Eli Lilly and Company v. Hospira, Inc. , 933 F.3d 1320 ( 2019 )


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  •   United States Court of Appeals
    for the Federal Circuit
    ______________________
    ELI LILLY AND COMPANY,
    Plaintiff-Appellee
    v.
    HOSPIRA, INC.,
    Defendant-Appellant
    ______________________
    2018-2126, 2018-2127
    ______________________
    Appeals from the United States District Court for the
    Southern District of Indiana in No. 1:16-cv-03460-TWP-
    MPB, Judge Tanya Walton Pratt.
    --------------------------------------------------
    ELI LILLY AND COMPANY,
    Plaintiff-Appellee
    v.
    DR. REDDY'S LABORATORIES, LTD., DR.
    REDDY'S LABORATORIES, INC.,
    Defendants-Appellants
    ______________________
    2018-2128
    ______________________
    2                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    Appeal from the United States District Court for the
    Southern District of Indiana in No. 1:16-cv-00308-TWP-
    MPB, Judge Tanya Walton Pratt.
    ______________________
    Decided: August 9, 2019
    ______________________
    ADAM LAWRENCE PERLMAN, Williams & Connolly LLP,
    Washington, DC, argued for plaintiff-appellee in 2018-2126
    and 2018-2128. Also represented by GALINA I. FOMENKOVA,
    DOV PHILIP GROSSMAN, DAVID M. KRINSKY, ANDREW P.
    LEMENS, CHARLES MCCLOUD; JAMES PATRICK LEEDS, Eli
    Lilly and Company, Indianapolis, IN.
    BRADFORD PETER LYERLA, Jenner & Block LLP, Chi-
    cago, IL, argued for defendant-appellant in 2018-2126.
    Also represented by YUSUF ESAT, SARA TONNIES HORTON;
    ADAM G. UNIKOWSKY, Washington, DC.
    JOHN C. O'QUINN, Kirkland & Ellis LLP, Washington,
    DC, argued for defendants-appellants in 2018-2128. Also
    represented by WILLIAM H. BURGESS, CALVIN ALEXANDER
    SHANK; JEFFERY B. ARNOLD, Holland & Knight LLP, At-
    lanta, GA; MERRI C. MOKEN, CHARLES A. WEISS, ERIC H.
    YECIES, New York, NY.
    BRIAN TIMOTHY BURGESS, Goodwin Procter LLP, Wash-
    ington, DC, for amicus curiae Actavis LLC in 2018-2128.
    Also represented by EDWINA CLARKE, EMILY L. RAPALINO,
    DARYL L. WIESEN, Boston, MA; LINNEA P. CIPRIANO, New
    York, NY.
    ______________________
    Before LOURIE, MOORE, and TARANTO, Circuit Judges.
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                       3
    LOURIE, Circuit Judge.
    Hospira Inc. (“Hospira”), Dr. Reddy’s Laboratories
    Ltd., and Dr. Reddy’s Laboratories Inc. (collectively,
    “DRL”) appeal from two judgments of the United States
    District Court for the Southern District of Indiana in two
    infringement suits brought by Eli Lilly & Company
    (“Lilly”) under the Hatch-Waxman Act, 21 U.S.C. § 355.
    The district court held in each case that the defendant’s
    submission of a New Drug Application pursuant to 21
    U.S.C. § 355(b)(2) infringed U.S. Patent 7,772,209 (the
    “’209 patent”) under 35 U.S.C. § 271(e)(2). See Eli Lilly &
    Co. v. Hospira, Inc., No. 1:16-cv-03460-TWP-MPB, 
    2018 WL 3008570
    (S.D. Ind. June 15, 2018) (“Hospira Decision”);
    Eli Lilly & Co. v. Dr. Reddy’s Labs., Ltd., 
    323 F. Supp. 3d 1042
    (S.D. Ind. 2018) (“DRL Decision”); see also Eli Lilly &
    Co. v. Dr. Reddy’s Labs., Ltd., No. 1:16-cv-00308-TWP-
    MPB, 
    2017 WL 6387316
    (S.D. Ind. Dec. 14, 2017) (“DRL
    Summary Judgment Decision”). Accordingly, the district
    court entered orders under 35 U.S.C. § 271(e)(4)(A) prohib-
    iting FDA approval of the products at issue until the expi-
    ration of the ’209 patent. Eli Lilly & Co. v. Hospira, Inc.,
    No. 1:16-cv-03460-TWP-MPB (S.D. Ind. June 27, 2018),
    ECF No. 94; Eli Lilly & Co. v. Dr. Reddy’s Labs., Ltd., No.
    1:16-cv-00308-TWP-MPB, 
    2018 WL 3616715
    (S.D. Ind.
    July 27, 2018). We decide these appeals together in this
    combined opinion. 1
    We reverse the district court’s finding of literal in-
    fringement in the Hospira Decision as clearly erroneous in
    light of the court’s claim construction of “administration of
    pemetrexed disodium.” Because the district court did not
    err in its application of the doctrine of equivalents in either
    1   We refer to the joint appendices in these appeals by
    reference to each appellant. Lilly’s brief in the Hospira ap-
    peal is referred to as “Lilly Br. I” and its brief in the DRL
    appeal as “Lilly Br. II.”
    4                      ELI LILLY AND COMPANY v. HOSPIRA, INC.
    decision, we affirm both judgments of infringement. Thus,
    the Hospira Decision is affirmed-in-part and reversed-in-
    part, and the DRL Decision is affirmed.
    BACKGROUND
    Lilly markets the compound pemetrexed in the form of
    a disodium salt as Alimta®, which is indicated, both alone
    and in combination with other active agents, for treating
    certain types of non-small cell lung cancer and mesotheli-
    oma. Pemetrexed is an antifolate, a class of molecules
    which, at the time of the invention in 2001, was “one of the
    most thoroughly studied classes of antineoplastic agents.”
    ’209 patent col. 1 ll. 19–20. Antifolates are structurally
    similar to folic acid and work by competitively binding to
    certain enzymes that use folic acid metabolites as cofactors
    in several steps of de novo nucleotide synthesis. 
    Id. col. 1
    ll. 40–41. Unlike folic acid, antifolates do not enable these
    synthetic steps, but instead inhibit them. Pemetrexed in-
    hibits several of these enzymes, including thymidylate syn-
    thase, which methylates deoxyuridine in the final step of
    deoxythymidine synthesis. 
    Id. col. 1
    ll. 59–61. By inhibit-
    ing the creation of these nucleotides, antifolates slow down
    DNA and RNA synthesis, and with it, cell growth and divi-
    sion. Cancer cells tend to grow rapidly, so antifolate ther-
    apy affects them disproportionately, but healthy cells can
    also be damaged.
    Pemetrexed had been known for at least a decade in
    2001. Lilly’s U.S. Patent 5,344,932 (“Taylor”) disclosed
    that certain glutamic acid derivatives with pyrrolo[2,3-
    d]pyrimidine heterocyclic ring structures, exemplified by
    pemetrexed, are “particularly active . . . inhibitors of thy-
    midylate synth[ase],” Taylor col. 1 ll. 59–60; see also 
    id. col. 19
    l. 37–col. 20 l. 25 (disclosing data indicating that
    pemetrexed inhibits thymidylate synthase activity in vitro
    in human cell lines and in vivo in mice). The Taylor patent
    also disclosed that its compounds could be employed as
    “pharmaceutically acceptable salt[s],” 
    id. col. 2
    l. 35, and
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                      5
    that the disodium salt form was particularly advantageous,
    
    id. col. 2
    ll. 47–48. U.S. Patent 4,997,838 (“Akimoto”), to
    which Lilly took a license, disclosed a large genus of com-
    pounds containing pyrrolo[2,3-d]pyrimidine heterocyclic
    ring structures and a glutamic acid functional group, and
    that encompassed pemetrexed. The Akimoto patent dis-
    closes nearly fifty exemplary compounds, col. 14 l. 61–col.
    16 l. 48, none of which is pemetrexed. Akimoto further dis-
    closes that its compounds may be prepared as salts of
    “pharmaceutically acceptable bases,” such as “alkali met-
    als, alkali earth metals, non-toxic metals, ammonium, and
    substituted ammonium.” 
    Id. col. 1
    4 ll. 44–47.
    By 2001, Lilly had also published the results of several
    clinical trials investigating the use of pemetrexed disodium
    as a treatment for different types of cancer. See, e.g., W.
    John et al., “Activity of Multitargeted Antifolate
    (Pemetrexed Disodium, LY231514) in Patients with Ad-
    vanced Colorectal Carcinoma: Results from a Phase II
    Study,” Cancer, 88(8):1807–13 (2000). In the course of con-
    ducting these studies, Lilly discovered that pemetrexed
    disodium caused severe hematologic and immunologic side
    effects, resulting in infections, nausea, rashes, and even
    some deaths. See id.; see also Neptune Generics, LLC v. Eli
    Lilly & Co., 
    921 F.3d 1372
    , 1377–78 (Fed. Cir. 2019) (dis-
    cussing Lilly’s response to adverse clinical data), and Nep-
    tune Generics, LLC v. Eli Lilly & Co., No. IPR2016-00240,
    
    2017 WL 4466557
    , at *28–30 (P.T.A.B. Oct. 5, 2017) (same).
    As the ’209 patent teaches, such side effects are not uncom-
    mon among antifolates. See ’209 patent col. 1 ll. 11–14.
    Some researchers hypothesized that folic acid deficiency
    caused these side effects and suggested supplementing
    pemetrexed disodium treatment with folic acid. DRL J.A.
    7870 (citing J.F. Worzalla et al., “Role of Folic Acid in Mod-
    ulating the Toxicity and Efficacy of the Multitargeted An-
    tifolate, LY231514,” Anticancer Research, 18:3235–40
    (1998)).
    6                      ELI LILLY AND COMPANY v. HOSPIRA, INC.
    The invention of the ’209 patent is an improved method
    of treatment with antifolates, particularly pemetrexed
    disodium, through supplementation with a methylmalonic
    acid lowering agent and folic acid. Doing so, according to
    the patent, lessens antifolate toxicity without sacrificing ef-
    ficacy. See ’209 patent col. 10 ll. 17–53 (reporting that pre-
    supplementation regimen of vitamin B12 and folic acid in
    clinical studies substantially reduced pemetrexed-induced
    toxicity and deaths while delivering a superior chemother-
    apeutic response rate). The ’209 patent lists preferred an-
    tifolates, including some then-existing antifolate therapies,
    as well as “derivatives described in” several patents includ-
    ing the Akimoto patent, and “most preferred, Pemetrexed
    Disodium.” 
    Id. col. 4
    ll. 28–43. Each of the claims of the
    ’209 patent requires administration of pemetrexed diso-
    dium following administration of folic acid and a
    methylmalonic acid lowering agent, specified in some
    claims, as well as the Alimta® label, as vitamin B12. Claim
    12 is representative2:
    12. An improved method for administering
    pemetrexed disodium to a patient in need of chemo-
    therapeutic treatment, wherein the improvement
    comprises:
    a) administration of between about 350 µg
    and about 1000 µg of folic acid prior to the
    first administration of pemetrexed diso-
    dium;
    2  The district court treated claim 12 as representa-
    tive, DRL Summary Judgment Decision, 
    2017 WL 6387316
    , at *1–2; Hospira Decision, 
    2018 WL 3008570
    , at
    *2, and no party has disputed that determination on ap-
    peal. See, e.g., DRL Opening Br. 8–9; Hospira Opening Br.
    23.
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                      7
    b) administration of about 500 µg to about
    1500 µg of vitamin B12, prior to the first
    administration of pemetrexed disodium;
    and
    c) administration of pemetrexed disodium.
    In a parent application, Application 10/297,821 (the
    “’821 application”), Lilly originally sought broad claims to
    methods of administering an antifolate in conjunction with
    a methylmalonic acid lowering agent, with or without folic
    acid. The original independent claims 2 and 5 read:
    2. (Original) A method of reducing the toxicity as-
    sociated with the administration of an antifolate to
    a mammal comprising
    administering to said mammal an effective
    amount of said antifolate in combination
    with a methylmalonic acid lowering agent.
    5. (Original) A method of reducing the toxicity as-
    sociated with the administration of an antifolate to
    a mammal comprising
    administering to said mammal an effective
    amount of said antifolate in combination
    with a methylmalonic acid lowering agent
    and FBP binding agent.
    DRL J.A. 7860. A dependent claim further limited the an-
    tifolate to pemetrexed disodium. 
    Id. at 7861.
        Claim 2 was rejected as anticipated by F.G. Arsenyan
    et al., “Influence of Methylcobalamin on the Antineoplastic
    Activity of Methotrexate,” Onkol. Nauchn., 12(10):1299-
    1303 (1978), which disclosed experiments treating mice
    with various tumors with a combination of methotrexate,
    an antifolate, and methylcobalamin, a vitamin B12 deriva-
    tive. The rest of the pending claims, including Claim 5,
    were rejected as obvious over a collection of references: U.S.
    Patent 5,431,925 (“Ohmori”)—which taught treatment of
    8                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    chemotherapeutically-induced immunosuppression with a
    combination of vitamins that could include folic acid and
    vitamin B12—Worzalla, John, and Arsenyan. ’821 appli-
    cation, Sept. 27, 2004, Office Action; DRL J.A. 7868–72.
    In response, Lilly amended both claims to narrow “an-
    tifolate” to “pemetrexed disodium” and cancelled its de-
    pendent claim limited to pemetrexed disodium. ’821
    application, Jan. 25, 2005, Response to Office Action; DRL
    J.A. 7877–84. In its remarks, Lilly asserted that the
    amendment to claim 2 overcame the anticipation rejection
    because Arsenyan does not disclose pemetrexed disodium.
    
    Id. To overcome
    the obviousness rejection of claim 5 and
    its dependents, Lilly generally argued that, while John dis-
    closes hematologic and immunologic toxicities from admin-
    istration of pemetrexed disodium, it never suggests
    vitamin supplementation, and none of the other references
    “teach the use of [vitamin B12] to reduce toxicities associ-
    ated with an antifolate.” 
    Id. The examiner
    then withdrew
    the anticipation rejection and later withdrew the obvious-
    ness rejection. The ’821 application issued as U.S. Patent
    7,053,065, and the ’209 patent later issued from a continu-
    ation application.
    These appeals were taken from cases which are among
    the latest in a series of patent disputes about Alimta® that
    reaches back more than a decade. 3 In this most recent
    chapter, DRL, Hospira, and Actavis 4 submitted New Drug
    3   This is the fourth appeal we have decided concern-
    ing Alimta® and the third specifically concerning the ’209
    patent. See Neptune Generics, 
    921 F.3d 1372
    ; Eli Lilly &
    Co. v. Teva Parenteral Meds., Inc., 
    845 F.3d 1357
    (Fed. Cir.
    2017); Eli Lilly & Co. v. Teva Parenteral Meds., Inc., 
    689 F.3d 1368
    (Fed. Cir. 2012).
    4   Lilly also sued Actavis LLC (“Actavis”) for infringe-
    ment of the ’209 patent, Eli Lilly & Co. v. Actavis LLC, No.
    1:17-cv-00982-TWP-MPB (S.D. Ind. Mar. 30, 2017), ECF
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                     9
    Applications under § 505(b)(2) of the Federal Food, Drug,
    and Cosmetic Act, 21 U.S.C. § 355(b)(2), relying on Lilly’s
    clinical data for pemetrexed disodium. But each applicant
    seeks to market different pemetrexed salts—in DRL’s and
    Hospira’s applications, pemetrexed ditromethamine. Both
    DRL and Hospira represented to the FDA that their choice
    of the tromethamine cation was immaterial because
    pemetrexed dissociates from its counterion in solution,
    DRL J.A. 8555–57; Hospira J.A. 124, and tromethamine
    was known to be safe for pharmaceutical use, DRL J.A.
    8555, 8557.
    Lilly then asserted the ’209 patent against each of
    these NDA applicants in the United States District Court
    for the Southern District of Indiana. In the DRL case, the
    district court construed the phrase “administration of
    pemetrexed disodium” to mean “liquid administration of
    pemetrexed disodium,” which “is accomplished by dissolv-
    ing the solid compound pemetrexed disodium into solu-
    tion.” DRL Summary Judgment Decision, 
    2017 WL 6387316
    , at *4. The district court denied DRL’s motion for
    summary judgment of noninfringement, holding that pros-
    ecution history estoppel does not bar Lilly from asserting
    that DRL’s proposed pemetrexed ditromethamine product
    would infringe through the doctrine of equivalents because
    the reason for Lilly’s amendment was to distinguish other
    antifolates and was therefore only tangential to
    pemetrexed ditromethamine. 
    Id. at *6–7.
    The district
    court also rejected DRL’s argument that Lilly dedicated
    No. 1, but the parties stipulated to be bound by the district
    court’s decision in the DRL case that neither prosecution
    history estoppel nor the disclosure-dedication rule bars
    Lilly’s assertion of infringement through the doctrine of
    equivalents. Actavis Br. 2. Actavis filed a brief in the DRL
    appeal as amicus curiae requesting reversal of that portion
    of the district court’s decision.
    10                    ELI LILLY AND COMPANY v. HOSPIRA, INC.
    pemetrexed ditromethamine to the public under the disclo-
    sure-dedication rule through its reference to Akimoto’s an-
    tifolate compounds because Akimoto is not incorporated by
    reference into the ’209 patent and in any event discloses
    pemetrexed ditromethamine only within a genus of thou-
    sands of compounds, which the district court held does not
    constitute the requisite disclosure of an identifiable alter-
    native under this court’s precedent. 
    Id. at *7–8;
    see, e.g.,
    SanDisk Corp. v. Kingston Tech. Co., 
    695 F.3d 1348
    , 1363
    (Fed. Cir. 2012).
    Following a bench trial, the district court’s opinion
    largely followed its rationale in the DRL Summary Judg-
    ment Decision with respect to the applicability of prosecu-
    tion history estoppel and the disclosure-dedication rule.
    DRL 
    Decision, 323 F. Supp. 3d at 1046
    –48. In addition, the
    court found that DRL’s proposed product would be admin-
    istered in a manner that would meet the “administration
    of pemetrexed disodium” step of the asserted claims under
    the doctrine of equivalents, 
    id. at 1049,
    regardless of the
    “differences in chemical properties between pemetrexed
    disodium and pemetrexed ditromethamine,” 
    id. at 1050.
         In the Hospira case, the parties similarly disputed the
    doctrine of equivalents, but Lilly also asserted literal in-
    fringement because Hospira’s proposed product label al-
    lows reconstitution of its pemetrexed ditromethamine salt
    in saline. Hospira Decision, 
    2018 WL 3008570
    , at *2–3;
    Hospira J.A. 229. After the district court issued the DRL
    Summary Judgment Decision, Hospira conceded, contin-
    gent upon its right to appeal, that its product would in-
    fringe under the claim construction of “administration of
    pemetrexed disodium” set forth in that opinion and that its
    doctrine of equivalents arguments were likewise fore-
    closed. Hospira Br. 18. The district court, “rel[ying] heav-
    ily” on the DRL Summary Judgment Decision, granted
    Lilly’s motion for summary judgment of infringement, both
    literally and under the doctrine of equivalents. Hospira
    Decision, 
    2018 WL 3008570
    , at *1 n.2, *6.
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                      11
    These appeals followed. We have jurisdiction under 28
    U.S.C. § 1295(a)(1).
    DISCUSSION
    We review a district court’s grant of summary judg-
    ment according to the law of the regional circuit. Kaneka
    Corp. v. Xiamen Kingdomway Grp. Co., 
    790 F.3d 1298
    ,
    1303 (Fed. Cir. 2015) (citing Halo Elecs., Inc. v. Pulse El-
    ecs., Inc., 
    769 F.3d 1371
    , 1377 (Fed. Cir. 2014)). In the Sev-
    enth Circuit, summary judgment is reviewed de novo, con-
    struing all facts and drawing all inferences in favor of the
    non-movant. Wis. Alumni Research Found. v. Apple Inc.,
    
    905 F.3d 1341
    , 1352 (Fed. Cir. 2018) (citing Austin v.
    Walgreen Co., 
    885 F.3d 1085
    , 1087 (7th Cir. 2018)). On ap-
    peal from a bench trial, we review a district court’s conclu-
    sions of law de novo and its findings of fact for clear error.
    Braintree Labs., Inc. v. Novel Labs., Inc., 
    749 F.3d 1349
    ,
    1358 (Fed. Cir. 2014) (citing Brown & Williamson Tobacco
    Corp. v. Philip Morris Inc., 
    229 F.3d 1120
    , 1123 (Fed. Cir.
    2000)). A factual finding is clearly erroneous if, despite
    some supporting evidence, we are left with the definite and
    firm conviction that a mistake has been made. United
    States v. U.S. Gypsum Co., 
    333 U.S. 364
    , 395 (1948).
    Claim construction is ultimately an issue of law, which
    we review de novo. Shire Dev., LLC v. Watson Pharm., Inc.,
    
    787 F.3d 1359
    , 1364 (Fed. Cir. 2015). We review de novo
    the district court’s findings of fact on evidence “intrinsic to
    the patent (the patent claims and specification[], along
    with the patent’s prosecution history),” and review for clear
    error extrinsic findings of fact. Teva Pharm. USA, Inc. v.
    Sandoz, Inc., 
    135 S. Ct. 831
    , 841 (2015). While infringe-
    ment is a question of fact, Lucent Techs., Inc. v. Gateway,
    Inc., 
    580 F.3d 1301
    , 1309 (Fed. Cir. 2009), we review de
    novo the district court’s grant of summary judgment of non-
    infringement, Unwired Planet, LLC v. Apple Inc., 
    829 F.3d 1353
    , 1356 (Fed. Cir. 2016). To prove infringement, a pa-
    tentee “must supply sufficient evidence to prove that the
    12                    ELI LILLY AND COMPANY v. HOSPIRA, INC.
    accused product or process contains, either literally or un-
    der the doctrine of equivalents, every limitation of the
    properly construed claim.” Seal-Flex, Inc. v. Athletic Track
    & Court Const., 
    172 F.3d 836
    , 842 (Fed. Cir. 1999). The
    patentee has the burden of proving infringement by a pre-
    ponderance of the evidence. SmithKline Diagnostics, Inc.
    v. Helena Labs. Corp., 
    859 F.2d 878
    , 889 (Fed. Cir. 1988).
    Hospira requests reversal of the district court’s finding
    that its submission of a § 505(b)(2) NDA for its pemetrexed
    product literally infringed the claims of the ’209 patent.
    DRL and Hospira both argue, as does the amicus curiae
    Actavis, that the district court erred as a matter of law by
    refusing to apply prosecution history estoppel to bar Lilly’s
    doctrine of equivalents claim, and DRL further contends
    that the disclosure-dedication rule precludes Lilly’s equiv-
    alents claim. Finally, DRL disputes the district court’s
    finding that administration of pemetrexed ditromethamine
    is equivalent to the claim element “administration of
    pemetrexed disodium.” We address each argument in turn.
    A. Literal Infringement
    Hospira argues that it cannot literally infringe the
    claims of the ’209 patent because intravenous administra-
    tion of pemetrexed ditromethamine dissolved in saline—a
    solution which contains pemetrexed and chloride anions
    alongside sodium and tromethamine cations—is not “ad-
    ministration of pemetrexed disodium.” Hospira also notes
    that such a solution will, in any case, contain far more than
    two sodium cations per pemetrexed anion. Finally, Hos-
    pira appears to make a perfunctory argument that, in the
    alternative, we should reverse the district court’s construc-
    tion and hold that the term encompasses any route of ad-
    ministering pemetrexed disodium, not just liquid, as the
    district court’s construction requires.
    Lilly counters that Hospira’s view improperly imposes
    a “source limitation,” requiring that the pemetrexed diso-
    dium salt exist in solid form before administration, even
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                      13
    though Hospira’s proposed product label, like that of Ali-
    mta®, calls for administration of a solution containing
    pemetrexed anions and sodium cations. Lilly also contends
    that Hospira’s claim construction arguments are irrelevant
    because Hospira’s proposed product will be administered
    intravenously anyway.
    We agree with Hospira. It was clearly erroneous for
    the district court to hold that the “administration of
    pemetrexed disodium” step was met because Hospira’s
    pemetrexed ditromethamine product will be dissolved in
    saline before administration. A solution of pemetrexed and
    chloride anions and tromethamine and sodium cations can-
    not be deemed pemetrexed disodium simply because some
    assortment of the ions in the solution consists of
    pemetrexed and two sodium cations. As Lilly acknowl-
    edges throughout its brief, pemetrexed disodium is a salt.
    See, e.g., Lilly Br. I 12 (pemetrexed toxicity is caused “by
    pemetrexed itself once dissociated in solution,” not
    pemetrexed disodium); see also Hospira J.A. 1596 (October
    2017 Alimta® Label referring to the drug substance as the
    “disodium salt” of pemetrexed). Once diluted, the salt’s
    crystalline structure dissolves, and the individual ions dis-
    sociate. See Hospira J.A. 2820 (declaration of Lilly’s ex-
    pert). In other words, pemetrexed disodium no longer
    exists once dissolved in solution, and, as a corollary, a dif-
    ferent salt of pemetrexed dissolved in saline is not
    pemetrexed disodium.
    We conclude that to literally practice the “administra-
    tion of pemetrexed disodium” step under the district court’s
    claim construction, the pemetrexed disodium salt must be
    itself administered. See DRL Summary Judgment Deci-
    sion, 
    2017 WL 6387316
    , at *4 (“‘[A]dministration of
    pemetrexed disodium’ . . . refer[s] to a liquid administration
    of pemetrexed disodium. . . ., accomplished by dissolving
    the solid compound pemetrexed disodium into solu-
    tion . . . .”); see also Tex. Instruments Inc. v. Cypress Semi-
    conductor Corp., 
    90 F.3d 1558
    , 1563 (Fed. Cir. 1996) (“To
    14                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    literally infringe, the accused . . . process must contain
    every limitation of the asserted claim.” (citing Laitram
    Corp. v. Rexnord, Inc., 
    939 F.2d 1533
    , 1535 (Fed. Cir.
    1991))). There is no dispute that Hospira has only sought
    approval to market pemetrexed ditromethamine, Lilly Br.
    I 4, and that neither its proposed product nor methods of
    administering it will constitute administering the
    pemetrexed disodium salt. Accordingly, Hospira will not
    practice the step of “administration of pemetrexed diso-
    dium,” and the district court’s finding of literal infringe-
    ment must be reversed.
    B. Doctrine of Equivalents
    Few propositions of patent law have been so consist-
    ently sustained by the Supreme Court as the doctrine of
    equivalents. See Festo Corp. v. Shoketsu Kinzoku Kogyo
    Kabushki Co., 
    535 U.S. 722
    , 733 (2002) (“Festo VIII”)
    (“[E]quivalents remain a firmly entrenched part of the set-
    tled rights protected by the patent.”); Warner-Jenkinson
    Co. v. Hilton Davis Chem. Co., 
    520 U.S. 17
    , 40 (1997) (“[W]e
    adhere to the doctrine of equivalents.”); Graver Tank &
    Mfg. Co. v. Linde Air Prods. Co., 
    339 U.S. 605
    , 608 (1950)
    (“Originating almost a century ago in the case of Winans v.
    Denmead, [
    56 U.S. 330
    (1853)] . . . [the doctrine of equiva-
    lents] has been consistently applied by this Court and the
    lower federal courts, and continues today ready and avail-
    able for utilization when the proper circumstances for its
    application arise.”). It is settled that a patentee is entitled
    “in all cases to invoke to some extent the doctrine of equiv-
    alents,” Seymour v. Osborne, 
    78 U.S. 516
    , 555 (1870), with-
    out a “judicial exploration of the equities of a case”
    beforehand. See 
    Warner-Jenkinson, 520 U.S. at 34
    .
    Yet the Supreme Court has also acknowledged that the
    doctrine of equivalents, “when applied broadly, conflicts
    with the definitional and public-notice functions of the stat-
    utory claiming requirement,” 
    Warner-Jenkinson, 520 U.S. at 29
    , and that, without the proper balance between these
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                        15
    two imperatives, the doctrine may “take[] on a life of its
    own, unbounded by the patent claims.” See 
    id. at 28–29.
    We have emphasized, moreover, that the doctrine of equiv-
    alents is “the exception, however, not the rule,” and not
    merely “the second prong of every infringement charge,
    regularly available to extend protection beyond the scope
    of the claims.” London v. Carson Pirie Scott & Co., 
    946 F.2d 1534
    , 1538 (Fed. Cir. 1991). Patent infringement is princi-
    pally determined by examining whether the accused sub-
    ject matter falls within the scope of the claims.
    To that end, courts have placed important limitations
    on a patentee’s ability to assert infringement under the
    doctrine of equivalents. See, e.g., Festo 
    VIII, 535 U.S. at 737
    –41 (prosecution history estoppel); 
    Warner-Jenkinson, 520 U.S. at 39
    n.8 (“[A] theory of equivalence [cannot] en-
    tirely vitiate a particular claim element . . . .”); Graver
    
    Tank, 339 U.S. at 608
    (accused equivalent cannot differ
    substantially from the claimed invention); Johnson &
    Johnston Assocs. Inc. v. R.E. Serv. Co., 
    285 F.3d 1046
    , 1054
    (Fed. Cir. 2002) (en banc) (subject matter disclosed but not
    claimed is dedicated to the public) (citing Maxwell v. J.
    Baker, Inc., 
    86 F.3d 1098
    (Fed. Cir. 1996)); Wilson Sporting
    Goods Co. v. David Geoffrey & Assocs., 
    904 F.2d 677
    , 683
    (Fed. Cir. 1990) (“[T]he asserted scope of equivalency [can-
    not] encompass the prior art . . . .” (Rich, J.) (citations omit-
    ted)). These appeals implicate several of these limitations.
    1. Prosecution History Estoppel
    The main dispute in these appeals is whether Lilly has
    rebutted the presumption of prosecution history estoppel
    that attached to its amendment in the ’821 application.
    Prosecution history estoppel arises when a patent appli-
    cant narrows the scope of his claims during prosecution for
    a reason “substantial[ly] relating to patentability.” See
    generally Festo Corp. v. Shoketsu Kinzoku Kogyo Kabushiki
    Co., 
    344 F.3d 1359
    , 1366–67 (Fed. Cir. 2003) (en banc)
    (“Festo X”). Such a narrowing amendment is presumed to
    16                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    be a surrender of all equivalents within “the territory be-
    tween the original claim and the amended claim,” but the
    presumption is overcome if the patentee can show the ap-
    plicability of one of the few exceptions identified by the Su-
    preme Court. Festo 
    VIII, 535 U.S. at 740
    –41 (citing Exhibit
    Supply Co. v. Ace Patents Corp., 
    315 U.S. 126
    , 136–37
    (1942)). Whether prosecution history estoppel applies to
    bar a doctrine of equivalents claim is a question of law, re-
    viewed de novo. See Regents of Univ. of Cal. v. Dakocyto-
    mation Cal., Inc., 
    517 F.3d 1364
    , 1371 (Fed. Cir. 2008)
    (citing Pharmacia & Upjohn Co. v. Mylan Pharm., Inc., 
    170 F.3d 1373
    , 1376 (Fed. Cir. 1999)).
    Lilly does not dispute that the amendment in question
    was both narrowing and made for a substantial reason re-
    lating to patentability. Lilly Br. II 21. Furthermore, Lilly
    relies on only one exception to giving effect to the presump-
    tion as to the scope of surrender: that the rationale of its
    amendment “[bore] no more than a tangential relation to
    the equivalent in question.” Festo 
    VIII, 535 U.S. at 740
    . As
    a result, the parties’ dispute about whether prosecution
    history estoppel applies is confined to whether Lilly’s
    amendment narrowing “an antifolate” to “pemetrexed diso-
    dium” was only tangential to pemetrexed ditromethamine,
    which is the accused compound. Whether the tangential
    exception applies is a question of law, Integrated Tech.
    Corp. v. Rudolph Techs., Inc., 
    734 F.3d 1352
    , 1356 (Fed.
    Cir. 2013), and a patentee seeking to use the exception
    “must base his arguments solely upon the public record of
    the patent’s prosecution.” Festo 
    X, 344 F.3d at 1369
    –70 (ci-
    tation omitted).
    The Appellants argue that Lilly failed to explain why
    it did not pursue a narrower amendment literally encom-
    passing pemetrexed ditromethamine, and they emphasize
    our statement that the tangential exception is “very nar-
    row.” 
    Integrated, 734 F.3d at 1358
    (quoting Cross Med.
    Prods., Inc. v. Medtronic Sofamor Danek, Inc., 
    480 F.3d 1335
    , 1342 (Fed. Cir. 2007)). The Appellants further point
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                    17
    out that Lilly cannot be said to have “lacked the words to
    describe” pemetrexed ditromethamine, see Festo 
    VIII, 535 U.S. at 734
    , because Lilly’s previous patents, as well as the
    European companion to the ’209 patent, claimed
    pemetrexed salts generally and pemetrexed disodium in a
    dependent claim. They also assert that the district court
    erred by focusing on whether Lilly actually needed to relin-
    quish pemetrexed ditromethamine to overcome the Arsen-
    yan anticipation rejection because “the tangential
    exception is not a patentee’s-buyer’s-remorse exception.”
    DRL Br. 39.
    In response, Lilly argues that the district court
    properly held that the reason for its amendment was to dis-
    tinguish pemetrexed from antifolates generally and that
    the different salt type is a merely tangential change with
    no consequence for pemetrexed’s administration or mecha-
    nism of action within the body. Lilly also contends that it
    is not barred from asserting the tangential exception
    simply because pemetrexed ditromethamine is within “the
    territory between the original claim and the amended
    claim.” Festo 
    VIII, 535 U.S. at 740
    . Finally, Lilly argues
    that Appellants’ view that courts must “consider hypothet-
    ical alternative amendments” that would literally encom-
    pass the alleged equivalent “would eviscerate the
    tangentiality exception.” Lilly Br. II 44.
    We agree with Lilly. As a general matter, we find Ap-
    pellants’ view of prosecution history estoppel, and the tan-
    gential exception in particular, too rigid. Tangential
    means “touching lightly or in the most tenuous way.” Web-
    ster’s Third New International Dictionary (2002). The rea-
    son for Lilly’s amendment, as the district court concluded,
    was to narrow original claim 2 to avoid Arsenyan, which
    only discloses treatments using methotrexate, a different
    antifolate. See DRL J.A. 7879–80 (overcoming the Arsen-
    yan anticipation rejection by arguing that it “does not dis-
    close pemetrexed disodium”).        To overcome a clear
    anticipation, Lilly opted to narrow its original claim 2 and
    18                    ELI LILLY AND COMPANY v. HOSPIRA, INC.
    its dependents to more accurately define what it actually
    invented, an improved method of administering
    pemetrexed. In other words, the particular type of salt to
    which pemetrexed is complexed relates only tenuously to
    the reason for the narrowing amendment, which was to
    avoid Arsenyan. We therefore hold that Lilly’s amendment
    was merely tangential to pemetrexed ditromethamine be-
    cause the prosecution history, in view of the ’209 patent it-
    self, strongly indicates that the reason for the amendment
    was not to cede other, functionally identical, pemetrexed
    salts.
    The prosecution record confirms our understanding.
    Original claim 5, which, like all the current claims of the
    ’209 patent, required supplementation with both vitamin
    B12 and folic acid, was never rejected as anticipated over
    Arsenyan. Instead, the art cited against original claim 5
    and its dependent claims in the obviousness ground of re-
    jection was replete with information about pemetrexed
    disodium; John disclosed clinical trials using pemetrexed
    disodium, reporting both its efficacy and its toxic side ef-
    fects, and in response, DRL J.A. 7869–70, Worzalla sug-
    gested folic acid supplementation to counteract these side
    effects, DRL J.A. 7870–71. The prosecution record implies
    that Lilly’s amendment, inartful though it might have
    been, was prudential in nature and did not need or intend
    to cede other pemetrexed salts.
    Hospira argues that the amendment was made to over-
    come the obviousness rejection over Ohmori and John and
    that Lilly has provided no reason for the amendment rela-
    tive to that rejection. Like Lilly, we find this argument
    makes little sense. John discloses the results of a clinical
    trial of pemetrexed disodium and explicitly suggests the
    toxicities caused by pemetrexed; as we concluded above,
    narrowing “antifolate” to “pemetrexed disodium” could not
    possibly distinguish the art cited in the obviousness ground
    of rejection.
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                       19
    DRL also insists that we have held that an applicant’s
    remorse at ceding more claim scope than necessary is not a
    reason for the tangential exception to apply. See, e.g., Lu-
    cent Techs., Inc. v. Gateway, Inc., 
    525 F.3d 1200
    , 1218 (Fed.
    Cir. 2008); Schwarz Pharma, Inc. v. Paddock Labs., Inc.,
    
    504 F.3d 1371
    , 1377 (Fed. Cir. 2007). This is generally
    true, but DRL overreads the holdings of these cases. After
    all, the tangential exception only exists because applicants
    over-narrow their claims during prosecution. Amend-
    ments are not construed to cede only that which is neces-
    sary to overcome the prior art, see 
    Schwarz, 504 F.3d at 1377
    , nor will the court “speculat[e]” whether an amend-
    ment was necessary, see Kinzenbaw v. Deere & Co., 
    741 F.2d 383
    , 389 (Fed. Cir. 1984). But the reason for an
    amendment, where the tangential exception is invoked,
    cannot be determined without reference to the context in
    which it was made, including the prior art that might have
    given rise to the amendment in the first place. See Festo 
    X, 344 F.3d at 1370
    . Here, it is unlikely that a competitor
    would have been “justified in assuming that if he [made an
    equivalent pemetrexed salt], he would not infringe [the
    ’209 patent].” 
    Kinzenbaw, 741 F.2d at 389
    ; cf. Festo 
    VIII, 535 U.S. at 738
    (“There is no reason why a narrowing
    amendment should be deemed to relinquish equivalents
    . . . beyond a fair interpretation of what was surrendered.”).
    Furthermore, Appellants’ suggestion that Lilly must
    prove that it could not have drafted a claim that literally
    encompassed pemetrexed ditromethamine is unsupported
    by our precedent on prosecution history estoppel, not to
    mention excessive. We do not demand perfection from pa-
    tent prosecutors, and neither does the Supreme Court. See
    Festo 
    VIII, 535 U.S. at 738
    (“It does not follow . . . that [an]
    amended claim becomes so perfect in its description that
    no one could devise an equivalent.”). Lilly’s burden was to
    show that pemetrexed ditromethamine was “peripheral, or
    not directly relevant,” to its amendment, Festo 
    X, 344 F.3d at 1369
    . And as we concluded above, Lilly has done so.
    20                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    In addition, the Appellants maintain that when a pa-
    tentee submits an amendment adding two claim limita-
    tions, it cannot later argue that the reason for the
    amendment was tangential to an accused equivalent con-
    taining only one of the added limitations simply because
    the second limitation was unnecessary to overcome the
    prior art. They offer Felix v. American Honda Motor Co.,
    
    562 F.3d 1167
    (Fed. Cir. 2009), as an illustration of this
    principle. 5 In that case, we held that prosecution history
    estoppel applied to a claim directed to a vehicle bed storage
    system—limited in response to a rejection to having a
    channel with a flange and a gasket mounted on that
    flange—barring assertion of equivalence with respect to a
    product that met the channel aspect, but not the gasket as-
    pect, of the limitation. 
    Id. at 1184–85.
        But as Lilly points out, this holding was determined by
    that patent’s prosecution history, 
    Felix, 562 F.3d at 1184
    ,
    and we have also held that prosecution history estoppel
    does not apply in similar circumstances, where the
    5    The parties argue at length about which of our
    cases are properly analogous to the facts presented in these
    appeals. Here, in applying the Supreme Court’s frame-
    work, we find the analogies to other cases less helpful than
    a direct consideration of the specific record of this case and
    what it shows about the reason for amendment and the re-
    lation of that reason to the asserted equivalent. This case-
    specific focus, within the governing framework, comports
    with the equitable nature of prosecution history estoppel.
    See Festo 
    VIII, 535 U.S. at 738
    (“[The Supreme Court has]
    consistently applied the doctrine in a flexible way, not a
    rigid one.”); cf. Heckler v. Cmty. Health Servs. of Crawford
    Cty., Inc., 
    467 U.S. 51
    , 59 (1984) (“Estoppel is an equitable
    doctrine invoked to avoid injustice in particular cases. . . .
    [and] a hallmark of the doctrine is its flexible applica-
    tion . . . .”).
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                    21
    prosecution record differed. See, e.g., 
    Regents, 517 F.3d at 1376
    –78 (amendment narrowing “disabling hybridization
    capacity of [nucleic acid] sequences” to methods using a
    “blocking nucleic acid” was merely tangential to unclaimed
    repetitive sequence nucleic acids); Insituform Techs., Inc.
    v. CAT Contracting, Inc., 
    385 F.3d 1360
    , 1368 (Fed. Cir.
    2004) (amendment narrowing method of inserting resin
    into tube using a vacuum to one using “a cup” to do so was
    merely tangential to a multiple cup embodiment because
    the number of cups bore no relationship to the cited prior
    art or the rationale behind the narrowing amendment).
    Thus, our cases demonstrate that prosecution history es-
    toppel is resistant to the rigid legal formulae that Appel-
    lants seek to extract from them. See Intervet Inc. v. Merial
    Ltd., 
    617 F.3d 1282
    , 1291 (Fed. Cir. 2010) (“[T]here is no
    hard-and-fast test for what is and what is not a tangential
    relation . . . .”).
    Finally, DRL also contends that our precedent squarely
    forecloses Lilly’s tangentiality argument, and it invites us
    to read those cases to hold that “where the reason for the
    amendment and the equivalent in question both relate to
    the same claim element, the tangential exception does not
    apply.” DRL Br. 47. We decline this invitation because
    such a bright-line rule is both contrary to the equitable na-
    ture of prosecution history estoppel, as articulated in Festo
    
    VIII, 535 U.S. at 738
    , and inconsistent with the equitable
    spirit that animates the doctrine of equivalents, see Graver
    
    Tank, 339 U.S. at 608
    –09 (the doctrine is one of “whole-
    some realism”). Instead, we reaffirm that whether an
    amendment was merely tangential to an equivalent must
    be decided in the context of the invention disclosed in the
    patent and the prosecution history. Festo 
    X, 344 F.3d at 1370
    .
    DRL’s intuition—that an amendment that narrows an
    existing claim element evinces an intention to relinquish
    that claim scope—is often correct. Indeed, as we have
    found in previous cases, it is a powerful indication that an
    22                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    amendment was not merely tangential. See, e.g., Honey-
    well Int’l, Inc. v. Hamilton Sundstrand Corp., 
    523 F.3d 1304
    , 1315–16 (Fed. Cir. 2008); Biagro W. Sales, Inc. v.
    Grow More, Inc., 
    423 F.3d 1296
    , 1306 (Fed. Cir. 2005). But
    here, we conclude that this consideration is not dispositive
    because the rest of the prosecution history, and the ’209
    patent itself, show that it is implausible that the reason for
    Lilly’s amendment was to surrender other pemetrexed
    salts. Indeed, such a relinquishment would effectively ded-
    icate the entirety of Lilly’s invention to the public and
    thereby render the ’209 patent worthless, and it would
    have been irrelevant for distinguishing the prior art.
    Again, the prosecution history strongly indicates a less
    sweeping and more sensible reason for Lilly’s amendment:
    to surrender antifolates other than pemetrexed. Thus, we
    conclude on this prosecution record that Lilly’s amendment
    was merely tangential to pemetrexed ditromethamine.
    2. Disclosure-Dedication Rule
    DRL next argues that the disclosure-dedication rule
    bars Lilly from asserting infringement under the doctrine
    of equivalents. The ’209 patent sets forth its invention as
    an improved method of administering antifolates, ’209 pa-
    tent col. 2 ll. 47–58, and teaches that the derivatives de-
    scribed in the Akimoto patent are preferred examples of
    antifolates, 
    id. col. 4
    ll. 34–40. DRL contends that one of
    these derivatives is pemetrexed ditromethamine and that
    it was dedicated to the public when Lilly declined to claim
    it. DRL asserts that the district court erred because it both
    required express incorporation of Akimoto by reference
    into the ’209 patent and concluded that Akimoto does not
    specifically disclose pemetrexed ditromethamine.
    Lilly counters that the disclosure-dedication rule re-
    quires express disclosure of the subject matter in question
    in the specification except in narrow circumstances, such
    as when that subject matter is disclosed in a priority appli-
    cation, see Abbott Labs. v. Sandoz, Inc., 
    566 F.3d 1282
    ,
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                     23
    1297 (Fed. Cir. 2009), or prior art expressly incorporated
    by reference, 
    SanDisk, 695 F.3d at 1366
    . Lilly also argues
    that the district court correctly determined that the rele-
    vant portion of Akimoto discloses only a generic formula
    from which a skilled artisan would not be able to recognize
    pemetrexed ditromethamine.
    We agree with Lilly and hold that the disclosure-dedi-
    cation rule is inapplicable to this case because the ’209 pa-
    tent does not disclose methods of treatment using
    pemetrexed ditromethamine, and, as a result, Lilly could
    not have dedicated such a method to the public.
    Under the disclosure-dedication rule, subject matter
    disclosed by a patentee, but not claimed, is considered ded-
    icated to the public. See Johnson & 
    Johnston, 285 F.3d at 1054
    . The reason for the doctrine is that members of the
    public reading a disclosure of particular subject matter are
    entitled, absent a claim to it, to assume that it is not pa-
    tented and therefore dedicated to the public (unless, for ex-
    ample, claimed in a continuation or other application based
    on the disclosure). Cf. 
    Maxwell, 86 F.3d at 1107
    (failure to
    claim inventive subject matter “is clearly contrary to 35
    U.S.C. § 112, which requires that a patent applicant ‘par-
    ticularly point[] out and distinctly claim[] the subject mat-
    ter which the applicant regards as his invention’”). Subject
    matter is considered disclosed when a skilled artisan “can
    understand the unclaimed disclosed teaching upon reading
    the written description,” but not “any generic reference . . .
    necessarily dedicates all members of that particular ge-
    nus.” PSC Comput. Prod., Inc. v. Foxconn Int’l, Inc., 
    355 F.3d 1353
    , 1360 (Fed. Cir. 2004).
    DRL further contends that the disclosure-dedication
    rule does not impose a § 112 requirement for sufficiency of
    disclosure, see Toro Co. v. White Consol. Indus., Inc., 
    383 F.3d 1326
    , 1334 (Fed. Cir. 2004), and that a skilled artisan
    reading the ’209 patent would both look for a disclosure of
    pemetrexed in Akimoto, and also seek to use a well-known
    24                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    cation like tromethamine, which it maintains is generically
    disclosed in Akimoto in the form of “substituted ammo-
    nium” base salts.
    We are unpersuaded by DRL’s arguments. As the dis-
    trict court noted, Akimoto’s formula, col. 1 l. 49–col. 2 l. 3,
    includes seven functional group variables and encompasses
    thousands of compounds, and while Akimoto discloses
    about fifty exemplary compounds, none of them is
    pemetrexed. Moreover, Akimoto does not even disclose tro-
    methamine expressly but only generically among dozens of
    other salts. At most, Akimoto discloses ammonium salts
    generally, which is far from a description of tromethamine.
    In similar circumstances, we have held that “sufficient de-
    scription of a genus” requires that a skilled artisan be able
    to “‘visualize or recognize’ the members of the genus.” See
    Ariad Pharm., Inc. v. Eli Lilly & Co., 
    598 F.3d 1336
    , 1350
    (Fed. Cir. 2010) (quoting Regents of the Univ. of Cal. v. Eli
    Lilly & Co., 
    119 F.3d 1559
    , 1568–69 (Fed. Cir. 1997)).
    Akimoto does not so describe pemetrexed ditromethamine,
    and we see no reason why a skilled artisan would set out
    on DRL’s winding path to cobble together pemetrexed dit-
    romethamine.        While the ’209 patent teaches that
    pemetrexed disodium is the “most preferred” antifolate,
    that knowledge would not change the skilled artisan’s un-
    derstanding of what Akimoto discloses.
    Because Akimoto contains only a “generic reference” to
    pemetrexed ditromethamine, PSC 
    Comput., 355 F.3d at 1360
    , we conclude that it was not dedicated to the public.
    3. Merits
    A component in an accused product or process may be
    equivalent to a claim element if the two are insubstantially
    different with respect to the “role played by [the] element
    in the context of the specific patent claim.” Warner-Jen-
    
    kinson, 520 U.S. at 39
    –40. Relevant differences can in-
    clude the function each serves, the way in which each
    works, and the result each obtains, 
    id. at 39,
    and, especially
    ELI LILLY AND COMPANY v. HOSPIRA, INC.                     25
    in biochemical cases, structural or pharmacological charac-
    teristics, Mylan Inst. LLC v. Aurobindo Pharm. Ltd., 
    857 F.3d 858
    , 869 (Fed. Cir. 2017). “The determination of
    equivalency vel non is a question of fact,” Canton Bio Med.,
    Inc. v. Integrated Liner Techs., Inc., 
    216 F.3d 1367
    , 1369
    (Fed. Cir. 2000) (citing Pall Corp. v. Micron Separations,
    Inc., 
    66 F.3d 1211
    , 1218 (Fed. Cir. 1995)), which we review
    for clear error in an appeal from a bench trial, Pfizer, Inc.
    v. Apotex, Inc., 
    480 F.3d 1348
    , 1359 (Fed. Cir. 2007).
    DRL argues that the district court erred in finding that
    its proposed pemetrexed ditromethamine product will be
    administered in an insubstantially different way from the
    claimed method. DRL maintains that the district court fo-
    cused on the fact that each product treats the same dis-
    eases by delivering pemetrexed intravenously, when the
    relevant context is the manner of administration. In DRL’s
    view, the chemical differences between sodium and tro-
    methamine—e.g., pH, buffering capacity, or solubility—
    DRL Br. 20–21, render the methods in which each is ad-
    ministered to a patient substantially different.
    Lilly responds that the relevant context is treatment of
    a patient “in need of chemotherapeutic treatment.” ’209
    patent claim 12. Lilly agrees with the district court that
    the chemical differences between sodium and trometham-
    ine are clinically irrelevant because each undisputedly
    lacks therapeutic activity.
    We see no clear error in the district court’s findings. As
    the district court found, DRL’s product will accomplish an
    identical aim, furnishing the same amount of pemetrexed
    to active sites in the body; in exactly the same way, by di-
    luting a pemetrexed salt in an aqueous solution for intra-
    venous administration.         Indeed, after dilution and
    immediately before administration, DRL’s product is func-
    tionally identical to Lilly’s in that it contains the same
    amount of diluted pemetrexed anion. DRL J.A. 8557. And
    DRL declines to identify the relevance of any of the
    26                     ELI LILLY AND COMPANY v. HOSPIRA, INC.
    chemical differences it identifies. See UCB, Inc. v. Watson
    Labs. Inc., 
    927 F.3d 1272
    , 1284–86 (Fed. Cir. 2019) (chem-
    ical differences may not be relevant if the equivalent has
    known interchangeability in the context of the claimed
    composition). We find DRL’s arguments unconvincing and
    therefore affirm the district court’s findings.
    In summary, these cases are eminently suitable for ap-
    plication of the doctrine of equivalents, and we conclude
    that neither prosecution history estoppel nor the disclo-
    sure-dedication rule bars Lilly from asserting infringement
    through equivalence.
    CONCLUSION
    We have fully considered each party’s further argu-
    ments but find them unpersuasive. For the foregoing rea-
    sons, we reverse the district court’s finding of literal
    infringement in the Hospira Decision but affirm its judg-
    ment of infringement under the doctrine of equivalents.
    The judgment of infringement under the doctrine of equiv-
    alents in the DRL Decision is likewise affirmed.
    AFFIRMED-IN-PART AND REVERSED-IN-PART IN
    APPEAL NOS. 2018-2126, 2018-2127
    AFFIRMED IN APPEAL NO. 2018-2128
    COSTS
    Each party shall bear its own costs.
    

Document Info

Docket Number: 18-2126

Citation Numbers: 933 F.3d 1320

Filed Date: 8/9/2019

Precedential Status: Precedential

Modified Date: 1/12/2023

Authorities (33)

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