Cardionet, LLC v. Infobionic, Inc

955 F.3d 1358
CourtCourt of Appeals for the Federal Circuit
DecidedApril 17, 2020
Docket19-1149
StatusPublished
Cited by82 cases

This text of 955 F.3d 1358 (Cardionet, LLC v. Infobionic, Inc) is published on Counsel Stack Legal Research, covering Court of Appeals for the Federal Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cardionet, LLC v. Infobionic, Inc, 955 F.3d 1358 (Fed. Cir. 2020).

Opinion

Case: 19-1149 Document: 56 Page: 1 Filed: 04/17/2020

United States Court of Appeals for the Federal Circuit ______________________

CARDIONET, LLC, BRAEMAR MANUFACTURING, LLC, Plaintiffs-Appellants

v.

INFOBIONIC, INC, Defendant-Appellee ______________________

2019-1149 ______________________

Appeal from the United States District Court for the District of Massachusetts in No. 1:17-cv-10445-IT, Judge Indira Talwani. ______________________

Decided: April 17, 2020 ______________________

CHING-LEE FUKUDA, Sidley Austin LLP, New York, NY, argued for plaintiffs-appellants. Also represented by BRADFORD J. BADKE, TODD MATTHEW SIMPSON; NATHAN A. GREENBLATT, Palo Alto, CA.

GABRIEL BELL, Latham & Watkins LLP, Washington, DC, argued for defendant-appellee. Also represented by MAXIMILIAN A. GRANT; CHARLES SANDERS, Boston, MA. ______________________

Before DYK, PLAGER, and STOLL, Circuit Judges. Case: 19-1149 Document: 56 Page: 2 Filed: 04/17/2020

Opinion for the court filed by Circuit Judge STOLL. Opinion dissenting in part and concurring in the result filed by Circuit Judge DYK. STOLL, Circuit Judge. CardioNet, LLC and Braemar Manufacturing, LLC (collectively, “CardioNet”) appeal the district court’s dis- missal of their patent infringement complaint against In- foBionic, Inc. The district court held that the asserted claims of CardioNet’s U.S. Patent No. 7,941,207 are ineli- gible under 35 U.S.C. § 101, and therefore the complaint failed to state a claim under Federal Rule of Civil Proce- dure 12(b)(6). We conclude instead that the asserted claims of the ’207 patent are directed to a patent-eligible improvement to cardiac monitoring technology and are not directed to an abstract idea. Accordingly, we reverse the district court and remand for further proceedings. BACKGROUND I Anomalies in the electrical activity of a patient’s heart can indicate the presence of certain physiological condi- tions ranging from benign to life-threatening. Among those conditions are various different types of cardiac arrythmias (abnormal heart rhythms), including atrial fibrillation, atrial flutter, normal sinus rhythm irregularity, irregular- ity from various types of heart blocks, irregularity associ- ated with premature ventricular contractions, and ventricular tachycardia. Atrial fibrillation and atrial flutter involve “the loss of synchrony between the atria and the ventricles” of the heart. ’207 patent col. 1 ll. 24–25, 34–35. A patient may experience “short” or “sustained” episodes of atrial fibrilla- tion or atrial flutter. Short episodes “generally include be- tween two and 20 [heart]beats and may or may not have clinical significan[ce].” Id. at col. 5 ll. 33–35. By contrast, Case: 19-1149 Document: 56 Page: 3 Filed: 04/17/2020

CARDIONET, LLC v. INFOBIONIC, INC 3

sustained episodes “generally include more than 20 beats and may have relatively greater clinical significance.” Id. at col. 5 ll. 35–37. Atrial fibrillation “can lead to irregular ventricular beating as well as blood stagnation and clotting in the atria.” Id. at col. 1 ll. 27–28. Both atrial fibrillation and atrial flutter are “associated with stroke, congestive heart failure, and cardiomyopathy.” Id. at col. 1 ll. 31–32, 40–42. Ventricular tachycardia, or V-TACH, is another form of cardiac arrythmia and is characterized by “a rapid succes- sion of ventricular contractions (e.g., between 140 and 220 per minute) generally caused by an abnormal focus of elec- trical activity in a ventricle.” Id. at col. 9 ll. 41–44. Ven- tricular beats “are irregular beats that interrupt the normal heart rhythm” and that “may be precipitated by factors such as alcohol, tobacco, caffeine, and stress.” Id. at col. 9 ll. 10–12, 19–20. The “occurrence of ventricular beats can be used to identify ventricular tachycardia (e.g., when there are three or more consecutive ventricular beats).” Id. at col. 9 ll. 16–19. V-TACH “can last from a few seconds to several days and can be caused by serious heart conditions such as a myocardial infarction.” Id. at col. 9 ll. 44–46. The ’207 patent is titled “Cardiac Monitoring” and claims priority to an application filed on January 21, 2004. The ’207 patent describes cardiac monitoring systems and techniques for detecting and distinguishing atrial fibrilla- tion and atrial flutter from other various forms of cardiac arrythmia. Electrical signals of the heart can be measured by placing electrodes on a patient’s skin. Id. at col. 1 ll. 17– 20, col. 5 ll. 1–7. The patent teaches that its systems and techniques determine the beat-to-beat variability in heart rate over a series of successive heartbeats. Specifically, they determine the variability in heart rate “over a series of between 20 and 200 of the recent R to R intervals,” or the timing between “R-waves.” Id. at col. 2 ll. 4–6, 47–49. An R-wave is the peak of what is referred to as the “QRS Case: 19-1149 Document: 56 Page: 4 Filed: 04/17/2020

complex” of an electrocardiogram signal, as illustrated in Figure 2 below. The QRS complexes (items 215, 220, and 225 of Figure 2) of the signal correspond to the contractions of the ventricles. Id. at col. 4 ll. 53–58.

Id. Fig. 2. A schematic of the ’207 patent’s cardiac moni- toring system is shown below in Figure 8:

Id. Fig. 8. The written description explains that in detect- ing atrial fibrillation and atrial flutter, the systems and techniques include accounting for the presence of irregular ventricular beats, which are “negatively indicative” of atrial fibrillation and atrial flutter. Id. at col. 1 ll. 61–65, col. 2 ll. 53–61. The patent recognizes that the “occurrence of ventricular beats is generally unrelated to” atrial Case: 19-1149 Document: 56 Page: 5 Filed: 04/17/2020

CARDIONET, LLC v. INFOBIONIC, INC 5

fibrillation and atrial flutter, whereas it is indicative of V- TACH. Id. at col. 9 ll. 15–19. The patent’s systems and techniques also analyze information regarding the time pe- riod between ventricular contractions (i.e., the R to R inter- val) to detect atrial fibrillation and atrial flutter using non- linear statistical approaches. Id. at col. 1 ll. 49–54, col. 5 ll. 40–44. Figure 10 depicts an embodiment of the ’207 pa- tent’s system employing these techniques:

Id. Fig. 10. Case: 19-1149 Document: 56 Page: 6 Filed: 04/17/2020

Claims 1–3, 7, 10–12, and 22 are at issue on appeal. The claims are drawn to a device for detecting and report- ing the presence of atrial fibrillation or atrial flutter in a patient. Specifically, the device detects beat-to-beat timing of cardiac activity, detects premature ventricular beats (ir- regular beats that interrupt the normal heart rhythm), 1 and determines the relevance of the beat-to-beat timing to atrial fibrillation or atrial flutter, taking into account the variability in the beat-to-beat timing caused by premature ventricular beats. Independent claim 1 recites: 1. A device, comprising: a beat detector to identify a beat-to-beat timing of cardiac activity; a ventricular beat detector to identify ventricular beats in the cardiac activity; variability determination logic to determine a var- iability in the beat-to-beat timing of a collection of beats; relevance determination logic to identify a rele- vance of the variability in the beat-to-beat timing to at least one of atrial fibrillation and atrial flut- ter; and an event generator to generate an event when the variability in the beat-to-beat timing is identified as relevant to the at least one of atrial fibrillation

1 For purposes of the motion to dismiss, the district court adopted CardioNet’s construction of the term “ven- tricular beats” to mean “premature ventricular beats that are irregular beats that interrupt the normal heart rhythm.” CardioNet, LLC v.

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955 F.3d 1358, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cardionet-llc-v-infobionic-inc-cafc-2020.