Prosecution Insights
Last updated: April 19, 2026
Application No. 18/223,108

SYSTEM AND METHOD FOR PLACEMENT VERIFICATION OF NASOGASTRIC TUBE

Non-Final OA §102§103
Filed
Jul 18, 2023
Examiner
STIMPERT, PHILIP EARL
Art Unit
3783
Tech Center
3700 — Mechanical Engineering & Manufacturing
Assignee
Mary Hitchcock Memorial Hospital For Itself And On Behalf Of Dartmouth-Hitchcock Clinic
OA Round
1 (Non-Final)
63%
Grant Probability
Moderate
1-2
OA Rounds
3y 9m
To Grant
99%
With Interview

Examiner Intelligence

Grants 63% of resolved cases
63%
Career Allow Rate
537 granted / 857 resolved
-7.3% vs TC avg
Strong +49% interview lift
Without
With
+49.3%
Interview Lift
resolved cases with interview
Typical timeline
3y 9m
Avg Prosecution
85 currently pending
Career history
942
Total Applications
across all art units

Statute-Specific Performance

§101
0.4%
-39.6% vs TC avg
§103
50.1%
+10.1% vs TC avg
§102
20.5%
-19.5% vs TC avg
§112
26.7%
-13.3% vs TC avg
Black line = Tech Center average estimate • Based on career data from 857 resolved cases

Office Action

§102 §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 . Claim Rejections - 35 USC § 102 The following is a quotation of the appropriate paragraphs of 35 U.S.C. 102 that form the basis for the rejections under this section made in this Office action: A person shall be entitled to a patent unless – (a)(1) the claimed invention was patented, described in a printed publication, or in public use, on sale, or otherwise available to the public before the effective filing date of the claimed invention. Claim(s) 1-6, 8-10, 13-17 and 19 is/are rejected under 35 U.S.C. 102(a)(1) as being anticipated by US Pre-Grant Publication 2017/0065491 to Waitzman et al. (Waitzman hereinafter). Regarding claim 1, Waitzman teaches a system for verification of nasogastric tube (NGT, element 10 in Waitzman) placement comprising a fiber optic light guide (50) having a proximal end (60) with a light source connection (64) and a distal end (62) having a light emitting tip (54), the light guide having a diameter and a length constructed and arranged for insertion into a lumen of the NGT; and a stop (34, 52, 71) that prevents the distal end of the light guide from exiting a distal end of the NGT. Regarding claim 2, Waitzman teaches engaging a connector (64) with a stop (34) which is capable, e.g. by friction, of preventing the distal end of the light guide from exiting the distal end of the NGT. Regarding claim 3, Waitzman teaches a radial emitter (e.g. at 32). Regarding claim 4, Waitzman teaches an LC connector (paragraph 53). Regarding claim 5, Waitzman teaches 625-635 or less than 680 nm wavelength light (paragraph 61). Regarding claim 6, Waitzman teaches wavelengths including 650 nm, as discussed above. Regarding claims 8-9, Waitzman teaches that the stop (34, 52, 71) is located such that the distal end of the light guide (50) is positioned at an offset from the distal end of the NGT when the stop engages the connector (for instance, Waitzman teaches a 2mm diameter tube, see paragraph 46, any inner portion of which will be at least 1mm offset from at least some portion of the outer surface of the tube). Regarding claim 10, Waitzman teaches that the NGT is adapted for infants (paragraph 45). Regarding claim 13, Waitzman teaches a method for verifying placement of a nasogastric tube (NGT) comprising the steps of: positioning a light guide (50) with a light-emitting distal tip (54) adjacent to a distal end of the NGT (10); placing a distal end (30) of the NGT at a location within the patient's anatomy via the nose (paragraph 5); operating a light source (100) to illuminate the light-emitting tip; visually locating light emitted from the tip through the patient's skin (paragraph 67); and based upon the locating, verifying proper placement of the distal end of the NGT with respect to the patient's anatomy (paragraph 67). Regarding claim 14, Waitzman teaches placing the distal end into a stomach (paragraph 14) of an infant (paragraph 45). Regarding claim 15, Waitzman teaches engaging a connector (64) with a stop (34) which is capable, e.g. by friction, of preventing the distal end of the light guide from exiting the distal end of the NGT. Regarding claim 16, Waitzman teaches a radial emitter (e.g. at 32). Regarding claim 17, Waitzman teaches wavelengths including 650 nm, as discussed above. Regarding claim 19, Waitzman teaches proximally removing the light guide and providing a food source to the proximal end (paragraph 68). 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. Claim(s) 7, 11, 12, and 18 is/are rejected under 35 U.S.C. 103 as being unpatentable over Waitzman. Regarding claim 7, Waitzman is silent to power levels such as 30W of light emission. However, Since Waitzman teaches the use of light through skin, this specifies a minimum power level over which 30W must fall. Accordingly, one of skill, in embodying the system of Waitzman, would have been motivated to use a 30W light source prior to the effective filing date in order to allow the light to be seen through the patient’s skin and thereby verify correct placement. Regarding claim 11, Waitzman teaches a diameter of French gauge 6, instead of the claimed 6.5. However, it has been held that where the difference between the claimed invention and the prior art is merely a recitation of dimension, as is the case here, a prima facie case of obviousness is present if there is no evidence of the criticality of the dimension (MPEP 2144.04 IV. A). The examiner therefore concludes that claim 11 is obvious over Waitzman. Regarding claims 12 and 18, Waitzman is silent to any packaging or shipping configuration of the tube. However, there are only two possibilities: the light guide of Waitzman may be packaged either installed in the tube or not installed in the tube. Given these finite choices, one of ordinary skill would have found it obvious to try both configurations. Accordingly, the invention of these claims would have been obvious to try at the time of the effective filing date. Conclusion The prior art made of record and not relied upon is considered pertinent to applicant's disclosure. US Pre-Grant Publication 2018/0000320 teaches another optically guided feeding tube with a different tip assembly (see e.g. Figs. 2A, 2B). Any inquiry concerning this communication or earlier communications from the examiner should be directed to PHILIP E STIMPERT whose telephone number is (571)270-1890. The examiner can normally be reached Monday-Friday, 8a-4p. 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, Chelsea Stinson can be reached at 571-270-1744. 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. /PHILIP E STIMPERT/Primary Examiner, Art Unit 3783 8 January 2026
Read full office action

Prosecution Timeline

Jul 18, 2023
Application Filed
Jan 08, 2026
Non-Final Rejection — §102, §103 (current)

Precedent Cases

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Study what changed to get past this examiner. Based on 5 most recent grants.

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Prosecution Projections

1-2
Expected OA Rounds
63%
Grant Probability
99%
With Interview (+49.3%)
3y 9m
Median Time to Grant
Low
PTA Risk
Based on 857 resolved cases by this examiner. Grant probability derived from career allow rate.

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