Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
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View Edit Delete	PER-17	FIG. 14 illustrates an exemplary system 1400 configured to design a patient-specific device 1090, according to one embodiment. The system 1400 may have many structures, features, and functions, operations, and configuration similar or identical to those of the system 1000 described in relation to FIG. 10 and the system 900 and the computing device 902 described in relation to FIG. 9, like parts are identified with the same reference numerals. Accordingly, the system 1400 may include a medical imager 1010, a segmentor 1020, and a computing device 902. The computing device 902 may include a processor 904, a memory 906 that stores executable code for a patient-specific device design apparatus 450, and a storage device 914.	360	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	In the illustrated embodiment, the system 1400 and certain of its components are distributed and may communicate with each other over a communication network 1402, such a computer network. The communication network 1402 may include the Internet, a wide area network ("WAN"), a metropolitan area network ("MAN"), a local area network ("LAN"), a token ring, a wireless network, a fiber channel network, a SAN, network attached storage ("NAS"), ESCON, or the like, or any combination of networks. The communication network 1402 may also include a network from the IEEE 802 family of network technologies, such Ethernet, token ring, Wi-Fi, WiMax, and the like. The communication network 1402 may include servers, switches, routers, cabling, radios, and other equipment used to facilitate networking computing device 902 and clients such as a medical imager 1010 and/or a segmentor 1020. In one embodiment, the system 1400 includes multiple computing devices 902 that communicate as peers over a communication network 1402. One of skill in the art will recognize other communication network 1402 comprising one or more communication network 1402 and related equipment with single or redundant connections between one or more clients.	361	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	In one embodiment, the patient-specific device design apparatus 450 may be configured and/or may include code executable by the processor 904 to coordinate operations between the computing device 902, the medical imager 1010, and/or the segmentor 1020. In the illustrated embodiment, the segmentor 1020 is an autosegmentor meaning the segmentor 1020 is configured to segment medical imaging 1030 without any operator or user assistance and/or intervention.	362	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	As in the system 1000, the segmentor 1020 of the system 1400 may be configured to accept one or more DICOM files as input and generate models of one or more internal structures, such as bones, captured and/or represented in the DICOM files. In one embodiment, the segmentor 1020 is configured to generate output files 1404 in a common or standard format that other systems, software, programs, or devices can interpret and/or understand. For example, the segmentor 1020 may generate Stereolithography (STL) files.	363	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	In the illustrated embodiment, the medical imager 1010 is configured to communicate with the segmentor 1020 and can provide medical imaging 1030 for one or more patients to the segmentor 1020 for processing. Similarly, the segmentor 1020 may communicate with the medical imaging 1030 and report on the progress of this processing of medical imaging 1030. Alternatively, or in addition, both the medical imager 1010 and the segmentor 1020 are configured to communicate with the computing device 902.	364	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Once the patient-specific device design apparatus 450 determines the set of medical imaging 1030 for processing by an autosegmentor (e.g., segmentor 1020), the patient-specific device design apparatus 450 may configure and/or instruct and/or direct the autosegmentor (e.g., segmentor 1020) to process the determined set of medical imaging 1030 and/or to generate output files 1404 that are configured to satisfy requirements for a medical procedure to be performed on the patient. For example, if the medical procedure for a patient is for an Evans osteotomy or a Lapidus procedure the patient-specific device design apparatus 450 may direct the segmentor 1020 to segment the medical imaging 1030 in a manner that is most favorable to creating bone models and/or patient-specific devices for this procedure. The result of this processing may be the output files 1404 generated by the segmentor 1020.	366	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	While specific embodiments and applications of the present disclosure have been illustrated and described, it is to be understood that the scope of this disclosure is not limited to the precise configuration and components disclosed herein. Various modifications, changes, and variations which will be apparent to those skilled in the art may be made in the arrangement, operation, and details of the methods and systems of the present disclosure set forth herein without departing from it spirit and scope.	388	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Recitation in the claims of the term "first" with respect to a feature or element does not necessarily imply the existence of a second or additional such feature or element. Elements recited in means-plus-function format are intended to be construed in accordance with 35 U.S.C. §112 Para. 6. It will be apparent to those having skill in the art that changes may be made to the details of the above-described embodiments without departing from the underlying principles set forth herein.	387	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Similarly, it should be appreciated that in the above description of embodiments, various features are sometimes grouped together in a single embodiment, Figure, or description thereof for the purpose of streamlining the disclosure. This method of disclosure, however, is not to be interpreted as reflecting an intention that any claim require more features than those expressly recited in that claim. Rather, as the following claims reflect, inventive aspects lie in a combination of fewer than all features of any single foregoing disclosed embodiment. Thus, the claims following this Detailed Description are hereby expressly incorporated into this Detailed Description, with each claim standing on its own as a separate embodiment. This disclosure includes all permutations of the independent claims with their dependent claims.	386	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Reference throughout this specification to "an embodiment" or "the embodiment" means that a particular feature, structure or characteristic described in connection with that embodiment is included in at least one embodiment. Thus, the quoted phrases, or variations thereof, as recited throughout this specification are not necessarily all referring to the same embodiment.	385	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Any methods disclosed herein comprise one or more steps or actions for performing the described method. The method steps and/or actions may be interchanged with one another. In other words, unless a specific order of steps or actions is required for proper operation of the embodiment, the order and/or use of specific steps and/or actions may be modified.	384	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Conventionally, correction methods, systems, and/or instrumentation for a condition such as, for example, a bunion and/or a hallux valgus, face several challenges. One example is how to cut the bone such that the cut faces have a desired angle in relation to each other. Advantageously, the present disclosure can address many, if not all, of these challenges to assist a surgeon in performing the surgical procedure and improve the quality of patient care and outcomes.	383	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Advantageously, the present disclosure provides an apparatus, system, and/or method that can remediate a condition in a patient's foot. Those of skill in the art will appreciate that the methods, processes, apparatuses, systems, devices, and/or instruments of the present disclosure can be used to address a variety of conditions in a variety of procedures and/or parts of the body of the patient.	382	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Advantageously, because the present disclosure uses a bone model of the patient’s bones the sizes, dimensions, lengths and configurations of the components of the example systems can each be changed, adapted, revised, and/or customized to meet the needs and/or preferences of the patient and/or surgeon. Advantageously, using the apparatus, systems, and/or methods of the present disclosure the surgeon may have a preoperative plan that identifies which specific bone screw (length, width, diameter, thread, pitch, etc.) to use for the fasteners.	381	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Those of skill in the art will appreciate that embodiments of the system disclosed herein can be used on humans and animals and on bones that are relatively small in comparison to other bones of the body (e.g., bones of the foot and hand). Advantageously, the embodiments of the system seek to minimize the number of fasteners or pins placed within the bones of a patient by planning a surgical procedure such that pins or fasteners placed in one stage are and/or can be reused in subsequent stages. Consequently, pins initially deployed can remain in the bone or bone fragment as instruments are deployed and/or subsequent stages of the surgical procedure are performed.	380	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Although FIG. 15 shows example blocks or steps of a process 1500, in some implementations, A method 1500 may include additional steps, fewer steps, different steps, or differently arranged steps than those depicted in FIG. 15. Additionally, or alternatively, two or more of the steps of a method 1500 may be performed in parallel.	379	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	A second implementation, alone or in combination with the first implementation, process 1500 further may include generating a preoperative plan for a surgical procedure that uses the patient-specific resection guide and includes a surgical technique for using the patient-specific resection guide to perform an osteotomy on a bone of the patient that corresponds to the bone model and/or reposition the bone of the patient to the correction position to remediate the condition present in the patient’s foot.	378	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Once generated, the segmentor 1020 may send the output files 1404 to the computing device 902 and/or the computing device 902 may retrieve the output files 1404 from the segmentor 1020. The patient-specific device design apparatus 450 is configured to organize the output files 1404 within one or more storage devices 914 for subsequent use by the patient-specific device design apparatus 450 to generate a patient-specific device.	368	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Advantageously, the patient-specific device design apparatus 450 can complete the steps to determine the set of medical imaging 1030, configured the segmentor 1020, and/or organize the output files 1404 as needed and/or as part of a set of work instructions 1040 and/or workflow 1050. Alternatively, or in addition, the patient-specific device design apparatus 450 may complete these steps all in one batch process that initiates during non-working hours, or an initial shift) and completes before a user 1002 is available to operate the patient-specific device design apparatus 450 to design a patient-specific device during a subsequent shift. In this manner, the methods, processes, and/or operations of the present disclosure can be scaled to enable patient-specific devices to be generated for hundreds or thousands of customers on each shift.	370	Added by DJM Jan 2024	1/6/24, 10:05 PM
View Edit Delete	PER-17	Those of skill in the art will appreciate that the output files 1404 may be organized in a variety of ways so long as the patient-specific device design apparatus 450 is able to locate and access the necessary output files 1404 when needed for completing of a workflow 1050. In one embodiment, the output files 1404 for a particular patient may be placed within a designated folder of a file system organized on the storage device 914. The workflow 1050 may be configured to read and/or retrieve these files from the same designated folder when executing the workflow 1050.	369	Added by DJM Jan 2024	1/6/24, 10:05 PM

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