Ex Parte PORTNOY et al - Page 7



          Appeal No. 2004-1461                                                        
          Application No. 09/461,883                                                  

          not the patient has reviewed all of the data and which                      
          subsequently prints out a consent form.  The examiner cites                 
          Rakshit as teaching a system for determining informed consent               
          from a patient.  The examiner finds that it would have been                 
          obvious to the artisan to modify the disease management system of           
          Iliff to include instructions for determining informed consent as           
          taught by Rakshit [answer, pages 3-4].                                      
          Appellants argue that although Iliff teaches determining                    
          consent, it is not informed consent.  Appellants also argue that            
          Iliff is concerned with disease therapy and not with medical                
          procedures as claimed.  Appellants argue that Rakshit does not              
          suggest use of a web server, a network interface, and multiple              
          databases as part of an informed consent procedure.  Finally,               
          appellants argue that there is no suggestion or motivation to               
          combine the references [brief, pages 9-12].                                 
          The examiner responds that the discussion of [informed]                     
          consent in Iliff provides a nexus to the informed consent                   
          teachings of Rakshit.  The examiner also maintains his belief               
          that the consent in Iliff is informed consent and that Rakshit              
          teaches the use of a series of questions to test the patient’s              



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