Amgen v. Hoechst Marion Roussel (Now Known as Aventis Pharmaceuticals) , 457 F.3d 1293 ( 2006 )


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  •   United States Court of Appeals for the Federal Circuit
    05-1157
    AMGEN INC.,
    Plaintiff-Appellee,
    v.
    HOECHST MARION ROUSSEL, INC.
    (now known as Aventis Pharmaceuticals Inc.)
    and TRANSKARYOTIC THERAPIES, INC.,
    Defendants-Appellants.
    Lloyd R. Day, Jr., Day Casebeer Madrid & Batchelder LLP, of Cupertino, California,
    argued for plaintiff-appellee. With him on the brief were Edward M. O’Toole, Howrey LLP,
    of Chicago, Illinois; Michael F. Borun, Marshall, Gerstein & Borun LLP, of Chicago, Illinois;
    and Stuart L. Watt, Amgen Inc., of Thousand Oaks, California. Of counsel were Renee M.
    DuBord Brown, Robert M. Galvin, Jonathan Loeb, David M. Madrid, Linda A. Sasaki-
    Baxley, Krista M. Carter, Courtney Towle, and Patricia L. Peden, Day Casebeer Madrid &
    Batchelder LLP, of Cupertino, California; Kevin M. Flowers, Marshall, Gerstein & Borun
    LLP, of Chicago Illinois; Robert R. Cook, Monique L. Cordray, Steven M. Odre, and Wendy
    A. Whiteford, Amgen Inc., of Thousand Oaks, California; and Michael R. Gottfried and D.
    Dennis Allegretti, Duane Morris, LLP, of Boston, Massachusetts.
    Carter G. Phillips, Sidley Austin Brown & Wood LLP, of Washington, DC, argued for
    defendants-appellants. With him on the brief was Joseph R. Guerra.
    Appealed from: United States District Court for the District of Massachusetts
    Judge William G. Young
    United States Court of Appeals for the Federal Circuit
    05-1157
    AMGEN INC.,
    Plaintiff-Appellee,
    v.
    HOECHST MARION ROUSSEL, INC.
    (now known as Aventis Pharmaceuticals Inc.)
    and TRANSKARYOTIC THERAPIES, INC.,
    Defendants-Appellants.
    _______________________
    DECIDED: August 3, 2006
    _______________________
    Before MICHEL, Chief Judge, CLEVENGER, Senior Circuit Judge, and SCHALL, Circuit
    Judge.
    Opinion for the court filed by Circuit Judge SCHALL. Dissenting-in-part opinion filed by
    Chief Judge MICHEL.
    SCHALL, Circuit Judge.
    This is a patent case. Amgen, Inc. (“Amgen”) is the owner of U.S. Patent Nos.
    5,547,933 (“the ’933 patent”), 5,618,698 (“the ’698 patent”), 5,621,080 (“the ’080
    patent”), 5,756,349 (“the ’349 patent”), and 5,955,422 (“the ’422 patent”). The patents
    are directed to recombinant deoxyribonucleic acid (“DNA”) technology relating to the
    production of the hormone erythropoietin (“EPO”). All five patents share a common
    specification and descend from Application No. 06/561,024 (“the ’024 application”), filed
    on December 13, 1983.
    In April of 1997, Amgen brought a declaratory judgment action against Hoechst
    Marion Roussel, Inc. (now known as Aventis Pharmaceuticals Inc.) (“HMR”) and
    Transkaryotic Therapies, Inc. (“TKT”) (collectively, “HMR/TKT”) in the United States
    District Court for the District of Massachusetts, alleging that HMR/TKT’s Investigational
    New Drug Application (“INDA”) for an EPO product infringed the five patents.               In
    January of 2001, following a Markman hearing, summary judgment proceedings, and a
    bench trial, the district court issued an opinion in which it: (i) construed the disputed
    claims; (ii) held the patents not unenforceable; (iii) held the asserted claims of the ’080,
    ’349, and ’422 patents not invalid and infringed with the exception of claim 7 of the ’349
    patent, which it found not infringed; (iv) held the asserted claims of the ’698 patent not
    infringed; and (v) held the asserted claims of the ’933 patent not infringed or, in the
    alternative, invalid for failure to satisfy 
    35 U.S.C. § 112
    . Amgen, Inc. v. Hoechst Marion
    Roussel, Inc., 
    126 F. Supp. 2d 69
    , 165–66 (D. Mass. 2001) (“Amgen I”).
    In Amgen Inc. v. Hoechst Marion Roussel, Inc., 
    314 F.3d 1313
     (Fed. Cir. 2003)
    (“Amgen II”), we affirmed in toto the district court’s claim construction. We also affirmed
    (i) the court’s determination that none of the patents at issue is unenforceable by reason
    of inequitable conduct; (ii) its contingent determination that the asserted claims of the
    ’933 patent are invalid under section 112; (iii) its grant of summary judgment that claim
    1 of the ’422 patent is infringed; (iv) its determination that the ’933, ’698, ’080, and ’349
    patents are not anticipated by 
    U.S. Patent No. 4,377,513
     (“the Sugimoto patent”); and
    05-1157                                      2
    (iv) its determination that claims 1, 3, 4, and 6 of the ’349 patent are infringed. 
    Id. at 1320
    .
    However, we vacated (i) the district court’s determination that the asserted claims
    of the ’933 patent are not infringed; (ii) its determination that Dr. Eugene Goldwasser’s
    clinical study, described in Dr. Goldwasser’s grant application entitled “Erythropoietin:
    Purification, Properties, Biogenesis” (“the Goldwasser reference”), and the Sugimoto
    patent do not anticipate claim 1 of the ’422 patent; (iii) its determination that the
    Sugimoto patent does not render claim 1 of the ’422 patent obvious; (iv) its
    determination that claims 2-4 of the ’080 patent are not invalid and are infringed under
    the doctrine of equivalents; (v) its determination that the asserted method claims of the
    ’698 patent are not rendered obvious by the Sugimoto patent and are not infringed; and
    (vi) its determination that the Sugimoto patent does not render claims 1, 3, 4, 6, and 7 of
    the ’349 patent invalid and that claim 7 of the ’349 patent is not infringed. 
    Id.
    We remanded the case to the district court to do the following: (i) construe the
    term “therapeutically effective amount” in claim 1 of the ’422 patent and then determine
    whether either the Goldwasser reference or the Sugimoto patent anticipates claim 1 or
    whether the Sugimoto patent renders claim 1 obvious, 
    id. at 1354, 1356, 1358
    ; (ii)
    determine whether the Sugimoto patent renders claims 2-4 of the ’080 patent obvious
    and whether, as far as claims 2-4 are concerned, Amgen can rebut the presumption of
    the surrender of equivalents and thus assert infringement of those claims under the
    doctrine of equivalents, 
    id. at 1345, 1358
    ; (iii) determine whether the Sugimoto patent
    renders claims 4-9 of the ’698 patent obvious and whether claims 4-9 are infringed, 
    id. at 1357, 1358
    ; and (iv) determine whether the Sugimoto patent renders claims 1, 3, 4,
    05-1157                                       3
    6, and 7 of the ’349 patent obvious and whether claim 7 of the ’349 patent is infringed,
    
    id. at 1357, 1358
    .
    The case is now back before us following proceedings on remand in which the
    district court construed the term “therapeutically effective amount” in claim 1 of the ’422
    patent and conducted a further bench trial.        See Amgen, Inc. v. Hoechst Marion
    Roussel, Inc., 
    339 F. Supp. 2d 202
     (D. Mass. 2004) (“Amgen III Validity & Literal
    Infringement Judgment”); Amgen, Inc. v. Hoechst Marion Roussel, Inc., 
    287 F. Supp. 2d 126
     (D. Mass. 2003) (“Amgen III Doctrine of Equivalents Judgment”).            Based upon
    various findings and rulings, the court entered judgment in favor of Amgen as follows:
    (i) claim 1 of the ’422 patent is not invalid, Amgen III Validity & Literal Infringement
    Judgment, 
    339 F. Supp. 2d at 334, 336
    ; (ii) claims 2-4 of the ’080 patent are not invalid,
    
    id. at 336
    , and Amgen is not estopped from asserting infringement of claims 2-4 under
    the doctrine of equivalents because it rebutted the presumption of surrender of
    equivalents, Amgen III Doctrine of Equivalents Judgment, 
    287 F. Supp. 2d at 160
    ; (iii)
    claims 4-9 of the ’698 patent are not invalid and are literally infringed, Amgen III Validity
    & Literal Infringement Judgment, 
    339 F. Supp. 2d at 336
    ; (iv) claims 1, 3, 4, 6, and 7 of
    the ’349 patent are not rendered obvious by the Sugimoto patent, 
    id. at 325, 336
    , and
    claim 7 of the ’349 patent is literally infringed, Amgen III Validity & Literal Infringement
    Judgment, 
    339 F. Supp. 2d at 336
    .
    On appeal, HMR/TKT challenges all of the above rulings. Our disposition of the
    appeal is as follows:
    (i) Because we hold that the district court erred in its construction of the term
    “therapeutically effective amount” in claim 1 of the ’422 patent, we vacate the judgment
    05-1157                                      4
    of the district court that claim 1 is not invalid. We remand the case to the district court
    for a determination as to whether the Goldwasser reference anticipates claim 1 under a
    revised claim construction. (ii) We reverse the judgment of the district court that
    HMR/TKT’s accused product infringes claims 2-4 of the ’080 patent under the doctrine
    of equivalents. We do so because we hold that the district court erred in ruling that
    Amgen rebutted the presumption that, during prosecution, it surrendered coverage to
    EPO with a 165-amino acid sequence, which is the sequence of HMR/TKT’s product.
    Because claims 2-4 of the ’080 patent are not infringed, it is unnecessary for us to
    address HMR/TKT’s alternative argument by way of an affirmative defense that claims
    2-4 are anticipated by the Goldwasser reference. (iii) We affirm the judgment of the
    district court that claims 4-9 of the ’698 patent are not invalid and are literally infringed.
    (iv) We affirm the judgment of the district court that claim 7 of the ’349 patent is not
    invalid and is literally infringed. Thus, we affirm-in-part, reverse-in-part, vacate-in-part,
    and remand.1
    BACKGROUND
    I.
    As noted, the patents at issue relate to recombinant DNA technology for the
    production of EPO.      EPO, which is a naturally occurring hormone, stimulates the
    production of red blood cells in the bone marrow through a process called
    erythropoiesis.   Thus, the production of EPO is useful in treating blood disorders
    1
    Even though we do not agree with all of the district court’s rulings in this
    case, we note the court’s careful and thorough opinions in both Amgen III Validity &
    Literal Infringement Judgment and Amgen III Doctrine of Equivalents Judgment.
    05-1157                                       5
    characterized by low hematocrit, which is a low ratio of red blood cells to total blood
    cells. The production of EPO in usable amounts was made possible by Amgen’s team
    led by Dr. Fu-Kuen Lin, who first successfully identified the EPO DNA sequence. See
    ’422 patent, col. 20, ll. 28-33. Amgen markets and sells its EPO product under the
    brand name “Epogen.”
    DNA is the genetic material of all living things.2 
    Id.
     col. 1, ll. 28-29. DNA is
    composed of a series of subunits, called nucleotides, that are linked together to form a
    linear polymeric form—a strand. 
    Id.
     col. 1, ll. 33-35. Each nucleotide contains one of
    four nitrogen-containing ring compounds, called bases.         The bases fall into two
    categories: pyrimidines, which include cytosine (“C”) and thymine (“T”), and purines,
    which include adenine (“A”) and guanine (“G”). 
    Id.
     col. 1, ll. 35-46; James D. Watson et
    al., Molecular Biology of the Gene 98 (5th ed. 2004); Bruce Alberts et al., Molecular
    Biology of the Cell 63, 120 (4th ed. 2002). The sequence of A, T, G, and Cs on a strand
    of DNA forms what is known as a “DNA sequence.” DNA is double-stranded, such that
    two complimentary strands are linked together. ’422 patent, col. 1, ll. 35-42.
    Genetic information is expressed through the production of proteins, which are
    molecules containing long chains of amino acids. Alberts, supra, at 129. Ribonucleic
    acid (“RNA”) determines the composition of proteins. Watson, supra, at 31; see also
    Alberts, supra, at 301. During a process called transcription, DNA is used to make
    messenger RNA (“mRNA”) with the sequence corresponding to the DNA sequence of A,
    2
    The basics of recombinant DNA technology are set forth in Amgen I and,
    to a lesser extent, in Amgen II. We repeat here only the points necessary for an
    understanding of the issues presented in this appeal.
    05-1157                                     6
    T, G, and Cs coding for a particular gene.3       ’422 patent, col. 1, ll. 42-43, 49-51.
    Transcription of the gene is prompted by a promoter, a sequence of DNA that initiates
    transcription. Id. col. 2, ll. 4-6. The promoter is typically located upstream of the gene
    to be transcribed.4    Id.   After transcription is completed, the mRNA non-coding
    sequences, called introns, are spliced out and the mRNA coding sequences, called
    exons, are spliced together. The mRNA sequence is then translated by ribosomes to
    form a protein composed of amino acids. Amgen III Doctrine of Equivalents Judgment,
    
    287 F. Supp. 2d at 145
    .
    The common specification of Amgen’s patents describes how Dr. Lin combined
    his discovery of the DNA sequence for EPO with recombinant DNA technology to make
    EPO-producing cells. In order to create these EPO-producing cells, Dr. Lin made an
    expression vector carrying the EPO DNA sequence he had discovered. ’422 patent,
    col. 11, ll. 1-10. An expression vector is a circular piece of DNA on which a desired
    gene may be coded. See 
    id.
     Figs. 2-4, col. 2, ll. 36-54. In addition to the desired gene,
    an expression vector may also contain a marker and a promoter site. See 
    id.
     col. 3, ll.
    35-37, col. 25, ll. 33-36. The expression vector incorporates itself into a host cell’s
    genetic code.     The promoter then triggers the host cell to transcribe mRNA
    3
    As the name “messenger” implies, mRNA transcripts are intermediates in
    the process of protein synthesis. Transcription of mRNA from DNA is completed in the
    nucleus of the cell. After it undergoes additional processing in the cell’s nucleus, the
    complete mRNA is exported to the cell’s cytoplasm, where it guides the synthesis of
    proteins. See Alberts, supra at 304-05, 327-28.
    4
    “Upstream” refers to the location of a particular segment of the genetic
    sequence on a strand of DNA in relation to a particular gene. For example, if a segment
    is “upstream” of a particular gene and transcription proceeds in a completely linear
    order along the DNA sequence, then the segment will be transcribed before the gene.
    05-1157                                     7
    corresponding to the genetic code encoded on the vector. See id. col. 2, ll. 30-35. This
    mRNA is then translated into a protein by the host cell.            Id.   The marker in the
    expression vector enables scientists to identify the cells that successfully incorporated
    the desired gene. Id. col. 25, ll. 64-66. The DNA inserted into the genetic code of the
    host cell through the expression vector is characterized as exogenous DNA because it
    is not “native” to the host cell. Genetic recombination using exogenous DNA is referred
    to as heterologous recombination. Id. col. 1, l. 53–col. 2, l. 3.
    The expression vector described in Example 10 of the common specification of
    Amgen’s patents contains Dr. Lin’s EPO DNA sequence, a selectable dihydrofolate
    (“DHFR”) marker, and a promoter 44 base pairs upstream of the EPO DNA sequence.
    Id. col. 24, l. 17, col. 25, 36-40. When exposed to Chinese hamster ovary (“CHO”) cells,
    Dr. Lin’s expression vectors integrate themselves into the DNA of the host CHO cells.
    Id. col. 25, ll. 58-66. The general disclosures in the background section of the ’422
    patent describe how promoters, like the one used in Example 10, prompt host cells to
    transcribe mRNA corresponding to exogenous genes such as the EPO and DHFR
    genes in Example 10. See id. col. 1, ll. 53-56, col. 25, ll. 64-66. In the invention of the
    five patents, prior to production of a protein from the mRNA with the sequence coding
    for EPO, the mRNA sequence is spliced to remove introns and to connect exons. After
    splicing, the mRNA is translated into the 166-amino acid protein shown in Figure 6 of
    the common specification of the patents.
    Prior to secretion from the cell, the 166-amino acid EPO protein undergoes
    cleaving. In this process, the final amino acid in the sequence shown in Figure 6 of the
    05-1157                                       8
    ’422 patent, arginine, is cleaved off, leaving a 165-amino acid protein. This 165-amino
    acid protein is then secreted as mature human EPO by the cell.
    II.
    HMR and TKT collaborated to develop a drug known as HMR4396. HMR4396
    consists of human EPO produced from TKT’s R223 cell line grown in culture. Amgen I,
    
    126 F. Supp. 2d at 98
    . The R223 cell line produces human EPO through the use of a
    viral promoter that prompts transcription of the human EPO gene. In order to create the
    R223 cell line, HMR/TKT transfected human tumor cells with the viral promoter. This
    viral promoter is located far upstream of the EPO gene in the R223 cells. Because the
    viral promoter is not “native” to the human tumor cells, the R223 promoter is considered
    exogenous DNA.        However, the R223 cells are described as using homologous or
    endogenous recombination because the human EPO gene that the viral promoter
    controls is “native” to the cells.
    III.
    Amgen filed suit for a declaratory judgment that HMR/TKT’s HMR4396 infringed
    the ’933 patent, the ’698 patent, the ’080 patent, the ’349 patent, and the ’422 patent.
    Amgen alleged infringement of claims 1, 2, and 9 of the ’933 patent, claims 4-9 of the
    ’698 patent, claims 2-4 of the ’080 patent, claims 1, 3, 4, 6, and 7 of the ’349 patent, and
    claim 1 of the ’422 patent.          See Amgen I, 
    126 F. Supp. 2d at
    96–98.      The case
    proceeded as outlined above and is again before us on appeal. We have jurisdiction
    pursuant to 
    28 U.S.C. § 1295
    (a)(1).
    05-1157                                        9
    DISCUSSION
    On this appeal, we are presented with issues relating to the ’422, ’080, ’698, and
    ’349 patents.5 We begin with the ’422 patent.
    I.
    The ’422 Patent
    Claim 1 is the only claim of the ’422 patent at issue in the present case. Claim 1
    provides:
    A pharmaceutical composition comprising a therapeutically
    effective amount of human erythropoietin and a
    pharmaceutically acceptable diluent, adjuvant or carrier,
    wherein said erythropoietin is purified from mammalian cells
    grown in culture.
    ’422 patent, col. 38, ll. 36-41.
    HMR4396 already has been found to infringe claim 1 of the ’422 patent. See
    Amgen II, 
    314 F.3d at 1320
    . In our remand instructions in Amgen II, we instructed the
    district court to construe the limitation “therapeutically effective amount” in claim 1 and
    then determine whether the Goldwasser reference or the Sugimoto patent anticipated
    claim 1 or whether the Sugimoto patent rendered claim 1 obvious.
    A.
    Claim Construction
    On remand, the district court construed “therapeutically effective amount” in claim
    1 of the ’422 patent to require that the claimed EPO increase hematocrit and also be
    5
    As noted above, in Amgen II, we affirmed the ruling of the district court in
    Amgen I that claims 1, 2, and 9 of the ’933 patent are invalid. Amgen II, 
    314 F.3d at 1342
    .
    05-1157                                     10
    useful in healing or curing the class of patients listed at column 33, lines 22-28 of the
    specification of the ’422 patent:
    A therapeutically effective amount is a quantity that produces
    a result that in and of itself helps to heal or cure. A
    therapeutically effective amount is one that elicits in vivo
    biological activity of natural EPO such as those listed in the
    specification, column 33, lines 24 through 28: stimulation of
    reticulocyte response, development of ferrokinetic effects
    (such as plasma iron turnover effects and marrow transit
    time effects), erythrocyte mass changes, stimulation of
    hemoglobin C synthesis (see, Eschbach, et al., 
    supra)
     and,
    as indicated in Example 10, increasing hematocrit levels in
    mammals.
    Therapeutically effective is to be interpreted as being
    therapeutically effective with respect to the class of patients
    listed in the specification, column 33 lines 31 through 36:
    patients generally requiring blood transfusions and including
    trauma victims, surgical patients, renal disease patients
    including dialysis patients, and patients with a variety of
    blood composition affecting disorders, such as hemophilia,
    sickle cell disease, physiologic anemias, and the like.
    Amgen III Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at 245-46
    . In
    arriving at this construction, the district court focused on the portion of the specification
    of the ’422 patent found at column 33, lines 11-28.6 
    Id.
     at 232–36. The court also
    pointed to statements in the prosecution history asserting that the claimed invention of
    recombinant human EPO could be used to treat anemia and other similar disorders. 
    Id.
    at 238–42.
    6
    The district court’s claim construction references passages of the ’933
    patent found at column 33, lines 24-28 and column 33, lines 31-36. 
    Id. at 214, 236, 245
    . The ’422 patent contains identical passages at column 33, lines 16-20 and column
    33, lines 23-28 respectively. These passages are part of a larger portion of the
    specification that runs from column 33, lines 11-28.
    05-1157                                      11
    On appeal, HMR/TKT contends that the district court erred in construing the term
    “therapeutically effective” in claim 1 of the ’422 patent by requiring that EPO increase
    hematocrit. HMR/TKT argues that the court incorrectly read the specification as limiting
    the scope of claim 1 to products that increase hematocrit.         HMR/TKT urges that
    “therapeutically effective amount” means “an amount that elicits any of the biological
    effects listed in the specification.” Under this construction, HMR/TKT asserts, claim 1 is
    anticipated by the Goldwasser reference.
    Amgen responds that the district court correctly interpreted the specification to
    mean that “when a ‘therapeutically effective amount’ of EPO is used . . . it produces an
    increase in hematocrit—along with any or all of the biological affects [sic] previously
    attributed to natural EPO.”    Appellee’s Br. 21 (quoting Amgen III Validity & Literal
    Infringement Judgment, 
    339 F. Supp. 2d at 234
    ). Amgen points out that although the
    passage at column 33, lines 11-22 does not actually use the term “therapeutically
    effective,” other passages do, in fact, use the term. For example, at column 33, lines
    43-50, Amgen notes, the patent actually uses the words “therapeutically effective”
    before explaining the required dosages for patients. According to Amgen, this indicates
    that “therapeutically effective” amounts are those related to healing or curing disease.
    Amgen also directs our attention to the portion of the specification found at column 33,
    lines 22-28. This passage states, “Included within the class of humans treatable with
    products of the invention are patients generally requiring blood transfusions . . . and
    patients with a variety of blood composition affecting disorders, such as hemophilia,
    sickle cell disease, physiologic anemias, and the like.”     According to Amgen, only
    amounts of EPO producing effects—particularly increased hematocrit—that counteract
    05-1157                                    12
    these anemia-like diseases are “therapeutically effective.”        Amgen buttresses this
    argument with citations to the prosecution history where the patentee recounts the
    benefits of the claimed invention over prior art in treating disease.
    The district court’s claim construction is a matter of law, which we review de
    novo. Cybor Corp. v. FAS Techs.,
    138 F.3d 1448
    , 1456 (Fed. Cir. 1998) (en banc). In
    Phillips v. AWH Corp., 
    415 F.3d 1303
     (Fed. Cir. 2005) (en banc), we stated that claim
    construction must begin with the words of the claims themselves. 
    Id. at 1312
    . A claim
    term has “the meaning that the term would have to a person of ordinary skill in the art. .
    . .” 
    Id. at 1313
    .   This meaning is ascertained “in the context of the entire patent,
    including the specification.” 
    Id.
     In particular, we stated in Phillips that “we must look at
    the ordinary meaning in the context of the written description and the prosecution
    history.” 
    Id.
     (quoting Medrad, Inc. v. MRI Devices Corp., 
    401 F.3d 1313
    , 1319 (Fed. Cir.
    2005)). When dealing with technical terms, we noted, a court should look to “the words
    of the claims themselves, the remainder of the specification, the prosecution history,
    and extrinsic evidence concerning relevant scientific principles, the meaning of technical
    terms, and the state of the art.” 
    Id.
     (quoting Innova/Pure Water, Inc. v. Safari Water
    Filtration Sys., Inc., 
    381 F.3d 1111
    , 1116 (Fed. Cir. 2004)).
    Using Phillips as a guide, we turn first to the language of the claims. Neither the
    language of claim 1, nor the language of claim 2, of the ’422 patent offer any guidance
    as to the meaning of “therapeutically effective.”7 However, several passages of the
    7
    Claim 2 is an independent claim, which provides: “A pharmaceutically-
    acceptable preparation containing a therapeutically effective amount of erythropoietin
    wherein human serum albumin is mixed with said erythropoietin.” ’422 patent, col. 38,
    ll. 42-44.
    05-1157                                      13
    specification shed light on the meaning of the term. In particular, the text found at
    column 33, lines 11-22 states:
    [T]o the extent that polypeptide products of the invention
    share the in vivo activity of natural EPO isolates they are
    conspicuously suitable for use in erythropoietin therapy
    procedures practiced on mammals, including humans, to
    develop any or all of the effects herefore attributed in vivo to
    EPO, e.g., stimulation of reticulocyte response, development
    of ferrokinetic effects (such as plasma iron turnover effects
    and marrow transit time effects), erythrocyte mass changes,
    stimulation of hemoglobin C synthesis (see, Eschbach, et al.,
    
    supra)
     and, as indicated in Example 10, increasing
    hematocrit levels in mammals.
    ’422 patent, col. 33, ll. 11-22 (emphases added). This language indicates that the
    claimed invention is used in “therapy” to produce “any or all” of the following “effects”:
    stimulation of reticulocyte response, development of ferrokinetic effects, erythrocyte
    mass changes, stimulation of hemoglobin, and increasing hematocrit levels.            Thus,
    increasing hematocrit is only one of the biological effects produced by the claimed
    invention. Accordingly, we agree with HMR/TKT that the district court misinterpreted
    this passage when it read it as limiting the claimed invention to products with “any or all”
    of the first four listed effects ascribed in vivo to EPO and also an increase in hematocrit.
    Further, in the August 2, 1993 office action response, the patentee cited the
    above language of the specification and then stated, “It is believed that these sentences
    from the specification and others provide a clear and definite description of the uses for
    which the claimed erythropoietin compositions would be therapeutically effective.”
    (emphasis added). Thus, the patentee interpreted the passage at column 33, lines 11-
    22 of the specification as listing the therapeutic effects of the invention disclosed in the
    ’422 patent. We think the district court made an artificial distinction between the first
    05-1157                                      14
    four effects listed in column 33, lines 11-22, stimulation of reticulocyte response,
    development of ferrokinetic effects, erythrocyte mass changes, and stimulation of
    hemoglobin, and the fifth effect, an increase in hematocrit. The specification lists all five
    effects after stating that “any or all” of them may be an effect of therapy with the claimed
    invention. Thus, this section of the specification supports the construction that the ’422
    patent encompasses a pharmaceutical composition which produces “any or all” of the
    five listed effects.
    As seen, the district court also determined that the specification indicates that the
    invention is limited to products that are “therapeutically effective” with respect to patients
    with anemia-like disorders, such as those listed at column 33, lines 22-28 of the ’422
    patent. Amgen III Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at
    235–36,
    245–46.     For this determination, the court relied on a passage that recites several
    diseases that may be treated by the claimed invention. The passage begins, “Included
    within the class of humans treatable with products of the invention . . . .”       ’422 patent,
    col. 33, ll. 22-28. However, this passage does not state that the claims encompass only
    products that treat such patients. Rather, by using the non-limiting word “included,” it
    suggests some persons, but not all persons, who may benefit from the invention.
    Moreover, an additional section of the specification states, “It is noteworthy that
    the absence of in vivo activity for any one or more of the ‘EPO products’ of the invention
    is not wholly preclusive of therapeutic utility (see Weiland, et al., 
    supra).
     . . .” 
    Id.
     col. 36,
    ll. 9-12. We think the message of this passage is that “therapeutic utility” is not limited
    to products with “in vivo” effects. Thus, “therapeutic utility” is not dependent on the
    product having an effect in a living being, such as curing disease.              Although this
    05-1157                                        15
    passage relates to a different EPO product than the one disclosed in claim 1 of the ’422
    patent, we think it illustrates the broad meaning of “therapeutic utility” used throughout
    the ’422 patent. It shows that the patentee did not use the word “therapy” in order to
    limit the scope of the ’422 patent to only EPO that cured disease. Thus, products that
    are not necessarily effective in actually curing disease in humans are encompassed by
    claim 1 of the ’422 patent. Based on a reading of the claims in light of the specification,
    it appears that the patentee used the words “therapeutically effective” in order to broadly
    claim a pharmaceutical composition with a wide range of effects. Those effects do not
    necessarily include curing disease in humans.
    During the prosecution of the ’422 patent, in an office action response filed
    October 23, 1997, the patentee noted that recombinant EPO, like that found in the
    claimed invention, “is the first therapeutic product which can be used to effectively treat
    hundreds of thousands of patients who suffer from anemia and other disorders involving
    low red blood cell counts.” In our view, this statement merely lists some of the uses of
    the invention, without restricting the scope of the invention.
    In sum, we disagree with the district court’s claim construction to the extent that it
    limits the scope of claim 1 of the ’422 patent to EPO products that have one of the in
    vivo effects listed at column 33, lines 16-20 and that also increase hematocrit. We also
    disagree with the district court’s conclusion that claim 1 of the ’422 patent is limited to
    EPO products that may be used to treat patients with the disorders listed at column 33,
    lines 22-28 of the ’422 patent’s specification. On remand, the district court should utilize
    the following revised construction of “therapeutically effective:”
    05-1157                                      16
    A therapeutically effective amount is one that elicits
    any one or all of the effects often associated with in vivo
    biological activity of natural EPO, such as those listed in the
    specification, column 33, lines 16 through 22: stimulation of
    reticulocyte response, development of ferrokinetic effects
    (such as plasma iron turnover effects and marrow transit
    time effects), erythrocyte mass changes, stimulation of
    hemoglobin C synthesis and, as indicated in Example 10,
    increasing hematocrit levels in mammals.
    B.
    Anticipation—The Goldwasser Reference
    Based on its claim construction, the district court found in Amgen III Validity &
    Literal Infringement Judgment that the Goldwasser reference did not anticipate claim 1
    of the ’422 patent because Dr. Goldwasser’s study was not effective in healing or
    curing. 
    339 F. Supp. 2d at 327
    . The parties dispute whether the Goldwasser reference
    anticipates claim 1 of the ’422 patent under a revised claim construction. The purpose
    of the Goldwasser study was to examine EPO and its effects on erythropoiesis. Dr.
    Goldwasser acknowledged that mass production of EPO from recombinant DNA was
    not yet possible. Therefore, Dr. Goldwasser utilized EPO isolated from urine in an
    attempt to discover the chemistry and mode of action of EPO. In one portion of his
    study, Dr. Goldwasser performed a “very small clinical trial” using pure urinary EPO
    (“uEPO”).   The uEPO was administered to three anemic patients.                Two patients
    received injections of 520 units twice daily for ten days. The third patient received a
    1000 unit injection every 2-3 days for three weeks. In his 1984 grant application, Dr.
    Goldwasser described the results of the clinical study as follows:
    There was no significant change in hematocrit in any patient;
    each patient, however[,] showed an increase in reticulocyte
    count, with peaks at 9, 10[,] and 11 days. The first two
    05-1157                                    17
    patients had increased erythroid cells in the marrow and an
    increased plasma iron clearance rate. One of the first two
    patients showed an increase in red cell mass. These
    fragmentary data, need to be reinforced with more extensive
    and extended studies but they show that epo can have a
    physiological effect in this type of anemia.
    In Amgen I, the district court noted that Dr. Goldwasser testified that this “abortive,
    three-patient trial was a failure.” 
    126 F. Supp. 2d at 112
    .
    The district court found that the Goldwasser reference did not anticipate claim 1
    of the ’422 patent because none of the effects listed in Dr. Goldwasser’s study included
    healing or curing within the court’s construction of “therapeutically effective.” Amgen III
    Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at
    327–34. HMR/TKT argues
    that under a revised construction of “therapeutically effective” that broadens the scope
    of claim 1 to encompass EPO that “elicits any of the biological effects listed in the
    specification [at column 33, lines 16-22],” Dr. Goldwasser’s study anticipates. Amgen
    counters that even under a broader construction of “therapeutically effective,” Dr.
    Goldwasser’s study does not anticipate claim 1 of the ’422 patent because its
    recombinant EPO (“rEPO”) product differs in structure and function from the uEPO
    utilized in Dr. Goldwasser’s study.    Amgen argues that a remand is not necessary
    because HMR/TKT admitted in its petition for a panel rehearing and rehearing en banc
    following Amgen II that the rEPO disclosed in claim 1 of the ’422 patent differs in
    structure from naturally occurring uEPO.
    Anticipation under 
    35 U.S.C. § 102
     is a question of fact, which we review for
    clear error after a bench trial. Merck & Co., Inc. v. Teva Pharms. USA, Inc., 
    347 F.3d 1367
    , 1369 (Fed. Cir. 2003); Alza Corp. v. Mylan Labs., Inc., 
    391 F.3d 1365
    , 1369 (Fed.
    05-1157                                     18
    Cir. 2004). The district court’s factual findings on anticipation are clearly erroneous
    when “‘although there is evidence to support it, the reviewing court on the entire
    evidence is left with the definite and firm conviction that a mistake has been
    committed.’” Merck & Co, 
    347 F.3d at 1369
     (quoting United States v. U.S. Gypsum Co.,
    
    333 U.S. 364
    , 395 (1948)). A prior art reference anticipates a patent if it discloses all
    the limitations of the claimed invention. Oney v. Ratliff, 
    182 F.3d 893
    , 895 (Fed. Cir.
    1999).
    The district court’s findings of fact on anticipation centered on whether the effects
    produced on patients in Dr. Goldwasser’s study resulted in healing or curing. Amgen III
    Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at 327
    .                 Under our
    construction of “therapeutically effective,” however, the district court’s findings of fact as
    to “healing or curing,” while relevant, do not end the anticipation inquiry. Additional
    findings of fact are necessary to determine whether the Goldwasser study anticipates
    under our new construction of “therapeutically effective.” When findings of fact are
    necessary under a revised claim construction, it is appropriate for us to remand to the
    district court. See Seachange Int’l, Inc. v. C-Cor Inc., 
    413 F.3d 1361
    , 1381 (Fed. Cir.
    2005) (remanding for the district court to consider anticipation after revising the claim
    construction). On remand, the district court should make findings of fact as to whether
    the Goldwasser reference meets the “therapeutically effective” limitation under our
    construction.8
    8
    If, on remand, the district court finds that the Goldwasser reference
    contains the “therapeutically effective” limitation, it must then determine whether the
    uEPO meets the other limitations of claim 1 of the ’422 patent.
    05-1157                                       19
    C.
    Anticipation—The Sugimoto Patent
    The Sugimoto patent, filed August 10, 1981, discloses a method for creating
    EPO-producing cells by creating hybrid cells from lymphoblastoids9 and kidney tumor
    cells. The Sugimoto patent suggests using recombinant techniques to introduce the
    EPO genes from a human kidney tumor cell into human lymphoblastoids. Sugimoto
    patent, col. 1, l. 55–col. 2, l. 11. The patent involves in vivo production of EPO in which
    human lymphoblastoid cells capable of producing EPO are transferred to an animal
    body. The Sugimoto patent explains that the EPO produced by the animal according to
    this technique is then “collected easily by purification and separation techniques using
    conventional procedures . . . .” 
    Id.
     col. 3, ll. 51-53.
    In Amgen I, the district court found that the Sugimoto patent did not anticipate
    claim 1 of the ’422 patent because it was not enabled. 
    126 F. Supp. 2d at 109
    . The
    court considered the testimony of Amgen’s expert, Dr. Allan Erslev, who stated that the
    Sugimoto procedure was “very complex.” 
    Id. at 108
    . Dr. Erslev stated that no one had
    used the Sugimoto process prior to 1984, even though it would have been highly
    profitable if successful. 
    Id.
     After recounting Dr. Erslev’s testimony, the court discounted
    HMR/TKT’s arguments. 
    Id.
     HMR/TKT had put Dr. Michael Heartlein on the stand. By
    attempting to replicate the Sugimoto process, Dr. Heartlein produced cells that
    generated six times as much EPO as their parent cells. 
    Id.
     at 108–09. The court found
    that Dr. Heartlein’s experiments were not sufficient to show enablement, however,
    9
    Lymphoblastoids are cells that are typically isolated from patients with
    leukemia, which is a cancer of the blood. Amgen I, 
    126 F. Supp. 2d at 106
    .
    05-1157                                       20
    because Dr. Heartlein followed a different procedure than the one disclosed in the
    Sugimoto patent. First, Dr. Heartlein used an in vitro technique rather than an in vivo
    technique like that disclosed in the Sugimoto patent. 
    Id. at 109
    . Second, the district
    court found that Dr. Heartlein used different starting materials than the Sugimoto patent
    because he could not obtain kidney tumor cells like those disclosed in the Sugimoto
    patent. 
    Id.
     Based on the foregoing, the district court found that HMR/TKT had failed to
    demonstrate that the Sugimoto patent was enabled by clear and convincing evidence.
    
    Id.
     at 108–09.
    On appeal, we ruled in Amgen II that the district court had erred in placing the
    burden of proving enablement on HMR/TKT.           Id. at 1357.   We indicated that the
    Sugimoto patent should have been presumed enabled and that Amgen should have had
    the burden of proving otherwise. Id. at 1355.
    On remand, the district court affirmed its previous holding of non-enablement,
    finding that “Amgen has shown by a preponderance of the evidence that Sugimoto is
    not enabled . . . .” Amgen III Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at 307
    . The court based its conclusion that the Sugimoto patent was not enabled on
    three findings. First, the court noted that the Sugimoto patent did not disclose the
    starting materials necessary to repeat the process it describes. 
    Id.
     at 307–09. The
    Sugimoto patent required the use of kidney tumor cells, but the inventor neither
    deposited these cells publicly nor did he disclose them so that a person of ordinary skill
    in the art could procure them. 
    Id. at 307
    . Second, the court found that the Sugimoto
    patent was not enabled because it did not teach a person of ordinary skill in the art how
    to select EPO-producing hybrid cells.      The court based its finding largely on the
    05-1157                                    21
    testimony of Dr. Howard Green, a cell biologist with over forty years of experience, who
    stated that although methods for selecting hybrids were available at the time the
    Sugimoto patent was filed, they were inconsistently successful and required undue
    experimentation to produce results. 
    Id. at 309
    . Third, the court found that the Sugimoto
    patent did not enable a method for purifying EPO even though the Sugimoto patent
    claimed to teach how to produce purified EPO. 
    Id.
     at 311–12. The court found support
    for this finding in the testimony of Dr. Green, 
    id. at 311
    , as well as in evidence that the
    Sugimoto patent’s disclosure still had not been put into practice years after it issued in
    March of 1983, 
    id. at 312
    . In addition, in connection with all three findings, the court
    noted that Dr. Heartlein had failed to duplicate the Sugimoto starting materials, selection
    methods, or purification techniques when using the disclosure of the Sugimoto patent.
    
    Id.
     at 307–08, 311–12.
    HMR/TKT makes several arguments for reversing the district court’s finding of
    non-enablement. With regard to the district court’s finding that the cells necessary for
    the Sugimoto procedure were not adequately disclosed or deposited, HMR/TKT urges
    that the description of the starting materials in the Sugimoto patent was sufficient
    despite the fact that the cells were not deposited. HMR/TKT notes that the Patent and
    Trademark Office found that there was an adequate written description and that a
    person of ordinary skill in the art would have understood the disclosure. HMR/TKT
    asserts that the district court’s use of Dr. Heartlein’s experiments as proof of non-
    enablement was flawed because the district court previously found in Amgen I that Dr.
    Heartlein did not follow the Sugimoto patent’s disclosure.
    05-1157                                     22
    Amgen defends the district court’s decision on remand by arguing that the district
    court correctly identified deficiencies in the Sugimoto patent’s disclosure. First, Amgen
    argues that the lack of starting materials is illustrated by both Amgen’s and Dr.
    Heartlein’s inability to obtain the kidney tumor cells described in the Sugimoto patent.
    Amgen also notes that EPO-producing cells prior to Dr. Lin’s invention were “poor
    producers.” In addition, Amgen argues that the district court correctly found that the
    Sugimoto patent was not enabled based on the lack of disclosure of a method for hybrid
    cell selection or purification.
    In order to anticipate, a prior art reference must not only disclose all of the
    limitations of the claimed invention, but also be enabled. Elan Pharms., Inc. v. Mayo
    Found., 
    346 F.3d 1051
    , 1054 (Fed. Cir. 2003).          A reference is enabled when its
    disclosures are sufficient to allow one of skill in the art to make and use the claimed
    invention. 
    Id.
     (quoting Bristol-Myers Squibb Co. v. Ben Venue Labs., Inc., 
    246 F.3d 1368
    , 1374 (Fed. Cir. 2001)). Like a patent, a prior art reference is enabled even if
    some “routine experimentation is required in order to practice a claimed invention, but . .
    . such experimentation must not be ‘undue.’” Enzo Biochem, Inc. v. Calgene, Inc., 
    188 F.3d 1362
    , 1371 (Fed. Cir. 1999).        When considering whether or not a prior art
    reference requires “undue experimentation” we look at the reference from the
    perspective of a person of ordinary skill in the art. In re Wands, 
    858 F.2d 731
    , 735
    (Fed. Cir. 1988).
    We established in Amgen II that when a piece of prior art is a patent, like the
    Sugimoto patent, there is a presumption of enablement.          
    314 F.3d at 1355
    .     The
    patentee, Amgen, must present persuasive evidence of non-enablement to overcome
    05-1157                                     23
    this presumption. 
    Id.
     As seen, in Amgen II, we vacated and remanded the finding of
    non-enablement with regard to claim 1 of the ’422 patent. On remand, the district court
    found that Amgen had met its burden of proving by a preponderance of the evidence
    that the Sugimoto patent was not enabled. 
    339 F. Supp. 2d at 306
    . We review the
    district court’s ultimate determination of enablement de novo while the underlying
    factual inquiries made by the district court are reviewed for clear error. Enzo Biochem,
    
    188 F.3d at 1369
    .
    The district court’s factual finding that the Sugimoto patent did not adequately
    disclose the starting materials was not clearly erroneous.           The court based its
    conclusion on the testimony of several scientists with experience in the field of
    erythropoeisis, including Dr. Green, Dr. Lin, and Dr. Harvey Lodish, a research biologist
    at the Whitehead Institute and the Massachusetts Institute of Technology. Dr. Green
    testified that Dr. Heartlein, who attempted to duplicate the Sugimoto disclosure,
    searched “for a long time and in many different ways” to find a suitable cell line and
    finally settled on a liver tumor cell line—not a kidney tumor cell line like Sugimoto’s. Dr.
    Lin testified that he had searched extensively for an EPO-producing cell line during his
    research, but never acquired a EPO-producing kidney tumor cell line. Dr. Lodish stated
    that the Sugimoto patent failed to demonstrate that the kidney tumor cells disclosed in
    the patent actually produced EPO. In addition, Amgen presented evidence that it failed
    to locate any kidney tumor cells, like those described in the Sugimoto patent, despite
    repeated efforts to do so. At the same time, we do not see clear error in the court’s
    finding that Dr. Heartlein’s non-conforming experiments show that a person of ordinary
    skill in the art would not be able to obtain the required kidney tumor cells based on the
    05-1157                                     24
    Sugimoto patent’s disclosures. The failure of Dr. Heartlein to obtain the cells disclosed
    by the Sugimoto patent and the expert testimony of Drs. Green, Lin, and Lodish support
    this finding. Further, Sugimoto did not deposit the EPO-producing kidney tumor cells
    described in the Sugimoto patent. In sum, the Sugimoto patent was not enabled due to
    the patentee’s failure to adequately describe how to derive the starting materials or
    deposit the cells. See In re Wands, 
    858 F.2d at 735
     (“Where an invention depends on
    the use of living materials such as microorganisms or cultured cells, it may be
    impossible to enable the public to make the invention (i.e., to obtain these living
    materials) solely by means of a written disclosure.”). Because we discern no clear error
    in the district court’s finding that the Sugimoto patent’s failure to disclose or deposit the
    starting materials necessary to produce EPO rendered the patent not enabled, it is
    unnecessary for us to address Amgen’s arguments that the Sugimoto patent also did
    not teach how to select hybrid cells and that the Sugimoto patent did not disclose a
    means for purifying EPO.
    D.
    Obviousness—The Sugimoto Patent
    The district court held in Amgen I that the Sugimoto patent did not render claim 1
    of the ’422 patent obvious because the Sugimoto patent was not enabled. 
    126 F. Supp. 2d at
    114 & n.29. In Amgen II we vacated this finding and remanded because non-
    enablement does not preclude a finding of obviousness. 
    314 F.3d at 1357
    . On remand,
    in Amgen III Validity & Literal Infringement Judgment, the district court again concluded
    that the Sugimoto patent did not render claim 1 of the ’422 patent obvious. In reaching
    this conclusion, the court considered the scope and content of the prior art, differences
    05-1157                                      25
    between the claimed invention and the prior art, the level of ordinary skill in the art, and
    reasonable expectation of success. Amgen III Validity & Literal Infringement Judgment,
    
    339 F. Supp. 2d at
    316–19. The court also placed emphasis on the “objective indicia of
    non-obviousness,” or “secondary considerations.” 
    Id. at 314, 319
    . Specifically, the
    court found that there had been a long-felt, but unmet need for EPO-producing cells
    prior to Dr. Lin’s discovery. 
    Id. at 319
    . Thus, the district court concluded that HMR/TKT
    “failed to persuade the Court by clear and convincing evidence that the asserted claims
    of [Amgen’s patents] were obvious in light of Sugimoto.” 
    Id. at 325
    . HMR/TKT appeals
    the district court’s ruling.
    We have considered the various arguments made by HMR/TKT on the
    obviousness issue. Having done so, we see no reason to disturb the ruling of the
    district court that HMR/TKT failed to establish that claim 1 of the ’422 patent was
    obvious in view of the Sugimoto patent.
    II.
    The ’080 Patent
    As seen, in Amgen III Doctrine of Equivalents Judgment, the district court ruled
    that claims 2-4 of the ’080 patent were not invalid and that Amgen was not estopped
    from asserting infringement under the doctrine of equivalents. 
    287 F. Supp. 2d at 160
    .
    Accordingly, the court reinstated its vacated finding in Amgen I that claims 2-4 of the
    ’080 patent were infringed under the doctrine of equivalents by HMR/TKT’s HMR4396
    product. 
    Id.
     The only issue before us on appeal is infringement under the doctrine of
    equivalents. Claims 2-4 provide:
    05-1157                                     26
    2.     An isolated erythropoietin glycoprotein having the in
    vivo biological activity of causing bone marrow cells to
    increase production of reticulocytes and red blood cells,
    wherein said erythropoietin glycoprotein comprises the
    mature erythropoietin amino acid sequence of FIG. 6 and is
    not isolated from human urine.
    3.      A non-naturally occurring erythropoietin glycoprotein
    having the in vivo biological activity of causing bone marrow
    cells to increase production of reticulocytes and red blood
    cells, wherein said erythropoietin glycoprotein comprises the
    mature erythropoietin amino acid sequence of FIG. 6.
    4.    A pharmaceutical composition comprising a
    therapeutically effective amount [of] an erythropoietin
    glycoprotein product according to claim 1, 2 or 3.
    ’080 patent, col. 38, ll. 39-53. Claims 2-4 of the ’080 patent each contain the limitation
    that the “erythropoietin glycoprotein comprises the mature erythropoietin amino acid
    sequence of FIG. 6.” The sequence shown in Figure 6 of the ’080 patent has a DNA
    sequence coding for 166 amino acids. However, as noted above, mature human EPO
    actually contains 165 amino acids, because the 166th amino acid, arginine, is cleaved
    off prior to the EPO’s secretion from the cell.     The question before us is whether
    prosecution history estoppel bars Amgen from claiming that claims 2-4 of the ’080
    patent encompass EPO with 165 amino acids under the doctrine of equivalents. This is
    critical because HMR/TKT’s EPO product, HMR4396, has only 165 amino acids. 
    Id. at 129
    .
    A.
    The application that resulted in the ’080 patent was filed on June 6, 1995 as
    Application No. 08/468,556 (“the ’556 application”).       The ’556 application, which
    contained 60 claims, was a continuation-in-part of the ’024 application.      In the first
    05-1157                                    27
    preliminary amendment of the ’556 application, the patentee cancelled claims 1-60 and
    added claims 61-67. Of the seven new claims added by amendment, claims 61-64
    comprised the only independent product claims. Proposed claims 61-64 provided as
    follows:
    61.    An isolated human erythropoietin glycoprotein product
    not being isolated from human urinary sources having
    glycosylation which differs from that of human urinary
    erythropoietin.
    62.   An isolated human erythropoietin glycoprotein product
    not being isolated from human urinary sources having a
    higher molecular weight than human urinary erythropoietin
    as measured by SDS-PAGE.
    63.    An isolated human erythropoietin glycoprotein product
    not being isolated from human urinary sources and free of
    other human proteins.
    64.     The in vivo biologically active erythropoietin product of
    the process comprising the steps of:
    (a) growing, under suitable nutrient conditions, host cells
    transformed or transfected with an isolated DNA sequence
    selected from the group consisting of (1) the DNA
    sequences set out in FIGS 5 and 6, (2) the protein coding
    sequences set out in FIGS 5 and 6, and (3) DNA sequences
    which hybridize under stringent conditions to the DNA
    sequences defined in (1) and (2) or their complimentary
    strands; and
    (b) isolating said erythropoietin product therefrom.
    The patentee made a second preliminary amendment to the ’556 application on
    December 20, 1995.       In the second preliminary amendment, claims 61-63 were
    cancelled, claim 64 was amended, and a new claim, claim 68, was added.           The
    amended version of claim 64 provided as follows:
    64.    The non-naturally occurring in vivo biologically active
    erythropoietin product of the process comprising the steps
    of:
    05-1157                                     28
    (a) growing, under suitable nutrient conditions, host cells
    transformed or transfected with an isolated DNA sequence
    selected from the group consisting of (1) the DNA
    sequences set out in FIGS 5 and 6, (2) the protein coding
    sequences set out in FIGS 5 and 6, and (3) DNA sequences
    which hybridize under stringent conditions to the DNA
    sequences defined in (1) and (2) or their complimentary
    strands; and
    (b) isolating said erythropoietin product therefrom.
    Claim 68, which was added in the second preliminary amendment, provided as follows:
    68.     A non-naturally occurring erythropoietin product of the
    process comprising the steps of:
    a) growing, under suitable nutrient conditions, host cells
    transformed or transfected with an isolated DNA sequence
    encoding the human erythropoietin amino acid sequence set
    out in FIG. 6 or a fragment thereof; and
    b) isolating an erythropoietin product therefrom.
    In the third and final amendment made to the ’556 application for the ’080 patent,
    the patentee cancelled claims 64 through 68 and added claims 69-75. Claims 70-72,
    which issued as claims 2-4 of the ’080 patent, provided as follows:
    70.     An isolated erythropoietin glycoprotein having the in
    vivo biological activity of causing bone marrow cells to
    increase production of reticulocytes and red blood cells,
    wherein said erythropoietin glycoprotein comprises the
    mature erythropoietin amino acid sequence of Figure 6 and
    is not isolated from human urine.
    71.     A non-naturally occurring erythropoietin glycoprotein
    having the in vivo biological activity of causing bone marrow
    cells to increase production of reticulocytes and red blood
    cells, wherein said erythropoietin glycoprotein comprises the
    mature erythropoietin amino acid sequence of Figure 6.
    72.     A pharmaceutical composition comprising a
    therapeutically effective amount [of] an erythropoietin
    glycoprotein product according to claim 69, 70 or 71.
    05-1157                                    29
    As seen, after the first preliminary amendment, the claims of the ’556 application
    broadly encompassed an isolated human EPO product. The application claimed an
    EPO product made using the human EPO DNA sequence set out in Figure 6 or the
    monkey EPO DNA sequence set out in Figure 5.              With the second preliminary
    amendment, the patentee added claim 68, which claimed an EPO product made using
    the amino acid sequence for EPO set out in Figure 6 “or a fragment thereof.” With the
    third preliminary amendment, the patentee removed all references to non-human
    monkey EPO and also deleted claims for an EPO product made using “a fragment” of
    the amino acid sequence of Figure 6. Instead, as of the third preliminary amendment,
    the ’556 application claimed only a human EPO product having the complete amino acid
    sequence of Figure 6.
    B.
    In Amgen I, the district court found that the amendments to the ’556 application
    were made to preempt a double-patenting rejection based on claim 1 of the ’933
    patent.10 
    126 F. Supp. 2d at 135
    . The district court held that an amendment made to
    avoid a double-patenting rejection is not an amendment related to patentability. 
    Id. at 136
    . Therefore, the court held that Amgen was not estopped from claiming that EPO
    10
    Claim 1 of the ’933 patent provides:
    A non-naturally occurring erythropoietin glycoprotein product
    having the in vivo biological activity of causing bone marrow
    cells to increase production of reticulocytes and red blood
    cells and having glycosylation which differs from that of
    human urinary erythropoietin.
    ’933 patent, col. 38, ll. 18-22.
    05-1157                                    30
    with a 165-amino acid sequence infringed the asserted claims of the ’080 patent under
    the doctrine of equivalents. 
    Id.
    In Amgen II, citing Festo Corp. v. Shoketsu Kinzoku Kogyo Kabushiki Co., 
    535 U.S. 722
    , 740–41 (2002) (“Festo II”), we vacated the district court’s finding and held
    instead that Amgen’s double-patenting amendment was an amendment related to
    patentability that gave rise to prosecution history estoppel. 
    314 F.3d at 1345
    . We
    vacated the district court’s finding of infringement of the ’080 patent under the doctrine
    of equivalents and remanded for “an analysis under the narrow ways of rebutting the
    Supreme Court’s presumption of estoppel.” 
    Id.
     These “narrow ways” were first set forth
    in Festo II.    They are (i) showing that an equivalent was unforeseeable; (ii)
    demonstrating that the purpose for an amendment was merely tangential to the alleged
    equivalent; or (iii) establishing “some other reason” that the patentee could not have
    reasonably been expected to have described the alleged equivalent. 
    535 U.S. at
    740–
    41.
    On remand, in Amgen III Doctrine of Equivalents Judgment, the district court
    evaluated whether any one of the three grounds for rebutting the Festo presumption of
    estoppel had been demonstrated by Amgen. 
    287 F. Supp. 2d at
    147–59. The court
    determined that Amgen had failed to show that a 165-amino acid EPO was
    unforeseeable at the time of the third preliminary amendment. 
    Id. at 149
    . However, the
    court determined that Amgen had succeeded in showing that the third preliminary
    amendment, which restricted the literal scope of the ’080 patent to EPO having the
    complete amino acid sequence shown in Figure 6, was added only to limit the ’080
    patent to human EPO products. 
    Id. at 152
    . The court found that the third preliminary
    05-1157                                    31
    amendment was therefore no more than tangentially related to the 165-amino acid
    equivalent. 
    Id. at 154
    . The court based this finding on the prosecution history, noting
    that “the chronology and language of the amendments support Amgen’s position that it
    added the amendment in question (the third amendment) to distinguish the ’080 patent
    from the ’933 patent on the basis that the ’080 was limited to human EPO.” 
    Id. at 152
    (emphasis in original).   The human EPO limitation thus was merely tangential, the
    district court found, to the 165-amino acid equivalent. The court buttressed its finding of
    tangentiality with a “reasonable inference” that the amendment was not made with the
    intention of surrendering equivalents because, as of December of 1996, when the third
    preliminary amendment was made, the Patent and Trademark Office and Amgen both
    were aware that mature EPO had 165 amino acids. 
    Id. at 153
    .
    Although the district court found that the Festo presumption was rebutted
    because the amendment limiting the claims of the ’080 patent to EPO with the amino
    acid sequence of Figure 6 was tangential to EPO having a 165-amino acid sequence, it
    set forth an alternate rationale based on the “some other reason” language in Festo II.
    The court looked to both extrinsic and intrinsic evidence suggesting that the drafter of
    the amendment, as well as those of ordinary skill in the art, would have considered the
    amendment to cover all human EPO, regardless of whether or not the EPO had 165 or
    166 amino acids. 
    Id. at 157
    . In essence, the court construed the claims based on the
    extrinsic record (with support from the intrinsic record). 
    Id.
     The court reasoned that this
    evidence reflected a “shortcoming[ ] of language” or “linguistic” limitation, which were
    mentioned in Festo Corp. v. Shoketsu Kinzoku Kogyo Kabushiki Co., 
    344 F.3d 1359
    ,
    1372 (Fed. Cir. 2003) (en banc) (“Festo III”), as possible reasons for rebuttal of the
    05-1157                                     32
    Festo presumption. Amgen III Doctrine of Equivalents Judgment, 
    287 F. Supp. 2d at 159
    . The court then found that those equivalents encompassed by this construction
    were not surrendered, relying on the “some other reason” exception to the Festo
    presumption of surrender of equivalents. 
    Id.
    HMR/TKT argues on appeal that the district court erred in finding that Amgen’s
    third preliminary amendment was merely tangential to the equivalent EPO having a 165-
    amino acid sequence. It contends that if the patentee had intended solely to limit the
    scope of claims 2-4 of the ’080 patent to human EPO, the patentee would have used
    the word “human” to describe the EPO.          Instead, according to HMR/TKT, the third
    preliminary amendment uses the word “mature,” while both of the previous amendments
    used the word “human” to describe the EPO claimed. HMR/TKT urges that the district
    court also erred by finding that Amgen rebutted the Festo presumption based on “some
    other reason.” HMR/TKT argues that Amgen amended the claims of the ’080 patent to
    include only a 166-amino acid EPO out of fear of a new matter rejection, which does not
    fall under Festo’s “some other reason” criterion.
    Amgen counters that the district court was correct in its conclusion because the
    purpose of the third preliminary amendment was to distinguish the ’080 patent, which
    encompasses only human EPO, from claim 1 of the ’933 patent, which encompasses
    both human and animal EPO. In support of its argument, Amgen recites its remarks
    during prosecution “that claims 69, 70, and 71 [currently claims 2-4 of the ’080 patent]
    all differ in scope from glycoprotein claim 1 of U.S. 5,547,933 in specifying that the
    claimed subject matter comprises the mature human erythropoietin sequence of Figure
    6. Claim 69 [currently claim 1 of the ’080 patent] (like [’933] glycoprotein claim 1) recites
    05-1157                                      33
    carbohydrate differences in comparison to human urinary [EPO] and claim 70 [currently
    claim 2 of the ’080 patent] recites a negative limitation with respect to isolation from
    human urine.” (footnote omitted). Based on the foregoing statement in the patentee’s
    remarks accompanying the third preliminary amendment, Amgen contends that the
    amendment was meant to distinguish Amgen’s EPO from naturally-occurring EPO
    through differences in glycosylation, or “carbohydrate differences.”     Thus, Amgen
    argues that the mention of the EPO sequence of Figure 6 was merely tangential.
    Further, Amgen defends the district court’s conclusion that Amgen successfully rebutted
    the Festo presumption under the “some other reason” rationale. Amgen argues that
    because a person of ordinary skill in the art would have understood the claims to
    encompass a 165-amino acid equivalent, the Festo presumption was rebutted. Finally,
    Amgen argues that the district court erred in finding that a 165-amino acid equivalent
    was foreseeable because the patentee expected the claims to encompass this
    equivalent.
    C.
    The burden of rebutting the Festo presumption lies with the patentee. Festo III,
    
    344 F.3d at 1368
    .     Whether a patent-holder has successfully rebutted the Festo
    presumption of the surrender of equivalents is a question of law, which we review de
    novo. Chimie v. PPG Indus., Inc., 
    402 F.3d 1371
    , 1376 (Fed. Cir. 2005); see also Festo
    III, 
    344 F.3d at 1368
    ; Biagro W. Sales, Inc. v. Grow More, Inc., 
    423 F.3d 1296
    , 1302
    (Fed. Cir. 2005); Glaxo Wellcome, Inc. v. Impax Labs., Inc., 
    356 F.3d 1348
    , 1351 (Fed.
    Cir. 2004). For the reasons which follow, we uphold the district court’s finding that
    Amgen failed to show that EPO with a 165-amino acid sequence was not foreseeable at
    05-1157                                   34
    the time of the amendment. However, we hold that the district court erred when it held
    that Amgen had met its burden of rebutting the Festo presumption under both the
    tangentiality and “some other reason” rationales.
    The presumption that equivalents are surrendered may be rebutted if a patentee
    shows that “one skilled in the art could not reasonably be expected to have drafted a
    claim that would have literally encompassed the alleged equivalent.” Festo III, 
    344 F.3d 1365
     (quoting Festo II, 
    535 U.S. at 741
    ). As noted, in Festo II, the Supreme Court listed
    three ways in which a patentee may make this showing.             First, the patentee may
    demonstrate that “the equivalent [would] have been unforeseeable at the time of the
    [amendment].” 
    535 U.S. at
    740–41. Second, the patentee may show that “the rationale
    underlying the amendment [bears] no more than a tangential relation to the equivalent
    in question.” 
    Id.
     Third, a patentee may demonstrate that “there [is] some other reason
    suggesting that the patentee could not reasonably be expected to have described the
    insubstantial substitute in question.” 
    Id.
    In Festo III, we offered some guidance as to what must be shown by a patentee
    in order to succeed in rebutting the Festo presumption under each of the three
    showings enumerated by the Supreme Court. In order to demonstrate that an invention
    is not foreseeable, a patentee may utilize extrinsic evidence. 
    344 F.3d at 1369
    . We
    suggested that after-arising technology is more likely to be unforeseeable than old
    technology, but did not set forth any hard or fast rule on foreseeability. 
    Id.
     We stated
    that “if the alleged equivalent were known in the prior art in the field of the invention, it
    certainly should have been foreseeable at the time of the amendment.” 
    Id.
     With regard
    to the tangentiality of an amendment to an equivalent, we did not set forth any concrete
    05-1157                                      35
    definition, but we did note that an amendment “made to avoid prior art that contains the
    equivalent in question is not tangential; it is central to allowance of the claim.” 
    Id.
     Thus,
    an amendment is tangential when the “reason for [it] was peripheral, or not directly
    relevant, to the alleged equivalent.”     
    Id.
            The determination of whether or not an
    amendment is merely tangential to the equivalent is based on the “patentee’s
    objectively apparent reason for the narrowing amendment.” 
    Id.
     Thus, the inquiry must
    be based on the intrinsic record alone and, if necessary, expert testimony to aid in
    interpretation of that record. 
    Id.
     Finally, we noted that the third way to rebut the Festo
    presumption, the “some other reason” route, is a narrow one. 
    Id. at 1370
    . We stated
    that “the third criterion may be satisfied when there was some reason, such as the
    shortcomings of language, why the patentee was prevented from describing the alleged
    equivalent when it narrowed the claim.” Id.
    1.
    With regard to the first Festo rebuttal argument, foreseeability, we see no error in
    the district court’s holding that, at the time the third preliminary amendment was made,
    EPO with 165 amino acids was a foreseeable equivalent.                Amgen III Doctrine of
    Equivalents Judgment, 
    287 F. Supp. 2d at
    147–49. We reject Amgen’s assertion that
    the relevant inquiry is whether it was “objectively foreseeable that the amended claim
    language would not read on the accused equivalent.”              Appellee’s Br. at 74.   The
    question of how a person of ordinary skill in the art would understand claims 2-4 of the
    ’080 patent is one of claim construction, which was settled in Amgen II. 
    314 F.3d at
    1344–45 (affirming the district court’s construction of claims 2-4 as being limited to EPO
    with 166 amino acids).      EPO with a 165-amino acid sequence was a foreseeable
    05-1157                                         36
    equivalent because the patentee admittedly knew about the 165-amino acid equivalent
    at the time of the third preliminary amendment.     Amgen III Doctrine of Equivalents
    Judgment, 
    287 F. Supp. 2d at 157
     (finding that during prosecution Amgen informed the
    examiner that human EPO has 165 amino acids); see Festo III, 
    344 F.3d at 1369
    (noting that if an equivalent is known in the field, then it is foreseeable); Glaxo
    Wellcome, Inc., 
    356 F.3d at
    1355–56 (finding that a patentee did not rebut the
    presumption of surrender when a person of ordinary skill in the art at the time of the
    amendment would have considered the equivalent).
    2.
    We next examine whether Amgen has met its burden of showing that the reason
    for the addition of the reference to the “amino acid sequence of FIG. 6” was merely
    tangential to the alleged equivalent.
    In Insituform Technologies, Inc. v. CAT Contracting, Inc., 
    385 F.3d 1360
     (Fed.
    Cir. 2004), we were asked to review whether a patentee had successfully rebutted the
    surrender of equivalents. 
    Id.
     at 1370–71. The patented method in Insituform involved
    using a vacuum to impregnate a flexible tube with resin.      
    Id.
     at 1362–63.    During
    prosecution, the patentee limited the number of suction cups that could be placed on
    the tube to create the vacuum to just one cup. 
    Id. at 1366
    . The amendment that limited
    the number of vacuum cups was made to overcome prior art which had a single vacuum
    source located at the end of the tube a distance from the resin source. 
    Id. at 1370
    . The
    reason for the amendment was to clarify the location of the vacuum source relative to
    the resin—not to limit the number of vacuum cups. 
    Id.
     Thus, we ruled that the reason
    for the amendment was merely tangential to the alleged equivalent using multiple cups.
    05-1157                                   37
    
    Id.
     Accordingly, we held that the patentee in Insituform successfully rebutted the Festo
    presumption of surrender of the equivalent in question.
    Amgen was required to show that the reason for adding the requirement in the
    third preliminary amendment that EPO have 166 amino acids was peripheral to the 165-
    amino acid equivalent. See Festo III, 
    344 F.3d at 1369
    . As seen, the third preliminary
    amendment was made to avoid a double patenting rejection in light of the ’933 patent.
    Amgen I, 
    126 F. Supp. 2d at 135
    .             Thus, the 165-amino acid equivalent is only
    tangential if the patentee’s reason for limiting the ’080 patent to EPO with 166 amino
    acids was unrelated to distinguishing the scope of the ’080 patent from the scope of the
    ’933 patent.
    We must reject Amgen’s argument that the sole reason for the amendment
    requiring EPO with 166 amino acids was to limit the ’080 patent to human EPO and that
    therefore the amendment was merely tangential to a 165-amino acid equivalent. As
    seen, in claim 1 the ’933 patent claimed:
    A non-naturally occurring erythropoietin glycoprotein product
    having the in vivo biological activity of causing bone marrow
    cells to increase production of reticulocytes and red blood
    cells and having glycosylation which differs from that of
    human urinary erythropoietin.
    ’933 patent, col. 38, ll. 18-22. Thus, claim 1 contains no limitation pertaining to human
    or non-human EPO. Claim 1 of the ’933 patent, which covers both human and non-
    human EPO, also lacks any limitation concerning the amino acid sequence of the
    claimed EPO product. Accordingly, claim 1 of the ’933 patent broadly encompasses
    EPO with any amino acid sequence, which would include amino acid sequences
    differing from that set forth in Figure 6.
    05-1157                                       38
    We think Amgen’s third preliminary amendment did more than limit the scope of
    the asserted claims of the ’080 patent to human EPO. The third preliminary amendment
    limited the ’556 application, and consequently the ’080 patent, to EPO having 166
    amino acids. Claim 68, which was added with the second preliminary amendment to
    the ’556 application, encompassed cells “encoding the human erythropoietin amino acid
    sequence set out in FIG. 6 or a fragment thereof.” Thus, after the second preliminary
    amendment, the ’556 application and the ’933 patent overlapped in claim scope. That is
    because the ’556 application encompassed EPO having the incomplete amino acid
    sequence set forth in Figure 6. Likewise, claim 1 of the ’933 patent encompassed EPO
    having any amino acid sequence, which would include an incomplete amino acid
    sequence of Figure 6. In other words, an incomplete amino acid sequence of Figure 6
    (a “fragment”) was encompassed by both the ’556 application and the ’933 patent. The
    deletion of “or fragment thereof” with the third preliminary amendment limited the ’556
    application to the complete 166-amino acid sequence shown in Figure 6. This limitation
    reduced the overlap between the scope of the ’556 application, which encompassed
    only EPO with the complete amino acid sequence of Figure 6, from the scope of claim 1
    of the ’933 patent, which encompassed EPO with any amino acid sequence. Indeed, as
    the inventor himself stated in the remarks accompanying the third preliminary
    amendment, the amended claims “all differ in scope from glycoprotein claim 1 of [the
    ’933 patent] in specifying that the claimed subject matter comprises the mature human
    erythropoietin sequence of Figure 6.” Third Preliminary Amendment at 164 (Dec. 20,
    1996), quoted in Amgen III Doctrine of Equivalents Judgment, 
    287 F. Supp. 2d at
    152
    n.36 (emphasis added) (footnote omitted). Accordingly, the limitation added in the third
    05-1157                                   39
    preliminary amendment may have been central to overcoming a double patenting
    rejection in light of claim 1 of the ’933 patent. Under these circumstances we cannot
    say that the reason for the addition of the limitation pertaining to the complete amino
    acid sequence of Figure 6 was merely tangential to the alleged 165-amino acid
    equivalent. Thus, unlike Insituform, where it was clear that the amendment in question
    was not made to limit the number of cups and overcome the prior art, the requirement
    that EPO have exactly 166 amino acids may have been central to the allowance of
    claims 2-4 over a double patenting rejection.
    Finally, we think that if the patentee had wished only to limit the claims to human
    EPO, the patentee could have done so by continuing to use the adjective “human” when
    referring to EPO in the third preliminary amendment; instead the patentee chose to
    further narrow the claims in the third preliminary amendment by making reference to the
    specific sequence in Figure 6 rather than human EPO. We thus hold that Amgen has
    not met its burden of showing that the addition of the “the mature amino acid sequence
    of FIG. 6” amendment was tangential to a 165-amino acid equivalent.
    3.
    In the alternative, the district court relied on the “some other reason” language in
    the Supreme Court’s Festo II decision in ruling that Amgen had rebutted the Festo
    presumption of surrender of equivalents.        In Festo II, the Court held that the
    presumption of the surrender of equivalents could be rebutted by showing that “there [is]
    some other reason suggesting that the patentee could not reasonably be expected to
    have described the insubstantial substitute in question.” 
    535 U.S. at
    740–41.
    05-1157                                    40
    As previously noted, the district court based its conclusion that Amgen had
    rebutted the Festo presumption under the “some other reason” rationale on its finding
    that, before the patentee made the third preliminary amendment, the patentee disclosed
    information to the Patent and Trademark Office concerning the fact that human EPO
    has 165 amino acids. Amgen III Doctrine of Equivalents Judgment, 
    287 F. Supp. 2d at 157
    . The district court also relied on extrinsic evidence that a person of ordinary skill in
    the art would understand that Amgen meant to claim human EPO having either 165 or
    166 amino acids at the time the third preliminary amendment was made. 
    Id.
     The court
    reasoned that Amgen had rebutted the Festo presumption under the “some other
    reason” criterion because the patentee could not have reasonably been expected to
    have described the 165-amino acid equivalent because those of skill in the art would
    have interpreted the amendment to cover the 165-amino acid equivalent. 
    Id. at 158
    .
    However, the district court’s analysis does not correctly apply the Supreme
    Court’s explanation of the “some other reason” rebuttal argument: the other reason
    must be such that the patentee could “not reasonably be expected” to write a claim to
    encompass the equivalent, see Festo II, 
    535 U.S. at 741
    , such as a shortcoming of
    language, Festo III, 
    344 F.3d at 1370
    . The patentee knew of the 165-amino acid
    sequence at the time of the amendment, Amgen III Doctrine of Equivalents Judgment,
    
    287 F. Supp. 2d at 157
    , but chose to limit the claims to the 166-amino acid sequence
    depicted in Figure 6. Contrary to Amgen’s argument, whether the patentee, the
    examiner, or a person of skill in the art may have thought the claims encompassed EPO
    with 165 amino acids does not excuse the patentee’s failure to claim the equivalent.
    See Biagro, 
    423 F.3d at 1307
     (rejecting the patentee’s argument that the “some other
    05-1157                                     41
    reason” rebuttal argument applied when the patentee allegedly understood the claim
    language to refer to the equivalent in question). Further, there were no shortcomings of
    language that might have prevented the patentee from claiming EPO having 165 amino
    acids. The patentee could have simply claimed mature human EPO without reference
    to Figure 6. Alternatively, the patentee could have claimed, as it did prior to the third
    preliminary amendment, EPO having the amino acid sequence disclosed in Figure 6 or
    a “fragment thereof.”    In short, there was no linguistic barrier to claiming EPO
    comprised of 165 amino acids. Amgen has not argued on appeal, nor do we find, that
    any other reason exists that might rebut the Festo presumption. Therefore, we find that
    the patentee could have reasonably been expected to accurately point out and
    particularly claim the 165-amino acid sequence.
    The facts in this case are analogous to those in Festo III, where we ruled that the
    Festo presumption was not rebutted by “some other reason.” In Festo III, we rejected
    Festo’s argument that it was not estopped from asserting the doctrine of equivalents
    because the patentee “could not reasonably have been expected to have drafted a
    claim to cover what was thought to be an inferior and unacceptable design.” 
    344 F.3d at
    1372–73. Like the patentee in Festo, who knew about the “inferior” equivalent, the
    patentee of the ’080 patent knew about the 165-amino acid sequence at the time of the
    amendment, but still chose to claim the incorrect 166-amino acid sequence in Figure 6.
    We conclude that Amgen has not rebutted the Festo presumption based on “some other
    reason.”
    In sum, we uphold the district court’s finding that the 165-amino acid EPO
    equivalent was foreseeable at the time of the third preliminary amendment. The district
    05-1157                                    42
    court erred, however, in finding that Amgen successfully rebutted the Festo presumption
    of surrender of equivalents under both the tangentially related rebuttal argument and the
    “some other reason” rebuttal argument. This means that HMR/TKT cannot be found to
    have infringed the claims 2-4 of the ’080 patent under the doctrine of equivalents.
    Accordingly, the judgment of infringement of claims 2-4 is reversed. It is unnecessary
    for us to reach HMR/TKT’s alternative argument by way of affirmative defense that
    claims 2-4 of the ’080 patent are invalid as anticipated by the Goldwasser reference.
    III.
    The ’698 and ’349 patents
    The ’698 patent is directed to a process for producing EPO in host cells using
    recombinant DNA techniques. On remand, in Amgen III Validity & Literal Infringement
    Judgment, the district court rejected HMR/TKT’s argument that the asserted claims of
    the ’698 patent (claims 4-9) are invalid because they lack an adequate written
    description. The court also rejected HMR/TKT’s argument that the asserted claims
    were not enabled.      Having rejected HMR/TKT’s validity challenges, the court found
    claims 4-9 of the ’698 patent literally infringed.
    The ’349 patent is directed to vertebrate cells capable of producing EPO and a
    process for making EPO using the claimed cells. On remand, the district court rejected
    HMR/TKT’s argument that the asserted claims of the ’349 patent (claims 1, 3, 4, 6, and
    7) were invalid by reason of obviousness. Since the district court already had ruled in
    Amgen I that claims 1, 3, 4, and 6 of the ’349 patent were infringed, in Amgen III Validity
    & Literal Infringement Judgment it only was necessary for the court to address Amgen’s
    05-1157                                       43
    claim that HMR/TKT’s HMR4396 literally infringed claim 7 of the ’349 patent. Doing so,
    the court found literal infringement. 
    339 F. Supp. 2d at 258, 336
    .
    On appeal, HMR/TKT argues that the district court made various claim
    construction errors and also erred in its validity and infringement rulings in the case of
    both the ’698 and ’349 patents.        We have carefully considered all of HMR/TKT’s
    arguments relating to the ’698 and ’349 patents. Having done so, we see no error in the
    district court’s legal conclusions; nor do we see clear error in its findings of fact.
    Accordingly, we affirm in all respects the court’s rulings with respect to the ’698 and ’349
    patents.
    CONCLUSION
    For the foregoing reasons, we vacate the district court’s judgment that claim 1 of
    the ’422 patent is not invalid under 
    35 U.S.C. § 102
    (a) and remand to the district court
    for a determination of whether, in view of our construction of the limitation
    “therapeutically effective,” claim 1 is anticipated by the Goldwasser reference and for
    such further proceedings as may be necessary.11 We reverse the court’s judgment that
    HMR/TKT infringes claims 2-4 of the ’080 patent under the doctrine of equivalents. We
    affirm the court’s judgment that HMR/TKT infringes claims 4-9 of the ’698 patent and
    claims 1, 3, 4, 6, and 7 of the ’349 patent.
    11
    See footnote 10, supra.
    05-1157                                        44
    COSTS
    Each party shall bear its own costs.
    AFFIRMED-IN-PART, REVERSED-IN-PART, VACATED-IN-PART, and REMANDED
    05-1157                                     45
    United States Court of Appeals for the Federal Circuit
    05-1157
    AMGEN INC.,
    Plaintiff-Appellee,
    v.
    HOECHST MARION ROUSSEL, INC.
    (now known as Aventis Pharmaceuticals Inc.)
    and TRANSKARYOTIC THERAPIES, INC.,
    Defendants-Appellants.
    MICHEL, Chief Judge, dissenting-in-part.
    I write separately to voice my strong disagreement with the majority's holdings
    that (1) contrary to the district court's construction, "therapeutically effective" in claim 1
    of the '422 patent means simply eliciting in vivo biological effects even if not tending to
    cure certain diseases and (2) claim 1 of the '422 patent could therefore be invalid in light
    of the Goldwasser reference, which describes a prior art compound eliciting biological
    activity without curing. Because the majority concludes that the district court erred in
    construing "therapeutically effective" to mean having a disease-curing effect, it remands
    the case for a re-adjudication of whether the Goldwasser reference anticipates claim 1
    of this particular patent, only one of several asserted.
    At the outset, I compliment the district court for the meticulous attention it has
    given to this extraordinarily complicated, highly-technical, and very difficult case. The
    district court's two opinions on remand, the subject of our present review, were
    well-reasoned, well-grounded in the evidence, and well-written. The trial court clearly
    exerted tremendous effort to carefully consider all the issues raised by the parties as
    well as our remand instructions in Amgen II.
    After discovery, the district court conducted a three-day Markman hearing and a
    bench trial spanning twenty-three days in 2000 and then, following our remand, a
    second Markman hearing and second bench trial spanning nine days in 2003. The
    district court also took the creative steps of employing Professor Chris Kaiser of the
    Massachusetts Institute of Technology as a technical advisor on the underlying
    technology and Michele D. Beardslee as a special master to aid in researching the law,
    analyzing the issues, and drafting the remand opinion. Assisted by them, the district
    court spent more than ten months rendering its revised claim constructions and making
    extensive findings of fact and conclusions of law; it subsequently issued two opinions,
    together totaling over 360 pages.*      Plainly, these decisions were not reached in a
    haphazard or hurried manner by a court intimidated by either the science or the law. On
    the contrary, the district court's management and resolution of this case is, I think, a
    model for all trial courts confronted with such patent suits.
    I.
    The district court construed "therapeutically effective amount" to mean "a quantity
    that produces a result that in and of itself helps to heal or cure." Amgen III Validity &
    Literal Infringement Judgment, 
    339 F. Supp. 2d at 245
    . It further elaborated that a
    therapeutically effective amount would elicit certain in vivo biological effects, such as
    those described in the specification, col. 33, ll. 17-22, (i.e., stimulation of reticulocyte
    response, development of ferrokinetic effects, erythrocyte mass changes, stimulation of
    *
    The district court's original opinion in this case contained 244 pages.
    05-1157                                       2
    hemoglobin C synthesis, and increasing hematocrit levels), which reflect a "healing" or
    "curing" effect in "patients generally requiring blood transfusions and including trauma
    victims, surgical patients, renal disease patients including dialysis patients, and patients
    with a variety of blood composition affecting disorders, such as hemophilia, sickle cell
    disease, physiological anemias, and the like." '422 patent, col. 33, ll. 23-28. I believe
    the court correctly recognized that merely eliciting a biological effect is not the same as
    being therapeutically effective.
    Indeed, prior art compounds could trigger the very in vivo biological effects
    enumerated in the specification but were utterly incapable of "healing" or "curing" the
    class of patients described in the '422 patent. Notably, an article published in the Renal
    Extrarenal Sources of Erythropoietin Journal in 1971 revealed that a patient suffering
    from renal anemia was treated with an urinary EPO preparation but, despite
    experiencing an increase in reticulocytes, died five days later. The district court was
    particularly aware of this article and even mentioned it when addressing the issue of
    obviousness after the first bench trial. See Amgen I, 
    126 F. Supp. 2d at 116
    . Had this
    uEPO or any other prior art EPO product been shown to "heal" or "cure" anemia or
    similar blood disorders, there would have been little need for the claimed invention.
    When a compound is truly "therapeutically effective," that is, when it "heals" or
    "cures" such a blood disorder, it necessarily increases hematocrit as well as causes one
    or more of the other listed in vivo biological effects. Reading lines 17-22 of column 33 in
    context, the patentee clearly recognized this.
    As previously indicated, recombinant-produced and synthetic products of
    the invention share, to varying degrees, the in vitro biological activity of
    EPO isolates from natural sources and consequently are projected to have
    utility as substitutes for EPO isolates in culture media employed for growth
    05-1157                                      3
    of erythropoietin cells in culture. Similarly, to the extent that polypeptide
    products of the invention share the in vivo activity of natural EPO isolates
    they are conspicuously suitable for use in erythropoietin therapy
    procedures practiced on mammals, including humans, to develop any or
    all of the effects herefore attributed in vivo to EPO, e.g., . . . and, as
    indicated in Example 10, increasing hematocrit levels in mammals.
    '422 patent, col. 33, ll. 6-22 (emphasis added). This disclosure clarifies three aspects of
    the claimed invention. First, the claimed EPO shares the in vitro biological activity of
    natural EPO. Second, the claimed EPO elicits the very same in vivo activity as natural
    EPO and, therefore, is suitable for use in EPO therapy procedures. Third, the claimed
    EPO increases hematocrit in mammals, as exemplified in Example 10 of the '422
    patent.   By reciting "therapeutically effective amount of human erythropoietin," the
    patentee thus demonstrated an intention to claim EPO that (1) causes the same in vivo
    biological effects as the natural EPO; and also (2) increases hematocrit.
    The subsequent disclosure strengthens my view that the district court correctly
    construed the "therapeutically effective" limitation.
    A preferred method for administration of polypeptide products of the
    invention is by parenteral (e.g., IV, IM, SC, or IP) routes and the
    compositions administered would ordinarily include therapeutically
    effective amounts of product in combination with acceptable diluents,
    carriers and/or adjuvants. . . . Effective dosages are expected to vary
    substantially depending upon the condition treated but therapeutic doses
    are presently expected to be in the range of 0.1 (~70) to 100 (~7000 U)
    µg/kg body weight of the active material.
    '422 patent, col. 33, ll. 41-52 (emphasis added). In the only part of the specification
    where the term "therapeutically effective" actually appears, the patentee uses the term
    in the ordinary sense of the phrase to mean promoting "healing" or "curing." That is, the
    patentee teaches the preferred amount of EPO product and a preferred method of
    administration for a patient suffering from a disorder characterized by a low red blood
    05-1157                                       4
    cell count. Inherently, the ultimate goal is to "heal" or "cure" the disorder. That healing
    is characterized by an increased red blood cell count, i.e., a higher hematocrit level.
    Significantly, I note that the words "therapeutically effective" are conventionally
    employed in the pharmaceutical arts to indicate that the claimed pharmaceutical product
    has utility in the treatment of a human disease where such treatment tends to cause the
    "healing" or "curing" of the disease. The patentee, I think, intended to invoke that very
    convention. While the majority might be correct that the '422 patent is not necessarily
    limited to the exact class of patients described in the specification (as opposed to other
    blood disorders associated with low hematocrit levels), the district court correctly
    recognized that it would be "foolish to construe a term such as 'therapeutically effective,'
    without reference to a class of patients for which the product is intended to be
    'therapeutically effective.'" Amgen III Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at 237
    .
    The specification further discloses various analogs of EPO at columns 35-36:
    In addition to naturally-occurring allelic forms of mature EPO, the present
    invention also embraces other "EPO products" such as polypeptide
    analogs of EPO and fragments of "mature" EPO. . . . Especially significant
    in this regard are those potential fragments of EPO which are elucidated
    upon consideration of the human genomic DNA sequence of FIG. 6, i.e.,
    "fragment" of the total continuous EPO sequence which are delineated by
    intron sequences and which may constitute distinct "domains" of biological
    activity. It is noteworthy that the absence of in vivo activity for any one or
    more of the "EPO products" of the invention is not wholly preclusive of
    therapeutic utility (see, Weiland, et. al., supra) or of utility in other
    contexts, such as in EPO assays or EPO antagonism.
    '422 patent, col. 35, ll. 34-37; col. 36, ll. 4-14.   The majority mistakenly relies on this
    disclosure to support its view that the "therapeutically effective" means merely capable
    of triggering any in vivo biological activity, regardless of degree. Correctly read, the
    05-1157                                       5
    emphasized passage plainly concerns only analogs of EPO, not the EPO of claim 1.
    That is, the full disclosure teaches that analogs of EPO may offer therapeutic utility even
    though they may not have in vivo activity. The emphasized sentence says nothing
    about the claimed EPO and hence cannot be relied upon to construe the
    "therapeutically effective" limitation.
    The prosecution history further confirms that "therapeutically effective" connotes
    more than simply eliciting any cited in vivo biological effect.         The district court
    emphasized that during prosecution of the '422 patent, the patentee differentiated its
    invention from natural EPO, which also elicits the aforementioned biological activity, on
    the basis that the latter was not available in large enough quantities to treat patients,
    i.e., help cure their diseases. Amgen III Validity & Literal Infringement Judgment, 
    339 F. Supp. 2d at 239
    . Likewise, during the prosecution of the Application No. 07/113,178, a
    parent application of the '422 patent which itself issued as United States Patent No.
    5,441,868, the patentee distinguished the claimed EPO from the prior art, emphasizing
    that the claimed EPO could be used as a therapeutic product to treat humans with blood
    disorders characterized by a low red blood cell count whereas the prior art EPO could
    not. In particular, the patentee stated:
    [N]aturally occurring human erythropoietin is not a viable human
    therapeutic product; human recombinant erythropoietin, on the other hand,
    has been proved to be clinically effective, and is the first therapeutic
    product which can be used to effectively treat the hundreds of thousands
    of patients who suffer from anemia and other disorders involving low red
    blood cell counts.
    In so differentiating the claimed EPO from the prior art, the patentee said that the
    claimed EPO is capable of doing more, i.e., the claimed EPO "heals" or "cures" anemia
    and other such disorders by raising a patient's red blood cell count.
    05-1157                                     6
    Thereafter, during the prosecution of the Application No. 08/100,197, a
    continuation of Application No. 07/113,178 discussed above, the examiner objected that
    "Claim 62 is vague and indefinite because it is unclear what the claimed composition is
    required to be 'effective' for." In response, after quoting column 33, lines 11-28, which
    includes a description of the in vivo biological effects, the "increasing hematocrit"
    language, and various diseases treatable with the claimed invention, the patentee again
    explained that the claimed EPO could be used to treat, (i.e., "heal" or "cure"), various
    blood disorders:
    It is believed that these sentences from the specification and others
    provide a clear and definite description of the uses for which the claimed
    erythropoietin compositions would be therapeutically effective. A person
    of skill in the art would understand that the amount of erythropoietin
    necessary to achieve these defined therapeutic results would vary for
    each use. However, clinicians can readily determine the "therapeutically
    effective" amounts for each condition, and indeed for each patient.
    Application submits that the claim language "therapeutically effective
    amount" is commonly used in this type of case where the product is
    usable to treat various conditions.
    (emphasis added). Accordingly, I must conclude that the district court's construction of
    the "therapeutically effective" limitation comports with the patentee's own repeated
    descriptions of the claimed invention.       It is exactly the way a skilled artisan would
    interpret the patent, as the district court held.
    II.
    Regarding possible anticipation of the invention of the '422 patent by the
    Goldwasser reference, the district court set forth very specific reasons why none of the
    in vivo biological effects mentioned in the Goldwasser reference (i.e., an increase
    reticulocytes, an increase in plasma iron clearance, and red cell mass changes)
    demonstrated therapeutic effectiveness. HMR does not contend that the district court
    05-1157                                        7
    clearly erred. Rather, it merely asserts that all of these biological results fall under its
    proposed claim construction for the term "therapeutically effective amount," which is any
    amount of EPO that elicits any in vivo biological effect, even if not accompanied by an
    increased hematocrit. Because I think that the district court correctly rejected HMR's
    proposed construction and properly construed "therapeutically effective" to mean
    "healing" or "curing," HMR's validity challenge necessarily fails. While all of the results
    described in the Goldwasser reference represent in vivo biological responses, none
    demonstrate that the subject anemic patients were even partially "healed" or "cured." In
    fact, Dr. Goldwasser himself considered his study a failure because the patients'
    hematocrit levels did not increase. I therefore conclude that the district court correctly
    found that the Goldwasser reference does not anticipate claim 1 of the '422 patent.
    Clear error has not been shown. We should therefore affirm the judgment as to validity.
    III.
    This litigation has already dragged on for almost ten years, yet the end is
    nowhere in sight. The majority again remands this case to the district court, this time for
    a re-adjudication of whether the Goldwasser reference anticipates claim 1 of the '422
    patent in light of its revised construction of "therapeutically effective." The district court,
    as a result, will conduct further proceedings and render a third opinion. Inevitably, at
    least one party will appeal that judgment, prompting a third review by this Court. We, in
    turn, will issue another opinion, perhaps even remanding the case a third time. The
    district court, however, has yet to decide whether to grant an injunction, the specific
    relief sought by the patentee. Presumably, after our decision in that potential third
    appeal, the district court would conduct a trial or hearing on that issue and reach
    05-1157                                        8
    another decision, which will likely be appealed by one or both of the parties.           We
    consequently would hear a fourth appeal and issue a fourth decision, which could
    involve yet another remand. When will it end? Ironically, the patents in dispute may
    expire before this litigation concludes.
    Moreover, since the majority holds that other asserted patents are not invalid and
    are literally infringed by HMR 4396, (and here I agree), the district court likely will enter
    an injunction precluding appellants from marketing HMR 4396 until the expiration of at
    least the '698 and '349 patents. Prolonging this litigation seems futile when, in the end,
    an injunction will likely issue regardless of how "therapeutically effective" is construed or
    whether claim 1 of the '422 patent is invalid.
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