Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-23	When a surgeon forms a first osteotomy with the first resection feature 1622, the second osteotomy with the second resection feature 1624, the third osteotomy with the third resection feature 1626, and the fourth osteotomy with the fourth resection feature 1628, this creates a remainder bone portion 1642. The remainder bone portion 1642 is one or more bone fragments that remain within the midfoot after completion of the osteotomies (first, second, third, and fourth). The remainder bone portion 1642 is one or more bone fragments that remain within the midfoot when the osteotomies are reduced. In the illustrated embodiment, the remainder bone portion 1642 may include part of the navicular 218, part of the intermediate cuneiform 204, part of the lateral cuneiform 206, and/or part of the cuboid 220. Reducing the osteotomies may sandwich the remainder bone portion 1642 between the second osteotomy and the third osteotomy. Advantageously, the ability to create and retain a remainder bone portion 1642 can be useful for a surgical procedure where the quality and condition of the bones varies. For example, surgeon may design the remainder bone portion 1642 to include bone segments or fragments that are of higher quality or condition to help achieve the goals of the surgical procedure.	395	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	The resection guide 1620 includes a first bone attachment feature 1644 configured to receive a first fastener to secure the resection guide 1620 to the midfoot of the patient. The resection guide 1620 also includes a second bone attachment feature 1646 configured to receive a second fastener to secure the resection guide to the midfoot and a third bone attachment feature 1648 configured to receive a third fastener to secure the resection guide to the midfoot. In the illustrated embodiment, the second bone attachment feature 1646 is between the second resection feature 1624 and the third resection feature 1626.	396	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	Using the resection guide 1620 a plurality of wedge segments may be formed using a single resection guide to form two or more wedge segments. Those of skill in the art will appreciate that the resection guide 1620 can be configured, positioned, and secured in a single step and span a plurality of joints for performing multiple osteotomies.	397	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	398	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	399	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	400	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	401	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	402	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	403	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	404	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	405	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	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.	406	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	What is claimed is:	407	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	In one embodiment, a surgeon has formed an incision transverse to a tarsometatarsal (“TMT”) joint and/or a cuneonavicular joint with a medial approach. In the illustrated embodiment, the resection guide 720 may be configured (e.g., using the bone engagement surface 726) to seat between a medial surface of both the medial cuneiform 202 and the first metatarsal 208. The surgeon has also formed the incision down to the cortical bone surface. Further, the surgeon has cut, or moved to the side, soft tissue covering the cortical bone surface of the bones sufficient to seat the bone engagement surface 726 onto the cortical bone surface.	344	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	Next, the surgeon positions a resection guide 720 on one or more bones of the midfoot. As illustrated, the resection guide 720 may span the TMT joint and may extend into and/or cross the cuneonavicular joint 1102. As described herein, the resection guide 720 is patient-specific and has been designed and/or fabricated specifically for this patient and/or for this surgical procedure. The resection guide 720 includes a body 1110, a proximal resection feature 1112, a distal resection feature 1114, a first bone attachment feature 1116, and a second bone attachment feature 1118.	345	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	The body 1110 includes an anterior side, a posterior side, a medial side, a lateral side, a dorsal side, and a plantar side. Each side is named based on the direction or position of the side when the resection guide 720 is in use. In addition, the body 1110 includes a bone engagement surface (not visible in FIG. 11). Like the bone engagement surface 726 described in connection with other embodiments, the bone engagement surface may span the lateral side of the body 1110. Advantageously, the bone engagement surface includes a patient-specific surface that includes a contour that mirrors a contour of a plurality of midfoot bones (e.g., medial cuneiform 202 and/or first metatarsal 208). The patient-specific surface is defined at least in part using a bone model 404 of at least one bone of the patient’s foot. The bone engagement surface is on a bone-facing surface of the body 1110 when the resection guide 720 is in use. The bone engagement surface assists a surgeon in positioning the resection guide 720 in the same or substantially the same position as predetermined using a model of the resection guide 720 and/or one or more models of one or more bones of the patient.	346	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	In the illustrated embodiment, the proximal resection feature 1112 guides a cutting tool to form a first osteotomy in at least a medial cuneiform 202. The proximal resection feature 1112 defines a first trajectory for a first osteotomy which is determined based on a bone model of a plurality of midfoot bones. The bone model 404 may be based on medical imaging of the patient’s foot. In one embodiment, the bone model 404 is configured to significantly resemble the anatomy of the patient's foot. Similarly, the distal resection feature 1114 is configured to guide a cutting tool to form a second osteotomy in one or both of a medial cuneiform 202 and a metatarsus (e.g., first metatarsal 208). The distal resection feature 1114 defines a second trajectory for a second osteotomy. The second trajectory is determined based on the bone model 404.	347	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	The first bone attachment feature 1116 is configured to receive a first fastener 710a in a first opening to secure the resection guide 720 to a midfoot of the patient (e.g., medial cuneiform 202). The second bone attachment feature 1118 is configured to receive a second fastener 710b in a second opening to secure the resection guide 720 to the midfoot of the patient.	348	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	FIG. 11 illustrates a stage when the surgeon has deployed two or more fasteners 710a,b (e.g., K-wires) through the holes 764 of the first bone attachment feature 1116 and the second bone attachment feature 1118. In certain embodiments, the second bone attachment feature 1118 and/or the first bone attachment feature 1116 can include an additional hole for another fastener. The additional hole and fastener can help keep the resection guide 720 in place during resection and alignment operations.	349	Added by DJM Jan 2024	1/6/24, 9:56 PM
View Edit Delete	PER-23	Next, a surgeon can resect the first metatarsal 208 using the distal resection feature 1114 and the medial cuneiform 202 using the proximal resection feature 1112. After resection, the two cut surfaces may form a wedge shape of one or more bones.	350	Added by DJM Jan 2024	1/6/24, 9:56 PM

Page 110 of 438, showing 20 record(s) out of 8,747 total