C.R. Bard, Inc. v. Angiodynamics, Incorporated ( 2018 )


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  •        NOTE: This disposition is nonprecedential.
    United States Court of Appeals
    for the Federal Circuit
    ______________________
    C.R. BARD, INC., BARD PERIPHERAL VASCULAR,
    INC.,
    Appellants
    v.
    ANGIODYNAMICS, INCORPORATED,
    Cross-Appellant
    ______________________
    2017-1851, 2017-1865, 2017-1906, 2017-1931, 2017-1943
    ______________________
    Appeals from the United States Patent and Trade-
    mark Office, Patent Trial and Appeal Board in Nos.
    95/002,089, 95/002,090, 95/002,092.
    ______________________
    Decided: September 28, 2018
    ______________________
    VINCENT JOSEPH BELUSKO, Morrison & Foerster LLP,
    Los Angeles, CA, argued for appellants. Also represented
    by NICOLE MARIE SMITH; SETH W. LLOYD, BRIAN ROBERT
    MATSUI, Washington, DC.
    DANIELLE VINCENTI TULLY, Cadwalader, Wickersham
    & Taft LLP, New York, NY, argued for cross-appellant.
    Also represented by CHRISTOPHER A. HUGHES, JOHN
    THOMAS MOEHRINGER, MICHAEL BRIAN POWELL, MICHAEL
    2                       C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    J. SEBBA.
    ALFRED W. ZAHER, Buchanan Ingersoll & Rooney PC,
    Philadelphia, PA, for amicus curiae Medical Components,
    Inc. Also represented by RALPH GEORGE FISCHER, Pitts-
    burgh, PA.
    ______________________
    Before O’MALLEY, TARANTO, and STOLL, Circuit Judges.
    O’MALLEY, Circuit Judge.
    These consolidated appeals involve three of C.R. Bard,
    Inc.’s and Bard Peripheral Vascular, Inc.’s (collectively,
    “Bard’s”) medical device patents. In several inter partes
    reexamination proceedings requested by AngioDynamics,
    Inc., the Patent Trial and Appeal Board invalidated
    thirty-four of the patents’ forty-one claims as anticipated
    and/or obvious over the prior art. 1 Both parties appealed
    various aspects of the Board’s rulings.
    With respect to the Board’s decision that a particular
    prior art reference qualifies as a “printed publication”
    1  See AngioDynamics, Inc. v C.R. Bard, Inc., Appeal
    2015-001533, 
    2016 WL 923521
    (P.T.A.B. Mar. 10, 2016)
    (“’302 Decision”); AngioDynamics, Inc. v C.R. Bard, Inc.,
    Appeal 2015-001533, 
    2017 WL 542597
    (P.T.A.B. Jan. 31,
    2017) (“’302 Rehearing Decision”); AngioDynamics, Inc. v
    C.R. Bard, Inc., Appeal 2015-004554, 
    2016 WL 1239176
    (P.T.A.B. Mar. 28, 2016) (”’022 Decision”); AngioDynam-
    ics, Inc. v C.R. Bard, Inc., Appeal 2015-004554, 
    2017 WL 766740
    (P.T.A.B. Feb. 17, 2017) (“’022 Rehearing Deci-
    sion”); AngioDynamics, Inc. v C.R. Bard, Inc., Appeal
    2015-004506, 
    2016 WL 1166545
    (P.T.A.B. Mar. 24, 2016)
    (“’615 Decision”), AngioDynamics, Inc. v C.R. Bard, Inc.,
    Appeal 2015-004506 (P.T.A.B. February 21, 2017) (J.A.
    146) (“’615 Rehearing Decision”).
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                    3
    under 35 U.S.C. § 102(b), we vacate and remand for the
    Board to clarify its findings. We also conclude that some
    of the Board’s anticipation and obviousness rulings are
    predicated on an erroneous claim construction. As to
    these rulings, we reverse the Board’s anticipation findings
    and remand certain of its obviousness findings for further
    consideration under the proper construction and in light
    of any further findings on the printed publication ques-
    tion. We affirm in all other respects.
    I. BACKGROUND
    C.R. Bard, Inc.’s and Bard Peripheral Vascular, Inc.’s
    U.S. Patent Nos. 7,785,302 (“’302 patent”), 7,947,022
    (“’022 patent”), and 7,959,615 (“’615 patent”), all titled
    “Access Port Identification Systems and Methods,” are
    related by way of a provisional application filed in March
    2005, and have similar specifications. 2 The patents
    describe medical devices, called access ports, implanted
    beneath a patient’s skin to enable direct access to a cen-
    tral vein for delivery of medicine or other fluids. ’302
    patent, col. 1, ll. 13–19. These ports typically include a
    bio-compatible housing, a septum, and a cavity. Once the
    port is implanted, a doctor punctures the patient’s skin
    and the septum with a needle to deliver fluid into the
    cavity. The fluid is then transmitted from the cavity into
    a catheter, which is sutured to one of the patient’s central
    veins. For patients requiring frequent and long-term
    intravenous therapy, these devices allow medical profes-
    sionals to easily and repeatedly access a major vein
    without having to go through tissue or muscle each time.
    2   The ’615 patent and ’022 patent are a continua-
    tion and continuation-in-part of the ’302 patent, respec-
    tively. For simplicity, we cite only to the specification of
    the ’302 patent unless otherwise specified.
    4                      C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    The patents explain that prior art “access ports of dif-
    ferent manufacturers or models . . . typically exhibit[ed]
    substantially similar geometries.” 
    Id. col. 1,
    ll. 46–49.
    Because of these similarities, doctors were unable to
    identify and distinguish specific types of ports after they
    were implanted. This prevented doctors from distinguish-
    ing so-called “power injectable ports” from ordinary ones.
    Power injectable ports are designed to be “injected and
    pressurized by mechanical assistance” at high flow rates.
    
    Id. col. 3,
    ll. 43–47. By contrast, regular access ports are
    not manufactured to withstand high-pressure injections.
    Power injecting a non-power injectable port can cause the
    port to fracture while in the patient’s body, leading to
    serious bodily injury or even death.
    The patents generally describe access ports having “at
    least one identifiable characteristic that may be sensed or
    otherwise determined subsequent to subcutaneous im-
    plantation.” 
    Id. col. 1,
    ll. 55–58. In some embodiments,
    the “identifiable characteristic” is a message that “may be
    perceived via x-ray or ultrasound imaging.” 
    Id. col. 4,
    ll.
    15–24. In other embodiments, medical professionals can
    use the port’s geometry to identify whether the port is
    power injectable by touch, even after it is implanted.
    The patents collectively recite forty-one claims, which
    the parties classify into two partially overlapping groups.
    In the first group, which includes all claims of the ’302
    and ’022 patents, the identifiable characteristic is a
    “radiopaque alphanumeric message.” The message is
    opaque to radiation, so it is visible on an x-ray, and “in-
    dicat[es] that the assembly is power injectable.” 
    Id. col. 13,
    ll. 18–19. Claim 5 of the ’302 patent is representative
    of these “radiopaque claims”:
    5. A venous access port assembly for implantation
    into a patient, comprising:
    a housing having an outlet, and
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                     5
    a needle-penetrable septum, the needle-
    penetrable septum and the housing to-
    gether defining a reservoir,
    wherein:
    the assembly includes a radio-
    paque alphanumeric message ob-
    servable through interaction with
    X-rays subsequent to subcutane-
    ous implantation of the assembly,
    and
    the alphanumeric message indicat-
    ing that the assembly is power in-
    jectable.
    
    Id. col. 13,
    ll. 8–19 (emphasis added).
    In the second group of claims, which includes all
    claims of the ’615 patent, the identifiable feature is one or
    more “concave side surfaces” that curve inward toward
    the port housing. Like the alphanumeric message in the
    radiopaque claims, a concave side allows a doctor to
    identify the access port, albeit by palpation, after implan-
    tation. Claim 1 of the ’615 patent is representative of
    these “concave side” claims:
    1. An access port for providing subcutaneous ac-
    cess to a patient, comprising:
    a body defining a cavity accessible by in-
    serting a needle through a septum, the
    body including a plurality of side surfaces
    and a bottom surface bounded by a bottom
    perimeter, the bottom surface on a side of
    the port opposite the septum, the bottom
    perimeter including a concave portion, the
    side surfaces including a first side surface
    through which an outlet stem extends;
    and
    6                      C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    at least one structural feature of the ac-
    cess port identifying the access port sub-
    sequent to subcutaneous implantation as
    a particular type of access port, the at
    least one structural feature comprising a
    concave side surface in a second side sur-
    face different from the first side surface,
    the concave side surface extending to the
    bottom perimeter concave portion.
    
    Id. col. 12,
    ll. 52–67 (emphasis added).
    In August 2012, AngioDynamics filed three requests
    for inter partes reexamination of the ’302, ’022, and ’615
    patents, challenging all forty-one claims. A patent Exam-
    iner granted the requests as to all but one claim. In a
    series of decisions, the Board ultimately affirmed in part
    and reversed in part, holding thirty-four of the forty
    claims addressed by the Examiner invalid as anticipated
    and/or obvious over the prior art of record. 3 Both parties
    filed requests for rehearing, which were denied.
    Bard and AngioDynamics timely appealed and cross-
    appealed various aspects of the Board’s decisions. We
    have jurisdiction under 28 U.S.C. § 1295(a)(4)(A).
    II. DISCUSSION
    We review the Board’s conclusions of law de novo and
    its findings of fact for substantial evidence. In re Gart-
    side, 
    203 F.3d 1305
    , 1316 (Fed. Cir. 2000). Substantial
    3   The Board invalidated claims 5–10 of the ’302 pa-
    tent, claims 1–20 of the ’022 patent, and claims 1–5 and
    8–10 of the ’615 patent. See ’302 Decision, 
    2016 WL 923521
    , at *21; ’022 Decision, 
    2016 WL 1239176
    , at *21;
    ’615 Decision, 
    2016 WL 1166545
    , at *16. The Board
    upheld claims 1–4 of the ’302 patent and claims 6–7 of the
    ’615 patent. 
    Id. C.R. BARD,
    INC. v. ANGIODYNAMICS, INC.                    7
    evidence is “such evidence as a reasonable mind might
    accept as adequate to support a conclusion.” Transocean
    Offshore Deepwater Drilling, Inc. v. Maersk Drilling USA,
    Inc., 
    699 F.3d 1340
    , 1347 (Fed. Cir. 2012). But our review
    of the Board is also rooted in “basic principles of adminis-
    trative law.” Pers. Web Techs., LLC v. Apple, Inc., 
    848 F.3d 987
    , 992 (Fed. Cir. 2017). The Board must therefore
    provide conclusions that “suffice for us to see that the
    agency has done its job and must be capable of being
    reasonably . . . discerned from a relatively concise . . .
    discussion.” In re NuVasive, 
    842 F.3d 1376
    , 1383 (Fed.
    Cir. 2016) (internal quotation marks omitted). If it does
    not, then we may not be able to determine whether the
    Board’s findings are supported by substantial evidence.
    In that case, remand may be appropriate. See, e.g., Pers.
    
    Web., 848 F.3d at 994
    (remanding for the Board to “recon-
    sider the merits of the obviousness challenge” where the
    Board’s analysis was insufficient to permit meaningful
    judicial review).
    A. Bard’s Appeal
    Bard makes several arguments for why we should re-
    verse the Board’s rulings invalidating claims 5–10 of the
    ’302 patent, claims 1–20 of the ’022 patent, and claims 8–
    9 of the ’615 patent. First, with respect to the ’302 and
    ’022 patent claims, Bard argues that the Board erred in
    concluding that a particular prior art reference used to
    invalidate those claims qualifies as a “printed publication”
    under 35 U.S.C. § 102(b). 4 Second, Bard argues that the
    Board erred in construing certain claims to encompass
    both power injectable and non-power injectable access
    4   All of the patents at issue here have an effective
    filing date before the effective date of the Leahy-Smith
    America Invents Act (“AIA”), references are therefore to
    the pre-AIA version of 35 U.S.C. § 102. See Pub L. No.
    112-29, 125 Stat. 284 (2011); 35 U.S.C. § 102 (2006).
    8                      C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    ports. Finally, Bard argues that the Board improperly
    entered a new ground of rejection in violation of the
    Administrative Procedure Act (“APA”). We address each
    argument in turn.
    1. Printed Publication
    A reference qualifies as a printed publication un-
    der § 102(b) if the reference was “sufficiently accessible to
    the public interested in the art.” Blue Calypso, LLC v.
    Groupon, Inc., 
    815 F.3d 1331
    , 1348 (Fed. Cir. 2016).
    “A reference is considered publicly accessible if it was
    ‘disseminated or otherwise made available to the extent
    that persons interested and ordinarily skilled in the
    subject matter or art exercising reasonable diligence, can
    locate it.’” In re Lister, 
    583 F.3d 1307
    , 1311 (Fed. Cir.
    2009) (quoting Kyocera Wireless corp. v. ITC, 
    545 F.3d 1340
    , 1350 (Fed. Cir. 2008)). Public accessibility is de-
    termined case-by-base depending on the “facts and cir-
    cumstances surrounding the reference’s disclosure to
    members of the public.” 
    Id. Whether a
    reference ulti-
    mately qualifies as a printed publication is a question of
    law based on underlying findings of fact. Blue 
    Calypso, 815 F.3d at 1348
    .
    Bard challenges the Board’s determination that a cer-
    tain reference, IsoMed Constant-Flow Infusion System
    (“IsoMed”), is a “printed publication” under 35
    U.S.C. § 102(b).
    IsoMed is a clinical reference guide that was devel-
    oped by third party Medtronic, Inc. “for physicians and
    allied professionals who care for patients using” Medtron-
    ic’s implantable reciprocating IsoMed pump device “for
    hepatic arterial infusion of chemotherapeutic agents.”
    J.A. 512. The guide bears a 2000 copyright date and
    indicates that it was revised in September 2000, years
    before the asserted patents’ March 2005 priority date.
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                     9
    Analyzing the content of the guide, the Board found
    that the guide was prepared “for distribution to physi-
    cians and allied professionals rather than for internal or
    restricted use within Medtronic.” ’302 Decision, 
    2016 WL 923521
    , at *6. 5 The Board also considered the declaration
    of Hank LaForce, a sales representative of a medical
    products company later acquired by AngioDynamics.
    LaForce said that, beginning in or around January 2001,
    his employer “co-promoted” the IsoMed device with Med-
    tronic. J.A. 1665. LaForce also stated that he “personally
    distributed numerous copies of the . . . publication to
    interested medical professionals, including doctors, nurs-
    es, surgeons, radiologists, oncologists, and other medical
    clinicians,” and that there “were no restrictions or limita-
    tions on distribution of the . . . publication.” 
    Id. Although the
    Board noted that the declaration included “limited”
    detail and that LaForce may have been biased “due to
    current employment by” AngioDynamics, it nevertheless
    determined that the guide was publicly accessible as of
    January 2001. ’302 Decision, 
    2016 WL 923521
    , at *6.
    Based on the current state of the record and the
    Board’s articulated findings of fact, we cannot determine
    whether the Board’s findings are supported by substantial
    evidence.
    On the one hand, the Board noted that the IsoMed
    guide bears some indicia of a public-facing document. For
    example, it lists phone numbers for customer and tech-
    nical service departments within Medtronic as well as
    contact information for various Medtronic offices. See 
    id. This suggests
    that the publication served as a reference
    5   As Bard points out, the Board’s decisions on this
    issue for the ’302 and ’022 patents “are largely word-for-
    word identical . . . [and] stand or fall together.” Appellant
    Br. 20. We therefore only cite the Board’s decision relat-
    ing to the ’302 patent unless otherwise noted.
    10                      C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    guide for healthcare professionals outside of Medtronic.
    While Bard criticizes the Board for relying on the docu-
    ment, the contents of a document can be relevant to
    whether the document was publicly accessible. See, e.g.,
    Nobel Biocare Servs. AG v. Instradent USA, Inc., No.
    2017-2256, 
    2018 WL 4354227
    , at *6–9 (Fed. Cir. Sept. 13,
    2018) (“[T]he ABT Catalog has the date ‘March 2003’ on
    its cover. Although the ABT Catalog’s date is not disposi-
    tive of the date of public accessibility, its date is relevant
    evidence that supports the Board’s finding of public
    accessibility . . . .”).
    On the other hand, the only other evidence in the
    record—the LaForce declaration—does little to establish
    that the document was publicly accessible. At most,
    LaForce says he distributed an unidentified number of
    copies on an unidentified date to unidentified people. The
    Board’s findings regarding the declaration, moreover, are
    ambiguous.       For example, the Board acknowledged
    LaForce’s statement that he distributed copies of IsoMed
    without making an express finding that he did so. See
    ’302     Decision,      
    2016 WL 923521
    ,   at    *6
    (“LaForce . . . testifies to having distributed ‘numerous
    copies’ of IsoMed . . . .”). Instead, the Board seemed to
    credit LaForce’s testimony that clinicians could request
    copies from Medtronic. See 
    id. (“LaForce infers
    that
    IsoMed was available to any member of the relevant
    public who requested a copy . . . we find that LaForce’s
    inference is sound.”). It is therefore unclear whether and
    to what extent the Board relied on or credited LaForce’s
    testimony regarding his purported distribution. See, e.g.,
    
    id. at *10
    (“We find that IsoMed was available to the
    relevant public as of on or around January 2001; and that
    interested members of the relevant public could have
    obtained a copy of IsoMed if they wanted to obtain one.
    Based on these findings, we find by a preponderance of
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                    11
    the evidence that IsoMed was publically [sic] accessible on
    or around January 2001.” (citations omitted)). 6 It is also
    unclear whether, even if a member of the relevant public
    could have requested it, there is any evidence that they
    would have had a reason to do so.
    AngioDynamics asks us to assume the Board found
    that IsoMed was distributed along with IsoMed devices.
    See Oral Arg. at 20:22–23:20 (“Counsel: Medical devices
    are typically sold with product manuals. Court: Where is
    that in the record? Counsel: The Board inferred it . . . .”),
    available                                                 at
    http://oralarguments.cafc.uscourts.gov/default.aspx?fl=20
    17-1851.mp3. We see no factual findings or record evi-
    dence to support this. LaForce’s declaration says nothing
    about whether Medtronic distributed the guide and device
    together or whether it was even common practice for
    medical device manufactures to do so. This case therefore
    stands in contrast to In re Enhanced Security Research,
    LLC, 
    739 F.3d 1347
    (Fed. Cir. 2014), on which AngioDy-
    namics relies. There, the Board credited a declaration
    explaining that the manual at issue was associated with a
    software product “sold to or installed for approximately a
    dozen customers.” 
    Id. at 1354–55.
    In view of the manu-
    al’s inscription date, the declaration, and evidence of the
    software product’s advertisements published during the
    relevant timeframe directing relevant consumers to reach
    out for more information, we concluded that substantial
    evidence supported the Board’s finding that the manual
    constituted publicly-available prior art under § 102(a)(1).
    
    Id. And, we
    found that there was a sufficient basis to
    6   The Board’s decisions on rehearing with respect to
    the ’302 patent and the ’022 patent do not mention the
    LaForce declaration at all. See generally ’302 Rehearing
    Decision, 
    2017 WL 542597
    ; ’022 Rehearing Decision, 
    2017 WL 766740
    .
    12                     C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    conclude that consumers would have had a reason to
    reach out and request it. 
    Id. Here, in
    the absence of clear
    factual findings, we decline to decide whether the present
    record would support the same inference.
    Accordingly, we vacate the Board’s determination that
    IsoMed qualifies as a printed publication and remand for
    additional factfinding on this score. 7
    2. Claim Construction
    We review the Board’s claim constructions de novo ex-
    cept to the extent they depend on underlying factual
    findings involving extrinsic evidence. Teva Pharm. USA,
    Inc. v. Sandoz, Inc., 
    135 S. Ct. 831
    , 841–42 (2015).
    As described above, the radiopaque claims of the ’302
    and ’022 patents require the recited access port to contain
    a radiopaque “alphanumeric message indicating that the
    assembly is power injectable.” Claims 8–9 of the ’615
    patent include a similar limitation. The Board deter-
    mined that these claims are broad enough to encompass
    both power injectable and non-power injectable ports.
    See, e.g., ’615 Decision, 
    2016 WL 1166545
    , at *13. Bard
    contends that these claims require the access port to be
    power injectable and that the Board erred by holding
    otherwise. We agree.
    “As with any claim construction analysis, we begin
    with the claim language.” In re NTP, Inc., 
    654 F.3d 1279
    ,
    1288 (Fed. Cir. 2011) (citing Phillips v. AWH Corp., 
    415 F.3d 1303
    , 1312 (Fed. Cir. 2005) (en banc)). Here, the
    plain language of the radiopaque claims is clear. For
    example, claim 5 explains that the alphanumeric message
    “indicat[es] that the assembly is power injectable.” ’302
    7  We express no opinion as to whether the Board
    may or should consider additional evidence to support this
    additional factfinding.
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                   13
    patent, col. 13, ll. 8–19. This phrasing is definitional.
    Claim 8 of the ’615 patent likewise explains that the
    recited structural feature “identif[ies] the access port as
    being power injectable.” ’615 patent, col. 14, ll. 1–3. We
    therefore interpret these claims to “mean precisely what
    they say,” Central Admixture Pharmacy Services, Inc. v.
    Advanced Cardiac Solutions, P.C., 
    482 F.3d 1347
    , 1355
    (Fed. Cir. 2007), and we construe them to mean that the
    claimed access port is power injectable.
    To justify its contrary construction, the Board con-
    cluded that the claims merely require that the access port
    be labeled as power injectable. The Board based this
    conclusion on its view that “it was within the level of
    ordinary skill in the art to falsely label an assembly that
    was not power injectable.” ’302 Decision, 
    2016 WL 923521
    , at *15. But the Board provided no reason why
    the claims would contemplate a falsely labeled access
    port. As the record evidence makes clear, power injecting
    a non-power injectable port can cause serious injury or
    death. Distinguishing between the two types of ports is
    the crux of what the patents claim. The Board’s reading
    of the claims as reaching falsely labeled ports is therefore
    unreasonably broad. See PPC Broadband, Inc. v. Corning
    Optical Commc’ns RF, LLC, 
    815 F.3d 747
    , 755 (Fed. Cir.
    2016) (“We will not adopt the position . . . that the broad-
    est reasonable construction is always the one which
    covers the most embodiments. Above all, the broadest
    reasonable interpretation must be reasonable in light of
    the claims and specification.”).
    That the claims cover power injectable ports, specifi-
    cally, is further evidenced by the prosecution history of
    the ’302 patent. For example, claim 5 originally required
    “at least one feature [that] conveys information indicative
    of an attribute of the assembly.” J.A. 8400. After the
    Examiner rejected the claim, the Examiner and the
    applicant conducted an interview in which they
    “[d]iscussed potential amendments to independent claims
    14                     C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    to . . . further describ[e] the port and the attribute as
    being power injectable.” J.A. 8598. The applicant then
    amended the claim to add the alphanumeric message
    limitation at issue here. J.A. 8602. The Examiner ulti-
    mately allowed this claim, stating that “the prior art of
    record fails to disclose either singly or in combination the
    claimed device of an implantable access port that has a
    radiopaque message to indicate that this port is specifical-
    ly power injectable.” J.A. 8775 (emphasis added). This
    exchange demonstrates that the applicant and the Exam-
    iner both believed the claim language covered power
    injectable ports, which is consistent with the plain lan-
    guage of the claim. See 
    Phillips, 415 F.3d at 1317
    (noting
    that the “prosecution history provides evidence of how the
    PTO and the inventor understood the patent”); Master-
    Mine Software, Inc. v. Microsoft Corp., 
    874 F.3d 1307
    ,
    1312 (Fed. Cir. 2017) (finding that a statement “presented
    by the inventor during patent examination is relevant to
    claim construction, for the role of claim construction is to
    capture the scope of the actual invention that is disclosed,
    described, and patented,” even if the statement does not
    amount to a disclaimer).
    Accordingly, we vacate the Board’s obviousness rul-
    ings regarding claims 5–10 of the ’302 patent, claims 1–20
    of the ’022 patent, and claims 8–9 of the ’615 patent. We
    remand for the Board to determine, if appropriate, 8
    whether, under the correct construction, these claims are
    obvious in view of the prior art of record. 9
    8  This remand assumes that the Board first finds
    sufficient evidence in the record upon which it can base
    relevant findings on the question of whether the IsoMed
    reference constitutes prior art as to these patents.
    9   We also decline to address, at this point, whether
    the alphanumeric message limitation, as properly con-
    strued, ought to be afforded patentable weight under the
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                     15
    3. New Grounds for Rejection
    Finally, Bard argues that the Board improperly relied
    on new grounds to reject claims 1–5 and 8–10 of the ’615
    patent. We disagree.
    Under the APA, the Patent Office “must assure that
    an applicant’s petition is fully and fairly treated at the
    administrative level.” In re Kumar, 
    418 F.3d 1361
    , 1367
    (Fed. Cir. 2005). “This framework limits the Board’s
    ability to rely on different grounds than the examiner.”
    Rambus Inc. v. Rea, 
    731 F.3d 1248
    , 1255 (Fed. Cir. 2013).
    But it does not require the Board to merely recite and
    repeat an examiner’s findings on review. “The ultimate
    criterion is whether the appellant has had before the PTO
    a ‘fair opportunity to react to the thrust of the rejection.’”
    
    Id. Here, the
    Examiner relied, in relevant part, on two
    references to invalidate the claims at issue: (1) European
    Patent Application No. 1 238 682 to Reuter (“Reuter”) and
    (2) U.S. Patent No. 5,919,160 to Sanfilippo (“Sanfilippo”).
    Reuter discloses an access port with a base plate having
    concave cutouts that can be used to securely handle the
    port during implantation. Sanfilippo discloses a dual-
    reservoir port having curved indentations on the sides
    thereof that allow a doctor to determine, via palpation,
    the reservoirs’ relative orientation. The Examiner found
    that it would have been obvious to use Reuter’s cutouts
    “to impart to the medical technician the type of implanted
    printed matter doctrine. Even if entitled to patentable
    weight, the Board would still need to determine whether
    the claim as a whole is obvious in light of any relevant
    prior art. Since that question likely will be addressed in
    the Board’s obviousness assessment, or be mooted by a
    finding that IsoMed is not prior art, we need not reach it
    now.
    16                     C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    access port” and that general knowledge in the art, as
    evidenced by Sanfilippo, “includes relaying information
    regarding the port to the medical technician via palpa-
    tion.” J.A. 7641. The Examiner emphasized that incorpo-
    rating Sanfilippo into Reuter “would be an obvious
    extension of this knowledge in the art.” J.A. 7642. These
    statements suggest the Examiner found that Sanfilippo
    could be used to modify Reuter’s cutouts to be identifiable
    by palpation.
    The Board likewise found that it would have been ob-
    vious to modify Reuter in this respect based on Sanfilippo.
    For example, the Board explained that “Sanfilippo would
    have provided one of ordinary skill in the art reason to
    lower the profile of Reuter’s access port, by shortening the
    housing, so as to enable a physician or allied professional
    to feel the concave side surfaces formed by the cut-outs
    after implantation.” ’615 Decision, 
    2016 WL 1166545
    , at
    *12. As the Board noted, this analysis at most “merely
    made explicit what was implicit in the Examiner’s reason-
    ing.” ’615 Rehearing Decision, J.A. 157. We agree. The
    Board’s ruling does not amount to a new rejection.
    Bard asserts that even if the Board’s rejection was
    procedurally proper, it was still erroneous. According to
    Bard, there is no evidence in the record explaining why
    one skilled in the art would have been motivated to apply
    the teachings of Sanfilippo to modify Reuter. Bard also
    maintains that, even if there were such a motivation, the
    Board failed to address whether there would have also
    been a reasonable expectation of success in making these
    modifications.
    We review the Board’s findings on these factual ques-
    tions for substantial evidence. Intelligent Bio-Sys., Inc. v.
    Illumina Cambridge Ltd., 
    821 F.3d 1359
    , 1366 (Fed. Cir.
    2016). As explained above, the Board found that the prior
    art, including Sanfilippo, taught using structural features
    to identify the type of port being implanted. See ’615
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                      17
    Decision, 
    2016 WL 1166545
    , at *11 (“Sanfilippo also
    taught that these curved indentions might be used to
    identify a particular type of access port . . . .”). It went on
    to conclude that this prior art would have provided ample
    motivation for a skilled artisan to modify Reuter and
    “enable a physician or allied professional to feel the
    concave side surfaces formed by the cut-outs 9, 10 after
    implementation.” 
    Id. at *12.
    The Board also concluded
    that if this were done, “the physician or allied professional
    could use the cut-outs to identify the particular type of
    access port in accordance with the teachings of Sanfilip-
    po.” 
    Id. Substantial evidence
    supports these determina-
    tions. We therefore affirm the Board’s ruling invalidating
    claims 1–5 and claim 10 of the ’615 Patent. As to claims
    8–9, we remand for the Board to determine whether,
    under the correct construction, these claims are obvious in
    view of the prior art of record.
    B. AngioDynamics’ Cross-Appeal
    In its cross-appeal, AngioDynamics argues that the
    Board’s rulings upholding the validity of claims 1–4 of the
    ’302 patent and claims 6–7 of the ’615 patent should be
    reversed. With respect to the ’302 patent claims, An-
    gioDynamics argues that the Board erred in finding that
    IsoMed does not disclose a radiopaque alphanumeric
    message on a “housing base.” With respect to the ’615
    patent claims, AngioDynamics argues that the Board
    erred in concluding that it would not have been obvious to
    modify Reuter to add a fourth concave side. We address
    each argument in turn.
    1. Housing Base Limitation
    AngioDynamics first challenges the Board’s finding
    that IsoMed does not disclose an alphanumeric message
    on a “housing base,” as required by certain radiopaque
    claims. According to AngioDynamics, that finding was
    predicated on an erroneous construction of the “housing
    18                     C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    base” limitation. Even assuming without deciding that
    IsoMed qualifies as a printed publication, we disagree.
    Some of the radiopaque claims recite a “housing hav-
    ing a housing base defining a bottom wall of at least one
    reservoir, and an outwardly facing bottom surface.” ’302
    patent, col. 12, ll. 57–67. These claims also require the
    radiopaque alphanumeric message be inscribed on the
    housing base. The Board construed this limitation to
    mean that the housing base defines a bottom wall of the
    reservoir and an outwardly facing bottom surface of the
    access port. See ’302 Decision, 
    2016 WL 923521
    , at 13–14.
    This construction is reasonable in light of the claims
    themselves and the patent as a whole. For example,
    claim 3, which depends from claim 1, requires that “the
    radiopaque alphanumeric message [be] applied to the
    outwardly facing bottom surface of the housing base.”
    ’302 patent, col. 13, ll. 3–5 (emphasis added). This lan-
    guage makes clear that the outwardly facing bottom
    surface of claim 1 is a feature of the housing base, not just
    the housing. See 
    Phillips, 415 F.3d at 1314
    –15 (noting
    that dependent claims can add helpful context for the
    meaning of independent claims). It also forecloses the
    argument raised by amicus curiae Medical Components,
    Inc. (“MedComp”) that the “housing base” and “an out-
    wardly facing bottom surface” are two separate claim
    limitations based on the comma separating these parts of
    the claim.
    The IsoMed device includes, among other things, a
    reservoir, a partition separating the reservoir from a
    propellent chamber that is filled with pressurized gas,
    and a titanium shell. The reservoir expands within the
    shell as pressure changes. In its most expanded state, the
    reservoir’s lower wall abuts the lower wall of the shell.
    The Board determined that IsoMed’s shell cannot be a
    “housing base” because, although it defines an “outwardly
    facing bottom surface” of the access port, it does not define
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                     19
    “a bottom wall of the reservoir” as required under its
    reading of the claims. The Board determined that the
    reservoir’s bottom wall is likewise not a “housing base”
    because it does not define “an outwardly facing bottom
    surface” of the access port. The Board therefore properly
    concluded that the IsoMed device does not have a struc-
    ture defining both the bottom wall of the reservoir and
    the outwardly facing bottom surface of the port. See ’302
    Decision, 
    2016 WL 923521
    , at 13–14.
    AngioDynamics insists that the bottom wall of the
    reservoir is defined by the outwardly facing shell. To
    overcome the fact that a partition separates the bottom
    wall of the reservoir from the shell, AngioDynamics
    argues that the partition is simply an additional, inter-
    mediate structure permitted by the “comprising” language
    of the claims. But as the Board correctly explained, “the
    fact that the bottom wall of the titanium shell . . . set[s] a
    limit beyond which the reservoir cannot expand does not
    imply that the bottom wall of the shell defines a bottom
    wall of at least on reservoir in the ordinary sense of the
    language.” ’302 Rehearing Decision, 
    2017 WL 542597
    , at
    *4 (internal quotation marks and brackets omitted). The
    shell therefore does not satisfy the claim.
    AngioDynamics also argues that the Board’s reading
    of these claims is inconsistent with its reading of claims
    5–6 and 8–10 of the ’302 patent. When analyzing those
    claims, the Board stated that “it is reasonable to interpret
    the term ‘housing’ sufficiently broadly to encompass
    [IsoMed’s] combination of the titanium shell with the
    propellant chamber and pump device as well as other
    structure which might contact the reservoir.” ’302 Deci-
    sion, 
    2016 WL 923521
    , at *13. And, in its decision on
    rehearing, the Board stated with respect to those claims
    that “the term ‘defining’ in the ’302 patent is sufficiently
    broad to encompass structures that do not contact the
    reservoir directly; and the reservoir cannot expand so as
    to exceed the confines of the interior of the shell.” ’302
    20                     C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    Rehearing Decision, 
    2017 WL 542597
    , at *6. AngioDy-
    namics asserts that the Board’s broad reading of “hous-
    ing” is inconsistent with its narrow reading of “housing
    base.” We see no inconsistency. While the port housing
    encompasses a number of components, as the claims make
    clear, the housing base, which is one part of the housing,
    does not.
    We have considered AngioDynamics’ and MedComp’s
    remaining arguments—including those invoking judicial
    estoppel—and find them unpersuasive. We therefore
    affirm the Board’s ruling upholding claims 1–4 of the ’302
    patent.
    2. Obviousness
    AngioDynamics next challenges the Board’s ruling
    upholding claims 6–7 of the ’615 patent. According to
    AngioDynamics, that ruling is predicated on an incorrect
    reading of the claims and an erroneous application of
    obviousness law. We disagree.
    Claim 6 of the ’615 patent requires four “concave side
    surfaces” in the body of the access port. ’615 patent, col.
    13, ll. 13–16. Prior art reference Reuter discloses three
    cutouts in its base plate. The Examiner concluded that it
    would have been obvious to modify Reuter to add a fourth
    concave side because doing so would have resulted in
    easier and cheaper manufacturing. The Board rejected
    this conclusion, noting the absence of any evidence to
    support the Examiner’s view. The Board explained that
    adding an additional concave side to Reuter “would have
    required one of ordinary skill to add a cut-out to Reuter’s
    base plate 2, which offered no apparent functional ad-
    vantage.” ’615 Decision, 
    2016 WL 1166545
    , at *15. While
    the Board acknowledged that other references in the art
    contained four concave surfaces, it emphasized the lack of
    evidence to support a motivation for combining these
    references with Reuter in this way. 
    Id. As noted
    above,
    we review the Board’s findings on these factual questions
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                   21
    for substantial evidence. Intelligent 
    Bio-Sys., 821 F.3d at 1366
    .
    AngioDynamics argues that the Board erred in its ob-
    viousness analysis by requiring the prior art to teach
    palpating concave surfaces post-implantation. We disa-
    gree. As the Board correctly observed, while the prior art
    provides reasons why it would be advantageous to have
    concave cutouts generally, it does not suggest that having
    such cutouts on all sides of an access port is advanta-
    geous. Reuter itself explains that its cutouts are used so
    that the port “can be handled securely during implanta-
    tion and especially during the fastening of the catheter.”
    J.A. 6976. There is no reason why this benefit cannot be
    achieved with only three cutouts. Another reference
    discussed by the Board, Montalvo, states that “[t]he
    overall size and shape of the infusion port and its im-
    planted location within the patient are chosen for rela-
    tively simple and accurate palpable identification through
    the skin.” J.A. 7078. This reference clearly suggests that
    the geometry of the port can be chosen to optimize palpa-
    ble identification, but it does not suggest that having four
    concave sides would achieve that benefit. Neither Rein-
    icke nor Sanfilippo provide such a motivation either. The
    fact that the prior art did not teach palpation using
    concave surfaces post-implantation therefore undermines
    the notion that a skilled artisan would be motivated to
    modify Reuter to add a fourth concave cutout, which is
    what the Board found. ’615 Decision, 
    2016 WL 1166545
    ,
    at *15–16.
    AngioDynamics’ argument that the Board required
    the prior art to disclose specific functionality even though
    the art disclosed relevant structure similarly fails. Again,
    the Board discussed the functionality of the prior art to
    explain why a skilled artisan would not necessarily modi-
    fy Reuter based on Reinicke. See ’615 Rehearing Deci-
    sion, J.A. 152 (“These structural and functional
    differences [between Reinicke and Reuter] reinforce the
    22                     C.R. BARD, INC. v. ANGIODYNAMICS, INC.
    absence of an apparent reason why one of ordinary skill in
    the art might have altered Reuter’s access port in the
    fashion claimed in claim 6.”). Such a discussion is appro-
    priate. See, e.g., Anacor Pharm., Inc. v. Iancu, 
    889 F.3d 1372
    , 1385 (Fed. Cir. 2018) (“The obviousness inquiry
    often depends on whether there is evidence demonstrating
    a nexus between structural similarities (or dissimilarities)
    and functional similarities (or dissimilarities).”).
    AngioDynamics’ argument that the Board failed to
    consider the collective teachings of the prior art is also
    without merit. The Board discussed the prior art exten-
    sively. See, e.g., ’615 Rehearing Decision, J.A. 150–154.
    It went on to conclude that the art did not provide a
    motivation to modify Reuter by adding a fourth concave
    edge. See, e.g., 
    id. at 153
    (“The mere presence of such
    concave surfaces, without indication of their function,
    would not have provided one of ordinary skill in the art
    reason to add a fourth concave cut-out to the base plate of
    the access port described by Reuter.”). This finding is
    supported by substantial evidence.
    Finally, AngioDynamics argues that modifying a geo-
    metric shape was well within the capabilities of a skilled
    artisan and would have been a simple design choice. But
    the Board concluded that the record evidence did not
    support this view. 
    Id. at 150–51
    (“Neither the Examiner
    nor the Requester has adequately explained how adding a
    concave cut-out to the side of the base plate 2 opposite the
    catheter connector 8 would have improved a surgeon’s
    ability to handle the access port.”). It also noted that the
    evidence did not suggest modifying Reuter in this way
    would have decreased production costs as to justify an
    additional manufacturing step. See ’615 Decision, 
    2016 WL 1166545
    , at *15. (“The Examiner has not provided
    any persuasive evidence or technical reasoning to support
    the finding that adding an additional cut-out . . . would
    have resulted in greater ease of manufacturing or reduced
    C.R. BARD, INC. v. ANGIODYNAMICS, INC.                   23
    cost in processing.”). We find no reason to adopt a differ-
    ent view given the findings of the Board.
    In sum, the Board’s rulings upholding claims 6–7 of
    the ’615 patent are supported by substantial evidence and
    are therefore affirmed.
    III. CONCLUSION
    We have considered the parties’ remaining arguments
    and find them unpersuasive. For the reasons stated
    above, we vacate the Board’s ruling that IsoMed qualifies
    as a printed publication and remand for the Board to
    clarify its factual findings. Additionally, we reverse the
    Board’s anticipation rulings, vacate its obviousness rul-
    ings regarding claims 5–10 of the ’302 patent, claims 1–20
    of the ’022 patent, and claims 8–9 of the ’615 patent, and
    remand for the Board to determine whether, under a
    construction requiring the ports to be power injectable,
    these claims are obvious in view of the prior art of record,
    which may or may not include IsoMed. We affirm all
    other aspects of the Board’s rulings.
    AFFIRMED IN PART, VACATED IN PART,
    REVERSED IN PART, AND REMANDED IN CASE
    NOS. 17-1851, 17-1906, AND 17-1931.
    AFFIRMED IN PART, VACATED IN PART, AND
    REMANDED IN CASE NOS. 17-1943 AND 17-1865.
    COSTS
    No costs.