Ex Parte EL-REFAEY - Page 4


                 Appeal No. 2002-0546                                                          Page 4                    
                 Application No. 08/809,379                                                                              

                 agent, would act similarly.  In addition, another agent, methylergonivine maleate,                      
                 while useful in the third stage of labor, is contraindicated in the first and second                    
                 stages.  See id. at 10.                                                                                 
                        Appellant also contends that the ability of misoprostol to inhibit uterine                       
                 bleeding was unexpected.  Appellant cites the Physician’ Desk Reference (1999)                          
                 (PDR), which contraindicates the use of misoprostol in pregnant women.  See id.                         
                 at 11-12.                                                                                               
                        The burden is on the examiner to make a prima facie case of                                      
                 obviousness, and the examiner may meet this burden by demonstrating that the                            
                 prior art would lead the ordinary artisan to combine the relevant teachings of the                      
                 references to arrive at the claimed invention.  See In re Fine, 837 F.2d 1071,                          
                 1074, 5 USPQ2d 1596, 1598-99 (Fed. Cir. 1988).  Obviousness is determined in                            
                 view of the sum of all of the relevant teachings in the art, not isolated teachings                     
                 in the art.  See In re Kuderna, 426 F.2d 385, 389, 165 USPQ 575, 578 (CCPA                              
                 1970); see also In re Shuman, 361 F.2d 1008, 1012, 150 USPQ 54, 57 (CCPA                                
                 1966).  In assessing the teachings of the prior art references, the examiner                            
                 should also consider those disclosures that may teach away from the invention.                          
                 See In re Geisler, 116 F.3d 1465, 1469, 43 USPQ2d 1362, 1365 (Fed. Cir.                                 
                 1997).                                                                                                  
                        As noted by the examiner, both Campos and Sanchez-Ramos teach the                                
                 use of misoprostol to induce labor at term.  While both references compare the                          
                 effects of misoprostol to oxytocin, neither reference suggests that misoprostol                         
                 may be administered in the third stage of labor to limit postpartum hemorrhaging.                       





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