Rex Medical, L.P. v. Intuitive Surgical, Inc.

CourtCourt of Appeals for the Federal Circuit
DecidedOctober 2, 2025
Docket24-1072
StatusPublished

This text of Rex Medical, L.P. v. Intuitive Surgical, Inc. (Rex Medical, L.P. v. Intuitive Surgical, 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
Rex Medical, L.P. v. Intuitive Surgical, Inc., (Fed. Cir. 2025).

Opinion

Case: 24-1072 Document: 65 Page: 1 Filed: 10/02/2025

United States Court of Appeals for the Federal Circuit ______________________

REX MEDICAL, L.P., Plaintiff-Appellant

v.

INTUITIVE SURGICAL, INC., INTUITIVE SURGICAL OPERATIONS, INC., INTUITIVE SURGICAL HOLDINGS, LLC, Defendants-Cross-Appellants ______________________

2024-1072, 2024-1125 ______________________

Appeals from the United States District Court for the District of Delaware in No. 1:19-cv-00005-MN, Judge Maryellen Noreika. ______________________

Decided: October 2, 2025 ______________________

ERIK MILCH, Proskauer Rose LLP, Washington, DC, ar- gued for plaintiff-appellant Rex Medical, L.P. Also argued by JOHN E. ROBERTS, Boston, MA. Also represented by JOSEPH DRAYTON, BALDASSARE VINTI, New York, NY; LUCAS KOWALCZYK, Chicago, IL; ELIZABETH SHRIEVES, Washington, DC.

MELANIE L. BOSTWICK, Orrick, Herrington & Sutcliffe LLP, Washington, DC, argued for defendants-cross-appel- lants. Also represented by SAMANTHA MICHELLE LEFF, E. Case: 24-1072 Document: 65 Page: 2 Filed: 10/02/2025

JOSHUA ROSENKRANZ, New York, NY; LAUREN WEBER, Se- attle, WA; CLAIRE A. FUNDAKOWSKI, Winston & Strawn LLP, Washington, DC; GEORGE C. LOMBARDI, Chicago, IL; MICHAEL RUECKHEIM, Redwood City, CA. ______________________

Before DYK, PROST, and STOLL, Circuit Judges. STOLL, Circuit Judge. Rex Medical, L.P. (“Rex”) sued Intuitive Surgical, Inc., Intuitive Surgical Operations, Inc., and Intuitive Surgical Holdings, LLC (collectively, “Intuitive”) in the U.S. District Court for the District of Delaware for patent infringement. Days before a jury trial began, the district court precluded Rex’s damages expert from testifying about a specific li- cense agreement for failure to apportion. At trial, neither party’s damages expert testified. The jury found that In- tuitive infringed claim 6 of U.S. Patent No. 9,439,650, which it found was not invalid, and awarded Rex $10 mil- lion. After trial and post-trial motions, the district court entered a final judgment that: (1) Intuitive directly in- fringed claim 6 of the ’650 patent; (2) claim 6 of the ’650 pa- tent is not invalid for lack of written description; and (3) awarded nominal damages in the amount of $1 for In- tuitive’s infringement. Rex appeals the district court’s (1) exclusion of its dam- ages expert’s testimony and methods relying on the afore- mentioned license, and (2) reduction of the jury’s damages award from $10 million to $1 nominal damages. Intuitive cross-appeals with respect to infringement and invalidity. For the following reasons, we affirm. BACKGROUND I Rex and Intuitive make and sell medical technology. More specifically, and relevant here, Intuitive develops and sells surgical stapling products. In January 2019, Rex sued Case: 24-1072 Document: 65 Page: 3 Filed: 10/02/2025

REX MEDICAL, L.P. v. INTUITIVE SURGICAL, INC. 3

Intuitive for infringing two related patents: U.S. Patent Nos. 9,439,650 and 10,136,892, which share a specification and claim priority from the same 2001 provisional applica- tion. The inventions of the ’650 and ’892 patents are di- rected to systems for stapling tissue during surgery. Intuitive’s accused products include “the SureForm 60 sta- pler, the SureForm 45 stapler, the SureForm 45 Curved- Tip stapler, and the associated reloads.” Rex Med., L.P. v. Intuitive Surgical, Inc., No. 19-005, 2023 WL 6142254, at *1 (D. Del. Sept. 20, 2023) (“JMOL Op.”). After Intuitive filed a petition for inter partes review (IPR) challenging claims of the ’892 patent, Rex withdrew that patent from this case. Rex and Intuitive stipulated to dismissal of the ’892 patent infringement claims with prej- udice, and the Patent Trial and Appeal Board granted the parties’ joint request to terminate the agency proceeding before reaching an institution decision. Accordingly, “the only issue left for trial was direct infringement of the ’650 patent.” JMOL Op. at *1. Only claim 6 of the ’650 patent is relevant on appeal. Claim 6 depends from dependent claim 5, which depends from independent claim 4. 1 These three claims are repro- duced below. 4. An apparatus for stapling tissue, comprising: a first jaw and a second jaw, at least one of the first jaw and the second jaw being movable with respect to the other of the first jaw and the second jaw from a first configuration in which the first jaw and the second jaw are separated from each other at a first distance to receive tissue and a second configura- tion in which the first jaw and the second jaw are

1 In an IPR final written decision, the Board con- cluded that Intuitive proved claims 4 and 5 of the ’650 pa- tent unpatentable. Case: 24-1072 Document: 65 Page: 4 Filed: 10/02/2025

clamped together at a second distance to hold tis- sue therebetween for stapling, a staple carrying portion of the first jaw defining slots through which staples are configured to pass; an anvil surface defined on the second jaw opposing the first jaw; at least one of a gear and a cable operatively cou- pled to at least one of the first jaw and the second jaw and configured to move at least one of the first jaw and the second jaw from the first configuration to the second configuration such that the first jaw and the second jaw are in alignment; and a staple pusher configured to cause a staple to move from a first position at least partially within the staple carrying portion to a second position en- tirely outside the staple carrying portion, the sec- ond distance and the alignment being maintained by a beam configured to engage the first and second jaws from within the first and second jaws while tissue is stapled from a proximal location to a distal location. 5. The apparatus of claim 4, wherein the beam is configured to engage the first and second jaws one of entirely or substantially from therewithin to maintain the second distance and the alignment. 6. The apparatus of claim 5, wherein the beam comprises an upper portion and a lower portion and a web coupled between the upper portion and the lower portion, at least one of the lower portion or the upper portion configured to cause the staple pusher to move a staple as the beam moves from a proximal location to a distal location, the upper portion and the lower portion configured to cooper- atively engage the first jaw and the second jaw to Case: 24-1072 Document: 65 Page: 5 Filed: 10/02/2025

REX MEDICAL, L.P. v. INTUITIVE SURGICAL, INC. 5

align the slots with a staple forming portion on the anvil surface. U.S. Patent No. 9,439,650 col. 8 ll. 4–46 (emphases added to distinguish claim terms in dispute). Figure 15 of the ’650 patent—which depicts several el- ements recited above, such as the web, lower portion, and staple pusher—is reproduced below.

’650 patent Fig. 15. As described in the specification, “the I-beam member 70 includes upper and lower beam por- tions 82a, 82b, respectively, connected by a central web portion 84.” Id. at col. 5 ll. 45–47. “When the I-beam mem- ber 70 is driven by the pusher 80, the sloped leading edge of the upper beam portion 82a contacts sequentially each of a plurality of staple pushers 118 to drive them through their respective staple slots to drive the staples housed therein . . . .” Id. at col. 6 ll. 26–31. Two claim 6 limitations construed by the district court are pertinent here. The district court construed “at least one of the lower portion or the upper portion configured to cause the staple pusher to move a staple” to mean “at least one of the lower portion or the upper portion is designed, constructed or set up to cause the staple pusher to move a staple.” Rex Med., L.P. v. Intuitive Surgical, Inc., Case: 24-1072 Document: 65 Page: 6 Filed: 10/02/2025

No. 19-005, 2020 WL 2128795, at *1, 5 (D. Del. May 5, 2020) (“Claim Construction Order”).

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