`1st Partner Name:
`i§SHlKl & CO.
`Route: DPCT/ DParis/ DUS First
`DCA/ DDIV/ EICIP/ IBypass
`
`P0659591U§01
`
`Page 1 of 2
`ist Partner Ref (if needed):
`2465PCTUS
`
`PTO/AlNOt (06.12)
`Approved for use through 01/31/2014. OMB 0651-0032
`U. 5. Patent and Trademark Office; U. 8. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of lnfonnation unless it displays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`T I37 CFR1.76I
`
`Invention
`
`As the below named inventor, i hereby declare that:
`
`This declaration E The attached application, or
`is directed to:
`
`I] United States application or PCT international application number
`
`filed on
`
` WORKING CHAMBER
`
`The above-identified application was made or authorized to be made by me.
`
`I believe that I am the original inventor or an original joint inventor of a claimed invention in the application.
`
`i hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
`by fine or imprisonment of not more than five (5) years. or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
`contribute to identity theft. Personal information such as social security numbers, bank account numbers, or credit card numbers
`(other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
`to support a petition or an application. lfthis type of personal information is included in documents submitted to the USPTO.
`petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
`application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a
`patent. Furthermore, the record from an abandoned application may also be available to the public if the application is
`referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
`PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available.
`
`LEGAL NAME OF INVENTOR
`
`Inventor:
`
`Koichi KOBAYASHI
`
`Date (Optional) : We}: - / «P I 20 If
`
`Signature:
`
`4; t Mé‘:
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`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity. must accompany this form.
`Use an additional PTO/AINOt form for each additional inventor.
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`This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.63. The information is required to obtain or retain a benefit by the public which is to fie (and
`by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 1 minute to
`complete. including gathering, preparing, and submitting the completed application form to the USPTO. Time witi 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. U.S.
`Patent and Trademark Office, US. Department of Commerce, PO. Box 1‘50, Alexandria. VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS T0
`THlS ADDRESS. SEND To: Commissioner for Patents, PO. Box 1450, Alexandria. VA 22313-1450.
`If you need assistance In completing the form. call 1-800«PTOv9199 and select option 2.
`
`
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`Panasonic Healthoare Holdings Ref:
`1st Partner Name:
`ISSHlKl & CO.
`Route: DPCTI DParis/ I'JUS First
`CICA/ EIDIV/ DCIP/ IBypass
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`P0
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`9
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`1
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`01
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`Page 2 of 2
`tst Partner Ref (if needed):
`2465PCTUS
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`PTO/AINO1(DB-12)
`Approved for use through 01/31/2014, OMB 0651-0032
`U. S. Patent and Trademm'k Oltice; U. S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act oi 1995, no persons are required to respond to a collection oi information unless it displays a valid OMB control number.
`
`DECLARATION (37 CFR 1.63) FOR UTILITY OR DESIGN APPLICATION USING AN
`APPLICATION DATA SHEET (37 CFR 1.76)
`
`Title of
`invention
`
`WORKING CHAMBER
`
`As the below named inventor, i hereby declare that:
`
`This declaration
`is directed to:
`
`The attached application, or
`
`I] United States application or PCT international application number
`
`filed on
`
`
`
`The above-identified application was made or authorized to be made by me.
`
`I believe that i am the original inventor or an original joint inventor of a claimed invention in the application.
`
`I hereby acknowledge that any willful false statement made in this declaration is punishable under 18 U.S.C. 1001
`by fine or imprisonment of not more than five (5) years, or both.
`
`WARNING:
`
`Petitioner/applicant is cautioned to avoid submitting personal information in documents filed in a patent application that may
`contribute to identity theft. Personal information such as social security numbers, bank account numbers. or credit card numbers
`(other than a check or credit card authorization form PTO-2038 submitted for payment purposes) is never required by the USPTO
`to support a petition or an application. if this type of personal information is included in documents submitted to the USPTO.
`petitioners/applicants should consider redacting such personal information from the documents before submitting them to the
`USPTO. Petitioner/applicant is advised that the record of a patent application is available to the public after publication of the
`application (unless a non-publication request in compliance with 37 CFR 1.213(a) is made in the application) or issuance of a
`patent. Furthermore, the record from an abandoned application may also be available to the public it the application is
`referenced in a published application or an issued patent (see 37 CFR 1.14). Checks and credit card authorization forms
`PTO-2038 submitted for payment purposes are not retained in the application file and therefore are not publicly available
`
`LEGAL NAME OF INVENTOR
`
`inventor:
`
`Yasuhiko YOKOI
`
`Date (Optional):
`
`5262 . If/ 2’6 I‘I‘
`
`Signature:
`
`Note: An application data sheet (PTO/SB/H or equivalent), including naming the entire inventive entity, must accompany this form.
`Use an additional PTO/AlA/O1 form for each additional inventor.
`
`This collection of intormation is required by 35 U.S.C, 115 and 37 CFR 1.63. The information is required to obtain or retain a benefit by the public which is to tile (and
`by the USPTO to process) an application, Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.1-1, This collection is estimated to take 1 minute to
`complete. including gathering. preparing. and submitting the completed application form to the USPTO. Time wil vary depending upon the individual case. Any
`comments on the amount of time you require to complete this term and/or suggestions for reducing this burden. shouid be sent to the Chief Information Officer, Us
`Patent and Trademark Otiice, U.S. Department of Commerce, PO. Box 1450. Alexandria, VA 22313-1450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND TO: Commissioner tor Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`if you need assistance in completing the ram, call MooPTO-Qtss and select option 2
`
`