Jazz Pharmaceuticals, Inc. v. Amneal Pharmaceuticals, LLC , 895 F.3d 1347 ( 2018 )


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  •   United States Court of Appeals
    for the Federal Circuit
    ______________________
    JAZZ PHARMACEUTICALS, INC.,
    Appellant
    v.
    AMNEAL PHARMACEUTICALS, LLC,
    Appellee
    ______________________
    2017-1671, 2017-1673, 2017-1674, 2017-1675, 2017-1676,
    2017-1677, 2017-2075
    ______________________
    Appeals from the United States Patent and Trade-
    mark Office, Patent Trial and Appeal Board in Nos.
    IPR2015-00545,     IPR2015-00546,     IPR2015-00547,
    IPR2015-00548,     IPR2015-00551,     IPR2015-00554,
    IPR2015-01903.
    ______________________
    Decided: July 13, 2018
    ______________________
    KATHLEEN M. SULLIVAN, Quinn Emanuel Urquhart &
    Sullivan, LLP, New York, NY, argued for appellant. Also
    represented by F. DOMINIC CERRITO, GABRIEL P. BRIER,
    FRANK CHARLES CALVOSA, EVANGELINE SHIH, ERIC C.
    STOPS; DAVID B. COCHRAN, Jones Day, Cleveland, OH.
    STEVEN ARTHUR MADDOX, Maddox Edwards, PLLC,
    Washington, DC, argued for appellee Also represented by
    MATTHEW C. RUEDY.
    2                   JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    ______________________
    Before NEWMAN, LOURIE, and REYNA, Circuit Judges.
    LOURIE, Circuit Judge.
    Jazz Pharmaceuticals, Inc. (“Jazz”) appeals from six
    inter partes review (“IPR”) decisions of the United States
    Patent and Trademark Office Patent Trial and Appeal
    Board (the “Board”). 1 Collectively, the decisions held
    certain claims of Jazz’s U.S. Patents 7,668,730 (“’730
    patent”), 7,765,106, 7,765,107, 7,895,059, 8,589,182,
    8,457,988 (“’988 patent”), and 8,731,963 (“’963 patent”)
    (together, the “patents in suit”) invalid as obvious. Be-
    cause the Board did not err in its conclusions of obvious-
    ness, we affirm.
    BACKGROUND
    The patents in suit are members of a family of patents
    owned by Jazz relating to a drug distribution system for
    tracking prescriptions of a “sensitive drug.” ’730 patent
    1  Amneal Pharm., LLC v. Jazz Pharm., Inc., No.
    IPR2015-01903, 
    2017 WL 1096638
    (P.T.A.B. Mar. 22,
    2017) (“’963 Decision”); Amneal Pharm., LLC v. Jazz
    Pharm., Inc., No. IPR2015-00545, 
    2016 WL 7985452
    (P.T.A.B. Dec. 22, 2016); Par Pharm., Inc. v. Jazz Pharm.,
    Inc., No. IPR2015-00546, 
    2016 WL 7985429
    (P.T.A.B. Dec.
    22, 2016); Par Pharm., Inc. v. Jazz Pharm., Inc., No.
    IPR2015-00547, 
    2016 WL 7985454
    (P.T.A.B. Dec. 22,
    2016); Par Pharm., Inc. v. Jazz Pharm., Inc., No.
    IPR2015-00548, 
    2016 WL 7985430
    (P.T.A.B. Dec. 22,
    2016); Par Pharm., Inc. v. Jazz Pharm., Inc., Nos.
    IPR2015-00551, IPR2015-00554, 
    2016 WL 7985458
    (P.T.A.B. July 27, 2016) (“’730/’988 Decision”).
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                  3
    Abstract. 2 “A sensitive drug is one which can be abused,
    or has addiction properties or other properties that render
    the drug sensitive.” ’730 patent col. 3 ll. 14–16.
    One such sensitive drug is Xyrem®. Jazz exclusively
    markets Xyrem®, which the U.S. Food and Drug Admin-
    istration (“FDA”) has approved to treat symptoms associ-
    ated with narcolepsy. However, the active ingredient in
    Xyrem®, gamma-hydroxybutyrate (“GHB”), may also be
    illicitly used as a “date-rape drug.” See Hillory J. Farias
    and Samantha Reid Date-Rape Drug Prohibition Act of
    2000, Pub. L. No. 106-172, 114 Stat. 7 (2000). According-
    ly, under the Controlled Substances Act any approved
    drug product containing GHB is classified as a Schedule
    III depressant. 21 C.F.R. § 1308.13. Because of its poten-
    tial for abuse, the FDA approved Xyrem® under “restrict-
    ed distribution regulations contained in [21 C.F.R.
    § 314.500] (Subpart H) to assure safe use of the product.”
    J.A. 11055; see 21 C.F.R. § 314.520.
    During the regulatory review process for Xyrem®, the
    FDA scheduled an advisory committee meeting for June
    6, 2001. The meeting was announced in a May 14, 2001
    Federal Register Notice, which stated that the meeting
    was open to the public and that “[a] main focus of the
    deliberations will be on risk management issues” associ-
    ated with Xyrem®. Meeting Notice, 66 Fed. Reg. 24,391
    (May 14, 2001) (“Notice”). The Notice also provided a
    hyperlink to an FDA website where background material
    would be posted before the meeting, and the meeting
    minutes, transcript, and slides would be posted after the
    meeting. 
    Id. Collectively, the
    Board referred to the
    background materials and the meeting minutes, tran-
    script, and slides on the FDA website as the Advisory
    2   As the patents in suit share a substantially iden-
    tical specification, for ease of reference we cite only the
    ’730 patent.
    4                    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    Committee Art (“ACA materials”). Each of the Board’s
    obviousness determinations relied on the ACA materials
    as prior art. The primary issue on appeal is whether the
    ACA materials were sufficiently accessible to the public to
    constitute prior art.
    I
    The claimed invention of the patents in suit involves
    tracking prescriptions of a sensitive drug through a
    database. ’730 patent Abstract. Claim 1 of the ’730
    patent is illustrative, and recites:
    1. A computerized method of distributing a pre-
    scription drug under exclusive control of an exclu-
    sive central pharmacy, the method comprising:
    receiving in a computer processor all prescription
    requests, for any and all patients being prescribed
    the prescription drug, only at the exclusive central
    pharmacy from any and all medical doctors al-
    lowed to prescribe the prescription drug, the pre-
    scription    requests    containing     information
    identifying patients, the prescription drug, and
    various credentials of the any and all medical doc-
    tors;
    requiring entering of the information into an ex-
    clusive computer database associated with the ex-
    clusive central pharmacy for analysis of potential
    abuse situations, such that all prescriptions for
    the prescription drug are processed only by the
    exclusive central pharmacy using only the exclu-
    sive computer database;
    checking with the computer processor the creden-
    tials of the any and all doctors to determine the
    eligibility of the doctors to prescribe the prescrip-
    tion drug;
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                      5
    confirming with a patient that educational mate-
    rial has been read prior to shipping the prescrip-
    tion drug;
    checking the exclusive computer database for po-
    tential abuse of the prescription drug;
    mailing the prescription drug to the patient only if
    no potential abuse is found by the patient to
    whom the prescription drug is prescribed and the
    doctor prescribing the prescription drug;
    confirming receipt by the patient of the prescrip-
    tion drug; and
    generating with the computer processor periodic
    reports via the exclusive computer database to
    evaluate potential diversion patterns.
    
    Id. col. 8
    l. 37–col. 9 l. 3 (emphases added).
    Of particular relevance to this appeal are the “exclu-
    sive computer database,” “information identifying,” and
    “periodic reports” terms, italicized above. The specifica-
    tion describes an “exclusive central database” as including
    all data relevant to distribution of a sensitive drug, “in-
    cluding patient, physician and prescription information.”
    
    Id. col. 2
    ll. 10–12. Several types of such information are
    listed in the description of figure 2. “The prescriber
    information contains standard contact information as well
    as license number, DEA number and physician specialty.
    Patient and prescription information includes name,
    social security number, date of birth, gender, contact
    information, drug identification, patient’s appropriate
    dosage, and number of refills allowed . . . .” 
    Id. col. 4
    ll.
    18–23.
    Reports may be run against information in the data-
    base to “reveal potential abuse of the sensitive drug, such
    as early refills.” 
    Id. col. 2
    ll. 14–15. An early refill report
    is made when a specific event occurs: a patient requests a
    6                    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    prescription refill prior to the scheduled refill date. 
    Id. col. 6
    ll. 36–42. If the physician does not approve the
    early refill, the patient must wait until the next scheduled
    refill date. 
    Id. col. 6
    ll. 43–44. Other types of reports are
    created at set time points, for example, at “a predeter-
    mined number of days or product remaining.” 
    Id. col. 6
    ll.
    12–13. Likewise, the specification discusses “sample
    reports” that have “an associated frequency or frequen-
    cies.” 
    Id. col. 8
    ll. 22–29. While claim 1 refers to “periodic
    reports,” that specific term does not appear elsewhere in
    the written description.
    II
    Amneal Pharmaceuticals, LLC (“Amneal”) petitioned
    for IPR of the seven patents in suit. 3 The Board institut-
    ed review of all petitioned claims for each patent except
    for the ’963 patent, where the Board partially instituted
    review of a subset of the petitioned claims, see Amneal
    Pharm., LLC v. Jazz Pharm., Inc., IPR2015-01903, slip
    op. at 2 (P.T.A.B. Mar. 25, 2016), Paper No. 10. Also, in
    several of its institution decisions, the Board instituted
    review on fewer than all grounds raised in the petition.
    E.g., Amneal Pharm., LLC v. Jazz Pharm., Inc., IPR2015-
    00551, IPR2015-00554, slip op. at 42 (P.T.A.B. July 28,
    2015), Paper No. 20.
    3    Amneal filed several of its petitions for IPR jointly
    with Par Pharmaceutical, Inc. (“Par”). Jazz and Par
    reached a settlement during the pendency of this appeal,
    and accordingly Par is no longer a party. See Jazz
    Pharm., Inc. v. Amneal Pharm., LLC, No. 17-1671 (Fed.
    Cir. Jan. 19, 2018), ECF No. 51. In discussing the pro-
    ceedings before the Board, we refer to the petitioners
    collectively as “Amneal.”
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                   7
    The Board issued six final written decisions regarding
    the patents in suit. 4 The parties’ current dispute centers
    on the Board’s determination that the ACA materials
    were publicly accessible. The ACA materials consist of
    four documents associated with the public meeting held
    by the Xyrem® advisory committee: (1) the FDA advisory
    committee meeting transcript and slides; (2) an FDA
    preliminary clinical safety review of Xyrem®; (3) a Xyrem®
    briefing booklet; and (4) a video and transcript regarding
    a proposed distribution system for Xyrem®. ’730/’988
    Decision, 
    2016 WL 7985458
    , at *2; Appellant Br. 9. The
    Board determined that the ACA materials were publicly
    accessible on an FDA website listed in the Notice no later
    than October 4, 2001, over two months prior to the critical
    date of December 17, 2001. ’730/’988 Decision, 
    2016 WL 7985458
    , at *11, *14.
    Next, the Board turned to whether a person of ordi-
    nary skill exercising reasonable diligence would have
    been able to locate the ACA materials. 
    Id. at *14–16.
    It
    found that a person of ordinary skill in the art was a
    pharmacist or computer scientist having familiarity with
    computerized drug distribution procedures. 
    Id. at *4–5.
    Furthermore, the Board agreed with Amneal that a
    person of ordinary skill “would have been familiar with
    the Federal Register and motivated to look for notices
    related to drug distribution, safety, or abuse prevention,”
    and that a skilled artisan would have known that Xyrem®
    contained an active ingredient susceptible to abuse. Id.;
    see also 
    id. at *15.
    According to the Board, this provided a
    person of ordinary skill with “sufficient motivation to
    have located the Federal Register Notice and FDA web-
    4   For simplicity, unless otherwise noted we cite only
    the Board’s final written decision concerning the ’730 and
    ’988 patents, which is representative of the other deci-
    sions on appeal. See Appellant Br. 9 n.5.
    8                    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    site for Xyrem.” 
    Id. at *15.
    Given that motivation, the
    Board found that a person of ordinary skill would have
    been capable of locating the Notice, as the Notice express-
    ly stated that a “main focus of the deliberations will be on
    risk management issues” related to Xyrem®, and the basic
    purpose of the Federal Register is to provide “notice to
    interested individuals of the actions of federal agencies.”
    
    Id. (internal quotation
    marks omitted).
    The parties also dispute two of the Board’s claim con-
    structions and its obviousness analysis. First, the Board
    construed “periodic reports” to “refer to reports that are
    generated at regular intervals or intermittently,” 
    id. at *8,
    rejecting Jazz’s argument that the term only included
    reports generated at regular frequencies, 
    id. at *7.
    Sec-
    ond, the Board construed “information identifying pa-
    tients” as “information identifying a patient,” and not
    limited to the information listed in the specification or
    requiring all listed types of information. 
    Id. at *8.
    Simi-
    larly, the Board construed “information identifying . . .
    various credentials of the any and all medical doctors” as
    “information identifying various credentials, i.e., at least
    two different types of credentials, of the prescribing
    doctor,” and not limited to the information listed in the
    specification or requiring all listed types of information.
    
    Id. at *9.
        Applying the above constructions, the Board held all
    instituted claims of the patents in suit unpatentable as
    obvious over the ACA materials alone or in combination
    with Robert R. Korfhage, Information Storage and Re-
    trieval (1997) (“Korfhage”). The Board found that a
    person of ordinary skill would have been motivated to
    combine the ACA materials, 
    id. at *16,
    and that the ACA
    materials collectively taught or suggested all limitations
    of the claims, e.g., 
    id. at *22,
    except for claims 2 and 10 of
    the ’988 patent and claims 24, 26, and 27 of the ’963
    patent. The Board held those latter five claims obvious
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                   9
    over the ACA materials and Korfhage. 
    Id. at *25;
    ’963
    Decision, 
    2017 WL 1096638
    , at *12, *14.
    Claims 2 and 10 of the ’988 patent depend from inde-
    pendent claims 1 and 9, respectively, and recite an exclu-
    sive central database “distributed over multiple
    computers, and wherein a query operates over all data in
    all the distributed databases relating to the prescriptions,
    the doctors, and the narcoleptic patients.” ’988 patent col.
    9 ll. 14–16. The Board found that Korfhage disclosed a
    database that can be distributed over multiple computers
    for cost and efficiency reasons, and that a person of ordi-
    nary skill “would have been motivated to modify the
    [ACA] distribution system to include multiple computers
    in a distributed database system for reasons of cost,
    efficiency, and the anticipated volume of prescription-
    related information to be received, entered, and queried.”
    ’730/’988 Decision, 
    2016 WL 7985458
    , at *24. The Board
    credited Amneal’s expert’s testimony that distributed
    systems “were well-known in the art and that information
    systems were being driven toward distributed databases.”
    
    Id. Accordingly, the
    Board held claims 2 and 10 un-
    patentable as obvious because implementing a database
    system on multiple computers “would have been a pre-
    dictable use of a known distributed data system according
    to its established function.” 
    Id. at *25
    (citing KSR Int’l
    Co. v. Teleflex Inc., 
    550 U.S. 398
    , 417 (2007)).
    The Board conducted a similar obviousness analysis
    with respect to claims 24, 26, and 27 of the ’963 patent.
    These claims also recite a “central computer database
    being distributed over multiple computers.” ’963 patent
    col. 11 ll. 19–20; 
    id. col. 12
    ll. 23–24. Again, the Board
    found that a person of ordinary skill “would have been
    motivated to distribute the ACA’s single, centralized
    computer database over multiple computers, for reasons
    of cost, efficiency, and the anticipated volume of prescrip-
    tion-related information to be received, entered, and
    queried.” ’963 Decision, 
    2017 WL 1096638
    , at *9. The
    10                   JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    Board later noted that the ACA materials disclose “a
    single, centralized database for controlling distribution of
    Xyrem.” 
    Id. at *12.
    It did so in the context of rejecting
    Jazz’s argument that Korfhage emphasized systems
    having multiple databases. Crediting Amneal’s expert,
    the Board explained that Korfhage also disclosed single
    database systems, consistent with the ACA system. 
    Id. As with
    the other instituted claims of the patents in suit,
    the Board held claims 24, 26, and 27 unpatentable as
    obvious. 
    Id. at *12,
    *14.
    Jazz appealed, challenging the Board’s holding that
    the ACA materials are prior art and its claim construc-
    tions and obviousness analysis. We consider each issue in
    turn.
    DISCUSSION
    I. Jurisdiction
    We must first address whether we have jurisdiction
    over the entirety of Jazz’s appeal. The Supreme Court
    recently decided that 35 U.S.C. § 318(a) prohibits the
    Board from instituting IPR of fewer than all claims chal-
    lenged in a petition. SAS Inst., Inc. v. Iancu, 
    138 S. Ct. 1348
    , 1353 (2018) (“The agency cannot curate the claims
    at issue but must decide them all.”). However, following
    its pre-SAS regulation, see 37 C.F.R. § 42.108(a), the
    Board here did partially institute IPR. For the ’963
    patent, the Board instituted review of fewer than all
    claims challenged in the petition. And for several of the
    other patents, the Board did not institute review of each
    ground asserted in the petition. See PGS Geophysical AS
    v. Iancu, 
    891 F.3d 1354
    , 1360 (Fed. Cir. 2018) (“Equal
    treatment of claims and grounds for institution purposes
    has pervasive support in SAS.”). Nonetheless, on appeal
    neither party has requested a remand for the Board to
    consider non-instituted claims or grounds, or any other
    SAS-based relief.
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                  11
    We recently addressed a similar scenario in PGS. In
    PGS, the Board had instituted IPR of only some of the
    claims and grounds raised by the petitioner. 
    Id. at 1358.
    But neither party on appeal “ask[ed] for any SAS-based
    action.” 
    Id. at 1359.
    Despite the Board’s partial institu-
    tion, we held that: (1) “the combination of the non-
    institution decisions and the final written decisions on the
    instituted claims and grounds ‘terminated the IPR pro-
    ceeding[s]’” so as to satisfy the finality requirement that
    this court has read to be incorporated in 28 U.S.C.
    § 1295(a)(4)(A), 
    id. at 1361
    (alteration in original) (quot-
    ing Arthrex, Inc. v. Smith & Nephew, Inc., 
    880 F.3d 1345
    ,
    1348 (Fed. Cir. 2018)); and (2) any error committed by the
    Board under the Administrative Procedure Act in partial-
    ly instituting IPR was waivable, so we could decide the
    appeal from the Board’s final written decision absent a
    request by a party for SAS-based relief, 
    id. at 1362–63.
        Confronted with indistinguishable partially instituted
    IPRs and a lack of any request by either party for SAS-
    based action, we conclude that PGS controls this case.
    Under PGS, we have jurisdiction over Jazz’s appeal under
    28 U.S.C. § 1295(a)(4)(A) and are not obliged to reopen
    non-instituted claims or grounds. 
    Id. at 1362.
    And we
    likewise see no reason to exercise any discretion to re-
    mand the non-instituted claims or grounds sua sponte.
    See 
    id. at 1362–63.
           II. Public Accessibility of the ACA Materials
    Having concluded that we have jurisdiction over
    Jazz’s appeal, we turn to the merits. We review the
    Board’s legal determinations de novo, In re Elsner, 
    381 F.3d 1125
    , 1127 (Fed. Cir. 2004), but we review the
    Board’s factual findings underlying those determinations
    for substantial evidence, In re Gartside, 
    203 F.3d 1305
    ,
    1316 (Fed. Cir. 2000). A finding is supported by substan-
    tial evidence if a reasonable mind might accept the evi-
    12                  JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    dence as adequate to support the finding. Consol. Edison
    Co. v. NLRB, 
    305 U.S. 197
    , 229 (1938).
    Jazz principally argues on appeal that the ACA mate-
    rials are not prior art, so all of the Board’s decisions
    relying on the ACA materials should be reversed. Accord-
    ing to Jazz, the Board erred in concluding otherwise “by
    equating the constructive notice provided by the Federal
    Register with the law governing public accessibility of
    prior art.” Appellant Br. 17. Emphasizing the substan-
    tial length of the annual Federal Register, Jazz asserts
    that the Board failed to make the requisite finding that a
    person of ordinary skill exercising reasonable diligence
    could have located the ACA materials. 
    Id. Nor could
    the
    Board have made such a finding, Jazz contends, as under
    the facts of this case “searchability or indexing [is] re-
    quired to conclude that the ACA [m]aterials are prior art,”
    Reply Br. 10, and Amneal failed to submit any evidence of
    searchability or indexing.
    Amneal responds that the ACA materials were widely
    disseminated, and that substantial evidence supports the
    Board’s finding that a person of ordinary skill would have
    been motivated to find the ACA materials. Amneal
    further argues that neither indexing nor searchability is
    required under relevant case law.
    This court and its predecessor have interpreted the
    “printed publication” provision of 35 U.S.C. § 102(b)
    (2006)5 in light of its purpose “to prevent withdrawal by
    an inventor . . . of that which was already in the posses-
    sion of the public.” Medtronic, Inc. v. Barry, 
    891 F.3d 5
     Because the applications for each of the patents in
    suit were filed before March 16, 2013, the pre-Leahy-
    Smith America Invents Act version of § 102 applies. See
    Pub L. No. 112-29, 125 Stat. 284 (2011); 35 U.S.C. § 102
    (2006).
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                  13
    1368, 1380 (Fed. Cir. 2018) (alteration in original) (quot-
    ing In re Wyer, 
    655 F.2d 221
    , 226 (CCPA 1981)). “Because
    there are many ways in which a reference may be dissem-
    inated to the interested public, ‘public accessibility’ has
    been called the touchstone in determining whether a
    reference constitutes a ‘printed publication’ . . . .” In re
    Hall, 
    781 F.2d 897
    , 898–99 (Fed. Cir. 1986). A reference
    is considered publicly accessible “upon a satisfactory
    showing that such document has been disseminated or
    otherwise made available to the extent that persons
    interested and ordinarily skilled in the subject matter or
    art, exercising reasonable diligence, can locate it.” 
    Wyer, 665 F.2d at 226
    . “If accessibility is proved, there is no
    requirement to show that particular members of the
    public actually received the information.” Constant v.
    Advanced Micro-Devices, Inc., 
    848 F.2d 1560
    , 1569 (Fed.
    Cir. 1988).
    Whether a reference qualifies as a “printed publica-
    tion” under § 102(b) is a legal conclusion based on under-
    lying factual findings. E.g., Suffolk Techs., LLC v. AOL
    Inc., 
    752 F.3d 1358
    , 1364 (Fed. Cir. 2014). As relevant to
    this issue, Jazz appeals only from the Board’s underlying
    determination that the ACA materials were publicly
    accessible. Public accessibility is a question of fact that
    we review for substantial evidence. In re NTP, Inc., 
    654 F.3d 1279
    , 1296 (Fed. Cir. 2011). As the IPR petitioner,
    Amneal had the burden to prove that a particular refer-
    ence is a printed publication. 
    Medtronic, 891 F.3d at 1380
    .
    We agree with Amneal that substantial evidence sup-
    ports the Board’s finding that the ACA materials were
    publicly accessible. At the outset, we note that whether a
    reference is a “printed publication” is a “case-by-case
    inquiry into the facts and circumstances surrounding the
    reference’s disclosure to members of the public.” In re
    Klopfenstein, 
    380 F.3d 1345
    , 1350 (Fed. Cir. 2004). We
    thus review the pertinent facts here.
    14                   JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    On May 14, 2001, the FDA announced a meeting of
    the Peripheral and Central Nervous System Drugs Advi-
    sory Committee through the Notice in the Federal Regis-
    ter. Notice, 66 Fed. Reg. 24,391 (May 14, 2001). The
    Notice stated that the meeting would be about “the safety
    and efficacy of . . . Xyrem,” and that “[a] main focus of the
    deliberations will be on risk management issues.” 
    Id. The meeting
    would be “open to the public,” and permit
    interested persons to “present data, information, or views,
    orally or in writing, on issues pending before the commit-
    tee.” 
    Id. The Notice
    also included a hyperlink to an FDA web-
    site where background material from the drug sponsor
    and the FDA would be posted before the meeting, and the
    meeting minutes, transcript, and slides would be posted
    after the meeting. 
    Id. Furthermore, the
    Notice provided
    specific instructions on how to access the meeting materi-
    als on the FDA website: “Click on the year 2001 and
    scroll down to the Peripheral and Central Nervous Sys-
    tems Drugs meetings.” 
    Id. Consistent with
    the guidance
    provided in the Notice, the Board found that the ACA
    materials were accessible on the hyperlinked public FDA
    website no later than October 4, 2001, over two months
    prior to the critical date of the patents in suit. ’730/’988
    Decision, 
    2016 WL 7985458
    , at *9, *11, *14. Jazz does not
    challenge that finding on appeal.
    This is not the first time we have considered whether
    materials disclosed in association with meetings or con-
    ferences were “printed publications.” In Massachusetts
    Institute of Technology v. AB Fortia (“MIT”), the reference
    at issue was a paper orally presented at a scientific con-
    ference attended by between 50 and 500 cell culturists.
    
    774 F.2d 1104
    , 1108 (Fed. Cir. 1985). A copy of the paper
    was given to the head of the conference and to no more
    than six other persons, without restrictions, who request-
    ed the paper. 
    Id. at 1108–09.
    We held that the paper was
    prior art because “between 50 and 500 persons interested
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                    15
    and of ordinary skill in the subject matter were actually
    told of the existence of the paper and informed of its
    contents by the oral presentation, and the document itself
    was actually disseminated without restriction to at least
    six persons.” 
    Id. at 1109.
        Similarly, in Klopfenstein, several researchers pre-
    sented slides at two scientific meetings for a total of
    approximately three 
    days. 380 F.3d at 1347
    , 1350. At the
    meetings “[t]he reference was shown to a wide variety of
    viewers, a large subsection of whom possessed ordinary
    skill in the art.” 
    Id. at 1350.
    As in MIT, the slides were
    presented “with no stated expectation that the infor-
    mation would not be copied or reproduced by those view-
    ing it.” 
    Id. After considering
    multiple factors, including
    the length of the display, the expertise of the intended
    audience, whether the presenters had a reasonable expec-
    tation that the materials would not be copied, and the
    ease or simplicity of copying the materials, we held that
    the slide presentation was sufficiently publicly accessible
    to count as a printed publication. 
    Id. at 1350–52.
    We so
    held even though the slides were never distributed to the
    public and never indexed. 
    Id. at 1350.
         In Cordis Corp. v. Boston Scientific Corp., a medical
    resident presented a scientific monograph to several
    physicians and other colleagues, and gave copies of the
    paper to approximately six of his teachers. 
    561 F.3d 1319
    ,
    1333 (Fed. Cir. 2009). Unlike in MIT and Klopfenstein,
    “[t]he record . . . contain[ed] clear evidence that . . . aca-
    demic norms gave rise to an expectation that disclosures
    will remain confidential.” 
    Id. at 1334.
    Accordingly, in the
    context of a “distribution to a limited number of entities,”
    we held that the resident’s distribution of his monograph
    to academic and research colleagues did not make the
    monograph a prior art printed publication. 
    Id. Most recently,
    in Medtronic we considered whether
    distribution of a video and slides at several scientific
    16                   JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    meetings on spinal surgery were prior art printed publica-
    tions. 
    Medtronic, 891 F.3d at 1379
    . A CD containing the
    video was distributed at three meetings, and the slides at
    two of those meetings. 
    Id. As in
    Klopfenstein, there was
    no evidence that either the video or the slides were stored
    for public access after the meetings. 
    Id. at 1381.
    The first
    meeting was limited to members of a certain professional
    organization, but the second and third meetings were
    open to other surgeons. 
    Id. at 1379.
    Roughly 20 and 55
    surgeons attended the second and third meetings, respec-
    tively. 
    Id. The Board
    had held that the video and slides
    were not prior art, but neither distinguished the limited
    from the open meetings, nor addressed whether the video
    and slides were distributed with a reasonable expectation
    that they would remain confidential. 
    Id. at 1382.
    As “the
    size and nature of the meetings[,] . . . whether they are
    open to people interested in the subject matter[,]” and
    “whether there is an expectation of confidentiality be-
    tween the distributor and the recipients of the materials”
    are important factors in assessing public accessibility, we
    vacated the Board’s finding that the video and slides were
    not prior art and remanded for further considerations. 
    Id. at 1382–83.
        Comparing the facts of this case to those in MIT,
    Klopfenstein, and Medtronic confirms that the ACA mate-
    rials were disseminated more broadly and for a longer
    duration to persons of ordinary skill than the materials
    disclosed at individual meetings in those cases. In addi-
    tion, unlike in Cordis, disclosure through public domain
    sources such as the Federal Register and a public federal
    agency website plainly indicates that there was no rea-
    sonable expectation that the ACA materials would remain
    confidential. As we explain below, each of these factors
    supports the Board’s finding that the ACA materials were
    publicly accessible printed publications.
    First, the breadth of the dissemination here to per-
    sons of ordinary skill is significant. “[A] printed publica-
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                  17
    tion need not be easily searchable after publication if it
    was sufficiently disseminated at the time of its publica-
    tion.” 
    Suffolk, 752 F.3d at 1365
    . Unlike meetings of at
    most several hundred persons as in the cases above, 6 the
    Notice in the Federal Register widely disseminated the
    ACA materials through a hyperlink to a public FDA
    website where the ACA materials could be accessed. The
    Notice explained what materials were located on the FDA
    website, approximately when they would be available,
    and how to navigate to them.
    Whether the disseminated material is addressed to or
    of interest to persons of ordinary skill is also relevant to
    the public accessibility inquiry. See, e.g., 
    Klopfenstein, 380 F.3d at 1351
    (considering whether the reference “goes
    direct to those whose interests make them likely to ob-
    serve and remember whatever it may contain that is new
    and useful”) (internal quotation marks omitted)). The
    Board found, unchallenged on appeal, that a person of
    ordinary skill “would have been familiar with the Federal
    Register and motivated to look for notices related to drug
    distribution, safety, or abuse prevention.”        ’730/’988
    Decision, 
    2016 WL 7985458
    , at *4–5; see also 
    id. at *15.
    In making that finding, the Board credited Amneal’s
    expert, 
    id. at *5,
    *15, and found that Jazz’s expert’s
    testimony was not to the contrary under the proper
    standard for a person of ordinary skill in the art, 
    id. at 6
       The record in this case lacks any details regarding
    the FDA meeting itself—who attended and whether they
    were persons of ordinary skill, how long the meeting
    lasted, and whether copies of the ACA materials were
    distributed. Consequently, the Board did not address
    whether any potential distribution of the ACA materials
    at the meeting alone satisfied the “public accessibility”
    standard, and we do not address that possibility here in
    the first instance.
    18                   JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    *15. As relevant here, wide dissemination of a reference
    through a publication like the Federal Register that those
    of ordinary skill would be motivated to examine is a factor
    strongly favoring public accessibility. See 
    Suffolk, 752 F.3d at 1365
    ; 
    Cordis, 561 F.3d at 1333
    (distinguishing
    case from situations involving “widespread distribution so
    that the public could easily obtain copies of the publica-
    tion”); see also 
    Klopfenstein, 380 F.3d at 1348
    (“[A] public
    billboard targeted to those of ordinary skill in the art that
    describes all of the limitations of an invention and that is
    on display for the public for months may be neither ‘dis-
    tributed’ nor ‘indexed’—but it most surely is ‘sufficiently
    accessible to the public interested in the art’ and therefore
    . . . a ‘printed publication.’”).
    Second, the ACA materials were available online for a
    substantial time before the critical date of the patents in
    suit. “[T]he longer a reference is displayed, the more
    likely it is to be considered a ‘printed publication.’”
    
    Klopfenstein, 380 F.3d at 1351
    . In Klopfenstein, three
    days of slide presentations between two scientific meet-
    ings were enough. 
    Id. at 1351–52.
    Here, the ACA mate-
    rials were available on a public FDA website for at least
    two months before the critical date of the patents in suit.
    As with the breadth of dissemination, the length of time
    the ACA materials were available supports the Board’s
    public accessibility finding.
    Third, the ACA materials were distributed via public
    domain sources with no possible expectation that the
    materials would remain confidential or not be copied. We
    have consistently emphasized the importance of such
    expectations in determining whether a reference is public-
    ly accessible. See 
    Medtronic, 891 F.3d at 1382
    ; 
    Cordis, 561 F.3d at 1333
    –34; 
    Klopfenstein, 380 F.3d at 1351
    ; 
    MIT, 774 F.2d at 1108
    –09. There can be no dispute that mate-
    rials disclosed in the Federal Register and available
    online on a public FDA website have no expectation of
    confidentiality. This case bears no resemblance to Cordis,
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                   19
    where “academic norms gave rise to an expectation that
    disclosures will remain 
    confidential.” 561 F.3d at 1334
    .
    Like the factors considered above, the FDA’s and drug
    sponsor’s lack of any reasonable expectations of confiden-
    tiality support the Board’s finding of public accessibility.
    In sum, after considering the relevant factors identi-
    fied in our public accessibility cases, the record here
    demonstrates that the ACA materials were widely dis-
    seminated to persons of ordinary skill for a substantial
    time with no reasonable expectation of confidentiality.
    They were “in the possession of the public,” 
    Wyer, 655 F.2d at 226
    , and cannot be withdrawn from it.
    Jazz asserts that the Board’s finding of public accessi-
    bility must be reversed because evidence of “searchability
    or indexing [is] required to conclude that the ACA
    [m]aterials are prior art,” Reply Br. 10, and Amneal did
    not submit such evidence. Because neither indexing nor
    searchability was required, we reject Jazz’s argument.
    We have consistently held that indexing or searchabil-
    ity is unnecessary for a reference to be a printed publica-
    tion under § 102(b). 
    Medtronic, 891 F.3d at 1381
    (“We
    have stated that a printed publication ‘need not be easily
    searchable after publication if it was sufficiently dissemi-
    nated at the time of its publication.’” (quoting 
    Suffolk, 752 F.3d at 1365
    )); 
    Klopfenstein, 380 F.3d at 1350
    (“[D]istribution and indexing are not the only factors to be
    considered in a § 102(b) ‘printed publication’ inquiry.”);
    accord 
    MIT, 774 F.2d at 1108
    –09 (holding paper distrib-
    uted at conference publicly accessible without considering
    indexing). Jazz has presented no persuasive argument for
    us to impose an indexing or searchability requirement
    here. Following our precedent, we decline to do so.
    Moreover, even assuming that indexing is relevant to
    this case, the Federal Register was meaningfully in-
    20                  JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    dexed. 7 The Notice was published on May 14, 2001, in
    issue 93 of the 66th annual volume of the Federal Regis-
    ter. 66 Fed. Reg., No. 93 (May 14, 2001). Consistent with
    its governing regulation, 1 C.F.R. § 6.1 (“Each daily issue
    of the Federal Register shall be appropriately indexed.”),
    issue 93 included a five-page table of contents organized
    alphabetically by agency; each agency’s rules, proposed
    rules, and notices are then listed in that order. Table of
    Contents, 66 Fed. Reg., No. 93, at III (May 14, 2001).
    FDA notices appear on the third page, with three entries
    in total. 
    Id. at V.
    The last entry refers to the Notice at
    issue in this case. It includes the title of the Notice,
    “Meetings: Peripheral and Central Nervous Systems
    Drugs Advisory Committee,” and provides the page num-
    ber. 
    Id. Accepting the
    Board’s unchallenged findings that a
    person of ordinary skill has a degree in either pharmacy
    or computer science, “was interested in drug distribution,
    safety, and abuse,” and “would have had reason to look to
    the Federal Register and FDA Advisory Committee meet-
    ing notices,” ’730/’988 Decision, 
    2016 WL 7985458
    , at *4–
    5, *15, we are unpersuaded by Jazz’s argument that the
    2001 Federal Register “could be reviewed only page-by-
    page in paper format,” Reply Br. 12, because the Federal
    Register was indexed with a table of contents organizing
    notices by agency. Thus, considering the multiple factors
    discussed above favoring public accessibility, Jazz’s
    emphasis that the annual edition of the 2001 Federal
    Register was a lengthy 67,702 pages does not demonstrate
    the Board erred in finding that the ACA materials were
    publicly accessible.
    Jazz also argues that the Board erred by “equating
    the constructive notice provided by the Federal Register
    7   “The contents of the Federal Register shall be ju-
    dicially noticed . . . .” 44 U.S.C. § 1507 (2012).
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                  21
    with the legal standard for prior art.” Appellant Br. 21.
    We disagree. In response to Jazz’s argument that a
    person of ordinary skill would have been incapable of
    finding the Notice, the Board observed that “[t]he Federal
    Register provides notice to interested individuals of the
    actions of federal agencies,” and that a skilled artisan
    would have been motivated to seek out FDA meeting
    notices regarding drug abuse. ’730/’988 Decision, 
    2016 WL 7985458
    , at *15 (citing Aris Gloves, Inc. v. United
    States, 
    154 F. Supp. 203
    , 209 (Cust. Ct. 1957)
    (“[C]ongress, by statutory enactment, has designated the
    ‘Federal Register’ as the official publication in which
    notices by departments of the Federal Government shall
    appear . . . .”)). We do not interpret the Board’s decision
    as applying a per se rule that every notice in the Federal
    Register satisfies the requirements for prior art, nor do
    we endorse such a rule that would supplant the case-by-
    case inquiry consistently applied throughout our case law.
    Nor do we discern any error in the Board’s sensible obser-
    vation that the purpose of the Federal Register is to
    provide notice of government action such as the advisory
    committee meeting here.
    However, we do reiterate that “[i]f accessibility is
    proved, there is no requirement to show that particular
    members of the public actually received the information.”
    Constant v. Advanced Micro-Devices, Inc., 
    848 F.2d 1560
    ,
    1569 (Fed. Cir. 1988); see also In re Lister, 
    583 F.3d 1307
    ,
    1313–14 (Fed. Cir. 2009) (“[O]nce accessibility is shown, it
    is unnecessary to show that anyone actually inspected the
    reference.”). As we have explained, the ACA materials
    were publicly accessible because they were broadly dis-
    seminated to interested persons of ordinary skill for a
    substantial time with no expectations of confidentiality.
    The Board did not need to find that specific persons
    actually received or examined the materials.
    For the foregoing reasons, we hold that substantial
    evidence supports the Board’s finding that the ACA
    22                  JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    materials were publicly accessible to persons of ordinary
    skill exercising reasonable diligence before the critical
    date of the patents in suit. Hence, they qualify as printed
    publications under § 102(b).
    III. Claim Construction
    We now turn to Jazz’s claim construction arguments.
    Claim construction is a question of law that may involve
    underlying factual inquiries. Teva Pharm. USA, Inc. v.
    Sandoz, Inc., 
    135 S. Ct. 831
    , 841 (2015). We review the
    Board’s claim construction based solely on intrinsic evi-
    dence de novo, while we review subsidiary factual findings
    regarding extrinsic evidence for substantial evidence.
    HTC Corp. v. Cellular Commc’ns Equip., LLC, 
    877 F.3d 1361
    , 1367 (Fed. Cir. 2017). The Board construed the
    claims on appeal according to their “broadest reasonable
    interpretation in light of the patent specification.” E.g.,
    ’730/’988 Decision, 
    2016 WL 2985458
    , at *5 (citing Cuozzo
    Speed Techs., LLC v. Lee, 
    136 S. Ct. 2131
    , 2144–46
    (2016)).
    A. “periodic reports”
    Jazz asserts that the Board erred in construing “peri-
    odic reports,” as recited in claim 1 of the ’730 patent,
    among others. According to Jazz, “periodic” as used in the
    claims means at regular frequencies, Appellant Br. 18,
    and the Board’s construction renders the word superflu-
    ous.
    Amneal responds that the Board properly construed
    “periodic reports” as including reports generated at irreg-
    ular frequencies, and Jazz’s proposed construction im-
    properly adds limitations without support in the intrinsic
    or extrinsic evidence.
    We agree with Amneal that the Board did not err in
    construing “periodic reports” to encompass reports gener-
    ated at both regular and irregular intervals. ’730/’988
    Decision, 
    2016 WL 7985458
    , at *8. We begin with the
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                    23
    language of the claim itself. The claim does not define the
    word “periodic,” nor does the written description ever use
    it. The Board considered dictionary definitions, some of
    which indicated “periodic” required regular intervals,
    while others suggested broader meanings of “repeated,”
    “intermittent,” or “occurring repeatedly from time to
    time.” 
    Id. at *7.
    While not decisive, the ordinary mean-
    ing of “periodic reports” is consistent with reports gener-
    ated at irregular intervals. And although the meaning of
    “periodic” is broad, the word is not superfluous; a report
    that by its nature could only be generated once would not
    be “periodic.”
    We also look to the specification in interpreting the
    claims. The disclosure of the patents in suit further
    supports the Board’s construction.        The specification
    discloses two types of reports: reports made in response
    to a specific event that may occur at irregular intervals,
    such as early refill requests, ’730 patent fig. 4B; 
    id. col. 2
    ll. 14–15; 
    id. col. 6
    ll. 33–37, and reports generated at
    regular frequencies, 
    id. col. 6
    ll. 12–13. Jazz argues that
    “periodic reports” refers only to the latter, and that the
    former reports are unclaimed embodiments. Appellant
    Br. 34. But Jazz provides no persuasive support in either
    the plain meaning of “periodic” or in the written descrip-
    tion to exclude an embodiment repeatedly highlighted in
    the specification.
    In addition, the prosecution history supports the
    Board’s construction. During prosecution, the patent
    applicant pointed to several parts of the specification as
    providing written description support for the claim limita-
    tion “generating periodic reports via the exclusive com-
    puter database to evaluate potential diversion patterns.”
    J.A. 14966. The cited disclosures referred specifically to
    early refill reports, J.A. 14993, and to the procedure for
    early refill requests, J.A. 15000, but not to reports gener-
    ated at regular intervals. By indicating that the specifica-
    tion’s disclosure of early refill reports provides written
    24                  JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    description support for the “periodic reports” term, the
    prosecution history lends further support to the Board’s
    construction that does not exclude reports generated at
    irregular frequencies from the scope of the claims.
    Because the totality of the evidence supports the
    Board’s construction of “periodic reports” but not Jazz’s,
    we affirm the Board’s construction.
    B. “information identifying”
    Jazz also argues that the Board erred in construing
    the various terms reciting “information identifying”
    patients and physicians, as recited in claim 1 of the ’730
    patent, among others. Contrary to the Board’s construc-
    tion, Jazz contends that the specification identified exam-
    ples of such information, and those examples set forth the
    minimum content needed to satisfy the “information
    identifying” term because the specification uses the words
    “contains” and “includes.” Appellant Br. 43.
    Amneal responds that the Board properly construed
    the “information identifying” claim terms as potentially
    including the types of information listed in the specifica-
    tion, but not limited to those types of information and not
    requiring all types of that information. Again, Amneal
    argues that Jazz’s construction improperly imports limi-
    tations from the specification into the claims.
    We agree with Amneal that the Board did not err in
    rejecting Jazz’s request to read into the claims a mini-
    mum set of identifying information. The claim language
    simply refers to “prescription requests containing infor-
    mation identifying patients, the prescription drug, and
    various credentials of the any and all medical doctors.”
    E.g., ’730 patent col. 8 ll. 45–48 (emphasis added). It
    recites no specific types of identifying information. The
    specification does list various kinds of identifying infor-
    mation in discussing figure 2, 
    id. col. 4
    ll. 18–25, but
    never indicates that such information must be included in
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                  25
    the claimed “information identifying” a patient or physi-
    cian. We decline to read such limitations into the broad
    claim language based on the specification’s use of the
    word “contains” or “includes” in the context of describing a
    certain embodiment. Jazz cites no authority persuading
    us to do so. Thus, we affirm the Board’s constructions of
    the claim terms reciting “information identifying.”
    IV. Obviousness
    We finally consider Jazz’s challenge to the Board’s ob-
    viousness analysis. Obviousness is a question of law with
    underlying factual issues, including the scope and content
    of the prior art, differences between the prior art and the
    claims at issue, the level of ordinary skill, and relevant
    evidence of secondary considerations. Graham v. John
    Deere Co., 
    383 U.S. 1
    , 17–18 (1966). Whether a skilled
    artisan would have been motivated to combine references
    is a question of fact. Apple Inc. v. Samsung Elecs. Co.,
    
    839 F.3d 1034
    , 1051 (Fed. Cir. 2016) (en banc).
    Jazz argues that the Board’s finding that a person of
    ordinary skill would have been motivated to modify the
    ACA materials with the distributed system disclosed in
    Korfhage lacks substantial evidence with respect to
    claims 2 and 10 of the ’988 patent and claims 24, 26, and
    27 of the ’963 patent. First, Jazz argues that the Board’s
    decisions regarding the ’963 and ’988 patents are contra-
    dictory, so both cannot be right. Appellant Br. 47–48.
    Second, Jazz asserts that the Supreme Court’s decision in
    KSR International Co. v. Teleflex Inc., 
    550 U.S. 398
    (2007), requires that every finding of a motivation to
    combine be premised on subsidiary findings of “(1) wheth-
    er there was a problem to be solved; and (2) whether there
    were a finite universe of possible options.” Appellant Br.
    49. Jazz contends that the Board failed to make such
    findings, so its decisions must be reversed.
    Amneal responds that the Board’s decisions are not
    contradictory, and that Jazz’s reading of KSR would
    26                   JAZZ PHARM., INC. v. AMNEAL PHARM., LLC
    impose “the exact sort of ‘rigid preventative [rule] that
    [denies] factfinders recourse to common sense’ the Court
    rejected.” Appellee Br. 41 (alteration in original) (quoting
    
    KSR, 550 U.S. at 421
    ).
    We agree with Amneal that the Board’s decisions are
    consistent. The Board made the same essential finding in
    both decisions that a person of ordinary skill would have
    been motivated to run the ACA materials’ distribution
    system over multiple computers, as taught in Korfhage.
    Compare ’730/’988 Decision, 
    2016 WL 7985458
    , at *24
    (“[O]ne of ordinary skill would have been motivated to
    modify the [ACA materials’] distribution system to in-
    clude multiple computers in a distributed database sys-
    tem for reasons of cost, efficiency, and the anticipated
    volume of prescription-related information to be received,
    entered, and queried.”), with ’963 Decision, 
    2017 WL 1096638
    , at *9 (“[A] [person of ordinary skill] would have
    been motivated to distribute the ACA’s single, centralized
    computer database over multiple computers, for reasons
    of cost, efficiency, and the anticipated volume of prescrip-
    tion-related information to be received, entered, and
    queried.”). When the Board discussed a “distributed
    database system” or “distributed databases,” we under-
    stand it to have referred to a database implemented over
    multiple computers, consistent with the ’988 patent itself,
    see ’988 patent col. 10 ll. 29–34 (reciting “an exclusive
    central database . . . distributed over multiple computers,”
    then referring to that system as “distributed databases”).
    We also agree with Amneal that Jazz misinterprets
    both the Supreme Court’s decision in KSR and this court’s
    obviousness precedent. KSR did not impose a rigid re-
    quirement to identify both a problem to be solved in the
    art and a finite universe of potential options. Rather, the
    Supreme Court rejected the teaching, suggestion, or
    motivation test, because the Court considered that the
    test was a “[r]igid, preventative rule[] that den[ies] fact-
    finders recourse to common sense.” 
    KSR, 550 U.S. at 421
    .
    JAZZ PHARM., INC. v. AMNEAL PHARM., LLC                 27
    Furthermore, the Supreme Court also rejected the “as-
    sumption that a person of ordinary skill attempting to
    solve a problem will be led only to those elements of prior
    art designed to solve the same problem.” 
    Id. at 420.
    We
    have similarly recognized that persons of ordinary skill
    have diverse motivations, including “[t]he normal desire
    . . . to improve upon what is already generally known.” In
    re Ethicon, Inc., 
    844 F.3d 1344
    , 1351 (Fed. Cir. 2017); see
    also Otsuka Pharm. Co. v. Sandoz, Inc., 
    678 F.3d 1280
    ,
    1291 (Fed. Cir. 2012) (“New compounds may be created
    from theoretical considerations rather than from attempts
    to improve on prior art compounds.”).
    KSR did state that “[w]hen there is a design need or
    market pressure to solve a problem and there are a finite
    number of identified, predictable solutions, a person of
    ordinary skill has good reason to pursue the known op-
    tions within his or her technical grasp.” 
    KSR, 550 U.S. at 421
    . But it did not set forth such factors as part of a
    mandatory formula. To treat them as such would be
    inconsistent with KSR’s holding and our own case law.
    Thus, the Board did not err in concluding that implement-
    ing the ACA materials’ centralized database system on
    multiple computers “would have been a predictable use of
    a known distributed data system according to its estab-
    lished function.” ’730/’988 Decision, 
    2016 WL 7985458
    , at
    *25 (citing 
    KSR, 550 U.S. at 417
    ). As Jazz has presented
    no other arguments challenging the Board’s finding of a
    motivation to modify, we affirm its holdings with respect
    to claims 2 and 10 of the ’988 patent and claims 24, 26,
    and 27 of the ’963 patent.
    CONCLUSION
    We have considered Jazz’s remaining arguments, and
    find them unpersuasive. For the foregoing reasons, we
    affirm the Board’s decisions.
    AFFIRMED