Prosecution Insights
Last updated: July 17, 2026
Application No. 18/345,845

SURGICAL INSTRUMENT RECOGNITION FROM SURGICAL VIDEOS

Final Rejection §103§112
Filed
Jun 30, 2023
Priority
Jun 30, 2022 — provisional 63/357,413
Examiner
SCHWARTZ, RAPHAEL M
Art Unit
2671
Tech Center
2600 — Communications
Assignee
Johnson & Johnson
OA Round
2 (Final)
67%
Grant Probability
Favorable
3-4
OA Rounds
0m
Est. Remaining
98%
With Interview

Examiner Intelligence

Grants 67% — above average
67%
Career Allowance Rate
229 granted / 341 resolved
+5.2% vs TC avg
Strong +31% interview lift
Without
With
+30.8%
Interview Lift
resolved cases with interview
Typical timeline
2y 11m
Avg Prosecution
21 currently pending
Career history
368
Total Applications
across all art units

Statute-Specific Performance

§101
0.2%
-39.8% vs TC avg
§103
93.6%
+53.6% vs TC avg
§102
1.6%
-38.4% vs TC avg
§112
2.4%
-37.6% vs TC avg
Black line = Tech Center average estimate • Based on career data from 341 resolved cases

Office Action

§103 §112
DETAILED ACTION Response to Amendment Applicant’s response to the last Office Action, filed on 4/13/2026 has been entered and made of record. Applicant’s amendments necessitated the new ground of rejection set forth herein; therefore, this action is made Final. Claim objections due to minor informalities are withdrawn in view of amendments. Rejections under 35 USC 112 are modified in view of amendments. Response to Arguments Applicant's arguments filed on 4/13/2026 have been fully considered but they are not persuasive. Detailed rejections have been updated to reflect claim amendments. Zhang (“SWNet: Surgical Workflow Recognition with Deep Convolutional Network”) has been added to the rejection of the independent claims. Claim Rejections - 35 USC § 112 The following is a quotation of the first paragraph of 35 U.S.C. 112(a): (a) IN GENERAL.—The specification shall contain a written description of the invention, and of the manner and process of making and using it, in such full, clear, concise, and exact terms as to enable any person skilled in the art to which it pertains, or with which it is most nearly connected, to make and use the same, and shall set forth the best mode contemplated by the inventor or joint inventor of carrying out the invention. The following is a quotation of the first paragraph of pre-AIA 35 U.S.C. 112: The specification shall contain a written description of the invention, and of the manner and process of making and using it, in such full, clear, concise, and exact terms as to enable any person skilled in the art to which it pertains, or with which it is most nearly connected, to make and use the same, and shall set forth the best mode contemplated by the inventor of carrying out his invention. Claims 2-4 and 12-13 are rejected under 35 U.S.C. 112(a) or 35 U.S.C. 112 (pre-AIA ), first paragraph, as failing to comply with the written description requirement. The claim(s) contains subject matter which was not described in the specification in such a way as to reasonably convey to one skilled in the relevant art that the inventor or a joint inventor, or for applications subject to pre-AIA 35 U.S.C. 112, the inventor(s), at the time the application was filed, had possession of the claimed invention. Claims 2, 3, and 12 contain the language “not the MS-TCN” such as in claim 3, “the one or more video segments are recognized by the NLP module, not the MS-TCN,”. Examiner notes that this is a negative limitation for which there is no explicit support for in the original disclosure. The following is a quotation of 35 U.S.C. 112(b): (b) CONCLUSION.—The specification shall conclude with one or more claims particularly pointing out and distinctly claiming the subject matter which the inventor or a joint inventor regards as the invention. The following is a quotation of 35 U.S.C. 112 (pre-AIA ), second paragraph: The specification shall conclude with one or more claims particularly pointing out and distinctly claiming the subject matter which the applicant regards as his invention. Claim 2 rejected under 35 U.S.C. 112(b) or 35 U.S.C. 112 (pre-AIA ), second paragraph, as being indefinite for failing to particularly point out and distinctly claim the subject matter which the inventor or a joint inventor (or for applications subject to pre-AIA 35 U.S.C. 112, the applicant), regards as the invention. Claim 2 recites, “the action segmentation network comprises the NLP module which recognizes the one or more video segments, not the MS-TCN”. It is not clear what the phrase “not the MS-TCN” is intended to refer to here. Claim Rejections - 35 USC § 103 In the event the determination of the status of the application as subject to AIA 35 U.S.C. 102 and 103 (or as subject to pre-AIA 35 U.S.C. 102 and 103) is incorrect, any correction of the statutory basis (i.e., changing from AIA to pre-AIA ) for the rejection will not be considered a new ground of rejection if the prior art relied upon, and the rationale supporting the rejection, would be the same under either status. 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) 1-9, 11 and 14-18 is/are rejected under 35 U.S.C. 103 as being unpatentable over Wolf (US pat. No. 10,729,502) in view of Zhang (“SWNet: Surgical Workflow Recognition with Deep Convolutional Network”). Regarding claim 1, Wolf discloses a system comprising: (Wolf teaches a system for generating surgical summary footage via neural networks grouping frames based on video content. Users then navigate the surgical summary footage with a user interface, See Abstract.) one or more processors and a memory storing instructions executed by the one or more processors, configured as the following elements to process a surgical video: (Col. 8, ll. 25-55) i) a feature extraction network that has been previously trained, with video frames selected from a surgical video dataset, to output frame features, (see Col. 36 ¶ 2-3 and and Col. 37 last paragraph disclose using a variety of pre-trained neural network types to extract video frame features and perform natural language processing in order to generate phase tags to assign language labels to surgical phases.) ii) an action segmentation network that has been previously trained with video features that were produced from the frame features that were output by the feature extraction network, (As above, Col. 36 ¶ 2-3 and and Col. 37 last paragraph disclose using a variety of pre-trained neural network types to extract video frame features and perform natural language processing in order to generate phase tags to assign language labels to surgical phases of the video.) wherein the action segmentation network is to, wherein the feature extraction network is to extract from the surgical video on a frame by frame basis a plurality of features including one or more surgical instrument types and a presence of a plurality of surgical instruments, from a surgical video, on a frame by frame basis; and (Col. 55, ¶ 2 and col. 56, ¶ 3 teach surgical instrument detection of a variety of types on a frame by frame basis. Also see Col. 150, last paragraph, col. 77, ¶ 3 and col. 22, ¶ 2.) for a respective surgical instrument in the plurality of surgical instruments, analyze the constituent video frames of the surgical video based on the plurality of features extracted by the feature extraction network to recognize one or more video segments, each recognized video segment including a detected presence of the respective surgical instrument, (Col. 55, ¶ 2 and col. 56, ¶ 3 teach detecting video segments and grouping frames based on surgical instrument presence detection. As above, also see Col. 150, last paragraph, col. 77, ¶ 3 and col. 22, ¶ 2.) wherein the one or more video segments are recognized by a multi-stage temporal convolution network (MS-TCN) or a natural language processing (NLP) module in the action segmentation network. (Col. 132 ¶ 3 teaches using natural language processing in video segment processing. Also see Col. 36 last paragraph and Col. 37 last paragraph which disclose using a variety of neural network types to perform natural language processing by generating phase tags to assign language labels to surgical phases.) In the field of surgical video workflow recognition Zhang teaches using video features that were produced by concatenating frame features (Zhang pg 2, last paragraph, “We concatenate the extracted features to get the full video features and utilize MS-TCN to achieve initial surgical phase segmentation for the full surgical video.) 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 Wolf’s surgical video workflow recognition with Zhang’s surgical video workflow recognition. Wolf teaches a system for generating surgical summary footage via neural networks grouping frames based on video content. Users then navigate the surgical summary footage with a user interface for filtering the video content based on surgical instrumentation. Zhang’s algorithm teaches frame feature concatenation and video feature filtering to improve offline recognition results to filter out incorrect predictions. The combination constitutes the repeatable and predictable result of simply applying Zhang’s surgical video filtering step to be used in the way in which it was intended. This cannot be considered a non-obvious improvement in view of the relevant prior art here. Using known engineering design, no “fundamental” operating principle of the teachings are changed; they continue to perform the same functions as originally taught prior to being combined. Regarding claim 2, the above combination discloses the system of claim 1, wherein the action segmentation network comprises the NLP module which recognizes the one or more video segments, not the MS-TCN, by the one or more processors performing spatial-temporal feature learning. (See Col. 36 last paragraph and Col. 37 last paragraph which disclose using a variety of neural network types, performing spatial-temporal video feature learning, to accomplish natural language processing by generating phase tags to assign language labels to surgical phases.) Regarding claim 3, the above combination discloses the system of claim 1, wherein the NLP module, not the MS-TCN, which is based on a transformer model. (See Col. 36 last paragraph and Col. 37 last paragraph which disclose using a variety of neural network types including with transformer functions to perform natural language processing by generating phase tags to assign language labels to surgical phases. Also see Col. 12, last paragraph.) Regarding claim 4, the above combination discloses the system of claim 3, wherein the transformer model includes an encoder network and a decoder network. (Col. 36 last paragraph teaches using an autoencoder neural network architecture which includes an encoder and decoder.) Regarding claim 5, the above combination discloses the system of claim 1, wherein the one or more processors are further configured to present a surgical instrument navigation bar illustrating a timeline of usage for the respective surgical instrument detected in the surgical video. (Col. 19, ¶ 2 and col. 22, ¶ 2 teaches a surgical timeline navigation bar for surgical events including surgical instrument usage. Also see Fig 4.) Regarding claim 6, the above combination discloses the system of claim 1, wherein the one or more processors are further configured to facilitate a search interface where responsive to input keywords, video segments matching the input keywords are presented. (Col. 42, ¶ 2 and Fig. 7 teach a search interface responsive to input keywords to pull up video segments such as surgical phases.) Regarding claim 7, the above combination discloses the system of claim 6, wherein the input keywords include surgical procedure type, surgical steps, surgical events, and/or surgical instrument types and presence. (Col. 42, ¶ 2 and Fig. 7 teach a search interface responsive to input keywords such as surgical steps to pull up video segments.) Regarding claim 8, the above combination discloses the system of claim 1, wherein the one or more processors are further configured to: collect statistics on a plurality of instances of the detected presence of the respective surgical instrument where each instance is from a respective surgical video in which a respective surgeon is operating and present the collected statistics to users. (Col. 49, ¶ 3 and col. 114 ¶ 3.) Regarding claim 9, the above combination discloses the system of claim 1, wherein the one or more processors are further configured to filter the one or more video segments of the detected presence of the respective surgical instrument based on filtering rules set by a human actor. (Col. 42, ¶ 2 and Fig. 7 teach a search interface responsive to input keywords such as surgical instruments and steps as well as other filtering to pull up video segments.) Claims 11, 14-17 and 19 is the method claim corresponding to the system of claims 1, 3, 5-8. The system necessarily requires method steps. Remaining limitations are rejected similarly. See detailed analysis above. Claim 18 is the ‘article of manufacturer comprising memory’ claim corresponding to claims 1 and 3. See Wolf Col. 8, ll. 25-55 regarding the teaching for memory. Remaining limitations are rejected similarly. See detailed analysis above. Regarding claim 10, the above combination discloses the system of claim 1, wherein the one or more processors are further configured to filter the one or more video segments of detected surgical instrument (See rejection of claim 1. In the field of surgical video workflow recognition Zhang teaches using a prior knowledge noise filtering (PKNF) algorithm. (Zhang pg 2, last paragraph, “We concatenate the extracted features to get the full video features and utilize MS-TCN to achieve initial surgical phase segmentation for the full surgical video. We apply the Prior Knowledge Noise Filtering algorithm to the initial surgical phase segmentation results to get the final prediction results.” Prior Knowledge Noise Filtering algorithm improves offline recognition results to filter out incorrect predictions.) 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 Wolf’s surgical video workflow recognition with Zhang’s surgical video workflow recognition. Wolf teaches a system for generating surgical summary footage via neural networks grouping frames based on video content. Users then navigate the surgical summary footage with a user interface for filtering the video content based on surgical instrumentation. Zhang’s Prior Knowledge Noise Filtering algorithm improves offline recognition results to filter out incorrect predictions. The combination constitutes the repeatable and predictable result of simply applying Zhang’s surgical video filtering step to be used in the way in which it was intended. This cannot be considered a non-obvious improvement in view of the relevant prior art here. Using known engineering design, no “fundamental” operating principle of the teachings are changed; they continue to perform the same functions as originally taught prior to being combined. Claim(s) 12 is/are rejected under 35 U.S.C. 103 as being unpatentable over Wolf (US pat. No. 10,729,502) in view of Zhang (“SWNet: Surgical Workflow Recognition with Deep Convolutional Network”) and Tan (“EfficientNetV2: Smaller Models and Faster Training”) Regarding claim 12, the above combination discloses the method of claim 11 wherein the video segment is recognized by the vision transformer, not the MS-TCN (See rejection of claim 1) In the field of image analysis Tan teaches that extracting the plurality of features comprises doing so by EfficientNetV2 featurizer. (“EfficientNetV2, a new family of convolutional networks that have faster training speed and better parameter efficiency than previous models”, see Abstract and architecture at pg. 3, section 3.) 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 Wolf’s convolutional neural network-based image analysis with Tan’s convolutional neural network-based image analysis. Wolf Col. 36 last paragraph and Col. 37 last paragraph disclose using a variety of neural network types to perform image processing, extract features and assign language labels. Tan teaches the EfficientNetV2 architecture as an improved convolutional neural network type. The combination constitutes the repeatable and predictable result of simply applying using Tan’s technique in the way in which it was intended. This cannot be considered a non-obvious improvement in view of the relevant prior art here. Using known engineering design, no “fundamental” operating principle of the teachings are changed; they continue to perform the same functions as originally taught prior to being combined. Claim(s) 13 and 20 is/are rejected under 35 U.S.C. 103 as being unpatentable over Wolf (US pat. No. 10,729,502) in view of Zhang (“SWNet: Surgical Workflow Recognition with Deep Convolutional Network”), Tan (“EfficientNetV2: Smaller Models and Faster Training”) and Yi (“ASFormer: Transformer for Action Segmentation”). Regarding claim 13, the above combination discloses the method of claim 12 (See rejection of claim 1) In the field of image analysis Yi teaches that the vision transformer is ASFormer. (Abstract, “we design an efficient Transformer-based model for action segmentation task, named ASFormer”) 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 Wolf’s neural network-based image analysis with Yi’s neural network-based image analysis. Wolf Col. 36 last paragraph and Col. 37 last paragraph disclose using a variety of neural network types to perform image processing, extract features and assign language labels. Yi teaches the ASFormer architecture as an improved transformer neural network type for video processing. The combination constitutes the repeatable and predictable result of simply applying using Yi’s technique in the way in which it was intended. This cannot be considered a non-obvious improvement in view of the relevant prior art here. Using known engineering design, no “fundamental” operating principle of the teachings are changed; they continue to perform the same functions as originally taught prior to being combined. Regarding claim 20, the above combination discloses the article of manufacture of claim 19 wherein the vision transformer is ASFormer, and the instructions configured the computing device to extract the feature by EfficientNetV2 featurizer. (See rejections of claims 1, 12 and 13.) Additional Prior Art In addition to the above citations Examiner would like to make note of the following prior art: Zhang et al. (WO 2022/219555 A1) Zhang, Bokai, et al. "Towards accurate surgical workflow recognition with convolutional networks and transformers." Computer Methods in Biomechanics and Biomedical Engineering: Imaging & Visualization 10.4 (Published online: 24 Nov 2021): 349-356. Conclusion Based on these facts, THIS ACTION IS MADE FINAL. 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 extension fee 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. Contact Information Any inquiry concerning this communication or earlier communications from the examiner should be directed to Raphael Schwartz whose telephone number is (571)270-3822. The examiner can normally be reached Monday to Friday 9am-5pm CT. 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, Vincent Rudolph can be reached at (571) 272-8243. 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. /RAPHAEL SCHWARTZ/ Examiner, Art Unit 2671
Read full office action

Prosecution Timeline

Jun 30, 2023
Application Filed
Jan 12, 2026
Non-Final Rejection mailed — §103, §112
Apr 13, 2026
Response Filed
Jul 01, 2026
Final Rejection mailed — §103, §112 (current)

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Prosecution Projections

3-4
Expected OA Rounds
67%
Grant Probability
98%
With Interview (+30.8%)
2y 11m (~0m remaining)
Median Time to Grant
Moderate
PTA Risk
Based on 341 resolved cases by this examiner. Grant probability derived from career allowance rate.

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