`571-272-7822
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` Paper 57
` Entered: July 8, 2020
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`UNITED STATES PATENT AND TRADEMARK OFFICE
`____________
`
`BEFORE THE PATENT TRIAL AND APPEAL BOARD
`____________
`
`ALPHATEC HOLDINGS, INC. and ALPHATEC SPINE, INC.,
`Petitioner,
`
`v.
`
`NUVASIVE, INC.,
`Patent Owner.
`____________
`
`IPR2019-00362
`Patent 8,361,156 B2
`____________
`
`
`Before DENISE M. POTHIER, HYUN J. JUNG, and
`SHEILA F. McSHANE, Administrative Patent Judges.
`
`POTHIER, Administrative Patent Judge.
`
`
`
`JUDGMENT
`Final Written Decision
`Determining No Challenged Claims Unpatentable
`Denying Patent Owner’s Motion to Exclude
`35 U.S.C. § 318(a)
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`
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`I. INTRODUCTION
`A. Background and Summary
`Alphatec Holdings, Inc. and Alphatec Spine, Inc. (collectively,
`“Petitioner”) filed a Petition (Paper 2, “Pet.”) requesting inter partes review
`of claims 1–3, 5, 9, 10, 12–21, 23, 24, and 27 (“the challenged claims”) of
`U.S. Patent No. 8,361,156 B2 (Ex. 1001, “the ’156 patent”). NuVasive Inc.
`(“Patent Owner”) filed a Preliminary Response (Paper 11, “Prelim. Resp.”).
`Pursuant to 35 U.S.C. § 314, we granted the request and instituted inter
`partes review on July 9, 2019, as to the challenged claims on all grounds.
`Paper 18 (“Dec. Inst.”).
`Following institution, Patent Owner filed a Response (Paper 27, “PO
`Resp.”), Petitioner filed a Reply (Paper 34, “Reply”), and Patent Owner filed
`a Sur-Reply (Paper 40,“Sur-reply”). Patent Owner objected to evidence
`submitted by Petitioner in its Petition and future filings (Papers 23, 35).
`With prior authorization (Paper 37), Patent Owner submitted a Supplemental
`Sur-Reply (Paper 41, “Supp. Sur-reply”) related to the its objections and
`Petitioner submitted a Supplemental Sur-sur-reply (Paper 42, “Supp. Sur-
`sur-reply”). Patent Owner also filed a Motion to Exclude (Paper 38, “Mot.
`Excl.”), Petitioner filed an Opposition to the Motion to Exclude (Paper 44,
`“Opp.”), and Patent Owner filed a Reply to support the Motion to Exclude
`(Paper 48, “Mot. Reply”).
`A hearing was held on April 3, 2020, and a transcript of the hearing
`has been made part of the record. Paper 54; Ex. 1066.
`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.
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`For the reasons discussed below, we conclude that Petitioner has not shown
`by a preponderance of the evidence that the challenged claims of the ’156
`patent are unpatentable. We also deny Patent Owner’s Motion to Exclude.
`B. Related Matters
`The parties indicate that the ’156 patent has been asserted in
`NuVasive, Inc. v. Alphatec Holdings, Inc., Case No. 3:18-cv-00347-CAB-
`MDD (S.D. Cal.) and Warsaw Orthopedic, Inc. v. NuVasive, Inc., Case No.
`3:12-cv-02738-CAB-MDD (S.D. Cal.). Pet. 76–77; Paper 4, 2. Petitioner
`indicates the latter litigation was settled on July 27, 2016. Pet. 77.
`The parties also note that the ’156 patent was previously challenged in
`Cases IPR2013-00504, IPR2013-00506, and IPR2014-00487. Pet. 16, 21;
`Paper 4, 2 (citing In re NuVasive, Inc., 842 F.3d 1376 (Fed. Cir. 2016)). The
`panel denied institution in IPR2013-00504 and IPR2014-00487. IPR2013-
`00504, Paper 8 (PTAB February 13, 2014); IPR2014-00487, Paper 8 (PTAB
`September 11, 2014). In IPR2013-00506, the Board determined that claims
`1–14, 19, 20, and 23–27 of the ’156 patent were unpatentable. IPR2013-
`00506, Paper 47, 24 (PTAB February 11, 2015). The Federal Circuit
`vacated the decision in IPR2013-00506 and remanded for additional findings
`and explanation. In re NuVasive, 842 F.3d 1376, 1384 (Fed. Cir. 2016). On
`remand, the parties indicated that they had entered into a settlement
`agreement, and the panel granted a joint motion to terminate the proceeding.
`IPR2013-00506, Paper 57 (PTAB May 9, 2017).
`The parties also state that a related patent, U.S. Patent 8,187,334, is
`challenged in Cases IPR2019-00361 and IPR2019-00546. Pet. 77; Paper 4,
`2 (further citing Cases IPR2013-00507 and IPR2013-00508 and In re
`NuVasive, Inc., 841 F.3d 966 (Fed. Cir. 2016)); Paper 7, 2.
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`C. The ’156 Patent (Ex. 1001)
`The ’156 patent issued January 29, 2013, from an application filed
`April 6, 2012, which is a continuation of an application filed on April 5,
`2012, which is a continuation of an application filed on April 4, 2011, which
`is a continuation of an application filed on March 29, 2005, and claims
`priority to a provisional application filed on March 29, 2004. Ex. 1001,
`codes (22), (45), (60), (63), 1:6–15.
`The ’156 patent relates to “a system and method for spinal fusion
`comprising a spinal fusion implant of non-bone construction . . . to introduce
`the spinal fusion implant into any of a variety of spinal target sites.” Id. at
`1:21–25. Figure 2 of the ’156 patent is reproduced below.
`
`
`Figure 2, above, shows a perspective view of a lumbar fusion implant.
`Id. at 3:36. The spinal fusion implant is introduced into a lumbar disc space
`through a lateral, a posterior, an anterior, an antero-lateral, or a postero-
`lateral approach to the spine. Id. at 5:29–35. The implant is made from a
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`radiolucent material, such as poly-ether-ether-ketone (PEEK). Id. at
`5:10–15.
`Common attributes of the various embodiments of spinal fusion
`implant 10 include top surface 31, bottom surface 33, lateral sides 14,
`proximal side 22, and distal side 16. Id. at 6:6–9, Figs. 2–3. By way of
`example, spinal fusion implant 10 for lumbar fusion may have “a width
`ranging between 9 and 18 mm, a height ranging between 8 and 16 mm, and a
`length ranging between 25 and 45 mm.” Id. at 5:15–19; see id. at 2:17–21.
`Spinal fusion implant 10 also preferably includes anti-migration
`features, such as ridges 6 and spike elements 7–9, designed to increase
`friction between spinal fusion implant 10 and adjacent contacting surfaces of
`vertebral bodies. Id. at 6:21–32, Figs. 2–3. Spike elements 7–9 are
`preferably made from materials having radiopaque characteristics that are
`“observable under X-ray and fluoroscopy[,] such that a surgeon may track
`the progress of the implant 10 during implantation and/or the placement of
`the implant 10 after implantation.” Id. at 6:35–38.
`Spinal fusion implant 10 has fusion apertures 2, separated by medial
`support 50, extending through top surface 31 and bottom surface 33. Id. at
`6:57–59, Figs. 2–3. “[F]usion apertures 2 function primarily as an avenue
`for bony fusion between adjacent vertebrae.” Id. at 6:59–61.
`D. Illustrative Claim
`The ’156 patent has 27 claims. Ex. 1001, 12:32–14:43. Petitioner
`challenges claims 1–3, 5, 9, 10, 12–21, 23, 24, and 27. Claim 1 is the only
`independent claim and is reproduced below.
`1. 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;
`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;
`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
`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 medial plane, and said second radiopaque
`marker extends into said second sidewall at a position proximate
`to said medial plane.
`
`Id. at 12:32–67 (emphasis added).
`E. Prior Art and Asserted Grounds
`Petitioner asserted the following grounds of unpatentability in the
`Petition:
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`Claim(s)
`Challenged
`1–3, 5, 9, 10,
`12–21, 23, 24, 27
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`35 U.S.C. §1
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`§ 103
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`§ 103
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`References/Basis
`
`Brantigan2, Baccelli3, Berry4
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`Brantigan, Baccelli, Berry,
`Michelson ’9735
`
`
`Pet. 21–22, 28–75.
`In support of its challenges, Petitioner provides a Declaration of
`Charles L. Branch, Jr., M.D. (Ex. 1002). See Pet. 21–22, 26–28.
`To support its position, Patent Owner provides a Declaration of Jim
`A. Youssef, M.D. (Exs. 2013, 2055) and Carl R. McMillin, Ph.D. (Ex.
`2057).
`F. Real Parties in Interest
`Petitioner identifies Alphatec Holdings, Inc. and Alphatec Spine, Inc.
`as the real parties in interest. Pet. 76. Patent Owner identifies NuVasive,
`Inc. as the real party in interest. Paper 4, 2.
`
`
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`1 The Leahy-Smith America Invents Act (“AIA”) amended 35 U.S.C. § 103.
`See Pub. L. No. 112-29, 125 Stat. 284, 285–88 (2011). As the application
`that issued as the ’156 patent was filed before the effective date of the
`relevant amendments, the pre-AIA version of § 103 applies.
`2 Brantigan, U.S. Patent No. 5,192,327, issued March 9, 1993 (Ex. 1007,
`“Brantigan”).
`3 Baccelli et al., U.S. Patent Application Publication No. US 2003/0028249
`A1, published February 6, 2003 (Ex. 1008, “Baccelli”).
`4 James L. Berry et al., A Morphometric Study of Human Lumbar and
`Selected Thoracic Vertebrae, 12 SPINE 362–67 (1987) (Ex. 1022, “Berry”).
`5 Michelson, U.S. Patent No. 5,860,973, issued January 19, 1999 (Ex. 1032,
`“Michelson ’973”).
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`II. ANALYSIS
`
`A. Estoppel Challenge
`Petitioner states “Patent Owner’s prior positions on Brantigan, Berry,
`and Michelson ’973 are relevant and binding” in this proceeding and implies
`Patent Owner should be estopped from taking contrary positions in this
`proceeding. Pet. 25 (citing Cardpool, Inc. v. Plastic Jungle, Inc., 817 F.3d
`1316, 1323 (Fed. Cir. 2016); Trustees in Bankr. of N. Am. Rubber Thread
`Co. v. United States, 593 F.3d 1346, 1354–56 (Fed. Cir. 2010)).
`Specifically, Petitioner contends Patent Owner relied upon Brantigan and
`Berry in its Petitions for IPR2013-00206 and IPR2013-00208 (Exs. 1014–
`1015) concerning U.S. Patent 8,521,997 (Ex. 1021 or “Michelson ’997”),
`which is a parent of Michelson ’973 (Ex. 1032). Id. at 22. Petitioner quotes
`from statements in the Petition of IPR2013-00206 related to Brantigan (id. at
`23–24) and states “[u]sing the understanding that as it pertains to spinal
`fusion implants, length is measured laterally, ‘consistent with the direction
`of the insertion, from the “insertion end” to the “trailing end,”’ the Federal
`Circuit affirmed.” Id. at 24 (citing Ex. 1019, 5, 7, 9–10). Petitioner also
`contends Patent Owner told the Federal Circuit that several references,
`including Brantigan, disclose lateral insertion. Id. at 24–25 (citing Ex. 1035,
`15). Petitioner asserts that Patent Owner presented evidence of “Berry
`showing [the] state of art.” Id. at 24 (citing Ex. 1016, 15; Ex. 1047, 14–15);
`see id. at 25 (citing Ex. 1035, 43; Ex. 1022, 3646). Petitioner further states
`Patent Owner appealed a jury verdict of no invalidity of Michelson ’997
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`6 We refer to the actual pagination of the underlying document.
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`under a higher standard of review. Id. at 24 (citing Ex. 1035, 14, 27; Ex.
`1046, 2, 5–7).
`Patent Owner contends judicial estoppel does not apply in this
`proceeding. PO Resp. 44. Patent Owner argues that the issues are different.
`Id. Patent Owner asserts the Federal Circuit found that (1) the claims in
`Michelson ’997 do not require Brantigan’s implants to extend to the
`apophyseal ring or beyond a vertebral body’s central region (id. (citing Ex.
`1019, 6–7)); and (2) they need not determine whether Brantigan discloses a
`lateral approach (id. (citing Ex. 1019, 9). Patent Owner further argues its
`position is consistent with that taken in the prior proceeding, which included
`that laterally-inserted implants in Brantigan should occupy substantially—
`not entirely—the transverse width of a vertebra so as to fit within the
`annulus fibrosis. Id. at 45–46 (reproducing annotated Figure 10 of Brantigan
`found in Ex. 1015, 29) (citing Ex. 1019, 197; Ex. 1007, 2:26–28, 2:63–64,
`6:25–32, 6:61, Fig. 11; Ex. 2055 ¶¶ 51–53; Ex. 2057 ¶¶ 21–26). Citing to
`Trustees in Bankr. of N. Am. Rubber Thread Co., Patent Owner argues
`Petitioner has not shown Patent Owner “succeeded in maintaining a position
`that is contrary to its positions herein, that any alleged change in position is
`premised only on an alleged changed interests, or that Petitioners qualify as
`a party that ‘acquiesced in the position formerly taken.’” Id. at 44.
`Having considered the parties’ arguments and cited evidence, we
`agree with Patent Owner (see PO Resp. 44) that the issues in the proceedings
`noted by Petitioner are not relevant to the instant proceeding. For example,
`this proceeding concerns the ’156 patent, whereas IPR2013-00206 and
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`7 We located the figure in Exhibit 1015, 29.
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`IPR2013-00208 (Exs. 1014–1015) concern U.S. Patent 8,521,997 (Ex. 1021)
`or Michelson ’997. Also, the ’156 patent’s claims and specification differ
`from those in Michelson ’997. Compare Ex. 1001, with Ex. 1021.
`Thus, we are not persuaded that Patent Owner’s statements made
`concerning Michelson ’997 and its claims in IPR2013-00206 and IPR2013-
`00208 (Exs. 1014–1015, 1047) or in its briefing to the Federal Circuit (Ex.
`1035) or the Federal Circuit decision (Ex. 1019) related to IPR2013-00206
`and IPR2013-00208 should be binding on Patent Owner in this proceeding
`concerning the ’156 patent. Similarly, cited Exhibit 1046 (Pet. 24) is a
`Federal Circuit opinion concerning patents (e.g., Michelson ’973) other than
`the ’156 patent. Granted, the Federal Circuit discusses Brantigan (Ex. 1007)
`in the opinion. See Ex. 1046, 6–7. But, the record’s evidence differs from
`this proceeding, and Petitioner has not identified any pertinent binding
`statements made by Patent Owner in the opinion related to Brantigan or the
`’156 patent. See Pet. 24 (stating only “Patent Owner unsuccessfully
`appealed a jury verdict of no invalidity of Michelson ’973 under a higher
`clear error standard”) (citing Ex. 1046, 2, 5–7).
`Also, Petitioner has not persuasively shown that Patent Owner’s
`position in this proceeding is clearly inconsistent with a position taken in the
`noted proceedings or that Patent Owner succeeded in maintaining such a
`position. See Trustees in Bankr. of N. Am. Rubber Thread Co., 593 F.3d at
`1353–54. For example, Petitioner asserts that Patent Owner has taken a
`position asserting the “length is measured laterally” and “consistent with the
`direction of insertion, from the ‘insertion end’ to the ‘trailing end.’” Pet. 24.
`However, the Federal Circuit decision arrived at their understanding of
`“length” based on Michelson ’997’s claim 1 itself. Ex. 1019, 5 (citing Ex.
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`1021, 23:24–26 (claim 1). Moreover, the quoted passage from the Federal
`Circuit opinion (Pet. 24) concerns Warsaw’s, not Patent Owner’s, argument
`related to Brantigan. See id. (citing Ex. 1019, 9) (stating “the record belies
`Warsaw’s argument that the Brantigan implants were not designed for lateral
`implantation) (emphasis added).
`Additionally, Patent Owner in this proceeding discusses inserting
`Brantigan’s implant laterally. See PO Resp. 24 (stating “laterally-inserted
`Brantigan implant.”) We thus agree with Patent Owner that any purported
`discussion to the Federal Circuit concerning “several references . . . disclose
`lateral insertion” (Pet. 24 (quoting Ex. 1035, 15)) is consistent with Patent
`Owner’s present position. See PO Resp. 45.
`As for Berry, Petitioner does not explain sufficiently what prior
`position taken by Patent Owner concerning this reference is “relevant and
`binding.” Pet. 25; see id. at 22–25. At best, Patent Owner cites Exhibit
`1016, stating “Berry show[s the] state of art in 1995.” Id. at 24 (citing Ex.
`1016, 15). Although Exhibit 1016 is a document submitted by Patent Owner
`in IPR2013-00206, the cited portion does not appear to discuss Berry and
`only states “sequential dilation was already well known before 1995.” Ex.
`1016, 15.
`Based on the record, Petitioner has not established Patent Owner is
`estopped from taking any specific position in this proceeding.
`B. Level of Ordinary Skill in the Art
`Petitioner asserts that one of ordinary skill in the art “‘would have a
`medical degree with two to three years’ experience performing procedures
`using interbody spinal fusion implants’” or “would have a mechanical or
`biomechanical engineering degree with at least two years’ experience
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`working in developing implant devices and associated instruments with
`significant access to orthopedic surgeons or neurosurgeons.’” Pet. 28
`(quoting Ex. 1002 ¶ 18). Patent Owner does not assert different
`qualifications for a person of ordinary skill in the art (“POSA”). See PO
`Resp. 9. However, Patent Owner contends “a POSA would not be familiar
`with developments in the art that came after the relevant time, such as
`XLIF.”8 Id.
`Our analysis below does not hinge on whether a POSA would be
`familiar with XLIF technology or developments in the art that would have
`come after the relevant time. As such, we adopt Petitioner’s unchallenged
`assessment of the qualifications as the level of ordinary skill in the art.
`Dr. Branch, Petitioner’s expert, has completed residencies and a
`fellowship in neurosurgery departments between 1985–1987, has taught
`spinal surgery since 1987, focusing his practice and research on spinal
`diseases and injuries (e.g., minimally invasive lumbar interbody fusion
`techniques), and has obtained various patents related to spinal surgery,
`spinal implants, and spinal surgical instrumentation. Ex. 1002 ¶¶ 5–13; Ex.
`1003. Dr. Branch’s qualifications are sufficient as a person of skill in the art
`for purposes of this proceeding.
`Dr. Youssef, Patent Owner’s expert, is an orthopedic surgeon, has
`been a practicing spine surgeon for over two decades, including treating
`spinal injuries and performing spine surgery, is a member or fellow of
`various organizations related to surgery, orthopedics, and the spine, has
`written articles related to the spine, treatments, and surgery, and is a named
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`8 eXtreme Lateral Interbody Fusion (XLIF) technology. Ex. 2013 ¶ 1.
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`inventor on patents related to spine implants and fixations systems. Ex.
`2055 ¶¶ 1–12; Ex. 2056. Dr. McMillin, another of Patent Owner’s experts,
`has a B.S. in mechanical engineering and Ph.D. in Macromolecular Science,
`has experience in the field of biomedical engineering beginning in 1974,
`including designing orthopedic products for the spine, and has served on
`various committees or advisory boards in the biomedical industry. Ex. 2057
`¶¶ 1–7; Ex. 2058. Both, Dr. Branch’s and Dr. McMillin’s qualifications are
`sufficient as persons of skill in the art for purposes of this proceeding.
`C. Claim Construction
`On October 11, 2018, the Office revised its rules to harmonize the
`Board’s claim construction standard with that used in federal district court.
`Changes to the Claim Construction Standard for Interpreting Claims in Trial
`Proceedings Before the Patent Trial and Appeal Board, 83 Fed. Reg. 51,340
`(Oct. 11, 2018) (amending 37 C.F.R. § 42.100(b) effective November 13,
`2018) (now codified at 37 C.F.R. § 42.100(b) (2019)). This Petition was
`filed after the effective date of the rule change, November 13, 2018, so we
`apply Phillips-type9 claim construction here. Id.; see Pet. 26 (stating that the
`“Board applies ‘the standard used in federal courts . . . ’” (quoting 83 Fed.
`Reg. at 51,343)); Paper 5, 1 (according filing date of December 13, 2018 to
`the Petition).
`Petitioner stated in the Petition that each term “should be given its
`plain and ordinary meaning” and that “no express construction is needed to
`resolve the issues in this Petition.” Pet. 26. Patent Owner presented a claim
`construction for the phrases “longitudinal length,” “medial plane,” and
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`9 Phillips v. AWH Corp., 415 F.3d 1303 (Fed. Cir. 2005).
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`“position proximate to said medial plane.” Prelim. 8–10. We preliminarily
`construed each of these terms in the Decision to Institute based on the record
`then before us. Dec. Inst. 13–14. In its Response and Sur-reply, Patent
`Owner contends Petitioner relies on “unconventional meanings” (PO Resp.
`4) for the phrases “longitudinal length” and “medial plane” that ignore their
`plain meanings. Id. at 3–9; see Sur-reply 2–3. Petitioner responds,
`reiterating what was stated regarding the phrases “longitudinal length” and
`“medial plane” in the Decision to Institute. Reply 5–6 (citing Dec. Inst. 13–
`14).
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`1. “Longitudinal Length”
`Claim 1 recites “said implant has a longitudinal length extending from
`a proximal end of said proximal wall to a distal end of said distal wall.” Ex.
`1001, 12:45–47.
`In the Decision to Institute (“Dec. Inst.”), we determined
`no express construction is required for [“longitudinal length”]
`other than that required under the express language of claim 1,
`which is: “a longitudinal length” “extend[s] from a proximal
`end of said proximal wall to a distal end of said distal wall”
`where “said longitudinal length is greater than said maximum
`lateral width.” Ex. 1001, 12:45–47, 50–51.
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`Dec. Inst. 13.
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`In its Response, Patent Owner contends that “longitudinal length”
`means “the longest dimension.” PO Resp. 5; see id. at 4–8 (citing Ex. 1001,
`2:17–21, Fig. 2; Ex. 1007, 4:15–22, Fig. 1; Ex. 1040 ¶¶ 147, 159, Figs. 55,
`63; Ex. 2022, 51:11–17, 76:7–12, 88:5–13, 89:15–22 (Branch Deposition);
`Ex. 2055 ¶¶ 31–34; Ex. 2023, 120410; Exs. 2009, 2024–2027).
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`As discussed in the Decision to Institute (Dec. Inst. 13), claim 1
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`requires that the “longitudinal length is greater than said maximum lateral
`width.” See Ex. 1001, 12:50–51. The requirement that the longitudinal
`length is greater than the width is consistent with the plain and ordinary
`meaning of the term. Considering the entire record, the evidence amply
`supports the plain and ordinary understanding for “longitudinal length” as a
`dimension that is the longer dimension of an object.
`First, although the ’156 patent does not use the term “longitudinal”
`other than in the claims, it describes an implant having a width between 9
`and 18 mm and a length ranging between 25 and 45 mm. Ex. 1001, 2:17–
`21. Figures 2 and 3 of the ’156 patent also show an implant having one
`dimension longer (e.g., from left to right in Figure 3) than another dimension
`(e.g., from bottom to top in Figure 3). See id., Figs. 2–3. Second, as Dr.
`Youssef testifies, other patents use the term “longitudinal” in the context of
`an implant’s length or longer dimension. See Ex. 2055 ¶¶ 33–34 (citing Ex.
`1007, 4:15–16, Fig. 1 (describing “ridges 12 are formed longitudinally
`across the end faces 11c”); Ex. 1040 ¶¶ 147 (describing “implant 1000 has
`an axis C extending through its center longitudinally”), 159, Fig. 55). Third,
`one definition of “longitudinal” includes “[p]arallel to the long axis of the
`body or part” (Ex. 202311, 1204), and one definition of “length” includes
`“the longer or longest dimension of an object.”12 Other provided medical
`dictionaries further support that “longitudinal” means “pertaining to a
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`11 Longitudinal, Taber’s Cyclopedic Medical Dictionary (2001).
`12 Length, The Merriam-Webster Online Dictionary, available at
`https://www.merriam-webster.com/dictionary/length (def. 1a) (last visited
`June 1, 2020).
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`measurement in the direction of the long axis of an object, body, or organ”
`(Ex. 202413, 1020; see also Exs. 2026–2027) or “[r]unning lengthwise” (Ex.
`202514, 995; see also Exs. 2009, 2026–2027). Fourth, Patent Owner’s
`expert, Dr. Youssef, testifies “that the plain and ordinary meaning of the
`term longitudinal length is the longest dimension of the object. For the
`implant, the longitudinal length is the longest dimension of the implant.”
`Ex. 2055 ¶ 32 (citing Ex. 1001, 12:44–64); see id. ¶¶ 33–34.
`
`In contrast, Petitioner’s expert, Dr. Branch, appears to use a
`“‘convention’ [that] is inconsistent with the plain meaning” (PO Resp. 6–7)
`of longitudinal length. See id. at 4–7 (citing Ex. 2022, 51:11–17, 52:5–56:9,
`76:7–12, 88:5–13, 89:15–22, 114:3–19, 116:4–15, 117:3–4); see also Sur-
`reply 2–3 (citing Ex. 2022, 52:5–56:9, 114:3–19, 116:4–14, 117:2). Only as
`part of his testimony in support of obviousness does Dr. Branch testify that a
`person of ordinary skill in the art would have understood Brantigan’s
`implants to “have a longitudinal length that is measured relative to the
`direction in which it is inserted from the proximal end that contains the tool
`receiving recess or mechanism to the distal end opposite the insertion end.”
`Ex. 1002 ¶ 122 (emphasis added). Similarly, Dr. Branch had the following
`dialogue related to his convention:
`Q. And in this case, the 22 millimeter depth refers to the longest
`length of the implant, correct?
`A. Correct.
`
`
`
`13 Longitudinal, Mosby’s Medical, Nursing, & Allied Health Dictionary
`(2002). We refer to the original pagination.
`14 Longitudinal, PDR® Medical Dictionary (1995). We refer to the original
`pagination.
`
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`Q. And you are saying that that longest length of the implant is
`the longitudinal length of the implant?
`A. If we -- if we used the convention, which is proximal end is
`where the inserter is and the distal end is the leading end or the
`end that is furthest away from the inserter, then this term depth
`is equivalent to longitudinal length.
`
`Q. If the -- if the inserter for this implant was positioned in the
`middle of its longest dimension, is it your opinion that the
`longitudinal length of the implant would be the 8 millimeter
`width?
`A. By convention, the length is from the -- where the inserter
`attaches to the device. So if this device actually had an insertion
`or configuration that the inserter handle came in perpendicular
`to the -- what we see here is the longitudinal -- and came in
`perpendicular to this, attach and inserted it that way, then by
`convention the length would be this shorter distance and the
`width would be the longer distance.
`
`Q. And the shorter distance would be what you would call the
`longitudinal length?
`A. Correct.
`
`
`Ex. 2022, 53:22–54:24.
`Dr. Branch’s interpretation of “longitudinal length” is inconsistent
`with the claim language and has no support in the Specification. The record
`also has inadequate support for Dr. Branch’s interpretation. See Ex. 1002
`¶ 122; 37 C.F.R. § 42.65(a). On the other hand, Dr. Youssef’s testimony, as
`discussed above, (1) provides support for and explanation why the plain and
`ordinary meaning of the term should be used (see Ex. 2055 ¶¶ 31–34) and
`(2) is consistent with (a) the claim language itself, (b) the Specification, (c)
`other references in the same field of art, and (d) an ordinarily skilled
`artisan’s understanding.
`
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`Based on the entire record, we determine “longitudinal length” means
`an object’s longer dimension. In the context of claim 1, we further
`determine “a longitudinal length” is the implant’s longer dimension
`“extending from a proximal end of said proximal wall to a distal end of the
`said distal wall” and “is greater than said [implant’s] maximum lateral
`width.” Ex. 1001, 12:45–47, 12:50–51.
`2. “Medial Plane” and “Proximate to Said Medial Plane”
`Claim 1 also recites “a medial plane that is generally perpendicular to
`said longitudinal length” and “a position proximate to said medial plane.”
`Ex. 1001, 12:49–50, 12:65, 12:67.
`In the Decision to Institute, we preliminarily determined “in the
`context of claim 1, the ‘medial plane’ is located approximately at the
`midpoint of the longitudinal length.” See Ex. 1033, 8; see Ex. 2010, 215[];
`see Prelim. Resp. 9 (citing Ex. 1033; Ex. 2010).” Dec. Inst. 14 (omitting
`footnote 5 referring to NuVasive, Inc. v. Alphatec Holdings, Inc., Case No.
`3:18-cv-00347-CABMDD (S.D. Cal.), App’x B1, Joint Claim Construction
`Worksheet).
`In its Response, Patent Owner agrees with our construction. PO Resp.
`8 (citing Dec. Inst. 14). Dr. Youssef also states “it is my opinion that the
`plain and ordinary meaning of term ‘medial’ refers to the middle or midpoint
`of an object” “[b]ased on [his] knowledge and years of experience as a spine
`surgeon.” Ex. 2022 ¶ 35. Petitioner reiterates our determination in the
`Decision to Institute. Reply 5–6. Upon review of the entire record, we
`determine that the “medial plane” in the context of claim 1 is located
`approximately at the midpoint of the longitudinal length consistent with our
`understanding of “longitudinal length” discussed in Section II.C.1.
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`In the Decision to Institute, we further determined the term
`“proximate” within the phrase “a position proximate said medial plane”
`means “near.” Dec. Inst. 14 (citing Prelim. Resp. 10; Ex. 2009, 6).
`Other than quoting from the Decision to Institute determining that the
`“‘medial plane’ is located approximately at the midpoint of the longitudinal
`length” (PO Resp. 9 (quoting Dec. Inst. 14)), Patent Owner provides no
`arguments related to the term “proximate” and our construction. See id. at
`8–9. Petitioner reiterates our determination in the Decision to Institute.
`Reply 5–6. Upon review of the entire record, we determine that the term
`“proximate” means “near” and that the phrase “proximate to said medial
`plane” means near or approximately at the midpoint of the longitudinal
`length consistent with our understanding of “longitudinal length” discussed
`in Section II.C.1.
`3. Other Terms
`Although Patent Owner proposes the construction of additional claim
`terms (PO Resp. 4–9), we determine that it is not necessary to provide an
`express interpretation of any other term of the claims because it is not
`necessary to resolve any issue or dispute. Vivid Techs., Inc. v. Am. Sci. &
`Eng’g, Inc., 200 F.3d 795, 803 (Fed. Cir. 1999) (construing explicitly only
`those claim terms in controversy and only to the extent necessary to resolve
`the controversy); see also Nidec Motor Corp. v. Zhongshan Broad Ocean
`Motor Co., 868 F.3d 1013, 1017 (Fed. Cir. 2017) (applying Vivid Techs. in
`the context of an inter partes review).
`D. Legal Standards
`A patent claim is unpatentable under 35 U.S.C. § 103(a) if the
`differences between the c