throbber
Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 1
`
`U N I T E D S T A T E S I N T E R N A T I O N A L T R A D E C O M M I S S I O N
`
` W A S H I N G T O N , D . C .
`
` B e f o r e t h e H o n o r a b l e C a m e r o n R . E l l i o t
`
` A d m i n i s t r a t i v e L a w J u d g e
`
`_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
`
`I n t h e M a t t e r o f )
`
` )
`
` )
`
`C E R T A I N W E A R A B L E E L E C T R O N I C ) I n v . N o . 3 3 7 - T A - 1 2 6 6
`
`D E V I C E S W I T H E C G
`
`F U N C T I O N A L I T Y A N D
`
`C O M P O N E N T S T H E R E O F
`
` )
`
` )
`
` )
`
`_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ )
`
` C O N F I D E N T I A L B U S I N E S S I N F O R M A T I O N
`
` S U B J E C T T O T H E P R O T E C T I V E O R D E R
`
` V i d e o R e c o r d e d V i r t u a l D e p o s i t i o n
`
` O f
`
` I G O R R . E F I M O V , P h . D .
`
` T h e v i d e o r e c o r d e d v i r t u a l d e p o s i t i o n o f
`
` I G O R R . E F I M O V , P h . D . , c a l l e d b y t h e R e s p o n d e n t f o r
`
` e x a m i n a t i o n , p u r s u a n t t o N o t i c e , a n d p u r s u a n t t o t h e
`
` R u l e s o f C i v i l P r o c e d u r e f o r t h e U n i t e d S t a t e s
`
` D i s t r i c t C o u r t s , t a k e n s t e n o g r a p h i c a l l y b y S a n d r a L .
`
` R o c c a , C S R , R P R , R M R , C R R , v i a Z o o m , o n t h e 3 1 s t o f
`
` J a n u a r y , 2 0 2 2 , a t t h e h o u r o f 9 : 0 0 a . m .
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`1
`
`APPLE 1071
`Apple v. AliveCor
`IPR2021-00972
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 2
`
`2 (Pages 2 to 5)
`
`Page 4
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` VIDEOGRAPHER: We are now on the record for
` the video deposition of Dr. Igor Efimov. The time
` is 9:00 a.m., January 31st, 2022, In the Matter of
` Certain Wearable Electronic Devices With ECG
` Functionality and Components Thereof, Investigation
` Number 337-TA-1266 being held in the United States
` International Trade Commission, Washington, D.C.
` The court reporter is Sandra Rocca. The
` videographer is Gus Phillips and both are
` representatives of GregoryEdwards Court Reporting.
` Will counsel please state their appearances
` for the record beginning with the claimant.
` MR. HOLMES: Yes, this is Andrew Holmes on
` behalf of the claimant AliveCor. I'm with the law
` firm Quinn Emanuel and with me on the line are my
` colleagues Bruce Lee and Kevin Gu who will be
` listening in.
` MS. REARDON: And Katherine Reardon from the
` law firm Fish & Richardson on behalf of the
` respondent Apple.
` MR. WINSTON: Whitney Winston on behalf of
` Commission investigative staff.
` IGOR EFIMOV, Ph.D.,
` having been first duly sworn, was examined and
` testified as follows:
`
`Page 5
`
` EXAMINATION
` BY MS. REARDON:
` Q Good morning, Dr. Efimov.
` A Good morning.
` Q Can you please state your full name for the
` record?
` A My name is Igor Efimov.
` Q And Dr. Efimov, where do you reside?
` A Currently at home in Arlington, Virginia,
` but I work at George Washington University across
` the river in Washington, D.C.
` Q I'm sorry. And can you provide your full
` address for your residence in Arlington, Virginia?
` A Sure. It's 1510 16th Court North,
` Arlington, Virginia 22209.
` Q And Dr. Efimov, I see that beautiful
` background, but I assume that's not actually GW's
` campus, is that right?
` A Well, yes, but I'm dreaming of the blossom
` that's coming.
` Q Are you testifying from your office at GW
` today?
` A No, I'm testifying from my home office in
` Arlington, Virginia.
` Q And is anybody in the room with you?
`
` A P P E A R A N C E S:
`
` QUINN EMANUEL URQUHART & SULLIVAN, LLP
` By: MR. ANDREW HOLMES
` MR. BRUCE LEE
` MR. KEVIN GU
` 50 California Street, 22nd Floor
` San Francisco, California 94111
` 415.875.6322
` drewholmes@quinnemanuel.com
` brucelee@quinnemanuel.com
` kevingu@quinnemaneul.com
`
` appeared on behalf of the
` Complainant;
`
` FISH & RICHARDSON
` By: MS. KATHERINE REARDON
` 1180 Peachtree Street NE, 21st Floor
` Atlanta, Georgia 30309
` 404.724.2764
` kreardon@fr.com
`
` appeared on behalf of the
` Respondent.
`
` OFFICE OF UNFAIR IMPORT INVESTIGATION
` INTERNATIONAL TRADE COMMISSION
` By: MR. R. WHITNEY WINSTON
` 500 E Street, SW
` Washington, D.C. 20436
` 202.205.2221
` whitney.winston@usitc.gov
`
` appeared on behalf of the ITC.
`
` Also Present:
` Mr. Gus Phillips, Videographer
`
` * * * * * * * *
`
`1
`
`23
`
`4
`
`5
`
`6
`
`7
`
`8
`
`9
`10
`11
`
`12
`
`13
`
`14
`
`15
`16
`
`17
`
`18
`
`19
`
`20
`
`21
`22
`23
`24
`25
`
`Page 3
`
` I N D E X
` WITNESS PAGE
` IGOR R. EFIMOV, Ph.D.
` EXAMINED BY
` Ms. Reardon 5
`
` * * * * * * * *
`
` E X H I B I T S
` NUMBER MARKED FOR ID
` Efimov
` Exhibit 1 I. Efimov CV 35
` Exhibit 2 I. Efimov Expert Report 115
` Exhibit 3 Order No. 12, re claim
` construction 124
`
` Exhibit 4 U.S. Patent No. 9,572,499 161
`
` Exhibit 5 U.S. Patent No. 10,595,731 161
`
` Exhibit 6 U.S. Patent No. 10,638,941 161
`
` Exhibit 7 APL-ALIVE_00082371 to 82383 197
`
` Exhibit 8 APL-ALIVE_00083186 to 83271 225
`
` Exhibit 9 PEGA_00603816 to 83271, Tran
` U.S. Patent Application
` Publication 2008/0004904 A1 252
`
` Exhibit 10 AliveITC_00000054 to 68
` License Agreement 253
`
` * * * * * * * *
`
`1
`2
`3
`4
`5
`
`67
`
`89
`
`10
`11
`12
`13
`14
`
`15
`
`16
`
`17
`
`18
`
`19
`
`20
`
`21
`
`22
`
`23
`24
`25
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`
`2
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 6
`
` A No.
` Q And do you have any notes or documents with
` you?
` A Well, I have my computer and my iPad next to
` me.
` Q Got it. But no physical printouts of any
` documents?
` A No, I don't.
` Q Now, you have been deposed before, is that
` right?
` A Yes, I have.
` Q So I assume then you probably generally know
` the procedure here for today, but I'll go over it
` again here if you don't mind.
` A Yes, I do. But I have to admit that the
` Zoom procedure is the first time for me.
` Q That's very good to know. I think we've all
` taken it as normal, but we will certainly go over
` the Zoom procedure.
` So I will ask the questions, and you are
` required to answer them unless your lawyer tells you
` not to. Do you understand that?
` A Yes.
` Q And you understand that your counsel may
` assert objections from time to time, but unless he
`
`Page 7
`
` instructs you not to answer, you must answer my
` question. Right?
` A Yes, I do understand that.
` Q And you will do that?
` A Yes, I will.
` Q And you understand that you need to focus on
` my questions and answer only my questions, right?
` A Yes.
` Q And if you feel the need to talk about
` something else that's not in response to my
` question, then you can ask me or your attorney.
` Okay?
` A Yes.
` Q And if you don't understand a question I
` ask, you'll let me know. Okay?
` A Yes, of course.
` Q So if you answer my question, then I'm going
` to interpret that you understood my question. Fair?
` A Well, yes, as far as I could, yes.
` Q And so you're aware, if we have technical
` difficulties or you need to take a break at any
` time, you can just let me know and we can do that.
` Okay?
` A Yeah, I will do so.
` Q And in this setting, we will go off the
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`3 (Pages 6 to 9)
`
`Page 8
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` record in the same way that in the room the
` videographer would tell us to go off the record.
` Okay?
` A Okay.
` Q And then today we will look at some
` documents, and I will drop those into the chat
` function. And you've probably seen the chat
` function pop up already, have you?
` A Yeah, we just tested actually one test
` document.
` Q Excellent. So what I will do is I will type
` the exhibit number -- so I will type Exhibit 1 and
` then I will drop an exhibit and I will state that
` it's marked as Exhibit 1, for example. Do you
` understand that?
` A Yes.
` Q And then we can open and look at that
` document. Okay?
` A Yes.
` Q Now, you understand you just took an oath to
` tell the truth, right?
` A Yes.
` Q And you'll do that today?
` A Of course.
` Q And you understand that your sworn testimony
`
`Page 9
`
` today is the same as if you were giving it before
` the International Trade Commission, correct?
` A Yes, I do.
` Q So same as if we were in the courtroom.
` Fair?
` A Yes.
` Q Is there any reason, medical or otherwise,
` that you cannot give your best and most accurate and
` most complete testimony today?
` A No, there is no reason.
` Q And then, Dr. Efimov, I have two questions
` and I don't mean to offend, but I have to ask them.
` You've never been charged with a felony, right?
` A No.
` Q And you've never been accused of any
` professional misconduct, right?
` A No.
` Q Never been accused of perjury?
` A No.
` Q And never had any publication in the
` professional field rescinded?
` A No.
` Q You understand that AliveCor has sued Apple
` in this case, correct?
` A Yes, I do.
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`
`3
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 10
`
` Q And so if I refer to AliveCor for short
` today, you will understand that that's short for
` AliveCor Inc., right?
` A Yes.
` Q And if I refer to Apple today, you will
` understand that that is short for Apple Inc., right?
` A Yes, I do.
` Q And I mentioned this before, but you're
` aware that this case is before the International
` Trade Commission, correct?
` A Yes.
` Q Have you ever testified at the International
` Trade Commission before?
` A No.
` Q You've never been a part of a case that's
` been before the International Trade Commission, is
` that right?
` A As far as I remember, no.
` Q Are you aware that there is a hearing in
` this investigation coming up in March?
` A I think so, uh-huh.
` Q And you intend to testify about your
` opinions in the report you submitted in this case at
` that hearing, right?
` A Yes.
`
`Page 11
`
` Q Now, have you ever had any professional
` interactions with Apple?
` A I knew some people from Apple years ago I
` emailed maybe several times, but it was just a
` social interaction.
` Q Who were the people that you knew at Apple?
` Can you recall?
` A I forgot the name. She was a biomedical
` engineer and student at Duke University but then
` worked for Apple. She is a biomedical engineer.
` And I apologize, I don't remember the name. Anna,
` and I forgot the last name.
` Q Do you know what she was working on at
` Apple?
` A No, not really.
` Q And you mentioned that you had maybe sent
` several emails to Apple. Were those all to the same
` -- I think you said Anna that worked there?
` A Uh-huh.
` Q Is there anyone else that you interacted
` with at Apple?
` A Not what I would recall, no.
` Q Do you have an opinion of Apple as a
` company?
` MR. HOLMES: Objection to form.
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`4 (Pages 10 to 13)
`
`Page 12
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` A It's the largest company in the world, I
` guess.
` Q Do you believe Apple's an innovative
` company?
` MR. HOLMES: Objection to form.
` A It's hard to say. It creates interesting
` products, yes.
` Q Do you believe Apple's an innovative company
` and has created interesting products in the health
` space?
` MR. HOLMES: Objection to form.
` A Well, as far as I know, Apple wants to be
` healthcare company, yes.
` Q Do you view Apple as a healthcare company?
` A I tend to view healthcare companies which
` have direct impact on hospital, medical field.
` Apple probably is not there yet.
` Q So to make sure I understand, you don't
` think Apple's products have any direct impact on the
` hospital or medical field, is that right?
` MR. HOLMES: Objection to form.
` A Well, Apple products are currently used
` either at clinical trials of Apple products, so in
` this respect they do have impact.
` Q And what clinical trials are you referring
`
`Page 13
`
` to?
` A Well, there are several clinical trials
` related to Apple Watch and the detection of atrial
` fibrillation.
` Q And have you looked at those clinical
` trials?
` A I read some papers, yes, a while ago.
` Q And why did you read those papers?
` MR. HOLMES: I just -- hold on a second. I
` just want to caution you to the extent that you were
` directed by the attorneys to do that, not to
` disclose the communications that you had with them.
` But if you did it on your own, you can answer.
` A Yeah, I did it on my own as an editor of a
` journal, some papers came across as a reviewer.
` Q And what did you understand those clinical
` trials to be studying?
` A It was an attempt to basically detect atrial
` fibrillation in consumers.
` Q Is it your opinion that if a company does
` clinical trials, it is creating a medical device?
` A Not necessarily. It could be a drug. It
` could be imaging modalities; not necessarily a
` medical device.
` Q Can you do -- I'm sorry. I should say as
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`
`4
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 14
`
` well any time -- I don't mean to interrupt you.
` Please finish your answer.
` A Or it could be, you know, algorithm which is
` also not necessarily medical device.
` Q So you can do clinical trials for a consumer
` device, is that right?
` A Yes.
` Q Do you own an Apple Watch?
` A Yes, I do.
` Q Did you buy it for the ECG functionality?
` MR. HOLMES: Objection to form.
` A I bought three or four models of Apple
` Watch. I just keep updating. I like new gadgets.
` Q So why do you wear an Apple Watch?
` A It's convenient. It keeps my calendar.
` Q Have you ever used the -- well, let me ask
` you this: Have you ever heard of the high heart
` rate notification on the Apple Watch?
` A Not in my personal experience.
` Q What about the irregular rhythm
` notification, have you ever heard of that?
` A As a consumer, no, I haven't had that,
` fortunately.
` Q Have you heard about the irregular rhythm
` notification in the context of this case?
`
`Page 15
`
` MR. HOLMES: Objection to form.
` A I think it might have come forth in some
` documents.
` Q But fair to say you weren't aware of the
` irregular rhythm notification as a user of the Apple
` Watch prior to this case, correct?
` A Rather if you take electrocardiogram it says
` something about atrial fibrillation, not sure if
` rhythm notification as such if it's being referred.
` Q Let me ask you that question since the ECG
` functionality is separate. You've taken an ECG on
` your Apple Watch, correct?
` MR. HOLMES: Objection to form.
` A Yeah, I have, with KardiaBand and with Apple
` Watch.
` Q And why did you do that?
` MR. HOLMES: Hold on a second. I just want
` to caution you to the extent that you were directed
` by any attorneys to do that, you don't disclose the
` communications you had with them. But if you've
` done it on your own, you can feel free to answer.
` A Well, initially I teach electrophysiology,
` cardiovascular engineering in classroom for over 20
` years and this includes teaching
` electrocardiography. And I bring various gadgets we
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`5 (Pages 14 to 17)
`
`Page 16
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` use, for example, AD instruments, EKG recorder which
` students have to use and conduct laboratory
` recording their own EKG. I brought various other
` sensors which can be used for recording EKG. And on
` those sensors it was also Apple Watch.
` Q So it sounds like you've looked at a lot of
` different types of ECG sensors in your
` electrophysiology class, is that right?
` A Yes, yes.
` Q And Apple Watch is just one of those
` sensors?
` A Yes.
` Q Have you -- let me ask you this: It sounds
` like your use of the Apple Watch is varied, is that
` fair?
` MR. HOLMES: Objection to form.
` A I'm not sure what it means. Can you define
` varied?
` Q Let me ask you this: What types of uses do
` you use your Apple Watch for?
` A As a consumer or as a teacher in classroom?
` Q As a consumer.
` A As a consumer, well, primarily of course for
` keeping the time and calendar, some apps. When I
` walk, I track my exercise. That's primarily the
`
`Page 17
`
` use.
` Q Have you ever in your professional setting
` done studies on the Apple Watch?
` A No.
` Q Have you ever tried to uncover or study the
` software of the Apple Watch?
` A No.
` Q You've never looked at how the Apple
` algorithm -- algorithms work respect to its ECG
` functionality, for example, correct?
` A No, I haven't.
` Q And same for the hardware in the Apple
` Watch, you've never looked at the specific hardware
` that Apple uses for its sensors?
` A No.
` Q Now, you are aware that Apple's expert on
` invalidity in this case is -- let me say it this
` way.
` You're aware that Apple's expert on
` invalidity of the asserted patents in this case is
` Dr. Collin Stultz, correct?
` A Yes, I am.
` Q Have you ever heard of Dr. Stultz before?
` A No.
` Q So you never read any of his publications?
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`
`5
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 18
`
` A We are in different fields.
` Q And what field would you say you're in?
` A I'm a cardiac electrophysiologist.
` Q And what field would you say Dr. Stultz is
` in?
` A Well, it's -- I would say he has an MD and
` Ph.D. As an MD, he's a practicing cardiologist, and
` as a Ph.D., he's essentially a protein biophysicist.
` I believe his specialty is, if I remember correctly,
` is collagen promoter.
` Q Are you aware of whether Dr. Stultz has
` experience in biomedical engineering?
` A Yeah, his degree is in biomedical
` engineering, but like I said, it's on the side of
` molecular or protein biophysics.
` Q Are you aware of whether Dr. Stultz has
` experience designing products -- designing devices
` that use ECG functionality?
` A I mean, I don't know how deep his design
` experience is. Like I said, I don't really know
` him.
` Q But fair to say you consider the two of you
` to be in separate fields, correct?
` A Well, at least we go to different
` conferences and usually the field is different by
`
`Page 19
`
` your community. For example, I go to Heart Rhythm
` Society conferences, which is our main cardiac
` electrophysiology conference and I do not recall him
` presenting or publishing in that area.
` Q You did review the invalidity report he
` submitted in connection with this investigation,
` correct?
` A Yes, of course.
` Q And you disagree with the opinions he's
` offered in that report, correct?
` A Yes, I have disagreed.
` Q Are there any opinions he's offered in that
` report that you agree with?
` A I mean, his description of heart physiology
` is generally, of course, accurate. And also that
` ECG is a gold standard, the gold standard to
` diagnose atrial fibrillation or arrhythmias I also
` agree with.
` Q Are there any other opinions that he's
` offered that you agree with?
` A Probably. I mean, I have to go over his
` entire report, but of course his cardiology
` knowledge is solid.
` Q Are there -- so sitting here today, there
` aren't any other opinions that you can think of that
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`6 (Pages 18 to 21)
`
`Page 20
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` you agree with, fair?
` MR. HOLMES: Objection to form.
` A It's hundreds and hundreds of pages of, you
` know, a report. We can go over the report and I can
` highlight for you what I agree with. But like I
` said, generally his knowledge of cardiology is
` generally accurate and I agree with it.
` Q Have you formed a professional opinion of
` Dr. Stultz in this case?
` MR. HOLMES: Objection to form.
` A Well, again, I only know him by this report.
` I don't know his work. I did not read any of his
` publications, so it's really hard to judge
` professionally without knowing work of a
` professional.
` Q So you don't have any opinion, professional
` opinion of Dr. Stultz, correct?
` MR. HOLMES: Objection to form.
` A I will have to review his articles to have
` this opinion and observe his lectures which I
` haven't had a chance.
` Q Have you reviewed his CV in connection with
` this case?
` A Yes, I have.
` Q And based on that CV, you have no
`
`Page 21
`
` professional opinion of Dr. Stultz other than what
` you've shared with me about his credentials?
` A Well, like I said, he is not in my field,
` but in general field of cardiology, he has a solid
` record. He has I believe, if I remember correctly,
` close to 100 publications which is a solid record.
` Q Now, you've been retained as an expert
` consultant in this case -- in this investigation I
` should say, by Quinn Emanuel on behalf of AliveCor,
` correct?
` A Yes.
` Q And you have an expert Consulting Agreement,
` correct?
` A Yes, I do.
` Q And that expert Consulting Agreement is to
` provide expert testimony in connection with this
` investigation, correct?
` A It's one of the aspects, but also to submit
` report and analyze evidence.
` Q Sure. So if we talk about all of that
` together, your expert consultant arrangement then is
` to provide an expert opinion in this case -- in this
` investigation; fair?
` A Yes, in several forms, in writing and as a
` deposition and I will testify in the future.
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`
`6
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 22
`
` Q Other than this investigation, have you
` worked with AliveCor before?
` A No.
` Q When did you first learn of AliveCor?
` A I cannot recall exact date, but I would say
` quite early on when they come up with one of their
` first products, which was a little -- with two
` fingers -- forgot what it's called; not wearable,
` but ECG recorder.
` Q Was it -- does the Kardia mobile device ring
` a bell?
` A I think so, yes.
` Q And can you put a time frame around when you
` learned of AliveCor?
` A It was somewhere in mid-2010s I would say
` perhaps.
` Q In mid-2010 you recall that that Kardia
` mobile product was available?
` MR. HOLMES: Objection to form.
` A I'm not sure if it was yet available, but I
` do recall that at one of the professional
` conferences, they presented a poster which was
` well-received by the community, and it made some
` news. So basically that's how I learned about them.
` Q Do you recall what conference that was?
`
`Page 23
`
` A It would have been I would say either Heart
` Rhythm Society or perhaps American Heart
` Association.
` Q And they were presenting a poster on what
` sounds like it was the Kardia mobile product, is
` that correct?
` A I think so, yeah.
` Q After that conference and your first
` learning of AliveCor, when did you hear about them
` next?
` A Well, then soon afterwards they were all
` over the TV. They advertised this product. So I've
` seen it on the advertisement on TV.
` Q Did you ever buy the product?
` A Yes, I have it.
` Q And why did you buy the product?
` A As explained, I actually brought it to my
` classroom and we test it with our students quality
` of this product in terms of how well it records.
` And then we used it for class assignments. So for
` example, students would take their ECG and then they
` would analyze it.
` Q Did you ever buy any other AliveCor
` products?
` A Yes, I also bought the next also probably
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`7 (Pages 22 to 25)
`
`Page 24
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
`1
`2
`3
`4
`5
`6
`7
`8
`9
`10
`11
`12
`13
`14
`15
`16
`17
`18
`19
`20
`21
`22
`23
`24
`25
`
` KardiaMobile or whatever it was called, but it's a
` six-lead device similar, but has one extra electrode
` which you put on your knee. But it allows not one
` lead, but six-lead ECG. And then also I bought
` KardiaBand when it became available.
` Q And why did you buy KardiaBand?
` A Like I said, it's the same story, I am --
` that's what I do professionally, I develop devices,
` both wearable and implantable for cardiac
` electrophysiology, for arrhythmia detection, for
` arrhythmia therapy. I founded the several companies
` in this space and I have patents in this space. I'm
` very passionate about this.
` Q So you bought the device because you're
` passionate about arrhythmia detection, is that
` right?
` A Detection therapy, mechanisms. So I studied
` mechanisms of arrhythmia development for 30 years,
` more than 30 years.
` Q And we named I guess three AliveCor
` products. What was your opinion of those products?
` A I felt that they record high-quality
` electrocardiogram and this is very useful. And most
` importantly, I felt that these products really
` address answer to a long-felt, unmet need to detect
`
`Page 25
`
` life-threatening arrhythmias such as atrial
` fibrillation in general population which was not
` possible before.
` Q So you felt that all three products recorded
` high-quality electrocardiograms, correct?
` A Well, they have differences, of course. But
` overall, all three, yes, they were quite useful in
` clinical diagnosis and provided a high-quality
` recording which can be used for clinical diagnosis
` by cardiologists, cardiac electrophysiologists.
` Q And you felt all three provided an answer to
` a long-felt, unmet need to detect life-threatening
` arrhythmias such as atrial fibrillation, correct?
` A Yes, I have.
` Q And you believe that need was unmet prior to
` AliveCor's products being launched on the market?
` A Yes, I have.
` Q Did you ever compare any AliveCor product to
` the Apple ECG that you've taken in the past?
` A I did not. Like I said, took it apart. I
` did not look at their technology. I didn't have a
` chance to examine their electronic component
` sensors, software; in this respect, no, I didn't.
` About I did look at electrograms recorded by both
` and they are both very reasonable.
`
`GregoryEdwards, LLC | Worldwide Court Reporting
`GregoryEdwards.com | 866-4Team GE
`
`7
`
`

`

`Confidential Business Information - Subject to The Protective Order
`Igor R. Efimov, Ph.D. - January 31, 2022
`
`Page 26
`
` Q Do you view the products, in your expertise,
` as being different, the AliveCor products and the
` Apple products?
` MR. HOLMES: Objection to form.
` A Well, they have clearly different sensors,
` different level of integration. But again, I have
` no knowledge of whatever -- I didn't examine the
` software or sensors. In this respect, it's really
` hard to the about the differences or similarities.
` But they do seem to address the same unmet need.
` Q Did you -- I guess what did you mean when
` you said different level of integration?
` A Well, for example, initial Kardia mobile
` device is not integrated with anything physically.
` So it's a wireless communication with cellphone, not
` with watch. And it requires, you know, placing it
` on the back of a phone and then putting fingers on
` it or placing it on, you know, on your desktop and
` then putting fingers on it. It's different from
` what would have been, let's say, on an Apple Watch
` which is all-in-one device, or with KardiaBand, when
` it's basically integrated within the band of the
` watch but not within the watch.
` Q So I see. When you talk about level of
` integration, you're talking about interaction
`
`Page 27
`
` between the device and other devices, is that right?
` A It's one aspect, but not only. It's also a
` little of electronic integration. Like I said, you
` know, components can be integrated within one
` device, one footprint, one form factor. Or they can
` be separate components to a different degree and
` they can interact with one another within one
` physically -- like, for example, KardiaBand is
` physically one device, but sensor -- ECG sensor is
` not within the watch. It's within the band.
` While, for example, KardiaMobile is
` physically different device, separate device even
` though it's also communicating with, let's say,
` cellphone, with iPhone or Samsung phone via
` bluetooth. Actually I don't know which particular
` protocol they use, probably bluetooth or wi-fi.
` Q So for KardiaMobile then, in terms of the
` level of integration, the processing of the signals
` was not on the device, correct; it was on the
` iPhone?
` A No, no. The recording itself was a separate
` device, but then it interacts with iPhone. As far
` as I know, first version, if I remember correctly

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket