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Application
2380.2.01
US-20150012794-A1
US-20150205664-A1
US-20100023800-A1
US-8737141-A1
US-10157004-B2
US10007433A1
US-9159419-B2
US-10114589-A1
US-10134728-A1
US-20200065270-A1
US-10637533-B2
US-9927986-A1
US-8380915-A1
US-9159419-A1
US-9208071-A1
US-20200098728-A1
US-10643676-A1
US-10468073-B2
US-10283200-A1
US-10461965-B1
US-20130279232-A1
US-8892980-B2
US9632727A1
US10558561A1
US20100023800A1
US7230213A1
OPT-9
FLO-2
FLO-5PROV
ONSO3175(B) - Onsemi378
ONSO3305US - Onsemi346
GTS-3DES
FLO-4
US8762658B2
US8533406B2
US9632727B2
KMN-1PROV
PAT-2
PER-8 PROV
PER-9 PROV
INS-4PROV
HAR-1
CES-16
NXT-5PROV NXT-5, 6, 7, 8
IPP-0051-US14 cross roads
FLO-7PROV
IMI-5PROV
IPP-0050-US35 nextremity
VIL-12
OPT-13
TOY-1
US10998041B1
FSP1845
US6559866B2
Placeholder App
PER-10
KBR-1 1400.2.623
PER-13PROV
PAT-3
US20030023453
RMS-1DES
SMG-1DES
FLO-5
US10318495
US10133662B2
PER-11
US20140066758
VIL-17
PER-17
JBR-1
PER-12
US11056880
US11302645
US20210407565
US11081191
PON-1PROV, 2PROV, 3PROV
PER-33
RMT-1PROV
PER-32
PER-34
MCC-1
FLO-10
PER-14
PER-19
PER-22
PER-18
PER-24
TMC-PAT-1
DAR-2
PER-23
TMC-PAT-4
PER-16
PER-4 DIV1
PER-20
PER-21
BRT-PAT-1
TMC-PAT-5
TMC-PAT-6PROV
BRT-PAT-2-PROV
71212.157.USU1
FPR-PAT-1-PROV
71212.158.USP1
RMT-1
DAR-1PROV
DAR-2PROV
PON-1PROV
PON-2PROV
PON-3PROV
PER-18PROV
TMC-1PROV
TMC-2PROV
PER-13PCT
PER-13
PER-16PROV
PER-14PROV
PER-34PROV
TMC-4PROV
TMC-3
PAS-1PROV
VEH-1
PER-29DES
TEST.001
E2E-TEST.001
TEST-001
TEST-002
TEST-003
TEST-004
ZED006
FSP1011
GAV-PAT-1-PROV
Matter Number
Paragraph Number
109
Application Number
Reference Case 1
Reference Case 2
Content
Referring to FIGS. 35-37, the cross guide 400 is mounted to the inserter 300 which is attached to the fastener 100. The cross guide 400 is pivoted relative to the inserter 300 to direct the cross fixation axis 420 in a desired direction. For example, it may be pivoted to align with a desired entry point on the bone 632. The rotation stops guarantee that the axis 420 is not angled so acutely as to prevent passage of a fixation member through the fastener aperture 118. The sleeve 422 is translated axially to position the sleeve close to the bone entry point 632 to stabilize a guide wire 634 as it is inserted through the sleeve, into the bone, and through the aperture 118. A fixation screw 636 is advanced over the guide wire 634 into the bone and through the aperture 118. The guide wire 634 is then removed. In one embodiment, the screw 636 is sized and positioned for bi-cortical fixation. In one embodiment, the screw passes through both bone portions to further stabilize the interface 604.
Notes
Added by DJM 12 2021
Raw Data
<w:p w14:paraId="0C745E9C" w14:textId="5BA45881" w:rsidR="008B1FC4" w:rsidRPr="00041F8F" w:rsidRDefault="004558D8"><w:pPr><w:pStyle w:val="TPSBody1"/><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr></w:pPr><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">Referring to FIGS. 35-37, the cross </w:t></w:r><w:bookmarkStart w:id="391" w:name="CMASTER55972559785597855982"/><w:r w:rsidR="009A0F59" w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>guide</w:t></w:r><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve"> 400 </w:t></w:r><w:bookmarkEnd w:id="391"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is mounted to the </w:t></w:r><w:bookmarkStart w:id="392" w:name="CMASTER56000560095600956013"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">inserter 300 </w:t></w:r><w:bookmarkEnd w:id="392"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">which is attached to the </w:t></w:r><w:bookmarkStart w:id="393" w:name="CMASTER56038560475604756050"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>fastener 100</w:t></w:r><w:bookmarkEnd w:id="393"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">. The cross </w:t></w:r><w:bookmarkStart w:id="394" w:name="CMASTER56062560685606856072"/><w:r w:rsidR="009A0F59" w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>guide</w:t></w:r><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve"> 400 </w:t></w:r><w:bookmarkEnd w:id="394"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is pivoted relative to the </w:t></w:r><w:bookmarkStart w:id="395" w:name="CMASTER56099561085610856112"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">inserter 300 </w:t></w:r><w:bookmarkEnd w:id="395"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">to direct the cross </w:t></w:r><w:bookmarkStart w:id="396" w:name="CMASTER5613256141561415614656146561"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">fixation axis 420 </w:t></w:r><w:bookmarkEnd w:id="396"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">in a desired direction. For example, it may be pivoted to align with a desired entry point on the </w:t></w:r><w:bookmarkStart w:id="397" w:name="CMASTER56248562535625356256"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>bone 632</w:t></w:r><w:bookmarkEnd w:id="397"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">. The rotation stops guarantee that the </w:t></w:r><w:bookmarkStart w:id="398" w:name="CMASTER56296563015630156305"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">axis 420 </w:t></w:r><w:bookmarkEnd w:id="398"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is not angled so acutely as to prevent passage of a fixation member through the </w:t></w:r><w:bookmarkStart w:id="399" w:name="CMASTER5638556394563945640356403564"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>fastener aperture 118</w:t></w:r><w:bookmarkEnd w:id="399"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">. The </w:t></w:r><w:bookmarkStart w:id="400" w:name="CMASTER56412564195641956423"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">sleeve 422 </w:t></w:r><w:bookmarkEnd w:id="400"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is translated axially to position the sleeve close to the </w:t></w:r><w:bookmarkStart w:id="401" w:name="CMASTER5648156486564865649256492564"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">bone entry point 632 </w:t></w:r><w:bookmarkEnd w:id="401"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">to stabilize a </w:t></w:r><w:bookmarkStart w:id="402" w:name="CMASTER5651756523565235652856528565"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">guide wire 634 </w:t></w:r><w:bookmarkEnd w:id="402"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">as it is inserted through the sleeve, into the bone, and through the </w:t></w:r><w:bookmarkStart w:id="403" w:name="CMASTER56601566105661056613"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>aperture 118</w:t></w:r><w:bookmarkEnd w:id="403"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">. A </w:t></w:r><w:bookmarkStart w:id="404" w:name="CMASTER5661756626566265663256632566"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">fixation screw 636 </w:t></w:r><w:bookmarkEnd w:id="404"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is advanced over the </w:t></w:r><w:bookmarkStart w:id="405" w:name="CMASTER5665756663566635666856668566"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">guide wire 634 </w:t></w:r><w:bookmarkEnd w:id="405"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">into the bone and through the </w:t></w:r><w:bookmarkStart w:id="406" w:name="CMASTER56702567115671156714"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>aperture 118</w:t></w:r><w:bookmarkEnd w:id="406"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">. The </w:t></w:r><w:bookmarkStart w:id="407" w:name="CMASTER5672056726567265673156731567"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">guide wire 634 </w:t></w:r><w:bookmarkEnd w:id="407"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is then removed. </w:t></w:r><w:r w:rsidR="00915EAB" w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">In one embodiment, </w:t></w:r><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">the </w:t></w:r><w:bookmarkStart w:id="408" w:name="CMASTER56775567815678156785"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">screw 636 </w:t></w:r><w:bookmarkEnd w:id="408"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">is sized </w:t></w:r><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:lastRenderedPageBreak/><w:t xml:space="preserve">and positioned for bi-cortical fixation. </w:t></w:r><w:r w:rsidR="00915EAB" w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">In one embodiment, </w:t></w:r><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t xml:space="preserve">the screw passes through both bone portions to further stabilize the </w:t></w:r><w:bookmarkStart w:id="409" w:name="CMASTER56923569335693356936"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>interface 604</w:t></w:r><w:bookmarkEnd w:id="409"/><w:r w:rsidRPr="00041F8F"><w:rPr><w:rFonts w:ascii="Calibri" w:hAnsi="Calibri" w:cs="Calibri"/></w:rPr><w:t>.</w:t></w:r></w:p>
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