Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
		Content		Paragraph Number	Notes	Any Field
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the fastener openings 414 may include internal threads configured to engage a bone screw driven from a lateral side of the long bone and into the fastener opening on the medial side of the long bone and in the body 406 or fixation feature 416. In such an embodiment, the fastener openings 414 provides a nut-like device for fixation. Also in such an embodiment, the arm 408 may include one or more fastener openings 414 that include internal threads configured to engage a bone screw or other fastener driven from a posterior side or anterior side of the long bone and into the fastener opening on the anterior side or posterior side of the long bone. In certain embodiments, fasteners can be deployed from a lateral side of the long bone and secured to the fixation feature 416 on the medial side.	97	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Alternatively, or in addition, the body 406 and/or fixation feature 416 may not include openings such as fastener openings 414. Instead, the body 406 and/or fixation feature 416 may be made from a material that permits a fastener driven from a lateral side of the long bone to penetrate the body 406 and/or fixation feature 416 and thereby tap its own opening into the medial bone plate 400.	98	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The body 406 may be of any length between the fixation feature 416 and the proximal end 402. In certain embodiments, the medial bone plate 400 may be manufactured in a variety of sizes with different lengths for the body 406 and/or other components to accommodate different types and locations of fractures of the long bone, sizes of long bone, and/or anatomical characteristics of the patient. In one embodiment, the medial bone plate 400 used is selected such that the arm 408 is superior to a fracture in the long bone. In certain embodiments, the arm 408 can straddle a fracture.	99	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The body 406 may also include one or more fastener openings 414. Together, the arm 408, body 406, and fixation feature 416 with the respective one or more fastener openings 414 provide a surgeon with a number of options for fixing the medial bone plate 400 to the femur 102 on the medial side without a need to attempt fixation using a fastener on the medial side alongside the shaft 410 in close proximity to the large femoral artery of a patient. Different embodiments of the medial bone plate 400 can include different configurations and/or arrangements of the one or more fastener openings 414 positioned along the length of the body 406 and/or within the fixation feature(s) 416. In certain embodiments, certain parts of the body 406 and/or fixation feature(s) 416 may include no fastener openings 414 or any other openings and may instead provide a solid structure which may serve to provide desired strength, durability, and/or rigidity.	100	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments, the intramedullary nail 100 and/or intramedullary nail system 200 can be deployed on a long bone that includes a prosthesis such as a knee prosthesis, a hip prosthesis, and/or one or more fixation prosthesis. Alternatively, or in addition, the intramedullary nail 100 and/or intramedullary nail system 200 can be deployed on a long bone that has no prosthesis (i.e., a native long bone, no joint or fixation prostheses).	89	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 4B, 4C, 4D, and 4E are front view, rear view, left side view, and right side view respectively of the medial bone plate of FIG. 4A, according to one embodiment. The medial bone plate 400 may include a front surface 418 and a back surface 420. The medial bone plate 400 may be generally planar. In one embodiment, the back surface 420 is configured to contact and follow the contour of a medial surface of the long bone (e.g., femur 102).	102	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the arm 408 may connect to the body 406 by way of an elbow 422. The elbow 422 may be shaped to facilitate percutaneous deployment of the medial bone plate 400. The arm 408 may be positioned at the furthermost part of the proximal end 402 or at any position between the proximal end 402 and the fixation feature 416. Furthermore, the medial bone plate 400 may include one or more arms 408 positioned along its length and the arms 408 may each extend in the anterior direction relative to the long bone, may each extend in the posterior direction relative to the long bone, and/or some arms 408 may extend in the anterior direction relative to the long bone while other arms 408 extend in the posterior direction relative to the long bone.	103	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the medial bone plate may be a modular bone plate that includes one or more connectors on a proximal end 402 and/or a distal end 404. With a modular bone plate, the arm 408 may be connectable to the modular bone plate such that the arm 408 extends anteriorly relative to the long bone or posteriorly relative to the long bone. In certain embodiments, the body 406 may include a number of connection points for an arm 408 to be connected such that a surgeon can fixate the arm 408 at a variety of locations on the anterior surface and/or posterior surface of the long bone. In addition, the fixation feature 416 may be connectable to the modular bone plate at or near the distal end 404.	104	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments (not shown), the distal end 404 may include one or more fixation features 416 and the proximal end 402 may not include one or more arms 408. In such embodiments, the body 406 may include a bend, twist, or curve along its length. The bend, twist, or curve may be designed, configured, or engineered such that the one or more fixation features 416 can contact a medial surface of the long bone and the proximal end 402 is positioned above an anterior surface or a posterior surface of the long bone. In such an embodiment, the proximal end 402 may include one or more fastener openings 414 and/or one or more fastener features.	105	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 5A is a perspective view of a medial bone plate 500a deployed on a long bone, according to one embodiment. The medial bone plate 500a may have structures, features, and functions, operations, and configuration similar to that of the medial bone plate 400 described in relation to FIG. 4A-4E. Accordingly, the medial bone plate 500a may include a proximal end 502, distal end 504, body 506, one or more arms 508, one or more fastener openings 514, a fixation feature 516, a front surface 518, a back surface 520 (not shown), and one or more elbows 522. In the illustrated embodiment, the medial bone plate 500a has a longer body 506 such that the arms 508 are positioned above a fracture 524.	106	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 5B is a perspective view of a medial bone plate 500b deployed on a long bone, according to one embodiment. The medial bone plate 500b may have many structures, features, and functions, operations, and configuration similar to that of the medial bone plate 500a described in relation to FIG. 5A, like parts are identified with the same reference numerals. Accordingly, the medial bone plate 500a may include a proximal end 502, distal end 504, body 506, one or more fastener openings 514, and a fixation feature 516. In the illustrated embodiment, the medial bone plate 500b differs from the medial bone plate 500a because the medial bone plate 500b has a lateral approach fastener opening 526.	107	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, a lateral approach fastener opening 526 is a fastener opening configured to accept a lateral approach fastener 528. The lateral approach fastener opening 526 and lateral approach fastener 528 may be part of a lateral approach fastening system. A lateral approach fastening system can be any device, structure, apparatus, or system designed or configured to accept a fastener deployed from a lateral side of a long bone.	108	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	A lateral approach fastener opening 526 can be implemented in a variety of ways. In the illustrated embodiment, the lateral approach fastener opening 526 is a set of internal threads of an opening that are configured to engage external threads of lateral approach fastener 528 that passes through the long bone. Advantageously, the lateral approach fastener 528 is deployed from a lateral side of the long bone so as to avoid a neurovascular bundle or femoral artery near the medial side of the long bone. Those of skill in the art will recognize a variety of different designs for a lateral approach fastening system such as the example lateral approach fastener opening 526 and lateral approach fastener 528 presented here, each of which is considered within the scope of the present disclosure.	109	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments, a lateral approach fastening system is one example of an opposite side approach fastening system. A opposite side approach fastening system is one that can include two components one on one side of a body part or section of tissue and one on an opposite of the body part or section of tissue. Opposite side approach fastening system can be used in relation to a medial-lateral axis, an anterior-posterior axis, a superior-inferior axis, a cephalad-caudal axis, and the like.	110	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 5C is a perspective view of a lateral approach fastener 528 for use with the medial bone plate of FIG. 5B, according to one embodiment. The lateral approach fastener 528 can include a head 530 and a shank 532. In one embodiment, the head 530 may be angled to engage with bone when deployed. The shank 532 can include two sets of threads, coarse threads 534 and fine threads 536. The coarse threads 534 may have a greater pitch to facilitate purchase of the threads in bone of the long bone. The fine threads 536 may include smaller pitch that matches the pitch of internal threads of a lateral approach fastener opening 526 to provide enhanced engagement and fixation with a medial bone plate 500b.	111	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The handle 310 is used by an operator to manipulate the intramedullary nail 100 or intramedullary nail system 200 during deployment or retraction. The driver 320 can include external threads that engage with internal threads of a coupling 110/third coupling 220 to secure the driver 320 to the coupling 110/third coupling 220. Alternatively, the driver 320 can include a different engagement feature such as a friction fit, tabs, grooves, etc. for connecting to the coupling 110/third coupling 220 for the deployment or for a retraction.	78	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 2C is a perspective view of the adapter 204 of FIG. 2A, according to one embodiment. Figure 2C shows the second coupling 218, third coupling 220, and body 222 in more details. In certain embodiments, the second coupling 218, third coupling 220, and body 222 have a circular longitudinal cross section. Other shaped longitudinal cross sections can also be used.	68	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	As described above in relation to the offset section 116, the adapter 204 may include a hollow passage 228 that extends from the second coupling 218 to the third coupling 220 that may be used for deployment of the adapter 204 over a guide wire. Generally, the hollow passage 228 has a common diameter throughout the adapter 204 and may have a diameter that matches the diameter of a corresponding passage within the intramedullary nail 202. The length of second coupling 218, third coupling 220, and body 222 may vary depending on the amount of offset needed to clear a deployed arthroplasty implant, age, gender, size, and anatomical structure of a patient.	69	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 2D, 2E, 2F, and 2G are a distal end view, a proximal end view, a side view, and a side cross-section view respectively of the adapter of FIG. 2C, according to one embodiment. The adapter 204 has a distal end 230 and a proximal end 232. The first coupling 216 of the intramedullary nail 202 and the second coupling 218 and third coupling 220 of the adapter 204 serve to connect the intramedullary nail 202 with a driver (See FIG. 3A) for deployment/retraction of the intramedullary nail 202.	70	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The first coupling 216 may use a variety of features and/or interfaces for making a coupling/connection between the multiple couplings and the driver. In the illustrated embodiment, the couplings 216, 218, 220 may each include an arrangement of one or more grooves 234 that accept one or more "tongues" or tabs 236 that may extend from another coupling 216, 218, 220 or driver of an inserter. The one or more grooves 234 may engage the one or more "tongues" or tabs 236 to permit the driver to force or move the intramedullary nail 202 longitudinally when deploying the intramedullary nail 202. The one or more grooves 234 may permit some torque forces to be applied to the couplings 216, 218, 220 to facilitate deployment of the intramedullary nail 202. In certain embodiments, the one or more grooves 234 may engage with the one or more "tongues" or tabs 236 in a friction fit such that the intramedullary nail 202 can be retracted as needed during a deployment procedure. In certain embodiments, the couplings 216, 218, 220 may engage each other and a driver such that retraction of the driver also retracts the couplings 216, 218, 220 and structures connected to the couplings 216, 218, 220.	71	Added by DJM 8 2021	8/16/21, 12:00 AM

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