PTO/SBI14 (11-08)
`Approved for use through 0181/2014. 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 collection of information unless it contains a valid OMB control number.
`
`
`
`Attorney Docket Number MAT-10618US
`Application Number
`PHOTORADIATION DEVICE AND PHOTORADIATION THERAPY/PROPHYLAXIS DEVICE COMPRISING
`SAME
`
`
`
`Application Data Sheet 37 CFR 1.76
`
`
`
`Title of Invention
`
`The application data sheet is part of the provisional or nonprovisional application for which it 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
`
`|:| Portions or all of the application associated with this Application Data Sheet may fall under a Secrecy Order pursuant to
`37 CFR 5.2 (Paper filers only. Applications that fall under Secrecy Order may not be filed electronically.)
`
`
`
`A licant Information:
`
`
`Applicant 1
`
`Applicant Authority @Inventor | OLegal Representative under 35 U.S.C. 117
`IOParty of Interest under 35 U.S.C. 118
`Prefix Given Name
`Middle Name
`Family Name
`Suffix
`
`Residence Information (Select One) 0 US Residency @ Non US Residency 0 Active US Military Service
`
`
`
`
`52473
`
`
`
`City Osaka
`
`Country Of Residencei
`
`JP
`
`Citizenship under 37 CFR 1.41(b) i
`
`JP
`
`Mailing Address of Applicant:
`
`Address 1
`
`Address 2
`
`clo Panasonic Photo & Lighting Co., Ltd.
`
`1-1, Saiwai—cho, Ta katsuki-shi
`
`Inventor Information blocks may be
`Inventors Must Be Listed - Additional
`All
`Add
`
`generated within this form by selecting the Add button.
`
`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 Add Email |
`
`
`
`Application Information:
`-
`-
`PHOTORADIATION DEVICE AND PHOTORADIATION THERAPY/PROPHYLAXIS DEVICE
`Title of the Invention
`COMPRISING SAME
`
`Attorney Docket Number MAT-10618US
`
`Small Entity Status Claimed
`
`|:|
`
`Application Type
`
`Nonprovisional
`
`Subject Matter
`Utility
`Suggested Class (if any)— Sub Class (if any)
`Suggested Technology Center (if any)
`Total Number of Drawing Sheets (if any) _ Suggested Figure for Publication (if any)
`
`EFS Web 2.2.2
`
`
`
`
`
`

`

`PTO/SBI14 (11-08)
`Approved for use through 0181/2014. 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 of information unless it contains a valid OMB control number.
`
` Attorney Docket Number
`MAT-10618US
`
`Application Data Sheet 37 CFR 1.76
`
`Application Number
`PHOTORADIATION DEVICE AND PHOTORADIATION THERAPY/PROPHYLAXIS DEVICE COMPRISING
`
`SAME
`
`Title of Invention
`
`Publication Information:
`|:| Request Early Publication (Fee required at time of Request 37 CFR 1.219)
`
`Request Not to Publish. I hereby request that the attached application not be published under 35 US.
`Cl 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 after filing.
`
`Representative Information:
`
`Representative information should be provided for all 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 37 CFR 1.32).
`sections
`Enter
`either Customer Number
`or
`complete
`the
`Representative Name
`section
`below.
`If
`both
`are completed the Customer Number will be used for the Representative Information during processing.
`
`
`
`
`
`
`Please Select One:
`
`@ Customer Number
`
`
`
`Customer Number
`
`52473
`
`0 US Patent Practitioner 0 Limited Recognition (37 CFR 11.9)
`
`Domestic Benefit/National Stage Information:
`
`This section allows for the applicant to either claim benefit under 35 U.S.C. 119(e), 120, 121, or 365(c) or indicate National Stage
`entry from a 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(a)(2) or CFR 1.78(a)(4), and need not otherwise be made part of the specification.
`
`Prior Application Status
`
`Pending
`
`Application Number
`
`Continuity Type
`
`Prior Application Number
`
`
`
`Filing Date (YYYY-MM-DD)
`
`2012-08-22
`
`Add
`
`
`
`
`
`a 371 of international
`
`PCT/JP2012/005243
`
`Additional Domestic Benefit/National Stage Data may be generated within this form
`by selecting the Add button.
`
`
`Foreign Priority Information:
`
`This section allows for the applicant to claim benefit of foreign priority and to identify any prior foreign application for which priority is
`not claimed. Providing this information in the application data sheet constitutes the claim for priority as required by 35 U.S.C. 119(b)
`
`and 37 CFR 1.55(a)_
`
`Application Number
`
`
`
`Parent Filing Date (YYYY- MM--DD)
`
`Priority Claimed
`
`Additional Foreign Priority Data may be generated within this form by selecting the
`Add button.
`
`R_move
`
`Assignee Information:
`Providing this information in the application data sheet does not substitute for compliance with any requirement of part 3 of Title 37
`of the CFR to have an assignment recorded in the Office.
`
`
`Assignee 1
`
`EFS Web 2.2.2
`
`

`

`PTO/SBI14 (11-08)
`Approved for use through 0181/2014. 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 of information unless it contains a valid OMB control number.
`
` Attorney Docket Number
`MAT-10618US
`
`Application Data Sheet 37 CFR 1.76
`
`Application Number
`
`PHOTORADIATION DEVICE AND PHOTORADIATION THERAPY/PROPHYLAXIS DEVICE COMPRISING
`
`Title of Invention
`SAME
`
`If the Assignee is an Organization check here.
`
`Organization Name
`
`Panasonic Corporation
`
`Mailing Address Information:
`
`Address 1
`
`Address 2
`
`1006, Oaza Kadoma, Kadoma-shi
`
`Email Address
`
`Additional Assignee Data may be generated within this form by selecting the Add
`button.
`
`Add
`
`
`Signature:
`
`
`
`
`
`
`
`A signature of the applicant or representative is required in accordance with 37 CFR 1.33 and 10.18. Please see 37
`CFR 1.4(d) for the form of the signature.
`
`[Lawrence E. Asheryl
`
`Signature First Name
`
`Date (YYYY-MM-DD)
`
`2014—02—12
`
`This collection of information is required by 37 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 USPTO. 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, US. Department of Commerce, PO. Box 1450, Alexandria, VA 22313—1450. DO NOT SEND FEES OR
`COMPLETED FORMS TO THIS ADDRESS. SEND TO: Commissioner for Patents, P.0. Box 1450, Alexandria, VA 22313-1450.
`
`EFS Web 2.2.2
`
`

`

`Privacy Act Statement
`
`(1) the general authority for the collection
`a patent application or patent. Accordingly, pursuant to the requirements of the Act, please be advised that:
`of this information is 35 U.S.C. 2(b)(2); (2) furnishing of the information solicited 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 US Patent and Trademark Office may not be able to process and/or examine your submission, which may
`result in termination of proceedings or abandonment of 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 of Information 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.
`
`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 Cooperation 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 as part of that agency's responsibility to recommend improvements in records
`management practices and programs, under authority of 44 U.S.C. 2904 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 about individuals.
`
` The Privacy Act of 1974 (PL. 93-579) requires that you be given certain information in connection with your submission of the attached form related to
`
`
`
`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 ofa 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 was filed in an application which became abandoned or in 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 aware of a violation or potential violation of law or regulation.
`
`
`
`EFS Web 2.2.2
`
`