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By: S. Julio, M.S., Ph.D.

Deputy Director, University of Texas Medical Branch School of Medicine

The Office must examine each application to ensure compliance with the "useful invention" or utility requirement of 35 U spasms meaning in english discount 500mg robaxin. In discharging this obligation knee spasms at night order robaxin 500 mg online, however back spasms 38 weeks pregnant buy robaxin overnight delivery, Office personnel must keep in mind several general principles that control application of the utility requirement muscle relaxant comparison chart purchase robaxin 500mg mastercard. An invention that is not a machine, an article of manufacture, a composition or a process cannot be patented. The second type of deficiency arises in the rare instance where an assertion of specific and substantial utility for the invention made by an applicant is not credible. In this case the applicant asserted that the composition was "useful" in a particular pharmaceutical application and provided evidence to support that assertion. Courts have used the labels "practical utility," "substantial utility," or "specific utility" to refer to this aspect of the "useful invention" requirement of 35 U. The Court of Customs and Patent Appeals has stated: Practical utility is a shorthand way of attributing "real-world" value to claimed subject matter. In other words, one skilled in the art can use a claimed discovery in a manner which provides some immediate benefit to the public. Specific Utility example, indicating that a compound may be useful in treating unspecified disorders, or that the compound has "useful biological" properties, would not be sufficient to define a specific utility for the compound. A general statement of diagnostic utility, such as diagnosing an unspecified disease, would ordinarily be insufficient absent a disclosure of what condition can be diagnosed. Contrast the situation where an applicant discloses a specific biological activity and reasonably correlates that activity to a disease condition. Assertions falling within the latter category are sufficient to identify a specific utility for the invention. Assertions that fall in the former category are insufficient to define a specific utility for the invention, especially if the assertion takes the form of a general statement that makes it clear that a "useful" invention may arise from what has been disclosed by the applicant. Substantial Utility A "specific utility" is specific to the subject matter claimed and can "provide a well-defined and particular benefit to the public. This contrasts with a general utility that would be applicable to the broad class of the invention. Office personnel should distinguish between situations where an applicant has disclosed a specific use for or application of the invention and situations where the applicant merely indicates that the invention may prove useful without identifying with specificity why it is considered useful. For "[A]n application must show that an invention is useful to the public as disclosed in its current form, not that it may prove useful at some future date after further research. Utilities that require or constitute carrying out further research to identify or reasonably confirm a "real world" context of use are not substantial utilities. For example, both a therapeutic method of treating a known or newly discovered disease and an assay method for identifying compounds that themselves have a "substantial utility" define a "real world" context of use. An assay that measures the presence of a material which has a stated correlation to a predisposition to the onset of a particular disease condition would also define a "real world" context of use in identifying potential candidates for preventive measures or further monitoring. On the other hand, the following are examples of situations that require or constitute carrying out further research to identify or reasonably confirm a "real world" context of use and, therefore, do not define "substantial utilities": (A) Basic research such as studying the properties of the claimed product itself or the mechanisms in which the material is involved; (B) A method of treating an unspecified disease or condition; (C) A method of assaying for or identifying a material that itself has no specific and/or substantial utility; (D) A method of making a material that itself has no specific, substantial, and credible utility; and (E) A claim to an intermediate product for use in making a final product that has no specific, substantial and credible utility. Office personnel must be careful not to interpret the phrase "immediate benefit to the public" or similar formulations in other cases to mean that products or services based on the claimed invention must be "currently available" to the public in order to satisfy the utility requirement. Rather, any reasonable use that an applicant has identified for the invention that can be viewed as providing a public benefit should be accepted as sufficient, at least with regard to defining a "substantial" utility. Research Tools Some confusion can result when one attempts to label certain types of inventions as not being capable of having a specific and substantial utility based on the setting in which the invention is to be used. Many research tools such as gas chromatographs, screening assays, and nucleotide sequencing techniques have a clear, specific and unquestionable utility. An assessment that focuses on whether an invention is useful only in a research setting thus does not address whether the invention is in fact "useful" in a patent sense. Instead, Office personnel must distinguish between inventions that have a specifically identified substantial utility and inventions whose asserted utility requires further research to identify or reasonably confirm. Labels such as "research tool," "intermediate" or "for research purposes" are not helpful in determining if an applicant has identified a specific and substantial utility for the invention. The claimed invention must only be capable of performing some beneficial function. An invention does not lack utility merely because the particular embodiment disclosed in the patent lacks perfection or performs crudely. In short, the defense of non-utility cannot be sustained without proof of total incapacity.

If the originally filed disclosure does not provide support for each claim limitation muscle relaxant otc cvs purchase robaxin 500mg with mastercard, or if an element which applicant describes as essential or critical is not claimed infantile spasms 2 month old purchase robaxin 500mg without prescription, a new or amended claim must be rejected under 35 U muscle relaxant non drowsy cheap robaxin 500mg fast delivery. In rejecting a claim spasms upper back cheap robaxin 500mg online, the examiner must set forth express findings of fact regarding the above analysis which support the lack of written description conclusion. These findings should: (A) Identify the claim limitation at issue; and (B) Establish a prima facie case by providing reasons why a person skilled in the art at the time the application was filed would not have recognized that the inventor was in possession of the invention as claimed in view of the disclosure of the application as filed. Upon Reply by Applicant, Again Determine the Patentability of the Claimed Invention, Including Whether the Written Description Requirement Is Satisfied by Reperforming the Analysis Described Above in View of the Whole Record the above only describes how to determine whether the written description requirement of 35 U. Regardless of the outcome of that determination, Office personnel must complete the patentability determination under all the relevant statutory provisions of title 35 of the U. Once Office personnel have concluded analysis of the claimed invention under all the statutory provisions, including 35 U. The Office action should clearly communicate the findings, conclusions, and reasons which support them. When possible, the Office action should offer helpful suggestions on how to overcome rejections. If the whole record now demonstrates that the written description requirement is satisfied, do not repeat the rejection in the next Office action. If the examiner concludes that the claimed subject matter is not supported [described] in an application as filed, this would result in a rejection of the claim on the ground of a lack of written description under 35 U. While the test or analysis of description requirement and new matter issues is the same, the examining procedure and statutory basis for addressing these issues differ. The test for sufficiency of support in a parent application is whether the disclosure of the application relied upon "reasonably conveys to the artisan that the inventor had possession at that time of the later claimed subject matter. Whenever the issue arises, the fundamental factual inquiry is whether the specification conveys with reasonable clarity to those skilled in the art that, as of the filing date sought, applicant was in possession of the invention as now claimed. Possession may be shown in a variety of ways including description of an actual reduction to practice, or by showing that the invention was "ready for patenting" such as by the disclosure of drawings or structural chemical formulas that show that the invention was complete, or by describing distinguishing identifying characteristics sufficient to show that the applicant was in possession of the claimed invention. An objective standard for determining compliance with the written description requirement is, "does the description clearly allow persons of ordinary skill in the art to recognize that he or she invented what is claimed. If a claim is amended to include subject matter, limitations, or terminology not present in the application as filed, involving a departure from, addition to , or deletion from the disclosure of the application as filed, the examiner should conclude that the claimed subject matter is not described in that application. Furthermore, when a party to an interference seeks the benefit of an earlier-filed U. An original claim may lack written description support when (1) the claim defines the invention in functional language specifying a desired result but the disclosure fails to sufficiently identify Rev. The written description requirement is not necessarily met when the claim language appears in ipsis verbis in the specification. The appearance of mere indistinct words in a specification or a claim, even an original claim, does not necessarily satisfy that requirement. A description as filed is presumed to be adequate, unless or until sufficient evidence or reasoning to the contrary has been presented by the examiner to rebut the presumption. The examiner, therefore, must have a reasonable basis to challenge the adequacy of the written description. If the specification fails to disclose sufficient corresponding structure, materials, or acts that perform the entire claimed function, then the claim limitation is indefinite because the applicant has in effect failed to particularly point out and distinctly claim the invention as required by 35 U. These findings should: (A) Identify the claim limitation(s) at issue; and (B) Establish a prima facie case by providing reasons why a person skilled in the art at the time the application was filed would not have recognized that the inventor was in possession of the invention as claimed in view of the disclosure of the application as filed. A general allegation of "unpredictability in the art" is not a sufficient reason to support a rejection for lack of adequate written description. Omission of a Limitation Upon reply by applicant, before repeating any rejection under 35 U. If the record still does not demonstrate that the written description is adequate to support the claim(s), repeat the rejection under 35 U. A claim that omits an element which applicant describes as an essential or critical feature of the invention originally disclosed does not comply with Rev. The shape limitation was considered to be unnecessary since the specification, as filed, did not describe the tapered shape as essential or critical to the operation or patentability of the claim.

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Changes in Shape Note that the omission of an element and retention of its function is an indicium of nonobviousness back spasms 7 weeks pregnant discount robaxin online visa. The prior art disclosed a similar printed sheet which further comprised an intermediate transparent and erasure-proof protecting layer which prevented erasure of the printing when the top layer was erased muscle relaxant prescription drugs buy 500 mg robaxin otc. The court affirmed the rejection holding 3m muscle relaxant 500 mg robaxin for sale, among other reasons muscle relaxant for tmj cheap robaxin 500mg with amex, "that the use of a one piece construction instead of the structure disclosed in [the prior art] would be merely a matter of obvious engineering choice. The court found this argument unpersuasive and held that the claims were patentable because the prior art perceived a need for mechanisms to dampen resonance, whereas the inventor eliminated the need for dampening via the one-piece gapless support structure, showing insight that was contrary to the understandings and expectations of the art. The court held that adjustability, where needed, is not a patentable advance, and because there was an art-recognized need for adjustment in a fishing rod, the substitution of a universal joint for the single pivot of the prior art would have been obvious. The court held the claimed continuous operation would have been obvious in light of the batch process of the prior art. The claimed water seal has a "web" which lies in the joint, and a plurality of "ribs" projecting outwardly from each side of the web into one of the adjacent concrete slabs. The prior art disclosed a flexible water stop for preventing passage of water between masses of concrete in the shape of a plus sign (+). Although the reference did not disclose a plurality of ribs, the court held that mere duplication of parts has no patentable significance unless a new and unexpected result is produced. Rearrangement of Parts the prior art suggests the particular form or structure of the claimed material or suitable methods of obtaining that form or structure. However, in the case of product-by-process claims, if a first prior art process is improved to enhance the purity of the product produced by the process, and if the purified product has no structural or functional difference from the products produced by other prior art processes, then the improvement in the first process that improves the purity of the product does not give rise to patentability. Therefore, the issue is whether claims to a pure material are nonobvious over the prior art. Purer forms of known products may be patentable, but the mere purity of a product, by itself, does not render the product nonobvious. Factors to be considered in determining whether a purified form of an old product is obvious over the prior art include whether the claimed chemical compound or composition has the same utility as closely related materials in the prior art, and whether 2144. Similarly, a prima facie case of obviousness exists where the claimed ranges or amounts do not overlap with the prior art but are merely close. A range can be disclosed in multiple prior art references instead of in a single prior art reference depending on the specific facts of the case. The patent claim at issue was directed to a weight plate having 3 elongated openings that served as handles for transporting the weight plate. Multiple prior art patents each disclosed weight plates having 1, 2 or 4 elongated openings. The court stated that the claimed weight plate having 3 elongated openings fell within the "range" of the prior art and was thus presumed obvious. The court further stated that the "range" disclosed in multiple prior art patents is "a distinction without a difference" from previous range cases which involved a range disclosed in a single patent since the "prior art suggested that a larger number of elongated grips in the weight plates was beneficial. Optimization Within Prior Art Conditions or Through Routine Experimentation 1382 ("The normal desire of scientists or artisans to improve upon what is already generally known provides the motivation to determine where in a disclosed set of percentage ranges is the optimum combination of percentages. There Must Be an Articulated Rationale Supporting the Rejection Generally, differences in concentration or temperature will not support the patentability of subject matter encompassed by the prior art unless there is evidence indicating such concentration or temperature is critical. The articulated rationale must include an explanation of why it would have been routine optimization to arrive at the claimed invention and why a person of ordinary skill in the art would have had a reasonable expectation of success to formulate the claimed range. The Supreme Court has clarified that an "obvious to try" line of reasoning may properly support an obviousness rejection. When there is a design need or market pressure to solve a problem and there are a finite number of identified, predictable solutions, a person of ordinary skill has good reason to pursue the known options within his or her technical grasp. If this leads to the anticipated success, it is likely the product not of innovation but of ordinary skill and common sense. In that instance the fact that a combination was obvious to try might show that it was obvious under §103. Showing That the Range Is Critical Applicants can rebut a prima facie case of obviousness by showing the criticality of the range. In such a situation, the applicant must show that the particular range is critical, generally by showing that the claimed range achieves unexpected results relative to the prior art range. Showing That the Prior Art Teaches Away A prima facie case of obviousness may also be rebutted by showing that the art, in any material respect, teaches away from the claimed invention. A thinner coating reduces light absorption and minimizes manufacturing time and expense. Applicant can rebut a presumption of obviousness based on a claimed invention that falls within a prior art range by showing "(1) [t]hat the prior art taught away from the claimed invention.

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Key clinical features of Turner syndrome are a lack of breast development or amenorrhea spasms under belly button 500 mg robaxin with mastercard, with elevated follicle-stimulating hormone levels by 14 years of age; and infertility in women muscle relaxant starts with c buy generic robaxin. Other characteristics of Turner syndrome include short stature spasms during sleep buy robaxin 500 mg cheap, a webbed neck muscle relaxant 551 buy robaxin 500 mg on-line, a low posterior hairline, misshapen or rotated ears, a narrow palate with crowded teeth, a broad chest with widely spaced nipples, cubitus valgus, hyperconvex nails, multipigmented nevi, pubertal delay, and cardiac malformation. Cardiovascular evaluations should be performed at diagnosis to rule out congenital heart defects. Short stature should be treated with human growth hormone until the patient reaches a bone age of 14 years. Evidence rating C C B A C References 11 11 17 15, 16 11 A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. If development is frankly delayed, an alternative explanation should be considered, along with prompt referral for early intervention. Note the subtle, distinctive facial features including prominent, posteriorly rotated auricles with looped helices and attenuated tragi; infraorbital skin creases; and mildly foreshortened mandible. One third of patients with Turner syndrome have a cardiac malformation; 75 percent of these patients have coarctation of aorta or a bicuspid aortic valve. A mosaic result does not necessarily predict severity because karyotyping only investigates lymphocytes, not the relevant tissues. A karyotype is obtained by sending whole blood, at room temperature and in a greentop sodium heparin tube, to a laboratory for testing. Although 45,X is the karyotype typically seen in patients with Turner syndrome, other sex chromosome anomalies such as isochromosome Xq, ring X, deletion Xp, or an abnormal Y chromosome can also cause the condition. One study showed that the diagnosis is made an average of seven years after short stature is clinically evident on female growth curves. Controlled studies with patient-oriented outcomes such as morbidity, mortality, and quality of life in patients with Turner syndrome are generally lacking. Infants and young children with Turner syndrome should be examined with Barlow/Ortolani maneuvers for evidence of congenital hip dislocation, and those older than one year should be referred to a pediatric ophthalmologist to assess for hyperopia and strabismus. Ultrasonography should be performed at diagnosis to assess for congenital renal malformations. Girls older than four years should have a tissue transglutaminase immunoglobulin A measurement every two to four years to detect celiac disease. Patients seven years or older need orthodontic evaluation for malocclusion or other tooth anomalies. The ovaries develop but typically degenerate during fetal life or in early childhood. GuidelinesfortheManagementofTurnerSyndrome System Auditory Timing At diagnosis and every one to five years thereafter Childhood Bones From 10 years of age to adulthood First adult office visit Mid- to late adulthood Cardiovascular At diagnosis Every five to 10 years (adulthood) All ages Older girls/adulthood Seven years and older All ages At diagnosis and annually thereafter Every two to four years after four years of age Every one to two years after six years of age Usually younger than two years of age Older girls/adulthood All ages Nine to 24 months of age to adulthood (bone age of 14 years) Infancy to four years of age Teenagers Psychological Ophthalmologic Renal Reproductive All ages At diagnosis if older than one year At diagnosis Preteen Adulthood Adulthood Adulthood Clinical issue Sensorineural hearing loss Recurrent otitis media Osteopenia; osteoporosis Bone mineral density Osteoporosis Congenital heart defects Aortic root dilatation Hypertension Hyperlipidemia Malocclusion and other tooth anomalies Presence of Y chromosome material Thyroiditis (hypo- or hyperthyroid) Celiac disease Liver enzymes persistently elevated for more than six months Lymphedema Diabetes Obesity Short stature. A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case series. Patients with Turner syndrome are likely to ask their family physicians about 408 American Family Physician Primary care providers should monitor the pregnancy as part of a multidisciplinary team August 1, 2007. In addition to reproductive counseling, the transition to adult treatment of Turner syndrome includes management of atherogenic cardiovascular risk factors. A baseline dual energy x-ray absorptiometry scan to evaluate bone mineral density is recommended at the first adult visit. Incidence and spectrum of chromosome abnormalities in spontaneous abortions: new insights from a 12-year study. Pseudoautosomal deletions encompassing a novel homeobox gene cause growth failure in idiopathic short stature and Turner syndrome. Cardiovascular anomalies in children and young adults with Ullrich-Turner syndrome the Erlangen experience. Hypertension is a major risk factor for aortic root dilatation in women with Turner syndrome. Care of girls and women with Turner syndrome: a guideline of the Turner Syndrome Study Group. Growth hormone and low dose estrogen in Turner syndrome: results of a United States multi-center trial to near-final height.