Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-16	At this stage, the same pivoting resection guide 1902 is now configured to resect/dissect the first metatarsal 208. This change in configuration may be due to differences between the cuneiform cutter guide 1910 and the first metatarsal cutter guide 1912. Next, the user inserts the cutting tool 1926 into the first metatarsal cutter guide 1912 and resects/dissects the first metatarsal 208 by pivoting the cutting tool 1926 plantarly and/or dorsally to sweep through the bone. At this stage, the resection/dissection of the medial cuneiform 202 and the first metatarsal 208 is complete. The user may now remove the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908 with the cutting tool 1926. The cuneiform fastener 1914 and/or metatarsal fastener 1916 may be left in the bones to be used for subsequent temporary or permanent fixation and/or fusion of the two bones.	358	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	What is claimed is:	367	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16		366	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	While specific embodiments and applications of the present disclosure have been illustrated and described, it is to be understood that the scope of this disclosure is not limited to the precise configuration and components disclosed herein. Various modifications, changes, and variations which will be apparent to those skilled in the art may be made in the arrangement, operation, and details of the methods and systems of the present disclosure set forth herein without departing from it spirit and scope.	365	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Recitation in the claims of the term "first" with respect to a feature or element does not necessarily imply the existence of a second or additional such feature or element. Elements recited in means-plus-function format are intended to be construed in accordance with 35 U.S.C. §112 Para. 6. It will be apparent to those having skill in the art that changes may be made to the details of the above-described embodiments without departing from the underlying principles set forth herein.	364	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Similarly, it should be appreciated that in the above description of embodiments, various features are sometimes grouped together in a single embodiment, Figure, or description thereof for the purpose of streamlining the disclosure. This method of disclosure, however, is not to be interpreted as reflecting an intention that any claim require more features than those expressly recited in that claim. Rather, as the following claims reflect, inventive aspects lie in a combination of fewer than all features of any single foregoing disclosed embodiment. Thus, the claims following this Detailed Description are hereby expressly incorporated into this Detailed Description, with each claim standing on its own as a separate embodiment. This disclosure includes all permutations of the independent claims with their dependent claims.	363	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Reference throughout this specification to "an embodiment" or "the embodiment" means that a particular feature, structure or characteristic described in connection with that embodiment is included in at least one embodiment. Thus, the quoted phrases, or variations thereof, as recited throughout this specification are not necessarily all referring to the same embodiment.	362	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	The second pivoting resection guide may include a third bone attachment feature configured to slide over the first temporary fastener; a fourth bone attachment feature configured to slide over the second temporary fastener; a cutter guide coupled between the third bone attachment feature and the fourth bone attachment feature, the cutter guide configured to guide a cutting tool as the cutter guide rotates about a pivot axis that extends between the third bone attachment feature and the fourth bone attachment feature.	361	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	The first pivoting resection guide may include a first bone attachment feature configured to receive the first temporary fastener; a second bone attachment feature configured to receive the second temporary fastener; a cutter guide coupled between the first bone attachment feature and the second bone attachment feature, the cutter guide configured to guide a cutting tool as the cutter guide rotates about a pivot axis that extends between the first bone attachment feature and the second bone attachment feature; and a second pivoting resection guide configured to resect the second bone.	360	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	In another example embodiment, the osteotomy system may include two pivoting resection guides, one configured for dissecting/resecting a first bone and another for dissecting/resecting a second bone. In such a system, the system may include a first temporary fastener configured to engage a first bone of a patient’s foot; a second temporary fastener configured to engage a second bone of a patient’s foot; and a first pivoting resection guide configured to resect the first bone.	359	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Those of skill in the art will appreciate that use of the osteotomy system 1500 can be done in a variety of ways to accomplish the desired correction cuts of the medial cuneiform 202 and the first metatarsal 208. For example, the angle and orientation of the cutter guide 1510 in relation to the first bone attachment feature 1506 or second bone attachment feature 1508 can be used and configured to produce an angle in the bone(s) that will provide a desired correction. In such an embodiment, one or more arms 1528 may enter the openings of the first bone attachment feature 1506 and/or second bone attachment feature 1508 at an angle that is not 90 degrees.	328	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	With the cuneiform cutter guide 1910 decoupled, the user may couple the first metatarsal cutter guide 1912 to the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. In the illustrated embodiment, the user may use the same toolless couplers to couple the first metatarsal cutter guide 1912 to both the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908.	357	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Next, a user may decouple the cuneiform cutter guide 1910 from the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908 after removing the cutting tool 1926. In one embodiment, the first coupler 1118 and the second coupler 1148 may include a pair of toolless couplers. In one embodiment, the toolless couplers may be a set of fasteners that a user or other operator can tighten and/or loosen with their fingers. Examples of toolless couplers include, but are not limited to thumbscrews, set screws, levers, buttons, and the like.	356	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Initially, the cuneiform cutter guide 1910 is coupled between the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. Next, a user may insert the cutting tool 1926 and resect/dissect a distal portion of the medial cuneiform 202. Advantageously, the cuneiform cutter guide 1910 is configured for a resection/dissection of the distal portion of the medial cuneiform 202.	355	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Advantageously, a user may use the osteotomy system 1900 to resect/dissect both a medial cuneiform 202 and a first metatarsal 208 using the same system. To form an osteotomy on the medial cuneiform 202 the user uses the cuneiform cutter guide 1910 and to form an osteotomy on the first metatarsal 208 the user uses the first metatarsal cutter guide 1912. FIG. 19A illustrates an example of the osteotomy system 1900 with the cuneiform cutter guide 1910 removably coupled between the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. Initially, a user may deploy the pivoting resection guide 1902 by securing the cuneiform attachment feature 1906 using the cuneiform fastener 1914 to the medial cuneiform 202 and securing the first metatarsal attachment feature 1908 using the metatarsal fastener 1916 to the first metatarsal 208.	354	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 19A illustrates the pivoting resection guide 1902 with the cuneiform cutter guide 1910 coupled for resecting/dissecting the medial cuneiform 202 and the first metatarsal cutter guide 1912 is shown, decoupled, for comparison. FIG. 19B illustrates the pivoting resection guide 1902 with the first metatarsal cutter guide 1912 coupled for resecting/dissecting the first metatarsal 208 and the cuneiform cutter guide 1910 is shown, decoupled, for comparison.	353	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	In the illustrated embodiment, the cuneiform cutter guide 1910 and the first metatarsal cutter guide 1912 may differ with respect to the first arm angle 1236 and the second arm angle 1244. On the cuneiform cutter guide 1910 the first arm angle 1236 and the second arm angle 1244 may be right angles such that the operation of the pivoting resection guide 1902 forms a straight cut parallel to the cuneiform fastener 1914 and the metatarsal fastener 1916. However, the first metatarsal cutter guide 1912 may include a proximal arm 1230 that extends from the first metatarsal cutter guide 1912 toward the cuneiform attachment feature 1906 at a first arm angle 1930 and a distal arm 1238 that extends from the first metatarsal cutter guide 1912 toward the cuneiform attachment feature 1906 at a second arm angle 1932. The first arm angle 1930 may differ from the first arm angle 1236 and the second arm angle 1932 may differ from the second arm angle 1244. The different angles for the first arm angle 1930 and second arm angle 1932 may be defined such that a distal end of the first metatarsal cutter guide 1912 points more distal than the distal end of the cuneiform cutter guide 1910. In this manner, the angles for the first arm angle 1930 and second arm angle 1932 can be defined to direct the cutting tool 1926 for resection/dissection of the first metatarsal 208.	352	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	The first metatarsal cutter guide 1912 is configured to guide the cutting tool 1926 for resection/dissection of the first metatarsal 208. Those of skill in the art will appreciate that varies aspects of the first metatarsal cutter guide 1912 can be defined such that operation of the cutting tool 1926 by way of first metatarsal cutter guide 1912 forms an osteotomy of a predefined trajectory in the first metatarsal 208 of the patient. Examples of these aspects include but are not limited to a length of the proximal arm 1230, a length of the distal arm 1238, a size of the first arm angle 1236, a size of the second arm angle 1244 and the like.	351	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Similarly, the first metatarsal cutter guide 1912 includes a distal arm 1238 that extends from a second side of the cuneiform cutter guide 1910 and a distal arm groove 1240 toward a distal end of the distal arm 1238. The first metatarsal cutter guide 1912 also includes a distal arm retainer 1242 (which in the illustrated embodiment is a toolless coupler, such as a thumbscrew). Notably the distal arm retainer 1242 is configured to be operated by a user to releasably engage with the distal arm 1238.	350	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Referring now to FIG. 19A, the first metatarsal cutter guide 1912 is illustrated decoupled from the pivoting resection guide 1902. Suppose the first metatarsal cutter guide 1912 has almost the same configuration as cutter guide 1010. Accordingly, suppose the first metatarsal cutter guide 1912 includes a proximal arm 1230 that extends from a first side of the first metatarsal cutter guide 1912 and a proximal arm groove 1232 toward a distal end of the proximal arm 1230. The first metatarsal cutter guide 1912 also includes a proximal arm retainer 1234 (which in the illustrated embodiment is a toolless coupler, such as a thumbscrew). Notably the proximal arm retainer 1234 is configured to be operated by a user to releasably engage with the proximal arm 1230.	349	Added by DJM Jan 2024	1/3/24, 4:26 AM

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