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  COMMISSIONER'S DECISION

 

Non-Statutory S.2: The method involves the skills of a medical practioner in

inserting into a living body a proper amount of material compatible with the

body's anatomy. Rejection affirmed.

 

This decision deals with Applicant's request for review by the Commissioner of

Patents of the Final Action on application 329,163 (Class 128-52) filed June 6,

1979. It is assigned to RSP Company and is entitled METHOD AND APPARATUS FOR

THE HYSTEROSCOPIC NON-SURGICAL STERILIZATION OF FEMALES. The inventor is

Robert A. Erb. The Examiner is charge issued a Final Action on October 29,

1982 refusing to allow method claims 18 to 26 of the application. The

remaining claims, directed to the apparatus, were indicated to be allowable. A

Hearing was held on June 25, 1986, at which Applicant was represented by his

Patent Agent Mr. R. Smart.

 

This application relates to a method and apparatus for the non-surgical,

reversible sterilizaton of females. Figures 4A to 4E, shown below, depict the

procedures. Telescoping flexible plastic tube portions 30, 31, of the

by steroscope are used in locating the oviduct and positioning the instrument

there in sealing contact. Curing elastomer is introduced to fill the oviduct

fully and is allowed to set. The plastic tubes are released and moved

relatively to one another to disconnect from the cured materiel and the

by steroscope removed.

 

(see formula I, II, III, IV, V)

 

In rejecting claims 18 to 26, the Examiner said in his Final Action, in part,

as follows:

 

...

 

The applicant in his letter argues that the method claimed

in claims 18 to 26 is patentable because the method in

question is directed to a non-surgical method and that a

method of birth control is not amongst the examples of

non-statutory subject matter set forth in Section

12.03.01(b) of the Manual of Patent Office Practice, i.e.,

methods of treating humans by surgery or therapy, nor to the

diagnosis, prevention or curing of an ailment.

 

This argument, however, cannot overcome the objection

because contraception is a method used to control and

prevent discomfort, possible injuries associated with

conception or hereditary diseases and therefore it is a

method of medical treatment excluded from the definition of

patentable invention in Section 2 of the Patent Act.

 

The applicant also states in his letter that the words "work

on a commercial scale" should not be used to test the

patentability of a claim and that his method claim 18 is

capable of being worked on a commercial scale. Section

67(3) of the Patent Act states that patents should be worked

on a commercial scale, and Section 2 of the Patent Act

defines "work of a commercial. scale" as meaning the carrying

on of a process in or by means of a definite and substantial

establishment. Also it is an obvious truth to say that a

process must result in a vendible product without which the

process is not useful.

 

With regard to applicant's method, it cannot be worked on a

commercial scale, such as in factory or similar substantial

establishment. Also the method does not result in a

vendible product. In fact, the use of the device will be

provided as a service for a fee. In the case of applicant's

method, there is no starting material which is to be

modified by the method to produce a vendible product. The

modification which results is a modification of the normal

processes of a female human body.

 

In view of the above points of argument, applicant's method

cannot be considered to be a process in the sense intended

by the Patent Act and the method is therefore unpatentable.

Claims 18 to 26 are required to be deleted.

 

...

 

The Applicant argues that his method claims are directed to a method of

manufacturing an article in-situ, and as such are permissible under Section 2

of the Act. He points to the sequence of steps which obtain the construction

of an elastomer material fitted to the particular anatomy of a user. He

distinguishes his method claims from those found not to be patentable in

Tennessee Eastman v. The Commissioner of Patents (1974) S.C.R. 111.

 

The Applicant stresses his invention does not relate to a substance intended

for medicine, and says:

 

If, as suggested by the examiner, the purpose for which the

device made by the claimed process is used, namely to effect

birth control by oviduct blockage, is a method of medical

treatment, that conclusion does not affect the patentability

of the claimed method by which the device is made. At most,

it would render the claimed method subject to a compulsory

license pursuant to s. 41(4).

 

To further support his views that the method claims are allowable, the

Applicant reasons, in part, as follows:

 

There is no requirement in the Canadian Patent Act that

requires that a patentable method produce a vendible

product. The only requirements are that the method is new

and useful, and that it not be obvious.

 

There is likewise no requirement that a patentable method be

capable of working on a commercial scale such as in a

factory or similar substantial establishment.

 

The method of the invention is certainly capable of being

worked on a commercial scale in substantial establishments.

There is no reason to believe that it could not be worked in

birth control clinics, some of which are of substantial

size. In some instances, these have been actually referred

to as "factories". No one would doubt that their activities

are "commercial".

 

The starting materials for the claimed process are the

polymeric material, the catalyst, and in some cases the

obturating tip. The claimed method modifies these to make

of them the fitted device which is the "vendible" product.

It is this product - the device and not the claimed method -

which functions to perform the birth control method. That

this is so is clear from the fact that the device is non-

surgically removable, and that the birth control method

cannot be carried out unless the device is left in place in

both oviducts throughout at least one menstrual cycle.

 

None of these assertions of the examiner ae to the claimed

process have any basis in law as a requirement for a

patentable method. None are mentioned as such in the Patent

Act. Some of them appear to be lifted from British cases

dealing with compliance with the requirements of the British

Patents Act, which Act differs markedly from the Canadian

Act, as pointed out by Pigeon J. in the Tennessee Eastman

case at p. 120.

 

In sum, it is submitted that the rejection of claims 18-26

by the examiner is not based upon grounds upon which the

Commissioner could be satisfied under s. 42 that the

applicant is not by law entitled to a patent. (See Monsanto

Co. v. Commissioner of Patents (1979), 42 C.P.R. (2d) 161).

 

The issue before the Board is whether or not claims 18 to 26 are directed to

patentable subject matter in view of Section 2 of the Patent Act. Claim 18

reads:

 

The method for non-surgically forming in situ a plug to

occlude an oviduct comprising the steps of hysteroscopically

locating the uterine end of an oviduct; inserting a pair of

inner and outer co-extensive telescoping flexible plastic

tubes, releasably maintained in fixed relative position one

to the other, through the operating channel of the

hysteroscope and positioning said tubes about the oviduct

opening in sealing relationship thereto, the releasing means

remaining external of said hysteroscope; dispensing a

predetermined amount of curable elastomer-precursor into

said oviduct through the inner of said tubes, permitting

said elastomer-precursor to cure in situ; releasing said

inner and outer tubes one from the other and moving one

relative to the other to thereby break the cured elastomer;

and withdrawing said hysteroscope tubes.

 

Mr. Smart argues that Applicant's method is directed to no more than the steps

of mechanically blocking an oviduct. He points to page 6 the disclosure of the

application where it states that, due to its properties, the elastomeric

material will adhere only to other silicone rubbers and not to the body tissues

except by flowing into voids to cause mechanical interlocking. He notes the

topically external nature of the oviduct, stressing that the elastomer does not

cross tissue lines. He describes the flow of the elastomer takes it to both

sides of the isthmus neck of the fallopian tube where a mechanical lock forms

on curing.

 

Mr. Smart stresses the non-surgical nature of Applicant's in-situ formation of

an elastomer tube to fit the anatomy of the wearer. He notes there is no birth

control method recited by the steps. He refers to the retrieving means that is

provided on the elastomer plug. He comments that the practice of birth control

would occur only if each oviduct had a plug in place for one complete menstrual

cycle of the wearer, and that the user would decide this issue, just as the

user has the choice of other birth control devices and measures. He reasons

that the act of installing the elastomer according to Applicant's method

represents a mechanical procedure, and not a birth control procedure, per se.

 

Mr. Smart looks to the decision in The Commissioner of Patents v. Farbwerke

Hoescht Aktiengesellschaft Vormals Meister Lucius & Bruning [1964] S.C.R. 49 at

57, a case dealing with Section 41(1) of the Act, as follows:

 

The section was held to be restrictive of the rights that an

inventor would have except for the prohibitions of the

section. Consequently, the Court should not find that a

particular application came within its prohibitions unless

the conditions for its application are clearly present. I

can see no justification for this interpretation. There is

no inherent common law right to a patent. An inventor gets

his patent according to the terms of the Patent Act, no more

and no less. If the patent for which he is applying comes

within the provisions of s. 41(1) of the Act, then he must

comply with that section.

his view, this case settled that Canadian patents are creatures of the

Patent act, and that applications should be scrutinized in view thereof.

 

In referring to Tennessee Eastman v. The Commissioner of Patents [1974] S.C.R.

p. 111, Mr. Smart discusses a passage given by Kerr, J. in the Exchequer Court

decision in this case, and reproduced in Mr. Justice Pigeon's decision at page

114 as follows:

 

In my view the method here does not lay in the field of

manual or productive arts nor, when applied to the human

body, does it produce a result in relation to trade,

commerce or industry or a result that is essentially

economic. The adhesive itself may enter into commerce, and

the patent for the process, if granted, may also be sold and

its use licensed for financial considerations, but it does

not follow that the method and its result are related to

commerce or are essentially economic in the sense that those

expressions have been used in patent case judgments. The

method lies essentially in the professional field of surgery

and medical treatment of the human body, even although it

may be applied at times by persons not in that field.

Consequently, it is my conclusion that in the present state

of the patent law of Canada and the scope of subject matter

for patent, as indicated by authoritative judgments that I

have cited, the method is not an art or process or an

improvement of an art or process within the meaning of

subsection (d) of section 2 of the Patent Act.

 

Mr. Smart indicates that Mr. Justice Pigeon makes no comment on this passage.

He then refers to certain questions that Mr. Pigeon posed, and observations

made in dealing with the matter before him as follows:

 

on page 117

 

...

 

The sole question is therefore whether a new use for

surgical purposes of a known substance can be claimed as an

invention.

 

on page 118

 

...

 

Here, we have to deal with a substance that was known and

also with its previously known essential properties, that is

to form an adhesive by polymerization on application.

Therefore, the only element of novelty ie in its application

to surgical use and the discovery is limited to the

unobvious adaptability to such use. This is why the claims,

as previously pointed out, are only for a surgical method of

joining tissues by means of such an adhesive rather than

with thread or clips. Is such a method an "art" or

"process" within the meaning of the definition of

"invention"?

 

It is clear that a new substance that is useful in the

medical or surgical treatment of humans or of animals is an

"invention". It is equally clear that a process for making

such a substance also is an "invention". In fact, the

substance can be claimed as an invention only "when prepared

or produced by" such a process. But what of the method of

medical or surgical treatment using the new substance? Can

it too be claimed as an invention? In order to establish

the utility of the substance this has to be defined to a

certain extent. In the case of a drug, the desirable

effects must be ascertained as well as the undesirable side

effects. The proper doses have to be found as well as

methods of administration and any counter-indications. May

these therapeutic data be claimed in themselves as a

separate invention consisting in a method of treatment

embodying the use of the new drug? I do not think so, and

it appears to me that s.41 definitely indicates that it is

not so.

 

on page 119

 

...

 

In my view, this necessarily implies that, with respect t

such substances, the therapeutic use cannot be claimed by a

process claim apart from the substance itself. Otherwise,

it would mean that while the substance could not be claimed

except when prepared by the patented process, its use

however prepared could be claimed as a method of treatment.

In other words, if a method of treatment consisting in the

application of a new drug could be claimed as a process

apart from the drug itself, then the inventor, by making

such a process claim, would have an easy way out of the

restriction in s.41(1).

 

Mr. Smart points to the implication given by Pigeon J. that a method of using a

medicinal substance is excluded as claimable subject matter. In Mr. Smarts

view, Pigeon J. means by a method of medical treatment, simply the application

of a medicinal substance. He believes Pigeon J. means the same thing when

referring to a surgical treatment. Mr. Smart derives his belief from Mr.

Justice Pigeon's conclusion in the passage on page 119, mid-page:

 

Having come to the conclusion that methods of medical

treatment are not contemplated in the definition of

"invention" as a kind of "process", the same must, on the

same basis, be true of a method of surgical treatment.

 

He reasons that Pigeon J. looked on the term medicine as being something that

is to be given a wide interpretation on the basis of some earlier cases. Mr.

Smart notes that the basis could have been on the fact that surgery is a part

of medicine when medicine is being used in its broad sense.

 

Mr. Smart refers to another passage from Tennessee Eastman, page 121,

concerning surgical or medical processes which are excluded, per se. He

interprets it as referring to the kind of methods of surgical or medical

processes that are related to the application of a medicament to a person, for

example, the process of curing a disease by taking a pill, or using an adhesive

to adhere pieces of flesh together based on the discovered properties of the

adhesive. That passage reads:

 

While those decisions may be of some interest in dealing

with the patentability of inventions related to slaughtering

or agricultural processes, I fail to see anything that would

tend to overbear the implication of s. 41(1) with respect to

the exclusion of a surgical or medical method per ase from

the area of patentable process.

 

In view of the Tennessee Eastman case, Mr. Smart submits that not all methods

that produce their effect upon or in conjunction with a human body are methods

of surgical or medical treatment in the sense used by Pigeon J.

 

Mr. Smart discussed the unreported Federal Court of Appeal decision rendered

April 21, 1986, Imperial Chemical Industries v. The Commissioner of Patents.

There, he reasons, the method claims of applying the substance to the teeth

were refused for being a medical process of reducing caries. Mr. Smart refers

to the penultimate paragraph of the decision, noting it records that the

Commissioner did not err in the basis for refusing the claims, viz, that it was

a medical process involving the application of a substance to a human, and that

the Federal Court felt itself bound by Tennessee Eastman.

 

In view of these cases, he believes the implication, based on her. Justice

Pigeon's ratio, does not extend beyond medical or surgical treatment relying on

the use of substances, per ase, to effect a treatment due to their properties.

Mr. Smart reasons there does not exist an implication, concerning medical

processes involving medical or surgical devices, that such processes are

unpatentable. He indicates the Act does not contain such an implication.

 

Mr. Smart submits six Canadian patents 946,084, 968,108, 1,003,167, 1,071,820,

1,150,464, and 1,166,810 having methods of forming caste related to the human

body. He says they have a lot in common with the method in the present case,

for example, the product being made conforms to the anatomy of the wearer. He

suggests in many of these a samples, the wearing of the article could be

considered a surgical or medical method. He comments however, these methods

are not the kind of method which Pigeon J. was addressing in Tennessee Eastman

because they are not methods which consist only of the application of a

medication or a substance that has physiological properties. Be reasons his

client's method is worthy of patent protection.

concerning the Examiner's reference to Section 67(3), Mr. Smart considers that

subsection (3) is only for determining abuse of exclusive rights in connection

with subsection (2) concerning compulsory licence applications. As such he

argues Section 67(3) has no relevance to what is patentable or not.

 

In summation Mr. Smart relates that claims 18 to 26 are directed to manufacture

of a device, and are not directed to a method of surgical or medical treatment,

per se. He restates there is nothing in the act to preclude their

patentability. Finally, he refers to Monsanto Co. v. The Commissioner of

Patents [1979] 42 C.P.B. (2d) 161 at 178, in which the significance of the

term, by law, in Section 42 is emphasized. He indicates that reasons found in

the Patent Act or in jurisprudence must be presented why his client is not by

law entitled to a patent.

 

As the issue before us relates to the subject matter contained in this

application, we make no comments on the claims in the Canadian patents referred

to by the Patent Agent. Accordingly, we look to Applicant's subject matter in

view of the Patent Act and related jurisprudence.

 

From the disclosure we see certain methodology is presented in carrying out the

method found in claims 18 to 26. On page 11 preparing a patient for

hysteroscopic examination is described using standard medical procedures and

local anesthesia. A description is given of the type of hysteroscopy fluid

that replaces the air in the hysteroscope sheath prior to insertion of the

device into the cervical canal. After insertion the hysteroscopy fluid is

pressurized to inflate the uterus for a subsequent procedure. This fluid aids

in providing visualization of the uterus. An account of identifying the

sometimes hard to find tubal ostium is given, including the use of a dye in

saline solution. Mention ie made of positioning the obturating tip With s

force to achieve moderate sealing. Details are given for miring the

ingredients forming the elastomer material to provide the necessary

consistency. Proper force to seat the hysteroscope end to propel the elastomer

to fill the oviduct and both sides of the isthmus of the fallopian tube, is

said to be obtained by simultaneously observing the flow of material during

dispensing. After gelling, a retrieval portion is provided by actuating the

reciprocating plungers of the hysteroscope to separate the plug from the

oparatus. After the technique is completed for the other tubal ostium,

confirmation of plugs of suitable length is determined by a flat x-ray plate.

 

We lock on Applicant's method as essentially involving steps requiring the

skills of a medical practioner attending on a patient. We are not persuaded by

the arguments advanced by the Patent Agent that the method should be considered

as a mechanical procedure it the field of manual or productive arts. It may be

that the elastomer is a commercial item and may be patentable, and if so,

licenced for financial considerations. We believe however, that the remarks of

Kerr J. reproduced in Tennessee Eastman, supra, p. 114, and discussed

previously by Mr. Smart appropriately relate to the kind of method in claims 18

to 26 in this application:

 

... but it does not follow that the method and its result

are related to commerce or are essentially economic in the

sense that those expressions have been used in patent case

judgments. The method lies essentially in the professional

field of surgery and medical treatment of the human body,

even although it may be applied at times by persons not in

that field. Consequently, it is my conclusion that in the

present state of the patent law of Canada and the scope of

subject mater for patent, as indicated by authoritative

judgments that I have cited, the method is not an art or

process or an improvement of an art or process within the

meaning of subsection (d) of section 2 of the Patent Act.

 

We note that claim 18 is directed to s method pertaining to a living animal

body involving, an operating hysteroscope, its insertion and use to pressurize

the uterine cavity, its location at the oviduct in sealing relation thereto,

dispensing a curable elastomer via an inner portion of the hysteroscope to at

least the isthmus of fallopia, permitting curing, and withdrawal of the

apparatus to break the cured elastomer near the end of the inner portion. We

see this as more than a routine method of forming a product, such as suggested

by the Applicant. Mr. Smart acknowledges that probably the operation is

performed by an obstetrician. He submits that apart from what Mr. Justice

Pigeon found in Section 41(1) there is nothing in the Patent Act saying that

processes carried out by doctors or surgeons are any different from a process

carried out by anybody else, so far as a patent is concerned. It is true that

the Act does not per se, refer to such processes. It is equally true in our

view, that the jurisprudence developed by Tennessee Eastman, supra, does deal

with medical methods or processes, as is evident from the passage by Kerr J. in

interpreting Section 2. Moreover, Mr. Justice Pigeon after inserting the

remarks by Kerr J., and after reviewing Section 41(1), concludes on page 119,

as previously noted by Mr. Smart, "... that methods of medical treatment are

not contemplated in the definition of "invention" as a kind of "process", the

same must, on the same basis, be true of a method of surgical treatment." We

are of the opinion that Mr. Pigeon's remarks cover medical treatment in a broad

sense, and not simply the application of a medicinal substance.

 

At the Hearing, the Board referred to a passage quoted by Mr. Justice Pigeon on

page 121 in Tennessee Eastman from in Re Schering A.G.'s Application (1971)

R.P.C. 337, at 345, and in particular to the emphasized portion as follows:

 

...on a full consideration of the matter it seems that

patents for medical treatment in the strict sense must be

excluded under the present act,...

 

Mr. Smart suggests it points out the reason the case was allowed in Great

Britain. There, he says, they were not examining for patentability, and that

by allowing the application any question of patentability could be brought

before the Courts. We believe ii indicates more. We see the emphasis given by

Pigeon J. to the Schering passage is in line with his conclusion on page 119

that methods of medical treatment are not contemplated under Section 2.

 

We find direction from the Farbwerke Hoescht case discussed by Mr. Smart, in

the following remarks made on page 55 by Judson J.:

 

Following statements made in R. v Patents Appeal Tribunal,

Ex p. Swift & Co., the Exchequer Court said that the

Commissioner should not refuse to allow an application to

proceed to the grant of a patent unless he is quite

satisfied that the subject-matter of the application could

not conceivably be patented within the meaning of the Ptent

Act.

 

The Commissioner was well within even this definition of the

scope of his duties but I think that the obiter of the

Exchequer Court expresses the duties of the Commissioner too

restrictively and fails to recognize the distinction between

the United Kingdom and the Canadian Patent Acts. Under as

6, 7 and 8 of the United Kingdom Patents Act 1949, the

Examiner may examine only for anticipation. He may not and

does not as a matter of practice examine as to

inventiveness. This is left to the Court. Further, as

pointed out in Re Levy & West's Application, no appeal lies

from the Patent Appeal Tribunal, whereas in a subsequent

action the validity of the patent may be impeached in the

highest court in the land.

 

In contrast, in Canada the Patent Office, supervised by the

Court, does examine as to inventiveness, and art applicant

may appeal to the highest court. Moreover, in the

particular class with which we are here concerned dealing

with drugs and medicines, there is considerable public

interest at stake, and the Commissioner should most

carefully scrutinize the application to see if it merits the

grant of monopoly privileges and to determine the scope of

the monopoly available.

 

In our view, Farbwerke Hoescht points out that the Commissioner' duty is to

determine the patentably of subject matter and if be finds it is not patentable

that he may refuse to allow an application provided be is satisfied by

sufficient reasons.

 

We see the remarks by Pigeon J. in Tennessee Eastman, as included on page 119

in the Supreme Court decision do not disregard the findings by Kerr J. in the

Exchequer Court. We are guided by the conclusion reached on page 121 by Pigeon

J. We read in the remarks by Heald J. in Imperial Chemical Industries that the

ratio of Tennessee Eastman is an acceptable basis for refusing a method of

medical treatment.

 

Mr. Smart points to Cibs vs. The Commissioner [1959] S.C.R. saying that the

method applied to certain materials may be patentable in producing a new

material. The issue was whether making a sew and useful product by

conventional chemistry was patentable, and in that case was found to be

acceptable. We do not equate Applicant's method to a process of conventional

chemistry.

 

Applicant's method is our view, involves the skills of a medical practioner in

achieving a satisfactory insertion into a living body of a proper amount of

material compatible with the anatomy of the body. We believe the steps clearly

point to the performance of a method that resides within the domain of a

medical practioner.

 

In summary, we find that method claims 18 to 26, even though they are couched

in terms of being non-surgical, are nevertheless directed to a method of

medical treatment, and may not be considered as falling within the ambit of

Section 2.

 

We recommend the rejection of claims 18 to 26 be affirmed for not being

directed to patentable subject matter.

 

M.G. Brown                          S.D. Kot

Acting Chairman                     Member

Patent Appeal Board

 

I concur with the findings and the recommendation of the Patent Appeal Board.

Accordingly, I refuse to grant a patent containing claims 18 to 26. The

Applicant has six months within which to appeal this decision under the

provisions of Section 44 of the Patent Act.

 

J.H.A. Gari‚py

Commissioner of Patents

 

Dated at Hull, Quebec

this 15th day of August       1986.

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