Panasonic Healthcare Holdings Ref:
`1st Partner Name:
`iSSHlKi & CO.
`Route: DPCT/ EJParis/ DUS First
`
`P0659498U801
`
`Page1 of 3
`1st Partner Ref (if needed):
`2464PCTUS
`
`DCA/ DDIV/ DCIP/ lBypass
`
`PTO/AiA/Ot (0642)
`Approved for use through 01/31/2014. OMB 0651-0032
`U. S. Patent and Trademark Office; U, S. DEPARTMENT OF COMMERCE
`Under the Paperwork Reduction Act of1995, no persons are required to respond to a collection of 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)
`
`Invention
`
`WORKING CHAMBER
`
`As the below named inventor. I hereby declare that:
`
`This declaration X The attached application, or
`is directed to:
`
`D 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.
`
`1 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 lNVENTOR
`
`Inventonmjaw Dareroptronam £35136—
`
`signamrezWM
`
`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity. must accompany this form.
`Use an additional PTO/AlA/01 form for each additional inventor.
`
`This collection of information is required by 35 U.S.C. 115 and 37 CFR 1.53. 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 1.11 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 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. 00 NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND TO: Commissioner for Patents, PO. Box 1450, Alexandria, VA 22313-1450.
`Ifyou need assistance in completing the form, call 1-800-PTO-9199 and select option 2,
`
`

`

`Panasonic Healthcare Holdings Ref:
`1st Partner Name:
`lSSHlKl & CO.
`Route: DPCT/ DParis/ DUS First
`
`P0659498USO1
`
`Page2 of 3
`1st Partner Ref (if needed):
`2464PCTUS
`
`DCA/ [JDIV/ DCIP/ IBypass
`
`PTO/AlA/O1(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 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
`
`
`
`WORKING CHAMBER
`Invention
`
`
` As the below named inventor. l hereby declare that:
`
`
`
`This declaration E The attached application, or
`is directed to:
`
`E] United States application or PCT international application number
` filed on
`
`
`
`
`
` The above-identified application was made or authorized to be made by me.
`
`
`l 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 UiS.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:
`Yasuhiko YOKOI
`Date (Optional) :
`
`
`Signature: Wit/fa.) :21ng
`
`
`Note: An application data sheet (PTO/SB/14 or equivalent), including naming the entire inventive entity. must accompany this form.
`Use an additional PTO/AiA/01 form for each additional inventor.
`
`
`
`
`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 file (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 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 ofCommerce. PO. Box 1450, Alexandria, VA 223134450. DO NOT SEND FEES OR COMPLETED FORMS TO
`THIS ADDRESS. SEND TO: Commissioner for Patents, P.O. Box 1450, Alexandria, VA 223134450.
`If you need assistance in completing the form, call 1-800-PTO-9199 and select option 2,
`
`

`

`Panasonic Healthcare Holdings Ref:
`, 1st Partner Name:
`lSSHlKl & CO.
`Route: DPCT/ DParis/ BUS First
`
`P0659498USO1
`
`Page3 of 3
`tst Partner Ref (if needed):
`2464PCTUS
`
`DCA/ DDIV/ DCIP/ IBypass
`U. 8. 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 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. l hereby declare that:
`
`This declaration E The attached application, or
`is directed to:
`
`[1 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.
`
`l 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 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
`
`inventorsmWWWDate (Optional):
`
`firm” “L7 i 3” ’6
`
`Signature:
`
`4% «Jigs/0
`
`Note: An application data sheet (PTO/83114 or equivalent), including naming the entire inventive entity, must accompany this form.
`Use an additional PTO/AlA/01 form for each additional inventor.
`
`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 tile (and
`by the USPTO to process) an application. Confidentiality is governed by 35 U.S.C. 122 and 37 CFR 1.11 and 1.14. This collection is estimated to take 1 minute to
`complete, including gathering, preparing, and submitting the completed application 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, U.S.
`Patent and Trademark Office, 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 for Patents, P.O. Box 1450, Alexandria, VA 22313-1450.
`
`