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A modern patent provides the right to exclude others from making, using, selling, offering for sale, or importing the patented invention. Generally, patents are enforced only through private actions; namely, through civil lawsuits or licensing agreements. Governments typically reserve the right to suspend or cancel a patent at will.
An application for a patent (other than a design patent) must explain how to practice (i.e., make and/or use) the invention(s) and must also include " claims" that particularly point out the invention(s) and will define the protection conferred to the owner of the patent, once granted. Generally, the exclusive rights are limited to the invention(s) defined by the patent's claims. Patent claims are typically of the form of a long sentence, e.g., "An apparatus for catching mice comprising, a base member for placement on a flat surface, a spring member...", "A chemical for cleaning windows comprised of 10-15% ammonia, ...", "A method for computing future life expectancies, the method comprising gathering personal data including X,Y, Z, ...", etc.
Claim language formats and practices vary widely between different countries. Each word of a claim is considered an "element" or "limitation" of the claim. In order to exclude someone from using your invention in a court you will have to demonstrate to the court that what the other person is using is identical to the claimed invention. (Note, while the United States is moving towards more rigid claim interpretations and generally, issued patents have a large number of claims, "equivalents" of claim elements or limitations may be permitted in determining infringement. The practice elsewhere in the world differs.)
If an inventor takes an existing patented mouse trap design, modifies it to make an improved mouse trap, and obtains a patent on the improvement, he or she can legally build his or her improved mouse trap only with permission from the patent holder of the original mouse trap, assuming the original patent is still in force, and the patent holder of the original license has every right to deny the patent holder of the improvement use of the invention at any price. However, if the original patent owner tried to copy the inventor's improvement, he or she could sue that original patent owner to exclude him or her from using the improvement without permission.
Continuing the example though, if the inventor's improved mouse trap patent claims a guillotining member, but the original manufacturer copies other unclaimed aspects of the improvement, the inventor might not be able to exclude the manufacturer from using those other improvements.
For this reason, it is important, especially in the United States, that the patentee eventually obtain patent claims that include the absolute minimal set of limitations that differentiate a new invention over what came before. Dependent claims can be used to describe additional variations and features.