Ralph J. Lamson v. United States ( 2013 )


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  •           In the United States Court of Federal Claims
    No. 11-377C
    (Filed: March 15, 2013)
    )
    RALPH J. LAMSON,                             )
    )       Claim construction; “virtual reality
    Plaintiff,             )       immersion therapy” method patent
    )
    v.                                           )
    )
    THE UNITED STATES,                           )
    )
    Defendant.             )
    )
    )
    Bruce E. Burdick, Alton, IL, for plaintiff.
    Gary L. Hausken, United States Department of Justice, Washington, DC, with
    whom were Stuart F. Delery, Principal Deputy Assistant Attorney General, and John
    Fargo, Director, for defendant.
    OPINION
    FIRESTONE, Judge.
    This is a patent infringement case brought under 
    28 U.S.C. § 1498
     1 (2006).
    Plaintiff Ralph J. Lamson (“plaintiff”) alleges that defendant the United States (“the
    government”) has infringed United States Patent Number 6,425,764 (“’764 patent”),
    which was filed by plaintiff in 1997 and entitled “Virtual Reality Immersion Therapy for
    1
    
    28 U.S.C. § 1498
    (a) reads in relevant part: “Whenever an invention described in and covered
    by a patent of the United States is used or manufactured by or for the United States without
    license of the owner thereof or lawful right to use or manufacture the same, the owner’s remedy
    shall be by action against the United States in the United States Court of Federal Claims for the
    recovery of his reasonable and entire compensation for such use and manufacture.”
    1
    Treating Psychological, Psychiatric, Medical, Educational and Self-Help Problems.” 2
    Now before the court are the parties’ briefs regarding the construction of seven claim
    terms used in the ’764 patent.
    I.     BACKGROUND
    The ’764 patent lays claim to certain virtual reality immersion therapy (“VRIT”)
    methods for treating psychological, psychiatric, and medical conditions. Plaintiff alleges
    that at least as early as 2004, the United States Department of Defense, Department of
    Veterans Affairs, and Department of Health and Human Services have used, directly and
    through procurement and grant contracts, the VRIT methods described in the ’764 patent
    without authorization by plaintiff, most prominently for treating post-traumatic stress
    disorder.
    A.     The ’764 patent.
    In general terms, the ’764 patent describes a method for treating psychological,
    psychiatric or medical conditions by exposing patients to an interactive virtual reality
    environment and providing sensors that monitor and evaluate a patient’s responses the
    virtual reality environment. The Abstract of the ’764 patent describes the VRIT methods
    as follows:
    A method of treating a psychological, psychiatric, or medical condition by
    choosing a psychological strategy for treating the condition, encoding
    electronic instructions for a virtual reality environment in such a way that
    the interactive virtual reality environment implements the psychological
    2
    Plaintiff’s original complaint also alleged that the government “took” the ’764 patent in
    violation of the Fifth Amendment. The court dismissed this claim for lack of subject matter
    jurisdiction on October 27, 2011. Lamson v. United States, 
    101 Fed. Cl. 280
     (2011).
    2
    strategy, loading electronic instructions into a virtual reality technology unit
    equipped with a display for displaying the virtual reality environment and
    with a patient input device for receiving responses to the environment from
    the patient, and instructing the human patient how and when to use the
    virtual reality technology unit to interact with the environment. The
    interactive environment contains instructions for a scoring procedure for
    quantitatively analyzing the medical condition of the patient, and/or
    counseling instructions or self-help instructions. The environment can be
    used in conjunction with a physical parameter measuring device connected
    to the virtual reality technology unit. The process is comprehensive and
    takes place during immersion in fully interactive three-dimensional virtual
    reality environments utilizing computer generated graphics, images
    imported from photographs, and video for sensory stimulation. Immersion
    is achieved with goggles, a head-mounted-display, or other form of visual
    stimulation, such as surround projection screens or monitors or devices that
    permit the user to have a virtual experience. It includes the use of voice,
    music, and sound and other forms of physiological stimulation and
    feedback. Body sensors and devices such as a hand-held grip permit the
    user to interact with objects and navigate within the virtual environment.
    ’764 patent at 1 (reference numbers to figures omitted).
    The ’764 patent is comprised of four independent claims (Claims 1, 19, 23, and
    26) and twenty-seven dependent claims that define the scope of the invented methods. 3
    Plaintiff alleges that the government has made unauthorized use of the invention
    described in Claims 1, 2-4, 7, 9-13, 18-21, 23, and 25-31, inclusive, of the ’764 patent.
    See Revised Joint Claim Construction Statement, ECF No. 32.
    The four independent claims of the ’764 patent—Claims 1, 19, 23, and 26—
    describe several methods of treating or evaluating a “psychological, psychiatric, or
    medical condition in a human patient” using virtual reality immersion therapy.
    3
    Patents are comprised of two types of claims: independent and dependent. Independent claims
    stand on their own as described in a single claim; dependent claims refer to and add further
    limitations to an independent claim or claims. See 
    35 U.S.C. § 112
     (2006).
    3
    Independent Claim 1 includes all but one of the disputed claim terms (disputed claim
    terms are underlined the first time they appear):
    1. A method for treating a psychological, psychiatric, or medical condition
    in a human patient, comprising:
    (a) choosing a psychological strategy for treating said psychological,
    psychiatric, or medical condition;
    (b) providing an interactive virtual reality environment;
    (1) said interactive virtual reality environment comprising a
    technology unit arranged to display to said human patient
    a plurality of virtual reality environments;
    (2) said technology unit having an input for receiving
    feedback responses to said interactive virtual reality
    environment from said human patient;
    (3) said technology unit arranged to change said virtual reality
    environment in response to said feedback responses from
    said human patient;
    (c) selecting said virtual reality environment to correspond to said
    psychological strategy;
    (d) encoding electronic instructions for said interactive virtual reality
    environment;
    (e) loading said electronic [instructions] into said virtual reality
    technology unit; and
    (f) instructing said human patient how and when to use said virtual
    reality technology unit so as to experience said interactive virtual
    reality environment and how and when to provide feedback
    responses to said technology unit for changing said virtual reality
    environment so as to treat said psychological, psychiatric, or
    medical condition.
    Independent Claim 19 describes a similar treatment method, and contains the remaining
    disputed claim term (underlined):
    19. A method of treating a psychological, psychiatric, or medical condition in a
    human patient comprising:
    (a) providing a plurality of sets of instructions or steps for treating
    said psychological, psychiatric, or medical condition;
    (b) choosing one of said sets of instructions or steps which is
    appropriate for treating said psychological, psychiatric, or
    medical condition of said human patient;
    4
    (c) providing a virtual reality technology unit arranged to provide an
    interactive virtual reality environment;
    (1) said virtual reality [] technology unit being equipped with
    a display means;
    (2) said virtual reality technology unit also being equipped
    with an input means for receiving responses to said
    interactive virtual reality environment from said human
    patient;
    (d) providing a set of encoded electronic instructions for said virtual
    reality environment;
    (e) embedding said one set of instructions or steps in said encoded
    set of electronic instructions for said interactive virtual reality
    environment;
    (f) loading said set of electronic instructions into said virtual reality
    technology unit for displaying said interactive virtual reality
    environment; and
    (g) instructing said human patient how and when to use said virtual
    reality technology unit to display said interactive virtual reality
    environment and how to provide responses to said virtual reality
    environment.
    Independent Claim 23 is nearly identical to Claim 19, replacing the phrase “instructions
    or steps” with “counseling directions.” Finally, independent Claim 26 teaches a method
    “of evaluating a psychological, psychiatric, or medical condition in a human patient”
    using a virtual reality technology unit along with a quantitative scoring system to analyze
    a patient’s condition and success:
    26. A method of evaluating a psychological, psychiatric, or medical
    condition in a human patient, comprising:
    (a) providing a virtual reality technology unit;
    (b) said virtual reality technology unit being equipped with the
    following:
    (1) a display means for displaying a virtual reality
    environment;
    (2) an input means for receiving responses to said virtual
    reality environment from said human patient; and
    (3) a scoring means for quantitatively analyzing said
    psychological, psychiatric, or medical condition of said
    patient;
    5
    (c) providing a set of encoded electronic instructions for causing said
    virtual reality environment to provide, on said display means,
    graphical representations of an environment which affects said
    psychological, psychiatric, or medical condition of said human
    patient;
    (d) delivering said electronic instructions to said virtual reality
    environment; and
    (e) instructing said human patient how and when to use said virtual
    reality technology unit to interact with said virtual reality
    environment by providing responses to said graphical
    representations.
    The remaining asserted claims are dependent claims. Some of the asserted
    dependent claims describe the types of disorders that the VRIT methods can treat, such as
    “acrophobia” or “an anxiety disorder.” See ’764 patent, Claims 3, 13. Other dependent
    claims add description to the independent claims’ virtual therapy methods. For example,
    Claim 10 provides that the virtual reality therapy method described in Claim 1 stimulates
    patients using graphical representations in order to treat a disorder. See 
    id.,
     Claim 10
    (“The method of claim 1 wherein said virtual reality environment comprises a graphical
    representation of a situation which stimulates said psychological, psychiatric, or medical
    condition of said patient, and said changing said virtual reality environment is determined
    by responses of said human patient to said graphical representation of said situation.”).
    Other dependent claims describe how treatment instructions are communicated to a
    patient using plaintiff’s methods, or describe the scoring system used to measure the
    condition or success of the patient using VRIT. See, e.g., 
    id.,
     Claim 20 (“The method of
    claim 19 wherein said set of instructions or steps is communicated to said patient in said
    interactive virtual reality environment by a graphical representation on said display
    means for treating said psychological, psychiatric, or medical condition, and further
    6
    including evaluating said responses of said human patient to said graphical representation
    on said display means to define the success of said human patient to said virtual reality
    environment.”); 
    id.,
     Claim 27 (“The method of claim 26 wherein said scoring procedure
    comprises means for recording said responses of said human patient, assigning values to
    said responses, and performing a computation on said assigned values to obtain a final
    score, and further comprising using said final score as a quantitative measure of said
    medical condition.”). The disputed claim terms are found mainly in the independent
    claims of the ’764 patent. 4
    The patent’s specification begins with a brief history of mental health care, and
    claims several improvements over prior art involving mental health, self-help treatment
    options, and virtual reality technology. In particular, the specification describes
    improvements over prior art that involve treatment methods that use visual or auditory
    stimulation, but that do not involve patient interaction with an immersive virtual reality
    environment. See, e.g., 
    id.
     col.2 ll.25-65. The specification also describes improvements
    over prior art that involve virtual reality technology, but that do not use three-
    dimensional, immersive virtual environments for the treatment of psychological or
    psychiatric conditions, or fail to offer a rigorous method for doing so. See 
    id.
     col.5 l.11-
    col.6 l.28.
    4
    In their revised joint claim construction statement, the parties cite to only certain independent
    claims when identifying where the disputed claim terms are located in the patent-in-suit. The
    table that lists the parties’ respective claim construction positions in Part I.B, infra, also lists all
    of the asserted claims that use the disputed terms.
    7
    The specification includes a preferred embodiment of a virtual reality therapy
    technology unit and a detailed description of how to use plaintiff’s VRIT methods to treat
    different types of disorders. The preferred embodiment of the technology unit includes a
    computer unit equipped with peripheral technology supporting the production of virtual
    reality environments for viewing and interaction by the user. 
    Id.
     col.14 l.15-col.15 l.26.
    The patent also includes a block diagram of the components of this technology unit. 
    Id.
    fig. 1. The specification then describes how virtual reality immersion therapy is used to
    treat different types of disorders, such as anxiety disorders or substance abuse. 
    Id.
     col.15
    l.58-col.26 l.28. The ’764 patent includes one flowchart illustrating the “psychological
    strategies for selecting a virtual environment,” seven flowcharts showing how a virtual
    environment is used for treating psychiatric, psychological, or medical conditions, and
    one flowchart showing how virtual therapy is used in the self-help context. 
    Id.
     figs. 2-9.
    The portions of the specification relevant to the court’s claim construction analysis are
    discussed in greater detail in Part II, below.
    B.     Disputed claim terms.
    The parties provided the court with claim construction briefs and a revised joint
    claim construction statement. The parties present seven terms for the court’s
    construction. The following chart presents the parties’ positions:
    Term                    Asserted Claim(s)            Plaintiff’s Proposed   The Government’s
    Using Term                   Construction           Proposed
    Construction
    “interactive virtual 1, 19, 20, 23, 28               A computer             A computer
    reality environment”                                 generated 3-           generated
    dimensional            environment that
    immersive              allows movement
    8
    environment that        and navigation
    allows movement
    and navigation
    “technology unit”        1, 2, 19, 23, 26            A set of equipment      A set of equipment
    and personnel           comprising a
    comprising a            computer unit, hand-
    computer unit,          held grip, and a
    movement and            display which is
    navigation device,      either head-mounted
    and a display which     or a screen
    is either head-
    mounted or a screen
    “plurality of virtual    1                           Two or more virtual     Two or more virtual
    reality                                              environments,           environments
    environments”                                        which may be
    merely modified
    forms of a single
    general environment
    “feedback responses      1, 2, 19, 23, 26 5          The return to the       The return to the
    from said human                                      technology unit         technology unit
    patient”                                             (clinician or           from an input device
    computer) of user       caused by the user’s
    reaction to all or      reaction to the
    part of the             virtual reality
    interactive virtual     environment
    reality environment
    “input” and “input       1, 19, 23, 26               Verbal, physical, or    Electronic signals or
    means”                                               electronic signals or   information
    information             provided from an
    provided from the       input device, display
    patient concerning      or keyboard by the
    the patient’s           patient concerning
    response to the         the patient’s
    virtual reality         response to the
    environment             virtual reality
    environment
    “change said virtual     1                           The computer either     The computer
    5
    The parties’ revised joint claim construction statement indicates that this term can also be found
    in Claim 23. However, Claim 23 does not use the phrase “feedback responses” and instead,
    along with independent Claims 19 and 26, refers to an “input means for receiving responses to
    said interactive virtual reality environment from said human patient” (emphasis added).
    9
    reality environment”                                automatically or by       generates changes to
    clinician operation       the existing virtual
    modifying the             reality environment,
    virtual reality           which changes can
    environment which         be viewed on the
    is viewed on the          screen or display
    screen or display
    “providing a              19, 23 6                  Giving the clinician,     Giving the patient
    plurality of sets of                                technology unit           multiple lists of
    instructions or steps                               and/or patient            instructions or steps
    for treating said                                   multiple lists of         for the patient to
    psychological,                                      instructions or steps     execute in order to
    psychiatric, or                                     for the technology        obtain treatment for
    medical condition”                                  unit, clinician,          a particular
    and/or patient to         psychological,
    execute in order to       psychiatric, or
    obtain treatment for      medical condition
    a particular
    psychological,
    psychiatric, or
    medical condition
    Briefing on claim construction was completed on November 19, 2012. The court
    held a joint status conference on December 4, 2012, during which the parties indicated
    they did not seek a claim construction hearing and that, rather, the court could construe
    the disputed claims based on the parties’ briefs. The parties submitted a revised joint
    claim construction statement on December 12, 2012.
    6
    The parties’ revised joint claim construction statement indicates that this term can also be found
    in Claim 23. However, Claim 23 uses the slightly different phrase “providing a plurality of sets
    of counseling directions for treating said psychological, psychiatric, or medical condition.” The
    court’s construction will pertain to both “providing a plurality of sets of instructions or steps,” as
    in Claim 19, and “providing a plurality of sets of counseling directions,” in Claim 23, as this
    difference does not impact the parties’ main dispute for this term. Instead, the parties’ dispute
    involves whether only the patient receives and executes the instructions, steps, or counseling
    directions for treatment, or whether the clinician, technology unit, or patient may receive and
    execute the instructions, steps, or counseling directions under the methods described in those
    claim terms. See infra Part II.G.
    10
    II.    DISCUSSION
    “It is a ‘bedrock principle’ of patent law that the claims of a patent ‘define the
    invention to which the patentee is entitled the right to exclude.’” Phillips v. AWH Corp.,
    
    415 F.3d 1303
    , 1312 (Fed. Cir. 2005) (quoting Innova/Pure Water, Inc. v. Safari Water
    Filtration Sys., Inc., 
    381 F.3d 1111
    , 1115 (Fed. Cir. 2004)). Claim construction is the
    first step in any patent infringement case because it is necessary to understand the precise
    scope of an invention before the trier of fact can determine whether it has been used by
    the alleged infringer without permission. SecurityPoint Holdings, Inc. v. United States,
    No. 11-268, 
    2013 WL 659543
    , at *2 (Fed. Cl. Feb. 20, 2013). The scope and meaning of
    the patent is a question of law to be answered by a trial court. Markman v. Westview
    Instruments, Inc., 
    517 U.S. 370
    , 388-90 (1996).
    The “objective baseline” from which to begin claim construction is to inquire
    “how a person of ordinary skill in the art understands a claim term.” Phillips, 415 F.3d at
    1313. The court generally assigns meaning to claim terms “according to the customary
    understanding of a person of ordinary skill in the art who reads them in the context of the
    intrinsic record.” Agilent Techs., Inc. v. Affymetrix, Inc., 
    567 F.3d 1366
    , 1376 (Fed. Cir.
    2009) (citing Phillips, 415 F.3d at 1312-13). The intrinsic record includes not only the
    particular claim in which the disputed term occurs, but also the words of the patent itself,
    the patent’s specification, and the patent’s prosecution history. Phillips, 415 F.3d at
    1313-19. The use of intrinsic evidence to interpret claims is preferred over the use of
    extrinsic evidence, such as dictionaries, treatises, and expert testimony. Chamberlain
    Grp., Inc. v. Lear Corp., 
    516 F.3d 1331
    , 1335 (Fed. Cir. 2008). While the court may
    11
    consult extrinsic evidence in its discretion, extrinsic evidence cannot be used to vary the
    meaning of terms contrary to the unambiguous meaning expressed in the intrinsic
    evidence. Phillips, 415 F.3d at 1317, 1324. For example, the Federal Circuit has
    specifically advised that a court may rely on a dictionary definition when construing
    claim terms only “so long as the dictionary definition does not contradict any definition
    found in or ascertained by a reading of the patent documents.” Phillips, 415 F.3d at
    1323-24 (quotation omitted).
    Thus, the court will interpret the subject claim terms through the eyes of a person
    of ordinary skill in the art, 7 using the language of the claims, the specification, and the
    prosecution history. 8 The court begins with the claims themselves. Phillips, 415 F.3d at
    1312 (citing Vitronics Corp. v. Conceptronic, Inc., 
    90 F.3d 1576
    , 1582 (Fed. Cir. 1996)
    (“First, we look to the words of the claims themselves . . . to define the scope of the
    7
    The parties initially disagree as to the definition of a person of ordinary skill in the art. Plaintiff
    asserts that the person of ordinary skill in the art is a clinical psychologist or psychiatrist. The
    government submits that a person of ordinary skill in the art is “a person with a strong
    background in treatment of psychological, psychiatric, or medical conditions” with “knowledge
    in computer programming and game creation being a preferable, but not required, attribute.”
    The parties’ dispute thus centers on the type of medical background and the computer
    programming knowledge that the person of ordinary skill in the art must possess.
    The determination of the person of ordinary skill in the art is not dispositive of the claim
    construction in this case, and the court therefore does not resolve this issue here. Neither party’s
    arguments on claim construction are supported by expert opinion or depend otherwise on the
    resolution of this issue, nor is there a significant difference between the parties’ definitions of the
    person of ordinary skill for the purposes of claim construction. The court’s analysis would not
    differ based on either party’s definition. Therefore, the court declines to adopt a definition of a
    person of ordinary skill in the art at this time. See, e.g., CoorsTek, Inc. v. Reiber, No. 08-cv-
    0113, 
    2011 WL 1638855
    , at *3 (D. Colo. May 2, 2011); SecurityPoint Holdings, 
    2013 WL 659543
     at *2.
    8
    Neither party relies on the patent’s prosecution history in their claim construction briefs.
    12
    patented invention.”)). The language of the claims, together with the use of a term within
    the claim and other claims of the patent in question, as well as the difference between and
    among claims, “provide substantial guidance as to the meaning of particular claim
    terms.” 
    Id. at 1314
    . In this regard, the court follows the Federal Circuit’s guidance that
    the same claim term should be construed to have the same meaning each time it is used in
    the same or related patent. Paragon Solutions, LLC v. Timex Corp., 
    566 F.3d 1075
    , 1087
    (Fed. Cir. 2009) (quotation and citations omitted); see also Omega Eng’g, Inc., v. Raytek
    Corp., 
    334 F.3d 1314
    , 1334 (Fed. Cir. 2003) (“[W]e presume, unless otherwise
    compelled, that the same claim term in the same patent or related patents carries the same
    construed meaning.”).
    However, the claims must not be read in a vacuum. Phillips, 415 F.3d at 1315.
    Instead, the claims must be read “in the context of the entire patent, including the
    specification.” Id. at 1313. A patent’s specification contains “a written description of the
    invention, and of the manner and process of making and using it, in such full, clear,
    concise, and exact terms as to enable any person skilled in the art to which it pertains . . .
    to make and use the same.” 
    35 U.S.C. § 112
    (a). The specification also includes
    preferred embodiments, which illustrate particular implementations of the invention and
    demonstrate what the inventor believes is the best method of making or using the
    invention. See, e.g., Bayer AG v. Schein Pharm., Inc., 
    301 F.3d 1306
    , 1316 (Fed. Cir.
    2002). The purposes of the specification are “to teach and enable those of skill in the art
    to make and use the invention and to provide a best mode for doing so.” Phillips, 415
    F.3d at 1323. As such, the specification has been found to serve as “the single best guide
    13
    to the meaning of a disputed term,” id. at 1315 (quotation omitted), and it is appropriate
    for the court “to rely heavily” on the specification for guidance as to the meaning of the
    claims, id. at 1317.
    “Consistent with that general principle,” the Federal Circuit has recognized that
    “the specification may reveal a special definition given to a claim term.” Id. at 1316. For
    example, a patentee may “act as its own lexicographer” and specifically define a claim
    term, but to do so, “must clearly set forth a definition of the disputed claim term” in the
    specification. Medtronic Inc. v. Boston Scientific Corp., 
    695 F.3d 1266
    , 1275 (Fed. Cir.
    2012) (quotations omitted). Similarly, an inventor may intentionally disavow a broad
    claim scope in the specification. To do so, the specification must contain “expressions of
    manifest exclusion or restriction, representing a clear disavowal of claim scope.” Epistar
    Corp. v. Int’l Trade Comm’n, 
    566 F.3d 1321
    , 1334 (Fed. Cir. 2009); see also Abbott
    Labs. v. Sandoz, Inc., 
    566 F.3d 1282
    , 1288 (Fed. Cir. 2009) (“[S]ometimes the
    specification offers practically incontrovertible directions about claim meaning.”).
    However, the court must also keep in mind that “[t]here is a fine line between
    construing the claims in light of the specification and improperly importing a limitation
    from the specification into the claims.” Retractable Techs., Inc. v. Becton, Dickinson,
    and Co., 
    653 F.3d 1296
    , 1305 (Fed. Cir. 2011), reh’g and reh’g en banc denied, 
    659 F.3d 1369
     (Fed. Cir. 2011), cert. denied, 
    133 S. Ct. 833
     (2013) (Nos. 11-1154, 11-1278)
    (citing Phillips, 415 F.3d at 1323). The court must not improperly limit claim terms
    based on the specification’s preferred embodiments where the claim language represents
    a broader meaning, unless such an intent is clear from the intrinsic evidence. See, e.g.,
    14
    Trading Techs. Int’l, Inc. v. eSpeed, Inc., 
    595 F.3d 1340
    , 1352 (Fed. Cir. 2010) (“[W]hen
    the specification uses a single embodiment to enable the claims, courts should not limit
    the broader claim language to that embodiment unless the patentee has demonstrated a
    clear intention to limit the claim scope using words or expressions of manifest execution
    or restriction.” (internal quotations omitted)); Abbott Labs., 566 F.3d at 1288. At the
    same time, the court should not construe claim terms in a way that excludes an
    embodiment described in the specification, unless the intent to do so is apparent in the
    intrinsic evidence. Helmsderfer v. Bobrick Washroom Equip., Inc., 
    527 F.3d 1379
    , 1383
    (Fed. Cir. 2008) (“Our case law generally counsels against interpreting a claim term in a
    way that excludes the preferred embodiment from the scope of the invention.”). Instead,
    in construing the subject claim terms, the court must “strive to capture the scope of the
    actual invention, rather than strictly limit the scope of claims to disclosed embodiments
    or allow the claim language to become divorced from what the specification conveys is
    the invention.” Retractable Techs., 653 F.3d at 1305.
    It is against this backdrop that the court now turns to the disputed claim terms.
    A.     “interactive virtual reality environment”
    Both parties agree that the term “interactive virtual reality environment” should be
    defined as a computer generated environment that allows for movement and navigation.
    The parties’ dispute centers on whether this computer generated environment should be
    further construed as “three-dimensional” and “immersive,” as plaintiff contends. The
    claim language in the ’764 patent does not further define “interactive virtual reality
    environment,” or limit that term to a three-dimensional immersive environment. The
    15
    court must therefore determine whether the ordinary meaning of “interactive virtual
    reality environment,” when construed in light of the rest of the patent, includes only
    “three dimensional” and “immersive” environments to the exclusion of environments that
    are two-dimensional and non-immersive.
    The term “interactive virtual reality environment” is first found in the Abstract of
    the ’764 patent: “A method of treating a psychological, psychiatric, or medical condition
    by choosing a psychological strategy for treating the condition, encoding electronic
    instructions for a virtual reality environment in such a way that the interactive virtual
    reality environment implements the psychological strategy . . . .” (emphasis added). The
    Abstract goes on to state, “The process is comprehensive and takes place during
    immersion in fully interactive three-dimensional virtual reality environments utilizing
    computer generated graphics, images imported from photographs, and video for sensory
    stimulation. Immersion is achieved with goggles, a head-mounted-display, or other form
    of visual stimulation, such as surround projection screens or monitors or devices that
    permit the user to have a virtual experience” (emphasis added).
    The specification uses the terms “virtual reality,” “virtual environments,” and
    “virtual therapy” throughout its description of the invention. First, in discussing the prior
    art concerning virtual reality technology, the specification generally states:
    The term “virtual reality” has been used to describe a computer-generated
    environment. When viewed with goggles or head-mounted display, it
    provides the user with a three-dimensional, fully interactive experience. . . .
    The technology used to produce virtual reality consists of a graphics-
    generating computer, a head-mounted-display with a tracking device, a
    hand-held grip, and other sensory input devices. Various products may be
    used to achieve the experience of virtual reality.
    16
    ’764 patent col.4 ll.13-28 (emphasis added). This definition suggests that “virtual
    reality” could be defined broadly to include all computer generated virtual reality
    environments, with a three-dimensional immersive environment as only an example.
    However, the specification goes on to explain that “three-dimensional,” “immersive,” and
    “interactive” apparently work together in the invented virtual therapy methods:
    Immersive, 3D, fully interactive virtual reality technology was first
    introduced as part of a psychotherapeutic method by the applicant
    [plaintiff] (1993) in a Department of Psychiatry for the experimental
    treatment of acrophobia. The integration of virtual reality technology with
    learning principles and psychotherapeutic strategies was given the
    trademark Virtual Therapy by applicant in 1993. Virtual Therapy is a
    trademark for a method of treating acrophobia and other psychiatric
    conditions by immersion in simulated or virtual environments. It is more
    than exposure treatment in a virtual environment and more than imaginal
    desensitization . . . .
    Id. col.4 ll.37-53 (emphasis added). Next, in describing the “Objects and Advantages” of
    the invention, the specification states:
    Exposure to Virtual Therapy environments is under the control of the user.
    During exposure, users encounter situations through visual, auditory, and
    tactile sensory stimulation. They may influence or be influenced by that
    environment. Virtual Therapy is a rapid, non-invasive form of immersive,
    three-dimensional, interactive treatment. Whether used as a therapeutic
    method by a licensed therapist, mode of education, self-help, or
    entertainment process, it presents a less-costly alternative to other forms of
    treatment currently used in psychiatry.
    …
    Virtual Therapy is a new form of treatment that occurs when the patient
    interacts with a 3D computer generated immersive virtual environment
    which contains varied objects, images, colors, and sounds.
    Id. col.7 ll.55-67, col.10 ll.50-53 (emphasis added).
    17
    Following the discussion of the “Objects and Advantages” of the virtual therapy
    methods, the specification explains:
    Virtual therapy is primarily a psychotherapeutic, psychiatric, medical,
    educational, and self-help invention for prevention and treatment of
    psychiatric disorders and for problems not otherwise specified in
    psychological assessment and diagnostic literature. The process is
    comprehensive and takes place during immersion in fully interactive three-
    dimensional virtual reality environments utilizing computer generated
    graphics, images imported from photographs, and video for sensory
    stimulation.
    Id. col.12 ll.39-48 (emphasis added).
    The three-dimensional and immersive nature of plaintiff’s invention is also
    highlighted in the section of the specification describing the invention’s preferred
    embodiment. That section describes a computer system equipped with a “digital storage
    medium . . . capable of storing electronic instructions for running fully interactive,
    immersive, three-dimensional graphics on [a computer unit.]” Id. col.14 ll.61-66
    (emphasis added). When detailing how plaintiff’s method is used to treat different
    disorders, the ’764 patent states:
    Since virtual therapy provides a finally interactive, three-dimensional,
    immersive experience under the control of the patient, it is considered the
    best psychological strategy to reduce anxiety. The treatment uses learning,
    termed habituation, to instill self-efficacy and create opportunity for
    mastery experiences. Rather than relying upon distraction to reduce
    emotional distress, the clinician guides the patient through the virtual
    environment, providing adaptive thinking and emotional management
    strategies when the patient engages in distorted thinking and behavior based
    upon failure beliefs.
    Id. col.18 ll.35-45 (emphasis added); see also id. col.25 ll.4-8 (“The process is
    comprehensive and takes place during immersion in fully interactive three-dimensional
    18
    virtual reality environments utilizing computer generated graphics, images imported from
    photographs, and video for sensory stimulation.” (emphasis added)). Finally, in
    discussing the “Summary, Ramifications, and Scope” of the invention, the ’764 patent
    states:
    The reader will thus see that I have presented a particularly simple method
    for treating psychological, psychiatric, medical, and self-help conditions in
    human patients using virtual reality technology. The method uses three-
    dimensional, fully interactive, sensory inputs which makes the assessment,
    diagnosis, and treatment procedures easy to initiate and complete. The
    method of Virtual Therapy is less costly and less time consuming than other
    forms of standard-of-care treatments.
    Id. col.26 ll.32-40 (emphasis added). This section of the specification goes on to
    distinguish plaintiff’s invention from “other forms” of treatment that involve two-
    dimensional scenes:
    Compared to traditional talk therapy, computer generated Virtual Therapy
    provides patients with rapid relief from painful emotional states and
    elimination of avoidance associated with acrophobia, and other psychiatric
    and medical conditions. Other forms of treatment require patients to
    imagine a desired behavior or view two-dimensional computer generated
    scenes while using a keyboard or mouse. These treatments are not truly
    interactive. They are weak and require longer periods of treatment when
    compared to fully interactive Virtual Therapy interventions using
    environments that are under the control of the user.
    Id. col.26 ll.44-54 (emphasis added).
    The specification contains a few references references to two-dimensional
    technologies in connection with immersive environments. When describing the preferred
    embodiment of the virtual reality computer system, the ’764 patent states:
    The method of the invention is also useful in the following areas: . . .
    Assessment, prevention and treatment (including induction states) are
    achieved with visual, auditory, and tactile sensory stimulation with
    19
    assistance of two- and three-dimensional immersion technologies. Such
    technologies can include a wireless cellular phone fitted with a visual
    display; a remote site accessed by means of a television monitor; Internet
    access; wrist, arm, waist, shoulder, neck, and head fitted devices which are
    band programmed for random or systematic stimulation at home, in a car,
    in public transportation, or in public areas which provide access services;
    and a system for projection of images onto walls, ceilings, or floors that
    appear to be three-dimensional and real.
    Id. col.15 ll.42-55 (emphasis added). Similarly, the patent explains that “[a]s
    technological innovations advance . . . , the delivery of this information through visual
    sensory input may take varied forms. . . . Virtual therapy may use video in two
    dimensions or video in three-dimension immersion using a head-mounted display.” Id.
    col.11 ll.51-62.
    Both parties argue based on all of the above-quoted language that their respective
    constructions are supported. After consideration of the parties’ arguments, the court
    adopts plaintiff’s construction of this term. For the reasons stated below, the court
    concludes that construing “interactive virtual reality environment” as a “computer
    generated three-dimensional immersive environment” most “naturally aligns with the
    patent’s description of the invention.” Phillips, 415 F.3d at 1316 (quotation omitted).
    As shown above, the specification repeatedly describes plaintiff’s virtual therapy
    methods by referring to their three-dimensional and immersive character. For example,
    in outlining the objects and advantages of the VRIT method, the specification describes
    the invention as “a new form of treatment that occurs when the patient interacts with a 3D
    computer generated immersive virtual environment.” ’764 patent col.10 ll.50-54. When
    disclosing examples of how virtual therapy can be used to treat different disorders, the
    20
    ’764 patent states, “Since virtual therapy provides a finally interactive, three-dimensional,
    immersive experience under the control of the patient, it is considered the best
    psychological strategy to reduce anxiety.” Id. col.18 ll.35-38 (emphasis added). In light
    of these and other consistent descriptions of “virtual therapy” or “virtual environments”
    as “three dimensional” and “immersive,” the court construes “interactive virtual reality
    environment” to include only “three dimensional” and “immersive” environments. See
    In re Abbott Diabetes Care Inc., 
    696 F.3d 1142
    , 1150 (Fed. Cir. 2012) (finding that, even
    where a patent did not expressly limit a claim term, the specification’s particular
    “repeated[], consistent[], and exclusive[]” description of the invention was enough to
    limit the claim term) (quotation omitted).
    The court recognizes, as the government argues, that “virtual reality” is described
    in the specification as a “computer-generated environment”:
    The term “virtual reality” has been used to describe a computer-generated
    environment. When viewed with goggles or head-mounted display, it
    provides the user with a three-dimensional, fully interactive experience. . . .
    The technology used to produce virtual reality consists of a graphics-
    generating computer, a head-mounted-display with a tracking device, a
    hand-held grip, and other sensory input devices. Various products may be
    used to achieve the experience of virtual reality.
    ’764 patent col.4 ll.13-29. However, here, when read in the context of the rest of the
    specification, it is clear that plaintiff did not intend to define “interactive virtual reality
    environment” so broadly, and instead focused on a three-dimensional, immersive “virtual
    reality.”
    Similarly, the court is not persuaded that the language in the specification referring
    to “two-[dimensional] . . . immersion technologies” dictates that the virtual reality
    21
    environment itself encompasses two-dimensional computer generated environments.
    ’764 patent col.15 ll.42-55. While the specification acknowledges that a virtual reality
    environment may be created using two-dimensional technologies, the specification, as
    discussed above, repeatedly uses “three-dimensional” and “immersive” when describing
    the virtual environments or therapy methods taught by the patent. Moreover, the ’764
    patent expressly distinguishes its three-dimensional, immersive virtual reality therapy
    methods from other forms of treatment that use two-dimensional environments. In this
    case, the specification states:
    Compared to traditional talk therapy, computer generated Virtual Therapy
    provides patients with rapid relief from painful emotional states and
    elimination of avoidance associated with acrophobia, and other psychiatric
    and medical conditions. Other forms of treatment require patients to
    imagine a desired behavior or view two-dimensional computer generated
    scenes while using a keyboard or mouse. These treatments are not truly
    interactive. They are weak and require longer periods of treatment when
    compared to fully interactive Virtual Therapy interventions using
    environments that are under the control of the user.
    ’764 patent col.26 ll.44-54 (emphasis added). The specification therefore demonstrates
    an intent to exclude two-dimensional computer generated scenes from the scope of
    plaintiff’s invention. “Where the specification makes clear that the invention does not
    include a particular feature, that feature is deemed to be outside the reach of the claims of
    the patent, even though the language of the claims, read without reference to the
    specification, might be considered broad enough to encompass the feature in question.”
    SciMed Life Sys., Inc. v. Advanced Cardiovascular Sys., Inc., 
    242 F.3d 1337
    , 1341 (Fed.
    Cir. 2001). Contrary to the government’s contentions, the description of the invention in
    the specification reveals that a “three dimensional” and “immersive” virtual reality
    22
    environment is not simply “preferred,” but is instead part of the method invented by
    plaintiff. Accordingly, the court adopts the plaintiff’s construction and construes
    “interactive virtual reality environment” as: “a computer generated three-dimensional
    immersive environment that allows movement and navigation.”
    B.      “technology unit”
    The parties next dispute whether the term “technology unit” means either (1) “a
    set of equipment and personnel comprising a computer unit, movement and navigation
    device, and a display which is either head-mounted or a screen,” as plaintiff argues, or (2)
    “a set of equipment”—and not personnel—“comprising a computer unit, hand-held grip,
    and a display which is either head-mounted or a screen,” as the government contends. 9
    The primary disagreement here concerns whether a clinician or other “personnel”
    is part of the “technology unit” used in the patent’s VRIT methods. This dispute reflects,
    9
    The parties’ main disagreement concerning “technology unit” focuses on whether a
    “technology unit” includes personnel. This primary dispute is resolved above. The parties’
    secondary dispute involves whether the “technology unit” is comprised of a “hand held grip” or
    more generally, a “movement and navigation device,” as plaintiff contends. This dispute arose
    after the parties submitted their briefs on claim construction, and appears for the first time in the
    parties’ revised joint claim construction statement.
    The court has received no guidance from the parties as to this new dispute. Plaintiff previously
    defined “technology unit” in his briefs to include a “hand held grip” rather than a “movement
    and navigation device.” However, while the patent’s preferred embodiment of a virtual reality
    computer system includes a “hand held grip,” the court sees no reason to limit the term to
    specifically include a “hand held grip” rather than a “movement or navigation device.” Nothing
    in the claims so limits the scope of “technology unit.” In addition, the specification indicates that
    virtual reality immersion is achieved using “[b]ody sensors and devices such as a hand-held grip,
    [which] permit the user to interact with objects and navigate within the virtual reality
    environment.” ’764 patent col.12 ll.53-55 (emphasis added). To narrow “technology unit” to
    specifically include a hand held grip is improper in this case, and the court adopts plaintiff’s
    broader definition regarding this aspect of “technology unit.” See, e.g. Trading Techs., 
    595 F.3d at 1352
     (stating that unless there is a clear intention on the part of a patentee, “courts must not
    import limitations into the claims from the specification”).
    23
    at bottom, the parties’ disagreement over who may “change” the virtual reality
    environment while a patient is using the technology. Under the methods taught by the
    ’764 patent, the “technology unit” changes a virtual reality environment based on the
    “patient[’s]” responses to the environment. Plaintiff does not dispute that, using his
    methods, the patient may directly change the virtual reality environment through an input
    device connected to the “technology unit.” However, plaintiff argues that, under his
    methods, the clinician or other “personnel” may also change the virtual reality
    environment in response to the patient’s reactions because the clinician is also part of the
    “technology unit.” Plaintiff therefore asserts that “technology unit” includes “personnel.”
    The government argues that, under the patent, the patient alone is responsible for
    changing the virtual reality environment during immersion, and thus the term “personnel”
    must be excluded from the construction of “technology unit.” The court must therefore
    determine whether the claims or the specification demonstrate that “technology unit”
    includes a human being.
    The term “technology unit” does not reference a human being in the claims
    themselves. The claims describe several different components of the technology unit.
    Claim 1 discloses that the technology unit “is arranged to display to [a] human patient a
    plurality of virtual reality environments,” has “an input for receiving feedback
    responses,” and is loaded with “electronic instructions.” Claims 19 and 23 similarly
    describe the technology unit as “equipped with a display means” and “equipped with an
    input means,” and that an “encoded set of electronic instructions” is “load[ed] . . . into
    said virtual reality technology unit.” Claims 1, 19, and 23 also disclose that, under
    24
    plaintiff’s method, the patient is instructed “how and when to use said virtual reality
    technology unit.” Finally, Claim 26 discloses that the technology unit is “equipped with
    the following: (1) a display means for displaying a virtual reality environment; (2) an
    input means for receiving responses to said virtual reality environment from said human
    patient; and (3) a scoring means for quantitatively analyzing said psychological,
    psychiatric, or medical condition of said patient.” Nothing in the claims associates a
    clinician or “personnel” with the technology unit.
    The only use of the term “technology unit” outside of the claims occurs in the
    Abstract:
    A method of treating a psychological, psychiatric, or medical condition by . . .
    loading electronic instructions into a virtual reality technology unit (10, 22)
    equipped with a display (14, 40) for displaying the virtual reality environment and
    with a patient input device (14, 22, 32) for receiving responses to the environment
    from the patient, and instructing the human patient how and when to use the
    virtual reality technology unit to interact with the environment. . . . The
    environment can be used in conjunction with a physical parameter measuring
    device (36) connected to the virtual reality technology unit (10).
    Like the claims, the Abstract does not list the clinician or other personnel as one of the
    components of the technology unit.
    Instead, reference numbers 10 and 22 in the Abstract correspond to certain types
    of equipment in Figure 1 of the patent, which is described alternatively by the
    specification as “a block diagram of a virtual reality computer system employed in the
    method according to the invention,” ’764 patent col.13 ll.35-36, and “a block diagram of
    a preferred embodiment of a computer unit 10 equipped with peripheral technology
    supporting the production of virtual reality environments for viewing and interaction by
    25
    the user.” 
    Id.
     col.14 ll.15-18 (emphasis added). Reference number 10 in Figure 1 is
    labeled “computer,” and reference number 22 is labeled “hand held grip.” 
    Id.
     fig. 1.
    Figure 1 also contains a keyboard, a mouse, fast graphic chips, a digital storage medium,
    a monitor, a recording device, a physical parameter measuring device, tracking sensors, a
    speaker, a head mounted display, and a tower. 
    Id.
     Figure 1 does not contain a human
    component.
    The “Preferred Embodiment” section of the specification describes in detail the
    computer system and peripheral technology found in Figure 1. Following this thorough
    description, the specification finally mentions the clinician in connection with monitoring
    the patient:
    The block diagram in FIG. 1 shows a particularly convenient embodiment
    for implementing the diagnosis and treatment method. Virtual reality
    computer unit 10, head-mounted display 14, hand-held grip 22 are linked
    together and produce an output shown on a video display monitor 40. The
    clinician performs on-going assessment of the patient by observing
    reactions to the virtual environment. The patient’s location within the
    virtual environment is continuously shown to the clinician on monitor 40.
    This information permits the clinician to make diagnoses and strategic
    interventions as needed.
    …
    A physical parameter measuring device 36, e.g., a heart rate and blood
    pressure sleeve connected to a recording device 38, is used to monitor
    patient physiological responses during treatment. The choice of the
    measuring device and recording device is made by the therapist or
    physician, depending on other hardware intended for patient treatment in
    virtual reality or virtual therapy environments.
    
    Id.
     col.15 ll.1-30 (emphasis added). According to the specification, therefore, the
    clinician “observes” the patient’s reactions to the virtual environment, “make[s]
    diagnoses,” and chooses the appropriate measuring device for treatment.
    26
    The specification contains several other references to the clinician. In discussing
    how the VRIT methods may be used to treat anxiety disorders, the specification states:
    The clinician diagnoses the patient with an anxiety disorder . . . . By
    following a similar process indicated in FIG. 2, specifically according to
    the flow chart in FIG. 4, the clinician recommends graded exposure in a
    virtual environment. . . . Rather than relying upon distraction to reduce
    emotional distress, the clinician guides the patient through the virtual
    environment, providing adaptive thinking and emotional management
    strategies when the patient engages in distorted thinking and behavior based
    upon failure beliefs.
    
    Id.
     col.18 ll.24-45 (emphasis added). Similarly, in the portion of the specification
    discussing how plaintiff’s methods may be used to treat other medical conditions, the
    clinician’s role is described as follows:
    The clinician determines, according to the flow chart in FIG. 9, that
    exposure targeting a medical condition is the best strategy to modify
    neurological processes, mood, physiological conditions related to stress,
    healing from surgery and psychiatric hospitalization. . . . For example, users
    of a virtual environment fitness step-machine may achieve confidence to
    alter the virtual environment with exercise. A sense of climbing can be
    enhanced with scenes depicting arrivals at scenic viewpoints. Verbal cues
    reminding the user to look at the environment, enjoy the scenes, and
    appreciate the moment, are avenues for making positive cognitive shifts.
    
    Id.
     col.25 ll.29-45 (emphasis added). The specification further describes clinician verbal
    cues in the following way:
    The events that occur during immersion into a computer-generated
    environment stimulate memory. Some pertain to undesirable experiences. A
    sense of threat could unfold from memory, exposure, or both. These occur
    in the same context that also promotes healing. Exposure to phobic stimuli
    is known to provoke situational-bound anxiety or panic. The rapid onset of
    distress appears spontaneous. Therapeutic interventions provided at these
    critical moments can alter patient dysphoria: “Breathe deeply. Stay there
    long enough to realize you are okay. Look around. You did this
    successfully a few minutes ago. You can do it again. You are safe. You are
    27
    capable. You’re doing it.” Patients achieve mastery experiences in this
    way, and their confidence grows.
    
    Id.
     col.9 ll.34-46 (emphasis added).      These descriptions suggest that the clinician’s
    involvement during patient immersion in a virtual environment is limited to providing
    verbal guidance and reassurance.
    Based on the above cited language, the court agrees that the clinician plays a role
    in the treatment method taught by the ’764 patent. However, after consideration of the
    parties’ arguments and a review of the patent’s claims and the specification, the court
    concludes for the reasons that follow that “technology unit” as used by the ’764 patent
    does not include “personnel.”
    First, the claims themselves describe the “technology unit” as containing only
    electronic components, functions, or characteristics. The technology unit is “arranged to
    display” a virtual reality environment, is loaded with “electronic instructions,” and is
    “equipped” with a “display means” and an “input means.” These descriptions suggest
    that the term “technology unit” is limited to equipment. Furthermore, the claims’
    treatment methods require “instructing said human patient how and when to use said
    virtual reality technology unit.” That the fact that the patient is provided with and
    instructed how to use the technology unit further suggests that the patient uses the
    technology unit without the assistance of “personnel.”
    Second, the Abstract, Figure 1, and specification of the patent also support the
    government’s construction. The Abstract thoroughly describes the different types of
    equipment that comprise the “technology unit,” but does not include or mention the
    28
    clinician or “personnel.” Indeed, Figure 1 does not include any reference to a human
    component of the “technology unit.” Likewise, the specification’s description of the
    technology unit does not include the clinician or other personnel. While the specification
    does reserve a role for the clinician, this role is limited to assessing the patient, choosing
    an appropriate virtual reality environment for the patient, measuring the patient’s
    responses, and being on hand to guide the patient through the environment. The
    specification does not describe a single situation where the clinician is in control of the
    virtual environment. To the contrary, the specification includes many examples of the
    patient controlling the virtual reality environment. For example, in the specification,
    plaintiff’s treatment method is described as an “interactive, three-dimensional, immersive
    experience under the control of the patient.” 
    Id.
     col.18 ll.35-38 (emphasis added). The
    specification further describes patient control as an integral part of plaintiff’s methods:
    Virtual Therapy is a new form of treatment that occurs when the patient
    interacts with a 3D computer generated immersive virtual environment
    which contains varied objects, images, colors, and sounds. A hand-held
    grip with buttons allows the patient to move forward with a sensation of
    walking of flying. It will also permit vertical upward or downward
    movement. The patient can change the environment by moving, adding,
    removing, enlarging, subtracting, and multiplying the number of objects
    present. For example, the patient may choose to pick up a chair and move
    it to another side of the room; turn on a fan; turn the room lights on or off;
    open a door; add a lamp to a table; drop an object that sounds as if it is
    breaking. and so on. Collectively, these movements provide therapeutic
    advantages over other forms of treatment because the patient, then and
    there, can rehearse and practice tasks previously consider overwhelming, in
    a safe virtual environment.
    
    Id.
     col.10 ll.50-67.
    29
    In addition, the specification discloses that “patient control” is superior to active
    clinician involvement. Virtual therapy is expressly defined in the specification as “a form
    of treatment that provides exposure under the control of the patient. Previous exposure
    methods brought the patient into contact with reality in the presence of a clinical
    practitioner.” 
    Id.
     col.9 ll.63-66 (emphasis added). In describing the objects and
    advantages of the invention, the patent further states:
    Standard forms of psychotherapy utilize face-to-face visits with a clinician
    (therapist), group therapy, psycho-educational workshops (classes), and
    medications (which is an invasive procedure). Virtual Therapy does
    involve a therapist. But the treatment takes place in a virtual environment
    where the patient has the opportunity to face challenges and struggles by
    visual and auditory immersion. Virtual encounters permit the patient to
    rapidly confront and resolve problems resulting in anxiety, panic, phobias,
    depression, and chemical dependency.
    …
    In Virtual Therapy, the patient interacts with the technology and virtual
    environment. The patient influences the environment and is influenced by
    it. Thus, transference to the therapist is eliminated because the patient's
    focus is absorbed by interactions with the virtual environment.
    …
    The personality of the therapist is less important with this form of treatment
    than others because the patient interacts with the technology to receive
    corrective experiences. It eliminates arguments about the nature of the cure
    because it is less the therapist and more the quality of the virtual
    environment interaction that leads to patient health.
    
    Id.
     col.10 ll.6-25, col.11 ll.10-19. Although the court must be cautious not to improperly
    limit claim terms by the embodiments described in the specification, see, e.g., Trading
    Techs., 
    595 F.3d at 1352
    , here, the consistent references to patient control as superior to
    clinician involvement displays a clear intent on the part of the patentee to place the
    patient, not the clinician, in control of the virtual environment, and to exclude the
    30
    clinician or other personnel as part of the technology unit which the patient uses and
    controls.
    For all of these reasons, the court finds that the term “technology unit” does not
    include human “personnel.” The court therefore construes “technology unit” as: “a set
    of equipment comprising a computer unit, movement and navigation device, and a
    display which is either head-mounted or a screen.”
    C.     “plurality of virtual reality environments”
    The disagreement over the claim term “plurality of virtual reality environments”
    specifically involves the word “environments.” Plaintiff urges the court to construe this
    term as: “two or more virtual environments, which may be merely modified forms of a
    single general environment.” The government urges adoption of a simpler construction:
    “two or more virtual environments.” The government argues that a “virtual reality
    environment” is a single virtual world that corresponds to a particular treatment strategy,
    and that a “plurality of virtual reality environments” means more than one such virtual
    world. Plaintiff agrees, but adds that “plurality of virtual reality environments” must also
    mean the changing scenes of a single virtual world.
    Claim 1 is the only claim that uses this disputed term. As discussed supra, Claim
    1 teaches:
    1. A method for treating a psychological, psychiatric, or medical condition
    in a human patient, comprising:
    (a) choosing a psychological strategy for treating said psychological,
    psychiatric, or medical condition;
    (b) providing an interactive virtual reality environment;
    31
    (1) said interactive virtual reality environment comprising a
    technology unit arranged to display to said human patient
    a plurality of virtual reality environments;
    (2) said technology unit having an input for receiving
    feedback responses to said interactive virtual reality
    environment from said human patient;
    (3) said technology unit arranged to change said virtual reality
    environment in response to said feedback responses from
    said human patient;
    (c) selecting said virtual reality environment to correspond to said
    psychological strategy;
    (d) encoding electronic instructions for said interactive virtual reality
    environment;
    (e) loading said electronic [instructions] into said virtual reality
    technology unit; and
    (f) instructing said human patient how and when to use said virtual
    reality technology unit so as to experience said interactive virtual
    reality environment and how and when to provide feedback
    responses to said technology unit for changing said virtual reality
    environment so as to treat said psychological, psychiatric, or
    medical condition.
    ’764 patent, Claim 1 (both singular and plural of disputed claim term underlined). The
    disputed claim term is mentioned in the context of the “technology unit,” which is
    arranged to provide “a plurality of virtual reality environments.” Claim 1 uses the
    singular “virtual reality environment” to correspond to a virtual world chosen for a
    particular treatment strategy, which can be experienced and modified by the patient.
    Not surprisingly, the specification contains many references to both the singular
    “virtual environment” and the plural “virtual environments.” In describing the preferred
    embodiment of the virtual reality therapy unit, the specification states:
    A standard monitor 30, keyboard 32, and mouse 34 are used to ready
    computer 10 for production and display of virtual reality graphics. When
    computer 10 is ready, a menu showing icons for virtual environments used
    to treat psychiatric and medical conditions appears on monitor screen 30.
    For example, when an icon named “VIRTUAL THERAPY of HEIGHTS”
    32
    is selected, a virtual environment used to treat the psychiatric condition of
    acrophobia appears and can be seen through display 14.
    ’764 patent col. 15 ll.12-22 (emphasis added). In further describing the use of the
    VRIT method for treating acrophobia, the specification states:
    The acrophobia virtual environment contains graphical representations of a
    café with booths, lighting, textured walls, a bar tap or faucet frequently
    associated with the delivery of beer, and a walkway between the booths and
    the bar. A doorway opens to a checkered patio overlooking a bay, hills,
    and bridge. A plank extends toward but does not connect to the bridge.
    The space between the plank and bridge reveal a checkered floor beneath.
    Id. col. 17 ll.33-40 (emphasis added). Similarly, when describing how virtual therapy
    methods are used to treat different specific disorders, the specification repeatedly uses the
    singular “environment,” rather than “environments” to describe the changing virtual
    world with which the patient interacts:
    Next a virtual environment (“ve”) is created for the patient and virtual
    therapy (“vt”) is begun[.]
    …
    The clinician recommends graded exposure in a virtual environment [for
    the treatment of anxiety disorders.]
    …
    [T]he clinician guides the patient through the virtual environment.
    Id. col.16 ll.58-59, col.18 ll.32-35, 41-45.
    After consideration of the parties’ arguments, the claims, and the specification, the
    court adopts the government’s construction of this term. There is no dispute, in this case,
    that “plurality” means “two or more.” Rather, the parties disagree as to whether the
    scope of “environments” should, as plaintiff suggests, include modified forms of a single
    virtual environment, rather than simply two or more distinct virtual worlds.
    33
    Turning first to Claim 1, the use of the singular “virtual reality environment” in
    that claim indicates that a “virtual reality environment” is a single virtual world, selected
    to correspond to a particular treatment strategy or disorder, which a patient then
    experiences and changes during the course of treatment. Claim 1, section (c) discloses
    the step “selecting said virtual reality environment to correspond to said psychological
    strategy.” Claim 1, section (f) involves instructing a patient how to use the technology
    unit “to experience said interactive virtual reality environment” and how to provide
    feedback to the technology unit to “chang[e] said virtual reality environment.” Tellingly,
    under Claim 1, section (f), the patient does not experience or change “a plurality of
    virtual reality environments” when immersed in the chosen virtual world. Rather, the
    claim teaches that the patient experiences and changes the singular “virtual reality
    environment.” The use of the singular “environment” in this step in particular suggests
    that the term “plurality of virtual reality environments” does not include the modified
    forms of one virtual world.
    In addition, nothing in the claims indicates that the term “plurality of virtual reality
    environments” should be given a different construction than simply “two or more” of the
    singular “virtual reality environment.” Indeed, as noted above, in the absence of any
    contrary indication, the term “virtual reality environment” should be construed to have
    the same meaning each time it is used in the claims. See Paragon Solutions, 
    566 F.3d at 1087
     (Fed. Cir. 2009) (quotation and citations omitted). To define “environments” as
    plaintiff asks confuses the distinction between the plural and singular version of this term
    and does not logically follow from the use of singular term in the claim. See August
    34
    Tech. Corp. v. Camtek, Ltd., 
    655 F.3d 1278
    , 1284 (Fed. Cir. 2011) (distinguishing claim
    terms “a wafer” and “a plurality of known good quality wafers”).
    Moreover, the government’s construction is supported by the specification, which,
    as described above, uses the term “environment” to correspond to different treatment
    regimens. For example, in describing the café, patio, plank, and bridge scenery used to
    treat acrophobia, the specification uses the singular umbrella term “acrophobia virtual
    environment.” ’764 patent col.17 l.33. This is consistent with the use of the singular in
    the claims to correspond to a type of treatment strategy, and suggests that the singular
    term “virtual environment” encompasses the many scenes of that environment that may
    be changed by the user.
    Further, as noted above, Claim 1 uses the term “plurality of virtual reality
    environments” to further describe the technology unit. The preferred embodiment of the
    technology unit describes a monitor that displays a menu of treatment icons representing
    different “virtual reality environments” that a user may select depending on what disorder
    he or she wants to treat. 
    Id.
     col. 15 ll.12-22. This description readily matches Claim 1’s
    characterization of the technology unit, which describes the technology unit as being
    arranged to display a “plurality of virtual reality environments.” The preferred
    embodiment, in line with the claims, suggests that “plurality of virtual reality
    environments” means two or more virtual worlds that a user may select based on an
    underlying disorder.
    Plaintiff’s construction, in contrast, would use the term “virtual reality
    environments” to describe the changing scenes of one virtual environment. However, the
    35
    specification often uses the word “scenes,” rather than “environments,” when referring to
    the different graphical images within one virtual reality environment. For example, in
    describing the use of VRIT for anxiety disorders, the specifications states, “User
    reactions to virtual scenes vary. A view of heights from the same vantage point elicits
    fear from some users and detached interest from others.” 
    Id.
     col. 18 ll.64-67. When
    describing the use of VRIT for medical conditions, the specification states, “A sense of
    climbing can be enhanced with scenes depicting arrivals at scenic viewpoints. Verbal
    cues reminding the user to look at the environment, enjoy the scenes, and appreciate the
    moment, are avenues for making positive cognitive shifts.” 
    Id.
     col.25 ll.39-45. In
    describing an experimental use of virtual reality to treat spider phobia, the specification
    explains, “A patient was exposed to virtual spider scenes over 12 weeks with each
    session lasting a total of 50 minutes.” 
    Id.
     col.5 ll.19-21.
    The specification does not expressly define “scenes” to mean the modified forms
    of a single virtual environment. However, the specification’s use of “scenes” to describe
    a changing virtual environment coupled with the specification’s repeated use of the
    singular “virtual reality environment” to describe a distinct virtual world supports the
    government’s construction of this claim term. As noted above, an intention cannot be
    found in either the claims or in the specification to suggest that “plurality of virtual
    reality environments” should be construed to mean something different than simply “two
    or more” of the singular “virtual reality environment.” 10 For all of these reasons, the
    10
    Plaintiff also argues that he drafted the ’764 patent by modifying the claim terms found in an
    application related to a different patent, 
    U.S. Patent No. 5,678,571
     (filed May 23, 1994) (“Brown
    36
    court adopts the government’s proposed construction and construes “plurality of virtual
    reality environments” as: “two or more virtual environments.”
    D.      “feedback responses from said human patient”
    It is undisputed that, as used in the claims of the ’764 patent, the term “feedback
    responses from said human patient” describes reactions by the patient to the virtual
    environment that are communicated to the technology unit through an input device. For
    example, Claim 1, section (b), adding description to the technology unit, discloses: “(2)
    said technology unit having an input for receiving feedback responses to said interactive
    virtual reality environment from said human patient (3) said technology unit arranged to
    change said virtual reality environment in response to said feedback responses from said
    human patient.”
    The difference in the parties’ construction of the term “feedback responses from
    said human patient” is based on the parties’ disagreement over the construction of the
    patent”). Pl.’s Reply at 7. The Brown patent uses multiple video games programmed into a
    hand-held computer system for treating medical conditions. Because, plaintiff argues, the Brown
    patent is a “very different invention,” the court should construe the term “virtual reality
    environment” as distinct from the different games claimed in that different invention.
    The court rejects this argument. The ’764 patent does not expressly disclaim any definition or
    any claim term used in this different patent. While prior art cited by a patentee can guide the
    court as to the proper construction of that term, see, e.g., V-Formation, Inc. v. Benetton Grp.
    SpA, 
    401 F.3d 1307
    , 1311 (Fed. Cir. 2005), here, plaintiff asks to interpret this claim term based
    on a different term used in a different patent. The court declines to do so, or to consider this
    aspect of plaintiff’s argument. In fact, plaintiff’s patent does not cite to the Brown patent. And,
    as noted, the ’764 patent does not indicate that “plurality of virtual reality environments” should
    be given a different meaning than “two or more” of the singular “virtual reality environment,”
    which the patent describes as one virtual world linked to a disorder or treatment strategy.
    37
    term “technology unit.” 11 In particular, plaintiff’s construction of this term defines the
    technology unit as including both a computer system and a clinician. Plaintiff construes
    “feedback responses from said human patient” as “the return to the technology unit
    (clinician or computer) of user reaction to all or part of the interactive virtual reality
    environment” (emphasis added). Having found that “technology unit” excludes a
    clinician or other personnel, the court adopts the government’s construction of this term
    and construes “feedback responses from said human patient” as: “the return to the
    technology unit from an input device caused by the user’s reaction to the virtual reality
    environment.”
    E.      “input” and “input means”
    The parties next dispute whether the terms “input” or “input means” 12 in the ’764
    patent include only “electronic signals or information provided from an input device,
    display, or keyboard by the patient,” as the government contends, or more broadly
    include “verbal, physical, or electronic signals or information provided from the patient,”
    as the plaintiff argues. To the extent that the parties’ dispute depends on whether the
    clinician is part of the technology unit, this dispute is resolved above. However, the court
    11
    The parties also disagree as to whether the patient’s reaction must be “to the virtual reality
    environment” or “to all or a part of the interactive virtual reality environment.” The parties
    provide no arguments in regard to this difference in construction, and the court sees no reason to
    depart from the government’s more simple construction of this term.
    12
    Although “input means” evokes a “means plus function clause,” 
    35 U.S.C. § 112
     ¶ 6 (2006),
    neither party contends that “input means” is different in scope than “input.” Accordingly, the
    court treats these terms as being identical for purposes of claim construction.
    38
    finds that the intrinsic evidence also otherwise supports the government’s construction of
    this term.
    The claims disclose that the technology unit is equipped with an “input means”
    that receives responses from the human patient made in reaction to the virtual reality
    environment. For example, Claim 19 discloses that the technology unit is “equipped with
    an input means for receiving responses to said interactive virtual reality environment
    from said human patient.” Similarly, Claim 1 discloses that the technology unit has “an
    input for receiving feedback responses to said interactive virtual reality environment from
    said human patient.” The claims provide no further limitations or descriptions of “input”
    or “input means.”
    The specification uses the term “input” in several ways. First, in describing the
    virtual therapy method, the specification states:
    The term Virtual Therapy was introduced by Lamson (1993) and is used to
    define a process that occurs when patients are visually immersed in a
    virtual environment. . . . Auditory and tactile sensory inputs may be
    included to enhance a user’s sense of reality during immersion. In the case
    of phobias, psychological distress is maintained by beliefs, appraisal of
    threat, anxiety, and situational avoidance. Healing occurs when users
    develop thinking strategies that result in reduction of distress, increased
    confidence, and approach behavior.
    ’764 patent col.7 ll.55-64 (emphasis added); see also 
    id.
     col.8 ll.10-12 (“Exposure to
    visual, auditory, and tactile sensory inputs in the virtual environment are under the
    control of the user or patient.”); 
    id.
     col.26 ll.35-38 (“The method uses three-dimensional,
    fully interactive, sensory inputs which makes the assessment, diagnosis, and treatment
    procedures easy to initiate and complete.” (emphasis added)). The court agrees with the
    39
    government that the use of “input” in this manner refers to the stimulation provided by
    the virtual reality environment to the user, not the input to the technology unit of the
    user’s reactions to the virtual environment. As such, this reference cannot support
    plaintiff’s construction of this term. 13
    The patent also uses “input” to refer to a part of the technology unit—the “input
    device.” The Abstract and specification reference only electronic components—i.e., “a
    hand-held grip, joystick, mouse, button, trigger, or the like, or a combination of these
    devices,” 
    id.
     col.14 ll.45-47—when discussing “input device.” These descriptions
    confirm that that the term “input” or “input means” is limited to only electronic signals
    concerning the patient’s response to the virtual reality environment. As discussed in
    length above, this conclusion is consistent with the court’s construction of “technology
    unit” as excluding a human, such as a clinician. For these reasons, the court adopts the
    government’s more limited construction of “input” or “input means” and construes these
    terms as: “electronic signals or information provided from an input device, display or
    13
    Plaintiff also suggests that “input” could include physical signals because the specification
    describes a patient, in reaction to a virtual environment, “squatting close to the floor while
    extending the arms and hands to prevent falling.” ’764 patent col.18 ll.55-60. Plaintiff argues
    that this description logically demonstrates that the clinician would then serve as the “input
    device” that could modify the virtual reality environment based on this reaction. However,
    because the court holds supra that the “technology unit” does not include the clinician, the court
    rejects this argument. In addition, the court notes that such a construction conflates the patient’s
    responses with “inputs” into the technology unit. Because the claims use “input” and
    “responses” from the human patient distinctly, such a construction is improper. See Z4 Techs.,
    Inc. v. Microsoft Corp., 
    507 F.3d 1340
    , 1348 (Fed. Cir. 2007) (holding that where “the written
    description [in the claims and specification] makes clear that” two claim terms are distinct and
    used to describe different things, those claim terms should be given different meanings).
    40
    keyboard by the patient concerning the patient’s response to the virtual reality
    environment.”
    F.     “change said virtual reality environment”
    The disputed term “change said virtual reality environment” is only found in
    Claim 1. Claim 1 uses this disputed term to describe the technology unit as follows:
    “said technology unit arranged to change said virtual reality environment in response to
    said feedback responses from said human patient” (emphasis added). It is undisputed in
    the parties’ respective constructions that the “technology unit” is responsible for
    changing the virtual reality environment based on the feedback responses from the
    patient. In addition, both parties agree that the “computer” portion of the technology unit
    may modify the virtual reality environment.
    However, the parties disagree as to whether only the computer may change the
    virtual reality environment, as the government argues, or whether a clinician, by
    operating the computer, may also modify the virtual reality environment, as plaintiff
    contends. As the parties indicate in their briefing, this dispute is resolved by the court’s
    construction of the term “technology unit” to exclude a clinician. For the reasons
    discussed above, therefore, the court adopts the government’s construction of this term
    and construes “change said virtual reality environment” as: “the computer generates
    changes to the existing virtual reality environment, which changes can be viewed on the
    screen or display.”
    41
    G.      “providing a plurality of sets of instructions or steps for treating said
    psychological, psychiatric, or medical condition” 14
    The parties’ disagreement concerning the final disputed term, “providing a
    plurality of sets of instructions or steps for treating said psychological, psychiatric, or
    medical condition,” concerns who or what may be “provided” the sets of instructions or
    steps under that term. Plaintiff construes the term to mean: “giving the clinician,
    technology unit and/or patient multiple lists of instructions or steps for the technology
    unit, clinician, and/or patient to execute in order to obtain treatment for a particular
    psychological, psychiatric, or medical condition.” The government argues that only the
    patient may receive and execute the multiple lists of instructions or steps to obtain
    treatment.
    This disputed term is found in section (a) of independent Claim 19 of the patent-
    in-suit, and encompasses one of the steps in the method taught by that claim:
    19. A method of treating a psychological, psychiatric, or medical condition in a
    human patient comprising:
    (a) providing a plurality of sets of instructions or steps for treating
    said psychological, psychiatric, or medical condition;
    (b) choosing one of said sets of instructions or steps which is
    appropriate for treating said psychological, psychiatric, or
    medical condition of said human patient;
    (c) providing a virtual reality technology unit arranged to provide an
    interactive virtual reality environment;
    (1) said virtual reality [] technology unit being equipped with
    a display means;
    (2) said virtual reality technology unit also being equipped
    with an input means for receiving responses to said
    14
    As noted above, the parties also disagree as to the construction of “providing a plurality of sets
    of counseling directions for treating said psychological, psychiatric, or medical condition,”
    which is found in Claim 23 of the ’764 patent. The court’s resolution of this claim term will also
    resolve the parties’ dispute in that regard. See supra note 6.
    42
    interactive virtual reality environment from said human
    patient;
    (d) providing a set of encoded electronic instructions for said virtual
    reality environment;
    (e) embedding said one set of instructions or steps in said encoded
    set of electronic instructions for said interactive virtual reality
    environment;
    (f) loading said set of electronic instructions into said virtual reality
    technology unit for displaying said interactive virtual reality
    environment; and
    (g) instructing said human patient how and when to use said virtual
    reality technology unit to display said interactive virtual reality
    environment and how to provide responses to said virtual reality
    environment.
    Nothing in the claim language expressly limits who is provided the sets of
    instructions or steps described in section (a) of Claim 19. However, that claim does
    distinguish between “instructions and steps for [treatment]”, which are chosen to
    correspond to a particular condition under sections (a) and (b), and “electronic
    instructions,” which are loaded into the technology unit under sections (e) and (f).
    Specifically, Claim 19 teaches that the “instructions and steps” for a chosen treatment
    regimen are “embedd[ed]” into “a set of encoded electronic instructions” that are then
    “load[ed]” into the virtual reality technology unit. As such, Claim 19 separately
    describes (1) how the “plurality of sets of instructions and steps” are first received—they
    are “provid[ed]”—and (2) how the “technology unit” receives the “instructions or
    steps”—through “embedding” and “loading.”
    The terms “instructions” and “steps” are used in several ways outside of the ’764
    patent’s claims. The patent’s Abstract states, “The interactive environment contains
    instructions for a scoring procedure for quantitatively analyzing the medical condition of
    43
    the patient, and/or counseling instructions or self-help instructions.” In describing how to
    use the VRIT method, the specification states:
    In addition, the psychological treatment strategies can include methods of
    counseling and self-help instructions. Compact disks (CD) utilizing non-
    immersive interactive exposure to virtual environments may form part of
    the overall treatment strategy. The contents of the CD may include written
    instructions viewed on a monitor or screen, images and objects to enhance
    learning and other forms of sensory input to include sound and touch.
    ’764 patent col.16 l.60-col.17 l.5 (emphasis added). The specification also refers to
    “instructions” to describe the use of the VRIT method in a self-help scenario:
    Moreover, the patient participates actively in the treatment by following
    instructions embedded in the virtual environment or even generating
    positive physiological responses due to stimuli presented in the Virtual
    Therapy application.
    The method of the invention also provides a treatment to which the patient
    can resort as the need arises. The intrinsic fun of a novel, interactive virtual
    environment ensures higher treatment compliance for all patients, and in
    particular, adolescents. The self-help instructions communicated by this
    method can additionally be used induce patients to independently perform
    measurements of physical parameters associated with their psychological,
    psychiatric, or medical condition.
    Id. col.27 ll.14-33 (emphasis added). These passages suggest that some types of
    treatment instructions could be provided only to the patient. However, these references
    do not expressly indicate whether Claim 19 only corresponds to the self-help treatment
    scenario so that Claim 19’s “plurality of sets of instructions or steps” must be provided
    only to the patient.
    The specification also uses the term “therapeutic steps” several times when
    describing how to use plaintiff’s VRIT methods for treating particular disorders. The
    specification often refers to the patent’s figures and tables to describe these “therapeutic
    44
    steps.” See, e.g., id. col.18 ll.34-45 (“The flowchart of FIG. 4 is self-explanatory and
    outlines the therapeutic steps described below.”). For example, Figure 4, labeled as a
    “flow chart showing how a virtual environment is used for treating other anxiety
    disorders according to the invention,” lists steps such as “assess anxiety disorder,”
    “graded exposure,” “situation bound or unexpected panic,” “avoidance, “cognitive
    behavioral, & physiological interactions,” “self-efficacy,” and “[virtual environment]
    mastery experience.” 15 Id. fig. 4. Table 1, labeled “Basic Processes of Virtual Therapy,”
    contains steps such as “Collaborate on virtual therapy goals,” “Discuss principles of
    learning in immersion,” and “Provide mastery experiences by exposure.” Id. col.16 ll.1-
    20. Other tables in the specification provide similar steps depending on the type of
    disorder they address. For example, when discussing adolescent substance use
    prevention, the specification states: “Effective prevention must raise awareness in the
    adolescent by the steps outlined in Table 3.” Id. col.24 ll.26-27. Table 3 describes
    “Virtual Therapy Prevention Strategies” for the prevention of substance abuse, such as
    “develop relationship,” “obtain history of substance abuse and dependency,” “immerse in
    virtual environment,” and “produce opportunities to confront denial and avoidance.” Id.
    col.24 ll.29-46. These tables and figures suggest that the clinician may also receive and
    execute instructions when using plaintiff’s therapy methods.
    15
    The other flowcharts in the patent provide similar steps, depending on the type of disorder they
    address. For example, Figure 7, described as a flowchart “illustrating adolescent substance-use
    prevention strategies in a virtual environment according to the invention,” lists such steps as
    “identify population at risk,” “target risk factors,” “modify drug values,” “protective [virtual
    environment]”. ’764 patent fig. 7.
    45
    After consideration of the parties’ arguments, the claims, and the intrinsic
    evidence, the court adopts neither party’s construction. 16 Rather, the court concludes that
    the “plurality of sets of instructions or steps” may be provided either to the clinician
    and/or the patient for the clinician and/or the patient to execute in order to obtain
    treatment. The court does not include the technology unit in its construction because, as
    discussed above, the court has construed technology unit so as not to include a human.
    Moreover, Claim 19 separately describes how the “technology unit” receives and
    executes the “instructions or steps” for treatment. In particular, the claims disclose that
    the instructions for treatment are “embedd[ed]” into “a set of encoded electronic
    instructions,” and then “load[ed]” into the virtual reality technology unit. In contrast, the
    “instructions and steps” for treatment are simply “provid[ed]” according to the disputed
    claim term. This distinction suggests that the technology unit does not also receive
    treatment instructions under the treatment step described by disputed term. The language
    of Claim 19 thus guides the court to reject plaintiff’s inclusion of “technology unit” in the
    construction this disputed term.
    However, nothing in the claims or specification expressly teaches that the patient,
    but not the clinician, receives the “plurality of sets of instructions or steps” described by
    Claim 19. Some examples in the specification suggest that the clinician may be provided
    the instructions, and will then choose, as Claim 19 discloses, one set of instructions or
    16
    The court is not required to adopt a particular construction of a term, even if the parties have
    stipulated to it, and the court may arrive at its own constructions of claim terms that differ from
    the constructions proposed by the parties. See, e.g., Boston Scientific Corp. v. Mircus Corp., 
    556 F.Supp.2d 1045
    , 1051 (N.D. Cal. 2008) (citing Pfizer, Inc. v. Teva Pharm., USA, Inc., 
    429 F.3d 1364
    , 1376 (Fed. Cir. 2005)).
    46
    steps appropriate for treatment. See, e.g., 
    id.
     col.16 ll.1-21. For example, the
    “therapeutic steps” in Figure 7 include diagnostic steps that the clinician would most
    likely perform, such as “identify population at risk,” as well as steps that the patient may
    receive and perform, such as navigating a “protective virtual environment.” 
    Id.
     fig. 7.
    On the other hand, the self-help scenario described in the specification also teaches that
    plaintiff’s methods could be executed on an entirely self-help basis, which indicates that
    the patient may receive and execute the “plurality of sets of instructions or steps” without
    any clinician involvement. See, e.g., 
    id.
     col.27 ll.26-33.
    To construe the disputed term as the government asks would limit Claim 19 to
    such a self-help scenario, to the exclusion of the specification’s additional descriptions of
    plaintiff’s treatment methods. While it is not necessary that each claim encompass every
    embodiment of an invention described in the specification, Baran v. Med. Device Techs.,
    Inc., 
    616 F.3d 1309
    , 1316 (Fed. Cir. 2010), the intrinsic evidence in this case does not
    convey a clear intent to limit the step taught by the disputed claim term to apply only to
    the self-help embodiment of the VRIT method. Absent such an intent, the court will not
    interpret the disputed claim term in a way that excludes the other disclosed embodiments
    of plaintiff’s invention, where a broad interpretation of the term is consistent with the
    intrinsic record. See Helmsderfer, 
    527 F.3d at 1383
     (“Our case law generally counsels
    against interpreting a claim term in a way that excludes the preferred embodiment from
    the scope of the invention.”). In this case, the specification describes sets of instructions
    47
    and steps that either the plaintiff or the clinician may receive and execute. 17 The court
    therefore adopts a modified version of the parties’ construction of this term, and
    construes “providing a plurality of sets of instructions or steps for treating said
    psychological, psychiatric, or medical condition” as: “giving the clinician and/or patient
    multiple lists of instructions or steps for the clinician and/or patient to execute in order to
    obtain treatment for a particular psychological, psychiatric, or medical condition.” 18
    III.     CONCLUSION
    The following table summarizes the court’s holding for each disputed term.
    Term                                     Court’s Construction
    “interactive virtual reality             A computer generated three-dimensional
    environment”                             immersive environment that allows
    movement and navigation
    “technology unit”                        A set of equipment comprising a computer
    unit, movement and navigation device, and
    a display which is either head-mounted or a
    screen
    “plurality of virtual reality            Two or more virtual environments
    environments”
    “feedback responses from said            The return to the technology unit from an
    human patient”                           input device caused by the user’s reaction
    to the virtual reality environment
    “input” and “input means”                Electronic signals or information provided
    from an input device, display or keyboard
    by the patient concerning the patient’s
    response to the virtual reality environment
    17
    This conclusion does not alter the court’s holding that the clinician is not part of the
    technology unit itself. Rather, as discussed in detail above, under this patent the patient remains
    in control of the virtual reality environment during immersion and may, in fact, utilize the
    patent’s VRIT methods entirely independent of a clinician.
    18
    As noted, Claim 23 contains similar language to Claim 19, replacing “instructions or steps”
    with “counseling directions.” The court’s construction of this term also applies to the
    corresponding disputed term in Claim 23. See supra note 6.
    48
    “change said virtual reality            The computer generates changes to the
    environment”                            existing virtual reality environment, which
    changes can be viewed on the screen or
    display
    “providing a plurality of sets of       Giving the clinician and/or patient multiple
    instructions or steps for treating said lists of instructions or steps for the clinician
    psychological, psychiatric, or          and/or patient to execute in order to obtain
    medical condition”                      treatment for a particular psychological,
    psychiatric, or medical condition
    Discovery in this case has been stayed pending claim construction. The parties
    shall file a joint status report by April 1, 2013, setting forth a schedule for discovery and
    future proceedings in this case. After receipt of the joint status report, the court will
    schedule a joint status conference to set a schedule for further proceedings.
    IT IS SO ORDERED.
    s/Nancy B. Firestone
    NANCY B. FIRESTONE
    Judge
    49