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Delete 		IPP-0050-US35 nextremity FIG. 3 bottom view of the bone implant of FIG. 1; 22 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity One general aspect of the present disclosure can include a system for deploying a fixation member for a bone fastener, the bone fastener may include: a first leg having a leading end and a trailing end; a second leg having a leading end and a trailing end; a body connected to the first leg and to the second leg; and an aperture through the body, the aperture having an aperture length and an aperture width, the aperture length greater than the aperture width. The system also includes a guide mountable to the bone fastener in a rotating relationship, the guide configured to securely position a fixation member at any of a plurality of relative orientations, in alignment with the aperture about an engagement axis. 11 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity The engagement member may include a feature configured to limit a range of motion of the guide to a range of relative orientations about the engagement axis. The feature may include one or more pins configured to contact a surface (or other structure) of an inserter or bone fastener. 10 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity The engagement member may include 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. The engagement member may include 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. 9 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity The 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. The engagement interface may include 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. The engagement interface may include an interlocking coupling that may include 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. 8 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity The engagement member may include: an inserter configured to couple to the bone fastener, the inserter having a proximal end having a coupling member may include a socket that extends distally into a superior surface of the coupling member; and where the shaft may include 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. 7 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity The shaft may include threads near a distal end of the shaft and the socket may include a threaded socket configured to engage threads of the shaft, the guide may include: an inserter positioned between the engagement member and the bone fastener, the inserter may include the threaded socket; and where the shoulder pinches the body against the inserter. The body may include an arcuate body. The engagement member may include: a shaft having a proximal end and a distal end that engages the bone fastener; a collar connected to the body, the collar having an aperture through the collar, the aperture sized to receive the shaft; a protrusion coupled to the shaft towards the proximal end; and where the protrusion presses against at least a portion of the collar when the shaft engages the bone fastener. 6 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity Implementations may include one or more of the following features. The system may include the bone fastener, where the bone fastener may include: a first leg having a leading end and a trailing end; a second leg having a leading end and a trailing end; and a body connected to the first leg and to the second leg, the body defining the aperture. The engagement member may include a lock mechanism that may include: a handle having a shoulder; a shaft connected to the handle, the shaft configured to engage a socket; and where the shoulder pinches the body as the shaft advances distally within the socket to secure the guide member at one of the plurality of relative orientations about the engagement axis. 5 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity The various apparatus, devices, systems, and/or methods of the present disclosure have been developed in response to the present state of the art, and in particular, in response to the problems and needs in the art that have not yet been fully solved by currently available methods, implants, and/or instruments. One general aspect of the present disclosure can include a system for deploying a fixation member into an aperture of a bone fastener. The system may include a guide that may include a body having a proximal end and a distal end. The guide may also include a guide member coupled to the body near the proximal end, where the guide member is configured to guide placement of the fixation member to secure the bone fastener. The guide may also include an engagement member coupled to the body near the distal end, where the engagement member is configured to engage the bone fastener such that the guide member is rotatable, relative to the bone fastener, about an engagement axis to a plurality of relative orientations. The engagement member is configured to secure the guide member at any of the plurality of relative orientations about the engagement axis. 4 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity Examples of the present disclosure provide methods, implants, and instruments capable securing a bone fastener or an implant. The bone portions may be portions of the same bone as in a fracture or osteotomy. The bone portions may be portions of different bones as in arthrodesis. 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. 3 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 12 is a top view of the hole forming guide of FIG. 10; 31 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 22 is a cross sectional view taken along line 22-22 of FIG. 20 and illustrating range of motion; 40 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 21 is a top view of the guide of FIG. 19 with the inserter of FIG. 15 and the implant of FIG. 1 illustrating range of motion; 39 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 20 is a perspective view of the guide of FIG. 19 with the inserter of FIG. 15 and the implant of FIG. 1; 38 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 19 is a front elevation view of an example of a guide for the bone implant of FIG. 1; 37 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIGS. 17 and 18 are front elevation views of the inserter of FIG. 15 with the implant of FIG. 1; 36 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 16 is a top view of the inserter of FIG. 15; 35 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 15 is a front elevation view of an example of an inserter for the bone implant of FIG. 1; 34 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 14 is a side elevation view of the hole forming guide of FIG. 10; 33 Added by DJM 12 2021 12/2/21, 12:00 AM
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Delete 		IPP-0050-US35 nextremity FIG. 13 is a bottom view of the hole forming guide of FIG. 10; 32 Added by DJM 12 2021 12/2/21, 12:00 AM

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