Like all patent trolls, they basically identify where a valuable invention is likely to occur sometime in the future, have lawyers draw up a sufficiently vague patent application, and spray and pray - and then prey.
There is zero follow up - no prototyping, no CAD files, no R&D, no clinical trials, no betas, no execution - it goes from nebulous "idea" straight to the legal department. If Myhrvold is an inventor, then Arthur C. Clarke's estate should get royalties on every satellite in orbit, and Gene Roddenberry's should get a piece of every iPhone sold.
Wait, I take that back - Myhrvold is an inventor after all. He's the Henry Ford of patent trolling - a pioneer in its mass production.