Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
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View Edit Delete	PER-33	FIGs. 14A and 14B illustrate views of a tendon trajectory guide 1320 of the system of FIG. 13, according to one embodiment. The tendon trajectory guide 1320 includes at least one trajectory port 1324.	362	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the tendon trajectory guides 1320 include a plurality of appendages 1502. The plurality of appendages 1502 may extend laterally from the body 1332. Advantageously, a surgeon can determine and/or provide instructions for how many appendages 1502 to include and/or what landmarks one or more appendages 1502 are to register to during the surgical procedure.	374	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIGs. 15A-15B a lateral cuneiform 206 as the desired location for securing a tendon for a particular tendon transfer procedure. For example, a surgeon may desire to perform a posterior tibial tendon transfer surgical procedure. Advantageously, the tendon trajectory guide 1320 of FIGs 15A and 15B provide examples of patient-specific tendon transfer guides suitable, and/or specifically designed, to assist a surgeon in performing this procedure.	373	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIGs. 15A-15B illustrate dorsal perspective views of a foot including a tendon trajectory guide, according to an alternative embodiment. FIG. 15A illustrates one embodiment of a tendon trajectory guide 1320 in which the port body 1350 serves as a handle for using the tendon trajectory guide 1320. FIG. 15B illustrates an alternative embodiment in which the body 1332 of the tendon trajectory guide 1320 includes a coupler for coupling to a coupler of a separate handle 922. The embodiments of FIGs 15A and 15B may have many structures, features, and functions, operations, and configuration similar or identical to those of the soft tissue rearrangement system 1300 described in relation to FIG. 13, like parts are identified with the same reference numerals. The embodiment of the tendon trajectory guide 1320 of FIG. 15A is illustrated in FIGs. 16A-16C.	372	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Those of skill in the art will appreciate that in certain embodiments, the tendon trajectory guide 1320 can include an integrated handle such as a port body 1350. Or the soft tissue rearrangement system 1300 can include a handle for the tendon trajectory guide 1320. The handle 922 of system 1000 is one example of a handle that can be used with such an embodiment. FIG. 15B illustrates another example. The handle can include a first coupler configured to removably engage a second coupler of the tendon trajectory guide 1320. For example, the first coupler can be external threads on an end of the handle and the second coupler can be internal threads in an opening in a body 1332 of the tendon trajectory guide 1320.	371	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the soft tissue rearrangement system 1300 includes a tendon trajectory guide 1320 configured to permit a user to grasp the port body 1350 to hold the tendon trajectory guide 1320 in place as the bone tunnel is formed and/or as an inserter 1352 or fastener 710 is deployed to facilitate forming the bone tunnel. This embodiment is illustrated in FIG. 13.	370	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	A user may position the tendon trajectory guide 1320 in a desired location on a bone for formation of bone tunnel. The bone tunnel can cooperate with an anchor to anchor soft tissue within the bone tunnel. The user may deploy the inserter 1352 to serve as a guide for a cannulated drill bit to form the bone tunnel. Once the bone tunnel is formed having two open ends, the user can use the inserter 1352 to insert a tendon, a free end of a tendon, a graft, or the like through the bone tunnel. In one example, a user may pass an end of a tendon and/or graft through the opening 1362 and may secure the tendon and/or graft to the inserter 1352. Next, a user may thread the inserter 1352 through the bone tunnel. The user may then tension the tendon and/or graft to desired tension and anchor the tendon and/or graft to the tunnel.	369	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In one embodiment, the fastener 710 can serve as a guide for forming a bone tunnel or passage in bone and as an inserter 1352. The inserter 1352 includes a proximal end 1354, a distal end 1356, and an elongated body 1358 between the proximal end 1354 the distal end 1356. The distal end 1356 includes a point 1360 and the proximal end 1354 includes an opening 1362.	368	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Referring to FIGs. 13, 14A, and 14B, the soft tissue rearrangement system 1300 can serve to guide formation of a bone tunnel or passage for a variety of procedures. In one embodiment, the soft tissue rearrangement system 1300 may be configured specifically as a tendon transfer system for tendon deployment to remediate a bone condition present in a patient’s foot. The soft tissue rearrangement system 1300 includes a fastener 710.	367	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, of FIG. 14A and 14B, the trajectory port 1324 includes a port body 1350. The port body 1350 extends away from the body 1332. In certain embodiments, the port body 1350 has a length that enables a user to grasp the port body 1350 to secure the tendon trajectory guide 1320 in place for formation of a bone tunnel by way of the trajectory port 1324. In such an embodiment, the tendon trajectory guide 1320 may not include a separate handle that is connectable to a internally threaded opening in the tendon trajectory guide 1320.	366	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	The trajectory port 1324 extends through the body 1332. In one embodiment, the trajectory port 1324 includes an opening 1348 that extends from a top surface of the trajectory port 1324 through to a bottom surface of the trajectory port 1324. The trajectory port 1324 serves to guide a surgeon and indicates a desired trajectory for a temporary fastener, a cutting tool, or other instrumentation a surgeon may use for deploying a tendon, tendon substitute, tendon anchor, soft tissue, a graft, or the like. In one embodiment, the trajectory port 1324 is configured to guide a tool for forming a bone tunnel in a foot bone of a patient. The trajectory port 1324 can be defined at least partially based on a bone model of at least a portion of the foot bone. The bone model may be based on medical imaging of the foot bone of the patient.	365	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In certain embodiments, the tendon trajectory guide 1320 includes a bone engagement surface 1346 on an inferior side 1336 of the body 1332. The bone engagement surface 1346 is configured to engage a surface of a foot bone such that the bone engagement surface 1346 positions the tendon trajectory guide 1320 at a desired position on the foot bone. The desired position can be determined, predetermined, and/or prescribed by a surgeon.	364	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the tendon trajectory guide 1320 includes three bone engagement features 1328a, 1328b, 1328c. Other embodiments may not include a bone engagement feature 1328. In certain embodiments, one or more of the bone engagement features 1328 may include a bone engagement surface 1346. Alternatively, or in addition, the tendon trajectory guide 1320 may include a bone engagement surface 1346. Alternatively, or in addition, the tendon trajectory guide 1320 may also include one or more bone attachment features (not shown).	363	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	While specific embodiments of complementary components 730 are not specifically shown here in relation to the system 1300, those of skill in the art will appreciate that complementary components 730 can be similar in feature, design, implementation, configuration, and purpose as those described in relation to the system 700 and can be used for the soft tissue rearrangement system 1300. Thus, the soft tissue rearrangement system 1300 can include one or more alignment guides 732, rotation guides 734, reduction guides 736, compression guides 738, positioning guides 740, fixation guides 742, navigation guides 744, implants 746, or the like.	356	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In certain embodiments, a landmark registration feature 1124 can be shaped like and/or function as a probe or finder and a surgeon can use the landmark registration feature 1124 to assist in positioning the tendon trajectory guide 1120. In another embodiment, a tendon trajectory guide 1120 can include a landmark registration feature 1124 separate and independent of whether or not the tendon trajectory guide 1120 includes a bone engagement feature 1128.	351	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIG. 12A is an inferior side perspective view. FIG. 12B is an inferior side view. FIG. 12C is a superior side view. FIG. 12D is a posterior side view. FIG. 12E is an anterior side view.	352	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Referring now to FIGs. 12A and 12B, in certain embodiments, a tendon trajectory guide 1120 may include a bone engagement surface 1126 separate and independent of whether or not the tendon trajectory guide 1120 includes a bone engagement feature 1128. Alternatively, or in addition, a bone engagement surface 1126 can be include as part of, or together with, a bone engagement feature 1128.	353	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the tendon trajectory guide 1120 can include a bone engagement surface 1126 on at least part of the inferior side 1146 of the body 1134 of the tendon trajectory guide 1120. In one embodiment, the bone engagement surface 1126 can be defined at least in part based on a bone model of a bone that the inferior side 1146 will face and/or contact during use. In certain embodiments, this means that the bone engagement surface 1126 can include a mirror image of the surface of the bone of the patient in this area of the bone. Alternatively, or in addition, a tendon trajectory guide 1120 can be formed with an inferior side 1146 that lacks a bone engagement surface 1126 and instead can include a concave shape on the inferior side 1146 to accommodate a surface of a bone that the inferior side 1146 will face and/or contact during use.	354	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIG. 13 illustrates an exemplary soft tissue rearrangement system 1300, according to one embodiment. The soft tissue rearrangement system 1300 can include one or more fasteners 710 embodied in for the form of depicted exemplary fastener 710, one or more STRGs 720 embodied in for the form of depicted exemplary tendon trajectory guide 1320, and zero or one or more complementary components 730. The tendon trajectory guide 1320 may also include one or more trajectory ports 722, one or more optional landmark registration features 724, and/or one or more optional bone engagement features 726. (See FIG. 7) In certain embodiments, a bone engagement feature 1328 can include one or more bone engagement surfaces.	355	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In certain embodiments, a position, configuration, and/or orientation of the trajectory port 1324 can be determined and/or defined at least partially based on a bone model of at least a portion of a bone of a patient's foot. The trajectory port 1324 extends through the body 1332. In one embodiment, the trajectory port 1324 may be positioned to guide a tool for forming a bone tunnel in a bone of a patient for a surgical procedure such as a deformity correction. The bone model may be defined and/or determined based at least in part on medical imaging of the bone of the patient.	359	Added by DJM Jan 2024	1/6/24, 9:58 PM

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