Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Application	Content	Paragraph Number	Notes	Modified
		Content		Paragraph Number	Notes	Any Field
View Edit Delete	PER-33	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.	391	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	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.	392	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	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.	393	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	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.	394	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	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.	395	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	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.	396	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	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.	397	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	What is claimed is:	398	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In one embodiment, the bone tunnel guide 920 includes a plurality of bone engagement features 928 that each extend away from the trajectory port 924. For example, the bone engagement features 928 can extend from one or more sides of the bone tunnel guide 920. In one embodiment, the plurality of bone engagement features 928 may extend away from the trajectory port 924 radially in different directions.	288	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the bone engagement features 928 extend from opposite sides of the bone tunnel guide 920. Those of skill in the art will appreciate that the bone engagement features 928 can have various lengths, widths, and thicknesses. Furthermore, these configurations attributes of the bone engagement feature 928 may be patient-specific. Advantageously, the bone engagement features 928 also include a bone engagement surface 946 that may extend a bone engagement surface 946 on an inferior surface (inferior side 936) of the bone tunnel guide 920.	289	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, one bone engagement feature 928a extends from the lateral side 940 and one bone engagement feature 928 extends from the medial side 938. Advantageously, the bone engagement feature 928 can provide a surgeon with confidence and assurance in the placement and positioning of the bone tunnel guide 920 on the bone because one or more of the bone engagement features 928 can be configured to engage with one or more particular landmarks on the bone (e.g., a projection, an eminence, a bone spur, a depression, a cavity, or the like). Alternatively, or in addition, the bone engagement feature 928 can include a contoured bone engagement surface 946 that can further facilitate registration of the bone engagement feature 928 and/or bone tunnel guide 920 with the bone. In this manner, a surgeon can be assured intraoperatively that the bone tunnel guide 920 is being positioned in accordance with a preoperative plan.	290	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In certain embodiments, the bone engagement feature 928 can be shaped like a hook, a finger, a foot, an arm, a leg, or an appendage, to engage a dorsal/medial surface of bone or dorsal/lateral surface of bone. Alternatively, or in addition, the bone tunnel guide 920 may include a bone engagement feature 928 on each side (medial and lateral), together the bone engagement features 928 can engage one or more landmarks of the bone such that the surgeon can accurately position and register the bone tunnel guide 920 to the bone.	291	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Referring to FIGs 9A, 9B, and 9E, in one embodiment, the bone tunnel guide 920 includes a handle 922 and the body 932 includes a handle coupler 950. In the illustrated embodiment, the handle 922 is configured to secure the bone tunnel guide 920 in place during formation of a bone tunnel by way of the trajectory port 924. Those of skill in the art will appreciate that the trajectory port 924 can be used to form a bone tunnel in a variety of ways, each of which is within the scope of the present disclosure. For example, in one embodiment, a user may deploy a fastener 910 such as K-wire or a fastener 910 that includes an eye 912. After deploying the fastener 910, a user may use a cannulated drill bit to drill out bone around the fastener 910 and thereby form a bone tunnel that is coaxial with the fastener 910. In one embodiment, the user may thread a suture through the eye 912 of the fastener 910 and use the fastener 910 to pass the suture through the newly formed bone tunnel. Alternatively, or in addition, a user may use the bone tunnel guide 920 and trajectory port 924 to guide a drill bit or burr that is passed through the trajectory port 924 and into the bone to form a bone tunnel in the bone. Advantageously, a user can hold the bone tunnel guide 920 in place using the handle 922 as steps are taken to form a bone tunnel having substantially the same trajectory and/or orientation as the trajectory port 924.	292	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	The handle 922 includes shaft 952 that includes a proximal end 954 and a distal end 956. The distal end 956 includes a coupler 958. In one embodiment, the coupler 958 includes external threads 960 configured to engage with internal threads 962 of the handle coupler 950 formed in the body 932. In one embodiment, the coupler 958 is configured to be removable such that a coupler 958 of a different size or having a different coupling can be used with the same handle 922.	293	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In the illustrated embodiment, the handle coupler 950 is closer to the anterior side 944 of the bone tunnel guide 920 and the bone engagement features 928 extend from the medial side 938 and lateral side 940. Those of skill in the art will appreciate that the handle coupler 950 may be in another position in the bone tunnel guide 920 and that the bone engagement features 928 may extend from sides other than those in the illustrated embodiment.	294	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIG. 10A illustrates a superior perspective view of a foot and ankle including the calcaneus 224, a tibia 226, fibula 228, talus 222, and navicular 218. FIG. 10A also illustrates a three-dimensional axis 1000. The three-dimensional axis 1000 includes a cephalad-caudal axis 1002, a medial-lateral axis 1004, and an anterior-posterior axis 1006.	295	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Generally, in a soft tissue rearrangement such as a tendon deployment surgical procedure a surgeon seeks to position the tendon in an optimal location on, or in, a bone to provide improved mobility and use of an extremity. For example, in a Flexor Hallucis Longus (FHL) tendon transfer, a surgeon plans to position a relocated end of an FHL tendon on a dorsal surface of a calcaneus 224, centered along the medial-lateral axis 1004. In one embodiment, a surgeon may plan to position the FHL tendon approximately where a superior target marker 1008 is illustrated in FIG. 10A. The superior target marker 1008 indicates where a surgeon desires the attachment point to be for a deployed tendon (e.g., either a transferred tendon or attachment of another tendon or graft).	296	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Conventionally, a surgeon may determine the attachment point represented by the superior target marker 1008 intraoperatively and may rely on various techniques including x-rays, fluoroscopy, and the like. However, determining an optimal location for superior target marker 1008 can be a challenge. Even using X-rays, such as a C-arm, offer very little help to a surgeon since the C-arm can only provide a limited view given the angle at which the X-ray can be taken of the dorsal side of the calcaneus 224.	297	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	If the location (e.g., superior target marker 1008) is too far medial or too far lateral along medial-lateral axis 1004 this can lead to complications and problems later for the patient, such as gait problems and/or subtalar arthritis, and the like. If the location (e.g., superior target marker 1008) is too far anterior or too far posterior along anterior-posterior axis 1006 this can lead to contact and/or disruption of plantar nerves, vessels, disconnecting of bone spurs on a plantar surface, and/or other neurovascular constructs on the plantar side of the calcaneus 224.	298	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In an FHL tendon transfer, the FHL tendon (which is a smaller tendon) is being tasked to provide plantar flexion in place of a damaged or resected Achilles tendon. Consequently, positioning the attachment point for the transferred FHL can be important to get an optimal desired biomechanical pull on the calcaneus, to get the optimal lever arm for plantar flexion.	299	Added by DJM Jan 2024	1/6/24, 9:58 PM

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