or
`Supplemental Application Data Sheet
`
`PTOVAIA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`U.S. Patent and Trademark Office; U.S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection ofinformation unless it contains a valid OMB control number.
`
`Attorney Docket Number
`742421-000563
`
`Application Data Sheet 37 CFR 1.76
`
`
`
`Application Number
`
`14/437,357
`
`
`
`
`
`Title of Invention|DENTAL VIBRATION APPLICATION METHOD AND DENTAL VIBRATION APPLICATION DEVICE
`
`The application data sheetis part of the provisional or nonprovisional application for whichit is being submitted. The following form contains the
`bibliographic data arranged in a format specified by the United States Patent and Trademark Office as outlined in 37 CFR 1.76.
`This document may be completed electronically and submitted to the Office in electronic format using the Electronic Filing System (EFS) or the
`document may be printed and included in a paper filed application.
`
`
`
`
`
`Secrecy Order 37 CFR 5.2
`Oo Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuantto
`37 CFR 5.2 (Paperfilers only. Applications that fall under Secrecy Order may notbe filed electronically.}
`
`Inventor Information:
`
`
`1
`
`Inventor
`Legal Name
`
`Prefix) Given Name
`Middle Name
`Family Name
`Suffix
`
`
`() Active US Military Service
`(@) NonUS Residency
`(> US Residency
`Residence Information (Select One)
`
`City
`Miyagi
`Country of Residence i
`JP
`
`
`
`
`Mailing Addressof Inventor:
`
`Address 1
`
`Address 2
`
`Postal Code
`
`Inventor
`Legal Name
`
`2
`
`cio Tohoku University,
`
`1-1, Katahira 2-chome, Aoba-ku, Sendai-shi,
`
`980-8577
`
`JP
`
`Suffix
`Family Name
`Middle Name
`Prefix) Given Name
`
`Takumi
`SAKIMURA
`
`ResidenceInformation (Select One) () US Residency
`
`(@) Non US Residency
`
`() Active US Military Service
`
`Mailing Address of Inventor:
`
`
`Address 1
`c/o Panasonic Healthcare Co., Ltd.,
`
`
`Address 2
`2131-1, Minamigata, Toon-shi,
`
`
`
`791-0395
`
`
`
`Postal Code
`
`Inventor
`Legal Name
`
`3
`
`EFS Web 2.2.11
`
`JP
`
`

`

`PTO/AIAI14 (12-13)
`«nati
`Approvedfor use through 04/30/2017, OMB 0651-0032
`Supplemental Application Data Sheet
`U:S. Patent and Trademark Office: U.S. DEPARTMENT OF. COMMERCE
`Under the Paperwork Reduction. Act of 1995; no. persons are required.to respond to:a.collectionof information unless.it contains a valid OMB-control number.
`
`oo.
`Application Data Sheet 37 CFR 1.76
`
`Atterney Docket Number
`——
`Application Number
`
`742421-000563
`
`14/437,357
`
`Title of Invention
`
`DENTAL VIBRATION APPLICATIGN METHOD AND DENTALVIBRATION APPLICATION DEVICE
`
`Suffix
`Family Name
`Middle Name
`Prefix; Given Name
`
`Shogo
`FUKUSHIMA.
`|
`Residence Information (Select One) () US Residency
`(@) Non US Residency
`() Active US Military Service
`City
`Osaka
`Country of Residence !
`JP
`
`Mailing Address of Inventor:
`
`Address 1
`
`Address 2
`
`cio Panasonic Healthcare Co., Ltd.,
`
`2131-1, Minamigata, Toon-shi;
`
`
`
`
`
`
`Subject Matter Utility
`
` Total Number of Drawing Sheets (if any)
`| 18
`Suggested Figure for Publication {if any)
`Filing By Reference:
`
`Only complete this section whenfiling. an application by reference under 35 U.5.C. 111(¢) and 37 CFR 1.57(a). Do not complete this sectionif
`application papers including a specification and any drawings are being filed. Any domestic benefit or foreign priority information must be
`provided in the appropriate section(s) below {i.e.,, "Domestic Benefit/National Stage Information’ and “Foreign Priority Information’).
`
`
`
`Postal Gade
`
`791-0395
`
`Invenior Information blocks may be
`Inventors Must Be Listed - Additional
`All
`generated within this form by selecting the Add button.
`
`
`Add
`
`Correspondence Information:
`
`
`Enter either Customer Number or complete the Correspondence Information section below.
`For further information see 37 CFR 1.33(a).
`
`[|] An Address is being provided for the correspondence Information of this application.
`
`Customer Number
`Email Address
`
`78198
`info@sbpatentlaw.com
`
`|
`
`Application Information:
`
`Title of the Invention
`
`DENTAL VIBRATION APPLICATION METHOD AND DENTAL. VIBRATION APPLICATION DEVICE
`
`
`Attorney Docket Number|742421-000563, Smail Entity Status Claimed
`| Nonprovisional
`Application Type
`
`[_|
`
`For the purposes of a filing date under 37 CFR 1.53(b), the description and any drawings of the present application are replaced by this
`reference to the previously filed application, subject to conditions and requirements of 37 CFR 1.57(a).
`Application number ofthe previously
`Filirig date (Y¥Y¥Y-MM-DD)
`intellectual Property Autharity or Country i|
`filed application
`
`EFS Web 2.2.14
`
`

`

`Lo.
`Supplemental Application Data Sheet
`
`PTO/AIAM4 (12213)
`Approved foruse through 04/30/2017. OMB 6651-0032
`U:S. Patent and Trademark Office: U.S. DEPARTMENT OF. COMMERCE
`Under the Paperwork Reduction. Act of 1995; no. persons are required.to respond to:a.collectionof information unless.it contains a valid OMB-control number.
`
`oo.
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`——
`Application Number
`
`742421-000563
`
`14/437,357
`
`Title of Invention
`
`DENTAL VIBRATION APPLICATIGN METHOD AND DENTALVIBRATION APPLICATION DEVICE
`
`
`
`
`Publication Information:
`
`[|] Request Early Publication (Fee required at time of Request 37 CFR 1.219)
`
`[]
`
`Request Not to Publish. | hereby request that the attached application not be published under
`35 U.S.C. 122(b) and certify that the invention disclosed in the attached application has not and will not be the
`subject of an application filed in another country, or under a multilateral international agreement, that requires
`publication at eighteen months afterfiling.
`
`Representative Information:
`
`Representative information should be provided for ail practitioners having a power of attorney in the application. Providing
`this. information in the Application. Data Sheet does not constitute a power of attorney In the application (see.3/ CER 1.32).
`Either enter Customer Number or complete the Representative Name section below: If both sections are completed the customer
`Number will be used for the Representative Information during processing.
`
`
`Please Select One:
`
`(#) Customer Number
`
`C) US Patent Practitioner
`
`©) Limited Recognition (837 CFR 11.9) Customer Number
`
`78198
`
`Domestic Benefit/National Stage Information:
`This section allows for the applicant ta either claim benefit under 35-U.S.C. 119{e), 120, 121, or 365(¢) or indicate National Stage
`entry froma PCT application: Providing this information in the application data sheet constitutes the specific reference required
`by 35.U.S.C. 119(e) or 120; and 37 CFR 1.78.
`When referring to the current application, please leave the application number blank.
`
`
`
`Application Number Prior Application Number|Filing Date (YYYY-MM-DD)Continuity Type
`
`
`
`
`
`a.37_of international
`
`PCT/JP2013/006194
`
`2013-16-18
`
`Additional Domestic Benefit/National Stage Data maybe generated within this form
`by selecting the Add button.
`
`an
`
`Foreign Priority Information:
`
`This section allows forthe applicarit fo claim priority to'afereign application. Providing: this infermation in the application data sheet
`constitutes thé clairm-for priority as required by 35 U.S.C. 119{b) and 37 CFR 1.35(d}. When priority is claimed toa foreign application
`thats eligible for retrieval under the priority document exchange program (PDX) ihe information will be used by the Office to
`automatically attempt retrieval pursuant to.37 CFR 1.55(h){1) and {2).. Under the PDX pregram, applicant bears the ultimate
`responsibility for ensuring-that. a copy of the foreignapplication is received by the Office irom:-the participating foreign. intellectual
`property office; or a certified copy of the foreign priority application is filed, within the-time period specified in 3? CFR 1.55(9}(1}.
`
`Access Code (if applicable)
`Filing Date (YYYY-MM-DD)
`Country
`Application Number
`
`
`
`
`
`EFS Web 2.2.14
`
`
`
`

`

`Supplemental Application Data Sheet
`
`PTO/AIA/14 (12-13)
`Approved for‘use through 04/30/2017:
`(OMB'0651-0032
`U:S. Patent and Trademark Office: U.S. DEPARTMENT OF. COMMERCE
`Under the Paperwork Reduction. Act of 1995; no. persons are required.to respond to:a.collectionof information unless.it contains a valid OMB-control number.
`
`Application Data Sheet 37 CFR 1.76
`
`
`
`Attorney Docket Number
`
`742421-000563
`
`Application Number
`
`14/437,357
`
`
`
`
`Title of Invention
`DENTAL VIBRATION APPLICATIGN METHOD AND DENTALVIBRATION APPLICATION DEVICE
`
`
`
`Additional Foreign Priority Data may be generated within this form by selecting the
`
`Add button. Add
`
`Statement under 37 CFR 1.55 or 1.78 for AIA (First Inventor to File) Transition
`Applications
`
`16, 2073, will be examined underthe first inventorto file provisions of the AIA.
`
`This application (1) claims priority to or the benefit of an application filed before March 16, 2013 and(2) also
`contains, or contained at any time, a claim to a claimed invention that has an effective filing date on or after March
`16, 2013.
`NOTE: By providing this statement under 37 CFR 1.55 er 1.78, this application, with a filing date on or after March
`
`Authorization to Permit Access:
`
`Authorization to Permit Access to the Instant Application by the Participating Offices
`
`if checked, the undersigned hereby grants the USPTO authority to provide the European Patent Office (EPO),
`the Japan Patent Office (JPOQ}, the Korean: Intellectual Property Office (KIPO), the World Intellectual Property Office (WIPO),
`and any otherintellectual property offices in which. a foreign application claiming priority to the instant patent application
`is filed access to the instant patent-application. See 37 CFR 1.14(c) and (h). This box should not be checkedif the applicant
`does not wish the EPQ, JPO, KIPO, WIPO, or other intellectual property office in which a foreign application claiming priority
`to the instant patent applicationis filed to have.access to ihe instant patent application.
`
`In-accordance with 37 CFR 1.14(h3), access will be provided to.a copy of the instant patent anplication with respect
`to; 1} the instant patent application-as-filed: 2).any foreign application to which the instant patent application
`claims: priority under 35 U.S.C. 119(a}-{d) if'a copy of theforeign application that satisfies the certified copy requirement of
`3/ CFR 1.55-has beenfiled in the instant patent application; and 3) any U.S. application-as-filed from-which benefit is
`sought.in the instant patent application.
`
`in. accordance with 37 CFR 114(c}, access may be provided to information conceming the date. o-f filing this Authorization.
`
`
`
`
`
`
`
`Applicant Information:
`
`
`
`
`Providing assignment information in this section does not-substitute for compliance. with any requirement of part 3 of Title 37 of CFR
`to have an assignment recorded by the Office.
`
`EFS Web 2.2.14
`
`

`

`:
`:
`Supplemental Application Data Sheet
`
`PTO/AIA/14 (12-13)
`Approved for use through 04/30/2017. OMB 0651-0032
`US. Patent and Trademark Office; U.S . DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction. Act of 1995; no. persons are required.to respond to:a.collectionof information unless.it contains a valid OMB-control number.
`
`Application Data Sheet 37 CFR 1.76
`
`Application Number
`
`14/437,357
`
`Title of Invention
`
`DENTAL VIBRATION APPLICATIGN METHOD AND DENTALVIBRATION APPLICATION DEVICE
`
`1
`Applicant
`lf the applicant is. the inventor (or the remaining joint inventor or inventors under 37 CFR 1.45), this section. should not be completed.
`The information. to be provided in-this section is the name. and address of the. legal representative who isthe applicant under 37 CFR
`1.43: or the name. and address of the assignee, person to whom the inventor is under an obligation to assign the invention, or person
`who. otherwise shows sufficient proprietaryinterest in the matter-‘who is the applicant under 3/7 CFR1.46. If the applicant is an
`applicant uncer 37 CFR 1.46 (assignee, person to. whom the inventoris obligated to assign, or person whe otherwise shows sufficient
`proprietary interest} together with one or more joint inventors, then the joint inventor or inventors who are also the applicant:should be
`identified in this section.
`
`© Joint Inventor fe): Assignee
`C) Legal Representative under 35:-U-S.C. 117
`
`
`
`
`
`Nee
`Person who shows sufficient proprietary interest
`C)
`CY} Person to whomthe inventoris obligated to assign.
`
`
`if applicant is the legal representative, indicate the authority to file the patent application, the inventoris:
`
`Name ofthe Deceased or Legally Incapacitated InventorPo
`
`If the Applicant is an Organization check here.
`
`Organization Name|ROGIEHMOUNTFAIN-MORHA-CORPORATION JM Ortho Corporation
`
`Mailing Address Information For Applicant:
`
`
`Address 2
`
`Address 1 OehanemizektyeunBldg—-4F-2-2, Kanda Surugadai, Chiyoda-ku
`
`county lode|10-0062
`
`Email Address
`
`Add
`Additional Applicant Data may be-generated within this form by selecting the Add button.
`
`
`
`
`
`2
`Applicant
`ifthe applicant is the inventor (or the remaining jointinventor or inventors under 37 CFR 1.45), this section should not be completed.
`The information. to.be provided in this section is the name and address of the legal representative who is.the applicant under 3/-CFR
`1.43; or the name and address of the assignee, person to whom the inventor is under an obligation to assign the invention, or person
`who otherwiseshows sufficient proprietary interest in the matter who is the applicant under 3/ CFR 71.46. If tne applicantis-an
`applicant under 37 CFR 1.46 (assignee, person fo whom the inventoris obligaied to assign, or person whe otherwise shows sufficient
`proprietary interest) together with one or more joint inventors, then the joint inventor-or inventors who. are also the applicant should be
`identified in this section.
`
`
`(@) Assignee
`C) Legal Representative under 35.U-S.C. 117
`C)
`Joint Inventor
`
`XO Person to whem the inventor is obligated to. assign:
`
`
`
`Cy
`
`Person who-shows sufficient proprietary interest
`
`lf applicant is the legal representative, indicate the authority to file the patent application, the inventoris:
`
`Name.of the Deceased or Legaily Incapacitated Inventor: :
`
`EFS Web 2.2.14
`
`

`

`Supplemental Application Data Sheet
`
`PTO/AIA/14 (12-13)
`Approved for‘use through 04/30/2017:
`(OMB'0651-0032
`U:S. Patent and Trademark Office: U.S. DEPARTMENT OF. COMMERCE
`Under the Paperwork Reduction. Act of 1995; no. persons are required.to respond to:a.collectionof information unless.it contains a valid OMB-control number.
`
`oo.
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`——
`Application Number
`
`742421-000563
`
`14/437,357
`
`Title of Invention
`
`DENTAL VIBRATION APPLICATIGN METHOD AND DENTALVIBRATION APPLICATION DEVICE
`
`lf the Applicant ts an Organization check here.
`
`Organization Name=|ToHOKU UNIVERSITY
`
`Mailing Address Information For Applicant:
`
`1-1, Katahira 2-chome, Aoba-ku, Sendai-shi
`
`Address 1
`
`Address 2
`
`Email-Address
`
`Additional. Applicant Data may be generated within this form by selecting the Add button.
`
`Add
`
`Assignee Information including Non-Applicant Assignee Information:
`
`Providing assignment information inthis section. does riot. subsitute. for compliance with any requirement of part 3 of Title 37 of CFR to
`have an assignment recorded by the Office.
`
`
`
`Assignee ‘1
`
`Complete this section if assignee information, including non-applicant assignee information, is desired to. be includec-on the patent
`application publication . An assignee-applicant identified in the "Applicant Information" section will appear on the patent application
`publication as-an-applicant. For an assignee-applicant, complete this section only if identification as an assignee is also desired on the
`patent application publication.
`
`If the Assignee or Non-Applicant Assignee is an Organization check here.
`
`
`
`OrganizationName|REEKEHMOUNTAINHYIORIFACORPORATIONJM Ortho Corporation
`
`
`
`
`
`PTowyo|StateProvins
`
`Gountry j
`104-0062
`
`
`Fact[SY
`
`Phone Number
`
`
`
`
`
`Additional Assignee or Non-Applicant Assignee Data may be generated within this form by
`selecting the Add button.
`
`
`
`OehanenmizutyeutBstdg—4F—2-2, Kanda Surugadai, Chiyoda-ku
`
`Mailing Address Information For Assignee including Non-Applicant Assignee:
`
`
`Address 1
`
`Address 2
`
`Email Address
`
`EFS Web 2.2.14
`
`
`
`
`
`
`
`
`
`

`

`PTOVAIAH4 12-13}
`att
`Approved for use through 04/30/2077: OMB 0651-0032
`Supplemental Application Data Sheet
`U:S. Patent and Trademark Office: U.S. DEPARTMENT OF. COMMERCE
`Under the Paperwork Reduction. Act of 1995; no. persons are required.to respond to:a.collectionof information unless.it contains a valid OMB-control number.
`
`.
`;
`Application Data Sheet 37 CFR 1.76
`
`Attorney Docket Number
`——
`Application Number
`
`742421-000563
`
`14/437,357
`
`Title of Invention
`
`DENTAL VIBRATION APPLICATIGN METHOD AND DENTALVIBRATION APPLICATION DEVICE
`
`Assignee 2
`
`Complete this section if assignee.information, including non-applicant assignee information, is desired to. be included:on the patent
`application publication . An assignee-applicantidentified in the "Applicant Information" section will appear on the patent application
`publication as-an applicant. For-an-assignee-applicant, complete this section. only if identification as an assignee is also desired on the
`patent application publication.
`
`| Remove |
`
`Address 2
`
`If the Assignee or Non-Applicant Assignee is an Organization checkhere.
`
`Organization Name—|toHoKU UNIVERSITY
`
`Mailing Address Information For Assigneeincluding Non-Applicant Assignee:
`Address 1
`1-1, Katahira. 2-chome, Aoba-ku, Sendai-shi
`|
`
`
`
`
`City
`State/Province
`
`
`980-8577
`Pastal Code
`JP
`Country j
`
`
`
`
`
`
`
`Phone Number
`
`Email Address
`
`Fax Number
`
`Additional Assignee or Non-Applicant Assignee Data may be generated within this form by
`°
`selecting the Addbutton.
`
`
`Add
`
`Signature:
`NOTE: This form must be signed in accordance with 37 CFR 1.33. See 37 CFR 1.4 for signature requirements and
`cériifications.
`
`Signature|/Donald R. Studebaker/|Date(YYYY-MWv-DD)|2018-08-29
`
`Additional Signature may be generated within this form by selecting the Add button.
`
`Add
`
`This collection of information is required by37 CFR 1.76. The information is required to obtain or retain a benefit by the public which
`is to file (and: by the USPTO to process). an-application. Confidentiality is governed by 35 U:S.C. 122-and 37 CFR 1.14. This
`collection is.estimated to take. 23 minutes to:complete, including gathering; preparing, and submitting the completed application data
`sheet form to the USPTG. Time:will vary depending upon the individual case. Any comments.on the amount of time you require to
`complete this form-and/or suggestions for reducing this burden, should be sent to the Chief Information Officer, US. Patent and
`Trademark Office, U:S.. Department. of Commerce, PG. Box 1450, Alexandria, VA 22313-1450. DO. NOT SEND:-FEES OR
`COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissionerfor Patents, P.O. Box 1450, Alexandria, VA'22313-1450,
`
`EFS Web 2.2.14
`
`

`

`Supplemental Application Data Sheet
`
`Privacy Act Statement
`
`The Privacy Act of 1974 (P.L. 93-579) requires that you be given certain information in connection with your submission of the attached form related to
`a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that:
`(1) the general authority for the collection
`of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information sclicited is voluntary; and (3) the principal purpose for which the information is
`used by the U.S. Patent and Trademark Office is to process and/or examine your submission related to a patent application or patent.
`If you do not
`furnish the requested information, the U.S. Patent and Trademark Office may not be able to process and/or examine your submission, which may
`result in termination of proceedings or abandonmentof the application or expiration of the patent.
`
`The information provided by you in this form will be subject to the following routine uses:
`
`1.
`
`The information on this form will be treated confidentially to the extent allowed under the Freedom of Information Act (5 U.S.C. 552)
`and the Privacy Act (5 U.S.C. 552a). Records from this system of records may be disclosed to the Department of Justice to determine
`whether the Freedom cofInformation Act requires disclosure of these records.
`
`A record from this system of records may be disclosed, as a routine use, in the course of presenting evidence to a court, magistrate, or
`administrative tribunal, including disclosures to opposing counsel in the course of settlement negotiations.
`
`3.
`
`A record in this system of records may be disclosed, as a routine use, to a Member of Congress submitting a request involving an
`individual, to whom the record pertains, when the individual has requested assistance from the Member with respect to the subject matter of
`the record.
`
`A record in this system of records may be disclosed, as a routine use, to a contractor of the Agency having need for the information in
`order to perform a contract. Recipients of information shall be required to comply with the requirements of the Privacy Act of 1974, as
`amended, pursuant to 5 U.S.C. 552a(m).
`
`A record related to an International Application filed under the Patent Cooperation Treaty in this system of records may be disclosed,
`as a routine use, to the International Bureau of the World Intellectual Property Organization, pursuant to the Patent C o o p eration Treaty.
`
`A record in this system of records may be disclosed, as a routine use, to another federal agency for purposes of National Security
`review (35 U.S.C. 181} and for review pursuant to the Atomic Energy Act (42 U.S.C. 218(c)).
`
`A record from this system of records may be disclosed, as a routine use, to the Administrator, General Services, or his/her designee,
`during an inspection of records conducted by GSA aspart of that agency's responsibility to recommend improvements in records
`management practices and programs, under authority of 44 U.S.C. 29804 and 2906. Such disclosure shall be made in accordance with the
`GSA regulations governing inspection of records for this purpose, and any other relevant(i.e., GSA or Commerce) directive. Such
`disclosure shall not be used to make determinations aboutindividuals.
`
`
`
`
`
`A record from this system of records may be disclosed, as a routine use, to the public after either publication of the application pursuant
`to 35 U.S.C. 122(b) or issuance of a patent pursuant to 35 U.S.C. 151. Further, a record may be disclosed, subject to the limitations of 37
`CFR 1.14, as a routine use, to the public if the record wasfiled in an application which became abandonedorin which the proceedings were
`terminated and which application is referenced by either a published application, an application open to public inspections or an issued
`patent.
`
`A record from this system of records may be disclosed, as a routine use, to a Federal, State, or local law enforcement agency,if the
`USPTO becomes awareof a violation or potential violation of law or regulation.
`
`
`EFS Web 2.2.11
`
`