Focus isn't really an issue, or at least, it shouldn't be. 115mm at f/1.4 is about the same kind of 'challenge' you get with an 85mm f/1.2 or a 200mm f/2 lens. Very similar depth of field at most distances; it's not like you'd expect to get away with using a lens like this for macro, anyway.
So, if this hypothetical lens were to be made, it should pose no more of an issue, from a mechanical and focus performance point of view, than the 85mm f/1.2L which countless Canon users have used perfectly fine for decades.
That said, as someone who routinely uses 6x6 and larger format film for work with lenses which are equivalent to 160mm f/1.0 in 35mm terms, I can't say I'd be bothered either way. If you've got decent eyesight and a decent viewfinder/focus screen, you will quickly learn to focus such lenses very accurately manually, in the times when AF seems unreliable. (Not that AF is even an option when it comes to medium format and large format film...)
Anyway, this is your regular reminder that patents =/= lenses being made. They are merely a sign that a company has worked out a design which it wants to 'reserve' before anybody else makes the same thing. The vast majority of lens patents never actually get turned into retail products. So I wouldn't get too worried or get too excited just yet. This isn't to say that it definitely won't get made, just that it's no indication that it definitely will, either.
For what it's worth, I'd very gladly take a 100-120mm lens that can do f/2 or faster. (Yes, I know Canon already makes a 100mm f/2, but it's 25 years old and doesn't really old up with modern high-resolution sensors.) 115mm f/1.4 VC is the kind of lens which would allow me to use digital for work much more often, and greatly speed up the workflow.