuring up to 45 mm in length uses a
`“posterior approach.” Reply 5 (citing Ex. 1131, 4:3, 5:32–35). Tohmeh
`does not disclose that such a practice would be “extremely dangerous to the
`patient, risking paralysis or death” (PO resp. 53). In addition, as Petitioner
`explains, Dr. Yuan testified that a spinal implant measuring greater than 40
`mm in length would fit within the circumference of the intervertebral space.
`Reply 5 (citing Ex. 1173, 244–245).
`
`Moreover, even assuming to be true Patent Owner’s contention that a
`responsible surgeon would not insert a 41 mm implant in the PLIF approach,
`we are not persuaded by Patent Owner’s argument because one of ordinary
`skill in the art, based on Michelson, would have inserted the “41 mm
`implant” laterally, not posteriorly. Patent Owner presents no evidence that
`maneuvering the implant to prevent damage to the annulus on the anterior
`aspect of the disc would have been uniquely challenging or difficult for one
`of ordinary skill in the art. See Leapfrog Enters., Inc. v. Fisher-Price, Inc.,
`485 F.3d 1157, 1162 (Fed. Cir. 2007) (citing KSR Int’l Co. v. Teleflex, Inc.,
`550 U.S. 398, 418 (2007)). Indeed, Michelson discloses an implant with a
`length that is greater than 40 mm and does not disclose that inserting such an
`implant results in damage to the annulus on the anterior aspect of the disc.
`Ex. 1105, 10:41–46. Hence, Michelson demonstrates that it would have
`been obvious to one of ordinary skill in the art to have inserted an implant
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`measuring at least 40 mm in length without damage to the annulus on the
`anterior aspect of the disc.
`
`As to claim 9, Patent Owner contends again that the intended purpose
`of the SVS and Telamon implants is PLIF implantation, whereas Michelson
`teaches a width of 18mm only for laterally inserted implants. PO Resp. 57.
`According to Patent Owner. “[w]ideni