Prosecution Insights
Last updated: August 06, 2026
Application No. 18/370,305

System and Method for Providing Clinical Decision Support

Non-Final OA §101
Filed
Sep 19, 2023
Priority
Oct 14, 2020 — provisional 63/091,427 +5 more
Examiner
LAU, MICHAEL J
Art Unit
3796
Tech Center
3700 — Mechanical Engineering & Manufacturing
Assignee
Etiometry Inc.
OA Round
5 (Non-Final)
71%
Grant Probability
Favorable
5-6
OA Rounds
0m
Est. Remaining
95%
With Interview

Examiner Intelligence

Grants 71% — above average
71%
Career Allowance Rate
220 granted / 310 resolved
+1.0% vs TC avg
Strong +24% interview lift
Without
With
+23.9%
Interview Lift
resolved cases with interview
Typical timeline
2y 10m
Avg Prosecution
37 currently pending
Career history
351
Total Applications
across all art units

Statute-Specific Performance

§101
12.6%
-27.4% vs TC avg
§103
55.0%
+15.0% vs TC avg
§102
5.3%
-34.7% vs TC avg
§112
21.1%
-18.9% vs TC avg
Black line = Tech Center average estimate • Based on career data from 310 resolved cases

Office Action

§101
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 . Continued Examination Under 37 CFR 1.114 A request for continued examination under 37 CFR 1.114, including the fee set forth in 37 CFR 1.17(e), was filed in this application after final rejection. Since this application is eligible for continued examination under 37 CFR 1.114, and the fee set forth in 37 CFR 1.17(e) has been timely paid, the finality of the previous Office action has been withdrawn pursuant to 37 CFR 1.114. Applicant's submission filed on 5/8/2026 has been entered. Response to Arguments Applicant's arguments and amendments filed 5/8/2026 have been fully considered but they are not persuasive. The Applicant amended the claims to use a probabilistic with hidden or partially observed physiological variables to overcome the 101 rejection. The Examiner respectfully disagrees. A real-time automatic determination does not provide strict time limitations; it essentially means processing/analyzing the data as it is received. Probabilistic models with hidden layers/variables are considered well-known and conventional in the art in view of Barbour (US 2018/0110458 A1) eg. Para. 274 and Batchinsky (US 2015/0150517 A1) eg. Para. 39 such as using derived physiological parameters in probabilistic models in determining patient statuses. To reiterate the previous action, the claims recite collecting, aggregating, and storing patient data (extrasolution activity of mere data gathering) and monitoring and determining the patient data for compliance and eligibility (data analysis and determination, use of probabilistic models is mathematical calculations), and outputting a result on a screen (extrasolution activity of data outputting). The analysis of data and making determinations about them as claimed does not recite limitations that would preclude a person from performing these steps mentally. The Examiner interprets the abstract ideas as a trained physician analyzing a collection of data over a period of time and making decisions about whether a person has been above a threshold for a certain amount of time and using mathematical models (mathematical calculations) to make those determinations. The claims do not contain language that would amount to significantly more than the abstract ideas highlighted in the rejection. Looking at the computer limitations, the claims don't recite any limitations that would amount to more than what are generic computer functions nor would improve the functioning of a computer. There is no indication that the combination of elements permits automation of specific tasks that previously could not be automated. There is no indication that the combination of elements includes a particular solution to a computer-based problem or a particular way to achieve a desired computer-based outcome. Rather, the collective functions of the claimed invention merely provide conventional computer implementation, i.e., the computer is simply a tool to perform the process. The Examiner recommends adding in claim language that improves the machine learning model and/or improvements to a computer component of system performance based on adjustments to parameters of a machine learning model associated with tasks or workstreams (see Ex Parte Desjardins), or an active treatment step. The 101 rejection is maintained below. 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 1-20 are rejected under 35 U.S.C. 101 because of the following analysis: Step 1: Do the claims recite one of the statutory categories of matter (i.e. method, apparatus, etc.)? YES, 1-9 and 19-20 recite an apparatus and claims 10-17 recite a method. Step 2A Prong 1: Is there an abstract idea involved? YES, the claim language recites determining patient eligibility and compliance with a medical protocol, receive patient data from sensors, and determine a dynamic concordance rate. These limitations, as drafted, is a process that, under its broadest reasonable interpretation, covers performance of the limitation in mind or by a person using a pen and paper. Step 2a Prong 2: Do the claims recite additional elements that integrate the exception into a practical application? NO, the claims recite a sensor, medical library, and medical device interface, which are well-known, routine and conventional structure in monitoring patients. The medical library and medical device interface are recited at a high level of generality and is recited as performing generic computer functions. i.e., data processing and display. The elements amount to mere instructions to implement an abstract idea on a computer, or merely uses a computer as a tool to perform an abstract idea (see MPEP 2106.04(d) and 2106.05(f)). Accordingly, each of the additional elements do not integrate the abstract idea into a practical application because they do not impose any meaningful limitations on practicing the abstract idea. Step 2B: Do the additional elements amount to “Significantly More” than the judicial exception? The emphasized elements cited above do not amount to significantly more than the judicial exception because these limitations are simply appending well-understood, routine and conventional activities previously known in the industry, specified at a high level of generality, to the judicial exception, e.g., a claim to an abstract idea requiring no more than a generic computer to perform generic computer functions that are well-understood, routine and conventional activities previously known in the industry (see Electric Power Group, 830 F.3d 1350 (Fed. Cir. 2016); Alice Corp. v. CLS Bank Int’I, 110 USPQ2d 1976 (2014)). In view of the above, the additional elements individually do not amount to significantly more than the above-judicial exception (the abstract idea). Looking at the limitations as an ordered combination (that is, as a whole) adds nothing that is not already present when looking at the elements taken individually. There is no indication that the combination of elements improves the functioning of a computer, for example, or improves any other technology. There is no indication that the combination of elements permits automation of specific tasks that previously could not be automated. There is no indication that the combination of elements includes a particular solution to a computer-based problem or a particular way to achieve a desired computer-based outcome. Rather, the collective functions of the claimed invention merely provide conventional computer implementation, i.e., the computer is simply a tool to perform the process. Simply appending well-understood, routine, conventional activities previously known to the industry, specified at a high level of generality, to the judicial exception, e.g., a claim to an abstract idea requiring no more than a generic computer to perform generic computer functions that are well-understood, routine and conventional activities previously known to the industry, as discussed in Alice Corp., 573 U.S. at 225, 110 USPQ2d at 1984 (see MPEP § 2106.05(d)). Taking the additional elements individually and in combination, the additional elements do not provide significantly more. Specifically, when viewed individually, the above-identified additional elements in independent Claims 1, 10, and 19 (and their dependent claims) do not add significantly more because they are simply an attempt to limit the abstract idea to a particular technological environment. That is, neither the general computer elements nor any other additional element adds meaningful limitations to the abstract idea because these additional elements represent insignificant extra-solution activity. When viewed as a combination, these above-identified additional elements simply instruct the practitioner to implement the claimed functions with well-understood, routine and conventional activity specified at a high level of generality in a particular technological environment. As such, there is no inventive concept sufficient to transform the claimed subject matter into a patent-eligible application. As such, the above-identified additional elements, when viewed as whole, do not provide meaningful limitations to transform the abstract idea into a patent eligible application of the abstract idea such that the claims amount to significantly more than the abstract idea itself. Thus, Claims 1-20 merely apply an abstract idea to a computer and do not (i) improve the performance of the computer itself (as in Bascom and Enfish), or (ii) provide a technical solution to a problem in a technical field (as in DDR). Therefore, none of the Claims 1-20 amounts to significantly more than the abstract idea itself. Accordingly, Claims 1-20 are not patent eligible and rejected under 35 U.S.C. 101 as being directed to abstract ideas implemented on a generic computer in view of the Supreme Court Decision in Alice Corporation Pty. Ltd. v. CLS Bank International, et al. and 2019 PEG. Conclusion Any inquiry concerning this communication or earlier communications from the examiner should be directed to MICHAEL J LAU whose telephone number is (571)272-2317. The examiner can normally be reached 8-5:30 PM. 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, Carl Layno can be reached at 571-272-4949. 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. /MICHAEL J LAU/Examiner, Art Unit 3796
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Prosecution Timeline

Show 7 earlier events
Sep 10, 2025
Response Filed
Nov 10, 2025
Final Rejection mailed — §101
Mar 10, 2026
Response after Non-Final Action
Apr 10, 2026
Response after Non-Final Action
May 08, 2026
Request for Continued Examination
May 12, 2026
Response after Non-Final Action
May 19, 2026
Non-Final Rejection mailed — §101
Jul 29, 2026
Interview Requested

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

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Prosecution Projections

5-6
Expected OA Rounds
71%
Grant Probability
95%
With Interview (+23.9%)
2y 10m (~0m remaining)
Median Time to Grant
High
PTA Risk
Based on 310 resolved cases by this examiner. Grant probability derived from career allowance rate.

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