2:00-cv-02430
Central Admixture v. Advanced Cardiac
I. Executive Summary and Procedural Information
- Parties & Counsel:- Plaintiff: Central Admixture Pharmacy Services, Inc. (Delaware)
- Defendant: Advanced Cardiac Solutions, P.C. (Alabama); Charles Wall (Alabama)
- Plaintiff’s Counsel: Bradley Arant Rose & White LLP; O'Melveny & Myers LLP
 
- Case Identification: 2:00-cv-02430, N.D. Ala., 08/31/2000
- Venue Allegations: Venue is alleged to be proper because the defendants reside in the judicial district and have allegedly engaged in infringing acts within the district.
- Core Dispute: Plaintiff, an exclusive licensee, alleges that cardioplegic solutions manufactured and sold by Defendants infringe a patent covering an improved chemical formulation for use in cardiac surgery.
- Technical Context: The technology concerns cardioplegic solutions, which are specialized chemical formulations used during open-heart surgery to safely stop the heart and protect the heart muscle from damage caused by lack of blood flow (ischemia).
- Key Procedural History: Plaintiff previously sued Defendants for, among other things, trade secret misappropriation; that case settled with Plaintiff expressly reserving the right to bring this patent infringement action. Defendant Charles Wall is a former employee of the Plaintiff. A Certificate of Correction was issued in 2001, replacing the term "osmolarity" with "osmolality" throughout the patent. A subsequent ex parte reexamination, requested in 2003, confirmed the patentability of all 18 claims of the patent.
I.I. Case Timeline
| Date | Event | 
|---|---|
| 1985-08-21 | '515 Patent Priority Date | 
| 1991-01-29 | '515 Patent Issue Date | 
| 1998-Early | Defendant ACS Founded | 
| 2000-08-31 | Complaint Filing Date | 
| 2001-01-30 | Certificate of Correction Issued for '515 Patent | 
| 2003-11-20 | Ex Parte Reexamination of '515 Patent Requested | 
| 2005-07-19 | Reexamination Certificate Issued for '515 Patent | 
II. Technology and Patent(s)-in-Suit Analysis
II.I. U.S. Patent No. 4,988,515 - "Cardioplegic Solution"
- Patent Identification: U.S. Patent No. 4,988,515, "Cardioplegic Solution", issued January 29, 1991.
II.II. The Invention Explained
- Problem Addressed: The patent describes a need to improve upon existing amino acid-enriched cardioplegic solutions to make them more effective ('515 Patent, col. 2:13-17). Specifically, a need existed for a solution that could not only prevent damage to the heart during planned surgical interruptions of blood flow but also reverse damage in hearts that had already suffered from ischemia, for example, due to an acute coronary occlusion ('515 Patent, col. 1:15-23).
- The Patented Solution: The invention is an improved cardioplegic solution that achieves enhanced cardiac recovery by simultaneously controlling three specific chemical properties: 1) maintaining a relatively low calcium ion concentration, 2) maintaining a high concentration of a metabolizable substrate like glucose, and 3) maintaining a high osmolality ('515 Patent, Abstract). The patent asserts it was "surprisingly discovered" that the effectiveness of such solutions "increased dramatically" when these three parameters were kept within specific, defined ranges, a combination distinct from prior art solutions ('515 Patent, col. 2:42-50).
- Technical Importance: The claimed formulation offered a method to improve outcomes in open-heart surgery and was also found to be effective in salvaging heart muscle that had pre-existing damage due to ischemia ('515 Patent, col. 2:50-55).
II.III. Key Claims at a Glance
- The complaint does not specify which claims are asserted, alleging infringement of the patent generally. The analysis below focuses on the primary independent claims, Claim 1 (composition) and Claim 7 (method).
- Independent Claim 1: An improved amino acid-enriched cardioplegic solution, wherein the improvement comprises:- maintaining the calcium ion concentration at a lowered level of between about 50-300 umol;
- maintaining the concentration of a metabolizable substrate between about 400-1000 mg %, where the substrate is selected from a specific group including glucose; and
- maintaining the osmolality of the solution at an increased level of between about 400-500 mOsmol.
 
- Independent Claim 7: A method for treating human hearts with an amino acid-enriched cardioplegic solution, wherein the improvement comprises:- maintaining the calcium ion concentration between about 50-300 umol;
- maintaining the metabolizable substrate concentration between about 400-1000 mg %; and
- maintaining the osmolality between about 400-500 mOsmol.
 
III. The Accused Instrumentality
III.I. Product Identification
- The accused instrumentalities are "cardioplegic solutions" that the defendants have "manufactured, distributed, offered to sell and sold" (Compl. ¶13).
III.II. Functionality and Market Context
- The complaint describes the general purpose of cardioplegic solutions as chemical agents "designed to stop the heart and reduce its energy demands during cardiac surgery" in order to protect heart muscle from damage (Compl. ¶8). The complaint does not provide specific details on the formulation, composition, or particular features of the defendants' accused solutions.
IV. Analysis of Infringement Allegations
The complaint makes a general allegation of infringement without providing a detailed mapping of accused product features to claim elements. The analysis below outlines the requirements for proving infringement of representative independent claim 1.
- '515 Patent Infringement Allegations
| Claim Element (from Independent Claim 1) | Alleged Infringing Functionality | Complaint Citation | Patent Citation | 
|---|---|---|---|
| In an amino acid enriched cardioplegic solution...the improvement comprises: maintaining said calcium ion concentration...at a lowered level of between about 50-300 umol; | The complaint alleges the defendants' cardioplegic solutions infringe, which would require proof that they contain a calcium ion concentration within this range (Compl. ¶13). The patent's Figure 4 graphically depicts experimental data supporting this claimed calcium range ('515 Patent, col. 3:11-14). | ¶13 | col. 8:56-62 | 
| maintaining said concentration of metabolizable substrate...between about 400-1000 mg % wherein said metabolizable substrate is selected from the group consisting of glucose, fructose, a salt of malic acid, a salt of succinic acid and a salt of pyruvic acid; | Infringement would require proof that the accused solutions contain a specified substrate within this concentration range (Compl. ¶13). The patent's Figure 2 presents data showing improved results are achieved only when glucose is over 400 mg % ('515 Patent, col. 3:1-5). | ¶13 | col. 8:63-col. 9:3 | 
| and maintaining said osmolality of said cardioplegic solution at an increased level of between about 400-500 mOsmol. | Infringement would require proof that the accused solutions exhibit an osmolality within this claimed range (Compl. ¶13). The patent's Figure 2 also supports this limitation, showing consistent positive results only when osmolality is greater than 400 mOsmol ('515 Patent, col. 3:1-5). | ¶13 | col. 9:4-6 | 
- Identified Points of Contention:- Factual Question: The central factual dispute will be whether the defendants' products, upon testing and analysis, fall within the specific numerical ranges for calcium concentration, substrate concentration, and osmolality recited in the patent's claims. The complaint does not present this evidence.
- Scope Question: A potential dispute may arise over the scope of the term "about" as applied to the numerical boundaries of the claimed ranges.
 
V. Key Claim Terms for Construction
- The Term: "about" 
- Context and Importance: This term appears in the three critical limitations defining the solution's composition ("about 50-300 umol," "about 400-1000 mg %," "about 400-500 mOsmol"). The infringement analysis will depend heavily on how much, if any, deviation from these numerical endpoints is permitted by the term "about." Practitioners may focus on this term because a defendant whose product is numerically just outside a claimed range could avoid infringement if "about" is construed narrowly. 
- Intrinsic Evidence for Interpretation: - Evidence for a Broader Interpretation: The patent repeatedly describes the invention in terms of ranges, for example, "between about 400-500 mOsmol" ('515 Patent, col. 2:42-43), and the graphical data in Figures 1-5 show performance trends rather than absolute, sharp cutoffs, which may support construing "about" to encompass values that are technically equivalent.
- Evidence for a Narrower Interpretation: The patent presents the claimed ranges as a "surprising discovery" ('515 Patent, col. 2:47-48). Furthermore, the detailed description provides specific experimental results tied to particular values, such as noting that "positive % SS was only consistently achieved when the calcium ion concentration was between 150 to 300 umol" ('515 Patent, col. 7:25-28), which a party could argue supports a narrow reading that allows for very little deviation from the recited numbers.
 
- The Term: "metabolizable substrate is selected from the group consisting of glucose, fructose, a salt of malic acid, a salt of succinic acid and a salt of pyruvic acid" 
- Context and Importance: This "Markush" group in Claim 1 defines the universe of chemical compounds that can satisfy the "metabolizable substrate" limitation. Whether the accused product infringes will depend on whether its substrate is one of these specific, enumerated compounds. 
- Intrinsic Evidence for Interpretation: - Evidence for a Broader Interpretation: The specification mentions that "other metabolizable substrates...may be used in place of glucose" and lists several examples ('515 Patent, col. 4:4-6), which might be used to argue for a functional definition that is not strictly limited to the listed chemicals.
- Evidence for a Narrower Interpretation: The use of the transitional phrase "consisting of" in a Markush group is typically interpreted as creating a closed list, meaning only the items explicitly listed are covered by the claim. This is a strong basis to argue that any other substrate, even if metabolizable, would fall outside the scope of Claim 1.
 
VI. Other Allegations
- Indirect Infringement: The complaint alleges contributory and induced infringement in a conclusory fashion (Compl. ¶14). It does not plead specific facts, such as the provision of instructions or components, that would form the basis for these claims.
- Willful Infringement: The complaint alleges that the defendants' infringement has been and continues to be willful (Compl. ¶17). While not explicitly linked, this allegation may be supported by other facts pleaded in the complaint, including that Defendant Wall is a former employee of Plaintiff's Birmingham facility (Compl. ¶3) and that the defendants were parties to a prior lawsuit brought by the Plaintiff (Compl. ¶10).
VII. Analyst’s Conclusion: Key Questions for the Case
- A primary issue will be one of evidentiary proof: given the complaint's lack of specific factual allegations, can the plaintiff demonstrate through discovery and analysis that the defendants' accused cardioplegic solutions actually possess the specific combination of calcium concentration, metabolizable substrate concentration, and osmolality required by the patent's claims?
- A key legal question will be one of claim scope: how will the court construe the term "about" in the context of the patent's specific numerical ranges, and will the Markush group defining "metabolizable substrate" in Claim 1 be interpreted as a strictly closed list?
- A central question for potential enhanced damages will be willfulness: do the alleged facts—that a defendant is a former employee and that the parties were involved in prior litigation—provide a sufficient basis to establish the pre-suit knowledge and egregious conduct necessary for a finding of willful infringement?