Cardionet, LLC v. Infobionic, Inc

955 F.3d 1358
Court of Appeals for the Federal Circuit·Decided April 17, 2020·No. 19-1149·Published·Cited by 82 cases

Opinion

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.

2 CARDIONET, LLC v. INFOBIONIC, INC

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 dismissal of their patent infringement complaint against Info Bionic, Inc. The district court held that the asserted claims of CardioNet’s U.S. Patent No. 7,941,207 are ineligible under 35 U.S.C. § 101, and therefore the complaint failed to state a claim under Federal Rule of Civil Procedure 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 conditions 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, irregularity from various types of heart blocks, irregularity associated 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 fibrillation or atrial flutter. Short episodes “generally include between two and 20 [heart]beats and may or may not have clinical significan[ce].” Id. at col. 5 ll. 33–35. By contrast,

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 succession of ventricular contractions (e.g., between 140 and 220 per minute) generally caused by an abnormal focus of electrical activity in a ventricle.” Id. at col. 9 ll. 41–44. Ventricular 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 fibrillation 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 4 CARDIONET, LLC v. INFOBIONIC, INC

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 monitoring system is shown below in Figure 8:

Id. Fig. 8. The written description explains that in detecting 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

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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 period between ventricular contractions (i.e., the R to R interval ) 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 patent ’s system employing these techniques:

Id. Fig. 10.

6 CARDIONET, LLC v. INFOBIONIC, INC

Claims 1–3, 7, 10–12, and 22 are at issue on appeal.

The claims are drawn to a device for detecting and reporting 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 (irregular 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 variability in the beat-to-beat timing of a collection of beats; relevance determination logic to identify a relevance of the variability in the beat-to-beat timing to at least one of atrial fibrillation and atrial flutter ; 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 “ventricular beats” to mean “premature ventricular beats that are irregular beats that interrupt the normal heart rhythm.” CardioNet, LLC v. InfoBionic, Inc., 348 F. Supp. 3d 87, 96 n.4 (D. Mass. 2018) (citation omitted).

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and atrial flutter in light of the variability in the beat-to-beat timing caused by ventricular beats identified by the ventricular beat detector.

Id. at col. 12 ll. 12–27.

Dependent claims 2, 3, 7, and 10–12 depend from claim 1 and further define the features of the device or its operation:

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

955 F.3d 1358 (Cardionet, LLC v. Infobionic, Inc) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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