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Dave's PCF WIP: Paragraphs
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IPP-0050-US35 nextremity Figure 58 illustrates one example of a method 3000 for stabilizing a bone fastener that traverses a first bone portion and a second abutting bone portion. Referring to Figures 26 through 34, the method 3000 starts with a user, such as a surgeon, deploying 3002 a bone fastener within a first bone portion and a second bone portion. In one embodiment, the second bone portion abuts the first bone portion. The two bone portions may be parts of the same bone or may be parts of two different bones. In one embodiment, an implant may be used instead of one of the two bone portions. As illustrated in the figures and described above, deployment of the bone fastener may include a number of steps. 176 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity In certain embodiments, the pivot member 2024 includes a lock mechanism 2030. The lock mechanism 2030 enables a user to change the superior and/or inferior orientation to a desired superior and/or desired inferior orientation and then secure the pivot member 2024 to retain the desired orientation of the cross fixation insertion axis relative to the engagement axis 412. Of course, various forms of a lock mechanism 2030 may be used. In one example embodiment, the lock mechanism 2030 may be a knob with a threaded shaft that tightens against the pivot member 2024 to create a press-fit interface within the pivot member 2024 (and/or surfaces the pivot member 2024 and surfaces of the guide body 2014) and thereby maintain a current orientation. 175 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity wherein the protrusion presses against at least a portion of the collar when the shaft engages the bone fastener. 207 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 12.The system of claim 5, wherein the engagement member comprises a feature configured to limit a range of motion of the guide to a range of relative orientations about the engagement axis, the feature comprising one or more pins configured to contact a surface of an inserter or bone fastener. 216 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 11.The system of claim 5, wherein the engagement member comprises a stop configured to limit the plurality of relative orientations about the engagement axis to a range of angles such that deployment of the fixation member will enter the aperture. 215 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 10.The system of claim 5, wherein the engagement member comprises a pin extending from an inferior surface of the collar, the pin configured to engage a cavity of an inserter connected to the bone fastener. 214 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 9.The system of claim 7, wherein the engagement interface comprises an interlocking coupling comprising a plurality of both teeth and valleys on each of the superior surface of the coupling member and the inferior surface of the collar, the teeth and valleys of each of the superior surface of the coupling member and the inferior surface of the collar intermesh when the coupling member and the collar abut. 213 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 8.The system of claim 7, wherein the engagement interface comprises one or more protrusions on one of the superior surface of the coupling member and the inferior surface of the collar and one or more recesses on another one of the superior surface of the coupling member and the inferior surface of the collar. 212 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 7.The system of claim 6, wherein a superior surface of the coupling member and an inferior surface of the collar form an engagement interface configured to constrain rotational movement of the inserter and the collar about the engagement axis. 211 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity wherein the shaft comprises external threads near the distal end of the shaft configured to engage internal threads of the socket, the socket having a depth that accepts distal advancement of the shaft until the protrusion presses against the collar. 210 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity an inserter configured to couple to the bone fastener, the inserter having a proximal end having a coupling member comprising a socket that extends distally into a superior surface of the coupling member; and 209 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 6.The system of claim 5, wherein the engagement member comprises: 208 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity Rotation of the pivot member 2024 may change the orientation of the fixation axis 420. In one embodiment, a user may use the pivot member 2024 to orient the cross fixation insertion axis 420 from a perpendicular orientation in relation to the engagement axis 412 to a superior orientation 2026. Alternatively, or in addition, in one embodiment, a user may use the pivot member 2024 to orient the cross fixation insertion axis 420 from a perpendicular orientation (or any superior or inferior orientation) in relation to the engagement axis 412 to an inferior orientation 2028. In this manner, a user can use the pivot member 2024 to pivot the cross fixation insertion axis 420 to any of an infinite number of superior and/or inferior orientations. 174 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity a protrusion coupled to the shaft towards the proximal end; and 206 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity a collar connected to the body, the collar having an aperture through the collar, the aperture sized to receive the shaft; 205 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity a shaft having a proximal end and a distal end that engages the bone fastener; 204 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 5.The system of claim 1, wherein the engagement member comprises: 203 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity wherein the shoulder pinches the body against the inserter. 202 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity an inserter positioned between the engagement member and the bone fastener, the inserter comprising the threaded socket; and 201 Added by DJM 12 2021 12/2/21, 12:00 AM
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IPP-0050-US35 nextremity 4.The system of claim 3, wherein the shaft comprises threads near a distal end of the shaft and the socket comprises a threaded socket configured to engage threads of the shaft, the guide comprising: 200 Added by DJM 12 2021 12/2/21, 12:00 AM

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