throbber
IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
`
`Shelton, IV
`Patent of:
`
`8,479,969
`U.S. Pat. No.:
`July 9, 2013
`Issue Date:
`Appl. Serial No.: 13/369,609
`Filing Date:
`Feb. 9, 2012
`Title:
`DRIVE INTERFACE FOR OPERABLY COUPLING A
`MANIPULATABLE SURGICAL TOOL TO A ROBOT
`
`Attorney Docket No.: 11030-0049IP5
`
`
`
` 11030-0049IPA
`
`
`
`
`
`Mail Stop Patent Board
`Patent Trial and Appeal Board
`U.S. Patent and Trademark Office
`P.O. Box 1450
`Alexandria, VA 22313-1450
`
`
`
`
`
`SUPPLEMENTAL DECLARATION OF
` DR. BRYAN KNODEL IN SUPPORT OF
`PETITION FOR
`INTER PARTES REVIEW OF U.S. PATENT NO. 8,479,969
`IPR2018-01247
`IPR2018-01254
`
`
`
`
`
`
`1
`
`Exhibit 1017
`Intuitive v. Ethicon
`IPR2018-01254
`
`

`

`U.S. Patent No. 8,479,969
`
`I, Bryan Knodel, declare as follows:
`
`
`
`INTRODUCTION
`
`1.
`
`I have been engaged as an expert by Fish & Richardson P.C. on behalf
`
`of Intuitive Surgical, Inc. (“Petitioner”) for the above-captioned inter partes review.
`
`I understand that this proceeding involves United States Patent No. 8,479,969
`
`entitled “Drive Interface for Operably Coupling a Manipulatable Surgical Tool to a
`
`Robot” by Frederick E. Shelton IV, filed February 9, 2012, and issued July 9, 2013
`
`(the “’969 Patent” or “’969”). I understand that the ’969 Patent is currently
`
`assigned to Ethicon LLC.
`
`2.
`
`I have previously submitted a declaration in this matter that provides my
`
`qualifications, and this declaration responds to specific issues raised in the Patent
`
`Owner Response and supporting expert declarations in this proceeding.
`
` RESPONSE TO SPECIFIC ISSUES RAISED BY PATENT OWNER
`
`3.
`
`I understand that Patent Owner has submitted declarations by Dr.
`
`Fegelman (a surgeon) and Dr. Awtar in support if the Patent Owner Response. In those
`
`declarations, both Dr. Fegelman and Dr. Awtar assert that handheld linear
`
`stapler/cutters would not be combined with Anderson or Wallace (which disclose
`
`surgical robots) because those surgical robots allegedly fail to disclose tactile feedback,
`
`and that a handheld linear stapler/cutter with passive articulation, such as disclosed by
`
`
`
`2
`
`

`

`U.S. Patent No. 8,479,969
`
`Timm would not be combined Anderson, as I proposed because, again, Anderson does
`
`not disclose tactile feedback.
`
`4.
`
`I disagree with those conclusions for two reasons. First, a person of
`
`ordinary skill in the art would have understood that both Anderson and Wallace in fact
`
`disclose tactile feedback. Second, even if they had not disclosed tactile feedback, a
`
`person of ordinary skill in the art would nonetheless have been motivated to make the
`
`combinations I propose (including Timm with Anderson and Giordano/Shelton with
`
`Wallace).
`
`5.
`
`As the ’969 Patent explains, there are different forms of feedback in
`
`robotic systems, which can include video feedback and tactile feedback. Video
`
`feedback allows a surgeon operating a surgical robot to see what the end effectors
`
`are doing so that the surgeon can properly control the movement of the end
`
`effectors. Tactile feedback is force feedback to the surgeon’s hands so that the
`
`surgeon feels the forces being applied to the end effectors. The ’969 Patent
`
`explains: “the robotic controller 1001 system may provide the surgeon with an
`
`indication that signifies the closure of the anvil. Such indication may be, for example, in
`
`the form of a light and/or audible sound, tactile feedback on the control members, etc.”
`
`’969 Patent, 67:32-36.
`
`6. With regard to passive articulation, Dr. Fegelman has stated:
`
` Because passive articulation brings the end effector into contact with
`
`
`
`3
`
`

`

`U.S. Patent No. 8,479,969
`
`other structures, passive articulation requires nearly instantaneous,
`
`tactile feedback to ensure that excessive forces are not applied to the
`
`structures. This is particularly true when the exterior of the end effector is
`
`being pressed against a structure in the body. With hand-held laparoscopic
`
`devices, the surgeon’s grip on the hand-held portion (which is connected to
`
`the end effector through the shaft of the instrument) provides this tactile
`
`feedback. The surgeon also views the surgical site on video; however, the
`
`video does not provide an indication of the forces that are being applied.
`
`Thus, the tactile feedback provided through the surgeon’s grip on the hand-
`
`held portion is critical to the use of passive articulation.
`
`Fegelman Declaration, ¶19.
`
`7. While I agree that passive articulation against a structure in the body
`
`raises concerns of damaging tissue due to excessive force, such concerns may be
`
`addressed by a skilled surgeon, and in any event are not applicable when passive
`
`articulation is performed by pressing one instrument against another instrument.
`
`Tactile feedback is not a necessity and is not “critical” when using passive
`
`articulation against a second instrument.
`
`8.
`
`Accordingly, passive articulation is not a necessity and is not critical
`
`in the proposed combination of Timm with a surgical robot because Timm
`
`expressly discloses passive articulation either by pressing against a body organ or
`
`
`
`4
`
`

`

`U.S. Patent No. 8,479,969
`
`by pressing against another instrument. Accordingly, a person of ordinary skill in
`
`the art reading Timm would be motivated to combine Timm with a surgical robot
`
`and employ Timm’s passive articulation with the expectation that the passive
`
`articulation would be performed, as taught by Timm, at least by pressing the
`
`instrument against another instrument. Timm specifically discloses:
`
`To use this embodiment, the clinician positions the tool assembly 100
`
`in the patient and then applies an articulation force to the tool
`
`assembly with another surgical instrument or by bringing the tool
`
`assembly 100 into contact with a portion of the patient to articulate the
`
`tool assembly to a desired position before drawing the actuation
`
`member 3050 in the proximal direction PD.
`
`Timm, 32:32-38.
`
`9.
`
`The above passage from Timm is quoted by Dr. Awtar (at paragraph
`
`41 of his Declaration). However, nothing in Timm mandates that the second
`
`option (pressing against the body) for use of passive articulation must be used, and
`
`a person of ordinary skill in the art would readily understand that either option may
`
`be used. A person of ordinary skill in the art would understand that when adapting
`
`Timm to a robot that lacked tactile feedback, a surgeon could simply articulate one
`
`instrument by pressing it against another instrument. Tactile feedback is not
`
`necessary or critical when using passive articulation in this manner. Furthermore,
`
`
`
`5
`
`

`

`U.S. Patent No. 8,479,969
`
`the surgeon remains in complete control of the process because a surgeon would
`
`typically operate multiple instruments with the surgical robot.
`
`10. To the extent that Dr. Awtar intended to assert that tactile feedback
`
`for passive articulation against another instrument is necessary or critical, such
`
`an assertion is unsubstantiated.
`
`11. Moreover, there is nothing in Timm that defines the force required to
`
`actuate the passive articulation joint. A person of ordinary skill in the art would be
`
`well capable of designing the passive articulation joint that moves easily in its
`
`unlocked state with minimal resistance such that the actuation force would be
`
`minimal. Thus the articulation force could be designed to be low enough to easily
`
`permit articulation against another instrument, or even against an internal
`
`anatomical structure. In fact, there are internal anatomical structure options that
`
`are quite robust and many that are delicate. A skilled surgeon could easily choose
`
`an appropriate structure to safely articulate the instrument using a low force
`
`passive articulation mechanism.
`
`12.
`
`It must be remembered that robotic surgical instruments, such as
`
`graspers, are used against body tissue without tactile feedback and there is no basis
`
`to conclude that passive articulation would require more forces than those applied
`
`by other instruments against the body. I note that although Dr. Awtar discusses the
`
`forces provided by such instruments (e.g., at paragraph 81), he does not explain
`
`
`
`6
`
`

`

`U.S. Patent No. 8,479,969
`
`why those instruments are in fact able to be used without the alleged “critical”
`
`tactile feedback, but for some reason passive articulation forces would require
`
`tactile feedback.
`
`13. Moreover, the entire discussion about the lack of tactile feedback is
`
`not relevant here because both Anderson and Wallace disclose robotic systems that
`
`have tactile feedback.
`
`14. Anderson states:
`
`The control System typically includes at least one processor which
`
`relays input commands from the master control devices to the
`
`associated robotic arm and instrument assemblies and from the arm and
`
`instrument assemblies to the associated master control devices in the
`
`case of, e.g., force feedback, or the like.
`
`Anderson, 2:62-3:1.
`
`15. A person of ordinary skill in the art would understand that this
`
`passage refers to tactile feedback in which forces from the manipulation of the
`
`instruments are fed back to the master control devices, which are the controllers
`
`held by the surgeon. (Anderson, 16:14-24 (discussing the master controllers) and
`
`6:33-37 (discussing feedback sensors in the motor pack, which can detect forces on
`
`the instrument by the resistance the motor senses as it tries to move the instrument
`
`or hold the instrument in a single position).
`
`
`
`7
`
`

`

`U.S. Patent No. 8,479,969
`
`16. Wallace likewise discloses tactile feedback. Wallace is largely
`
`focused on a wrist mechanism and thus leaves much of the discussion of the
`
`surgical robot to incorporated material. Wallace incorporates by reference other
`
`references for the disclosure of the surgical robot in general. One such
`
`incorporated reference is U.S. Patent Application No. 08/975,617:
`
`Robotic surgery systems and methods are further described in co-
`
`pending U.S. patent application Ser. No. 08/975,617, filed Nov. 21,
`
`1997, the full disclosure of which is incorporated herein by reference.
`
`Wallace, 3:25-29.
`
`17. This application issued as U.S. Patent No. 6,132,368. That
`
`incorporated reference states: “Position, force, and tactile feedback sensors (not
`
`shown) may also be employed to transmit position, force, and tactile sensations
`
`from the surgical tools back to the surgeon's hands as he/she operates the
`
`telerobotic system.” Accordingly, a person of ordinary skill in the art would
`
`understand that Wallace discloses a robotic system with tactile feedback. U.S.
`
`Patent No. 6,132,368, 3:43-48; 5:9-18; 5:46-67; 9:56-66.
`
`//
`
`//
`
`//
`
`//
`
`
`
`8
`
`

`

`III. CONCLUSION
`
`I hereby declare that all statements made herein of my own knowledge are
`
`true and that all statements made on information and belief are believed to be true.
`
`I further declare that these statements are made with the knowledge that willful
`
`false statements and the like so made are punishable by fine or imprisonment, or
`
`both (under Section 1001 of Title 18 of the United States Code).
`
`Executed this 15th day of July, 2019.
`
` 21> lac/“.40
`
`Dr. Bryan Knod
`
`9
`
`

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