1:24-cv-00264
Medtronic, Inc. v. Axonics, Inc.
I. Executive Summary and Procedural Information
- Parties & Counsel:- Plaintiff: Medtronic, Inc.; Medtronic Puerto Rico Operations Co.; Medtronic Logistics, LLC; Medtronic USA, Inc. (Minnesota & Cayman Islands)
- Defendant: Axonics, Inc. (Delaware)
- Plaintiff’s Counsel: Heyman Enerio Gattuso & Hirzel LLP; Winston & Strawn LLP (Of Counsel)
 
- Case Identification: 1:24-cv-00264, D. Del., 02/28/2024
- Venue Allegations: Venue is alleged to be proper in the District of Delaware because Defendant Axonics is a Delaware corporation and has allegedly committed acts of patent infringement within the district.
- Core Dispute: Plaintiff alleges that Defendant’s sacral neuromodulation systems infringe patents related to automated methods for verifying the compatibility of an active implantable medical device with a magnetic resonance imaging (MRI) procedure.
- Technical Context: The technology addresses the safety risk posed to patients with implantable neurostimulators when undergoing MRI scans by automating the complex process of verifying device compatibility.
- Key Procedural History: The complaint does not cite prior litigation between the parties on these patents but alleges that Defendant had pre-suit knowledge of the patents through its own due diligence, freedom-to-operate analyses, and SEC filings.
Case Timeline
| Date | Event | 
|---|---|
| 2008-11-26 | Priority Date for ’540 and ’059 Patents | 
| 2014-04-29 | U.S. Patent No. 8,712,540 Issues | 
| 2015-11-03 | U.S. Patent No. 9,174,059 Issues | 
| 2019-10-28 | Accused Axonics R15 System First Commercial Implants Planned | 
| 2024-02-28 | Complaint Filed | 
II. Technology and Patent(s)-in-Suit Analysis
U.S. Patent No. 8,712,540 - "Patient Programmer with Automated MRI Compatibility Verification for Active Implantable Medical Device"
- Patent Identification: U.S. Patent No. 8,712,540, "Patient Programmer with Automated MRI Compatibility Verification for Active Implantable Medical Device," issued April 29, 2014.
The Invention Explained
- Problem Addressed: Patients with active implantable medical devices (AIMDs), such as neurostimulators, may face risks during an MRI scan because the MRI's radio frequency energy can interact with the metallic components of the device, potentially causing undesirable tissue heating or device malfunction (Compl. ¶16; ’540 Patent, col. 1:35-44). Determining whether a specific AIMD is safe to use with a specific MRI machine is a critical safety check.
- The Patented Solution: The patent describes a system that automates this safety verification process. It features a patient programmer that can obtain MRI compatibility information, such as device model and implant date, from various sources (e.g., the AIMD's memory, external databases) and use it to determine if a patient can safely undergo a scan (’540 Patent, Abstract; col. 2:1-17). The system distinguishes between a patient programmer, which gives the patient control over a limited set of therapy options, and a clinician programmer, which allows a healthcare provider to control a much larger set of parameters.
- Technical Importance: This automated approach was designed to reduce the potential for human error in a complex and high-stakes safety determination, making MRI scans more accessible and safer for the growing population of patients with implantable devices (Compl. ¶16).
Key Claims at a Glance
- The complaint asserts independent claims 1, 11, and 17 (Compl. ¶29).
- Independent Claim 1 (a system) includes:- An active implantable medical device (AIMD)
- A patient programmer configured to obtain MRI compatibility information
- The patient programmer permits the patient to control a limited subset of therapy parameters
- A clinician programmer that permits control of a larger set of therapy parameters than the patient programmer
 
- Independent Claim 11 (a method) includes:- Obtaining MRI compatibility information via a patient programmer
- Permitting the patient to control a limited subset of therapy parameters via the patient programmer
- Permitting a user to control a larger set of therapy parameters via a clinician programmer
 
- Independent Claim 17 (a method) includes:- Instructing the AIMD to enter an MRI conditionally safe operating mode via the patient programmer
 
- The complaint reserves the right to assert additional claims, including dependent claims (Compl. ¶29).
U.S. Patent No. 9,174,059 - "Patient Programmer with Automated MRI Compatibility Verification for Active Implantable Medical Device"
- Patent Identification: U.S. Patent No. 9,174,059, "Patient Programmer with Automated MRI Compatibility Verification for Active Implantable Medical Device," issued November 3, 2015.
The Invention Explained
- Problem Addressed: As with the parent ’540 Patent, this patent addresses the safety risks for patients with AIMDs undergoing MRI procedures (’059 Patent, col. 1:26-42).
- The Patented Solution: The invention is a system, centered on a patient programmer, that automates the verification of MRI compatibility. A key feature recited in the independent claim of this patent is the ability to "automatically obtain MRI compatibility information...from at least two sources" and then "automatically determine" compatibility based on that information (’059 Patent, Abstract; col. 2:1-17).
- Technical Importance: By obtaining information from multiple sources, the system may increase the reliability and robustness of the automated safety check (Compl. ¶16).
Key Claims at a Glance
- The complaint asserts independent claim 1 (Compl. ¶48).
- Independent Claim 1 (a system) includes:- An AIMD
- A patient programmer with a processor
- The processor is configured to automatically obtain MRI compatibility information relating to the compatibility of the AIMD with an MRI modality from at least two sources
- The processor is also configured to automatically determine the compatibility of the AIMD with the MRI modality based on that information
 
- The complaint reserves the right to assert additional claims, including dependent claims (Compl. ¶48).
III. The Accused Instrumentality
Product Identification
- The accused products are the Axonics F15 Recharge-Free Sacral Neuromodulation (SNM) System, the Axonics R20 Rechargeable SNM System, and the Axonics R15 Rechargeable SNM System (Compl. ¶19-20).
Functionality and Market Context
- The Accused Products are SNM systems designed to treat conditions such as overactive bladder and fecal incontinence by delivering electrical pulses to the sacral nerves (Compl. ¶11, ¶19). Each system includes an implantable neurostimulator, a lead, a clinician programmer, and a patient remote control (Compl. ¶19). A visual from an FDA filing shows these components, identifying the "Clinician Programmer" and "Patient Remote Control" as distinct devices (Compl. p. 6).
- The complaint alleges that instructions for the Axonics Patient Remote Control state the system can "check[] if system is ready for full-body MRI without requiring an office visit" (Compl. ¶33, ¶52). Another visual in the complaint depicts the placement of the implanted Axonics device (Compl. p. 7, FIGURE 11).
- The complaint alleges that the Accused Products are "similar in design, technology, performance, indication for use, output characteristics, and patient population to the Medtronic InterStim system" (Compl. ¶21).
IV. Analysis of Infringement Allegations
The complaint references exemplary claim charts submitted as exhibits, but these exhibits were not publicly filed with the complaint. The narrative infringement theory is summarized below.
- Narrative Summary of Infringement Theory (’540 and ’059 Patents): 
 The complaint alleges that the Axonics SNM systems directly infringe the patents-in-suit. The core of the theory is that the Axonics "Patient Remote Control" is the claimed "patient programmer" and the Axonics "Clinician Programmer" is the claimed "clinician programmer" (Compl. p. 6). The complaint alleges that the Accused Products perform the key claimed function of automatically checking for MRI compatibility, citing instructions for the Patient Remote Control that allegedly describe a feature to “check[] if system is ready for full-body MRI” (Compl. ¶33, ¶52). This functionality is alleged to meet the claim limitations of obtaining MRI compatibility information and automatically determining compatibility. The system’s separate patient and clinician programmers are alleged to meet the claimed functional distinction between a device for patient use with a "limited subset" of parameters and a device for clinician use with a "larger set" of parameters (Compl. ¶33).
- Identified Points of Contention: - Scope Question: A primary issue for the ’540 Patent will be one of functional mapping. The court may need to determine if the operational differences between the accused Axonics Patient Remote Control and Clinician Programmer align with the claim language requiring a "limited subset" versus a "larger set" of controllable therapy parameters.
- Evidentiary Question: For the ’059 Patent, a key factual question will be what evidence demonstrates that the accused system "automatically obtains" information from "at least two sources" as required by Claim 1. The complaint does not specify which two sources the Axonics system allegedly uses, raising a question of proof that will depend on technical discovery.
- Technical Question: A potential dispute for both patents centers on the degree of automation. The meaning of "automatically obtain" and "automatically determine" may be contested. Defendant may argue that the accused product's "check" for MRI readiness requires a level of user interaction or interpretation that falls short of the automation required by the claims, while Plaintiff may argue that the feature's core function meets the claim elements.
 
V. Key Claim Terms for Construction
- The Term: "patient programmer" - Context and Importance: This term is foundational to the asserted claims of both patents, particularly in the ’540 Patent where its functional limitations are contrasted with a "clinician programmer." The infringement analysis depends on whether the accused Axonics "Patient Remote Control" is properly characterized as a "patient programmer" under the patent's definition.
- Intrinsic Evidence for Interpretation:- Evidence for a Broader Interpretation: The specification describes the device functionally as an "external programmer" used by a patient "to select particular neurostimulation therapy programs" or adjust parameters (’540 Patent, col. 9:37-45). This could support a construction focused on the device's user and general purpose.
- Evidence for a Narrower Interpretation: Claim 1 of the ’540 Patent explicitly defines the "patient programmer" as permitting control of only a "limited subset of therapy parameters" in contrast to the "larger set" available to the clinician programmer (’540 Patent, col. 10:10-20). This language could support a narrower construction requiring a specific, architecturally enforced division of control.
 
 
- The Term: "automatically obtain MRI compatibility information" - Context and Importance: This term from the ’059 Patent captures the core automated function of the invention. The dispute will likely focus on how much user involvement is permissible before the process is no longer "automatic."
- Intrinsic Evidence for Interpretation:- Evidence for a Broader Interpretation: The specification describes embodiments where a "patient may enter and/or retrieve some information via a patient information terminal," suggesting that "automatically" does not necessarily exclude all forms of user input from the overall process (’540 Patent, col. 7:26-29).
- Evidence for a Narrower Interpretation: The specification also discloses that "the patient programmer may automatically retrieve the MRI compatibility information from the AIMD upon receiving a command from the user" (’540 Patent, col. 8:56-59). This could support a construction requiring a direct, machine-to-machine data retrieval without intervening manual data entry by a user.
 
 
VI. Other Allegations
- Indirect Infringement: The complaint alleges induced infringement, stating that Axonics provides product manuals, instructions, and training to customers and healthcare professionals that encourage and direct the use of the Accused Products in a manner that infringes the patents (Compl. ¶31, ¶34, ¶50, ¶53).
- Willful Infringement: Willfulness is alleged based on Defendant’s purported knowledge of the patents prior to the suit. The complaint claims this knowledge arises from Axonics’s "due diligence and freedom to operate analyses," SEC filings, and the act of filing the complaint itself (Compl. ¶41, ¶43, ¶60, ¶62).
VII. Analyst’s Conclusion: Key Questions for the Case
- A core issue will be one of definitional scope: Does the functional division between the accused Axonics "Patient Remote Control" and "Clinician Programmer" map onto the ’540 Patent’s specific claim limitations of a "limited subset" versus a "larger set" of controllable therapy parameters?
- A key evidentiary question will be one of technical proof: What evidence will establish that the accused system "automatically obtains" MRI compatibility data "from at least two sources," as required by the ’059 Patent, and what is the nature of those alleged sources?
- The case will likely also turn on the degree of automation: Does the accused system’s "check for MRI readiness" feature perform the "automated determination" required by the claims, or does it involve a level of user input and decision-making that places it outside the claimed invention?