Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
		Content		Paragraph Number	Notes	Any Field
View Edit Delete	IPP-0050-US35 nextremity	FIG. 23 is a side elevation view of an alternative example of the bone implant of FIG. 1;	41	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	In the illustrative example of FIGS. 1-9, the body 104 has an aperture 118 extending through the body 104 between the opposed planar sides 110, 112. The aperture 118 has a length 120 and a width 122. In the illustrative example of FIGS. 1-9, the aperture length 120 is greater than the aperture width 122 and the aperture length 120 is oriented transverse to the insertion axis 102. In the illustrative example of FIGS. 1-9, the aperture length is oriented normal to the insertion axis. The inclusion of an aperture and its size and orientation may be determined by the particular application in which the fastener is to be used. For example, the aperture may receive a fixation member, such as screw 636 in FIG. 36, to provide cross fixation of the bone portions and to prevent the fastener 100 from migrating out of the bone.	75	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The fastener 100 has a body 104 extending between a body distal or leading end 106 and a body proximal or trailing end 108. The body leading end 106 and the body trailing end 108 are spaced from one another longitudinally relative to the insertion axis. In the illustrative example of FIGS. 1-9, the body 104 has a generally planar configuration with opposed planar sides 110, 112 spaced apart a body thickness 114. The opposed planar sides 110, 112 converge toward the body trailing end 108 to define a trailing edge having a trailing edge thickness 116 that is less than the body thickness 114 (FIG. 7). The relatively narrow trailing edge thickness 116 facilitates removal of the fastener 100 after bone has healed over the body trailing end 108. During removal, such as in a revision procedure, the narrow trailing edge will cut through overlying bone. In the illustrative example of FIGS. 1-9, the opposed planar sides 110, 112 also converge toward the body leading end 106 to define a leading edge having a leading edge thickness 117 that is less than the body thickness 114. The relatively narrow leading edge thickness 117 facilitates insertion of the fastener 100.	74	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	Examples according to the present disclosure provide methods, implants, and instruments capable of compressing first and second bone portions or a bone portion and an implant together. FIGS. 1-9 illustrate an example in the form of a fastener 100 for joining first and second bone portions. As used herein, a "fastener" refers to any structure configured, designed, or engineered to join two structures. Fasteners may be made of a variety of materials including metal, plastic, composite materials, metal alloys, plastic composites, and the like. Examples of fasteners include, but are not limited to screws, rivets, bolts, nails, snaps, hook and loop, set screws, bone screws, nuts, posts, pins, thumb screws, and the like. Other examples of fasteners include, but are not limited to wires, Kirschner wires (K-wire), anchors, bone anchors, plates, bone plates, intramedullary nails or rods or pins, implants, sutures, soft sutures, soft anchors, interbody cages, fusion cages, and the like. In certain embodiments, the term fastener may be used with an adjective that identifies an object or structure that the fastener may be particularly configured, designed, or engineered to engage, connect to, join, contact, or couple together with one or more other structures of the same or different types. For example, a "bone fastener" may refer to an apparatus for joining or connecting one or more bones, one or more bone portions, soft tissue and a bone or bone portion, hard tissue and a bone or bone portion, or the like. The fastener includes an insertion axis 102 along which the fastener moves as it is inserted into or removed from a bone.	73	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The term “transverse” is used herein to mean crossing as in non-parallel.	72	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The following illustrative examples describe methods, implants, and instruments capable of compressing first and second bone portions or a bone portion and an implant together. The bone portions may be portions of the same bone that have become separated due to a fracture or an osteotomy. The bone portions may be portions of different bones as in an arthrodesis performed to fuse a joint. A bone portion may be a portion of a bone adjacent an articulating joint and the implant may be a resurfacing implant, a spacer, and/or a fusion supporting implant. Examples of the present disclosure may be used with any bone or joint including but not limited to bones such as a tibia, fibula, femur, pelvis, humerus, ulna, radius, carpal, metacarpal, tarsal, metatarsal, phalange and joints associated therewith.	71	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	Figure 58 illustrates one example of a method for stabilizing a bone fastener that traverses a first bone portion and a second abutting bone portion.	65	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	FIG. 57 is a side view of a system that includes a guide according to one embodiment of the present disclosure; and	64	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	FIG. 56 is a diagram of an example of an engagement interface according to one embodiment of the present disclosure;	63	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	FIG. 55 is a cross section view of one embodiment of an engagement member;	62	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	Implementations may include one or more of the following features. The guide may include: a cross fixation insertion axis transverse to the engagement axis; a guide member coupled near a proximal end of the guide, the guide member may include: a passage through the guide member that aligns with the cross fixation insertion axis; a first sleeve coaxial with the cross fixation insertion axis and having a cross sectional diameter less than a cross sectional diameter of the passage; a second sleeve coaxial with the cross fixation insertion axis and having a cross sectional diameter less than a cross sectional diameter of the first sleeve; and a third sleeve coaxial with the cross fixation insertion axis and having a cross sectional diameter less than a cross sectional diameter of the second sleeve.	12	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	FIG. 2 is a top view of the bone implant of FIG. 1;	21	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	FIG. 1B is an enlarged front elevation view of the bone implant of FIG. 1;	20	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	FIG. 1A is front elevation view of a bone implant according to one example of the present disclosure;	19	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	Various examples of the present disclosure will be discussed with reference to the appended drawings. These drawings depict only illustrative examples of the present disclosure and are not to be considered limiting of its scope.	18	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The method may also include where securing the guide member further includes engaging a locking mechanism of the engagement member to secure the guide member at the desired orientation, disengaging the locking mechanism of the engagement member of the guide, rotating the guide to a new orientation about the engagement axis, and reengaging a locking mechanism of the engagement member of the guide.	17	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	Implementations may include one or more of the following features. The method includes deploying the fixation member which may further include: confirming an orientation of a cross fixation insertion axis coaxial with the guide member by way of a temporary fastener passed through a pin sleeve positioned within a drill sleeve which is positioned within a fixation member sleeve which is positioned within a passage of the guide member of the guide, drilling a hole into one of the first bone portion and the second abutting bone portion by way of a bit within the drill sleeve, and deploying the fixation member into the hole by way of a driver connected to the fixation member within the fixation member sleeve.	16	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The method also includes coupling a guide to the bone fastener, the guide having: a body having a proximal end and a distal end; a guide member coupled to the body near the proximal end, the guide member configured to guide placement of a fixation member to secure the bone fastener; and an engagement member coupled to the body near the distal end, the engagement member engageable with the bone fastener about an engagement axis at a plurality of relative orientations, the engagement member configured to secure the guide member at one of the plurality of relative orientations about the engagement axis. The method also includes rotating the guide about the engagement axis to a desired orientation; securing guide member at the desired orientation and deploying the fixation member to stabilize the bone fastener.	15	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	One general aspect of the present disclosure can include a method of stabilizing a bone fastener that traverses a first bone portion and a second abutting bone portion. The method may include deploying a bone fastener within a first bone portion and a second abutting bone portion. The bone fastener may include an insertion axis; a body having an aperture having an aperture length and an aperture width, the aperture length being greater than the aperture width; a first leg connected to the body; and a second leg connected to the body.	14	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The system may also include an inserter configured to connect to both the bone fastener and the guide. In addition, the first sleeve may be sized to accept the fixation member and a driver coupled to the fixation member; the second sleeve may be sized to accept a drill bit; and the third sleeve may be sized to accept a temporary fastener. The guide member may include a pivot member configured to orient the cross fixation insertion axis from a perpendicular orientation in relation to the engagement axis to one of a superior orientation and an inferior orientation. The pivot member may include a lock mechanism configured to secure the pivot member to retain an orientation of the cross fixation insertion axis in relation to the engagement axis.	13	Added by DJM 12 2021	12/2/21, 12:00 AM

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