Cadence Pharmaceuticals Inc. v. Exela Pharma Sciences LLC ( 2015 )


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  •   United States Court of Appeals
    for the Federal Circuit
    ______________________
    CADENCE PHARMACEUTICALS INC.
    SCR PHARMATOP,
    Plaintiffs-Appellees
    v.
    EXELA PHARMSCI INC., EXELA HOLDINGS INC.,
    EXELA PHARMA SCIENCES LLC,
    Defendants-Appellants
    ______________________
    2014-1184
    ______________________
    Appeal from the United States District Court for the
    District of Delaware in No. 1:11-cv-00733-LPS, Judge
    Leonard P. Stark.
    ______________________
    Decided: March 23, 2015
    ______________________
    KENNETH G. SCHULER, Latham & Watkins LLP, Chi-
    cago, IL, argued for all plaintiffs-appellees. Plaintiff-
    appellee Cadence Pharmaceuticals Inc. also represented
    by MARC NATHAN ZUBICK, EMILY C. MELVIN; STEPHEN P.
    SWINTON, DARRYL HUGH STEENSMA, San Diego, CA;
    RICHARD P. BRESS, GABRIEL BELL, Washington, DC;
    PARKER TRESEMER, Costa Mesa, CA. Plaintiff-appellee
    SCR Pharmatop represented by CHARLES A. WEISS, Hol-
    land & Knight, LLP, New York, NY.
    2          CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA
    SCIENCES LLC
    JEFFREY STEPHEN WARD, Merchant & Gould PC, Mad-
    ison, WI, argued for defendants-appellants. Also repre-
    sented by WENDY M. WARD; CLARENCE EDWARD POLK, JR.,
    Polk & Chintapalli, PLLC, Ashburn, VA,; SATISH
    CHANDRA CHINTAPALLI, Cary, NC.
    ______________________
    Before REYNA, LINN, and WALLACH, Circuit Judges.
    LINN, Circuit Judge.
    In this Hatch-Waxman Act litigation, Exela PharmSci
    Inc., Exela Holdings, Inc. and Exela Pharm Sciences, LLC
    (collectively “Exela”) appeal the district court’s construc-
    tion of certain claim terms of U.S. Patents No. 6,028,222
    (the “’222 patent”) and No. 6,992,218 (the “’218 patent”),
    Cadence Pharm., Inc. v. Paddock Labs. Inc., 
    886 F. Supp. 2d
    445 (D. Del. 2012), and its rulings that Exela infringed
    certain asserted claims of both patents and failed to prove
    invalidity as to the ’218 patent. Cadence Pharm., Inc. v.
    Exela Pharma Scis., LLC, No. 11-733-LPS, 2013 U.S.
    Dist. LEXIS 166097 (D. Del. Nov. 14, 2013). For the
    reasons set forth infra, we affirm.
    I. BACKGROUND
    A. The Patents-In-Suit
    SCR Pharmatop and Cadence Pharmaceuticals, Inc.
    (collectively “Cadence”) are the owner and exclusive
    licensee, respectively, of the ’222 and ’218 patents. These
    patents are directed to aqueous phenol formulations—
    particularly acetaminophen (sometimes referred to as
    “paracetamol”). ’222 patent abstract; ’218 patent abstract,
    col.1 ll.32–33.
    The ’222 patent issued on February 22, 2000. It ex-
    plains that in aqueous solutions, acetaminophen decom-
    poses into potentially toxic products. See ’222 patent col.1
    ll.16–22, ll.45–48. The ’222 patent is directed at avoiding
    this decomposition by adding a free-radical capturing
    CADENCE PHARMACEUTICALS INC.   v. EXELA PHARMA            3
    SCIENCES LLC
    agent and a buffer. 
    Id. abstract. Claim
    1 of the ’222
    patent is the only independent claim, and recites (with
    the disputed term highlighted):
    1. A stable, liquid formulation consisting essen-
    tially of acetaminophen dispersed in an aqueous
    medium containing a buffering agent and at least
    one member of the group consisting of a free radi-
    cal scavenger and a radical antagonist.
    The ’218 patent claims priority to a French applica-
    tion filed on June 6, 2000. The ’218 patent discloses a
    method for obtaining stable acetaminophen formulations
    by deoxygenating solutions with an inert gas to achieve
    oxygen concentrations below 2 parts-per-million
    (“ppm”). ’218 patent abstract, col.1 ll.32–33. Claim 1 of
    the ’218 patent is the only independent claim, and recites
    (with the edits from the certificate of correction in brack-
    ets and the disputed terms highlighted):
    1. A method for preparing an aqueous solution
    with an active [principle of phenolic] nature sus-
    ceptible to oxidation, which is paracetamol, while
    preserving for a prolonged period, comprising de-
    oxygenation of the solution by bubbling with at
    least one inert gas and/or placing under vacuum,
    until the oxygen content is below 2 ppm, and op-
    tionally the aforementioned aqueous solution with
    an active principle is topped with an inert gas at-
    mosphere heavier than air and placed in a closed
    container in which the prevailing pressure is
    65,000 Pa maximum, and the oxygen content of
    the aqueous solution is below 2 ppm, and optional-
    ly the deoxygenation of the solution is completed
    by addition of an antioxidant.
    B. History of the Dispute
    Cadence Pharmaceuticals Inc. markets an injectable
    acetaminophen product, which is approved by the Food
    4          CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA
    SCIENCES LLC
    and Drug Administration (“FDA”) and is distributed
    under the name Ofirmev®. The FDA’s Approved Drug
    Products with Therapeutic Equivalence Evaluations
    (better known as the “Orange Book”) lists the ’222
    and ’218 patents in connection with Ofirmev®.
    Exela filed an Abbreviated New Drug Application
    (“ANDA”) with the FDA, seeking approval of a generic
    equivalent of Ofirmev®. The ANDA included a certifica-
    tion pursuant to 21 U.S.C. § 355(j)(2)(A)(vii)(IV) (2012)
    (commonly referred to as a “Paragraph IV certification”)
    stating that the ’222 and ’218 patents were invalid and
    not infringed. In response, Cadence sued Exela for in-
    fringing claims 1, 3, 4, 5, 9, 10, 12 and 16–18 of the ’222
    patent and claims 1, 3, 4 and 19 of the ’218 patent pursu-
    ant to 35 U.S.C. § 271(e)(2) (2012).
    The district court found the ’222 patent not invalid
    and literally infringed and the ’218 patent not invalid and
    infringed under the doctrine of equivalents. Exela ap-
    peals both of the district court’s infringement decisions
    and its validity decision as to the ’218 patent. It does not
    appeal the district court’s validity decision as to the ’222
    patent. We have jurisdiction pursuant to 28 U.S.C.
    § 1295(a)(1) (2012).
    II. DISCUSSION
    A. Standard of Review
    In reviewing questions of claim construction and obvi-
    ousness, we review underlying factual determinations for
    clear error and ultimate determinations de novo. Teva
    Pharm. USA, Inc. v. Sandoz, Inc., 
    135 S. Ct. 831
    , 841
    (2015) (claim construction); Allergan, Inc. v. Apotex Inc.,
    
    754 F.3d 952
    , 961 (Fed. Cir. 2014) (citing Novo Nordisk
    A/S v. Caraco Pharm. Labs., Ltd., 
    719 F.3d 1346
    , 1354
    (Fed. Cir. 2013)) (obviousness). Because the district
    court’s claim constructions were based solely on the
    intrinsic record, the Supreme Court’s recent decision in
    CADENCE PHARMACEUTICALS INC.   v. EXELA PHARMA           5
    SCIENCES LLC
    Teva does not require us to review the district court’s
    claim construction any differently than under the de novo
    standard we have long applied. Fenner Invs., Ltd. v.
    Cellco P’ship, --- F.3d ----, ----, available at 
    2015 WL 570730
    (Fed. Cir. Feb. 12, 2015) (“When the district court
    reviews only evidence intrinsic to the patent . . . , the
    judge’s determination will amount solely to a determina-
    tion of law, and [we] review that construction de novo.”)
    (quoting 
    Teva, 135 S. Ct. at 841
    ) (internal citations re-
    moved).
    “Infringement, either literal or under the doctrine of
    equivalents, is a question of fact that we review for clear
    error when tried without a jury.” Ultra-Tex Surfaces, Inc.
    v. Hill Bros. Chem. Co., 
    204 F.3d 1360
    , 1363 (Fed. Cir.
    2000) (citing Insituform Techs., Inc. v. Cat Contracting,
    Inc., 
    161 F.3d 688
    , 692 (Fed. Cir. 1998)). “A factual
    finding is clearly erroneous if, despite some supporting
    evidence, we are left with the definite and firm conviction
    that a mistake has been made.” Ferring B.V. v. Watson
    Labs., Inc.-Fla., 
    764 F.3d 1401
    , 1406 (Fed. Cir. 2014)
    (citing United States v. U.S. Gypsum Co., 
    333 U.S. 364
    ,
    395 (1948) and Alza Corp. v. Mylan Labs., Inc., 
    464 F.3d 1286
    , 1289 (Fed. Cir. 2006)). Whether the doctrine of
    equivalents would vitiate a claimed element is a question
    of law that we review de novo. Cordis Corp. v. Bos. Scien-
    tific Corp., 
    561 F.3d 1319
    , 1330 (Fed. Cir. 2009) (citing
    Pfizer, Inc. v. Teva Pharm. USA, Inc., 
    429 F.3d 1364
    , 1379
    (Fed. Cir. 2005)).
    B. The ’222 Patent
    1. Claim Construction
    Exela’s appeal regarding the ’222 patent turns on
    claim construction. “Claim terms are generally given
    their plain and ordinary meanings to one of skill in the
    art when read in the context of the specification and
    prosecution history.” Golden Bridge Tech., Inc. v. Apple
    Inc., 
    758 F.3d 1362
    , 1365 (Fed. Cir. 2014) (citing Phillips
    6           CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA
    SCIENCES LLC
    v. AWH Corp., 
    415 F.3d 1303
    , 1315–17 (Fed. Cir. 2005)
    (en banc)). A patentee can act as his own lexicographer,
    but, to do so, “‘a patentee must clearly set forth a defini-
    tion of the disputed claim term other than its plain and
    ordinary meaning’ and must ‘clearly express an intent to
    redefine the term.’” Hill-Rom Servs., Inc. v. Stryker Corp.,
    
    755 F.3d 1367
    , 1371 (Fed. Cir. 2014) (quoting Thorner v.
    Sony Computer Entm’t Am. LLC, 
    669 F.3d 1362
    , 1365
    (Fed. Cir. 2012)).
    The district court construed the term “buffering
    agent” in claim 1 to mean “[a]n agent that helps the
    formulation resist change in pH.” Cadence, 
    886 F. Supp. 2d
    at 456. The court refused to construe the term to
    require, as Exela urged, that the buffering agent be
    present “in an effective concentration to resist material
    changes in pH,” because “nothing in the patent limits the
    scope of the claimed buffering agent to an ‘effective con-
    centration’ or one that resists ‘material changes in pH.’”
    
    Id. 1 On
    appeal, Exela continues to urge that a “buffering
    agent must be present in a sufficient concentration to
    prevent a material change in pH.” Op. Br. at 60. In
    support, it points to embodiments described in the specifi-
    cation and cites applicants’ statements in the prosecution
    history. Cadence disputes Exela’s arguments and re-
    sponds that the plain and ordinary meaning of “buffering
    agent” does not include specific efficacy and concentration
    limitations.
    1    Exela also asserted that a “buffering agent” is lim-
    ited to “a weak acid and its conjugate base[] or a weak
    base and its conjugate acid.” See Cadence, 
    886 F. Supp. 2d
    at 456. It does not appeal the district court’s rejection
    of this aspect of its proposed construction.
    CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA             7
    SCIENCES LLC
    We agree with the district court that the plain and or-
    dinary meaning of “buffering agent” is “an agent that
    helps the formulation resist change in pH.” We see noth-
    ing in the intrinsic record to warrant adding requirements
    of effective concentration or resistance to material change.
    The statement in the specification that the concentration
    of the buffer “may be” between 0.1 and 10 mg/ml is not
    limiting, because even if “all of the embodiments dis-
    cussed in the patent” included a specific limitation, it
    would not be “proper to import from the patent’s written
    description limitations that are not found in the claims
    themselves.” Flo Healthcare Solutions, LLC v. Kappos,
    
    697 F.3d 1367
    , 1375 (Fed. Cir. 2012) (citing Silicon
    Graphics, Inc. v. ATI Techs., Inc., 
    607 F.3d 784
    , 792 (Fed.
    Cir. 2010)). Moreover, the fact that during prosecution
    applicants added the term “buffering agent” in response
    to a rejection does not show that the phrase requires a
    minimum concentration or resistance to material change.
    The addition of that phrase shows only that a buffering
    agent is necessary.
    For the foregoing reasons, we conclude that the dis-
    trict court correctly construed the term “buffering agent”
    simply as “an agent that helps the formulation resist
    change in pH.”
    2. Infringement
    Exela’s appeal of the district court’s finding of in-
    fringement of the ’222 patent is based on its proposed
    claim construction, which we have now rejected. Because
    the district court’s finding that the sodium ascorbate
    present in Exela’s formulation as an antioxidant met the
    buffering agent limitation, as correctly construed, we
    affirm the district court’s finding that claim 1 is infringed.
    As Exela does not assert independent non-infringement
    bases for dependent claims 3–5, 9, 10, 12 and 16–18, we
    also affirm the district court’s finding of infringement of
    these claims.
    8           CADENCE PHARMACEUTICALS INC.     v. EXELA PHARMA
    SCIENCES LLC
    C. The ’218 Patent
    Exela argues first that the district court erred in hold-
    ing that Exela’s process infringed the asserted claims of
    the ’218 patent under the doctrine of equivalents, con-
    tending that reducing the amount of dissolved oxygen to
    below 2 ppm before acetaminophen is added is substan-
    tially different from reducing the dissolved oxygen content
    after acetaminophen is added. Exela next argues that the
    district court erred in finding infringement based on its
    construction of the so-called “vacuum stoppering step” of
    claim 1 as being merely optional. Finally, Exela challeng-
    es the district court’s finding that Exela failed to show by
    clear and convincing evidence that the asserted claims of
    the ’218 patent were obvious. We address each of these
    arguments in turn.
    1. Infringement Under the Doctrine of Equivalents
    The district court construed the terms “aqueous solu-
    tion” and “solution” in claim 1 of the ’218 patent as “[a]
    composition containing water as a solvent and an active
    ingredient susceptible to oxidation.” Cadence, 886 F.
    Supp. 2d at 459. The district court thus concluded that
    the claimed step of “deoxygenation of the solution” re-
    quired that an active ingredient already be dissolved. In
    other words, the district court interpreted the claim to
    directly cover only the method of first dissolving an active
    ingredient to form a solution and then deoxygenating the
    solution. Exela’s accused process, by contrast, first deox-
    ygenates a solvent and only then adds an active ingredi-
    ent. Accordingly, the district court found that Exela did
    not literally infringe claim 1. See Cadence, 2013 U.S.
    Dist. LEXIS 166097, at *63–64.
    Nevertheless, the district court found that Exela’s
    ANDA formulation infringed claim 1 under the doctrine of
    equivalents. See 
    id. at *64.
    It found that the timing of
    the addition of the active ingredient did not matter and
    CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA             9
    SCIENCES LLC
    ruled that the differences between the claimed steps and
    Exela’s method were insubstantial. See 
    id. at *64–66.
        Exela argues that the district court clearly erred in
    finding that there was no substantial difference between
    deoxygenating before or after forming the solution. Exela
    contends that Cadence’s expert’s testimony on this point
    was conclusory and improperly compared Exela’s process,
    which did not involve stoppering under vacuum, with a
    process that did. Cadence disputes that there was clear
    error and contends that its expert’s testimony supports
    the district court’s decision as does the fact that Exela’s
    formulation achieves similar stability to the formulation
    described in the ’218 patent.
    We agree with Cadence and find no clear error in the
    district court’s finding of infringement under the doctrine
    of equivalents. The district court relied on the testimony
    of Cadence’s expert, Dr. Orr, “that adding acetaminophen
    before or after the deoxygenation step would have no
    impact on the stability of the final product.” 
    Id. at *65.
    Dr. Orr explained that this was so because “in both cases
    you’re trying to deoxygenate your solution. In both cases,
    you’re employing bubbling to do that. And the results
    that you achieve under this prolonged period of—of bub-
    bling is still a solution of less than two parts per million.”
    This testimony supports the district court’s finding that
    changing the timing of the deoxygenation step was an
    insubstantial difference. The correctness of this conclu-
    sion is confirmed by the district court’s finding and Exe-
    la’s accession that its formulation is, in fact, stable. See
    
    id. Exela’s speculation
    that other differences between its
    formulation and the claimed formulation may be respon-
    sible for stability is insufficient to create a definite and
    firm conviction that the district court made a mistake.
    The district court also did not accept Exela’s argu-
    ment that this scope of equivalents would vitiate a limita-
    tion of the claim. See Cadence, 
    2013 U.S. Dist. LEXIS 10
             CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA
    SCIENCES LLC
    166097, at *66–67. Exela challenges that determination
    and contends that deoxygenating after adding the active
    ingredient is the “antithesis” of deoxygenating before
    adding the active ingredient and that because such a
    substitution would “vitiate” the claimed limitation, there
    can be no finding of equivalence. It maintains that the
    facts here are analogous to Planet Bingo, LLC v. Gam-
    eTech International, Inc., where we held that determining
    a winning combination after a game started could not be
    equivalent to a claim that recited “a predetermined win-
    ning combination.” 
    472 F.3d 1338
    , 1345 (Fed. Cir. 2006).
    Cadence responds that deoxygenating prior to adding the
    active ingredient is insubstantially different from deoxy-
    genating after and that reference to “vitiation” is inappro-
    priate. According to Cadence, the finding of vitiation in
    Planet Bingo was premised on the fact that the difference
    in timing was substantial.
    Exela’s reliance on Planet Bingo is misplaced. Planet
    Bingo’s holding was based on a finding that a combination
    determined before a game was substantially different,
    factually, from a combination determined after the game
    started. See Brilliant Instruments, Inc. v. GuideTech,
    LLC, 
    707 F.3d 1342
    , 1347 (Fed. Cir. 2013) (explaining the
    rationale for Planet Bingo as “two elements likely are not
    insubstantially different when they are polar opposites”);
    Deere & Co. v. Bush Hog, LLC, 
    703 F.3d 1349
    , 1356 (Fed.
    Cir. 2012) (same). Exela’s understanding of Planet Bingo
    (Fed. Cir. Dec. 13, 2006) is also expressly at odds with this
    court’s holding in DePuy Spine, Inc. v. Medtronic Sofamor
    Danek, Inc., 
    469 F.3d 1005
    (Fed. Cir. Nov. 20, 2006),
    decided just a few weeks before Planet Bingo. DePuy
    Spine explained:
    A holding that the doctrine of equivalents cannot
    be applied to an accused device because it “viti-
    ates” a claim limitation is nothing more than a
    conclusion that the evidence is such that no rea-
    sonable jury could conclude that an element of an
    CADENCE PHARMACEUTICALS INC.   v. EXELA PHARMA           11
    SCIENCES LLC
    accused device is equivalent to an element called
    for in the claim, or that the theory of equivalence
    to support the conclusion of infringement other-
    wise lacks legal 
    sufficiency. 469 F.3d at 1018
    –19, cited with approval in Voda v.
    Cordis Corp., 
    536 F.3d 1311
    , 1325 n.5 (Fed. Cir. 2008);
    U.S. Philips Corp. v. Iwasaki Elec. Co. Ltd., 
    505 F.3d 1371
    , 1378–79 (Fed. Cir. 2007) and Abbott Labs. v. Andrx
    Pharm., Inc., 
    473 F.3d 1196
    , 1212 (Fed. Cir. 2007).
    Exela fundamentally misunderstands the doctrine of
    claim vitiation. “Vitiation” is not an exception or thresh-
    old determination that forecloses resort to the doctrine of
    equivalents, but is instead a legal conclusion of a lack of
    equivalence based on the evidence presented and the
    theory of equivalence asserted. We have repeatedly
    reaffirmed this proposition. See VirnetX, Inc. v. Cisco
    Sys., Inc., 
    767 F.3d 1308
    , 1323 (Fed. Cir. 2014); Ring &
    Pinion Serv. Inc. v. ARB Corp. Ltd., 
    743 F.3d 831
    , 836
    (Fed. Cir. 2014); Charles Mach. Works, Inc. v. Vermeer
    Mfg. Co., 
    723 F.3d 1376
    , 1380 (Fed. Cir. 2013); Brilliant
    
    Instruments, 707 F.3d at 1347
    ; Bush 
    Hog, 703 F.3d at 1356
    ; 
    Voda, 536 F.3d at 1325
    n.5; U.S. Philips 
    Corp., 505 F.3d at 1378
    –79; Abbott 
    Labs, 473 F.3d at 1212
    ; DePuy
    
    Spine, 469 F.3d at 1018
    –19. Characterizing an element of
    an accused product as the “antithesis” of a claimed ele-
    ment is also a conclusion that should not be used to
    overlook the factual analysis required to establish wheth-
    er the differences between a claimed limitation and an
    accused structure or step are substantial vel non. The
    determination of equivalence depends not on labels like
    “vitiation” and “antithesis” but on the proper assessment
    of the language of the claimed limitation and the substan-
    tiality of whatever relevant differences may exist in the
    accused structure. See Graver Tank & Mfg. Co. v. Linde
    Air Prods. Co., 
    339 U.S. 605
    , 610–12 (1950) (finding that a
    welding process that used manganese, a non-alkaline
    metal, could be equivalent to the claimed “alkaline earth
    12          CADENCE PHARMACEUTICALS INC.     v. EXELA PHARMA
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    metal,” even though an alkaline metal can formally be
    described as the “antithesis” of a non-alkaline metal). But
    see Moore U.S.A., Inc. v. Standard Register Co., 
    229 F.3d 1091
    , 1106 (Fed. Cir. 2000) (“it would defy logic to con-
    clude that a minority—the very antithesis of a majority—
    could be insubstantially different from a claim limitation
    requiring a majority, and no reasonable juror could find
    otherwise”).
    Since a reasonable trier of fact could (and, in fact, did)
    conclude that Exela’s process is insubstantially different
    from that recited in the claims, the argument that a claim
    limitation is vitiated by the district court’s application of
    the doctrine of equivalents is both incorrect and inapt.
    Therefore, we affirm the district court’s determination of
    infringement of claim 1. Because Exela does not assert
    any independent bases for not infringing dependent
    claims 3, 4 and 19, the district court’s finding of infringe-
    ment of these claims is also affirmed.
    2. Claim Construction of the Vacuum Stoppering Step
    The district court concluded that the phrase “optional-
    ly topped with an inert gas . . . and placed in a closed
    container in which the prevailing pressure is 65,000 Pa
    maximum” (the “vacuum stoppering step”) indicates that
    the vacuum stoppering step is optional, because “[t]he
    language of claim 1 plainly indicates that the word ‘op-
    tionally’ applies to both the first and second clauses,
    which are connected by the word ‘and.’” Cadence, 886 F.
    Supp. 2d at 464. According to the district court, whatever
    statements were made during prosecution “do not rise to
    the level of an explicit disclaimer.” 
    Id. at 464–65.
        On appeal, Exela contends that the vacuum stopper-
    ing step is mandatory, relying on the language of the
    claim, the specification and the prosecution history.
    Cadence responds that the plain language of the claim
    unambiguously recites that the vacuum stoppering step is
    optional and that Exela waived any argument to the
    CADENCE PHARMACEUTICALS INC.   v. EXELA PHARMA           13
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    contrary. Cadence also argues that the prosecution
    history does not contain a clear and unmistakable disa-
    vowal of claim scope.
    We conclude, as did the district court, that the step of
    stoppering under vacuum is optional. The plain and
    ordinary meaning of “optionally . . . topped . . . and
    placed” is that both the topping and placing steps are
    optional. Indeed, defendants appear to have originally
    conceded this point. See J.A. 10379 (counsel for defend-
    ants stating: “defendants’ position is that the vacuum
    limitation is not optional, notwithstanding that it follows
    the ‘and optionally’ language phrase. I understand Eng-
    lish language construction. And if it weren’t for the
    prosecution history, we wouldn’t be making this argu-
    ment.”).
    The conclusion that vacuum stoppering is optional is
    supported by the specification, which does not describe
    vacuum stoppering as one of “the four parameters that
    have to be taken into consideration as essential for
    preservation.” ’218 patent col.6 ll.29–30. Indeed, the
    specification contains examples that exhibit prolonged
    stability even without vacuum stoppering. 
    Id. col.7 ll.1-
    18. While some examples may work better than others,
    the specification’s observation that stoppering under
    vacuum “constitutes a distinct advantage,” 
    id. col.5 ll.9–
    10, cannot be read to imply that the invention is limited
    to such embodiments. Cf. Plantronics, Inc. v. Aliph, Inc.,
    
    724 F.3d 1343
    , 1350 (Fed. Cir. 2013) (“‘The patentee is
    entitled to the full scope of his claims, and we will not
    limit him to his preferred embodiment or import a limita-
    tion from the specification into the claims.’”) (quoting
    Kara Tech. Inc. v. Stamps.com Inc., 
    582 F.3d 1341
    , 1348
    (Fed. Cir. 2009)).
    As for the prosecution history, the district court found
    insufficient reason to depart from the unambiguous plain
    and ordinary meaning of the claims themselves in reciting
    14         CADENCE PHARMACEUTICALS INC.    v. EXELA PHARMA
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    the vacuum stoppering step as optional. We agree. We
    are not persuaded that the portions of the prosecution
    history cited by Exela amount to a clear and unmistaka-
    ble disavowal of the unambiguous recitation of the vacu-
    um stoppering step as being optional. Exela contends
    that the vacuum stoppering step is mandatory, not op-
    tional, because applicants argued that step in distinguish-
    ing the prior art during prosecution. While the vacuum
    stoppering step was mentioned in applicants’ argument,
    the only factor in the reference that applicants noted in
    comparing the reference to the claims was the degree to
    which the level of oxygen was reduced. Specifically,
    applicants described the oxygen level of the reference by
    noting that “[t]he residual oxygen concentration present
    in the solution after bubbling of the nitrogen is on the
    order of 2 ppm . . . and this is not a satisfactory order.”
    U.S. Pat. App. No. 10/332,060 Remarks of Mar. 18, 2005,
    at 8 (emphasis added). Applicants then argued that “[i]n
    contrast thereto, Applicants’ bubbling with nitrogen is
    reduced to below 2 ppm.” 
    Id. (emphasis added).
    Granted
    that applicants also noted the vacuum stoppering step as
    a factor in providing a stable solution, but there is no
    clear indication that the vacuum stoppering step was the
    “contrast” that applicants were trying to make over the
    cited reference. And certainly no indication that the
    vacuum stoppering step should be understood as “manda-
    tory,” despite the clear language of the claim. At bottom,
    the language of claim 1 is unambiguous that the vacuum
    stoppering step is optional, and the prosecution history
    does not reflect a clear and unmistakable disavowal of the
    plain and ordinary meaning of that language.
    Accordingly, we conclude that in claim 1 of the ’218
    patent, the vacuum stoppering step is optional and not
    mandatory. We thus affirm the district court’s finding of
    infringement and need not address Cadence’s alternate
    ground for affirmance based on its asserted construction
    of the term “aqueous solution.”
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    3. Obviousness
    A patent is invalid “if the differences between the sub-
    ject matter sought to be patented and the prior art are
    such that the subject matter as a whole would have been
    obvious at the time the invention was made to a person
    having ordinary skill in the art to which said subject
    matter pertains.” 35 U.S.C. § 103(a) (2006). 2 Obvious-
    ness is a question of law, based on underlying factual
    determinations including: “the scope and content of the
    prior art”; “differences between the prior art and the
    claims at issue”; “the level of ordinary skill in the perti-
    nent art”; and “[s]uch secondary considerations as com-
    mercial success, long felt but unsolved needs, failure of
    others, etc.” Graham v. John Deere Co., 
    383 U.S. 1
    , 17
    (1966).
    At the district court, Exela contended that the ’218
    patent was obvious over the ’222 patent in view of A.
    Palmieri, Effect of Dissolved Oxygen Levels on Oxidative
    Degradation of Pyrogallol, 67 J. Pharm. Sci. 1338 (Sept.
    1978) (the “Palmieri article”). Exela claimed, and Ca-
    dence did not dispute, that the only difference between
    the asserted claims of the ’218 patent and the disclosure
    of the ’222 patent is that the ’222 patent did not disclose
    decreasing the oxygen content to below 2 ppm (as recited
    in claim 1) or even lower levels (as recited in certain
    dependent claims). Cadence, 
    2013 U.S. Dist. LEXIS 166097
    , at *99–100, 101 n.30. Exela argued that deoxy-
    genating below 2 ppm would have been obvious based on
    the disclosure of the ’222 patent that the stability of
    acetaminophen solutions depends, inter alia, on “removal
    of oxygen dissolved in the carrier,” ’222 patent col.2 ll.33–
    2   Because the application that led to the ’218 patent
    was filed prior to March 16, 2013, the America Invents
    Act’s (“AIA”) amendments to § 103 do not apply. See
    § 3(n)(1) of the AIA, Pub. L. No. 112-29.
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    34, and the teaching of the Palmieri article that deoxy-
    genating pyrogallol solutions to below 0.05 ppm leads to
    increased stability.
    The district court found that it would not have been
    obvious to combine the Palmieri article with the ’222
    patent, because pyrogallol degrades by oxidation while
    acetaminophen degrades primarily by hydrolysis and
    because deoxygenation to levels below 2 ppm was “tech-
    nical[ly] difficult[].” 
    Id. at *105.
    The district court also
    addressed secondary considerations, which it found to
    support a conclusion of non-obviousness. See 
    id. at *111.
    According to the district court, Ofirmev®—which the
    district court found to be made by a process equivalent to
    that claimed in the ’218 patent—fulfilled a long-felt need,
    was a commercial success, was licensed and was praised
    in the industry. See 
    id. at *92–99.
    The court also found
    that the ’218 patent exhibited unexpected results as to
    stability as compared to the ’222 patent. See 
    id. at *109–
    11.
    On appeal, Exela argues that the district court com-
    mitted clear error in failing to recognize that the ’222
    patent’s Example II suggests that hydrolysis is not the
    primary degradation pathway and in failing to recognize
    that the Palmieri article teaches the importance of reduc-
    ing dissolved oxygen to trace levels. Exela also contends
    that the district court’s findings as to secondary consider-
    ations relating to Cadence’s distribution of Ofirmev® are
    not probative of non-obviousness because the claims of
    the ’218 patent recite deoxygenating after the addition of
    an active ingredient whereas in Ofirmev® the solvent is
    deoxygenated before. It also claims that any secondary
    considerations lack a nexus to the novel features of
    the ’218 patent. Finally, it contends that the unexpected
    results are only a matter of degree.
    Cadence responds that the Palmieri article is inappo-
    site as it deals with compounds that degrade via a differ-
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    ent mechanism and that Exela failed to prove that skilled
    practitioners would have been motivated to combine
    the ’222 patent with the Palmieri article. According to
    Cadence, the secondary considerations further support a
    finding of non-obviousness.
    Exela bears a difficult burden in this case on the
    question of obviousness. First, since the Examiner initial-
    ly rejected the claims of the ’218 patent for essentially the
    same reasons as defendants now raise, see Cadence, 
    2013 U.S. Dist. LEXIS 166097
    , at *100 n.29 (quoting the Exam-
    iner’s Reasons for Allowance), the Patent Office is “‘pre-
    sumed to have properly done its job’” when it ultimately
    allowed the ’218 patent. PowerOasis, Inc. v. T-Mobile
    USA, Inc., 
    522 F.3d 1299
    , 1304 (Fed. Cir. 2008) (quoting
    Am. Hoist & Derrick Co. v. Sowa & Sons, Inc., 
    725 F.2d 1350
    , 1360 (Fed. Cir. 1984)). Second, patents are pre-
    sumed to be valid, 35 U.S.C. § 282, so defendants must
    prove invalidity by clear and convincing evidence. Mi-
    crosoft Corp. v. i4i Ltd. P’ship, 
    131 S. Ct. 2238
    , 2242
    (2011). Third, we will only overturn the district court’s
    underlying factual determinations if we believe they are
    clearly erroneous.
    Exela has not met its burden. The district court found
    the teachings of the ’222 patent and the cited Palmieri
    article lacking, as do we. The district court found that
    skilled artisans understood acetaminophen to be primari-
    ly degraded via hydrolysis. Cadence, 2013 U.S. Dist.
    LEXIS 166097, at *104 (crediting Kenneth A. Connors et
    al., Chemical Stability of Pharmaceuticals 18–19 (1979)
    and the testimony of Dr. Elder). Exela argues that the
    district court was wrong in failing to appreciate that
    the ’222 patent discloses that acetaminophen is in fact
    subject to oxidation, followed by hydrolysis. It points
    specifically to the hypothesis in the ’222 patent specifica-
    tion that: “. . . in contrast to what has been reported in the
    literature, the breakdown of acetaminophen first involves
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    an ox[i]dative process followed by hydrolysis,” ’222 patent
    col.10 ll.41–45.
    The district court correctly rejected Exela’s argument.
    At trial, one of the inventors, Francois Dietlin, in discuss-
    ing Example II, testified that the experiments he per-
    formed confirmed that degradation of acetaminophen
    resulted from hydrolysis, followed thereafter by oxidation.
    Moreover, Cadence’s expert, Dr. Edmond Elder, testified
    that the primary degradation mechanism in acetamino-
    phen is hydrolysis. This is consistent with the discussion
    of the prior art in the ’222 patent that notes the reason
    “paracetamol in aqueous solution is unstable [is] primari-
    ly correlate[d] with hydrolysis.” 
    Id. at col.1
    ll.30–31.
    Finally, we note that Dr. Palmieri, testifying as Exela’s
    expert, admitted that deoxygenation would not be effec-
    tive to prevent hydrolytic degradation. See Cadence, 
    2013 U.S. Dist. LEXIS 166097
    , at *104.
    The district court thus was correct in concluding that
    it would not have been obvious to combine the Palmieri
    article with the ’222 patent, because the Palmieri article
    addressed the degradation of pyrogallol—which degrades
    primarily by oxidation—and did not address the degrada-
    tion of acetaminophen—which, as noted above—degrades
    primarily by hydrolysis. At bottom, we agree with the
    district court that Exela has not proven by clear and
    convincing evidence that a person of ordinary skill in the
    art would have attempted to deoxygenate an acetamino-
    phen solution to below 2 ppm with a reasonable expecta-
    tion of “preserving [the acetaminophen] for a prolonged
    period,” as recited in claim 1.
    Regarding secondary considerations, we agree with
    the district court that secondary considerations related to
    the marketing of Ofirmev® are not per se irrelevant to the
    non-obviousness of the claims of the ’218 patent, despite
    the fact that the claims do not literally cover Ofirmev®.
    As discussed 
    above, supra
    at p. 9, whether a solvent is
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    deoxygenated before or after the active ingredient has
    been dissolved is an insubstantial difference. Thus, there
    is no reason to believe that any secondary considerations
    attendant to Ofirmev®, in which the solvent is deoxygen-
    ated prior to the addition of the active ingredient, would
    not also be present in formulations literally covered by
    the claims, i.e., where the solvent is deoxygenated after
    the addition of active ingredient.
    The district court also did not clearly err in finding
    that the process claimed in the ’218 patent achieved
    unexpected stability relative to that disclosed in the ’222
    patent and in finding that the licensing of the ’218 patent
    is probative of non-obviousness. Formulations made
    pursuant to the methods described in the ’218 patent were
    stable for two years, ’218 patent col.8 ll.11–17, whereas
    plaintiff’s expert testified that the formulation taught in
    the ’222 patent only achieved several months’ stability.
    Even if these results were only somewhat unexpected,
    they are still evidence of non-obviousness, albeit less so
    than if the results were vastly unexpected. See Bristol-
    Myers Squibb Co. v. Teva Pharm. USA, Inc., 
    752 F.3d 967
    ,
    977 (Fed. Cir. 2014) (citing cases). That the ’218 patent
    was separately licensed, see Cadence, 2013 U.S. Dist.
    LEXIS 166097, at *5–6, is also evidence of a belief that
    the ’218 patent was valid.
    Based on the foregoing, we conclude that Exela has
    not proven that the asserted claims of the ’218 patent are
    obvious.
    III. CONCLUSION
    For the foregoing reasons, we affirm the district
    court’s determination that the ’222 and ’218 patents are
    infringed and its determination that the ’218 patent has
    not been shown to be invalid.
    AFFIRMED