Prosecution Insights
Last updated: April 19, 2026
Application No. 17/955,486

METHOD AND SYSTEM FOR USING TOOL WIDTH DATA TO ESTIMATE MEASUREMENTS IN A SURGICAL SITE

Final Rejection §101§103
Filed
Sep 28, 2022
Examiner
BARNES JR, CARL E
Art Unit
2178
Tech Center
2100 — Computer Architecture & Software
Assignee
Asensus Surgical US, Inc.
OA Round
2 (Final)
32%
Grant Probability
At Risk
3-4
OA Rounds
4y 4m
To Grant
57%
With Interview

Examiner Intelligence

Grants only 32% of cases
32%
Career Allow Rate
65 granted / 202 resolved
-22.8% vs TC avg
Strong +25% interview lift
Without
With
+25.2%
Interview Lift
resolved cases with interview
Typical timeline
4y 4m
Avg Prosecution
32 currently pending
Career history
234
Total Applications
across all art units

Statute-Specific Performance

§101
14.3%
-25.7% vs TC avg
§103
62.6%
+22.6% vs TC avg
§102
9.0%
-31.0% vs TC avg
§112
8.7%
-31.3% vs TC avg
Black line = Tech Center average estimate • Based on career data from 202 resolved cases

Office Action

§101 §103
DETAILED ACTION Notice of Pre-AIA or AIA Status The present application, filed on or after March 16, 2013, is being examined under the first inventor to file provisions of the AIA . Response to Amendment Claims 1-11 were previously pending and subject to non-final action filed 04/11/2025. In the response filed on 10/14/2025, claim 1, 3, and 7-10 were amended. Therefore, claims 1-11 are currently pending and subject to the final action below. Response to Arguments Applicant’s arguments, see page, filed 10/14/2025, with respect to claim object of claim have been fully considered and are persuasive. The claim objection of claim 8 has been withdrawn. Applicant’s arguments, see page, filed 10/14/2025, with respect to claims 1-11 under 35 U.S.C. 112 (b) have been fully considered and are persuasive. The 112 (b) rejections of claim 1-11 has been withdrawn. Applicant's arguments filed 10/14/2025, with respect to claims 1-11 under 35 U.S.C. 101 have been fully considered but they are not persuasive. Applicant’s argument: ended Claims 1 and 7 are not directed to an abstract idea, but rather to a specific and practical application of image-based analysis in a surgical context. The claims recite a system and method that: Capture image data of a treatment site using a camera. Estimate the pixel width of a surgical instrument. Use that pixel width and known physical dimensions to compute a depth coordinate (Z). Determine a real-time distance between the instrument tip and a point of interest. Generate and display a real-time overlay representing the computed distance. These steps are not mental processes. They require specialized hardware and software operating in real time. The claimed invention solves a technical problem in surgical robotics: enabling spatial awareness and measurement using image data. As discussed in the specification, the recited features allow image-based measurement to be performed at the surgical site even in systems that do not make use of full camera calibration or stereo vision. he claims are therefore integrated into a practical application, satisfying Step 2A, Prong 2 of the USPTO’s eligibility framework. Furthermore, the combination of elements, including the camera, processor, image analysis, and overlay generation, amounts to significantly more than the judicial exception under Step 2B. Accordingly, Claims 1 - 11 are patent-eligible under §101. Examiner Response: The examiner respectfully disagree, satisfying Step 2A, Prong 2 of that the claims combination of elements, including the camera, processor, image analysis, and overlay generation, amounts to significantly more than the judicial exception under Step 2B, for the following reasons below. Claims 1-11 are rejected under 35 U.S.C. 101 because the claimed invention is directed to an abstract idea without significantly more. Step 1 Analysis: Claims 1 and 7 are directed to a system and method, which is directed to a process, one of the statutory categories. Step 2A prong 1: Does the claim recite a judicial exception? Yes, claims 1 and 7 recites similar limitations of: “analyze image data to estimate a width in pixels of a first surgical instrument positioned at the treatment site”, falls under the mental process groupings of abstract ideas because they cover concepts performed in the human mind, including observation, evaluation, judgment, and opinion. The limitation of ”estimate a depth coordinate Z of a tip of the first surgical instrument by comparing the estimated tool width to the known physical width of the first surgical instrument and based on the depth coordinate Z determined by comparing the estimated tool width to the known physical width of the surgical instrument, determining in real time a distance between the tip of the first surgical instrument and a point of interest at the treatment site” falls under encompasses mathematical concepts. Step 2A prong 2: Does the claim recite additional elements? Do those additional elements, individually and in combination, integrate the judicial exception into a practical application? The claim recites additional element of “camera positionable to capture image data corresponding to a treatment site; at least one processor and at least one memory, the at least one memory storing instructions executable by said at least one processor, displaying images from the camera in real time on an image display;” to perform a function “apply it” limitation in accordance with MPEP 2106.05(f). The additional elements, alone and in combination, fail to integrate the abstract idea into a practical application. Thus, the claims is directed to an abstract idea. Step 2B: Do the additional elements, considered individually and in combination, amount to significantly more than the judicial exception? No, As discussed above with respect to integration of the abstract idea into a practical application, the additional elements of “camera positionable to capture image data corresponding to a treatment site; at least one processor and at least one memory, the at least one memory storing instructions executable by said at least one processor” only amount to “apply it” consideration (MPEP 2106.5 (f)). Thus, the claim is not patent eligible. The dependent claims the additional limitations (in claims 2-6 and 8-11) also constitute concepts to “apply it” which fall within the “Mental Processes” and groupings of abstract ideas. This judicial exception is not integrated into a practical application and amount to no more than adding insignificant extra-solution activity/specifications related to data gathering, data input, or data transmittal. These additional elements do not integrate the abstract idea into a practical application because they do not impose any meaningful limits on practicing the abstract idea. The dependent claims do not include additional elements that are sufficient to amount to significantly more than the judicial exception. As discussed above. Applicant's arguments filed 10/15/2025, with respect to 35 U.S.C. 103 of claims 1-11 have been fully considered but are moot because the arguments do not apply to the new combinations of references being used in the current rejection. Claim Objections Claim 9 is objected to because of the following informalities: Claim 9 recites (Original) and it should be “(Currently Amended)”. Appropriate correction is required. Claim Rejections - 35 USC § 101 35 U.S.C. 101 reads as follows: Whoever invents or discovers any new and useful process, machine, manufacture, or composition of matter, or any new and useful improvement thereof, may obtain a patent therefor, subject to the conditions and requirements of this title. Claims 1-11 are rejected under 35 U.S.C. 101 because the claimed invention is directed to an abstract idea without significantly more. Step 1 Analysis: Claims 1 and 7 are directed to a system and method, which is directed to a process, one of the statutory categories. Step 2A prong 1: Does the claim recite a judicial exception? Yes, claims 1 and 7 recites similar limitations of: “analyze image data to estimate a width in pixels of a first surgical instrument positioned at the treatment site”, falls under the mental process groupings of abstract ideas because they cover concepts performed in the human mind, including observation, evaluation, judgment, and opinion. The limitation of ”estimate a depth coordinate Z of a tip of the first surgical instrument by comparing the estimated tool width to the known physical width of the first surgical instrument and based on the depth coordinate Z determined by comparing the estimated tool width to the known physical width of the surgical instrument, determining in real time a distance between the tip of the first surgical instrument and a point of interest at the treatment site” falls under encompasses mathematical concepts. Step 2A prong 2: Does the claim recite additional elements? Do those additional elements, individually and in combination, integrate the judicial exception into a practical application? The claim recites additional element of “camera positionable to capture image data corresponding to a treatment site; at least one processor and at least one memory, the at least one memory storing instructions executable by said at least one processor, displaying images from the camera in real time on an image display;” to perform a function “apply it” limitation in accordance with MPEP 2106.05(f). The additional elements, alone and in combination, fail to integrate the abstract idea into a practical application. Thus, the claims is directed to an abstract idea. Step 2B: Do the additional elements, considered individually and in combination, amount to significantly more than the judicial exception? No, As discussed above with respect to integration of the abstract idea into a practical application, the additional elements of “camera positionable to capture image data corresponding to a treatment site; at least one processor and at least one memory, the at least one memory storing instructions executable by said at least one processor” only amount to “apply it” consideration (MPEP 2106.5 (f)). Thus, the claim is not patent eligible. The dependent claims the additional limitations (in claims 2-6 and 8-11) also constitute concepts to “apply it” which fall within the “Mental Processes” and groupings of abstract ideas. This judicial exception is not integrated into a practical application and amount to no more than adding insignificant extra-solution activity/specifications related to data gathering, data input, or data transmittal. These additional elements do not integrate the abstract idea into a practical application because they do not impose any meaningful limits on practicing the abstract idea. The dependent claims do not include additional elements that are sufficient to amount to significantly more than the judicial exception. As discussed above. Claim Rejections - 35 USC § 103 The following is a quotation of 35 U.S.C. 103 which forms the basis for all obviousness rejections set forth in this Office action: A patent for a claimed invention may not be obtained, notwithstanding that the claimed invention is not identically disclosed as set forth in section 102, if the differences between the claimed invention and the prior art are such that the claimed invention as a whole would have been obvious before the effective filing date of the claimed invention to a person having ordinary skill in the art to which the claimed invention pertains. Patentability shall not be negated by the manner in which the invention was made. This application currently names joint inventors. In considering patentability of the claims the examiner presumes that the subject matter of the various claims was commonly owned as of the effective filing date of the claimed invention(s) absent any evidence to the contrary. Applicant is advised of the obligation under 37 CFR 1.56 to point out the inventor and effective filing dates of each claim that was not commonly owned as of the effective filing date of the later invention in order for the examiner to consider the applicability of 35 U.S.C. 102(b)(2)(C) for any potential 35 U.S.C. 102(a)(2) prior art against the later invention. Claim(s) 1-2 and 4-8 are rejected under 35 U.S.C. 103 as being unpatentable over KUMAR (US PGPUB: 20230190136 A1, Filed Date: May. 27, 2020) in view of Leiderman (US PGPUB: 20220104884 A1, Filed Date Feb. 08, 2019) in view of NIR (US PGPUB: US 20180271603 A1, Pub Date: Sep. 27, 2018). Regarding independent claim 1, KUMAR teaches: A system, comprising: a camera positionable to capture image data corresponding to a treatment site for display on an image display; (KUMAR – [0008] calculating one or more measurements for the selected area in the video stream; and displaying the measurements on a displaying device intraoperatively to be used by an operator during the arthroscopic procedure [0018] [0067] In some embodiments, the arthroscopic imaging device comprises a digital camera.) at least one processor and at least one memory, the at least one memory storing instructions executable by said at least one processor to: (KUMAR – [0067] The camera control unit may send the video stream to the one or more computer processors.) analyze image data to determine an estimated tool width in pixels of a first surgical instrument positioned at the treatment site; (KUMAR − [0067] the video stream may be obtained from a digital camera specialized for an arthroscopic procedure. [0083] the reference sizing module 314 estimates a size of tooltip using a trained machine learning algorithm. In some embodiments, reference sizing module 314 provides a mask outlining the tip of the tool. In some embodiments, reference sizing module 314 also provides a width of the tool in pixels. Providing the size of the tooltip width in pixels.) by comparing the estimated tool width to the known physical width of the first surgical instrument. (KUMAR − [0083] pathology sizing module 315 uses information from reference sizing module 314 to compare the recognized pathology from pathology recognition module 313 with a tool tip from reference sizing module 314. Examiner Notes: Comparing estimated tool tip from reference sizing model to the pathology sizing module 315) and generating a real-time overlay for display on the image display, the real-time overlay representing the determined distance. (KUMAR − [0018] In some embodiments, the operations further comprise generating an overlay video stream by blending the labels or the measurements with the received video stream; and displaying the overlaid video stream on a displaying device.) KUMAR does not explicitly teach: estimate a depth coordinate Z of a tip of the first surgical instrument However, Leiderman teaches: estimate a depth coordinate Z of a tip of the first surgical instrument (Leiderman − [0123] estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR and Leiderman as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. KUMAR does not explicitly teach: determining in real time a distance between the tip of the first surgical instrument and a point of interest at the treatment site However, NIR teaches: and based on the depth coordinate Z determined by comparing the estimated tool width to the known physical width of the surgical instrument, determining in real time a distance between the tip of the first surgical instrument and a point of interest at the treatment site, (NIR – [0277] 0277] The movement of an endoscope or other surgical tool can be parallel to the Z-axis [0474] Fig. 14 In this embodiment, as shown in FIG. 14, measurements are made of the distance X (150) from the tip (195) of the endoscope (100) to the pivot point of the endoscope (190), where said pivot point is at or near the surface of the skin (1100) of a patient (1000). Measurements are also made of the distance Y (250) from the tip of the endoscope (195) to the object in the center of the scene of view (200).) The Z-axis is the depth coordinate. Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman and NIR as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. Regarding dependent claim 2, depends on claim 1, KUMAR teaches: wherein the instructions are further executable by said at least one processor to estimate X and Y coordinates of the first surgical instrument tip (KUMAR − [0083] the reference sizing module 314 estimates a size of tooltip using a trained machine learning algorithm. In some embodiments, reference sizing module 314 provides a mask outlining the tip of the tool. In some embodiments, reference sizing module 314 also provides a width of the tool in pixels. Providing the size of the tooltip width in pixels.) KUMAR does not explicitly teach: the first surgical instrument tip based on the Z coordinate. However, Leiderman teaches: wherein the instructions are further executable by said at least one processor to estimate X and Y coordinates of the first surgical instrument tip based on the Z coordinate. (Leiderman − [0123] the contemplated embodiments determine XY coordinates of a surgical instrument's tip in two-dimensional space, estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space, and perform computation in real-time to provide a surgeon with the position of the surgical instrument's tip in three-dimensional space.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman and NIR as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. Regarding dependent claim 4, depends on claim 1, KUMAR teaches: wherein the camera is a monocular camera. (KUMAR − [0009] imaging device that is monocular) Regarding dependent claim 5, depends on claim 1, KUMAR teaches: wherein the camera is a stereoscopic camera. (KUMAR − [0009] imaging device that is stereoscopic) Regarding dependent claim 6, depends on claim 1, KUMAR teaches: wherein the only known intrinsic parameter of the camera is the f parameter. (KUMAR − [0009] imaging device that is monocular or stereoscopic [0094] In some embodiments, an imaging device comprises a lens of small focal length. Examiner Notes: Lens focal length is an intrinsic parameter of the camera.) Regarding independent claim 7, KUMAR teaches: A method comprising: capturing image data of a treatment site using a camera positioned in a body cavity; (KUMAR − [0071] The measurement of the point-to-point distance may be estimated based, at least in part on, the size of the probe and a location of the probe (e.g., the distance of the probe from the lens of a camera). FIG. 2A shows an example of a technique for initiating a start location for a measurement using an arbitrary probe 201. The probe and a tip 202 of the probe is recognized by the system) analyzing the image data to determine an estimated tool width in pixels of a first surgical instrument positioned at the treatment site; (KUMAR − [0067] the video stream may be obtained from a digital camera specialized for an arthroscopic procedure. [0083] the reference sizing module 314 estimates a size of tooltip using a trained machine learning algorithm. In some embodiments, reference sizing module 314 provides a mask outlining the tip of the tool. In some embodiments, reference sizing module 314 also provides a width of the tool in pixels. Providing the size of the tooltip width in pixels.) by comparing the estimated tool width to the known physical width of the first surgical instrument. (KUMAR − [0083] pathology sizing module 315 uses information from reference sizing module 314 to compare the recognized pathology from pathology recognition module 313 with a tool tip from reference sizing module 314. Examiner Notes: Comparing estimated tool tip from reference sizing model to the pathology sizing module 315) displaying images from the camera in real time on an image display; (KUMAR − [0008] calculating one or more measurements for the selected area in the video stream; and displaying the measurements on a displaying device intraoperatively to be used by an operator during the arthroscopic procedure.) and generating a real-time overlay for display on the image display, the real-time overlay representing the determined distance. (KUMAR − [0018] In some embodiments, the operations further comprise generating an overlay video stream by blending the labels or the measurements with the received video stream; and displaying the overlaid video stream on a displaying device.) KUMAR does not explicitly teach: estimating a depth coordinate Z of a tip of the first surgical instrument However, Leiderman teaches: estimating a depth coordinate Z of a tip of the first surgical instrument (Leiderman − [0123] estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR and Leiderman as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. KUMAR does not explicitly teach: determining in real time a distance between the tip of the first surgical instrument and a point of interest at the treatment site However, NIR teaches: based on the depth coordinate Z determined by comparing the estimated tool width to the known physical width of the surgical instrument, determining in real time a distance between the tip of the first surgical instrument and a point of interest at the treatment site, (NIR – [0277] 0277] The movement of an endoscope or other surgical tool can be parallel to the Z-axis [0474] Fig. 14 In this embodiment, as shown in FIG. 14, measurements are made of the distance X (150) from the tip (195) of the endoscope (100) to the pivot point of the endoscope (190), where said pivot point is at or near the surface of the skin (1100) of a patient (1000). Measurements are also made of the distance Y (250) from the tip of the endoscope (195) to the object in the center of the scene of view (200).) The Z-axis is the depth coordinate. Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman and NIR as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. Regarding dependent claim 8, depends on claim 7, KUMAR teaches: further comprising estimating X and Y coordinates of the first surgical instrument tip based on the Z coordinate (KUMAR − [0083] the reference sizing module 314 estimates a size of tooltip using a trained machine learning algorithm. In some embodiments, reference sizing module 314 provides a mask outlining the tip of the tool. In some embodiments, reference sizing module 314 also provides a width of the tool in pixels. Providing the size of the tooltip width in pixels.) KUMAR does not explicitly teach: the first surgical instrument tip based on the Z coordinate However, Leiderman teaches: further comprising estimating X and Y coordinates of the first surgical instrument tip based on the Z coordinate. (Leiderman − [0123] the contemplated embodiments determine XY coordinates of a surgical instrument's tip in two-dimensional space, estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space, and perform computation in real-time to provide a surgeon with the position of the surgical instrument's tip in three-dimensional space.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman and NIR as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. Claim(s) 3 and 9-11 are rejected under 35 U.S.C. 103 as being unpatentable over KUMAR , Leiderman and NIR as applied to claims 2 and 8 above, and further in view of NIXON (USPGPUB: 20090171371 A1, Filed Date: Dec. 26, 2007). Regarding dependent claim 3, depends on claim 2, KUMAR teaches: wherein the instructions are further executable by said at least one processor to: analyze image data to determine an estimated tool width in pixels of a second surgical instrument positioned at the treatment site; (KUMAR − [0067] the video stream may be obtained from a digital camera specialized for an arthroscopic procedure. [0083] the reference sizing module 314 estimates a size of tooltip using a trained machine learning algorithm. In some embodiments, reference sizing module 314 provides a mask outlining the tip of the tool. In some embodiments, reference sizing module 314 also provides a width of the tool in pixels. Providing the size of the tooltip width in pixels.) by comparing the estimated tool width of the second surgical instrument to the known physical width of the second surgical instrument, the tip of the second surgical instrument being the point of interest at the treatment site; (KUMAR − [0083] pathology sizing module 315 uses information from reference sizing module 314 to compare the recognized pathology from pathology recognition module 313 with a tool tip from reference sizing module 314. Examiner Notes: Comparing estimated tool tip from reference sizing model to the pathology sizing module 315) KUMAR does not explicitly teach: estimate a depth coordinate Z of a tip of the first surgical instrument However, Leiderman teaches estimate a depth coordinate Z of a tip of the second surgical instrument (Leiderman − [0123] estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space.) and estimate X and Y coordinates of the second surgical instrument tip based on the estimated Z coordinate of the second surgical instrument tip, (Leiderman − [0123] the contemplated embodiments determine XY coordinates of a surgical instrument's tip in two-dimensional space, estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space, and perform computation in real-time to provide a surgeon with the position of the surgical instrument's tip in three-dimensional space.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR and Leiderman as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. KUMAR does not explicitly teach: and estimate a distance between the first surgical instrument tip and the second instrument tip using the estimated X,Y and Z coordinates for the first instrument tip and the second instrument tip. However, NIXON teaches: and estimate a distance between the first surgical instrument tip and the second instrument tip using the estimated X,Y and Z coordinates for the first instrument tip and the second instrument tip. (NIXON − [0012] determining the distance between the first and second tools using the sensed positions of the first and second tools; [0070] as shown in FIG. 11 so that the distance determination processor 402 can compute a distance between the two points.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman, NIR and NIXON as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accurate measurement of surgical tools position and location. Regarding dependent claim 9, depends on claim 8, KUMAR teaches: further including: analyzing the image data to determine an estimated tool width in pixels of a second surgical instrument positioned at the treatment site; (KUMAR − [0067] the video stream may be obtained from a digital camera specialized for an arthroscopic procedure. [0083] the reference sizing module 314 estimates a size of tooltip using a trained machine learning algorithm. In some embodiments, reference sizing module 314 provides a mask outlining the tip of the tool. In some embodiments, reference sizing module 314 also provides a width of the tool in pixels. Providing the size of the tooltip width in pixels.) by comparing the estimated second tool width of the second surgical instrument to the known physical width of the second surgical instrument; (KUMAR − [0083] pathology sizing module 315 uses information from reference sizing module 314 to compare the recognized pathology from pathology recognition module 313 with a tool tip from reference sizing module 314. Examiner Notes: Comparing estimated tool tip from reference sizing model to the pathology sizing module 315) KUMAR does not explicitly teach: estimating a depth coordinate Z of a tip of the first surgical instrument However, Leiderman teaches estimating a depth coordinate Z of a tip of the second surgical instrument (Leiderman − [0123] estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space.) and estimate X and Y coordinates of the second surgical instrument tip based on the estimated Z coordinate of the second surgical instrument tip, (Leiderman − [0123] the contemplated embodiments determine XY coordinates of a surgical instrument's tip in two-dimensional space, estimate the depth of the tip (i.e., the Z coordinate) to locate it in three-dimensional space, and perform computation in real-time to provide a surgeon with the position of the surgical instrument's tip in three-dimensional space.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR and Leiderman as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accuracy of surgical tool position and location. KUMAR does not explicitly teach: and estimating a distance between the first surgical instrument tip and the second instrument tip using the estimated X,Y and Z coordinates for the first instrument tip and the second instrument tip. However, NIXON teaches: and estimating a distance between the first surgical instrument tip and the second instrument tip using the estimated X,Y and Z coordinates for the first instrument tip and the second instrument tip. (NIXON − [0012] determining the distance between the first and second tools using the sensed positions of the first and second tools; [0070] as shown in FIG. 11 so that the distance determination processor 402 can compute a distance between the two points.) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman, NIR and NIXON as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accurate measurement of surgical tools position and location. Regarding dependent claim 10, depends on claim 9, KUMAR teaches: further including displaying images from the camera on an image display, (KUMAR − [0036] FIG. 2A shows an example of initiating a start location for a measurement using a probe, according to some embodiments.) KUMAR does not explicitly teach: and displaying an overlay on the image display showing the distance estimated. However, NIXON teaches: and displaying an overlay on the image display showing the distance estimated. (NIXON − [0078] FIG. 15 illustrates, as an example, a display screen 1500 of the monitor 104, on which, an image of the tool 1200 and information of a distance traversed by the tip of the tool 1200 is show) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman, NIR and NIXON as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accurate measurement of surgical tools position and location. Regarding dependent claim 11, depends on claim 10, KUMAR does not explicitly teach: further including displaying an overlay on the image identifying points between which the distance is measured. However, NIXON teaches: further including displaying an overlay on the image identifying points between which the distance is measured. (NIXON − [0078] FIG. 15 illustrates, as an example, a display screen 1500 of the monitor 104, on which, an image of the tool 1200 and information of a distance traversed by the tip of the tool 1200 is show) Accordingly, it would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to have combined the teaching of KUMAR, Leiderman, NIR and NIXON as each invention same field of image analysis. One of ordinary skill in the art would have been motivated to make these modification in order to improves accurate measurement of surgical tools position and location. Conclusion Applicant's amendment necessitated the new ground(s) of rejection presented in this Office action. Accordingly, THIS ACTION IS MADE FINAL. See MPEP § 706.07(a). Applicant is reminded of the extension of time policy as set forth in 37 CFR 1.136(a). A shortened statutory period for reply to this final action is set to expire THREE MONTHS from the mailing date of this action. In the event a first reply is filed within TWO MONTHS of the mailing date of this final action and the advisory action is not mailed until after the end of the THREE-MONTH shortened statutory period, then the shortened statutory period will expire on the date the advisory action is mailed, and any nonprovisional extension fee (37 CFR 1.17(a)) pursuant to 37 CFR 1.136(a) will be calculated from the mailing date of the advisory action. In no event, however, will the statutory period for reply expire later than SIX MONTHS from the mailing date of this final action. Any inquiry concerning this communication or earlier communications from the examiner should be directed to CARL E BARNES JR whose telephone number is (571)270-3395. The examiner can normally be reached Monday-Friday 9am-6pm. Examiner interviews are available via telephone, in-person, and video conferencing using a USPTO supplied web-based collaboration tool. To schedule an interview, applicant is encouraged to use the USPTO Automated Interview Request (AIR) at http://www.uspto.gov/interviewpractice. If attempts to reach the examiner by telephone are unsuccessful, the examiner’s supervisor, Stephen Hong can be reached at (571) 272-4124. The fax phone number for the organization where this application or proceeding is assigned is 571-273-8300. Information regarding the status of published or unpublished applications may be obtained from Patent Center. Unpublished application information in Patent Center is available to registered users. To file and manage patent submissions in Patent Center, visit: https://patentcenter.uspto.gov. Visit https://www.uspto.gov/patents/apply/patent-center for more information about Patent Center and https://www.uspto.gov/patents/docx for information about filing in DOCX format. For additional questions, contact the Electronic Business Center (EBC) at 866-217-9197 (toll-free). If you would like assistance from a USPTO Customer Service Representative, call 800-786-9199 (IN USA OR CANADA) or 571-272-1000. /CARL E BARNES JR/Examiner, Art Unit 2178 /STEPHEN S HONG/Supervisory Patent Examiner, Art Unit 2178
Read full office action

Prosecution Timeline

Sep 28, 2022
Application Filed
Apr 05, 2025
Non-Final Rejection — §101, §103
Oct 14, 2025
Response Filed
Jan 24, 2026
Final Rejection — §101, §103 (current)

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Patent 12530765
SYSTEMS AND METHODS FOR CALCIUM-FREE COMPUTED TOMOGRAPHY ANGIOGRAPHY
2y 5m to grant Granted Jan 20, 2026
Patent 12530523
METHOD, APPARATUS, SYSTEM, AND COMPUTER PROGRAM FOR CORRECTING TABLE COORDINATE INFORMATION
2y 5m to grant Granted Jan 20, 2026
Study what changed to get past this examiner. Based on 5 most recent grants.

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Prosecution Projections

3-4
Expected OA Rounds
32%
Grant Probability
57%
With Interview (+25.2%)
4y 4m
Median Time to Grant
Moderate
PTA Risk
Based on 202 resolved cases by this examiner. Grant probability derived from career allow rate.

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