Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-16	FIG. 11B is a bottom perspective view of the pivoting resection guide 1002, according to one embodiment.	253	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 11C is a top view of the pivoting resection guide 1002, according to one embodiment.	254	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 11D is a bottom view of the pivoting resection guide 1002, according to one embodiment.	255	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 11E is a front view of the pivoting resection guide 1002, according to one embodiment, including a handle 1004.	256	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 11F is a back view of the pivoting resection guide 1002, according to one embodiment, including a handle 1004.	257	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 11G is a left side view of the pivoting resection guide 1002, according to one embodiment, including a handle 1004.	258	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	FIG. 11H is a right-side view of the pivoting resection guide 1002, according to one embodiment, including a handle 1004.	259	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Referring now to FIGs. 11A-11H, more details of the illustrated embodiment will be described. Those of skill in the art will appreciate that depending on where on, or in, the body of a patient, a pivoting resection guide 1002 is used, the pivoting resection guide 1002 can have sides that are named differently than those described in relation to the illustrated embodiment (e.g., top, bottom, front, back, left, right). However, with respect to the illustrated embodiment, this illustrated pivoting resection guide 1002 is configured for use on, at, between, or near a medial cuneiform 202 and/or a first metatarsal 208 of a patient. Consequently, the sides of the components of the osteotomy system 1000 are named based on where those sides are positioned and/or oriented when this pivoting resection guide 1002 is in use.	260	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	As shown in one or more of FIGs. 11A-11H, the first bone attachment feature 1006 includes a body 1102 which includes a superior side 1104, an inferior side 1106, a medial side 1108, a lateral side 1110, a proximal side 1112, a distal side 1114, at least one opening 1116, and a first coupler 1118. Similarly, the second bone attachment feature 1008 includes a body 1132 which includes a superior side 1134, an inferior side 1136, a medial side 1138, a lateral side 1140, a proximal side 1142, a distal side 1144, at least one opening 1146, and a second coupler 1148. The body 1102 and/or body 1132 can be fabricated using additive or subtractive manufacturing.	261	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	In the illustrated embodiment when in use, the superior side 1104 and superior side 1134 face away from one or more bones of the patient. The inferior side 1106 and inferior side 1136 face one or more bones of the patient. The proximal side 1112 and proximal side 1142 are proximal to the patient and the distal side 1114 and distal side 1144 are distal to the patient. The medial side 1108 and medial side 1138 face a medial side of the patient and the lateral side 1110 and lateral side 1140 face a distal side of the patient.	262	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	The opening 1116 extends from the superior side 1104 to the inferior side 1106. The opening 1146 extends from the superior side 1134 to the inferior side 1136. Each of opening 1116 and opening 1146 are sized to receive a respective fastener 1012. The opening 1116 and opening 1146 may each have the same or similar or different diameter openings. Each of opening 1116 and opening 1146 are configured to receive one of one or more fasteners 1012.	263	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	The first coupler 1118 is configured to engage with a cutter guide 1010 positioned between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the first coupler 1118 may engage and secure the cutter guide 1010 between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the first coupler 1118 may engage and secure the cutter guide 1010 to the first bone attachment feature 1006 while a second coupler 1148 may engage but not secure the cutter guide 1010 to the second bone attachment feature 1008.	264	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Advantageously, the first coupler 1118 engages with the cutter guide 1010 such that the cutter guide 1010 remains in place and is capable of pivoting or rotating about the pivot axis 1014. In certain embodiments, the first coupler 1118 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is perpendicular to the distal side 1114 of the first bone attachment feature 1006. In another embodiment, the first coupler 1118 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is at an angle that is not perpendicular to the distal side 1114 of the first bone attachment feature 1006.	265	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	The second coupler 1148 is configured to engage with a cutter guide 1010 positioned between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the second coupler 1148 may engage and secure the cutter guide 1010 between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the second coupler 1148 may engage and secure the cutter guide 1010 to the second bone attachment feature 1008 while a first coupler 1118 may engage but not secure the cutter guide 1010 to the first bone attachment feature 1006.	266	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Advantageously, the second coupler 1148 engages with the cutter guide 1010 such that the cutter guide 1010 remains in place and is capable of pivoting or rotating about the pivot axis 1014. In certain embodiments, the second coupler 1148 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is perpendicular to the proximal side 1142 of the second bone attachment feature 1008. In another embodiment, the second coupler 1148 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is at an angle that is not perpendicular to the proximal side 1142 of the second bone attachment feature 1008.	267	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Referring now back to FIG. 11D, FIG. 11D illustrates an embodiment of the pivoting resection guide 1002 that includes a first bone attachment feature 1006 having a first bone engagement surface 1022 that is contoured to substantially match a surface contour of bone (e.g., a proximal metatarsal surface contour) where the pivoting resection guide 1002 is to be anchored/secured. In certain embodiments, the pivoting resection guide 1002 can include a second bone attachment feature 1008 having a second bone engagement surface 1024 that is contoured to substantially match a surface contour of bone (e.g., a distal metatarsal surface contour) where the pivoting resection guide 1002 is to be anchored/secured. Alternatively, or in addition, the first bone engagement surface 1022 and/or second bone engagement surface 1024 may be contoured based on placement of the pivoting resection guide 1002 on a surface of skin of a patient for a procedure.	268	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	In the illustrated embodiment, the first bone engagement surface 1022 is on the inferior side 1106 of the first bone attachment feature 1006 and the second bone engagement surface 1024 is on the inferior side 1136 of the second bone attachment feature 1008. In certain embodiments, only one of the first bone attachment feature 1006 and/or second bone attachment feature 1008 may include a bone engagement surface. The first bone engagement surface 1022 and/or second bone engagement surface 1024 are/is configured to engage a cortical bone surface of one or more bones during a surgical procedure (e.g., forming an osteotomy).	269	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	Advantageously, the first bone engagement surface 1022 and/or second bone engagement surface 1024 assists a surgeon in placement and orientation of the pivoting resection guide 1002 in a desired placement and/or orientation relative one or more bones. In certain embodiments, the first bone engagement surface 1022 and/or second bone engagement surface 1024 is at least partially determined based on a bone model 404 of a patient’s foot. In certain embodiments, the bone model 404 is defined based on medical imaging of the patient’s foot.	270	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	In certain embodiments, the inferior surfaces of the first bone attachment feature 1006 and/or the second bone attachment feature 1008 may be planar and may not be configured to conform, or substantially match a surface contour of bone (e.g., a metatarsal) where the pivoting resection guide 1002 is to be anchored/secured. Alternatively, or in addition, the inferior surfaces of the first bone attachment feature 1006 and/or the second bone attachment feature 1008 may be contoured to sit on a surface of skin of a patient that covers the bone (e.g., a metatarsal).	271	Added by DJM Jan 2024	1/3/24, 4:26 AM
View Edit Delete	PER-16	In certain embodiments, the first bone attachment feature 1006 and second bone attachment feature 1008 may straddle a joint with the first bone attachment feature 1006 on one side of the joint and the second bone attachment feature 1008 on the other side of the joint. In another embodiment, the first bone attachment feature 1006 and second bone attachment feature 1008 may be secured along a length of the same bone.	272	Added by DJM Jan 2024	1/3/24, 4:26 AM

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