10/29/2008 15:41 FAX
`
`12158518383
`
`ECKERT—SEAMANS
`
`001,030
`
`
`
`Eckert Seamans Cherin & Mellott, LLC
`Two Liberty Place
`50 South 16”‘ Street, 22”“ Floor
`Philadelphia, PA 19102-1909
`
`TEL 215 851 8400
`FAX 215 851 8383
`
`gv_t_Nw.eckertseamans.com
`
`
`
`F A C S l M l L E
`
`TO:
`
`Ms. Angela T. Campbell
`
`FAX _
`COMPANY: Trad :mark Trial and Appeal Board
`__> NUMBER:
`
`571.273.4260
`___~_
`~
`
`DATE:
`
`October 29, 2008
`
`TIME:
`
`_
`
`FROM:
`
`Sean P. McConnell, Esq.
`..j__.
`
`DIRECT
`DIAL:
`
`215.851.6623
`
`
`TOTAL PAGES (in :luding cover): 30
`
`‘MESSAGE:
`
`Dear Ms. Campbell:
`
`Please find attached the Request for Reconsideration that was filed on August 18, 2008 regarding
`Serial No. 77/161.82 7, for I-LV IN-LINE VASECTOMY. You will find the Remarks and
`Exhibits A—E.
`‘
`
`Please do not,.he.3._ita1a: to Contact me should you have any questions.
`
`\__(_’/
`
`Bes}_regards,l _
`
`
`
`se-.i;,_t,_,12_,.«tg4'c‘C.'c3'ii';i'aEit
`
`N0’l'l('.‘E OI?‘ CONFIDliN'2'|:\l.l'l'\": The statctnettts upon and any documents included with this faesitnile transmittal sheet contain
`information from the firm 0l‘l. -.:kert Seznnzms Cherin & Mellon. l-l..C. that is conlidential. privileged and exempt from disclostm: under applicable
`laws. This infonuation is int: nded to be for the exclttsit-Ic use of the named addressee.
`It‘ _\-'0u are not the addtmsee. note that any disclosure,
`cop)-'ing.. distribution or use 0! the contents oftlns transmittal is prohibited. lfyou ltavc n':cei\-ed this facsitnile in error; please lmmC(llZllL‘l_\' notify
`us at 4 l2.56(»_6l(>l (collect) st
`that we can ztrrztnge for the retrieval otthc origittal documents at no cost to you.
`'
`
`
`WASHINGTON, DC
`BOSTON, MA
`PHILADELPHIA, PA
`HARRISBURG, PA
`PITTSBURGH, PA
`WILM=INGTON, DE
`SOUTHPOINTE, PA
`WEST CHESTER, PA WHITE PLAINS, NY
`I
`
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`ECKERT—SEAMANS
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`I
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`002/030
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`I HEREBY CERTIFY THAT THIS CORRESPONDENCE IS BEING DEPOSITED WITH THE UNITED STATES POSTAL SERVICE ‘
`AS FIRST CLASS MAIL IN ‘AN ENVELOPE ADDRESS TO THE COMMISSIONER FOR TRADEMARKS, P. O. Box 1451,
`ALEXANDRIA, VA 2231 3~1-E-51 ON DATE INDICATED BELOW
`
`By:
`
`DATE:
`
`.-
`
`I
`
`'~~‘
`
`1
`
`I
`
`BOX RESPONSES — NO FEE
`
`IN TI-Iii Ll’NI"I‘ED STATES PATENT AND TRADEMARK OFFICE
`
`In re
`
`: Trademark Application of
`: Joel L-. Marmar, MD
`
`: Law Office
`2 112
`
`Serial No.
`
`: 77/161,827
`
`Examining Attorney — Ronald E. Aikens
`
`Filed
`
`For
`
`Apr I 20., 2007
`
`l-LY" lN—I-lNE VASECTOMY
`
`Attorney Docket No. 29772100001
`
`REMARKS
`
`This responds to the Examining Attorney’s letter granting Applicanfs Request for
`
`Reconsideration havi big a mailing date of April 20, 2008.
`
`in response. Applicant respectfully submits print-outs from a on—Iine urology‘
`
`supply company that markets Applicanfs goods. See Exhibit A. The Board admits online
`
`evidence in the form -if computer print—outs. See Raccioppi v. /lp()gge. Inch, 47 U.S.P.Q.2d I368
`
`(TTAB 1998). These print-outs show AppIicaut’s goods, referenced by Applicanfis mark.
`Applicant also respectfully submits material obtained from Applicanfs website.
`
`See In re N. V. (')rgcmnr1. 79 U.S.P.Q.2d 1639 (TTAB 2006). These materials Show a link to a
`
`video of an I-LV IN-I ,INE VASECTOMY. See Exhibit B. The video demonstrates the medical
`
`services applied for L1='lCI€l‘ Applicant's mark.
`
`It also demonstrates use of Applicanfs applied-for
`
`:Mn(»75849.':;
`
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`goods. This video- pointing to Applicant as the source of the goods and services, is also
`
`. vailablc for viewing; at numerous other websites. See Exhibit C. Applicant provides the
`
`medical services at ( Tooper University Hospital and is the sole provider ofsuch medical services.
`
`See Exhibit D.
`
`The Eixamining Attorney has also only cited to Applicant’s mark. The WIPO
`
`Patent Search results reference Applicant"s goods and services. See Exhibit E. The remaining
`
`evidence shows Applicant as the source of Applicanfs goods and services.
`
`The E xamining Attomey has refused registration arguing that Applicanfs mark is
`
`merely descriptive o ‘a feature, use. function and/or purpose of Applicanfs goods and services.
`
`However, the evidense provided by both Applicant and the Examining Attorney all point to
`
`Applicant as the unit ue source of the goods and services. A trademark must identify one source
`
`and distinguish it fro 11 others. See -I J. Thomas Mc('.‘arIlzy, MCL'(T'/118771)" ON '['RADEMARl‘\’S. §
`
`323. 6-7 (2007); see «/50 A/lc(.‘m-thy '.s‘ § 329. 22-23. Applicant's mark succeeds in accomplishing
`
`this and the Examining Attorney has not shown otherwise. Accordingly, Applicant requests that
`
`any doubt as to the d zscriptiveness be resolved in its favor with the knowledge that any third
`
`party is free to challenge otherwise. See In re Gourmet Bakers, Im.-_, l73 U .S.P.Q. 565 ('l'l'AB
`
`I972).
`
`Alterr=ativel_v. Applicant respectfully requests the application be amended, without
`
`prejudice. to one for {egistration on the Supplemental Register.
`
`Respectfully submitted.
`
`
`
`RoBi3Rr§};AcoBs—Mi3ADwA ESQ.
`
`Date: a"“"\ 13 x $498’
`bi
`
`(M0675849.1}
`
`fa)
`
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`10/29/2008 15:42 FAX
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`12158518383
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`ECKERT—SEAMANS
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`‘
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`004/030
`
`JAY K. MEADWAY, IZSQ,
`SEAN P. MCCONNELL. ESQ.
`Eckert Seamans Cherin & Mellon, LLC
`
`Two Liberty Center
`50 South 16th Street, 22d Floor
`
`Philadelphia, PA l9l02
`(215) 851-8400
`
`(215) 851-8383 (facsimile)
`rjacobsmeadway@eckertscamans.com
`
`ATTORNEYS FOR APPLICANT
`
`{MO675849.1}
`
`an
`
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`12158518383
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`ECKERT—~SEAMANS
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`005/030
`
`Exhibit A
`
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`

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`-10/29/2008 15:42 FAX
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`12158518383
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`ECKERT—SEAMANS
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`006/030
`
`Wellspring Urology — »‘upplies for the Urology Profession
`
`Page 1 of1
`
`_ *-ELLSPRING
`
`VVELLSPRLVG began selling Urology supplies to professionals in 1992. With a
`combined 57 years of experience. we are confident that we can meet yourproduct needs
`perfectly. So we 0179! a 100% COMPLETE SATISFACTION GUARANTEE on an your
`purchases. induding refurbished instruments.
`
`Our axpertise hetpa us to choose manufacturers who meet your exact needs with the
`highest quaiity ins1ruma'1ts.
`If you have questions about which products are best for you.
`we can answer them.
`
`lfyou need a product that you do not see on ourwzxysite. piease cal! us at 800-862-3661.
`0' §€'.‘§!LU§-
`
`We can aiso help you with questions about technéques for using irrsmmrrrents, whether you
`purdxased than from us or noL
`
`For
`
`»
`
`-
`
`- Vasectomy
`
`http://www.wellspringur )logy.com/
`
`8/ 1 8/2008
`
`'
`-
`.
`_
`.
`.
`.
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`.
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`non
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`:08-38
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`(mm-ss)
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`12158518383
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`ECKERT—SEAMANS
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`007/030
`
`Wellspring Urology - Supplies for the Urology Profession
`
`1
`
`_
`
`Page 1 of 1
`
`
`
`
`#28-602
`
`
`Rat Tooth Micnotenaculum
`#28-603
`
`
`
`
`
`' 9_n_
`
`
`
`
`
`1. The NJ’ is very minimally xnvasme.
`2. mm the ILV. no scalpe! is needed for the skin
`3. The 4mm cpen1ng(5)mquired to! the ILV is smallet than a grain 0! rice (4).
`4 Special ILV instruments mmimnze tissue Irauma
`5. The in! is rapid and tariable and may be compielad in about 4 m'nu1es per side.
`6. The ILV dosure of the vas is intended to minimize inflammation and post operative discomfort
`
`§_|_|
`
`}:_‘j:I_g_r_e_f_94r_4§i;9__g9¢_1_1g_.:_;
`
`
`
`
`
`http://www.we1lspringur flogy.com/vasectomyinstlhtml
`
`8/ I 8/2008
`
`:
`-
`,
`.
`'
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`TION
`
`-
`(mm 58)
`
`:08-38
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`

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`10/29/2008 15:43 FAX
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`12158518383
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`ECKERT—SEAMANS
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`008/030
`
`Wellspring Urology — Supplies for the Urology Profession
`
`Page 1 of}
`
`
`Vasectomy in Mmimelers (mm) mm the ACTUAL size 0!
`
`several commcn obgects.
`1. Dime
`2. Raisin
`
`3. Keme! of Com
`
`4. Grain of Rice
`
`5. The 4mm opening of an In-Line Vasecmmy
`
`
`
`Strong Ultrafine Pointed Scissors
`with a Separation Dot or Line
`1128-801
`
`
`
`http://wwwwellspringur :)logy.com/inlinevashtml
`
`‘
`
`_
`
`8/ 1 8/2008
`
`PAGE 8130 " RCVD AT 10l29I2008 3:37:03 PM [Eastern Daylight Time] " SVRZUSPTO-EFXRF-5I6 " DN|S:2734260 * CSlD:12158518383 " DURATION (mm-ss):08-38
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`

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`10/29/2008 15:43 FAX
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`12158518383
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`ECKERT—SEAMANS
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`009/030
`
`Exhibit B
`
`PAGE 9/30 " RCVD AT 10l29I2D08 3:37:03 PM [Eastern Daylight Time] ‘ SVRCUSPTO-EFXRF-5/6 " DNIS:273426D " CSID:12158518383 " DURATION (mm-ss):08-38
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`ECKERT-SEAMANS
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`010/030
`
`/ In-Line Vasectomy Procedure by Dr. Joel Marmar
`
`Page 1 of 5
`
`
`
`
`l__ l I 1
`I In I‘
`In-Line Vasectomy
`
`
`
`
`
`
`
`Ho_r_ne_ I Patients I Doctors
`
`The .ln.~Lrn,e Vasectomy Stew I T..he_.l.~.I|_ate. Anal.c2m.y I P.l.a..rmin9.Gui9tines for Patients I P_ost—Or.> Guidelines I Posmp P.r.ot>.lern§
`
`P.urcha§.e_.Qu§lom.l2esK;ned..|-LV Instruments
`
`Watch the Procedure
`
`
`
`The In-Line Vasectomy Story
`
`Over 500.000 vasectomies are performed in the United States each year to make this procedure the most common form of
`permanent birth control for men in the country.
`
`Most clinicians agree that the growing popularity of vasectomies is due to the availability of minimally invasive office
`procedures with local anestiesia.
`
`Although these procedures have been used widely, there maybe some areas that could stand some improvement: 1) the
`vasectomy instruments havr-. never been standardized and they differ among manufacturers. 2) the methods of vas
`occlusion have never been ztandardized and differ considerably among centers.
`
`The vasectomy instruments are presently manufactured throughout the world. They come in various sizes, and some are
`better than others. Some instruments perform well, but others may slip unexpectedly during procedures.
`
`In addition, the method of vas occlusion has never been standardized. These closures have been left to the discretion of
`the surgeon. and as a result over 20 different occlusive methods have been reported.
`-
`
`Recently, ( Marmar et al. Int J. Fertility.46:257-64. 2001) systematically re-evaluated the design of the current vasectomy
`instruments and critiqued this individual steps of several vasectomy procedure. As a result, the ILV instruments and the tn-
`Line Vasectomy procedure evolved with specific advantages.
`
`First, new ILV instruments w are designed and standardized to perform defined tasks. Second, several aspects of current
`
`http://wvvwjnlinevasectt imy.com/doc.htm
`
`8/ l 8/2008
`
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`ln—Lir1e Vasectomy Procedure by Dr. Joel Marmar
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`Page 2 of S
`
`vasectomy procedures we re critiqued and favorably modified for the ILV, including the method of vas occlusion which was
`standardized in accord with anatomical principles to limit inflammation and post—operative discomfort.
`
`The modified ILV closure utilized a form of mucosal cautery and fascial interposition similar to the classic methodology of
`(Schmidt SS. J. Urol. 17: 4' 6782, 1966). No clips or ties were placed around the vas with the tLV. because ligatures may
`produce sloughing, sperm teakage and unwanted tissue reaction at the sealed ends.
`
`Recently, Sokal et at. BMC Urol.4: 12, 2004 reported fewer failures and fewer post op complications with cautery and
`fascial interposition versus. occlusion. and this preferred closure is part of the ILV.
`
`The Name!
`
`Why is the procedure called the IN-LINE VASECTOMY?
`
`Answers:
`
`1. The small scrotal openir-g required for the ILV is only 4mm and it is placed directly in-line with the vas below.
`
`2. The instruments designs d for the ILV fit into small spaces and reliably secure the vas. The dissection remains in-line
`with the vas and its sheath to avoid lateral tissue trauma.
`
`3. The method of occlusion for the lLV is completed in-line with the vas and its sheath. This closure is strong and reliable
`because it is based on SOU'td anatomical principles and it is intended to minimize tissue inflammation and post-op
`discomfort.
`
`IQP
`
`
`
`Male Reproductive Anatomy and the I-LV
`
`3...
`
`§$;{3¥F»%f 3flKTfl %3‘fi5§§B$H 5 AL§7&¥3 Lu.
`
`
`
`..-3&5’:-r
`
`as‘.
`
`1. Sperm are produced in th«- testicles on the outside of the body.
`
`2. The sperm must travel intt
`
`the body to be ejaculated with the fluid from the prostate gland and seminal vesicles.
`
`3. Each vas tube is about 18 inches long and connects each testicle to the prostate gland and seminal vesicle. These tubes
`provide the only route for spe rm travel before they reach the ejaculate.
`
`http://www.inlinevascctc=my.com/doc.htm
`
`3/13/2003
`
`:
`'
`.
`-
`-
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`
`Page 3 of 5
`
`4. The only visible evident e of an ejaculation is the fluid itself. The patient cannot see whether the sperm are present or
`absent in the ejaculate wit rout a microscopic examination.
`
`5. After the vasectomy, the testicles continue to produce sperm. Therefore, vasectomies can be reversed with microsurgery
`or
`
`the sperm may be extracted from the testis and epididymis for in Vitro Fertilization.
`
`6. When the sperm leave t we testicle after the vasectomy, they never reach the ejaculate. Vwthin a short distance, they
`encounter the obstruction produced by the vasectomy.
`
`7. Although the sperm are rapped. they survive for only 90 days. They age and disintegrate, and the by products are re-
`absorbed. Although some zwatients may produce sperm antibodies after a vasectomy. no major long-term side effects have
`been reported from this pr: cess.
`
`8. Post-op, the patients wil continue to have normal erections and a normal sex drive. The visible ejaculate remains
`unchanged, because the fl rid comes from the prostate gland and seminal vesicles. However, the ejaculate will contain no
`sperm. This is the desired -affect.
`
`top
`
`
`
`Planning Guidelines for Patients Scheduling
`an In-Line Vasectomy
`
`1. THE DECISION
`
`Although the ll.V is conside ‘ed a permanent procedure, 2—4% of the patients change their minds and eventually want more
`children. Vasectomies have been successfully reversed with microsurgery for many of these men. Furthermore,
`pregnancies have occurred with extracted sperm and NF for others. However, if you have doubts or concerns about the
`permanent nature of the IL\- or any of these procedures discuss them with your doctor.
`
`2. SCHEDULING
`
`Schedule your lLV for a wee ~kend or day when you will have no pressing obligations for 2-3 days afterwards. You will not be
`bed ridden, but you should Man to take it easy around the house. This is an elective procedure, and it requires thoughtful
`planning.
`
`3. lNFECTiON CONTROL
`
`Selective shaving is recomn ended prior to the ILV . Use a razor and cream rather than an electric shaver or chemicals.
`Shave the lower abdomen, : long side of the penis and the entire scrotum. The hair removal enhances post-operative
`cleanliness and should redu-:e the risk of infection.
`
`4. SUPPORT
`
`Following the lLV . it is impo tant to have good scrotal support. it you do not own an athletic supporter, purchase a simple
`"swimmers jock strap“. You will wear it immediately after the procedure, and for an additional 3-5 days and nights.
`
`4. FOOD
`
`it is best to limit yourself to a light lunch or breakfast before the lLV.
`
`top
`
`http://wwwjnlinevasectc:my.com/doc.htm
`
`8/ 1 8/2008
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`:
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`In-Line Vasectomy Pr :)cedure by Dr. Joel Marmar
`
`Page 4 of 5
`
`1.|CE
`
`Post-Op Care
`
`immediately after the lLV, it is important to apply ice over the scrotum for post—op swelling control. Maintain the ice for at
`leasti hour. and repeat thu process during the waking hours about 2-3 times per day for the next 2 days.
`
`2. EXERCISE
`
`Although you will not be bi d bound after the lLV, avoid exercise for 1 week. Assuming that you have no discomfort, you
`can resume full exercise ir 7 days. "Listen” to your body, and use common sense.
`
`3. SEXUAL ACTWITY
`
`After the lLV, refrain from sexual activity for 1 week. Follow the recommendations for exercise (see #2).
`
`4.SHOWERS AND BATHS
`
`Take your first shower about 12 hours after the ILV. Use basic soap and water to provide cleanliness and to help the
`sutures dissolve. if sorene: s persists after 3 days, take a therapeutic tub bath. Draw the water above the navel. and soak ‘
`for 10-15 minutes. Repeat once or twice a day.
`
`5. PAIN MEDICATION
`
`Avoid aspirin products after the lLV, because they may cause bleeding. Extra Strength Acetaminophen is safe, and it will
`usually be sufiicient. if you hink that you may require stronger analgesic medication, discuss your specific needs with the
`doctor.
`
`6.SEMEN ANALYSIS
`
`On the day of your lLV, the entire vas is filled with sperm. During the procedure an obstruction will be created, and no new
`sperm will enter the system However. some of these live sperm are already “downstream" or beyond the obstruction
`‘created by the vasectomy. ' "hey will be eliminated over the next few weeks, but you MUST use protection until your semen
`has no sperm. Following thu lLV, you will be scheduled for 2 semen analyses (week 6 and week 7). You will be cleared
`when 2 consecutive semen analyses show “zero” sperm.
`
`top
`
`
`
`Post-Op Problems
`
`Most of the post-op problerr with lLV’s are self limiting, but occasionally some require a call to the doctor:
`
`1. Fever
`
`If you develop a temperaturr elevation. it may represent an infection. Call for instructions and perhaps an antibiotic.
`
`2. Hematoma
`
`limited skin discoloration after an lLV, but in rare instances, a hematoma or blood clot may
`Although there may be somt
`collect under the skin. The a ‘ea appears red and swollen. If you suspect a hematoma, call the doctor for instructions.
`
`3. Epididymitis
`
`Between the testicle and the vas. there is a structure known as the "epididymis" which may become inflamed or infected. if
`this situation arises after an tI-V, the area may be swollen and tender. Apply ice immediatety, and call the doctor for
`instructions.
`
`http://www.inlinevasect<' my.com/doc.htm
`
`8/18/2008
`
`N
`-
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`_
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`12158518383
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`ECKERT—SEAMANS
`
`014/030
`
`In-Linc Vasectomy Pr acedure by Dr. Joel Marmar
`
`Page 5 of 5
`
`4. Sperm Granuloma
`
`in some instances, a limit: d sperm leak may occur during or after an ILV. These sperm may cause an inflammation in the
`surrounding tissues and ti :3 area may be painful. This condition may require anti-inflammatory medications until the
`process resolves. Call the doctor whenever you suspect this problem.
`'
`
`5. Stitch Reaction
`
`The stitches dissolve after the ILV. but on some occasions they cause a discharge and skin redness as part of the process.
`If you suspect this problen , first wash the area with soap, water and a washcloth‘ The problem usually improves after the
`stitch is gone. if the proble ‘n persists, call the doctor.
`
`top
`
`
`
`
`
`Purchase The Instruments
`
`Instruments for this proced ire can be can be purchases through Wellspring Urologic. Instruments for this procedure have «
`been developed and tester" by Dr. Marmar.
`
`Single Toothed Round Vas Clamp. The single tooth is
`Toothed Mini-Tenacuiurzi. This instrument will fit into angled for difficult procedures because the angled teeth
`a 4mm space to grasp the vas and its sheath.
`can grasp the vas and its sheath even in scarred
`situations.
`
`..............é
`
`Contact Us via email at manna.r:i9.el@.qq9t2emealtt1,edu
`
`http://wwwjnlincvascctr my.com/doc.htm
`
`8/18/2008
`
`*
`-
`.
`a
`,
`.
`.
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`PAGE 14l30"RCVDAT10I29l2008 3:37:03PM [EasternDaylIghtTIme] SVR.USPTO-EFXRF 5/6 DNls.273426o*csID.1215s518333 DURAT
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`.YouTube - THE IN—L NE VASECTOMY WITH ILV INSTRUMENTS
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`«
`
`days ag-:w)
`GS!-£1649
`I had the on 8 days ago and it slim ms a bit By the third day
`your ball sack has swelled to more han twice the size and it has
`3 gene dark blue wirh bruising. I went back to work on the forth day
`and it was quite painlulli
`
`Remy
`"
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`0
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`days ago)
`flyff500
`Why would you do this.
`
`aznshrirnpso 11 week ago)
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`
`Norbertseirl (2 weeks ago)
`Yes it's possible 1)
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`gIeboi27 {<1 weeks ago)
`yes of course...you can still do, it is ~ lane to block the
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`
`. Wh0iZ'rT ii monlh ago)
`1 ‘;ad< off to this
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`PAGE 16/30 ' RCVD AT 10/29/2008 3:37:03 PM [Eastern Daylight Tlme] * SVR.USPTO-EFXRF 5/6 DNIs.273426o * CS|D.12158518383 * DURATION (mm ss)
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`YouTube — THE IN—L NE VASECTOMY WTFH ILV INSTRUMENTS
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`Page 2 of?!
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`Mattflutzell (1 month ago)
`hope you have fun with that i 2 most died
`
`roHin77 (1 mcnm ago;
`I OUCH! MY NUTS HURTS ALRE -DY!
`
`SuperDUPERGary :_1. month agc
`DanielAvilaAGT, of course you ¢2'- w still have sex after a
`- vasectomy. execpl that now you c on‘: need to worry about
`getting some chick pregnant.
`
`R_9',,_!x
`
`0
`
`BER?!
`
`"1
`
`Eepgx
`
`0
`
`1 78rossco{‘u !'x'1~:‘I‘:i'J ago;
`you evil bitch lcl! my mrs wants m~. to get this done but im not so
`' sure
`
`Rem),
`
`-1
`
`2
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`‘Pages:
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`PAGE 17/30 " RCVD AT 10I29l2008 3:37:03 PM [Eastern Dayflght Time] SVR.USPTO-EFXRF 5/6 ‘ DNIS.2734260 * CSID 1
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`Wellspring Urology - Supplies for the Urology Profession
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`Page 1 of1
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`Y‘
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`"'»}‘:‘.;?Ti'=:'.'a_747
`An?
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`http://www.wel1spring1.roIogy.com/video} .html
`
`8/} 8/2008
`
`HAGE 18/30 ' RCVD AT 10/29/2008 3:37:03 PM [Eastern Daylight Time) " SVRIUSPTO-EFXRF-5/6 " DN|S:2734260 " CS|D:12158518383 " DURATION (mm-ss):08-38
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`; How to perform an I n— Line vasectomy I Wonder How To
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`How to perform an In-Line vas nctomy
`7216 lnAt.:ne vasectomy is a minimally nvasive. procedure. In an In~Léne vasectomy the vas
`delerens as cautenzed but not remove ‘l. The ILV instruments were standardvzed by
`measurement and design to perform .~;>ect!‘»c functlons win’-.in a -1mm space. This video is a
`step by step explanation on how to p: 'lorrn this rapid and reliable prcwdule
`
`4 3 Decide whether to
`.‘ have a tubal
`ligation or
`vasectomy 2:44 (A«
`
`http://www.wonderhowt»1».com/how-to/video/how—to-perform-an-in—linewasectomy-2I 6904/ 8/18/2008
`
`*
`-
`.
`.
`..
`PAGE 19130 * RCVD AT 10/29/2008 3:37:03 PM [Eastern Daylight Time] SVR.USPTO-EFXRF-5/6 * DNlS.2734260 * CSlD.12158518383 DURATION (mm-ss)
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`1
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`
`Page 2 of 3
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`http://www.wonderhowI 1).com/how-to/video/how-to-perform-an-in—Iine-vasectomy-2 I 6904/ 8/ 1 8/2008
`
`PAGE 20/30 " RCVD AT 10/29/2008 3:37:03 PM [Eastem Daylight Time] " SVR:USPTO-EFXRF-5/6 " DN|S:2734260 " CS|D:12158518383 " DURATION (mm-ss):08-38
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`How to perform an In- Lme vasectomy i Wonder How To
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`Page 3 of 3
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`NY!!!-1.!as.e.c1om¥_.Rqvcv.sa9s
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`http://www.wonderhowt‘. 3».com/how-to/video/how—to-perform-an-in—linc—vasectomy-2I 6904/ 8/ 1 8/2008
`
`PAGE 21130 " RCVD AT 10/29/2008 3:37:03 PM [Eastern Daylight Time] * SVR:USPTO-EFXRF-516 " DNIS:2734260 " CS|D:12158518383 " DURATION (mm-ss):08-38
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`Medical Video - Roun L199 - THE IN-LINE VASECTOMY WITH ILV INSTRUMENTS
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`THE IN-LINE VASECTOMY WITH ILV INSTRUMENTS
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`‘PAGE 22/30 " RCVD AT 10I29I2008 3:37:03 PM [Eastern Daylight Time] * SVR:USPTO-EFXRF-5/6 * DN|S:2734260 " CSlD:12158518383 " DURATION (mm-ss):D8-38
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`Medical Video - Roun ;l99 — TI-IE IN-LINE VASECTOMY WITH ILV INSTRUMENTS
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`The ln-Line vasecton y is a minimally invasive, all cautery procudure. The lLV instruments were standardized by
`measurement and design to perform specific functions within a 4mm spacc.The procedure is rapid and reliable
`
`Posted by l_)r7j_’Z 74 days ago (_l1,t1p;_/[_w\vw.){9_r11_ubecom)
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`HAGE 23/30 * RCVD AT 10/29/2008 3:37:03 PM [Eastern Daylight Tlme] SVR.USPTO-EFXRF 5/6 * DNlS.2734260 CSID 1215851
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