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Remote

by Geoff Mantooth

2003 | Originally published in Fort Worth Business Press

Picture this. A surgeon sits at a video screen intently watching the image, using hand controls to manipulate surgical instruments in a patient’s body. It’s robotic surgery, although not in the sense of a machine doing the thinking. Here, the machine is an extension of the surgeon’s own hands.

Robotic surgery is the centerpiece of an ongoing patent dispute, a dispute that illustrates of how far a patent can cover a certain technology.

Intuitive Surgical is a California company specializing in precision surgical robotics. It makes the da Vinci surgical system, which is an extension of more conventional, and less expensive, endoscopic and laproscopic surgery.

In traditional endoscopic surgery, small incisions are made and a suite of tubes is inserted to perform snipping and other surgical-type procedures. The surgery is less invasive than normal surgery where the incision has to be large in order to accommodate a surgeon’s hands and a sufficiently large field of view. Patients recover faster. Robotic systems, although costing more, offer surgical precision. Little motors precisely and minutely move the surgical instruments, instead of cables and other mechanical links in traditional endoscopic surgery.

Dr. Wilk, a New York surgeon, invented a surgical robotic system and obtained a couple of patents. His company sued Intuitive, as well as a competitor, Computer Motion, maker of a system known as Zeus.

In the Intuitive case, the da Vinci system had just about everything that the patent called for, including an endoscope, a camera on the endoscope to take the video pictures, a wireless transmission system to send and receive signals to and from a remote location (like a video screen), some type of surgical instrument and an actuator to move the instrument inside of the patient.

The dispute centered on just how far away, or how remote, the video screen had to be from the patient. In order to distinguish over traditional endoscopes, where the surgeon is right by the patient, the patent required the video screen to be at “a remote location beyond the range of direct manual contact.”

Now, we live in a society where every time a TV is bought it’s accompanied by a remote. Is it even possible to buy a TV and ask for the model without the remote? TV manufacturers know there’s nothing better than relaxing in an easy chair switching channels between games. It sure beats the old broomstick approach, where you had to have the steady hands of a surgeon to hit the right button with the tip of that stick. Based on this cultural familiarity, one would think that figuring out the meaning of “remote” would be… trivial. But, it takes a patent case to tell us otherwise.

Intuitive took the position that the patent required the surgeon and his instruments to be so remote as to be outside the operating room. The patient obviously stays in the operating room, so remote means separating the surgeon from the patient by a wall or something. The patent owner said that’s way too remote; the patent only talks about beyond arm’s length. Naturally, this definition neatly fits the da Vinci system, while Intuitive’s definition neatly excludes the da Vinci system from the patent.

You have to hand it to Intuitive. Despite our common practice of using remotes in the same room as the TV, it convinced a federal judge that its definition was correct; the surgeon needed to be outside of the room. Unfortunately for Intuitive, the three appellate judges who reviewed the first judge disagreed, adopting the more common meaning of remote. The appeals court wrote extensive reasoning, explaining when dictionaries could be used and when they should be ignored, discussing the ordinary and customary meaning of words and so on.

Now that the remote recesses of patent interpretation have been solved, the case returns to the first judge for further proceedings. Intuitive could make the case closer, by moving its video screen “next” to the patient, whatever that means.

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Speaking of remote, trademarks are an expression of the goodwill of a company. Customers look for brand names to save themselves time and provide confidence in the product. That’s why companies go to great lengths to protect the value of their trademarks.

Some companies don’t seem to have a clue. Take American Airlines, recently saved from bankruptcy by concessions from their unions. Hiding executive bonuses until after the union vote only angered workers. The same workers that keep the airplanes up in the air. This is an industry where every time a plane makes an unscheduled landing, it’s in the news. This is also an industry that has lost customers due to safety concerns, as well as other factors. Confidence is important. This is just my opinion as a consumer, but next time an American flight attendant says, “Fasten your seat belts,” I’d cinch it real tight.

Originally Published in the Fort Worth Businss Press