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	The proximal extender 640 may include one or more fixation features 634. The fixation feature 634 is a section of the proximal extender 640 contoured and/or configured to conform to the contour of a portion of a surface of cortex bone adjacent to or in contact with the proximal extender 640 once the proximal extender 640 is deployed on a lateral surface of a long bone (e.g., a proximal end of the lateral surface of a femur 102). Consequently, the configuration, size, and shape of the fixation feature 634 may vary depending on where the proximal extender 640 is installed. In one embodiment, the fixation feature 634 is contoured to engage with, and/or contact a surface of an upper extremity such a surface alongside the gluteal tuberosity and/or a greater trochanter of a long bone, such as a femur 102.	136	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 proximal extender 640 may also include a top opening 646 and one or more neck openings 638. The top opening 646 may serve to reduce the size, weight, and surface area of the fixation feature 634 that covers a part of the long bone. Furthermore, the top opening 646 can be configured to provide structural support and rigidity to the fixation feature 634. The size and shape of the top opening 646 can vary in different embodiments of the proximal extender 640. In one embodiment, the top opening 646 can include an opening 648 between the fastener openings 618 of a fixation feature 634. The opening 648 may facilitate more flexibility in the positioning of parts of a fixation feature 634 during deployment.	137	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The neck openings 638 may also serve to reduce the size, weight, and surface area of the proximal extender 614 that covers a part of the long bone. Furthermore, the neck openings 638 can be configured to provide structural support and rigidity to a neck section 650 of the proximal extender 640. The size and shape of the neck openings 638 can vary in different embodiments of the proximal extender 640. In one embodiment, the neck openings 638 are oval shaped.	138	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 11A, 11B, 11C, 11D, 11E, and 11F are front view, rear view, bottom view, top view, right side view, and left side view respectively of a proximal extender, according to one embodiment. The proximal extender 660 may have structures, features, and functions, operations, and configuration similar to that of the proximal extender 614 described in relation to FIG. 9A-9F and/or the proximal extender 640 described in relation to FIG. 10A-10D. Accordingly, the proximal extender 660 may include a proximal extender part 624/644, fastener openings 618, multi-position slot 642, a fixation feature 662, a neck section 650, neck openings 638, lips 632, and the like.	139	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	A main difference between the proximal extender 660 and the proximal extender 614 and/or proximal extender 640 may be a configuration of the fixation features. In FIGs. 11A-11F, the proximal extender 660 includes a fixation feature 662 that is smaller than the exemplary fixation features 634 of the proximal extender 614 and/or the proximal extender 640.	140	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 12A is a perspective view of a lateral bone plate and intramedullary nail both deployed on and within a long bone, such as a femur 102 according to one embodiment. Figure 12B illustrates the fixation system 1200 of Figure 12A deployed on and within a long bone using a line drawing and Figure 12C illustrates the fixation system 1200 of Figure 12A positioned as when deployed on and within a long bone without the long bone shown for clarity.	141	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 12A, 12B, and 12C illustrate a fixation system 1200 that includes an intramedullary nail 1202 and a fixation plate 1204. The intramedullary nail 1202 and/or fixation plate 1204 used in the fixation system 1200 may include one or more embodiments described herein or may be various other embodiments of an intramedullary nail 1202 and/or a fixation plate 1204. For example, the intramedullary nail 1202 may be the intramedullary nail 100 or intramedullary nail 202 or a different embodiment of an intramedullary nail. In one embodiment, the intramedullary nail 1202 is a straight intramedullary nail, one that does not have an offset section 116 on either end. Similarly, the fixation plate 1204 may be the medial bone plate 500a, the lateral bone plate 600, a modular bone plate with one or more connectors for extenders, or a bone plate having a predefined length. In addition, the fixation plate 1204 may include one or more fixation features 634 and/or one or more extenders.	142	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 12D is a perspective view of the lateral bone plate and an intramedullary nail both positioned as when deployed on and within a long bone, with the long bone not shown for clarity, according to one embodiment. Figure 12D illustrates that the intramedullary nail 1202 can be one such as intramedullary nail 202 that is straight and does not include an offset section 116 or one that includes an offset section 116 (e.g., feature 1216) as illustrated in Figure 12C.	143	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 10A, 10B, 10C, and 10D are front view, rear view, bottom view, top view respectively of a proximal extender, according to one embodiment. As explained above, the proximal extender 640 may include a plurality of fastener openings 618 configured to receive a variety of different fasteners, such as bone fasteners. The diameters of the plurality of fastener openings 618 may each be the same or may be different among the plurality of fastener openings 618.	133	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 intramedullary nail 1202 includes a proximal end 1210, a distal end 1212, and a shaft 1214. The proximal end 1210 corresponds to a proximal end of a long bone when the intramedullary nail 1202 is deployed. The distal end 1212 corresponds to a distal end of a long bone when the intramedullary nail 1202 is deployed. The shaft 1214 interconnects the proximal end 1210 and the distal end 1212.	145	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 1202 also includes a feature 1216, or means for, deploying the intramedullary nail 1202 retrograde into the intramedullary canal from the distal end of the long bone. In one embodiment, the feature 1216 is configured to enable deployment of the intramedullary nail 1202 from the distal end of the long bone, where the long bone includes a knee prosthesis that covers or blocks, all or part of a medial condyle and/or a lateral condyle, and/or distal access to the intramedullary canal. The feature 1216 can be implemented in a variety of ways some examples of which have been included herein. For example, the section 116 may serve as the feature 1216. Alternatively, or in addition, the adapter 204 may serve as the feature 1216. Alternatively, or in addition, a driver of an inserter may be configured to serve as the feature 1216.	146	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one example embodiment, the fixation plate 1204 is a lateral bone plate or a lateral modular bone plate configured to contact a lateral surface of the long bone. Alternatively, or in addition, the fixation plate 1204 may be a medial bone plate 400, an anterior bone plate, a posterior bone plate, a superior bone plate, an inferior bone plate, or the like. In one embodiment, the fixation plate 1204 can be configured to be thinner and less weight and more flexible than conventional bone plates because the fixation plate 1204 is deployed as part of a fixation system 1200 that includes another fixation device (e.g., an intramedullary nail 1202). In certain embodiments, the fixation plate 1204 is so thin and/or flexible that the fixation plate 1204 provides insufficient fixation without another fixation system or device such as an intramedullary nail 1202. Advantageously, using a more flexible fixation plate 1204 may promote, or at least not inhibit, desired bone healing in relation to one or more fractures. Alternatively, or in addition, the fixation plate 1204 may be rigid or resilient.	147	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, in one embodiment, the intramedullary nail 1202 can be configured to be thinner and less weight and more flexible than conventional intramedullary nails because the intramedullary nail 1202 is deployed as part of a fixation system 1200 that includes another fixation device (e.g., a fixation plate 1204). In certain embodiments, the intramedullary nail 1202 is so thin, short, and/or flexible that the intramedullary nail 1202 provides insufficient fixation without another fixation system or device such as fixation plate 1204. Advantageously, using a more flexible and/or light weight intramedullary nail 1202 may reduce costs, and/or promote, or at least not inhibit, desired bone healing in relation to one or more fractures.	148	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The lateral bone plate may include one or more fastener openings 618. The lateral bone plate may also include one or more fixation features 516/634. The lateral bone plate may include one or more fasteners 1218 that may pass through the fastener openings 618 and engage the bone. Fasteners 1218 can also be used to lock the intramedullary nail 1202 to the bone by engaging openings 132 of the intramedullary nail 1202.	149	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 13 is a perspective view of a fixation system 1200 that includes a fixation plate 1204, such as a lateral bone plate, and an intramedullary nail 1202 both deployed on and within a long bone, according to one embodiment. In certain embodiments, the flexible fixation plate 1204 and intramedullary nail 1202 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 flexible fixation plate 1204 and intramedullary nail 1202 can be deployed on a long bone that has no prosthesis (i.e., a native long bone, no joint or fixation prostheses). Figure 13 illustrates that while one or more fasteners 1218 can be used to secure the intramedullary nail 1202 to the bone and/or the fixation plate 1204 to the bone, one or more fasteners 1218 can also be used to secure the fixation plate 1204 to the intramedullary nail 1202 (see fasteners 1218a). In one embodiment, a fastener can be driven through fastener openings 618 tap its own opening in an intramedullary nail 1202 made of a material that accepts penetration by the fastener.	150	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Referring now to Figures 12A-12C and 13, a method for deployment of the fixation system 1200 may include techniques for deployment of one of an intramedullary nail 100 or intramedullary nail system 200 and deployment of a medial bone plate 400 and/or lateral bone plate 600, done in any order. In one embodiment, a surgeon may deploy an intramedullary nail 100 or intramedullary nail system 200 followed by deployment of a lateral bone plate 600. As part of deploying the lateral bone plate 600, a surgeon may also deploy fasteners, or another fastening system, through the lateral bone plate 600 that engage or lock with the intramedullary nail 100 or intramedullary nail system 200.	151	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 14A, 14B, and 14C are perspective view, top view, and bottom view respectively of a fastener 1400, according to one embodiment. In one embodiment, the fastener 1400 is a set screw that includes external threads 1402 and a drive feature 1404 or drive recess.	152	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 external threads 1402 serve to engage internal threads of a fastener opening 132, 414, 514, 618 and/or a connector opening 652 formed in one of a proximal plate part 620, distal plate part 622 or a proximal extender part 624 or distal extender part 626. In certain embodiments, a proximal extender part 624 may fit over a proximal plate part 620 and a distal extender part 626 may fit over a distal plate part 622 and the proximal plate part 620 and distal plate part 622 may each include one or more connector openings 652. In such a configuration, the external threads 1402 of the fastener 1400 may engage internal threads of the connector opening 652 and draw the fastener 1400 toward the proximal plate part 620 or distal plate part 622. A side wall 1406 of the fastener 1400 may taper from narrower to wider such that as the fastener 1400 enters the connector opening 652 the side wall engages a proximal extender part 624 or distal extender part 626.	153	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 8A, 8B, 8C, 8D, 8E, and 8F are front view, rear view, bottom view, top view, right side view, and left side view respectively of a distal extender, according to one embodiment. As explained above, the distal extender 616 may include a plurality of fastener openings 618 configured to receive a variety of different fasteners, such as bone fasteners. The diameters of the plurality of fastener openings 618 may each be the same or may be different among the plurality of fastener openings 618.	123	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 6A is a perspective view of a lateral bone plate 600 deployed on a long bone, such as a femur 102, according to one embodiment. The lateral bone plate 600 includes a body 602, a proximal end 604, and a distal end 606. The body 602 is configured to contact a lateral surface of a shaft 608 of a long bone, such as a femur 102. The proximal end 604 of the lateral bone plate 600 includes a first connector 610 and the distal end 606 of the lateral bone plate 600 includes a second connector 612.	113	Added by DJM 8 2021	8/16/21, 12:00 AM

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