throbber
UNITED STATES PATENT AND TRADEMARK OFFICE
`
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`
`
`INTUITIVE SURGICAL, INC.,
`Petitioner,
`v.
`ETHICON LLC,
`Patent Owner
`
`IPR2018-01248
`U.S. Patent No. 8,479,969
`
`
`
`
`
`PATENT OWNER’S PRELIMINARY RESPONSE
`
`
`
`
`
`
`
`
`
`

`

`
`
`I.
`
`II.
`
`TABLE OF CONTENTS
`
`Page
`
`INTRODUCTION .......................................................................................... 1
`
`STATUTORY DISCLAIMER ........................................................................ 4
`
`III. THE 969 PATENT .......................................................................................... 5
`
`A. Overview ............................................................................................... 5
`
`B.
`
`Priority Date ........................................................................................ 11
`
`IV. CLAIM CONSTRUCTION .......................................................................... 11
`
`V.
`
`THE PRIOR ART .......................................................................................... 12
`
`A.
`
`B.
`
`Prisco ................................................................................................... 12
`
`Cooper ................................................................................................. 17
`
`C. Wallace ................................................................................................ 21
`
`D.
`
`Tierney ................................................................................................. 24
`
`VI. REASONS WHY THE PETITION SHOULD BE DENIED ....................... 24
`
`A. Grounds 1 And 4 Fail Because They Do Not Disclose All
`Limitations Of The Respective Challenged Claims ............................ 24
`
`1.
`
`Ground 1 Fails Because Prisco Does Not Disclose All Of
`The Elements Of Claim 24, Arranged As In The Claim .......... 24
`
`a)
`
`b)
`
`Prisco’s Cable-Driven Embodiment Does Not
`Disclose The Claimed Gear-Driven Portion In
`Operable Communication With A Selectively
`Moveable Component ..................................................... 26
`
`Prisco’s Drive Rod Embodiment Does Not Disclose
`The Claimed Articulation Joint ...................................... 27
`
`i
`
`

`

`2.
`
`Ground 4 Fails Because The Proposed Combination Does
`Not Disclose All Limitations Of Claim 24, From Which
`Claims 25 And 26 Depend ........................................................ 31
`
`B.
`
`Grounds 2-4 Fail Because Petitioner Does Not Establish A
`Motivation To Combine Or Reasonable Expectation of Success ....... 32
`
`1.
`
`2.
`
`3.
`
`4.
`
`5.
`
`Grounds 2-4: No combination of any asserted prior art
`with Prisco’s cable-driven embodiment renders claims 24-
`26 obvious ................................................................................. 34
`
`Grounds 2 and 3: Petitioner provides no explanation for
`how to combine the incompatible systems of Prisco’s
`drive rod embodiment and Cooper ........................................... 34
`
`Grounds 2-4: Prisco teaches away from combining its
`embodiments with Cooper’s wrist mechanism ......................... 36
`
`Ground 4: Petitioner provides no explanation for how to
`combine the incompatible systems of Prisco, Cooper, and
`Wallace ...................................................................................... 38
`
`Petitioner fails to show a reasonable expectation of
`success ....................................................................................... 40
`
`VII. CONCLUSION .............................................................................................. 42
`
`
`
`
`
`

`

`
`
`TABLE OF AUTHORITIES
`
` Page(s)
`
`Cases
`Arctic Cat Inc. v. Bombardier Recreational Prod. Inc.,
`876 F.3d 1350 (Fed. Cir. 2017), cert. denied, 2018 WL 2766092
`(U.S. Oct. 1, 2018) .......................................................................................... 3, 33
`In re Arkley,
`455 F.2d 586 (Fed. Cir. 1972) ............................................................................ 25
`Compass Bank v. Intellectual Ventures II,
`IPR2014-00786, Paper 46 (P.T.A.B. Sept. 23, 2015)................................... 36, 41
`Connell v. Sears, Roebuck & Co.,
`722 F.2d 1542 (Fed. Cir. 1983) .......................................................................... 25
`Corning Inc. v. DSM IP Assets,
`IPR2013-00050, Paper 77 (P.T.A.B. May 1, 2014) ..................................... 36, 41
`Honeywell Int’l Inc. v. Mexichem Amanco Holding S.A. De C.V.,
`865 F.3d 1348 (Fed. Cir. 2017) .......................................................................... 33
`Institut Pasteur v. Focarino,
`738 F.3d 1337 (Fed. Cir. 2013) .......................................................................... 33
`Kinetic Concepts Inc. v. Smith & Nephew, Inc.,
`688 F.3d 1342 (Fed. Cir. 2012) .......................................................................... 33
`Microsoft Corp. v. Biscotti, Inc.,
`878 F.3d 1052 (Fed. Cir. 2017) .................................................................... 25, 31
`Net MoneyIN, Inc. v. VeriSign, Inc.,
`545 F.3d 1359 (Fed. Cir. 2008) .......................................................................... 24
`Panasonic Corp. v. Optical Devices, LLC,
`IPR2014-00302, Paper 9 (P.T.A.B. July 11, 2014) ............................................ 25
`Symantic Corp. v. RPost Comm’cns, Ltd.,
`IPR2014-00357, Paper 14 (P.T.A.B. July 15, 2014) .......................................... 25
`
`iii
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`

`

`
`
`Vectra Fitness, Inc. v. TNWK Corp.,
`162 F.3d 1379 (Fed. Cir. 1998) ............................................................................ 4
`Statutes
`35 U.S.C. § 253(a) ..................................................................................................... 4
`Other Authorities
`37 C.F.R. § 1.321(a) ................................................................................................... 4
`37 C.F.R. § 42.65(a) ........................................................................................... 36, 41
`37 C.F.R. § 42.100(b) .............................................................................................. 12
`37 C.F.R. § 42.107(e) ................................................................................................. 4
`37 CFR § 42.6(a)(2)(ii) ............................................................................................ 44
`37 CFR § 42.6(a)(2)(iii) ........................................................................................... 44
`37 CFR § 42.8 .......................................................................................................... 44
`37 CFR § 42.24(a)(1)(i) ........................................................................................... 44
`77 Fed. Reg. 48,756 (Aug. 14, 2012)....................................................................... 12
`83 Fed. Reg. 51,340 (Oct. 11, 2018) ........................................................................ 12
`
`
`
`iv
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`

`

`
`
`
`
`
`EXHIBIT LIST
`
`Exhibit #
`
`2001
`
`2002
`
`Description
`Excerpts of a technology tutorial filed in Ethicon v. Intuitive
`Surgical, C.A. No. 1-17:cv-871 (LPS) (CJB) (D. Del. June 28,
`2018)
`Patent Statutory Disclaimer for U.S. Patent No. 8,479,969 filed on
`October 15, 2018
`
`v
`
`

`

`
`
`I.
`
`INTRODUCTION
`Ethicon is a market leader in developing endocutter1 technology and
`
`commercially released its first endocutter in 1996. Since then, Ethicon has
`
`developed numerous endocutters to address changing surgical needs. In 2011,
`
`Ethicon introduced its first motor-powered endocutter – the ECHELON FLEX™
`
`Powered ENDOPATH® Stapler. Ethicon’s motor-powered endocutters offer
`
`numerous benefits including dramatically reducing the force required to operate an
`
`endocutter and providing reliability across a broad range of tissue thicknesses.
`
`The challenged claims of U.S. Patent No. 8,479,969 (“the 969 Patent”) are
`
`directed to an articulating endocutter surgical tool that operatively couples to a robot
`
`surgical system. More specifically, the 969 Patent improves upon prior robotic
`
`surgical tools, such as an ultrasound probe, that were known to be “unable to
`
`generate the magnitude of forces required to effectively cut and fasten tissue” as is
`
`required of an endocutter. Ex. 1001, 23:6-29. The 969 Patent’s innovative tool base
`
`for an endocutter overcame these limitations of the prior art systems.
`
`
`1 An endocutter is a surgical instrument that both staples and cuts tissue. The term
`
`“stapler” can also be used to refer to this type of device, but can also refer to a device
`
`that only staples. Exhibit 2001 includes excerpts of a technology tutorial on
`
`endocutters that was filed in the District of Delaware on June 28, 2018.
`
`1
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`

`

`
`
`Petitioner’s obviousness challenge is primarily based on U.S. Patent No.
`
`8,545,515 (“Prisco”), a patent issued in 2013 that is assigned to Petitioner. Prisco
`
`discloses an endoscopic surgery instrument that extends through a rigid, curved
`
`cannula. Ex. 1006, Abstract. The instrument has an end effector comprised of two
`
`jaws that open and close. Ex. 1006, Fig. 9A, 9C, 9E. Prisco does not disclose any
`
`capability for stapling or cutting tissue.
`
`Prisco’s instrument couples to a robotic system through a comparatively
`
`rudimentary tool base that controls the shaft rotation and end effector. Prisco
`
`discloses two different embodiments of the tool base: one in which the end effector
`
`is controlled by cables, and one in which the end effector is controlled by a drive rod
`
`mechanism. In order to arrive at the more sophisticated instruments claimed by the
`
`969 Patent, Petitioner proposes to combine, either through incorporation by
`
`reference or by an obviousness argument, Prisco with aspects of various other
`
`surgical instruments disclosed in U.S. Patent Nos. 6,817,974 (“Cooper”), 6,699,235
`
`(“Wallace”), and 6,331,181 (“Tierney”).
`
`Petitioner’s anticipation ground based on Prisco fails, however, because
`
`Prisco does not disclose all of the elements as arranged in the challenged claims of
`
`the 969 Patent. Specifically, Prisco does not disclose a surgical instrument that
`
`includes an end effector with a selectively moveable component, a rotating shaft,
`
`and an articulating wrist, as required by claim 24. Although Petitioner contends that
`
`2
`
`

`

`
`
`Prisco includes such a disclosure through incorporation by reference of Cooper,
`
`Prisco expressly teaches the benefits that are attained by not including an articulating
`
`wrist in its device, such that a POSITA would not have understood Prisco to disclose
`
`arranging all of the elements of claim 24 as they are in the claim.
`
`Petitioner’s obviousness grounds fail to satisfy the basic standard for
`
`establishing obviousness. Petitioner does not explain how Prisco’s tool base could
`
`be adapted to preserve the functionality of Prisco’s instrument while also supporting
`
`the additional functionalities that Petitioner proposes to incorporate from Cooper,
`
`Tierney, and Wallace. Indeed, as discussed in detail herein, none of the prior art
`
`references Petitioner relies upon discloses a robotic instrument base that provides a
`
`sufficient number of control motions to operate an instrument having all of the
`
`functionalities recited in the challenged claims.
`
`Additionally, Petitioner fails to offer any evidence of reasonable expectation
`
`of success in the combination of any of the references. This failure alone is grounds
`
`to deny institution. See Arctic Cat Inc. v. Bombardier Recreational Prod. Inc., 876
`
`F.3d 1350, 1360-61 (Fed. Cir. 2017) (“where a party argues a skilled artisan would
`
`have been motivated to combine references, it must show the artisan would have had
`
`3
`
`

`

`
`
`a reasonable expectation of success from doing so”) (internal citation and quotation
`
`omitted), cert. denied, 2018 WL 2766092 (U.S. Oct. 1, 2018).2
`
`For these reasons, and the additional reasons explained in detail below, Patent
`
`Owner respectfully requests that the Board deny institution as to all grounds asserted
`
`in the petition.
`
`II.
`
`STATUTORY DISCLAIMER
`On October 15, 2018, Ethicon filed with the U.S. Patent and Trademark Office
`
`a statutory disclaimer of claim 23 of the 969 Patent under 35 U.S.C. § 253(a) and 37
`
`C.F.R. § 1.321(a). A copy of the statutory disclaimer is submitted as Exhibit 2002
`
`in this proceeding. Based on this disclaimer, the 969 Patent is to be treated as though
`
`claim 23 never existed. Vectra Fitness, Inc. v. TNWK Corp., 162 F.3d 1379, 1383
`
`(Fed. Cir. 1998) (“This court has interpreted the term ‘considered as part of the
`
`original patent’ in section 253 to mean that the patent is treated as though the
`
`disclaimed claims never existed.”). As a result of the statutory disclaimer of claim
`
`23, and pursuant to 37 C.F.R. § 42.107(e), it is respectfully submitted that the
`
`institution decision in this proceeding should be based only on the remaining
`
`challenged claims—24-26—of the 969 Patent.
`
`
`2 All emphasis added unless otherwise noted.
`
`4
`
`

`

`
`
`III. THE 969 PATENT
`A. Overview
`The challenged claims of the 969 Patent are directed to novel implementations
`
`of a “surgical tool for use with a robotic system.” The surgical tool of independent
`
`claim 24 includes, inter alia, transmission assembly in meshing engagement with a
`
`gear-driven portion to apply control motions to a selectively moveable component
`
`of the end effector as well as an elongated shaft comprising proximal and distal spine
`
`portions coupled at an articulation joint to facilitate articulation of the end effector.
`
`Ex. 1001, claim 24. The claimed surgical tools each include “a tool mounting
`
`portion operably coupled to” the instrument shaft that is “configured to operably
`
`interface with the tool drive assembly” of the robotic system in order to apply control
`
`motions to various components of the instrument, such as the cutting blade or the
`
`selectively movable end effector. Id. An endocutter embodiment of the 969 Patent
`
`is depicted in Figure 132:
`
`5
`
`

`

`
`
`Ex. 1001, Fig. 132
`
`
`
`The instrument includes an endocutter end effector (6012) that has a movable
`
`upper jaw/anvil (6024) that moves between first and second positions relative to the
`
`lower jaw (6022). Ex. 1001, 77:7-13. The endocutter end effector also includes a
`
`cutting instrument that moves between first and second positions relative to the
`
`lower jaw (6022). Id., 84:27-37. The end effector 6012 is located on one end of the
`
`elongated shaft (6008), which has an articulation joint (6100). Id., 76:62-67. The
`
`articulation joint 6100 allows the shaft to selectively articulate on two axes, one that
`
`is transverse to the longitudinal tool axis (designated “LT”), and one that is
`
`transverse to both the first articulation axis and LT. Id., 77:38-46. These axes are
`
`6
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`

`

`
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`designated “TA1” and “TA2” in Figure 133, which provides a more detailed view
`
`of the articulation joint 6100:
`
`Ex. 1001, Fig. 133
`
`
`
`The instrument couples to the surgical system via the tool mounting portion
`
`(6200). Id., 77:1-2. Figure 136 below shows the tool mounting portion 6200 in
`
`detail. The tool mounting portion includes an articulation transmission system
`
`(6142) that controls articulation about the articulation joint 6100. Id., 78:23-34. The
`
`robotic system controls the articulation transmission system by applying a first
`
`rotary output motion to the articulation drive gear (6322). Id., 81:28-82:19.
`
`7
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`

`

`
`
`Ex. 1001, Fig. 136
`
`
`
` The tool mounting portion includes closure transmission (6512) including a
`
`closure gear assembly (6520) to close the anvil (6420) of the endocutter in response
`
`to a third rotary output motion from the robotic system to the closure spur gear
`
`(6522). Id., 83:44-84:26.
`
`The tool mounting portion additionally includes a knife drive transmission
`
`portion (6550) including a knife gear assembly (6560) to fire the cutting instrument
`
`to cut tissue in response to a fourth rotary output motion from the robotic system to
`
`the knife spur gear (6562). Id., 84:38-85:16.
`
`8
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`

`

`
`
`The tool mounting portion also includes a rotational transmission assembly
`
`(6400) that imparts rotary control motion for rotating the instrument shaft about the
`
`longitudinal axis LT-LT. Id., 82:42-51. The robotic system controls the rotational
`
`transmission assembly by applying a second rotary output motion to the rotation
`
`drive gear (6412). Id., 83:9-15.
`
`Thus, as discussed above and described in detail by the 969 Patent, the
`
`“unique and novel transmission arrangement” of the 969 Patent allows a robotic
`
`system with four output motions to control (i) articulation about two different
`
`articulation axes that are substantially transverse to each other and the longitudinal
`
`tool axis: (ii) end effector rotation about the longitudinal tool axis; (iii)
`
`opening/closing of the end effector anvil to clamp tissue; and (iv) firing the cutting
`
`instrument to cut tissue. Id., 85:17-32. As noted in the 969 Patent, “[t]he unique and
`
`novel shifter arrangements . . . enable two different articulation actions to be
`
`powered from a single rotatable body portion of the robotic system.” Id., 85:32-36.
`
`Unlike prior art robotic tool mounts, which were “unable to generate the magnitude
`
`of forces required to effectively cut and fasten tissue,” the gears of the 969 Patent’s
`
`embodiments were further sized to generate the necessary force to close the anvil
`
`and cut and staple tissue. Id., 23:6-29, 84:20-26, 85:4-10.
`
`Petitioner devotes several pages of the Petition to alleging that the 969 Patent
`
`copied Petitioner’s Tierney patent. Petition at 3-6. Petitioner’s insinuations,
`
`9
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`

`

`
`
`however, misrepresent the contributions of the 969 Patent. As an initial matter, the
`
`969 Patent does not purport to have invented robotic surgical systems; indeed, the
`
`969 Patent specification expressly discloses examples of known prior art robotic
`
`systems and robotic tools, including Tierney.3 Ex. 1001, 23:6-29. Thus, the
`
`inclusion of figures 23 and 25 depicting known robotic systems is of no moment,
`
`and provides the appropriate context for the invention.
`
`Importantly, the 969 Patent further discloses that these systems were known
`
`to be “unable to generate the magnitude of forces required to effectively cut and
`
`fasten tissue.” Id. As discussed above, the 969 Patent’s innovative tool base
`
`overcame these limitations of the prior art systems. Moreover, as discussed in
`
`greater detail below, Tierney is directed primarily to the robotic surgical system
`
`itself, and discloses few details about particular surgical instruments or how the
`
`instrument functions are controlled through the instrument base. The 969 Patent, by
`
`contrast, discloses a novel instrument base that allows a robotic system, using only
`
`four rotary outputs, to control an endocutter that grasps tissue in the end effector,
`
`
`3 The disclosure of robotic systems at col. 23, lines 6-29 in the 969 Patent (Ex. 1001)
`
`includes U.S. 7,524,320, which has the same specification and figures as Tierney.
`
`Specifically, U.S. 7,524,320 is a continuation of U.S. 7,048,745, which is a division
`
`of Tierney.
`
`10
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`

`

`
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`cuts and staples tissue, articulates about an articulation joint, and rotates about a
`
`longitudinal axis. Id., 85:17-36. The Petition’s allegations of copying wholly ignore
`
`the significant advancements described and claimed in the 969 Patent as compared
`
`to the robotic system disclosed in Tierney.
`
`Priority Date
`B.
`Petitioner contends that the challenged claims of the 969 Patent are not
`
`entitled to a priority date earlier than May 27, 2011. Petition at 28. The 969 Patent
`
`claims priority to application No. 11/651,807, which was filed on Jan. 10, 2007. Ex.
`
`1001, (63). Because the Petition should be denied, for the reasons set forth herein,
`
`regardless of the effective filing date of the challenged claims, Patent Owner does
`
`not address Petitioner’s priority date arguments in this paper, but reserves all rights
`
`to subsequently contend in any instituted IPR or in any other proceeding that the
`
`challenged claims are entitled to their earliest claimed effective filing date.
`
`IV. CLAIM CONSTRUCTION
`For purposes of IPR only, the claims of the 969 Patent should be construed
`
`using the broadest reasonable construction in light of the specification of the patent.
`
`11
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`

`

`
`
`See Office Patent Trial Practice Guide, 77 Fed. Reg. 48,756, 48,766 (Aug. 14, 2012);
`
`37 C.F.R. § 42.100(b)4.
`
`V. THE PRIOR ART
`Prisco
`A.
`Prisco is directed to an endoscopic surgery instrument that extends through a
`
`rigid, curved cannula. Ex. 1006, Abstract. Prisco describes that in a typical prior art
`
`robotic surgery procedure, multiple incisions (or “ports”) are made into the patient’s
`
`body in order to introduce an endoscope and the necessary surgical instruments. Id.,
`
`8:56-64. According to Prisco, such “multi-port” procedures allow for very little
`
`movement of the instrument end effectors, and the instrument shafts can obscure the
`
`surgeon’s field of view through the endoscope. Id., 9:33-49. Attempts to improve
`
`field of view by crossing the instrument shafts within the body proved
`
`disadvantageous because they required the surgeon to operate the instruments via a
`
`non-intuitive, “backwards” control scheme. Id., 9:49-62.
`
`
`4 Patent Owner recognizes that the USPTO has issued a final rule revising the claim
`
`construction standard for IPR proceedings filed on or after November 13, 2018. See
`
`83 Fed. Reg. 51,340 (Oct. 11, 2018). Because Petitioner filed its Petition on June
`
`14, 2018, the broadest reasonable interpretation standard should apply to this IPR
`
`pursuant to pre-October 11, 2018 37 C.F.R. § 42.100(b).
`
`12
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`

`

`
`
`Similarly, Prisco describes that “single port” surgery procedures, in which all
`
`instruments are passed through a single incision, were also susceptible to similar
`
`issues because the single port constrained the surgeon’s ability to achieve
`
`triangulation with multiple instruments, and the instrument shafts likewise could
`
`obscure the view through the endoscope. Id., 9:5-32. Additionally, the use of robotic
`
`systems was more difficult with single port procedures because the bulk of the
`
`robotic manipulator arms further limited the available range of movement. Id.
`
`Prisco explains that surgeons attempted to use instruments with rigid, curved shafts
`
`to improve triangulation in single port procedures, but the rigid shafts limited the
`
`surgeons’ precision and ability to insert and withdraw the instruments from the
`
`surgical site. Id., 9:63-10:15. Moreover, such instruments were not always
`
`compatible with robotic systems because they required increased degrees of freedom
`
`(DOF). Id., 10:16-29.
`
`To address these issues, the allegedly inventive concept of Prisco was to insert
`
`flexible instruments into the surgical site through rigid curved cannulas, thus
`
`allowing for easier insertion and removal while maintaining effective triangulation
`
`and surgical action at the surgical site. Id., 1:58-2:42. Prisco also discloses a robotic
`
`control system that uses kinematic data to allow more intuitive control of the
`
`instruments. Id., 2:51-60.
`
`Examples of Prisco’s curved cannula systems are shown in Figures 4C and 5.
`
`13
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`

`

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`
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`
`
`Ex. 1006, Figs. 4C and 5
`
`As shown in Figure 4C, curved cannulas 416a and 416b allow instruments to
`
`be introduced into the surgical site. As shown in Figure 5, each instrument has an
`
`end effector 504 and a passively flexible shaft 506. Id., 12:8-17. The shaft sections
`
`506a-506c are sufficiently rigid to transmit shaft roll motions. Id., 12:45-49.
`
`For robotic surgery, the instruments couple to the robotic system through an
`
`instrument base, which Prisco calls a “force transmission mechanism 502.” Figures
`14
`
`

`

`
`
`7B and 7D illustrate the two embodiments of Prisco’s instrument base that
`
`Petitioners have identified as relevant to the petition.
`
`Figure 7B’s instrument base is shown below, along with the corresponding
`
`end effector of Figure 9C that the instrument base controls.
`
`Ex. 1006, Figs. 7B and 9C
`
`
`
`
`
`As shown above, the embodiment of Figures 7B and 9C uses a cable-driven
`
`mechanism for controlling the end effector’s gripping action. As indicated in red,
`
`capstan 736 is coupled to two tension elements (i.e., cables) 734. Id., 15:36-43.
`
`Rotating the capstan 736 pulls one of the two cables (depending on direction of
`
`rotation), which in turn opens or closes the end effector jaws as shown in Figure 9C.
`
`Id., 15:39-43, 19:23-27. As shown in green, a shaft roll gear 742 and helical drive
`
`15
`
`

`

`
`
`gear 740 are cross-connected to provide shaft roll motions. Id., 15:43-45. Notably,
`
`however, Prisco does not disclose that the helical drive gear 740 can rotate in two
`
`directions to provide bi-directional shaft roll. By contrast, where Prisco does
`
`disclose bi-directional rotation, it does so with a double-sided arrow, such as arrow
`
`738, which indicates the bi-directional rotation of capstan 736.
`
`Figures 7D and 9E illustrate a different embodiment of Prisco’s instrument.
`
`Ex. 1006, Figs. 7D and 9E
`
`
`
`
`
`In this embodiment, two pinion drive gears 782 (shown in red) engage a rack
`
`gear 784, which is coupled to a “push/pull drive element rod” (i.e., drive rod). Id.,
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`16:19-29. As shown in Figure 9E, pushing the drive rod causes the end effector jaws
`
`to open, while pulling it back causes the jaws to close. Id., 19:42-47. In this
`
`16
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`

`

`
`
`embodiment, as in the Figure 7B embodiment, a shaft roll gear and helical drive
`
`gear, shown in green, provide shaft roll motions.
`
` None of Prisco’s embodiments disclose an articulation joint to articulate the
`
`instrument shaft. Prisco cites and purports to incorporate by reference Cooper as an
`
`example of a disclosure of a “wrist to provide one or more end effector DOF’s (e.g.,
`
`pitch, yaw…),” but further notes that the wrist joint is “optional and is not shown.”
`
`Id., 10:43-48.
`
` Moreover, Prisco expressly states
`
`that many
`
`instrument
`
`implementations do not include a wrist, and that omitting the wrist “simplifies the
`
`number of actuation force interfaces” between the robotic surgery system and the
`
`instrument, and also “reduces the number of force transmission elements (and hence,
`
`instrument complexity and dimensions) that would be necessary” between the force
`
`transmission mechanism and the portion of the instrument being actuated. Id.,
`
`10:48-55. Consistent with this teaching away from the use of a wrist, Prisco
`
`expressly discloses that its instrument base is a modified da Vinci Surgical System
`
`base in which the “mechanisms used to control a wrist mechanism on the
`
`instrument” have been “eliminated.” Id., 14:59-64.
`
`B. Cooper
`Cooper is an issued patent that discloses a surgical instrument with a cable-
`
`driven “wrist mechanism” that provides articulation in the form of “pitch and yaw
`
`rotation in such a way that the tool has no singularity in roll, pitch, and yaw.” Ex.
`
`17
`
`

`

`
`
`1007, Abstract; Fig. 36. “Singularity,” according to Cooper, refers to a problem in
`
`prior art articulating instruments in which, at “about 90° pitch, the yaw and roll
`
`rotational movements overlap, resulting in the loss of one degree of rotational
`
`movement.” Id., 2:58-60. The purported improvement disclosed by Cooper is a wrist
`
`mechanism comprised of “a plurality of disks or vertebrae stacked or coupled in
`
`series,” with each disk “configured to rotate in at least one degree of freedom or
`
`DOF (e.g., in pitch or in yaw) with respect to each neighboring disk or end member.”
`
`Id., 2:63-3:9. “Actuation cables or tendon elements are used to manipulate and
`
`control movement of the disks, so as to effect movement of the wrist mechanism.”
`
`Id., 3:21-23. According to Cooper, this mechanism allows for articulation without
`
`singularity in roll, pitch, and yaw. Id., Abstract; 2:63-66.
`
`Cooper’s wrist mechanism is depicted in Figures 39 and 40:
`
`18
`
`

`

`
`
`
`
`
`Ex. 1007, Figs. 39 and 40
`
`
`
`As shown in Figure 39, actuator cables 446 and 448 run through the interior
`
`of the disks that make up the wrist mechanism. The opening and closing of the end
`
`effector jaws (not shown in these figures) is controlled by pulling on the opening
`
`actuator cable 446 and closing actuator cable 448, respectively. Id., 17:65-18:33.
`
`As shown in Figure 40, wrist control cables 452 and 454 also run through the interior
`
`of the disks, and are used to manipulate the movement of the wrist joint. Id., 18:42-
`
`51.
`
`Cooper’s instrument couples to a robotic surgery system through an
`
`instrument base, which Cooper refers to as the “back end” 801 and which is depicted
`
`in Figures 64 and 65:
`
`19
`
`

`

`
`
`
`
`
` Ex. 1007, Figs. 64 and 65
`
`
`
`A close-up of the operative portions of the back end 801 is further provided in
`
`Figure 67, which has been annotated to show the key components:
`
`Ex. 1007, Fig. 67
`
`
`
`
`
`20
`
`

`

`
`
`As shown in the figures above, the back end includes follower gear quadrants
`
`814 and 816, which drive actuator links 804 and 806 to produce pitch and yaw
`
`rotations. Id., 24:8-21. The follower gear quadrants 814 and 816 are rotated by the
`
`first and second drive gears 824 and 826, which receive rotary motion from the
`
`robotic system via drive spools 834 and 836. Id., 24:12-14. The drive gears 824 and
`
`826 and drive spools 834 and 836 are annotated in blue, above. The grip actuation
`
`cables 446 and 448 that control the opening and closing of the end effector terminate
`
`at a pair of hub clamps 866 and 868, and are tensioned by applying torque (i.e., rotary
`
`motion from the robotic system) to the hub clamps. Id., 24:34-39. The hub clamps
`
`866 and 868 are indicated above in red. Finally, a helical drive gear 840 drives a
`
`follower gear 842 to provide shaft roll. Id., 24:21-23. The helical drive gear 840 and
`
`follower gear 842 are indicated above in green.
`
`Thus, Cooper discloses a cable-driven device that requires four rotary inputs
`
`from the robotic system in order to control (1) shaft roll, (2) end effector grip, (3)
`
`pitch articulation, and (4) yaw articulation.
`
`C. Wallace
`Wallace is directed to a robotic surgical instrument with a “wrist mechanism”
`
`that allows the end effector to articulate under the control of a series of rods. Ex.
`
`1008, Abstract. Examples of the wrist mechanism are shown in Figures 2A and 3.
`
`21
`
`

`

`
`
`
`
` Ex. 1008, Figs. 2A and 3
`
`
`
` Wallace’s instrument couples to a robotic system through a tool base 62,
`
`shown in Figure 30. Id., 7:37-40.
`
`22
`
`

`

`
`
` Ex. 1008, Fig. 30
`
`
`
`The articulation rods shown in Figures 2A and 3 emerge into the tool base as
`
`rods 300. Id., 13:44-45. Gears 400 rotate the sector gears 312 (shown in blue above),
`
`which advance or retract individual ones of the rods 300 to actuate the wrist
`
`mechanism. Id., 13:47-54. Gear 420 (shown in green above) rotates the roll pulley
`
`310, which causes the rods and the instrument shaft to rotate around the central axis
`
`of the shaft. Id., 13:66-14:10. Thus, Wallace’s tool base utilizes three rotary output
`
`motions (those of the two gears 400 and the one gear 420) to control two instrument
`
`motions (wrist articulation and shaft rotation).
`
`23
`
`

`

`
`
`D. Tierney
`Tierney is a patent directed to a robotic surgical system. Prisco purports to
`
`incorporate Tierney by reference, at least insofar as Tierney discloses a data
`
`architecture for storing operational parameters in the memory of the robotic system.
`
`Ex. 1006, 15:12-20. Petitioner appears to rely on Tierney solely for its disclosure of
`
`the robotic system; Petitioner does not cite Tierney for any specifics of the surgical
`
`instrument that couples to the robotic system.
`
`VI. REASONS WHY THE PETITION SHOULD BE DENIED
`A. Grounds 1 And 4 Fail Because They Do Not Disclose All
`Limitations Of The Respective Challenged Claims
`1. Ground 1 Fails Because Prisco Does Not Disclose All Of The
`Elements Of Claim 24, Arranged As In The Claim
`Petitioner asserts in Ground 1 that Prisco anticipates claims 23-26. As noted
`
`above, Patent Owner has disclaimed claim 23, and therefore any institution of
`
`Ground 1 must be based on the remaining challenged claims, claims 24-26.
`
`Pe

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