Berall v. Teleflex Medical Inc.

• Court: Court of Appeals for the Federal Circuit
• Decided: July 2, 2026
• Docket: 25-1124
• Status: Unpublished

Opinion

Case: 25-1124 Document: 40 Page: 1 Filed: 07/02/2026

NOTE: This disposition is nonprecedential.

United States Court of Appeals for the Federal Circuit ______________________

JONATHAN BERALL, M.P.H., Plaintiff-Appellant

v.

TELEFLEX MEDICAL INC., Defendant-Appellee ______________________

2025-1124 ______________________

Appeal from the United States District Court for the Eastern District of North Carolina in No. 5:22-cv-00331- FL, Judge Louise Wood Flanagan. ______________________

Decided: July 2, 2026 ______________________

MARCUS EDWARD SERNEL, Kirkland & Ellis LLP, Chi- cago, IL, argued for plaintiff-appellant. Also represented by ERIC DAVID HAYES; PETER JASON EVANGELATOS, New York, NY.

NICHOLAS A. BROWN, Greenberg Traurig LLP, San Francisco, CA, argued for defendant-appellee. Also repre- sented by ELANA ARAJ, SCOTT JOSEPH BORNSTEIN, RICHARD CHARLES PETTUS, New York, NY; JONATHAN WISE, Phila- delphia, PA. Case: 25-1124 Document: 40 Page: 2 Filed: 07/02/2026

______________________

Before DYK, STOLL, and STARK, Circuit Judges. STOLL, Circuit Judge. Dr. Jonathan Berall originally filed a patent infringe- ment suit in the United States District Court for the South- ern District of New York against LMA North America, Inc. for infringing claims 1–15 of U.S. Patent No. 5,827,178. The lawsuit was transferred to the United States District Court for the Eastern District of North Carolina after Te- leflex Medical Incorporated acquired LMA and Dr. Berall amended his complaint to add Teleflex’s products to his suit. The District Court for the Eastern District of North Carolina construed the claim term “mounted on” and then granted Teleflex’s motion for summary judgment of nonin- fringement based on its construction. Dr. Berall appeals the district court’s decision to transfer and summary judg- ment of noninfringement. For the reasons discussed below, we affirm the district court’s decision to transfer the case, adopt its construction of the claim term, and affirm its sum- mary judgment of noninfringement. BACKGROUND I The ’178 patent is titled “Laryngoscope for Use in Tra- chea Intubation” and is directed to “a modification of cur- rent state of the art laryngoscopes such that a scope or camera is mounted on its distal end, preferably at or in the vicinity of the far tip of the laryngoscope blade, . . . [and] [t]he camera is operatively connected to a screen arranged for viewing.” U.S. Patent No. 5,827,178 Title, col. 2 ll. 46– 54. In the patented invention, a “screen can be at- tached . . . to the handle of the laryngoscope above the blade, so that the Professional Intubator’s direct view into the mouth and simultaneous view of the screen can be Case: 25-1124 Document: 40 Page: 3 Filed: 07/02/2026

BERALL v. TELEFLEX MEDICAL INC. 3

achieved with no head movement by the Professional Intu- bator and minimal change in his or her line of vision.” Id. at col. 2 ll. 54–59. As illustrated in Figure 4 below, the laryngoscope in the ’178 patent includes a “camera 26,” which “is mounted on the blade 17” and “is powered by a battery 32 [that is] preferably in the handle 21.” Id. at col. 5 ll. 15–16, ll. 32–33. In addition, a “display means” like “television screen 34 [is] mounted on the handle 21.” Id. at col. 5 ll. 34–35.

Id. Fig. 4. Claims 1 through 5 are illustrative and relevant to the issues on appeal and read: 1. A laryngoscope comprising: a handle and a blade, with the blade having a prox- imal end connected to the handle and a distal end projecting laterally therefrom; camera means mounted on the blade in the vicinity of the distal end for observing a visual field; and Case: 25-1124 Document: 40 Page: 4 Filed: 07/02/2026

display means operatively connected to said cam- era means for displaying the visual field at a pre- selected location. 2. The laryngoscope as claimed in claim 1, further including lighting means for illuminating the vis- ual field. 3. The laryngoscope as claimed in claim 2, further including power supply means for powering said camera means and said display means. 4. The laryngoscope as claimed in claim 3, wherein said power supply means are mounted in the han- dle. 5. The laryngoscope as claimed in claim 1, wherein said display means include a screen mounted on the handle and on which is displayed the visual field observed by the camera means. Id. at col. 6 ll. 6–25 (relevant limitations emphasized). II In 2010, Dr. Berall filed suit in the Southern District of New York alleging that LMA infringed claims 1–15 of the ’178 patent by selling the McGrath Series 5 video laryngo- scope. In 2011, the district court stayed the proceedings pending reexamination of the ’178 patent. In 2013, while the stay was in place, LMA merged with Teleflex, with Te- leflex surviving. The reexaminations of the ’178 patent ended six years later with the U.S. Patent and Trademark Office confirming the patentability of all asserted claims in 2019. LMA filed a statement informing the district court of its acquisition by Teleflex in April 2020. In November 2020, Dr. Berall filed a First Amended Complaint, which did not amend his allegations as to LMA, and LMA filed an answer, which did not contest venue. In December 2020, the district court lifted the stay as to LMA. In January Case: 25-1124 Document: 40 Page: 5 Filed: 07/02/2026

BERALL v. TELEFLEX MEDICAL INC. 5

2021, the district court granted Dr. Berall’s motion to sub- stitute Teleflex for LMA. One month later, in February 2021, Teleflex, as LMA’s successor-in-interest, filed a mo- tion for summary judgment of no infringement based on patent exhaustion of LMA’s accused products, which the district court denied. In November 2021, Dr. Berall filed a Second Amended Complaint that included allegations against Teleflex as an entity separate from its interest in LMA, including that Teleflex infringed the ’178 patent through its distribution of Airtraq laryngoscopes. Teleflex moved to dismiss, arguing venue was improper against it- self in the Southern District of New York. Dr. Berall re- sponded that Teleflex waived its right to contest venue when LMA answered the First Amended Complaint. The district court first found that Teleflex had not waived its right to contest venue because it was not Tele- flex who had answered the First Amended Complaint or sought summary judgment. Rather, it was Teleflex acting on behalf of LMA pursuant to Federal Rule of Civil Proce- dure 25(c). The district court also found that it was not un- til Dr. Berall filed his Second Amended Complaint alleging that Teleflex (separate from its role standing in LMA’s shoes) infringed the ’178 patent through Teleflex’s distri- bution of Airtraq laryngoscopes that Dr. Berall had raised allegations against Teleflex as a defendant separate from LMA. The district court also rejected Dr. Berall’s argu- ment that Teleflex forfeited its venue objection via its liti- gation conduct, explaining that all the conduct Dr. Berall pointed to was from when Teleflex was acting only as LMA’s successor-in-interest. The district court did not view this type of participation “as a tactical wait-and-see bypassing of [Teleflex’s] opportunity to declare its desire for a different forum.” J.A. 9. The district court thus trans- ferred the case to a district in which venue for Teleflex was proper, which was the Eastern District of North Carolina. After the case was transferred, the Eastern District of North Carolina held a Markman hearing. Relevant to this Case: 25-1124 Document: 40 Page: 6 Filed: 07/02/2026

appeal, the district court construed the claim term “mounted on” as “fastened to the exterior of.” J.A. 29. Based on this construction, Teleflex moved for summary judgment of noninfringement by the McGrath Series 5 ac- cused products—which were the only accused products still in suit at the time of summary judgment. 1 The district court granted the motion, determining that there were no genuine issues of material fact and the ac- cused products did not infringe the asserted claims of the ’178 patent either literally or under the doctrine of equiva- lents. Images of the McGrath Series 5 accused products are reproduced below:

1 Dr. Berall withdrew his claim against the Airtraq laryngoscopes, and the district court denied Teleflex’s sum- mary judgment motion as to those products as moot. Case: 25-1124 Document: 40 Page: 7 Filed: 07/02/2026

BERALL v. TELEFLEX MEDICAL INC. 7

J.A. 6295 (top left); J.A. 8126 (top right); J.A. 8128 (middle row); J.A. 8130 (bottom row). As to literal infringement, the district court explained that the “undisputed facts show that the camera of the McGrath Series 5 is fastened to the interior of the CameraStick” and “does not include a cam- era means mounted on the exterior of the blade.” J.A. 49. The district court also explained that Dr. Berall’s argu- ments to the contrary were all based on the idea that “the camera of the McGrath Series 5 is ‘mounted on’ the blade as long as it ‘has a view to the exterior’ or the ‘lens is ex- posed to the outside,’” which violated the court’s claim con- struction. J.A. 50 (citations omitted). The district court also granted summary judgment of no infringement under the doctrine of equivalents. The district court explained that (1) Dr. Berall’s insubstantial differences arguments were legally insufficient because they did not address the claims on a limitation-by-limitation basis; (2) Dr. Berall forfeited any function, way, and result arguments by not including them in his summary judgment briefing and in- stead only incorporating them by reference to an expert re- port in violation of the court’s local rules; and (3) in the alternative, his equivalents arguments were precluded by prosecution history estoppel. Accordingly, the district court granted summary judgment of noninfringement. Case: 25-1124 Document: 40 Page: 8 Filed: 07/02/2026

Dr. Berall appeals. We have jurisdiction under 28 U.S.C. § 1295(a)(1). DISCUSSION On appeal, Dr. Berall argues that (1) the district court erred in its construction of the claim term “mounted on”; (2) even under this construction, the district court erred in granting summary judgment of noninfringement as to ei- ther literal infringement or infringement under the doc- trine of equivalents; and (3) the district court erred in transferring the case from the Southern District of New York to the Eastern District of North Carolina. We address each issue in turn. I We first turn to Dr. Berall’s contention that the district court erroneously construed the term “mounted on” as “fas- tened to the exterior of.” Dr. Berall argues that the term “mounted on” should instead be construed as “attached or fastened to” without limiting the term to an exterior at- tachment. Appellant’s Br. 36. After reviewing the intrin- sic evidence, we are not convinced. We review a district court’s claim construction de novo, looking first to the claim language itself. See Sequoia Tech., LLC v. Dell, Inc., 66 F.4th 1317, 1323 (Fed. Cir. 2023). Claim 1 of the ’178 patent uses the disputed term in the phrase “camera means mounted on the blade.” The term “mounted on” is also used in claim 5 in the phrase “a screen mounted on the handle.” In contrast, claim 4 uses a different preposition in the phrase “power supply means are mounted in the handle.” The use of the same claim lan- guage when discussing the camera and the screen imply the patentee intended the phrase “mounted on” be under- stood the same way, while the different language used for the power supply “mounted in” the handle implies the pa- tentee intended different meanings between “mounted on” and “mounted in.” See Bd. of Regents of the Univ. of Tex. Case: 25-1124 Document: 40 Page: 9 Filed: 07/02/2026

BERALL v. TELEFLEX MEDICAL INC. 9

Sys. v. BENQ Am. Corp., 533 F.3d 1362, 1371 (Fed. Cir. 2008). In other words, the plain claim language supports the district court’s narrower reading of “mounted on” to mean something other than “mounted in.” The specification is consistent with the claim language in that it unfailingly (1) describes the display and camera as “on” the laryngoscope while depicting the display and camera as attached externally; and (2) describes the power supply as “in” the handle while depicting the power supply within the handle. ’178 patent col. 5 ll. 13–18, ll. 31–35, Fig. 4. The specification’s description confirms the ordi- nary meaning of the claim language and demonstrates that the patentee intended something different when using the phrase “mounted on” compared to “mounted in.” See Se- quoia Tech., 66 F.4th at 1323, 1326–27 (explaining that, while the claims are not limited by the specification’s dis- closure, “we [have] recognize[d] that it aligns with, and thus bolsters,” the meaning of the claim language). Dr. Berall contends that “mounted on” is broader than the term “mounted in” and not mutually exclusive of the term such that “mounted on” encompasses both interior and exterior attachment. See Appellant’s Br. 42. Dr. Berall contends that, in prior cases, we have construed similar terms to not be limited to exterior attachment. See Appellant’s Br. 37–39; Thorner v. Sony Comput. Ent. Am. LLC, 669 F.3d 1362, 1367–68 (Fed. Cir. 2012) (holding the claim term “attached to” encompasses either internal or ex- ternal attachment); MBO Lab’ys Inc. v. Becton, Dickinson & Co., 474 F.3d 1323, 1333–34 (Fed. Cir. 2007) (holding the claim term “mounted on said body” was not limited to ex- ternal mounting, where the intrinsic record did not include contrasting terms like “mounted in”); Inverness Med. Switz. GmbH v. Warner Lambert Co., 309 F.3d 1373, 1377– 82 (Fed. Cir. 2002) (holding the terms “on” and “onto” a test strip means disposition as a surface layer or within the test strip based on dictionary definitions in a pre-Phillips deci- sion). But these cases all involve different claim language Case: 25-1124 Document: 40 Page: 10 Filed: 07/02/2026

and specifications, distinguishing them from the intrinsic record before us. Here, the use of different prepositions in “mounted on” and “mounted in”—and not a more general phrase like “mounted to”—in the intrinsic record creates a strong in- ference that the claim term “mounted on” should be con- strued to mean something other than “mounted in.” So while this is a close case, we agree with and adopt the dis- trict court’s construction of “mounted on” as “fastened to the exterior of.” II We turn next to Dr. Berall’s argument that, even under the district court’s claim construction of “mounted on,” there were genuine issues of material fact as to whether the accused products infringe the asserted claims of the ’178 patent both literally and under the doctrine of equiva- lents, rendering summary judgment inappropriate. We disagree. “We review a district court’s decisions on motions for summary judgment . . . under the law of the regional cir- cuit, in this case the Fourth Circuit.” Syngenta Crop Prot., LLC v. Willowood, LLC, 944 F.3d 1344, 1355 (Fed. Cir. 2019) (first citing Supernus Pharm., Inc. v. Iancu, 913 F.3d 1351, 1356 (Fed. Cir. 2019); and then citing Mohsenzadeh v. Lee, 790 F.3d 1377, 1381 (Fed. Cir. 2015)). “The Fourth Circuit reviews the grant of a motion for summary judg- ment de novo, viewing all evidence in the light most favor- able to the non-moving party.” Id. (citing Amdocs (Isr.) Ltd. v. Openet Telecom, Inc., 761 F.3d 1329, 1337–38 (Fed. Cir. 2014)). “Infringement, whether literal or under the doc- trine of equivalents, is a question of fact.” Advanced Steel Recovery, LLC v. X-Body Equip., Inc., 808 F.3d 1313, 1317 (Fed. Cir. 2015) (quoting Absolute Software, Inc. v. Stealth Signal, Inc., 659 F.3d 1121, 1129–30 (Fed. Cir. 2011)). “Summary judgment of noninfringement is proper when no reasonable jury could find that every limitation recited in Case: 25-1124 Document: 40 Page: 11 Filed: 07/02/2026

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a properly construed claim is found in the accused device either literally or under the doctrine of equivalents.” Id. (citing PC Connector Sols., LLC v. SmartDisk Corp., 406 F.3d 1359, 1364 (Fed. Cir. 2005)). As to literal infringement, Dr. Berall contends that a factual dispute remained over what constitutes a “blade” in the accused products and whether the camera of the ac- cused products is “fastened to the exterior of” the blade. Regardless of what constitutes the blade, however, Dr. Berall’s argument rests on his assertion “that the cam- era of the McGrath Series 5 is ‘mounted on’ the blade as long as it ‘has a view to the exterior’ or the ‘lens is exposed to the outside.’” J.A. 50 (citations omitted); Appellant’s Br. 56. But, as the district court explained, that “is not how the court construed the term.” J.A. 50. As we have adopted the district court’s construction of “mounted on,” we affirm the district court’s summary judgment of no literal in- fringement. As to infringement under the doctrine of equivalents, Dr. Berall argues that genuine issues of material fact pre- clude summary judgment. But the district court explained that Dr. Berall had “offered no legally cognizable argument for a finding of infringement under the doctrine of equiva- lents using the insubstantial differences test” and only in- corporated by reference his expert’s statements without presenting any argument in his summary judgment brief- ing on the function, way, result test. J.A. 52 & n.7. We agree with the district court that Dr. Berall did not meet the requirements for an insubstantial differences analysis that can survive summary judgment (about which we say more below); and the district court did not abuse its discre- tion by enforcing its local rule treating the function, way, result analysis—which was only contained in an expert re- port and not briefing—as forfeited. Id. On appeal, Dr. Berall points us to only a single para- graph supporting his arguments on doctrine of equivalents Case: 25-1124 Document: 40 Page: 12 Filed: 07/02/2026

from his summary judgment briefing before the district court: There is extensive evidence that a [skilled artisan] would consider it insubstantially different from the claims (if it is indeed different at all) to have a plas- tic cover over the camera. The record evidence es- tablishes that a [skilled artisan] “would recognize that an Intubator may cover the CameraStick™ with a clear cover for purposes of sanitation and ease of reusability,” but that “adding a ‘clear’ cov- ering does not impact the ability of the Accused Products to capture the relevant field of view.” That is, “[f]or purposes of the claimed invention, the point of mounting the camera to the exterior of the blade is for the camera to get the view the Pro- fessional Intubator needs,” such that “what is im- portant in the context of the invention is that the camera be ‘in the vicinity of the distal end for ob- serving a visual field,’ and capable of observing that visual field.” Berall’s expert additionally ap- plies the function-way-result test to confirm equiv- alence. J.A. 8078 (third alteration in original) (citations omitted); Oral Arg. at 13:00–16:55, https://www.cafc.uscourts. gov/oral-arguments/25-1124_05112026.mp3 (pointing the court to the quoted paragraph). We have previously “imposed ‘specific evidentiary re- quirements necessary to prove infringement under the doc- trine of equivalents.’” NexStep, Inc. v. Comcast Cable Commc’ns, LLC, 119 F.4th 1355, 1370 (Fed. Cir. 2024) (quoting Tex. Instruments Inc. v. Cypress Semiconductor Corp., 90 F.3d 1558, 1566 (Fed. Cir. 1996)). These include that “proof of equivalents must be limitation specific, not focused only on the claim as a whole.” VLSI Tech. LLC v. Intel Corp., 87 F.4th 1332, 1342 (Fed. Cir. 2023) (citing Warner-Jenkinson Co. v. Hilton Davis Chem. Co., 520 U.S. Case: 25-1124 Document: 40 Page: 13 Filed: 07/02/2026

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17, 40 (1997)); see also NexStep, 119 F.4th at 1370–71. And “[a] patentee must . . . provide particularized testimony and linking argument as to the insubstantiality of the dif- ferences between the claimed invention and the accused device or process, or with respect to the function, way, re- sult test when such evidence is presented to support a find- ing of infringement under the doctrine of equivalents.” Advanced Steel Recovery, 808 F.3d at 1319 (omission in original) (quoting AquaTex Indus., Inc. v. Techniche Sols., 479 F.3d 1320, 1328 (Fed. Cir. 2007)); see also NexStep, 119 F.4th at 1371. This remains true at summary judg- ment. See AquaTex Indus., 479 F.3d at 1328–30. Having reviewed the evidence and argument presented to the district court in this case—as quoted in full above— we do not see the necessary “limitation specific,” “particu- larized testimony,” or “linking argument” for either the in- substantial difference or the function, way, result tests. We thus affirm the district court’s summary judgment of no infringement under the doctrine of equivalents. III Finally, we turn to Dr. Berall’s argument that Teleflex either waived or forfeited its venue challenge, and thus the district court erred in transferring the case. We first note that, after oral argument, it is unclear whether Dr. Berall would continue to press this issue in light of our holdings on claim construction and summary judgment. See Oral Arg. at 34:50–35:26 (conceding its venue challenge would be rendered moot if we agreed with the district court on the other issues raised on appeal). Nonetheless, we see no abuse of discretion in the dis- trict court declining to find waiver or forfeiture for Tele- flex’s venue objection and subsequent transfer of the case. See Columbia Sportswear N. Am., Inc. v. Seirus Innovative Accessories, Inc., 942 F.3d 1119, 1132–33 (Fed. Cir. 2019) (“We review a district court’s decision to exercise or, as here, not exercise its inherent power to find waiver for an Case: 25-1124 Document: 40 Page: 14 Filed: 07/02/2026

abuse of discretion.”). Here, the district court reasonably explained that Teleflex had not waived its right to contest venue when it answered Dr. Berall’s First Amended Com- plaint because, under Rule 25(c), “Teleflex [at that time] only stood in the shoes of LMA for the claims that had ac- tually been pled.” J.A. 8; see also J.A. 6–8 (citing, inter alia, Minn. Mining & Mfg. Co. v. Eco Chem, Inc. (3M), 757 F.2d 1256, 1263 (Fed. Cir. 1985); FED. R. CIV. P. 25(c)). After Dr. Berall, in his Second Amended Complaint, raised allegations against Teleflex as a defendant separate from LMA’s successor-in-interest for the first time, Teleflex timely moved to dismiss for improper venue. See J.A. 8–9. Similarly, the district court reasonably explained that Te- leflex had not forfeited its venue objection by its litigation conduct because the conduct that Dr. Berall pointed to in- volved Teleflex acting as LMA’s successor-in-interest and not as Teleflex itself. See J.A. 9–10. On appeal, Dr. Berall asserts that the distinction the district court drew between LMA and Teleflex is “artificial” and “meaningless.” Appellant’s Br. 70. We disagree. The distinction the district court relied on between LMA and Teleflex is well-grounded in Rule 25(c) and our case law. Rule 25(c) is a procedural mechanism governing the trans- fer of interests from an original party to its successor: “[i]f an interest is transferred, the action may be continued by or against the original party unless the court, on motion, orders the transferee to be substituted in the action or joined with the original party.” We have explained that “[t]he transferee is not joined because its substantive rights are in question; rather, the transferee is brought into court solely because it has come to own the property in issue. The merits of the case, and the disposition of the property, are still determined vis-[à]-vis the originally named par- ties.” 3M, 757 F.2d at 1263; see also id. at 1263–64. We see no legal or factual error in the district court’s determi- nation that Teleflex had only acted as a successor-in-inter- est of LMA, who conceded venue in the Southern District Case: 25-1124 Document: 40 Page: 15 Filed: 07/02/2026

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of New York, until Dr. Berall added allegations of infringe- ment by Teleflex itself for selling its Airtraq laryngoscopes, at which point Teleflex timely contested venue as to itself. Accordingly, the district court did not abuse its discretion in transferring this case from the Southern District of New York to the Eastern District of North Carolina. CONCLUSION We have considered Dr. Berall’s remaining arguments and find them unpersuasive. For the foregoing reasons, we affirm the district court’s transfer order, adopt the district court’s construction of the term “mounted on,” and affirm the district court’s summary judgment of noninfringement. AFFIRMED