Prosecution Insights
Last updated: April 19, 2026
Application No. 18/537,122

SYSTEMS AND METHODS FOR CORRELATING SLEEP SCORES AND ACTIVITY INDICATORS

Final Rejection §103§112
Filed
Dec 12, 2023
Examiner
RUIZ, JOSHUA DAMIAN
Art Unit
3684
Tech Center
3600 — Transportation & Electronic Commerce
Assignee
ResMed
OA Round
2 (Final)
0%
Grant Probability
At Risk
3-4
OA Rounds
3y 0m
To Grant
0%
With Interview

Examiner Intelligence

Grants only 0% of cases
0%
Career Allow Rate
0 granted / 7 resolved
-52.0% vs TC avg
Minimal +0% lift
Without
With
+0.0%
Interview Lift
resolved cases with interview
Typical timeline
3y 0m
Avg Prosecution
41 currently pending
Career history
48
Total Applications
across all art units

Statute-Specific Performance

§101
32.5%
-7.5% vs TC avg
§103
33.3%
-6.7% vs TC avg
§102
16.0%
-24.0% vs TC avg
§112
12.3%
-27.7% vs TC avg
Black line = Tech Center average estimate • Based on career data from 7 resolved cases

Office Action

§103 §112
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 . Status of the Claims The status of the claims as of the response filed January 8, 2026, is as follows: Claims 1-15, 17-21 are pending. Claim 16 is canceled. The applicant has amended Claims 1, 3, 17 are amended and have been considered below. Claim 21 is new. Response to Amendments 35 U.S.C. 101 Eligibility Matter Applicant's arguments, see pages 9-11, filed 10/28/2025, with respect to amended Claims 1, 3, 17, and new Claim 21 have been fully considered. The amendments to the claims and the arguments regarding the practical application of the abstract idea are persuasive. The rejection of claims 1-15 and 17-21 under 35 U.S.C. 101 is withdrawn. The applicant argues that because Claim 1 now includes "automatically" generating commands and "causing" a respiratory therapy device to adjust its physical parameters, the claim no longer describes a mental process and integrates the data analysis into a practical medical application. The Examiner has reviewed the amendments to Claim 1, which now require the "automatic generation" of commands and the physical "adjustment" of a respiratory therapy device. While the initial steps of "determining correlations" may still involve a mental process or abstract idea, the claim as a whole now integrates this idea into a practical application by linking the analysis to a specific technological task (controlling a medical device). Consequently, the previous rejection under 35 U.S.C. 101 is overcome and withdrawn. 35 U.S.C. § 102 Applicant's arguments, see pages 11-12, filed 10/28/2025, with respect to amended Claim 1 and dependent claims 2–4 and 8–15 have been fully considered. The 35 U.S.C. § 102 rejection has been overcome by the amendments to the claims. However, the claims are now rejected under 35 U.S.C. § 103 as set forth in the new rejection. Response to Arguments 35 U.S.C 103 Applicant's arguments, see pages 12-14, filed 10/28/2025, with respect to amended Claims 5-7, 16-17, 18, and 19-20 have been fully considered. The arguments are not persuasive. The rejections of these claims under 35 U.S.C. § 103 are maintained. The applicant argues that these claims are patentable because they "depend on claim 1" and the secondary references Futch (Claim 5-7), Mohammed (Claim 18), and Wright (Claim 19-20)—"fail to cure the deficiencies of Molony with respect to claim 1." The Examiner respectfully disagrees because the deficiency in Claim 1 has been cured by the inclusion of Kayyali in the current rejection. See below in 35 U.S.C 103 rejection for further details. The applicant argues that Peake "is silent as to making such an adjustment based on a correlation of sleep scores... and activity indicators," and instead uses "sex, age, height/weight. The Examiner respectfully disagrees that Peake must disclose the specific activity-sleep correlation to be relevant. Under MPEP 2143 , the test for obviousness is whether the combination of references as a whole suggests the invention. A prior art reference need not be a "carbon copy" of the claimed invention; rather, the Examiner must show that a person of ordinary skill in the art (PHOSITA) would have been motivated to combine the specific teachings to achieve the claimed result. However, examiner remove Peak, for a compact prosecution because Kayyali also describe “ such an adjustment based on a correlation of sleep scores... and activity indicators “ see rational in 35 usc 103 rejection below. 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. Claim 1-15, and 17-20 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. Claim 1 is rejected under 35 U.S.C. 112(a) for lack of written description support. While the specification discloses that the system may store "medication usage" data and can generate "commands" to adjust therapy, it never describes a control system that generates these commands based on the medications. The claim limitation "generating... based on the medications for respiratory therapy, a command to adjust one or more parameters" lacks support in the original disclosure. Medication as Static Data: Paragraph [0054] mentions that a user profile may include medical information indicative of "medication usage." However, this is described only as stored demographic or medical information. Basis for Adjustment: Paragraphs [0134] and [0135] describe the control system generating a "modification" or a "command to adjust" parameters. Crucially, the specification explicitly states these modifications are determined "based on the correlations between the sleep scores and the plurality of activity indicators." The Missing Link: The "activity indicators" are defined in paragraph [0121] as a specific list (step count, heartrate, calories, etc.) that does not include medication usage. There is no teaching in the specification that links the "medication usage" of [0054] to the "command generation" of [0135]. A person of ordinary skill in the art would not recognize the inventor as having possession of a system that uses medication data as the functional trigger for adjusting therapy parameters. This specific functional link is "new matter" because the original disclosure only bases therapy adjustments on correlations between sleep scores and activity indicators. Note: Claims 2-15 and 17 -20 are also rejected on this basis because they dependent on claim 1. 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 1-15, and 17-20 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 1 is rejected under 35 U.S.C. 112(b) as being indefinite, lack of antecedent. The claim recites "the medications for respiratory therapy," which lacks a proper antecedent basis. The preceding step refers to a "modification," and it is unclear if "medications" is intended to refer back to that modification or introduces a new, unstated element. Claim 17 is rejected under 35 U.S.C. 112(b) as being indefinite. The claim makes reference to a preceding claim (Claim 16) to define its scope. Because Claim 16 is canceled, the metes and bounds of Claim 17 cannot be ascertained. Additional, claim also recite "the respiratory therapy system" that represent insufficient antecedent basis, for purposes of examination, you will interpret claim 17 as being dependent on claim 1. Claim 21 is rejected under 35 U.S.C. 112(b) as being indefinite. The claim recites the limitation "the respiratory therapy system" in the final paragraph of the claim. There is insufficient antecedent basis for this limitation in the claim. The claim previously defines and refers to 'a respiratory therapy device.' The introduction of 'the respiratory therapy system' at the conclusion of the claim creates uncertainty as to whether the 'system' is intended to be the 'device' or a broader collection of components not previously recited. Note: Claims 2-15 and 17 -20 are also rejected on this basis because they dependent on claim 1. 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. The factual inquiries for establishing a background for determining obviousness under 35 U.S.C. 103 are summarized as follows: 1. Determining the scope and contents of the prior art. 2. Ascertaining the differences between the prior art and the claims at issue. 3. Resolving the level of ordinary skill in the pertinent art. 4. Considering objective evidence present in the application indicating obviousness or nonobviousness. Claim(s) 1-4, 8-15 and 21 are rejected under 35 U.S.C. 103 as being unpatentable over US-20230245780A1- Molony and further in view of Kayyali- US7942824. Claim 1. Molony teaches, A method comprising: generating, by a control system, a plurality of sleep scores for a user, wherein the plurality of sleep scores for the user are associated with a plurality of days, wherein the sleep scores are generated based on data from a respiratory therapy device; Molony describes a "control system 110" with processors and memory ([0042], [0043]) that generates a "set of component scores" including a "sleep score" and a "total health score" (which incorporates the sleep score) for each "sleep session" or "given day" ([0004], [0125], [0170]). These scores are presented in a "calendar portion 510" showing scores for a "plurality of date indications" (e.g., May 23-29), thus associating them with a "plurality of days" ([0119], [0120]). The "sleep score" is explicitly stated to be associated with therapy from a "respiratory therapy system 120" and can be based on "medical device usage data" from such a system, including usage, interface, and event scores ([0176], [0182]). receiving, by the control system from an external device, a plurality of activity indicators, wherein the plurality of activity indicators are associated with the plurality of days; Molony's "control system 110" receives "physiological data" from sources including an "activity tracker 190" (a wearable external device) ([0045], [0161], [0041], [0087], [0088]). This data is used to determine an "activity measurement" which includes a plurality of indicators like "number of steps, distance traveled, heart rate, calories burned" ([0087]). The system calculates a "total health score for given day" based in part on an "activity measurement for that day," and trends for activity measurements are shown over multiple days in a calendar view, thus associating these indicators with a "plurality of days" ([0125], [0145]). determining, by the control system based on the plurality of sleep scores and the plurality of activity indicators, correlations between the sleep scores and the plurality of activity indicators; Molony's "control system 110" ([0042]) is described to perform method 1300, which includes "determining a relationship between the determined first parameter (e.g., a sleep score [0208]) and the determined second parameter (e.g., an activity measurement [0211])." This determination "can be determined based on a statistical analysis, such as a correlation between the first parameter and the second parameter or a regression analysis" ([0207]). Custom messages are generated reflecting these relationships, such as "sleep score improved while blood pressure improved". generating, by the control system based on the correlations between the sleep scores and the plurality of activity indicators, a visual presentation, wherein the visual presentation indicates the correlations between the plurality of sleep scores and the plurality of activity indicators; Molony's "control system 110" ([0042]) "generates a custom message" ([0222]). This custom message is "based at least in part on... the determined relationship (step 1306)" ([0222]), where this relationship is taught as a "correlation" ([0207]) between parameters like sleep scores and activity/blood pressure indicators. The custom message explicitly "can also include information associated with the determined relationship", such as "'sleep score improved while blood pressure improved'" ([0223]), thereby being a visual presentation that indicates the correlations. causing presentation, by the control system via a display device of a user device, the visual presentation. Molony states its "control system 110... can cause the generated custom message... to be communicated to the user via the display device 172" ([0227]). The "user device 170" includes this "display device 172" and can be a "smart phone" or "tablet" ([0084]). The "generated custom message" is the visual presentation indicating the correlations; determining, by the control system automatically based on the correlations between the sleep scores and the plurality of activity indicators, a (Molony, par. 0207-0208, 0211, 0217, 0224) Molony describes a system that calculates correlations between sleep scores and other health indicators (such as blood pressure or activity measurements). (Molony, par. 0044, “The medical information can include, for example, including indicative of one or more medical conditions associated with the user, medication usage by the user, or both”) and causing, by the control system . (Molony, par. 0054 “The APAP system automatically varies the air pressure delivered to the user based on, for example, respiration data associated with the user.”) 35 U.S.C 103 Rationales: Molony teaches determining, by the control system... correlations between the sleep scores and the plurality of activity indicators, stating "The determined relationship can be determined based on a statistical analysis, such as a correlation between the first parameter and the second parameter..." (para. [0207]) and mapping sleep scores to activity levels in a pair-wise analysis (para. [0249], Table 7). However, Molony fails to disclose a modification for respiratory therapy on the respiratory therapy device for the user. Kayyali teaches the automatically... determining... a modification for respiratory therapy on the respiratory therapy device for the user, describing an integrated system where "The treatment device can be adjusted by either by a closed loop control system (automatically) which uses, in part, the data or signals from the diagnosis device to actuate a physical or chemical treatment system for the Subject..." (col. 3, ll. 40-56) and specifically "uses a processor to enable closed loop control for executing the titration adjustments, determining the set of final treatment values, and programming the treatment device to deliver the set of final treatment values" (col. 25, ll. 48-67). It would have been obvious to one of ordinary skill in the art, before the effective filing date of the claimed invention, to combine the teachings of Molony with Kayyali because both references are directed to the same field of respiratory therapy and address the shared problem of demonstrating therapy benefits to improve patient compliance (Molony, para. [0003]; Kayyali, col. 2, ll. 55–65). Molony describes the use of physiological data to encourage behavioral responses in users suffering from “sleep-related and/or respiratory-related disorders such as... Obstructive Sleep Apnea (OSA)” (Molony, para. [0003]). Kayyali similarly addresses “integrated apnea diagnosis and treatment” and identifies a specific need in the art to “adjust the treatment gas flow or pressure delivered to the subject based on the Subject’s current physiological state or symptoms” (Kayyali, col. 2, ll. 45–67). A PHOSITA would have been motivated to integrate the automated titration logic of Kayyali into the correlation-based system of Molony because Kayyali provides the specific technical mechanism to achieve Molony’s goal of “dynamic adjustments” (Molony, Abstract). By combining these teachings, the PHOSITA would achieve the predictable benefit of a system that not only identifies health trends via correlations but also automatically executes the necessary technical modifications to the respiratory device to ensure “more accurate control” of the therapy (Kayyali, col. 4, ll. 15–31). A PHOSITA would have had a reasonable expectation of success because the technical integration of automated titration with diagnostic data is routine in the art. Molony establishes that an "APAP system automatically varies the air pressure delivered to the user" (para. [0054]) and Kayyali confirms that a system can use "rich diagnostic data" to "recognize more detailed physiological symptoms" and automatically "titrate or adjust" the flow of gas (col. 24, ll. 10-25; col. 32, ll. 5-10, Col. 8, ll. 15-25). The synthesis of these existing automated control structures to act upon correlation-derived insights is a straightforward engineering task. Molony teaches the underlying logic for therapy adjustments, noting that medical information used by the system can include “medication usage by the user” (para. [0044]) and that the “control system 110 generates the custom message based at least in part on the... first parameter… second parameter…” between parameters (para. [0222]). However, Molony fails to disclose generating, by the control system based on the modifications for respiratory therapy, a command to adjust one or more parameters of the respiratory therapy. Kayyali teaches the generating... a command to adjust one or more parameters of the respiratory therapy, describing a system that uses analytical results for “using the retransmitted or transmitted signal to calculate a command signal designed to titrate or adjust the PAP or CPAP device” (col. 7, ll. 30-45). Kayyali further specifies “periodically delivering a command signal from the remote monitoring station to the PAP or CPAP device to adjust the flow of pressurized gas delivered by the PAP or CPAP device to the subject” (col. 8, ll. 20-35). It would have been obvious to one of ordinary skill in the art, before the effective filing date of the claimed invention, to combine the teachings of Molony with Kayyali because both references are directed to the shared field of respiratory therapy and address the common problem of optimizing treatment settings based on a user’s physiological state (Molony, para. [0003]; Kayyali, col. 2, ll. 39-67). Molony establishes that analyzing health factors, including “medication usage” and activity, provides the basis for “dynamic adjustments” of the therapy profile (Molony, para. [0044]; Abstract). Kayyali provides the technical solution to automate such adjustments, teaching that a “command signal” allows for therapy to be adjusted “automatically... to actuate a physical... treatment system” (Kayyali, col. 3, ll. 35-51). A PHOSITA would have been motivated to replace Molony’s human-readable “custom message” (para. [0227]) with Kayyali’s automated “command signal” (col. 7, l. 11-41) to ensure that the modifications identified by the control system are executed promptly and accurately without relying on manual user intervention. The combination makes the full limitation obvious because it bridges the gap between data analysis and physical machine actuation. A PHOSITA would integrate the command to adjust one or more parameters into the system of Molony, which already “predicts a health outcome for the user” (para. [0218]), to achieve the benefit of immediate therapy optimization. As Kayyali teaches, generating a machine-level command ensures that the “subject’s symptoms [are] treated as they occur” (Kayyali, col. 21, ll. 55-60) and provides “more accurate control” than manual responses to messages (Kayyali, col. 4, ll. 15-25). A PHOSITA would have had a reasonable expectation of success because the technical integration of command signals with respiratory therapy devices is routine. Molony establishes that the “control system 110” (para. [0042]) is already capable of processing data and communicating with user devices, and Kayyali demonstrates that “data acquisition systems” are routinely “capable of receiving a command signal and delivering a flow of pressurized gas” (Kayyali, col. 8, ll. 1-15). The use of standard digital communication protocols to transmit a command based on an analytical modification is a straightforward implementation of known medical device control logic. Molony teaches a respiratory therapy system where “the APAP system automatically varies the air pressure delivered to the user based on, for example, respiration data associated with the user” (para. [0054]). However, Molony fails to disclose causing, by the control system via the command, the respiratory therapy device to adjust the one or more parameters of the respiratory therapy. Kayyali teaches the causing... the respiratory therapy device to adjust the one or more parameters, describing a technical framework for “periodically delivering a command signal from the remote monitoring station to the PAP or CPAP device to adjust the flow of pressurized gas delivered by the PAP or CPAP device to the subject” (col. 8, ll. 20-35). Kayyali further specifies that the control system is responsible for “programming the treatment device to deliver the set of final treatment values” (col. 25, ll. 50-55). It would have been obvious to one of ordinary skill in the art, before the effective filing date of the claimed invention, to combine the teachings of Molony with Kayyali because both references are directed to the same field of respiratory pressure therapy and address the shared problem of ensuring that therapy remains optimal over time (Molony, para. [0003]; Kayyali, col. 2, ll. 40–50). Molony identifies that complex correlations between sleep scores and physical activity should result in “dynamic adjustments” to facilitate health (Molony, Abstract). Kayyali teaches that Issuing a direct command to the machine to execute these adjustments provides “more accurate control” and ensures that the “Subject’s symptoms [are] treated as they occur” (Kayyali, col. 4, ll. 15–25; col. 21, ll. 55–60). A PHOSITA would have been motivated to utilize the command-delivery mechanism of Kayyali to execute the health-derived adjustments identified in Molony, thereby transforming a passive notification system into an active, self-correcting medical device. The combination makes the full limitation obvious because it provides the missing execution step between the control system's analysis and the physical machine settings. A PHOSITA would integrate the causing... via the command... the adjustment into the control architecture of Molony which already “generates the custom message” (para. [0222]) to achieve the benefit of immediate machine-level setting updates. As Kayyali teaches, “the treatment device can be adjusted by either a closed loop control system (automatically)... to actuate a physical... treatment system” (Kayyali, col. 3, ll. 34–445), allowing the control system to exert direct settings control via the Issued command. A PHOSITA would have had a reasonable expectation of success because the technical integration of control system commands with respiratory machines is a routine engineering task. Molony establishes the existence of a “control system 110” and a “respiratory therapy device 122” (para. [0042], [0046]), and Kayyali confirms that these devices are routinely “capable of receiving the retransmitted or transmitted signal and delivering a flow of pressurized gas” (Kayyali, col. 6, ll. 60–67). The use of standard digital commands to modify machine variables (like pressure or flow) is a straightforward implementation of well-documented medical device interfaces. Note: Claim 21 is rejected with claim 1 for being very similar and in the view of the following different limitations in claim 21 rejected below: determining, by the control system automatically based on the correlations between the sleep scores and the plurality of activity indicators, a recommendation; (Molony, par. 0222 “The control system 110 generates the custom message based at least in part on... the determined relationship...”) causing transmission, by the control system, of the recommendation; (Molony, par. 0228, “Step 1309 of the method 1300 includes causing the generated custom message to be communicated to the user”) ; and . 35 U.S.C 103 Rational: Molony teaches receiving, in response to the causing the transmission of the recommendation, by stating “the recommendation can communicate recommended steps or actions for improving the determined first parameter” (para. [0224]) and “causing the generated custom message to be communicated to the user via the display device 172” (para. [0227]). However, Molony fails to disclose the specific bidirectional handshake of receiving... a command to adjust one or more parameters of the respiratory therapy that is generated specifically as a response to that transmission. Kayyali teaches the receiving... a command... in response to the... transmission, describing a system where a “remote monitoring station” receives a “processed signal” (the recommendation/report) and sends back a response: “a remote monitoring station comprising a transceiver for receiving the processed signal from the data acquisition system and transmitting a command signal based at least in part on the transmitted processed signal to the CPAP device” (col. 5, ll. 45–67). Kayyali further specifies the device receives a command signal via an “electrical connection” (col. 6, ll. 40-50, col. 8, ll. 1–35) to perform the adjustment (col. 6, ll. 1–5). In simple terms, this means that instead of just showing a message on a screen for a person to read, the system sends data out and then waits to receive back a specific instruction to change its own settings. This describes exactly what is missing in Molony, which only sends a one-way notification to a user but lacks the two-way "handshake" needed for the machine to receive a return command to fix the treatment. It would have been obvious to one of ordinary skill in the art, before the effective filing date of the claimed invention, to combine the teachings of Molony with Kayyali because both references are directed to the shared field of respiratory therapy and address the common problem of providing clinical oversight for machine setting changes (Molony, para. [0003]; Kayyali, col. 2, ll. 55–65). Molony identifies that health correlations result in recommendations for “improving the determined first parameter” (Molony, para. [0224]). Kayyali teaches that setting modifications are most safely and accurately performed when a system “remotely evaluat[es] and approv[es] the set of final values” before the device is programmed (Kayyali, col. 8, ll. 40–60). A PHOSITA would have been motivated to integrate Kayyali’s bidirectional “handshake” protocol into Molony’s recommendation engine to ensure that machine adjustments are verified by an external monitor (such as a clinician) before the command is received and executed by the therapy device. The combination makes the full limitation obvious because it establishes a closed-loop interactive feedback mechanism. A PHOSITA would integrate the receiving... in response... a command into the control system of Molony—utilizing Molony’s recommendation output as the trigger—to achieve the benefit of safe, verified therapy titration. As Kayyali teaches, this ensures that the device “is titrated or adjusted based on at least in part the retransmitted or transmitted signal and at least in part on the user input” or remote command (Kayyali, col. 6, ll. 12–21). A PHOSITA would have had a reasonable expectation of success because the technical implementation of bidirectional command-response protocols is routine in networked medical systems. Molony establishes that the “control system 110” (para. [0042]) is capable of transmitting data over networks, and Kayyali describes the specific hardware, such as an “electrical connection for receiving the... transmitted signal” (Kayyali, col. 6, ll. 1–15), needed to facilitate the response. The integration requires only standard digital "handshake" logic to wait for and receive a return command after a recommendation is issued. Molony teaches a respiratory therapy system where the "APAP system automatically varies the air pressure delivered to the user based on... respiration data" (para. [0054]) and the control system causes a "custom message to be communicated to the user" (para. [0227]). However, Molony fails to disclose causing, by the control system via the command, the respiratory therapy device to adjust the one or more parameters of the respiratory therapy system. Kayyali teaches causing... the respiratory therapy device to adjust the one or more parameters, specifically describing a system that is "periodically delivering a command signal from the remote monitoring station to the PAP or CPAP device to adjust the flow of pressurized gas delivered by the PAP or CPAP device to the subject" (col. 8, ll. 19–35). Kayyali further specifies that the system is responsible for "programming the treatment device to deliver the set of final treatment values" (col. 25, ll. 50–55). It would have been obvious to one of ordinary skill in the art, before the effective filing date of the claimed invention, to combine the teachings of Molony with Kayyali because both references are directed to respiratory therapy systems aimed at optimizing patient treatment (Molony, para. [0003]; Kayyali, col. 2, ll. 45–67). Molony identifies the need for "dynamic adjustments" based on health correlations to improve therapy (Molony, Abstract). Kayyali teaches that issuing a direct command to the machine provides "more accurate control" and ensures symptoms are treated "as they occur" (Kayyali, col. 4, ll. 15–25; col. 21, ll. 55–60). A PHOSITA would have been motivated to utilize Kayyali's command-delivery mechanism to execute the adjustments identified by Molony, transforming a passive notification system into an active, self-correcting device. The combination makes the full limitation obvious because it provides the execution step for the control system's analysis. A PHOSITA would integrate the causing... via the command... to adjust into Molony's architecture to achieve the benefit of immediate, automated parameter updates. As Kayyali teaches, "the treatment device can be adjusted by either a closed loop control system (automatically)... to actuate a physical... treatment system" (Kayyali, col. 3, ll. 34–56), allowing the control system to exert direct control over the therapy parameters. A PHOSITA would have had a reasonable expectation of success because the technical integration is routine. Molony discloses a "control system 110" and "respiratory therapy device 122" (para. [0042], [0046]), and Kayyali confirms such devices are "capable of receiving the... transmitted signal and delivering a flow of pressurized gas" (Kayyali, col. 6, ll. 65–67). Using standard digital commands to modify machine variables is a straightforward implementation of known interfaces. Claim 2. Molony in view of Kayyali teaches, The method of claim 1, wherein the external device is one or more of the user device, a smartphone, a smartwatch, a fitness tracker, a step counter, a blood pressure monitor, a heartrate monitor, and a sleep tracker. (Molony, paras. [0041], [0084], [0087], [0088], [0086]) Molony's system 100 explicitly includes a "user device 170" (which can be a "smart phone" or "smart watch"), an "activity tracker 190" (which can be a "smartwatch" or "wristband" and is used to determine metrics like "number of steps" and "heart rate", thus functioning as a fitness tracker, step counter, and heartrate monitor), and a "blood pressure device 180" (a blood pressure monitor). These devices are external to the respiratory therapy system and provide data to the control system, fully meeting the specified list of external devices. Claim 3. Molony in view of Kayyali teaches, The method of claim 1, wherein the activity indicators include one or more of step count, heartrate, calories burned, calories consumed, sleep quality, sleep duration, workouts, active minutes, stand hours, respiration rate, walking distance, and blood oxygen levels. Molony's "activity measurement" obtained from the "activity tracker 190" explicitly includes "a number of steps", "heart rate", "a number of calories burned", "time spent standing", "respiration rate", "distance traveled" (which is walking distance), and "blood oxygen saturation" ([0087]). Claim 4. Molony in view of Kayyali teaches, The method of claim 1, wherein the control system determines the correlations between the sleep scores and the plurality of activity indicators based on a machine learning algorithm. Molony teaches that the control system determines operative relationships (correlations) between sleep scores and activity indicators based on a machine learning algorithm when it describes using a machine learning algorithm to adjust weighting values for component scores (which include sleep and activity scores) to achieve a desired health goal. (Molony, paras. [0170], [0202]). This process of the ML algorithm deriving how to treat or combine these scores based on learned patterns to achieve an objective constitutes "determining correlations... based on a machine learning algorithm" under BRI. Claim 8. Molony in view of Kayyali teaches, The method of claim 1, further comprising: identifying, by the control system, a trend in the plurality of sleep scores; Molony describes displaying a "sleep score trend 830" which is "used to indicate a trend" ([Molony, Paragraph 0145]) and determining a "trend indication" from data points of the sleep score trend ([Molony, Paragraph 0148]). Molony's method 1300 further includes "determining a first trend associated with the determined first parameter," where that parameter can be a sleep score ([Molony, Paragraphs 0214, 0208]). determining, by the control system, one or more of the activity indicators that correlate with the trend in the plurality of sleep scores; Molony's method includes "determining a relationship" (which can be a "correlation" per [Molony, Paragraph 0207]) between a "first parameter" (e.g., sleep score, as per [Molony, Paragraph 0208]) and a "second parameter" (e.g., an activity indicator such as an "activity score" or an activity-influenced "blood pressure measurement", as per [Molony, Paragraphs 0170, 0211]). This determination is made "based at least in part on the determined first trend" (the sleep score trend) [Molony, Paragraph 0207]. generating, by the control system based on the one or more activity indicators that correlate with the trend in the plurality of sleep scores, a recommendation; Molony's control system "generates a custom message" which "includes a recommendation" ([Molony, Paragraphs 0222, 0224]). This generation is explicitly stated to be "based at least in part on... the determined second parameter [which can be an activity indicator, see [Molony, Paragraph 0211]], the determined first trend [e.g., sleep trend, see [Molony, Paragraph 0214]] ... and the determined relationship (step 1306) [the correlation between the sleep score and activity indicator, considering the sleep trend, see [Molony, Paragraph 0207]] ..." ([Molony, Paragraph 0222]). Therefore, Molony teaches that the recommendation is generated based on the activity indicators that have been determined to correlate (via the "determined relationship") with the identified sleep score trend. and causing presentation, by the control system via the display device of the user device, of the recommendation. Molony's method includes "causing the generated custom message (step 1308) to be communicated to the user... via the display device 172" ([Molony, Paragraph 0227]). Since the custom message generated in step 1308 includes the "recommendation" (as per [Molony, Paragraph 0224]), this constitutes causing presentation of the recommendation. Claim 9. Molony in view of Kayyali teaches, The method of claim 8, wherein the recommendation is associated with one or more of the activity indicators. Molony's system generates a "recommendation" that "can communicate recommended steps or actions for improving... the determined second parameter (step 1303)" ([Molony, Paragraph 0224]). The "second parameter" is disclosed to be potentially "an activity measurement" ([Molony, Paragraph 0211]), which itself is based on activity indicators like "a count of steps" ([Molony, Paragraph 0181]). Thus, a recommendation for improving an "activity measurement" is directly associated with activity indicators. Claim 10 Molony in view of Kayyali teaches, The method of claim 9, wherein the recommendation is one or more of to increase an activity associated with one or more of the activity indicators and decrease and activity associated with one or more of the activity indicators. Molony's system identifies an "activity component" as a "component to be improved" if a user "regularly exhibits low activity" ([Molony, Paragraph 0199]). A recommendation to improve low activity would inherently be a recommendation to increase that activity. The system generates "custom message[s] to aid in encouraging a behavioral response" ([Molony, Paragraph 0222]) through "recommended steps or actions for improving" parameters ([Molony, Paragraph 0224]), which would logically include increasing beneficial activities or decreasing those found to be detrimental in the context of the user's overall health goals and data correlations. Claim 11. Molony in view of Kayyali teaches, The method of claim 1, further comprising: identifying, by the control system, a trend in the plurality of activity indicators; Molony describes displaying an "activity level measurement trend 850" which is "used to indicate a trend" ([Molony, Paragraph 0145]) and determining a "trend indication" from data points of the activity level trend ([Molony, Paragraph 0148]). Additionally, Molony's method 1300 includes "determining a second trend associated with the determined second parameter," where that parameter can be an activity measurement ([Molony, Paragraphs 0215, 0211]). determining, by the control system, one or more of the sleep scores that correlate with the trend in the plurality of activity indicators; Molony's method includes "determining a relationship" (which can be a "correlation" per [Molony, Paragraph 0207]) between a "first parameter" (e.g., sleep score, as per [Molony, Paragraph 0208]) and a "second parameter" (e.g., an activity indicator, as per [Molony, Paragraph 0211]). This determination is made "based at least in part on... the determined second trend" (the activity indicator trend) [Molony, Paragraph 0207]. generating, by the control system based on the one or more sleep scores that correlate with the trend in the plurality of activity indicators, a recommendation; Molony explicitly states that its control system "generates the custom message [which includes a recommendation per [Molony, Paragraph 0224]] based at least in part on... the determined first parameter [which can be a sleep score per [Molony, Paragraph 0208]] ... the determined second trend [which can be an activity trend per [Molony, Paragraph 0215]] ... and the determined relationship [correlation] (step 1306)" ([Molony, Paragraph 0222]). This establishes that the recommendation is based on sleep scores as they correlate with the activity trend. and causing presentation, via the display device of the user device, of the recommendation. Molony clearly states that the control system causes the "generated custom message (step 1308)" (which contains the "recommendation" per [Molony, Paragraph 0224]) "to be communicated to the user via the display device 172" of the user device ([Molony, Paragraph 0227]). Claim 12. Molony in view of Kayyali teaches, The method of claim 11, wherein the recommendation is associated with one or more of the activity indicators. Molony's system is designed to provide recommendations that can target various parameters for improvement, including an "activity measurement" (which comprises activity indicators) ([Molony, Paragraphs 0211, 0224]). The system generates custom messages with recommendations based on an analysis that includes the "determined second parameter" (e.g., activity indicator) and its trend ([Molony, Paragraph 0222]). Claim 13. Molony in view of Kayyali teaches, The method of claim 12, wherein the recommendation is one or more of to increase an activity associated with one or more of the activity indicators and decrease and activity associated with one or more of the activity indicators. Molony's system identifies an "activity component" as a "component to be improved" if a user "regularly exhibits low activity" ([Molony, Paragraph 0199]); a recommendation for such improvement logically involves advising an increase in activity. The broader aim to provide "recommended steps or actions for improving" parameters ([Molony, Paragraph 0224]) to "encourage a behavioral response" ([Molony, Paragraph 0222]) supports that such recommendations would be directional, i.e., to increase or decrease specific activities as needed for health improvement. Claim 14. Molony in view of Kayyali teaches, The method of claim 1, further comprising: determining, by the control system based on the correlations between the plurality of sleep scores and the plurality of activity indicators, a trend in the plurality of sleep scores; Molony teaches determining a trend in sleep scores ([Molony, Paragraph 0145]), and also teaches determining correlations between sleep scores and activity indicators where such determination considers the sleep trend ([Molony, Paragraph 0207]). Furthermore, Molony generates custom messages based on a holistic understanding of parameters, their trends, and the relationships between them ([Molony, Paragraph 0222]). For the system to act upon or message about a sleep trend in a manner that also reflects its correlation with activity (e.g., "sleep score improved while blood pressure improved" [Molony, Paragraph 0223]. and determining, by the control system based on the trend in the plurality of sleep scores one or more of motivational content and congratulatory content to present to the user; Molony's system "generates a custom message" that can include "positive... reinforcement" such as "'Well done, you're taking steps towards better health!'" (), which is motivational/congratulatory. This message generation is "based at least in part on... the determined first trend", which can be the sleep score trend. (Molony, paragraph 0222, 0224) and causing presentation, by the control system via the display device of the user device, of one or more of the motivational contents and the congratulatory content. Molony's method includes "causing the generated custom message (step 1308) to be communicated to the user... via the display device 172" (Molony paragraphs 0227-0228). Since the "custom message" generated in step 1308 is based on trends and can include motivational/congratulatory feedback ([Molony, Paragraphs 0222, 0224]), this constitutes causing presentation of such content. Claim 15. Molony in view of Kayyali teaches, The method of claim 14, wherein one or more of the motivational contents and the congratulatory content includes one or more of articles, messages, awards, and media. Molony explicitly teaches that its system generates "custom messages" [Molony, Paragraph 0222] which include "positive... reinforcement" such as "'Well done, you're taking steps towards better health!'" [Molony, Paragraph 0224]. These clearly fall under the category of "messages." Molony also describes that when a patient achieves a high score, the device may present a "celebration, for example a fireworks animation" [Molony, Paragraph 0173]; a "fireworks animation" is a form of "media" and can also be interpreted as a type of "award" in a gamified context, serving a congratulatory purpose. Additionally, the "educational information" included in custom messages [Molony, Paragraph 0224] can take the form of short textual "articles" or textual "media." Claim 17. Molony in combination with Kayyali teaches, The method of claim 16, wherein the control system causes the respiratory therapy device to adjust one or more parameters of the respiratory therapy by: transmitting, by the control system via a communications network, the command to the respiratory therapy system. (Kayyali, Col. 3, ll. 57-67, “wireless link or some combination thereof “, Col. 25, ll. 5-26 “calculate the next appropriate treatment setting… signal… to determine that the PAP pressure should be increased…”) Kayyali read on, a processing assembly managing a medical ventilator by sending digital instructions across a wireless or wired data infrastructure to modify pressure or flow settings Claim(s) 5-7 are rejected under 35 U.S.C. 103 as being unpatentable over US-20230245780-A1- Molony, and further in view of Kayyali- US7942824 and US20170132395- Futch. Claim 5. Molony in view of Kayyali teaches, The method of claim 1, further comprising: and determining, by the control system based on Molony teaches a method where a control system determines correlations between an individual user's sleep scores (derived from a respiratory therapy device) and their activity indicators (from an external device) over multiple days, and presents these individual correlations and does not describes aggregating these individually determined correlations (or the underlying data from which these correlations are derived) for a plurality of users, nor does it teach determining group correlations based on such an aggregation of multi-user data. Futch teaches the analysis of aggregated data from a plurality of users to derive population-level insights and "best paths," which are group correlations. References paragraph 0030, 0076,0082 It would have been obvious to combine Molony's individual analysis with Futch's population-level analytics to enhance the system's capabilities by deriving group correlations, as both references pertain to digital health platforms leveraging user data for health improvement insights. A person of ordinary skill in the art, seeking to enhance the insights provided by Molony's individual-focused system, would have been motivated to incorporate Futch's population-level data aggregation and group correlation analysis techniques to “to provide unique recommendations to the user that steer the user onto the optimal path to reach their goal.” Par. 0076 Futch Claim 6.Molony in combination with Kayyali and Futch teaches, The method of claim 5, further comprising: generating, by the control system for the user based on the group correlations, insights for the user; Futch describes its system analyzing "input data... together with data from other users on the platform" (which represents the basis for group correlations) to provide "unique recommendations to the user" [Futch, Paragraph 0076]. These "unique recommendations" derived from analyzing collective user data are "insights for the user based on the group correlations." Furthermore, Futch mentions that "artificial intelligence and personalized data analytics feedback provides the user with... insights that the system has gained from analyzing the data points of users" (plural) [Futch, Paragraph 0029]. Deriving "best paths for health improvement" from grouped user data and sharing these predictively also constitutes generating insights based on group correlations [Futch, Paragraph 0082]. and causing presentation, via the display device of the user device, the insights for the user. Futch explicitly states that "recommendations are determined for the user... and are transmitted... to the user device and displayed on the user device" [Futch, Paragraph 0081]. These recommendations, which are based on analysis including data from other users (group correlations), are presented on the user's device via a "user application" and "user interface" [Futch, Paragraphs 0077, 0113]. Claim 7. Molony in combination with Kayyali and Futch teaches, The method of claim 6, wherein the insights for the user include descriptions of why one or more of the activity indicators are correlated with one or more of the plurality of sleep scores. Futch describes providing users with "insight comments" [Futch, Paragraph 0023] and "educational tips from health experts and relevant expert articles, videos and blogs relating to their specific health improvement goals" [Futch, Paragraph 0033]. These insights and educational materials are informed by an "artificial intelligence and personalized data analytics" system that analyzes "data points of users " ([Futch, Paragraph 0029]) and data "from other users on the platform" ([Futch, Paragraph 0076]). Given that Futch addresses health pillars including "physical activity" and "sleep" ([Futch, Paragraph 0040, Table 1]). Claim(s) 18 is/are rejected under 35 U.S.C. 103 as being unpatentable over US-20230245780-A1- Molony, and further in view of Kayyali- US7942824 and US-20210050089-A1. MOHAMMED Claim 18. Molony in view of Kayyali teaches, The method of claim 1, further comprising: adjusting, by the control system based on the correlations between the sleep scores and the plurality of activity indicators, weights of the data from the respiratory therapy device to generate the plurality of sleep scores. Molony does not explicitly teach adjusting, based on these specific correlations, the internal weights of the data from the respiratory therapy device that are used to generate the sleep score itself. MOHAMMED teaches a health management platform utilizing machine-learned models, such as a "Sleep Twin Module 655" ([MOHAMMED, Paragraph 0107, Figure 6]), where model "Parameter values" that "describe the weight that is associated with at least one of the featured input values" ([MOHAMMED, Paragraph 0119]) are "continuously updated" through model training based on "input biosignals and metabolic state outcomes" ([MOHAMMED, Paragraph 0124]). It would have been obvious to one of ordinary skill in the art to modify Molony's system, which determines relevant sleep/activity correlations, by incorporating MOHAMMED's advanced machine learning approach of continuously training and updating models. This would involve using the correlations found by Molony to dynamically adjust the weights of the input data from the respiratory therapy device when generating Molony's sleep scores, thereby making these scores more accurate and reflective of the user's holistic health state as understood through MOHAMMED's adaptive modeling techniques. The motivation would be to improve the precision and clinical relevance of the sleep scores by making their calculation adaptive to learned interrelations with other health factors like activity, a known goal in developing sophisticated health monitoring systems as shown by MOHAMMED's pursuit of "precision treatment" ([MOHAMMED, Paragraph 0006]). Claim(s) 19-20 is/are rejected under 35 U.S.C. 103 as being unpatentable over US-20230245780-A1- Molony, and further in view of Kayyali- US7942824 and US-11134888-B2- Wright. Claim 19. Molony in view of Kayyali teaches, The method claim 1, further comprising: determining, by the control system based on the correlations between the sleep scores and the plurality of activity indicators, one or more modifications to automation polices; and causing, by the control system, one or more automated devices to alter their operation based on the one or more modifications to automation policies. However, Molony does not explicitly teach using these specific correlations to determine "modifications to automation polices" for general automated devices, nor causing such general automated devices to alter their operation based on these policies. Molony's system provides insights and recommendations to the user ([Molony, Paragraph 0224]). Wright teaches a smart home control system that determines "an appliance control schedule" (an automation policy) for "one or more appliances in a user environment" (such as "lights or lighting systems, and heating, air conditioning and/or ventilation (HVAC) systems" [Wright, Paragraph 0012]) based on "data indicative of a sleep state of the user" and "environmental stimuli" to "reduce sleep disruption" ([Wright, Paragraphs 0010, 0017, 0046]), and then "controls the one or more appliances in dependence on the determined control actions" or schedule ([Wright, Paragraph 0010]), for example, "The Appliance Schedule is sent to the Connected Appliances, which enact the desired functions at the scheduled times" ([Wright, Paragraph 0035]). It would have been obvious to one of ordinary skill in the art to modify Molony's system, which determines correlations between sleep scores and external activity indicators, to further incorporate Wright's teachings of using health-related data (sleep states) to determine and implement modifications to automation policies for general automated devices. One of ordinary skill would be motivated to enhance Molony's system by incorporating the environmental control capabilities taught by Wright. Wright discloses a system that actively "controls one or more appliances in a user environment" like "lights or lighting systems, and heating, air conditioning and/or ventilation (HVAC) systems" ([Wright, Paragraphs 0010, 0012]) based on "data indicative of a sleep state of the user" with the explicit goal to "reduce sleep disruption" and "improve sleep quality" ([Wright, Paragraphs 0010, 0046]). 20. Molony in combination with Wright teaches, The method of claim 19, wherein the automated devices include one or more of lights, alarm systems, audio systems, entertainment systems, and mobile devices. Wright teaches that the automated devices controlled by its appliance control schedule include "lights or lighting systems" ([Wright, Paragraph 0012]), "Smart Speaker[s]" (audio systems) ([Wright, Figure 4]), and "TV" or "radio" (entertainment/audio systems) ([Wright, Paragraph 0052]). 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 JOSHUA DAMIAN RUIZ whose telephone number is (571)272-0409. The examiner can normally be reached 0800-1800. 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, Shahid Merchant can be reached at (571) 270-1360. 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. /JOSHUA DAMIAN RUIZ/Examiner, Art Unit 3684 /Shahid Merchant/Supervisory Patent Examiner, Art Unit 3684
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Prosecution Timeline

Dec 12, 2023
Application Filed
Jun 11, 2025
Non-Final Rejection — §103, §112
Oct 28, 2025
Response Filed
Jan 22, 2026
Final Rejection — §103, §112 (current)

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Prosecution Projections

3-4
Expected OA Rounds
0%
Grant Probability
0%
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3y 0m
Median Time to Grant
Moderate
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