Ex Parte EL-REFAEY - Page 5


                 Appeal No. 2002-0546                                                          Page 5                    
                 Application No. 08/809,379                                                                              

                        Facts and Comparisons discusses the actions and indications of oxytocin.                         
                 The reference teaches that oxytocin “produce[s] uterine contractions during the                         
                 third stage of labor and [ ] control[s] postpartum bleeding or hemorrhage.”  Id. at                     
                 177h.  It also states that oxytocin may be administered intravenously or                                
                 intramuscularly for the control of postpartum uterine bleeding.  See id. at 118a.                       
                        Maternity Nursing notes that “[d]uring the early postpartum period,                              
                 pharmacologic agents may be used to promote uterine contractions and                                    
                 consequently minimize uterine bleeding.”  Id. at 871.  The reference discusses                          
                 the use of methylergonovine maleate to control postpartum bleeding, but also                            
                 notes that it should not be used to induce labor.  See id. at 872.                                      
                        We agree with appellant that the combination provides no reasonable                              
                 expectation of success of using misoprostol in the third stage of labor to prevent                      
                 postpartum hemorrhaging.  If one were to interpret the art as suggested by the                          
                 rejection, one of ordinary skill would expect agents that produce uterine                               
                 contractions to be useful both antepartum for the induction of labor and                                
                 postpartum for the control of hemorrhaging.  But as taught by Maternity Nursing,                        
                 while the agent methylergonovine maleate may be used control postpartum                                 
                 bleeding, its use is contraindicated for the induction of labor.  Therefore, the prior                  
                 art demonstrates that there is no reasonable expectation of success of using any                        
                 agent that induces uterine contractions for the induction of labor, and thus also                       
                 demonstrates that there is no reasonable expectation of success of using any                            
                 agent that induces uterine contractions for the control of postpartum                                   
                 hemorrhaging.                                                                                           





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