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Dave's PCF WIP: Paragraphs
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PER-8 PROV The phrases "connected to," "coupled to" and "in communication with" refer to any form of interaction between two or more entities, including mechanical, electrical, magnetic, electromagnetic, fluid, and thermal interaction. Two components may be functionally coupled to each other even though they are not in direct contact with each other. The term "abutting" refers to items that are in direct physical contact with each other, although the items may not necessarily be attached together. The phrase "fluid communication" refers to two features that are connected such that a fluid within one feature can pass into the other feature. 29 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figure 24 illustrates an exemplary system configured to generate patient specific footwear configured to a specific patient’s feet, according to one embodiment. 28 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figure 23 illustrates an exemplary system configured to generate one or more patient specific instruments configured to correct a bone condition, according to one embodiment. 27 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figure 22 illustrates an exemplary design module configured to design a patient specific cutting guide model, according to one embodiment. 26 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figure 21 illustrates an exemplary selection module configured to select a template cutting guide model, according to one embodiment. 25 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figures 20A and 20B illustrates one example of a method for determining a deformity and a correction for the deformity, according to one embodiment. 24 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figure 19 illustrates an exemplary apparatus configured to determine a deformity, according to one embodiment. 23 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Figure 18 illustrates an exemplary system configured to generate one or more patient specific instruments configured to correct a bone condition, according to one embodiment. 22 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV The present disclosure discloses surgical systems and methods by which a bone condition, such as a deformity, may be corrected using patient-specific instrumentation. Known methods of correcting bone conditions are often limited to a finite range of discretely sized instruments. A patient with an unusual condition, or anatomy that falls between instrument sizes, may not be readily treated with such systems. One example is correction of a bunion, in particular, via adjustment of the angulation between a cuneiform and a metatarsus. 31 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Various bone conditions may be corrected using an osteotomy, in which one or more bones are cut, replaced, and/or reoriented. Cutting guides are often used to help the surgeon properly locate, position, and make the cut. Unfortunately, many known cutting guides are not patient-specific, and can be difficult to properly position to perform the osteotomy on a specific patient. Even if properly positioned, many known cutting guides are difficult to secure at the desired position, without moving away from the desired position prior to performing the osteotomy. As a result, many known osteotomy procedures carry risk of an improper cut that fails to correct the underlying condition, or even endangers surrounding tissues. 2 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV wherein the detachable connector is configured to be activated to disconnect one of the first alignment feature and the second alignment feature from the cutting guide to enable removal of the parts of the cutting guide and leave one or more bone attachment features connected to one or more bones such that the one or more bone attachment features can be aligned to at least partially correct for the condition. 161 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV wherein the first alignment feature and the second alignment feature are configured to accept one or more bone attachment features; and 160 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV wherein one or more of the first alignment feature and the second alignment feature are positioned in the cutting guide based on a correction model defined for a particular patient; 159 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV a detachable connector configured to connect one of the first alignment feature and the second alignment feature to the cutting guide; 158 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV a second alignment feature positioned within the cutting guide to correct for the condition when the second alignment feature is aligned with the first alignment feature; 157 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV a first alignment feature positioned within a cutting guide to correct for the condition; 156 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV 2.A cutting guide for correcting a condition present a patient’s foot, the cutting guide comprising: 155 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV As used herein, “additive manufacturing” refers to a manufacturing process in which materials are joined together in a process that repeatedly builds one layer on top of another to generate a three-dimensional structure or object. Additive manufacturing may also be referred to using different terms including: additive processes, additive fabrication, additive techniques, additive layer manufacturing, layer manufacturing, freeform fabrication, ASTM F2792 (American Society for Testing and Materials), and 3D printing. Additive manufacturing can build the three-dimensional structure or object using computer-controlled equipment that applies successive layers of the material(s) based on a three-dimensional model that may be defined using Computer Aided Design (CAD) software. Additive manufacturing can use a variety of materials including polymers, thermoplastics, metals, ceramics, biochemicals, and the like. 40 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV Every deformity is different; accordingly, the degree of angular adjustment needed in each direction may be different for every patient. Use of a patient-specific cutting guide may help the surgeon obtain the optimal realignment in the lateral direction 260 and in the plantar direction 280 or the dorsal direction 290. Conversely, use of one of several differently-sized cutting guides may provide only approximate correction, as the surgeon may not have a guide that precisely matches the correction needed for the foot 200, and must thus choose the cutting guide that most closely provides the desired correction. Such differently sized cutting guides would not be contoured to fit the first cuneiform 210 or the first metatarsus 230, thus introducing additional potential for error as the surgeon must properly align the selected cutting guide. 59 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV As mentioned previously, the method 120 is one species of the method 100; the present disclosure encompasses many different procedures, performed with respect to many different bones and/or joints of the body. Exemplary steps and instrumentation for the method 120 will further be shown and described in connection with Figures 2 through 7D. Those of skill in the art will recognize that the method 120 may be used in connection with different instruments; likewise, the instruments of Figures 2 through 7D may be used in connection with methods different from the method 100 and the method 120. 55 Added by DJM 7 2021 7/2/21, 12:00 AM

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