Prosecution Insights
Last updated: October 02, 2026
Application No. 18/921,688

AUTOREGULATION SYSTEM AND METHOD USING TISSUE OXIMETRY AND BLOOD PRESSURE

Non-Final OA §DP
Filed
Oct 21, 2024
Priority
Dec 20, 2017 — provisional 62/607,946 +3 more
Examiner
LIU, CHU CHUAN
Art Unit
Tech Center
Assignee
Becton, Dickinson and Company
OA Round
1 (Non-Final)
71%
Grant Probability
Favorable
1-2
OA Rounds
1y 5m
Est. Remaining
86%
With Interview

Examiner Intelligence

Grants 71% — above average
71%
Career Allowance Rate
559 granted / 785 resolved
+11.2% vs TC avg
Moderate +15% lift
Without
With
+14.8%
Interview Lift
resolved cases with interview
Typical timeline
3y 4m
Avg Prosecution
34 currently pending
Career history
813
Total Applications
across all art units

Statute-Specific Performance

§101
10.7%
-29.3% vs TC avg
§103
37.1%
-2.9% vs TC avg
§102
14.0%
-26.0% vs TC avg
§112
26.4%
-13.6% vs TC avg
Black line = Tech Center average estimate • Based on career data from 785 resolved cases

Office Action

§DP
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 . Double Patenting The nonstatutory double patenting rejection is based on a judicially created doctrine grounded in public policy (a policy reflected in the statute) so as to prevent the unjustified or improper timewise extension of the “right to exclude” granted by a patent and to prevent possible harassment by multiple assignees. A nonstatutory double patenting rejection is appropriate where the conflicting claims are not identical, but at least one examined application claim is not patentably distinct from the reference claim(s) because the examined application claim is either anticipated by, or would have been obvious over, the reference claim(s). See, e.g., In re Berg, 140 F.3d 1428, 46 USPQ2d 1226 (Fed. Cir. 1998); In re Goodman, 11 F.3d 1046, 29 USPQ2d 2010 (Fed. Cir. 1993); In re Longi, 759 F.2d 887, 225 USPQ 645 (Fed. Cir. 1985); In re Van Ornum, 686 F.2d 937, 214 USPQ 761 (CCPA 1982); In re Vogel, 422 F.2d 438, 164 USPQ 619 (CCPA 1970); In re Thorington, 418 F.2d 528, 163 USPQ 644 (CCPA 1969). A timely filed terminal disclaimer in compliance with 37 CFR 1.321(c) or 1.321(d) may be used to overcome an actual or provisional rejection based on nonstatutory double patenting provided the reference application or patent either is shown to be commonly owned with the examined application, or claims an invention made as a result of activities undertaken within the scope of a joint research agreement. See MPEP § 717.02 for applications subject to examination under the first inventor to file provisions of the AIA as explained in MPEP § 2159. See MPEP § 2146 et seq. for applications not subject to examination under the first inventor to file provisions of the AIA . A terminal disclaimer must be signed in compliance with 37 CFR 1.321(b). The filing of a terminal disclaimer by itself is not a complete reply to a nonstatutory double patenting (NSDP) rejection. A complete reply requires that the terminal disclaimer be accompanied by a reply requesting reconsideration of the prior Office action. Even where the NSDP rejection is provisional the reply must be complete. See MPEP § 804, subsection I.B.1. For a reply to a non-final Office action, see 37 CFR 1.111(a). For a reply to final Office action, see 37 CFR 1.113(c). A request for reconsideration while not provided for in 37 CFR 1.113(c) may be filed after final for consideration. See MPEP §§ 706.07(e) and 714.13. The USPTO Internet website contains terminal disclaimer forms which may be used. Please visit www.uspto.gov/patent/patents-forms. The actual filing date of the application in which the form is filed determines what form (e.g., PTO/SB/25, PTO/SB/26, PTO/AIA /25, or PTO/AIA /26) should be used. A web-based eTerminal Disclaimer may be filled out completely online using web-screens. An eTerminal Disclaimer that meets all requirements is auto-processed and approved immediately upon submission. For more information about eTerminal Disclaimers, refer to www.uspto.gov/patents/apply/applying-online/eterminal-disclaimer. Claim 20 is rejected on the ground of nonstatutory double patenting as being unpatentable over claim 1 of U.S. Patent No. 11,478,171 in view of Borgos et al. (USPN 10,244,978). In regard to claim 20, claim 1 of ‘171 recites all the claim limitations except “concurrently displaying at least two of: a first value representative of the tissue oxygenation parameter based on the first signals, or a second value representative of the blood pressure level of the subject based on the second signals, or a third value representative of the subject's autoregulation state based on the peak coherence value”. Borgos teaches a system device and method are presented for determining if cerebral blood flow autoregulation functionality has been compromised in a patient. The system includes sensors for detecting and measuring at least two physiological parameters such as oxygenation and blood pressure (abstract; NIRS oximetry element 14 and pressure sensing device 16, Fig. 3) and concurrently displaying at least two of: a first value representative of the tissue oxygenation parameter based on the first signals, or a second value representative of the blood pressure level of the subject based on the second signals (rSO2 and pressure, Figs. 6-7 and 11). It would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to modify the method (claim 1 of ‘171) to incorporate the concurrently displaying step as taught by Borgos in order to present both of the measured parameters to the user/ caregiver. Claim 20 is rejected on the ground of nonstatutory double patenting as being unpatentable over claim 1 of U.S. Patent No. 12,121,352 in view of Borgos. In regard to claim 20, claim 1 of ‘352 recites all the claim limitations except “concurrently displaying at least two of: a first value representative of the tissue oxygenation parameter based on the first signals, or a second value representative of the blood pressure level of the subject based on the second signals, or a third value representative of the subject's autoregulation state based on the peak coherence value”. Borgos teaches a system device and method are presented for determining if cerebral blood flow autoregulation functionality has been compromised in a patient. The system includes sensors for detecting and measuring at least two physiological parameters such as oxygenation and blood pressure (abstract; NIRS oximetry element 14 and pressure sensing device 16, Fig. 3) and concurrently displaying at least two of: a first value representative of the tissue oxygenation parameter based on the first signals, or a second value representative of the blood pressure level of the subject based on the second signals (rSO2 and pressure, Figs. 6-7 and 11). It would have been obvious to one of ordinary skill in the art before the effective filing date of the claimed invention to modify the method (claim 1 of ‘352) to incorporate the concurrently displaying step as taught by Borgos in order to present both of the measured parameters to the user/ caregiver. Allowable Subject Matter Claims 1-19 are allowed. The following is an examiner’s statement of reasons for allowance: Brady (USPUPUB 2010/0010322 – applicant cited) teaches a method and a system for determining cerebrovascular autoregulation in a patient (Figs. 1-4) comprises a cerebral oximeter / near-infrared spectrometer (NIRS) (element 102, Fig. 1) obtains venous oxygen content measurements of blood within the patient's brain in a plurality of times ([0026]); a blood pressure monitoring device (element 106, Fig. 1) obtains arterial blood pressure measurements of the patient at a plurality of times substantially synchronously with the oxygen content measurements ([0027]); a signal processing unit (element 108, Fig. 1) calculates a linear correlation coefficient, cerebral oximeter index (COx), based on the oxygen content signal and the arterial blood pressure signal in a time domain fora plurality of times ([(0027])/ correlates the blood pressure and the venous oxygen content measurements in a time domain (Fig. 2), wherein the correlation coefficient(s) indicative of a cerebrovascular autoregulation state ([0014]); and low frequencies should be chosen for analysis of COX based on at least the findings of a frequency-domain analysis of coherence between NIRS and ABP ([0054-0055]). Sethi et al. (USPGPUB 2014/0073888 – applicant cited) teaches a method and a system for monitoring cerebrovascular autoregulation (Figs. 1-3) comprises an oximeter generates regional oxygen saturation (RSO2) or hemoglobin (SpO2) signals (element 110, Fig. 1); a blood pressure sensor generates blood pressure signals (element 105, Fig. 1); a controller (element 115, Fig. 1) determines the cerebral autoregulation status of the patient is to derive a cerebral oximetry index (Cox) measurement for the patient based on a linear correlation, a regression line between oxygen saturation and blood pressure, and the slope of the regression line may indicate the autoregulation status (Fig. 2). Addison et al. (USPGPUB 2017/0000423 – applicant cited) teaches a method and a system for monitoring cerebrovascular autoregulation (Figs. 1-9) comprises a regional oxygen saturation sensor (element 14, Fig. 1); a blood pressure sensor (element 12, Fig. 1);a controller (element 16, Fig. 1) derives a cerebral oximetry index (COx) by determining a linear correlation between blood pressure measurements and oxygen saturation measurements (Fig. 2 and [0024]); the controller determines a phase difference between the blood pressure signal and the oxygen saturation signal and utilizes the phase difference to determine whether the COx value is reliable or unreliable (Figs. 3- 6); and the phase difference may be determined based on a cross-wavelet transform of the blood pressure signal and the oxygen saturation signal (Figs. 7-8). Borgos teaches a method and a system for detecting and diagnosing potential dysfunction of cerebral autoregulation (CAR) (Figs. 1-11; claim 1) comprises receiving tissue oxygenation parameter from a tissue oximeter (NIRS oximetry elements 14, Figs. 1-3); receiving blood pressure parameter from a blood pressure sensor (element 16, Fig. 1-3) and determining a maximum, minimum, or optimum coherence and phase delay between the two parameters (Col 9 lines 22-29). However, the prior art of record does not teach or suggest “determining/ determine a coherence value indicative of the subject’s autoregulation state as a function of frequency in each of a plurality of different frequency bands using the frequency domain tissue oxygen parameter values and the frequency domain blood pressure values; determining/determine a temporal phase value for the determined coherence value from each of the plurality of different frequency bands, wherein the temporal phase value is based on an occurrence of a change in the tissue oxygenation parameter during the period of time, and an occurrence of a change in the blood pressure level of the subject during the period of time; identifying/ identify each determined coherence value as an acceptable coherence value or an unacceptable coherence value based on the temporal phase value for the respective determined coherence value; and determining/ determine a peak coherence value indicative of the subject's autoregulation state based on the acceptable coherence values”, in combination with the other claimed elements/ steps. Any comments considered necessary by applicant must be submitted no later than the payment of the issue fee and, to avoid processing delays, should preferably accompany the issue fee. Such submissions should be clearly labeled “Comments on Statement of Reasons for Allowance.” Conclusion Any inquiry concerning this communication or earlier communications from the examiner should be directed to CHU CHUAN LIU whose telephone number is (571)270-5507. The examiner can normally be reached M-Th (6am-6pm). 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, Jennifer Robertson can be reached at (571) 272-5001. 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. /CHU CHUAN LIU/Primary Examiner, Art Unit 3791
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Prosecution Timeline

Oct 21, 2024
Application Filed
Sep 24, 2026
Non-Final Rejection mailed — §DP (current)

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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
71%
Grant Probability
86%
With Interview (+14.8%)
3y 4m (~1y 5m remaining)
Median Time to Grant
Low
PTA Risk
Based on 785 resolved cases by this examiner. Grant probability derived from career allowance rate.

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