_
`__
`Doc Cede: PA.
`P iClAWSZB (1) #13)
`Approved for use ihmugh wan/2014. OMB 0551-0551
`Document fiescnptsnn: PW”??? 91‘ Afinrnéy
`US. Paieni and Trademark C-ffice; US. SEPARTMENT OF CGMMERCE
`tiniomiaiien uniess :i dispiays a valid OMB annimi numtmr
`Under the Paparwork Reductinn Act to“ 1995, no persnns are inquired to respond in a
`“ '
`' “
`
`........................................................... PPLiCANT
`
`i hereby revoke aii previews pnwem of attnrney given in the apniication idant ed in either the attacnaci trangrnittai Setter or
`the bnxes beinw
`
`Appiinntirsn Number
`
`Firing Date
`
`
`
`(Note: The {sexes above may he raft biank it infnrmatinn is prnvided an ferrn PTOfAiA’SZA.)
`
`i hereby appoint tha Patent Practitioneris) associatrasi with the iuiiowing Customer Number as mylcur atinr‘ney(s) nr ageni(s), and
`to transact air business in the United States Patent and Trademark Since marinaded therewith fer the appiicatinn referenced in
`the attached transsmittai Setter (farm Promwazm er identifier: abnve: m“
`Eéiil
`SR
`{j i hereby appnint Practiticneris) named in the attached first {farm ETGiAEA/BZC} as myiour attorneyis} or agent(s), and in transact
`aii business in the United Sisters Patent and Trademark Qr‘fice ccnnsecied therewith for the patent anpiication reinrenced in the
`attachen transmiitai ietierr‘form PTO/AWESA) 5r identified abnve. (Nate: Ccmpiete form PTO/NAMES.)
`
`Hanan reccgnize er arrange the correspnndenw addrrens far the anniication irieentified in the attached transmittai
`tartar er the; trams abnva it»:
`The address associated with the abeve-mentiannd Customer Number
`QR
`
`i BTL Medicai Igchnoiogies SRO.
`I:
`[:3 invanter 9r rinini invnntnr (iiiis mat required below)
`{1 Legal Rnprngnntative rat a Deceased or Legaiiy incapacitated inventor (title not required beiaw)
`
`Assignees or Enrsnn to Wham the i-wentnris Under an Qbiigaiinn in Assign (pm-vine signer s titie if appiicant'is a juristir; entity}
`{3 Person Who Oinsrwisr: Shows Sunrniant Prnprietary interest’isg a petition under 37 CPR “i 4fiib3i’2) wa$ nrantedin the
`
`
`auiicairon or is concurrenti bein filed with this dacumeni; .
`'
`‘
`viicani is a nristic entit‘.
`SEGNA?URE at Appiicant for Patent
`
`The undersigned (whose tiiigis snppiien beiow)is an:horized in act on behaif of the appiicant (e9., where the appiicantas a iunniic entity}.
`\“xLL‘.._..““L“
`\
`93in {Cpiisnai}
`‘
`‘
`
`.........................................
`CE0
`NQTE: Signatnre This form must he s:gnad by the app:icantm accnrdance with 37 CFR 1.33 See‘é QFR 1.4 fer signature requirements
`and certificatinns. if me!e than one appi icant, use mu:iinie 'nm‘is
`
`...................................................................................................................................................
`rmmsumfiw‘
`mm
`r
`-
`i 9 information is required :0 obtain or retain a be:refit byt‘ne pubiic whichis it: Like (and by the
`action cf informationis required i; 37 CFR ‘i 13. a.
`UM- iC: to process} an applicaiiczn Confinentiaiity is governed by 35 U. L).u we”. and 3? CFix“ 1 i"- 3:111:14. ‘ins coiiaciion:5 ssiimaieni to take 3 minutes to compieis
`inciudinngGather:.ng, prenan'ng and submiiting the completed application form to the USPTO. imeT wiii vary depending upon the individual case. Any comments on the amount
`nfiime ycu require in aninpiete this farm and-’cr suggest.ans fer reducing this burden, shnuid be sent if: the Chief inferrmarin1 (Nicer, L”S talent and Trademark (”fob 15.8.
`Department of”mmmarce, F’ (3. Box 1450 Aiemndria. VA 223134459. [)0 Nu‘T SEND FEES QR CQ-‘viPLiiTED FORMS TD THIS ADDRESS. SENS TE): Cammissicner
`fer Patents, P.(3 Ba: 1450, Aiexnndria, VA 22313-1456)
`ifycu need assistance in compiefing the form caii 1-800-PTO-9199 and seiner opiinn 2.
`
`