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IPP-0050-US35 nextremity The inserter 806 includes a stop member 892 that includes a projection 894 and a recess 896. The stop member 892 may cooperate with one or more features 902 of the engagement member 818 to limit the range of motion of the guide 802 to a predetermined range of angles. As explained above, one example of the features 902 is side surface 840. In this manner, the guide 802 operates within a predefined set of orientations for positioning and guiding a fixation member 812. 151 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity FIG. 49 is a perspective view of an inserter 806 and a guide 802 according to one embodiment, with certain components and/or details omitted for clarity. In the illustrated embodiment, the pin 836 of the engagement member 818 sits within the socket 880 of the inserter 806 (only the body 854 is illustrated in FIG. 49). FIG. 49 illustrates details of features for limiting a range of angles for the guide 802 in relation to the inserter 806 and/or fastener 804. 150 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity In one embodiment, the guide and inserter define stops between them limiting the relative orientations. For example, a fixation member to be inserted through the fastener aperture 118, such as screw 636 in FIG. 36, has a longitudinal axis and a transverse dimension normal to the longitudinal axis. 149 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity The guide 802 may be rotated relative to the inserter 806 about the engagement axis 412 through an infinite number of relative orientations between a first orientation shown in FIG. 48A and a second orientation shown in FIG. 48B. FIG. 48A illustrates one example maximum angle 898 in a range of motion for the system 800 and FIG. 48A illustrates one example minimum angle 900. In one embodiment, angle 898 may range between about 135.7 degrees and 151.3 degrees. In another embodiment, angle 900 may range between about 28.7 degrees and 44.3 degrees. For one embodiment the range of motion for the guide 802 in relation to the fastener 804 may be about 91.4 degrees. In another embodiment the range of motion for the guide 802 in relation to the fastener 804 may be about 122.6 degrees. FIG. 47 illustrates the guide 802 coupled to the inserter 806 at approximately a 30 degree angle. 148 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity In one embodiment, the engagement member 818 may engage the fastener 804 directly without an intervening inserter 806. For example, the fastener 804 may include a socket similar to socket 880 that a shaft 828 can engage to secure the relative orientation of the guide 802 and the fastener 804. For example, the fastener 804 may include a threaded socket similar to socket 880 that threads 834 of the shaft 828 may engage to secure a relative orientation of the guide 802 with respect to the fastener 804. 147 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity In this manner, a user may engage the lock mechanism 824 to securely position the guide 802 about the engagement axis 412 and thereby position a fixation member 812 to enter the aperture 118 to secure the fastener 804. In other words, the fixation member 812 is aligned with the aperture 118 by the guide member 816. Further, the guide member 816 is securely positioned for deployment of the fixation member 812. 146 Added by DJM 12 2021 12/2/21, 12:00 AM

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