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`REISSUE APPLICATION TRANSMITTAL
`
`Customer No. 24113
`Patterson Thuente Pedersen, P.A.
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`Mail Stop Reissue
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`Commissioner:
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`Transmitted herewith for filing under 37 CFR. § 1.171 is the continuation reissue patent application of U.S.
`Patent No. 8,292,850 B2
`
`INVENTOR(S): Howard C. Root, Gregg Sutton, Jeffrey M. Welch and Jason M. Garrity
`FOR: COAXIAL GUIDE CATHETER FOR INTERVENTIONAL CARDIOLOGY PROCEDURES
`Enclosed are:
`
`[X]
`
`[X]
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`[ ]
`[ ]
`[X]
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`Specification and Abstract - 7 pages (from issued patent)
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`Drawings- 13 sheets (Figs. 1-22), copies of drawings from issued patent
`Reissue Application Declaration and Power of Attorney
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`Statement Under 37 CFR. 3.73(b)
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`Copy of U.S. Patent No. 8,292,850 B2
`Other Application Data Sheet, Certificate of Correction
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`If the difference is less than zero, enter "O". Total# of sheets= (Soec and Abst oas +Dwg Sheets
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`21
`2
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`OR
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`OR
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`OR
`OR
`OR
`OR
`OR
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`Large Entity
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`$280
`$600
`$2,160
`x80=$0
`x420=$0
`+780
`x400=$0
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`Page 1
`
`Medtronic Exhibit 1003
`
`
`
`r--------------------------------------------------------------··············------------------------------------------··------
`A nlication as Al'ncndc<l • Par.: 2
`(3) ------:-·-----. ------------------r--------------1 ..
`(2)
`.
`(I)
`Extra Claims i Smul.l Ent!tv
`i OR
`Highest Number
`C!airns
`bffm: Eniitv
`!
`l
`Pr.eseiH
`Rme
`,
`Remaining
`'ifotc
`,
`Previi)usly Paid
`I
`I
`I
`Alkr
`For
`Amendment
`To1al Claims_______ -----·-······---------·· ···iuY1~iis21-·-···-·····--· --~~:·u·- ______ ___I __ '( 40 ::, s ··········--···
`j X 2 JO 00 $
`lndcnendcnt Claims------
`------ m3nus2
`'" I}
`. .:::~~~~:~~~-:~:u ~i~e Fer;: -n,ch addition\1150 sheets thai e~cr,~;~)~:'.~~t~_:: ___ L~t'.=:-~:-~--------····
`Pn.:'scnce c,fJ,foJtlph: Dependent Cluim_______________
`---------
`.. _ · + 390 · __ ·· __
`I lflhe diiforence is k;;s. than zen),_en:er "()""._·rota! i! ofshce,;;"' (S1,cc and Abst pgs}+-Owg_Shccts __
`
`:--; so ·= $0
`OR
`i OR
`X 42(} ''' $0
`___ _j_Q_f. _______ ·i·_780 ___________ _
`~~i~
`j ~l4DO = $0
`------·····················----~
`'-'ff{D) is le% 1lmn (C), enter ·"Q'' in t·o!umn 3. For reissues fikd or, or nlkr Dec. X, 2rnH, enter (D) minus 3 or·'{)" if(DJ is !ess than 3.
`"'"lfthc •'Highest Number of Total Claims Previously Paid for'' is kss than 20, emer ":W" in 1.hi~ spaee.
`**"After any cam:dlation ofdaim;;,
`***"ff (A) is greater ihan 20, enter (B) - (A); if (AJ is 20 cir ks~, enter (B) - W. for reissues med on or alkr D(:c:, 8, '.WM cnt;:r (B) - 2(),
`*"***For mnam.lmcnts !1kd on or a!kr Ike. 8, 2004, enter the ·'Highest Number of !ndcpcncknt Claims Previom;ly PaM For.''
`Por im1cmJments filed !J)'ior lt) De(:. 8, 2(H/il, enter the higher or the Nurnb(:r Previou;;ly Paid or Numlx:r of hxkpcndent Cl,lim, ii:
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`i
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`j
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`··
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`[ J Applicants are entitled to small entity status in accordance with 37 CTR I .27,
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`[X]
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`Elecetronk: payment is submitted by credit card to cover the filing fee.
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`The Commissioner is hereby authorized to grant any extensions of time and to charge any foes under
`37 CFR §§ Ll6 and U7 that may be required during the enrirc pendency of this application to
`Deposit Account No. 16-063 l,
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`Respectfully s~_~mitteq._..---,,"
`1
`__ ... ---··'3
`_..,·"'"-. (
`}
`(
`l / l · )~ · · ~ /
`-.-.......
`....... ,.. -~------~
`t2:.:·. ~ /
`i
`\, . ., ........ ~ ~~ , , . .
`Paul C. Onderick
`Registration No. 45354
`
`Page 2
`
`Medtronic Exhibit 1003
`
`
`
`Electronic Patent Application Fee Transmittal
`
`Application Number:
`
`Filing Date:
`
`Title of Invention:
`
`COAXIAL GUIDE CATHETER FOR INTERVENTIONAL CARDIOLOGY
`PROCEDURES
`
`First Named Inventor/Applicant Name:
`
`Howard C. Root
`
`Filer:
`
`Paul C. Onderick/Ann Pommier
`
`Attorney Docket Number:
`
`2005.86USREl7
`
`Filed as Large Entity
`
`Filing Fees for Reissue (Utility)
`
`Description
`
`Fee Code
`
`Quantity
`
`Amount
`
`Sub-Total in
`USO($)
`
`Basic Filing:
`
`Utility Reissue Basic
`
`Design and Utility Reissue Basic
`
`Design and utility Reissue Basic
`
`1014
`
`1114
`
`1314
`
`1
`
`1
`
`1
`
`280
`
`600
`
`280
`
`600
`
`2160
`
`2160
`
`Pages:
`
`Claims:
`
`Miscellaneous-Filing:
`
`Late Filing Fee for Oath or Declaration
`
`1051
`
`1
`
`140
`
`140
`
`Petition:
`
`Page 3
`
`Medtronic Exhibit 1003
`
`
`
`Description
`
`Fee Code
`
`Quantity
`
`Amount
`
`Sub-Total in
`USO($)
`
`Patent-Appeals-and-Interference:
`
`Post-Allowance-and-Post-Issuance:
`
`Extension-of-Time:
`
`Miscellaneous:
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`Total in USO($)
`
`3180
`
`Page 4
`
`Medtronic Exhibit 1003
`
`
`
`Electronic Acknowledgement Receipt
`
`EFSID:
`
`Application Number:
`
`24490659
`
`14984273
`
`International Application Number:
`
`Confirmation Number:
`
`5700
`
`Title of Invention:
`
`COAXIAL GUIDE CATHETER FOR INTERVENTIONAL CARDIOLOGY
`PROCEDURES
`
`First Named Inventor/Applicant Name:
`
`Howard C. Root
`
`Customer Number:
`
`24113
`
`Filer:
`
`Paul C. Onderick/Ann Pommier
`
`Filer Authorized By:
`
`Paul C. Onderick
`
`Attorney Docket Number:
`
`2005.86USREl7
`
`Receipt Date:
`
`30-DEC-2015
`
`Filing Date:
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`Time Stamp:
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`15:01:45
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`Application Type:
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`Reissue (Utility)
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`Payment Type
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`Payment was successfully received in RAM
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`RAM confirmation Number
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`Deposit Account
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`Authorized User
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`yes
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`Credit Card
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`$3180
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`1507
`
`160631
`
`ON DERICK, PAUL C
`
`The Director of the USPTO is hereby authorized to charge indicated fees and credit any overpayment as follows:
`
`Charge any Additional Fees required under 37 CFR 1.16 (National application filing, search, and examination fees)
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`Charge any Additional Fees required under 37 CFR 1.17 (Patent application and reexamination processing fees)
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`Page 5
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`Medtronic Exhibit 1003
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`Charge any Additional Fees required under 37 CFR 1.19 (Document supply fees)
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`File Listing:
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`Document Description
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`File Name
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`File Size(Bytes}/
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`26
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`Page 6
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`Medtronic Exhibit 1003
`
`
`
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`Transmittal Reissue Application
`
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`
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`
`This Acknowledgement Receipt evidences receipt on the noted date by the USPTO of the indicated documents,
`characterized by the applicant, and including page counts, where applicable. It serves as evidence of receipt similar to a
`Post Card, as described in MPEP 503.
`
`New Agglications Under 35 U.S.C. 111
`If a new application is being filed and the application includes the necessary components for a filing date (see 37 CFR
`1.53(b)-(d) and MPEP 506), a Filing Receipt (37 CFR 1.54) will be issued in due course and the date shown on this
`Acknowledgement Receipt will establish the filing date of the application.
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`National Stage of an International Agglication under 35 U.S.C. 371
`If a timely submission to enter the national stage of an international application is compliant with the conditions of 35
`U.S.C. 371 and other applicable requirements a Form PCT /DO/E0/903 indicating acceptance of the application as a
`national stage submission under 35 U.S.C. 371 will be issued in addition to the Filing Receipt, in due course.
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`New International Agglication Filed with the USPTO as a Receiving Office
`If a new international application is being filed and the international application includes the necessary components for
`an international filing date (see PCT Article 11 and MPEP 181 O), a Notification of the International Application Number
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`national security, and the date shown on this Acknowledgement Receipt will establish the international filing date of
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`
`Page 7
`
`Medtronic Exhibit 1003
`
`
`
`IN THE UNITED STATES PATENT AND TRADEMARK OFFICE
`
`In re the application of:
`
`Attorney Docket No.: 2005.86USREI7
`
`REISSUE PA TENT APPLICATION
`
`Howard C. Root et al.
`
`Application No.:
`
`Filed:
`
`Confirmation No.: Pending
`
`Examiner: Unassigned
`
`Group Art Unit: Unassigned
`
`For: COAXIAL GUIDE CATHETER FOR INTERVENTIONAL CARDIOLOGY
`PROCEDURES
`
`PRELIMINARY AMENDMENT
`
`Mail Stop REISSUE
`Commissioner for Patents
`P.O. Box 1450
`Alexandria, VA 22313-1450
`
`Commissioner:
`
`INTRODUCTORY COMMENTS
`
`Prior to examination, please amend the above-identified application as follows:
`
`The present amendment comprises the following sections:
`
`A. Amendments to the Specification
`
`B. Amendments to the Claims
`
`C. Remarks
`
`Please grant any extension of time necessary for entry; cltarge any fee due to Deposit Account No. 16-0631.
`
`Page 8
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`AMENDMENTS TO THE SPECIFICATION
`
`In the Specification
`
`Please substitute the following amended paragraph(s) and/or section(s) (deleted matter is
`
`shown by strikethrough and added matter is shown by underlining):
`
`Page 1, section regarding "Related U.S. Applications":
`
`Related Applications
`
`This Application is continuation reissue of Application No. 14/195,435 filed March 3,
`
`2015 which is a continuation reissue of Application No. 14/070.161 which is an application for
`
`reissue of U.S. Patent 8,292,850 which issued from Application No. 13/359,059, filed January
`
`26, 2012 entitled "Coaxial Guide Catheter for Interventional Cardiology Procedures" which is a
`
`divisional of Application No. 12/824, 734, filed June 28, 2010 entitled "Coaxial Guide Catheter
`
`for Interventional Cardiology Procedures", which is divisional of Application No. 11/416,629,
`
`filed May 3, 2006 now U.S. Patent 8,048,032 entitled "Coaxial Guide Catheter for Interventional
`
`Cardiology Procedures" now U.S. Patent 8,142,413; Notice: more than one reissue application
`
`has been filed for the reissue of Patent 8,292,850; the reissue application are Application Nos.
`
`14/070,161 filed November I. 2013, now Reissue RE 45380, this application and continuation
`
`reissue Application Nos. 14/195,385 filed March 3, 2014 now Reissue RE45760, 14/195,413
`
`filed March 3, 2014 now Reissue RE45776 and 14/195.435 fiJed March 3, 2014.
`
`2
`
`Page 9
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`AMENDMENTS TO THE CLAIMS
`
`A detailed listing of all claims that are, or were, in the present application, irrespective of
`
`whether the claim(s) remain(s) under examination in the application is presented below. The
`
`claims are presented in ascending order and each includes one status identifier. Those claims not
`
`cancelled or withdrawn but amended by the current amendment utilize the following notations
`
`for amendment: 1. deleted matter is shown by brackets; and 2. added matter is shown by
`
`underlining.
`
`3
`
`Page 10
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`I.
`
`(Cancelled) A system for use with interventional cardiology devices adapted to be
`
`insertable into a branch artery, the system comprising:
`
`a guide catheter having a continuous lumen extending for a predefined length from a
`
`proximal end at a hemostatic valve to a distal end adapted to be placed in the branch artery, the
`
`continuous lumen of the guide catheter having a circular cross-sectional inner diameter sized
`
`such that interventional cardiology devices are insertable into and through the continuous lumen
`
`of the guide catheter; and
`
`a device adapted for use with the guide catheter, including:
`
`a flexible tip portion defining a tubular structure and having a
`
`circular cross-section and a length that is shorter than the predefined length of the continuous
`
`lumen of the guide catheter, the tubular structure having a cross-sectional outer diameter sized to
`
`be insertable through the cross-sectional inner diameter of the continuous lumen of the guide
`
`catheter and defining a coaxial lumen having a cross-sectional inner diameter through which
`
`interventional cardiology devices are insertable; and
`
`a substantially rigid portion proximal of and operably connected to, and more
`
`rigid along a longitudinal axis than, the flexible tip portion and defining a rail_structure without a
`
`lumen having a maximal cross-sectional dimension at a proximal portion that is smaller than the
`
`cross-sectional outer diameter of the flexible tip portion and having a length that, when
`
`combined with the length of the flexible distal tip portion, defines a total length of the device
`
`along the longitudinal axis that is longer than the length of the continuous lumen of the guide
`
`catheter, such that when at least a distal portion of the flexible tip portion is extended distally of
`
`4
`
`Page 11
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`the distal end of the guide catheter, at least a portion of the proximal portion of the substantially
`
`rigid portion extends proximally through the hemostatic valve in common with interventional
`
`cardiology devices that are insertable into the guide catheter.
`
`2.
`
`(Cancelled) The system of claim 1, wherein the tubular structure includes a distal portion
`
`adapted to be extended beyond the distal end of the guide catheter while a proximal portion
`
`remains within the lumen of the guide catheter, such that the device assists in resisting axial and
`
`shear forces exerted by the interventional cardiology device passed through and beyond the
`
`coaxial lumen that would otherwise tend to dislodge the guide catheter from the branch artery.
`
`3.
`
`(Cancelled) The system of claim 2, wherein the proximal portion of the tubular structure
`
`further comprises structure defining a proximal side opening extending for a distance along the
`
`longitudinal axis, and accessible from a longitudinal side defined transverse to the longitudinal
`
`axis, to receive the interventional cardiology devices into the coaxial lumen while the proximal
`
`portion remains within the lumen of the guide catheter.
`
`4.
`
`(Cancelled) The system of claim 3, wherein the proximal side opening includes structure
`
`defining a full circumference portion and structure defining a partially cylindrical portion.
`
`5
`
`Page 12
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`5.
`
`(Cancelled) The system of claim 1, wherein the tubular structure inc1udes a flexible
`
`cylindrical distal tip portion and a flexible cylindrical reinforced portion proximal to the flexible
`
`distal tip portion.
`
`6.
`
`(Cancelled) The system of claim 5, wherein the flexible cylindrical reinforced portion is
`
`reinforced with metallic elements in a braided or coiled pattern.
`
`7.
`
`{Cancelled) The system of c1aim 2, wherein the flexible cylindrical distal tip portion
`
`further comprises a radiopaque marker proximate a distal tip.
`
`8.
`
`(Cancel1ed) The system of claim 1, wherein the cross-sectional inner diameter of the
`
`coaxial lumen of the tubular structure is not more than one French smaller than the cross(cid:173)
`
`sectional inner diameter of the guide catheter.
`
`9.
`
`(CancelJed) The system of claim 1, wherein the substantially rigid portion includes from
`
`distal to proximal direction, a cross-sectional shape having a full circumference portion, a
`
`hemicylindrical portion and an arcuate portion.
`
`10.
`
`(Cancelled) The system of claim l, wherein the predefined length of the guide catheter is
`
`about 100 cm and the total length of the device is about 125 cm.
`
`11.
`
`(Cancelled) The system of claim 1, further comprising a kit that includes the guide
`
`catheter and the device in a common sterile package.
`
`6
`
`Page 13
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`12.
`
`(Cancelled) A system for use with interventional cardiology devices adapted to be
`
`insertable into a branch artery, the system comprising:
`
`a guide catheter having a continuous lumen extending for a predefined length from a
`
`proximal end at a hemostatic valve to a distal end adapted to be placed in the branch artery, the
`
`continuous lumen of the guide catheter having a circular cross-section and a cross-sectional inner
`
`diameter sized such that interventional cardiology devices are insertable into and through the
`
`continuous lumen of the guide catheter; and
`
`a device adapted for use with the guide catheter, including:
`
`an elongate structure having an overall length that is longer than the predefined
`
`length of the continuous lumen of the guide catheter, the elongate structure including:
`
`a flexible tip portion defining a tubular structure and having a
`
`circular cross-section that is smaller than the circular cross-section of the continuous lumen of
`
`the guide catheter and a length that is shorter than the predefined Length of the continuous lumen
`
`of the guide catheter, the flexible tip portion having a cross-sectional outer diameter sized to be
`
`insertable through the cross-sectional inner diameter of the continuous lumen of the guide
`
`catheter and defining a coaxial lumen having a cross-sectional inner diameter through which
`
`interventional cardiology devices are insertable;
`
`a reinforced portion proximal to the flexible tip portion; and
`
`a substantially rigid portion proximal of, connected to, and more rigid along a
`
`longitudinal axis than, the flexible tip portion and defining a rail structure without a lumen
`
`having a maximal cross-sectional dimension at a proximal portion that is smaller than the cross-
`
`7
`
`Page 14
`
`Medtronic Exhibit 1003
`
`
`
`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`sectional outer diameter of the flexible tip portion, such that when at least a distal portion of the
`
`flexible tip portion is extended distally of the distal end of the guide catheter with at least
`
`proximal portion of the reinforced portion remaining within the continuous lumen of the guide
`
`catheter, at least a portion of the proximal portion of the substantially rigid portion extends
`
`proximally through the hemostatic valve in common with interventional cardiology devices that
`
`are insertable into the guide catheter.
`
`13.
`
`(Cancelled) The system of claim 12, wherein, when the distal portion of the flexible tip
`
`portion is insertable through the continuous lumen of the guide catheter and beyond the distal
`
`end of the guide catheter, the device assists in resisting axial and shear forces exerted by an
`
`interventional cardiology device passed through and beyond the coaxial lumen that would
`
`otherwise tend to dislodge the guide catheter from the branch artery.
`
`14.
`
`(Cancelled) The system of claim 12, wherein the substantially rigid portion further
`
`includes a partially cylindrical portion defining an opening extending for a distance along a side
`
`thereof defined transverse to a longitudinal axis that is adapted to receive an interventional
`
`cardiology device passed through continuous lumen of the guide catheter and into the coaxial
`
`lumen while the device is inserted into the continuous lumen, the opening extending substantially
`
`along at least a portion of a length of the substantially rigid portion.
`
`15.
`
`(Cancelled) The system of claim 12, wherein, after the device is inserted into the
`
`continuous lumen of the guide catheter, the device presents an overall effective length of a
`
`8
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`Medtronic Exhibit 1003
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`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`coaxial lumen through which an interventional cardiology device may be inserted while utilizing
`
`only a single hemostatic valve and without any telescoping structure preassembled prior to the
`
`device being inserted into the continuous lumen of the guide catheter.
`
`16.
`
`(Cancelled) The system of claim 12, the device further comprising a radiopaque marker
`
`proximate the distal portion of the flexible tip portion.
`
`17.
`
`(Cancelled) The system of claim 12, wherein the reinforced portion of the device is
`
`reinforced with metallic elements in a braided or coiled pattern.
`
`18.
`
`(Cancelled) The system of claim 12, wherein the cross-sectional inner diameter of the
`
`coaxial lumen of the flexible distal portion is not more than one French smaller than the cross(cid:173)
`
`sectional inner diameter of the guide catheter.
`
`19.
`
`(Cancelled) The system of claim 12, wherein the substantially rigid portion includes,
`
`from distal to proximal, a cross-sectional shape having a full circumference portion, a
`
`hemicylindrical portion and an arcuate portion.
`
`20.
`
`(Cancelled) The system of claim 12, wherein the elongate structure includes, starting at
`
`the distal portion of the flexible distal portion, at least a first portion having a first flexural
`
`modulus, a second portion having a second flexural modulus greater than the first flexural
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`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`modulus, and a third portion having a third flexural modulus greater than the second flexural
`
`modulus.
`
`21.
`
`(Cancelled) The system of claim 20, in which the first flexural modulus is about 13,000
`
`PSI plus or minus 5000 PSI, the second flexural modulus is about 29,000 PSI plus or minus
`
`10,000 PSI, and the third portion flexural modulus is about 49,000 PSI plus or minus 10,000 PSI.
`
`22.
`
`(Cancelled) The system of claim 20, in which the first portion is about 0.1 cm in length,
`
`the second portion is about three cm in length, and the third portion is about five cm in length.
`
`23.
`
`(Cancelled) The system of claim 12, wherein the predefined length of the guide catheter
`
`is about 100 cm and the total length of the device is about 125 cm.
`
`24.
`
`(Cancelled) The system of claim 12, further comprising a kit that includes the guide
`
`catheter and the device in a common sterile package.
`
`Please add new claims 25-45 as follows:
`
`25.
`
`(New) A method of forming a device adapted for use with a guide catheter
`
`having a lumen, the method comprising:
`
`providing a tip segment having a lumen therethrough;
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`providing a reinforced segment having a lumen therethrough, including one or more
`
`metallic elements covered with a polymer, and extending from a proximal end
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`10
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`Medtronic Exhibit 1003
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`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`portion to a distal end portion, the proximal end portion more rigid than the tip
`
`segment;
`
`providing a substantially rigid segment extending from a proximal end portion to a distal
`
`end portion:
`
`eccentrically coupling the distal end portion of the substantially rigid segment and the
`
`proximal end portion of the reinforced segment; and
`
`coaxially coupling the distal end portion of the reinforced segment and a proximal end
`
`portion of the tip segment,
`
`wherein providing the substantially rigid segment, the reinforced segment, and the tip
`
`segment includes forming a device length such that when a distal end portion of
`
`the tip segment is extended distally of a distal end of the guide catheter, at least
`
`part of the proximal end portion of the substantially rigid segment extends
`
`proximaHy of a proximal end of the guide catheter.
`
`26.
`
`(New) The method of claim 25. wherein providing the substantially rigid
`
`segment includes providing a first outer dimension at the proximal end portion and
`
`providing a second outer dimension at the distal end portion. the second outer dimension
`
`being greater than the first outer dimension.
`
`27.
`
`(New) The method of claim 25. wherein providing the substantially rigid
`
`segment includes forming one or more relief openings at its distal end portion.
`
`28.
`
`(New) The method of claim 27. further comprising forming the one or more
`
`relief openings to include a first relief opening and a second relief opening, the openings
`
`being spaced apart from one another.
`
`29.
`
`(New) The method of claim 25, wherein providing the substantially rigid
`
`segment includes forming or obtaining a hypotube or a metal rail structure.
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`11
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`Attorney Docket No. 2005.86USREl7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`30.
`
`(New) The method of claim 25, wherein providing the substantially rigid
`
`segment and the reinforced segment includes, starting at the distal end portion of the
`
`reinforced segment and moving proximally toward the proximal end portion of the
`
`substantia1ly rigid segment, forming or obtaining at least a first structure having a first
`
`flexural modulus and a second structure having a second flexural modulus, the second
`
`flexural modulus greater than the first flexural modulus.
`
`31.
`
`(New) The method of claim 25, wherein providing the reinforced segment
`
`includes covering one or more braided or coiled metallic elements with the polymer.
`
`32.
`
`(New) The method of claim 31, wherein a length of the one or more braided or
`
`coiled metallic elements is in a range of20 centimeters to 30 centimeters.
`
`33.
`
`(New) The method of claim 25, wherein providing the reinforced segment
`
`includes forming or obtaining a reinforced segment including a lumen having a uniform
`
`inner diameter that is not more than one French smaller than an inner diameter of the
`
`lumen of the guide catheter.
`
`34.
`
`(New) The method of claim 33, wherein the lumen of the reinforced segment is
`
`configured to receive one or more stents or balloon catheters when the proximal end
`
`portion of the reinforced segment is positioned within the lumen of the guide catheter and
`
`the distal end portion of the tip segment extends beyond the distal end of the guide
`
`catheter.
`
`(New) The method of claim 25, wherein providing one or both of the reinforced
`
`35.
`segment and the tip segment includes lining the lumens thereof with
`
`polytetrafluoroethylene.
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`12
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`Medtronic Exhibit 1003
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`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`36.
`
`(New) The method of claim 25, wherein providing the tip segment includes
`
`providing a tip segment formed of a low durometer polymer or an elastomeric material.
`
`37.
`
`{New) The method of claim 36, wherein providing the tip segment includes
`
`covering a marker with the low durometer polymer or the elastomeric material.
`
`38.
`
`(New) A method of forming a device adapted for use with a guide catheter
`
`having a lumen, the method comprising:
`
`providing a tip segment having a lumen therethrough;
`
`providing a reinforced segment including one or more metallic elements covered with a
`
`polymer and having a lumen for coaxial placement with the lumen of the tip
`
`portion;
`
`providing a substantially rigid segment extending from a proximal end portion to a distal
`
`end portion, the distal end portion including at least part of a side opening
`
`extending for a distance along a longitudinal axis of the device and accessible
`
`from a longitudinal side, defined transverse to the longitudinal axis, to receive a
`
`balloon catheter or stent;
`
`coupling the distal end portion of the substantially rigid segment and a proximal end
`
`portion of the reinforced segment; and
`
`coupling a distal end portion of the reinforced segment and a proximal end portion of the
`
`tip segment,
`
`wherein providing the substantially rigid segment, the reinforced segment, and the tip
`
`segment includes, starting at the distal end portion of the tip segment and moving
`
`proximally toward the proximal end portion of the substantially rigid segment,
`
`forming or obtaining at least a first structure having a first flexural modulus, a
`
`second structure having a second flexural modulus greater than the first flexural
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`Medtronic Exhibit 1003
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`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`modulus, and a third structure having a third flexural modulus greater than the
`
`second flexural modulus.
`
`39.
`
`{New) The method of claim 38, wherein forming or obtaining the first structure
`
`having the first flexural modulus includes forming a structure having a flexural modulus
`
`of about 13,000 PSI plus or minus 5,000 PSI, wherein forming or obtaining the second
`
`structure having the second flexural modulus includes forming a structure having a
`
`flexural modulus of about 29,000 PSI plus or minus I 0,000 PSI, and wherein forming or
`
`obtaining the third structure having the third flexural modulus includes forming a
`
`structure having a flexural modulus of about 49.000 PSI plus or minus I 0,000 PSI.
`
`40.
`
`(New) The method of claim 38. wherein providing the side opening includes
`
`providing an angled entrance to the lumen of the reinforced segment. the angled entrance
`
`originating at the distal end portion of the substantially rigid segment and extending
`
`distally into the proximal end portion of the reinforced segment.
`
`41.
`
`(New) The method of claim 38. wherein providing the side opening includes
`
`forming an arcuate cross-sectional shape having a length of about 15 centimeters.
`
`42.
`
`(New) The method of claim 38, wherein providing the side opening includes
`
`forming, in a proximal to distal direction, an arcuate cross-sectional shape and a
`
`hemicylindrical cross-sectional shape.
`
`43.
`
`(New) The method of claim 38, wherein providing the side opening includes
`
`forming a concave track extending for a length in a range of about 20 centimeters to
`
`about 75 centimeters.
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`14
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`Medtronic Exhibit 1003
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`Attorney Docket No. 2005.86USREI7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
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`44.
`
`(New) The method of claim 38. wherein providing the side opening includes
`
`forming a first inclined sidewall with a first slope and forming a second inclined sidewall
`
`with a second slope, which is different than the first slope.
`
`45.
`
`(New) The method of claim 38. wherein providing the substantially rigid
`
`segment. the reinforced segment, and the tip segment includes forming a device cross(cid:173)
`
`sectional size and shape configured to be passed, at least in part. into the lumen of the
`
`guide catheter.
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`15
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`Medtronic Exhibit 1003
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`Attorney Docket No. 2005.86USREl7
`REISSUE APPLICATION
`TO BE GIVEN PRIORITY IN EXAMINATION (MPEP 708)
`
`REMARKS
`
`Claims 1-24 are pending. By this Amendment, claims 1-24 are cancelled, no claims are
`
`amended and new claims