Prosecution Insights
Last updated: April 19, 2026
Application No. 18/417,589

IMAGE GUIDANCE FOR MEDICAL PROCEDURES

Non-Final OA §102§103
Filed
Jan 19, 2024
Examiner
STEINBERG, AMANDA L
Art Unit
3792
Tech Center
3700 — Mechanical Engineering & Manufacturing
Assignee
Pulmera Inc.
OA Round
1 (Non-Final)
50%
Grant Probability
Moderate
1-2
OA Rounds
3y 10m
To Grant
78%
With Interview

Examiner Intelligence

Grants 50% of resolved cases
50%
Career Allow Rate
177 granted / 352 resolved
-19.7% vs TC avg
Strong +28% interview lift
Without
With
+27.5%
Interview Lift
resolved cases with interview
Typical timeline
3y 10m
Avg Prosecution
56 currently pending
Career history
408
Total Applications
across all art units

Statute-Specific Performance

§101
12.6%
-27.4% vs TC avg
§103
45.6%
+5.6% vs TC avg
§102
16.4%
-23.6% vs TC avg
§112
19.9%
-20.1% vs TC avg
Black line = Tech Center average estimate • Based on career data from 352 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. (a)(2) the claimed invention was described in a patent issued under section 151, or in an application for patent published or deemed published under section 122(b), in which the patent or application, as the case may be, names another inventor and was effectively filed before the effective filing date of the claimed invention. Claim(s) 69, and 77-88 is/are rejected under 35 U.S.C. 102(a)(1) as being anticipated by Gregerson et al. (U.S. Patent Application Publication No. 2020/0268473) hereinafter referred to as Gregerson. Regarding claim 69, Gregerson teaches a method for imaging an anatomic region (¶[0031], ¶[0040] patient anatomy), the method comprising: generating a 3D reconstruction (¶[0032] three-dimensional reconstruction) of an anatomic region from first image data obtained using an imaging apparatus (¶[0043] from imaging device, three-dimensional dataset of a reconstruction representing patient anatomy), wherein the first image data is obtained during manual rotation of an imaging arm of the imaging apparatus (¶¶[0068-0069], ¶[0084] manually movable arm); identifying a target structure in the 3D reconstruction (¶[0070] target location, ¶[0087] particular anatomic features, such as a bony structure); receiving second image data of the anatomic region obtained using the imaging apparatus (¶[0044] second image dataset of the patient and surrounding patient space); receiving pose data of the imaging arm (¶[0041] imaging device fixed to robotic arm) of the imaging apparatus (¶[0056], ¶[0069] for example, position and orientation with respect to the patient); and outputting, via the display, a graphical representation of the target structure overlaid onto the second image data, based on the pose data and the 3D reconstruction (¶¶[0048-0049] show patient anatomy with structures and/or target overlaid on top, based on position of the imaging arm). Regarding claim 77, Gregerson teaches the method of claim 69. Gregerson teaches further comprising: generating a 3D model of the target structure (¶[0132]); determining a current pose of the imaging arm, based on the pose data (¶[0132] in conjunction with tracked position of marker devices); and generating a 2D projection of the 3D model from a point of view corresponding to the current pose of the imaging arm (¶[0067], ¶[0083]); and determining a location of the target structure in the second image data, based on the 2D projection (¶[0054], ¶[0084]). Regarding claim 78, Gregerson teaches the method of claim 69. Gregerson further teaches wherein the pose data is generated using sensor data from at least one sensor coupled to the imaging arm (¶[0106]). Regarding claim 79, Gregerson teaches the method of claim 78. Gregerson further teaches wherein the at least one sensor comprises a motion sensor (¶[0106]). Regarding claim 80, Gregerson teaches the method of claim 79. Gregerson further teaches wherein the motion sensor comprises an inertial measurement unit (IMU) (¶[0106]). Regarding claim 81, Gregerson teaches the method of claim 69. Gregerson further teaches wherein the 3D reconstruction is generated during a medical procedure performed on the patient and the second image data is generated during the same medical procedure (¶[0111] “during an image guided procedure”). Regarding claim 82, Gregerson teaches the method of claim 69. Gregerson further teaches wherein the 3D reconstruction is generated without using preoperative image data of the anatomic region (¶[0111] “during an image guided procedure” and ¶[0090] before, during, and/or after, usable in any of these scenarios). Regarding claim 83, Gregerson teaches the method of claim 69. Gregerson further teaches wherein identifying the target structure comprises segmenting the target structure in the 3D reconstruction (¶[0072]). Regarding claim 84, Gregerson teaches the method of claim 69. Gregerson further teaches wherein the 3D reconstruction comprises a CBCT image reconstruction (¶[0043]), and the second image data comprises live fluoroscopic images of the anatomic region (¶[0034] C-arm fluoroscope). Regarding claim 85, Gregerson teaches the method of claim 69. Gregerson teaches further comprising updating the graphical representation after the imaging arm is rotated to a different pose (¶[0036]). Regarding claim 86, Gregerson teaches the method of claim 69. Gregerson teaches further comprising calibrating the first image data before generating the 3D reconstruction (¶[0045]). Regarding claim 87, Gregerson teaches the method of claim 86. Gregerson further teaches wherein calibrating the first image data includes one or more of (a) applying distortion correction parameters to the first image data or (b) applying geometric calibration parameters to the first image data (¶[0045] transformation between coordinate systems includes at least one of these as a mathematical process including translation, rotation and scaling or shearing). Regarding claim 88, Gregerson teaches the method of claim 86. Gregerson teaches further comprising reversing calibration of a 3D model of the target structure generated from the calibrated first image data, before using the 3D model to determine a projected location of the target structure in the second image data (¶[0044] transformation between devices for target structure, ¶[0128]). 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) 70-71 is/are rejected under 35 U.S.C. 103 as being unpatentable over Gregerson as applied to claim 69 above, and further in view of Tse et al. (U.S. Patent Application Publication No. 2020/0268460) hereinafter referred to as Tse. Regarding claims 70-71, Gregerson teaches the method of claim 69. Gregerson does not teach wherein the imaging arm is stabilized by a shim structure during the manual rotation, wherein the shim structure fills a space between the imaging arm and a support arm of the imaging apparatus. Attention is drawn to the Tse reference, which teaches wherein the imaging arm is stabilized by a shim structure during the manual rotation (Fig. 2E, element 282 shim in a rotational joint, ¶[0105]). wherein the shim structure fills a space between the imaging arm and a support arm of the imaging apparatus (Figs. 2E-F, Fig. 7C). It would have been obvious to one of ordinary skill in the art at the time of filing to modify the imaging arm and support arm of Gregerson to include a shim, as taught by Tse, for a stable swiveling mechanism, as taught by Tse (¶[0105], ¶[0107]). Claim(s) 72-73 is/are rejected under 35 U.S.C. 103 as being unpatentable over Gregerson as applied to claim 69 above, and further in view of Gauvrit et al. (Gauvrit JY, Leclerc X, Vermandel M, Lubicz B, Despretz D, Lejeune JP, Rousseau J, Pruvo JP. 3D rotational angiography: use of propeller rotation for the evaluation of intracranial aneurysms. AJNR Am J Neuroradiol. 2005) hereinafter referred to as Gauvrit. Regarding claims 72-73, Gregerson teaches the method of claim 69. Gregerson is silent as to the range or type of rotation. Attention is drawn to the Gauvrit reference, which teaches wherein the manual rotation comprises a rotation of at least 90 degrees, wherein the manual rotation comprises a propeller rotation (Fig. 2). It would have been obvious to one of ordinary skill in the art at the time of filing to modify the rotation of Gregerson to include propeller rotation comprising at least a 90 degree rotation, as taught by Gauvrit, because propeller rotation is faster, easier to perform, and requires less contrast material without altering image quality (Gauvrit, § Conclusion). Claim(s) 74-76 is/are rejected under 35 U.S.C. 103 as being unpatentable over Gregerson as applied to claim 69 above, and further in view of Soper et al. (U.S. Patent Application Publication No. 2019/0038365) hereinafter referred to as Soper. Regarding claim 74, Gregerson teaches the method of claim 69. Gregerson is silent as to receiving a plurality of projection images from the imaging apparatus during the manual rotation of the imaging arm; determining pose information of the imaging arm for each projection image; and generating the 3D reconstruction based on the projection images and the pose information. Attention is drawn to the Soper reference, which teaches wherein generating the 3D reconstruction (¶[0062]) comprises: receiving a plurality of projection images from the imaging apparatus during the manual rotation of the imaging arm (¶[0074]); determining pose information of the imaging arm for each projection image (¶[0079]); and generating the 3D reconstruction based on the projection images and the pose information (¶[0080], ¶[0084]). It would have been obvious to one of ordinary skill in the art at the time of filing to modify the imaging of Gregerson to include additional image and pose acquisition for 3D reconstruction, as taught by Soper, because it results in a distortion-free, or distortion-improved image and improves the accuracy of true relative positioning (Soper ¶[0073]). Regarding claim 75, Gregerson as modified teaches the method of claim 74. Soper further teaches further comprising: determining a current pose of the imaging arm, based on the pose data (¶[0050]); identifying a projection image that was acquired at the same pose or a similar pose as the current pose (¶[0088]); and determining a location of the target structure in the second image data, based on the identified projection image (¶[0086]). Regarding claim 76, Gregerson as modified teaches the method of claim 75. Soper further teaches wherein the location of the target structure in the second image data corresponds to a location of the target structure in the identified projection image (¶[0086], ¶[0088]). Conclusion The prior art made of record and not relied upon is considered pertinent to applicant's disclosure. U.S. Patent Application Publication No. 2018/0049622 to Ryan et al. teaches mixed reality user interface from imaging data acquired by C-arm. Any inquiry concerning this communication or earlier communications from the examiner should be directed to AMANDA L STEINBERG whose telephone number is (303)297-4783. The examiner can normally be reached Mon-Fri 8-4. 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, Unsu Jung can be reached at (571) 272-8506. 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. /AMANDA L STEINBERG/Examiner, Art Unit 3792
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Prosecution Timeline

Jan 19, 2024
Application Filed
Dec 11, 2025
Non-Final Rejection — §102, §103
Apr 09, 2026
Applicant Interview (Telephonic)
Apr 09, 2026
Examiner Interview Summary

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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
50%
Grant Probability
78%
With Interview (+27.5%)
3y 10m
Median Time to Grant
Low
PTA Risk
Based on 352 resolved cases by this examiner. Grant probability derived from career allow rate.

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