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

Court of Appeals for the Federal Circuit·Decided October 2, 2025·No. 24-1072·Published

Opinion

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, argued 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-appellants . Also represented by SAMANTHA MICHELLE LEFF, E.

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

JOSHUA ROSENKRANZ, New York, NY; LAUREN WEBER, Seattle , 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 license agreement for failure to apportion. At trial, neither party’s damages expert testified. The jury found that Intuitive infringed claim 6 of U.S. Patent No. 9,439,650, which it found was not invalid, and awarded Rex $10 million . After trial and post-trial motions, the district court entered a final judgment that: (1) Intuitive directly infringed claim 6 of the ’650 patent; (2) claim 6 of the ’650 patent is not invalid for lack of written description; and (3) awarded nominal damages in the amount of $1 for Intuitive ’s infringement.

Rex appeals the district court’s (1) exclusion of its damages expert’s testimony and methods relying on the aforementioned 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

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 application . The inventions of the ’650 and ’892 patents are directed to systems for stapling tissue during surgery. Intuitive’s accused products include “the SureForm 60 stapler , 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 prejudice , 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 reproduced 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 configuration in which the first jaw and the second jaw are

1 In an IPR final written decision, the Board concluded that Intuitive proved claims 4 and 5 of the ’650 patent unpatentable.

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

clamped together at a second distance to hold tissue 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 coupled 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 entirely outside the staple carrying portion, the second 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 cooperatively engage the first jaw and the second jaw to

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 elements 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 portions 82a, 82b, respectively, connected by a central web portion 84.” Id. at col. 5 ll. 45–47. “When the I-beam member 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., 6 REX MEDICAL, L.P. v. INTUITIVE SURGICAL, INC.

No. 19-005, 2020 WL 2128795, at *1, 5 (D. Del. May 5, 2020) (“Claim Construction Order”). The district court later construed “lower portion” to “have its plain and ordinary meaning, which may include additional material or structures that extend in a perpendicular direction beyond the lowermost section of the beam.” J.A. 11057. The district judge explained that “whether the material of the Accused Products extends so far as to no longer be part of the ‘lower portion’” was “an issue of fact for the jury.” J.A. 115 ll. 3–6.

II

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

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