Lifenet Health v. Lifecell Corporation , 837 F.3d 1316 ( 2016 )


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  •   United States Court of Appeals
    for the Federal Circuit
    ______________________
    LIFENET HEALTH,
    Plaintiff-Appellee
    v.
    LIFECELL CORPORATION,
    Defendant-Appellant
    ______________________
    2015-1549
    ______________________
    Appeal from the United States District Court for the
    Eastern District of Virginia in No. 2:13-cv-00486-HCM-
    DEM, Senior Judge Henry C. Morgan Jr.
    ______________________
    Decided: September 16, 2016
    ______________________
    CONSTANTINE L. TRELA, JR., Sidley Austin LLP, Chi-
    cago, IL, argued for plaintiff-appellee. Also represented by
    JOSHUA JOHN FOUGERE, Washington, DC; MICHAEL
    SONGER, VINCENT JOHN GALLUZZO, MICHAEL H. JACOBS,
    Crowell & Moring, LLP, Washington, DC; STEPHEN
    EDWARD NOONA, Kaufman & Canoles, P.C., Norfolk, VA.
    JOHN M. DESMARAIS, Desmarais LLP, New York, NY,
    argued for defendant-appellant. Also represented by PAUL
    A. BONDOR, DUSTIN GUZIOR, LAURIE STEMPLER; JEFFREY
    HOWARD LERNER, GEORGE FRANK PAPPAS, GARY RUBMAN,
    Covington & Burling LLP, Washington, DC.
    2                         LIFENET HEALTH   v. LIFECELL CORP.
    ______________________
    Before PROST, Chief Judge, REYNA and CHEN, Circuit
    Judges.
    PROST, Chief Judge.
    Defendant-Appellant LifeCell Corporation (“LifeCell”)
    appeals from a final judgment of the U.S. District Court
    for the Eastern District of Virginia entered in favor of
    Plaintiff-Appellee LifeNet Health (“LifeNet”). Following
    claim construction and trial, a jury found LifeNet’s U.S.
    Patent No. 6,569,200 (“’200 patent”) infringed by LifeCell
    and not invalid. The district court denied LifeCell’s
    motion for a new trial and renewed motion for judgment
    as a matter of law (“JMOL”) on, inter alia, claim construc-
    tion, non-infringement, and invalidity. The district court
    subsequently entered a final judgment consistent with the
    jury’s findings on infringement, validity, and damages.
    We affirm.
    BACKGROUND
    LifeNet’s ’200 patent claims plasticized soft tissue
    grafts suitable for transplantation into humans. Such
    grafts are useful in various medical, orthopedic, dental,
    and cosmetic surgery applications. The ’200 patent
    explains that tissue grafts are typically preserved and
    provided in a dehydrated state, such as through freeze-
    drying, then rehydrated before implantation. The patent
    explains that the freeze-drying process is not optimal: it
    can cause the tissue to become brittle with a tendency to
    fracture; it requires time in the operating room to rehy-
    drate the tissue; and even after rehydration the tissue’s
    properties do not approximate that of normal tissue, and
    the graft can fail.
    The ’200 patent’s “plasticized” tissue grafts avoid
    these problems. The tissue is preserved not by freeze-
    drying but by replacing the tissue’s water with biocompat-
    LIFENET HEALTH   v. LIFECELL CORP.                          3
    ible plasticizers, such as glycerol, that provide the hydrat-
    ing functions of water. These plasticized grafts exhibit
    properties similar to that of normal tissue and avoid the
    rehydration process required for freeze-dried tissue.
    The specification explains that, while the plasticizers
    can be removed prior to implantation, they need not be.
    It therefore discloses various options for the implanting
    clinician: (1) “direct implantation of the grafts without
    further processing following removal from the packaging”;
    (2) “implantation following a brief washing in sterile
    isotonic saline to remove any remaining traces of plasti-
    cizer associated with the immediate surfaces of the
    grafts”; or (3) “implantation following an extended (ap-
    proximately 1 hour) washing with sterile isotonic saline to
    remove as much plasticizer as possible.” ’200 patent col.
    12 ll. 9-16.
    LifeNet asserted claims 1-4, 7, 8, and 10 in this case.
    Claims 1-4 are apparatus claims, while claims 7, 8, and 10
    are method claims. All of the asserted claims require that
    “one or more plasticizers are not removed from [an] inter-
    nal matrix of [the] plasticized soft tissue graft prior to
    transplantation into a human” (or “the non-removal
    limitation”). For example, claim 1 recites:
    1. A plasticized soft tissue graft suitable for
    transplantation into a human, comprising:
    a cleaned soft tissue graft having an internal
    matrix; and
    one or more plasticizers contained in said in-
    ternal matrix;
    said one or more plasticizers are not removed
    from said internal matrix of said plasticized
    soft tissue graft prior to transplantation into a
    human.
    
    Id. at col.
    24 ll. 10-16 (emphasis added).
    4                          LIFENET HEALTH   v. LIFECELL CORP.
    The non-removal limitation was added to the claims
    during prosecution in response to a rejection based on the
    Cavallaro reference, U.S. Patent No. 5,718,012 (“’012
    patent”). Cavallaro also discloses using plasticizers in
    tissue constructs. In Cavallaro, the plasticizers are used
    to improve the tensile strength of collagen threads, and
    after such “conditioning treatment, the plasticizer must
    . . . be removed.” ’012 patent col. 7 ll. 40-43. Following
    the examiner’s rejection for anticipation by Cavallaro,
    LifeNet amended its claims to add the requirement that
    “one or more plasticizers are not removed from an inter-
    nal matrix of [the] plasticized soft tissue graft prior to
    transplantation into a human.” J.A. 192. As support for
    the amendment, LifeNet recited the following language
    from the specification: “Replacement of the chemical
    plasticizers by water prior to implantation is not required
    and thus, the . . . soft tissue plasticized product can be
    place[d] directly into an implant site without . . . .” J.A.
    193 (first and third alterations in original).
    LifeCell’s accused products are soft tissue grafts pre-
    served in a plasticizer solution called Solution E. It is
    undisputed that users of the accused products are in-
    structed to soak the tissue grafts in saline solution for a
    minimum of two minutes prior to implantation and that a
    significant amount of plasticizers are removed during this
    two-minute rinse. LifeCell contends there is no evidence
    to suggest that surgeons have ever implanted the accused
    products without following those instructions.
    During claim construction proceedings, the parties
    disputed the meaning of several terms, including the non-
    removal limitation. The parties’ dispute at the time
    centered on the degree of plasticizer removal—whether
    this limitation required that no plasticizer be removed
    (LifeCell’s position) or allowed for some, but not all,
    plasticizer to be removed (LifeNet’s position). Specifically,
    LifeCell’s proposed construction was that “no processing
    steps are taken, before transplantation into a human,
    LIFENET HEALTH   v. LIFECELL CORP.                         5
    that result in any amount of the one or more plasticizers
    being taken out of the internal matrix of the plasticized
    soft tissue graft.” J.A. 409 (emphasis added). LifeNet
    proposed that the term meant “without complete replace-
    ment of the plasticizer or plasticizers in the internal
    matrix of the tissue graft prior to direct implantation into
    a human.” 
    Id. (emphasis added).
    The district court
    concluded in its Markman order that construction of the
    entire term was “unnecessary,” observing that the two-
    word phrase “‘not removed’ is easily understood by a
    person of ordinary skill in the art to have its plain mean-
    ing that no plasticizers are removed prior to transplanta-
    tion.” J.A. 65. The district court later denied LifeCell’s
    motion for summary judgment that this limitation ren-
    dered claims 1-4 indefinite for allegedly including a
    method step in an apparatus claim.
    At trial, LifeCell argued non-infringement based on
    evidence showing that as much as 50% of the plasticizer
    in the accused products is removed during the two-minute
    saline rinse. According to LifeCell, this undisputed
    removal of plasticizers meant that its products do not
    meet the claim limitation requiring that plasticizers are
    “not removed.” In response, LifeNet did not dispute that
    plasticizers are removed from the accused tissue grafts
    during the two-minute rinse but maintained that no
    plasticizers are removed from the internal matrix of the
    tissue graft, as recited in the non-removal limitation.
    According to LifeNet’s expert, Dr. David Kaplan, the only
    plasticizer removed during the rinse is “nonbound” plasti-
    cizer that exists in the gaps and voids of the tissue grafts,
    not plasticizer “bound” to the graft’s internal matrix. J.A.
    8230-31.
    After a two-week trial, the jury found that LifeCell’s
    accused tissue grafts infringed the ’200 patent. It also
    found that LifeCell had failed to establish any of its
    invalidity defenses and awarded LifeNet $34,741,971 in
    damages. After briefing and oral argument, the district
    6                          LIFENET HEALTH   v. LIFECELL CORP.
    court denied LifeCell’s post-trial motions. LifeCell timely
    filed this appeal.
    We have      jurisdiction   pursuant    to   28   U.S.C.
    § 1295(a)(1).
    DISCUSSION
    LifeCell raises several issues on appeal. First, it
    submits that the district court erred by allowing the jury
    to resolve a dispute about the scope of the limitation “said
    one or more plasticizers are not removed from [an] inter-
    nal matrix of [the] plasticized soft tissue graft” and that,
    because the accused products do not meet this limitation,
    JMOL of non-infringement is warranted. LifeCell also
    argues that JMOL of no direct infringement is warranted
    because, regardless of how the limitation is construed,
    LifeCell itself does not directly infringe; rather, independ-
    ent surgeons or their assistants prepare the grafts for
    transplantation. LifeCell further argues that claims 1-4
    are invalid as indefinite for covering both an apparatus
    and, through the non-removal limitation, a method of
    using that apparatus. Separately, LifeCell contends that
    the district court misconstrued “plasticized soft tissue
    graft” and that, under the correct construction, LifeCell
    does not infringe as a matter of law. Finally, it seeks
    JMOL of invalidity on grounds that the asserted claims
    are either anticipated by the Werner reference, U.S.
    Patent No. 4,357,274, or rendered obvious over Werner
    and the knowledge of a person of ordinary skill. In the
    alternative, LifeCell seeks a new trial on infringement or
    invalidity.
    The district court’s ultimate claim construction is a
    question of law reviewed de novo, with any subsidiary
    factual findings regarding extrinsic evidence reviewed for
    clear error. Teva Pharm. USA, Inc. v. Sandoz, Inc., 135 S.
    Ct. 831, 841 (2015). We review a district court’s denial of
    JMOL or a new trial under the law of the regional circuit.
    Voda v. Cordis Corp., 
    536 F.3d 1311
    , 1318 (Fed. Cir.
    LIFENET HEALTH   v. LIFECELL CORP.                         7
    2008). Under the law of the Fourth Circuit, we review the
    denial of JMOL de novo, “examin[ing] whether there is
    substantial evidence in the record upon which the jury
    could find for the prevailing party, viewing the evidence
    in the light most favorable to that party.” Carolina
    Trucks & Equip., Inc. v. Volvo Trucks of N. Am., Inc., 
    492 F.3d 484
    , 488 (4th Cir. 2007) (citation and internal quota-
    tion marks omitted). Denial of a motion for a new trial is
    reviewed in the Fourth Circuit for abuse of discretion
    “and will not be reversed save in the most exceptional
    circumstances.” Minter v. Wells Fargo Bank, N.A., 
    762 F.3d 339
    , 346 (4th Cir. 2014) (citation and internal quota-
    tion marks omitted).
    A
    As noted above, the district court found that no fur-
    ther construction was needed for the limitation “said one
    or more plasticizers are not removed from [an] internal
    matrix of [the] plasticized soft tissue graft prior to trans-
    plantation.” See J.A. 65. LifeCell argues that the district
    court’s failure to resolve a legal dispute regarding the
    scope of that limitation constituted error under O2 Micro
    International Ltd. v. Beyond Innovation Technology Co.,
    
    521 F.3d 1351
    (Fed. Cir. 2008). LifeNet responds that the
    infringement dispute was properly presented to the jury
    as a factual issue: whether the two-minute wash of the
    accused products removes plasticizers from the internal
    matrix as opposed to the gaps and voids of the tissue
    graft.
    In O2 Micro, we held that “[w]hen the parties raise an
    actual dispute regarding the proper scope of . . . claims,
    the court, not the jury, must resolve that dispute.” 
    Id. at 1360.
    There is not necessarily an O2 Micro issue, howev-
    er, whenever further claim construction could resolve the
    parties’ dispute. For instance, “[t]he fact that shortly
    before trial [a party] became dissatisfied with its own
    proposed construction and sought a new one does not give
    8                         LIFENET HEALTH   v. LIFECELL CORP.
    rise to an O2 Micro violation.” Nuance Commc’ns, Inc. v.
    ABBYY USA Software House, Inc., 
    813 F.3d 1368
    , 1373
    (Fed. Cir. 2016). Here, in light of LifeCell’s failure to
    sufficiently request further construction of the relevant
    limitation leading up to and during trial, we find that it
    fails to properly raise an O2 Micro issue.
    According to LifeCell, the district court should have
    instructed the jury that the asserted claims prohibit the
    removal of any plasticizer from any part of the tissue
    graft, i.e., whether that plasticizer is bound to the inter-
    nal matrix or nonbound in the gaps and voids of the tissue
    graft. As an initial matter, we observe that LifeCell’s
    arguments relate not only to the degree of non-removal
    required but also, more pertinently, from where those
    plasticizers are not to be removed. Regarding the degree
    of removal, the district court agreed with LifeCell at the
    Markman stage to the extent the two-word phrase “‘not
    removed’ means that no plasticizer is removed.” J.A. 66.
    The court did not, however, go on to discuss the second
    issue presented to us: from where those plasticizers are
    not to be removed. Indeed, the parties did not dispute at
    the Markman stage that the non-removal, as expressly
    recited in the asserted claims, is directed to “the internal
    matrix of the . . . tissue graft.” J.A. 1522.
    For context, LifeNet’s infringement theory at trial was
    that, while a two-minute wash of the accused products
    removes plasticizers from the gaps and voids of the tissue
    grafts, it does not remove plasticizer bound to the internal
    matrix. In other words, LifeNet did not dispute the
    degree of removal, as LifeCell contends, but looked to the
    remainder of the limitation to argue that, in the accused
    products, plasticizers are not removed “from [the] internal
    matrix.” LifeCell now argues that this evidence does not
    support an infringement finding because the internal
    matrix and tissue graft are one and the same—removal of
    plasticizer from the gaps and voids of the tissue graft also
    constitutes removal from the internal matrix. See Open-
    LIFENET HEALTH   v. LIFECELL CORP.                          9
    ing Br. 12 (asserting that “the internal matrix is the
    tissue graft”).
    The problem with LifeCell’s argument is that it did
    not timely request modification of the district court’s
    claim construction. LifeCell asserts that it raised the
    claim construction dispute with the district court, point-
    ing us to a motion in limine, objections and arguments
    made during trial, and a Rule 50(a) JMOL motion. How-
    ever, in those instances, LifeCell merely sought to exclude
    testimony contrary to the district court’s claim construc-
    tion (which, to be clear, was “[n]o further construction
    needed”) or to have the court instruct the jury as to the
    degree of removal. LifeCell did not dispute that the
    plasticizer could not be removed “from the internal matrix
    of the soft tissue graft.” J.A. 7790. The district court
    granted-in-part LifeCell’s motion in limine but expressly
    allowed LifeNet to “offer testimony that the plasticizers
    removed do not come from the internal matrix.” J.A.
    7609. The court also overruled objections at trial on the
    same evidentiary issue. In doing so, the district court
    made clear, if it was not clear already, that it was not
    construing the limitation at issue to bar removal of plasti-
    cizer from the gaps and voids of the tissue graft.
    Nevertheless, LifeCell did not request a new or modi-
    fied claim construction. In its Rule 50(a) motion for
    JMOL filed at the close of LifeNet’s infringement case,
    LifeCell continued to present the issue as a factual one,
    arguing that LifeNet offered testimony in violation of the
    court’s in limine order and that there was insufficient
    evidence to find infringement.
    LifeCell’s objection to the district court’s jury instruc-
    tions at the end of trial was also insufficient to raise the
    O2 Micro issue that it presses on appeal. LifeCell merely
    asked the court to replace “No further construction need-
    ed” with a plain-meaning construction consistent with the
    court’s prior statements: “Plain meaning, that no plasti-
    10                        LIFENET HEALTH   v. LIFECELL CORP.
    cizer is deliberately removed from the internal matrix of
    the soft tissue graft prior to transplantation into a hu-
    man.” J.A. 7689. Even if the district court had agreed to
    that jury instruction, it would not have been the claim
    construction that LifeCell now seeks on appeal. LifeCell
    did not ask for clarification of what constitutes removal
    “from the internal matrix.” In fact, the parties agreed to
    the construction of “internal matrix,” as expressly defined
    in the ’200 patent’s specification to mean “the intercellu-
    lar substance of such soft tissue including for example
    ligaments and tendons, including collagen and elastin
    fibers and base matrix substances.” J.A. 1521; ’200 pa-
    tent col. 6 ll. 59-65. LifeCell never asked the court to
    adopt its argument that “internal matrix” is synonymous
    with “tissue graft.”
    In sum, LifeCell’s evidentiary challenges and request
    for a claim construction did not adequately present the
    refashioned claim construction argument that it now
    raises on appeal. Lazare Kaplan Int’l, Inc. v. Photoscribe
    Techs., Inc., 
    628 F.3d 1359
    , 1376 (Fed. Cir. 2010) (“[I]t
    was incumbent upon [the appellant] to raise its claim
    construction argument before the district court, and,
    having failed to do so, [it] cannot now resurrect that
    argument on appeal by pointing to ambiguous statements
    in the record.”). LifeCell’s discontent with the agreed-
    upon construction of “internal matrix” or with the district
    court’s view of the longer phrase “said one or more plasti-
    cizers are not removed from [an] internal matrix of [the]
    plasticized soft tissue graft prior to implantation into a
    human” is not sufficient to give rise to an O2 Micro viola-
    tion. See 
    Nuance, 813 F.3d at 1373
    (finding no O2 Micro
    issue when the district court adopted the appellant’s
    proposed plain-meaning construction and the appellant
    LIFENET HEALTH   v. LIFECELL CORP.                        11
    became dissatisfied with that construction shortly before
    trial). 1
    As LifeNet submits, the parties presented a factual
    dispute at trial as to whether a two-minute rinse removes
    plasticizers from the internal matrix of the accused tissue
    grafts. Although LifeCell does not expressly challenge the
    sufficiency of the evidence on this issue, it points to pur-
    ported inconsistencies in LifeNet’s evidence. For example,
    LifeCell argues that LifeNet’s expert, Dr. Kaplan, contra-
    dicted his own sworn statements and that LifeNet’s
    witnesses provided “uniform trial testimony . . . that the
    internal matrix is the graft.” Opening Br. 35-37. We
    disagree with these characterizations of the evidence.
    We do not accept LifeCell’s argument that Dr.
    Kaplan’s trial testimony regarding the non-removal of
    1   Even if we were to reach the construction of the
    non-removal limitation, we see no error with the court’s
    construction under the principles of Phillips v. AWH
    Corp., 
    415 F.3d 1303
    (Fed. Cir. 2005) (en banc). The
    patentee added the non-removal limitation in response to
    a rejection during prosecution and cited a passage from
    the specification stating that the claimed invention could
    be directly implanted into a patient without preparation.
    That statement, however, was just one example of the
    non-removal limitation (no rinse prior to transplantation)
    and did not necessarily disclaim other embodiments
    disclosed in the specification (e.g., a brief rinse or a one-
    hour wash prior to implantation) that are consistent with
    the specification’s teaching that plasticizer need not be
    replaced by water prior to implantation. See TurboCare
    Div. of Demag Delaval Turbomachinery Corp. v. Gen.
    Elec. Co., 
    264 F.3d 1111
    , 1125 (Fed. Cir. 2001) (rejecting
    argument that a claim amendment narrowed the claims
    at issue because the added limitation was already “pre-
    sent in the original claim”).
    12                        LIFENET HEALTH   v. LIFECELL CORP.
    plasticizers from the internal matrix of the accused prod-
    ucts “deserves no weight” because it supposedly contra-
    dicted his Markman declaration. See 
    id. at 36.
    LifeCell
    points to an excerpt of Dr. Kaplan’s declaration stating
    that the ’200 patent discloses plasticizing in a new way
    that “does not require rehydration, or even washing, to
    remove the plasticizer(s) from the internal matrix of the
    graft.” J.A. 1220. LifeCell interprets that testimony to
    imply that removal of plasticizer is not difficult, con-
    trasting it with Dr. Kaplan’s trial testimony that remov-
    ing plasticizer from the internal matrix would be “very
    difficult because it’s strongly bound into the surrounding
    structures” and that a two-minute rinse would not remove
    plasticizer from the internal matrix. J.A. 8196, 8234. We
    see no inconsistency in Dr. Kaplan’s testimony. In the
    declaration excerpt, he was speaking to an advantage of
    the claimed invention over the prior art, not to the degree
    of difficulty of removing plasticizer from the internal
    matrix. Nor did Dr. Kaplan say at trial that plasticizer
    can never be removed from the internal matrix, only that,
    in the context of the technology at issue, such removal
    would disrupt the matrix.
    We also reject LifeCell’s assertion that LifeNet’s wit-
    nesses agreed that an internal matrix is the same as a
    tissue graft, such that the asserted claims prohibit re-
    moval of plasticizer from anywhere in the tissue graft.
    LifeCell points to the testimony of a LifeNet witness, Dr.
    Qin, who said that “when we implant the tissue it’s basi-
    cally just the matrix.” J.A. 7955. However, not only did
    Dr. Qin qualify his testimony, but that testimony was also
    in response to a question about revascularization, not
    what “internal matrix” means relative to “tissue” in the
    context of the ’200 patent. Dr. Kaplan, meanwhile, did
    opine on “internal matrix” in the context of the ’200
    patent and stated that it is composed of the components
    left after a soft tissue graft has been cleaned. When
    asked if anything other than the internal matrix would be
    LIFENET HEALTH   v. LIFECELL CORP.                          13
    “left behind,” he responded: “Yes. When you go through
    this process, you are going to leave a huge number of
    voids in the tissue, . . . and also you’ll have a great deal of
    water left in the [t]issue.”         J.A. 8188.     On cross-
    examination, he again differentiated the internal matrix
    from the tissue graft, opining that the graft “includes [the]
    internal matrix, . . . but there’s other [sic] plenty of loose
    water, unbound water,” as well as “voids and other spaces
    where you’ve decellularized.” J.A. 8274-75. As noted
    above, the parties agreed to the construction of “internal
    matrix,” which was drawn from an express definition in
    the specification that did not refer to voids or gaps, and
    Dr. Kaplan’s testimony was consistent with that construc-
    tion.
    Against this background, we find that there was sub-
    stantial evidence to support the jury’s determination that
    plasticizer is not removed “from the internal matrix” of
    the accused tissue grafts before transplantation. The jury
    was free to rely on Dr. Kaplan’s testimony and to find, as
    a factual matter, that the accused products meet the
    limitation at issue. The district court did not err in
    denying JMOL or a new trial on non-infringement.
    B
    Based on the non-removal limitation and under the
    law of divided infringement, LifeCell also argues that it
    cannot be liable for direct infringement regardless of how
    that limitation is construed. Direct infringement of an
    apparatus claim “requires that each and every limitation
    set forth in a claim appear in an accused product.” Cross
    Med. Prods., Inc. v. Medtronic Sofamor Danek, Inc., 
    424 F.3d 1293
    , 1310 (Fed. Cir. 2005). Direct infringement of a
    method claim requires all steps of the claimed method to
    be performed by or attributable to a single entity. BMC
    Res., Inc. v. Paymentech, L.P., 
    498 F.3d 1373
    , 1379-81
    (Fed. Cir. 2007). Although we may attribute a third
    party’s performance of method steps to a single entity in
    14                         LIFENET HEALTH   v. LIFECELL CORP.
    some circumstances, see Akamai Techs., Inc. v. Limelight
    Networks, Inc., 
    797 F.3d 1020
    (Fed. Cir. 2015) (en banc)
    (per curiam), LifeNet did not pursue an attribution theory
    at trial.
    LifeCell posits that the non-removal limitation cannot
    be met until an independent third party, such as a sur-
    geon, actually prepares and uses the accused products,
    and it is unknown at the time that LifeCell sells a graft if
    and how that graft will be used for transplantation. 2
    LifeNet counters that “the final product that leaves
    LifeCell’s hands is complete and . . . infringes in that
    condition” without affirmative action by a third party.
    Response Br. 44. We agree with LifeNet.
    Functional limitations recited in the negative may de-
    scribe a capability or structural element. See Amgen Inc.
    v. Hoechst Marion Roussel, Inc., 
    314 F.3d 1313
    , 1329 (Fed.
    Cir. 2003) (holding that “non-naturally occurring” and
    “not isolated” were structural elements defining the
    source of the claimed material, rather than steps for
    obtaining it). Here, the preceding language in each
    asserted claim states that the relevant plasticizers are
    already part of the tissue graft. See, e.g., ’200 patent col.
    24 l. 12 (“plasticizers contained in [the] internal matrix”);
    
    id. at col.
    24 ll. 41-42 (“impregnating a cleaned, soft tissue
    graft with one or more plasticizers”). The non-removal
    limitation simply provides a negative limitation that
    those plasticizers remain in the internal matrix prior to
    transplantation.
    LifeCell relies on Cross Medical Products, Inc. v. Med-
    tronic Sofamor Danek, Inc., 
    424 F.3d 1293
    (Fed. Cir.
    2005), and Centillion Data Systems, LLC v. Qwest Com-
    2  LifeCell does not argue that the apparatus and
    method claims should be treated differently in our divided
    infringement analysis.
    LIFENET HEALTH   v. LIFECELL CORP.                       15
    munications International, Inc., 
    631 F.3d 1279
    (Fed. Cir.
    2011), to argue that there can be no direct infringement
    by a single entity when a limitation is absent until a third
    party takes action. However, those cases are distinguish-
    able. In Cross Medical, we held that surgical implants
    with an interface that had to be “operatively joined” to a
    segment of bone could not be directly infringed by the
    manufacturer insofar as that party “d[id] not itself make
    an apparatus” with the relevant portion already in con-
    tact with 
    bone. 424 F.3d at 1311
    . Rather, a third party
    surgeon had to “actually bring the [relevant part] into
    contact with bone.” 
    Id. at 1310.
    Similarly, in Centillion,
    we held that the accused infringer, who provided software
    to customers, did not itself practice a limitation requiring
    a “personal computer data processing means” because “it
    is entirely the decision of the customer whether to install
    and operate th[e] software on its personal computer data
    processing 
    means.” 631 F.3d at 1287
    . The claimed inven-
    tions in Cross Medical and Centillion affirmatively re-
    quired action by a third party, without which a limitation
    would be absent. Here, in contrast, the non-removal
    limitation clarifies that the recited plasticizer has not
    been removed and, because the plasticizer is biocompati-
    ble, can remain in the internal matrix of the tissue graft
    during transplantation, i.e., it need not ever be removed.
    This limitation is met without action by a third party. It
    is satisfied by the graft from the moment it is manufac-
    tured unless and until the plasticizer is removed from the
    internal matrix before transplantation.
    Therefore, the non-removal limitation does not relieve
    LifeCell of direct infringement.
    C
    LifeCell also contends that because the non-removal
    limitation describes a method of use while the remainder
    of claims 1-4 describes an apparatus, those claims are
    indefinite for covering both an apparatus and a method of
    16                         LIFENET HEALTH   v. LIFECELL CORP.
    using that apparatus. The ultimate determination of
    indefiniteness is a question of law reviewed de novo,
    “although, as with claim construction, any factual find-
    ings by the district court based on extrinsic evidence are
    reviewed for clear error.” UltimatePointer, LLC v. Nin-
    tendo Co., 
    816 F.3d 816
    , 826 (Fed. Cir. 2016).
    LifeCell relies on IPXL Holdings, LLC v. Amazon.com,
    Inc., 
    430 F.3d 1377
    (Fed. Cir. 2005), in which we held a
    claim invalid for indefiniteness when “as a result of the
    combination of two separate statutory classes of inven-
    tion, a manufacturer or seller of the claimed apparatus
    would not know from the claim whether it might also be
    liable for contributory infringement because a buyer or
    user of the apparatus later performs the claimed method
    of using the apparatus.” 
    Id. at 1384.
    As explained above,
    however, the non-removal limitation defines a property of
    the recited plasticizer in that the plasticizer is biocompat-
    ible and does not need to be removed from the internal
    matrix before transplantation in the context of apparatus
    claims 1-4, so no later action by a user of the tissue graft
    is necessary. Those claims therefore do not mix an appa-
    ratus with a method of using that apparatus, and the
    district court did not err in denying JMOL as to indefi-
    niteness.
    D
    LifeCell separately argues that the district court erred
    in its construction of “plasticized soft tissue graft.” The
    district court construed this limitation to require, inter
    alia, that “free and loosely bound waters of hydration in
    the tissue have been replaced with one or more plasticiz-
    ers.” J.A. 63 (emphasis added).
    LifeCell contends that the district court mistakenly
    failed to also require that the tissue graft be “dehydrat-
    ed,” in the sense that the tissue can only have “low resid-
    ual moisture.”      Opening Br. 43-44.        Under that
    construction, LifeCell contends there can be no infringe-
    LIFENET HEALTH   v. LIFECELL CORP.                        17
    ment as a matter of law because the accused products
    have at least 60% moisture. LifeNet responds that “dehy-
    dration,” as that word is used in the ’200 patent, merely
    means that some of the water has been replaced with
    plasticizer and that the district court’s construction
    already includes that understanding.
    We agree with LifeNet. Although LifeCell is correct
    that the written description repeatedly uses the word
    “dehydrated,” it does so broadly. For example, the specifi-
    cation discusses “soft tissue which is preserved by dehy-
    dration, such drying methods including for example,
    freeze-drying, and/or sublimation and/or air drying
    and/or liquid substitution.” ’200 patent col. 6 ll. 35-39
    (emphasis added). Although the specification states that
    “[t]he present invention provides a dehydrated or freeze-
    dried plasticized bone or soft tissue product, preferably
    containing less than 5% residual moisture,” 
    id. at col.
    5 ll.
    29-31, we decline to confine the claims to such an embod-
    iment where, as in this context, there is no indication that
    the “patentee . . . intend[ed] for the claims and the embod-
    iments in the specification to be strictly coextensive,”
    
    Phillips, 415 F.3d at 1323
    . There is no support for the
    proposition that the claimed soft tissue graft must be
    dehydrated to a certain degree or completely desiccated.
    The addition of the word “dehydrated” to the claim con-
    struction would be redundant of the requirement for
    plasticizer to replace some water, which is already proper-
    ly part of the district court’s construction.
    We decline to adopt LifeCell’s proposed construction of
    “plasticized soft tissue graft,” and LifeCell does not oth-
    erwise argue that the jury’s infringement verdict lacks
    substantial evidence. Therefore, we do not disturb the
    court’s denial of JMOL of non-infringement or a new trial
    on this ground.
    18                        LIFENET HEALTH   v. LIFECELL CORP.
    E
    Finally, we address LifeCell’s argument that the as-
    serted claims are either anticipated by Werner or obvious
    in view of Werner and the knowledge of a person of ordi-
    nary skill. Anticipation is a question of fact reviewed for
    substantial evidence. DDR Holdings, LLC v. Hotels.com,
    L.P., 
    773 F.3d 1245
    , 1252 (Fed. Cir. 2014). Obviousness is
    a question of law reviewed de novo, with underlying
    factual findings, such as whether a reference discloses a
    limitation, reviewed for substantial evidence. Muniauc-
    tion, Inc. v. Thomson Corp., 
    532 F.3d 1318
    , 1324 (Fed.
    Cir. 2008).
    Werner is a patent that discloses a process for treat-
    ing a soft tissue with hydrogen peroxide and other steps
    to increase biological stability. At trial, LifeNet disputed
    whether Werner meets two limitations of the asserted
    claims: “cleaned” and “plasticized soft tissue graft.”
    LifeCell argues on appeal that “[t]he evidence allows only
    one reasonable conclusion”—that Werner discloses both
    limitations and therefore anticipates the asserted claims.
    Opening Br. 57. Alternatively, it argues that Werner “at
    most . . . would lack a sufficient degree of ‘cleaning’ the
    tissue, which would have been an obvious modification to
    a person skill in the art at the time of the invention.” 
    Id. With respect
    to a “plasticized soft tissue graft,” the
    district court construed that limitation to specifically
    require, inter alia, that plasticization occur “without
    altering the orientation of the collagen fibers, such that
    the mechanical properties, including the material, physi-
    cal and use properties, of the tissue product are similar to
    those of normal hydrated tissue.” J.A. 69 (emphases
    added). LifeCell does not direct us to any evidence from
    its affirmative case to support its burden of showing that
    Werner discloses a “plasticized soft tissue graft.” See
    Novo Nordisk A/S v. Caraco Pharm. Labs., Ltd., 
    719 F.3d 1346
    , 1353 (Fed. Cir. 2013) (“[T]he burden of persuasion
    LIFENET HEALTH   v. LIFECELL CORP.                        19
    [as to invalidity] remains with the challenger during
    litigation.”). Aside from arguing for a different construc-
    tion of “plasticized soft tissue graft,” which we have
    rejected, LifeCell focuses on trying to undermine Dr.
    Kaplan’s testimony that Werner’s process renders the
    mechanical properties of tissue different from native
    tissue.
    A review of the record shows that there is substantial
    evidence to support a jury finding that Werner does not
    disclose a plasticized soft tissue graft under the district
    court’s construction. Dr. Kaplan explained that, unlike
    the ’200 patent, in Werner, “the mechanical properties are
    altered significantly from native tissue,” namely by “in-
    creas[ing] . . . tensile strength by a factor of 1.7 to 7.0.”
    J.A. 9262-63; see also J.A. 9279 (explaining that Werner
    does not retain the “mechanical properties of the native-
    like tissue”). Although Dr. Kaplan conceded on cross-
    examination that the data was not statistically different,
    he maintained that the difference in mechanical proper-
    ties between Werner’s tissue and native tissue was still a
    basis for finding those properties not similar enough to
    meet the court’s construction of “plasticized soft tissue
    graft.” LifeCell’s expert, Dr. Stephen Badylak, testified
    that he could not say whether or not the tensile strength
    difference that Dr. Kaplan relied on was “similar” under
    the court’s construction. J.A. 9099. However, he agreed
    on cross-examination that “the mechanical properties,
    including the physical and use properties” of Werner
    “have changed” and stated that he was “starting to think
    [the change in tensile strength] is different.” J.A. 9097-
    99.
    The ultimate issue on this record was a classic factual
    dispute that the jury was free to resolve in LifeNet’s
    favor. See, e.g., Kinetic Concepts, Inc. v. Smith & Nephew,
    Inc., 
    688 F.3d 1342
    , 1361 (Fed. Cir. 2012) (“[S]ubstantial
    evidence supports the jury’s implied factual finding that
    none of these references disclosed the [limitation at is-
    20                         LIFENET HEALTH   v. LIFECELL CORP.
    sue].”). Since there is substantial evidence to support a
    finding that Werner fails to disclose “plasticized soft
    tissue graft,” we need not reach the “cleaned” limitation.
    The district court did not err in denying LifeCell’s request
    for JMOL or a new trial with respect to anticipation.
    LifeCell only argues obviousness on appeal with re-
    spect to the “cleaned” limitation. It does not point to any
    evidence that a “plasticized soft tissue graft,” if not dis-
    closed by Werner, would have been an obvious modifica-
    tion to a person of ordinary skill in the art. As LifeCell
    fails to provide a basis for disclosure of a “plasticized soft
    tissue graft” outside of Werner, the district court also did
    not err in denying JMOL or a new trial on obviousness.
    CONCLUSION
    For the foregoing reasons, we affirm the district
    court’s judgment.
    AFFIRMED