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PER-16 FIG. 19A illustrates the pivoting resection guide 1902 with the cuneiform cutter guide 1910 coupled for resecting/dissecting the medial cuneiform 202 and the first metatarsal cutter guide 1912 is shown, decoupled, for comparison. FIG. 19B illustrates the pivoting resection guide 1902 with the first metatarsal cutter guide 1912 coupled for resecting/dissecting the first metatarsal 208 and the cuneiform cutter guide 1910 is shown, decoupled, for comparison. 353 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 Advantageously, a user may use the osteotomy system 1900 to resect/dissect both a medial cuneiform 202 and a first metatarsal 208 using the same system. To form an osteotomy on the medial cuneiform 202 the user uses the cuneiform cutter guide 1910 and to form an osteotomy on the first metatarsal 208 the user uses the first metatarsal cutter guide 1912. FIG. 19A illustrates an example of the osteotomy system 1900 with the cuneiform cutter guide 1910 removably coupled between the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. Initially, a user may deploy the pivoting resection guide 1902 by securing the cuneiform attachment feature 1906 using the cuneiform fastener 1914 to the medial cuneiform 202 and securing the first metatarsal attachment feature 1908 using the metatarsal fastener 1916 to the first metatarsal 208. 354 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 Initially, the cuneiform cutter guide 1910 is coupled between the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. Next, a user may insert the cutting tool 1926 and resect/dissect a distal portion of the medial cuneiform 202. Advantageously, the cuneiform cutter guide 1910 is configured for a resection/dissection of the distal portion of the medial cuneiform 202. 355 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 Next, a user may decouple the cuneiform cutter guide 1910 from the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908 after removing the cutting tool 1926. In one embodiment, the first coupler 1118 and the second coupler 1148 may include a pair of toolless couplers. In one embodiment, the toolless couplers may be a set of fasteners that a user or other operator can tighten and/or loosen with their fingers. Examples of toolless couplers include, but are not limited to thumbscrews, set screws, levers, buttons, and the like. 356 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 With the cuneiform cutter guide 1910 decoupled, the user may couple the first metatarsal cutter guide 1912 to the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. In the illustrated embodiment, the user may use the same toolless couplers to couple the first metatarsal cutter guide 1912 to both the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908. 357 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 At this stage, the same pivoting resection guide 1902 is now configured to resect/dissect the first metatarsal 208. This change in configuration may be due to differences between the cuneiform cutter guide 1910 and the first metatarsal cutter guide 1912. Next, the user inserts the cutting tool 1926 into the first metatarsal cutter guide 1912 and resects/dissects the first metatarsal 208 by pivoting the cutting tool 1926 plantarly and/or dorsally to sweep through the bone. At this stage, the resection/dissection of the medial cuneiform 202 and the first metatarsal 208 is complete. The user may now remove the cuneiform attachment feature 1906 and the first metatarsal attachment feature 1908 with the cutting tool 1926. The cuneiform fastener 1914 and/or metatarsal fastener 1916 may be left in the bones to be used for subsequent temporary or permanent fixation and/or fusion of the two bones. 358 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 In another example embodiment, the osteotomy system may include two pivoting resection guides, one configured for dissecting/resecting a first bone and another for dissecting/resecting a second bone. In such a system, the system may include a first temporary fastener configured to engage a first bone of a patient’s foot; a second temporary fastener configured to engage a second bone of a patient’s foot; and a first pivoting resection guide configured to resect the first bone. 359 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 The first pivoting resection guide may include a first bone attachment feature configured to receive the first temporary fastener; a second bone attachment feature configured to receive the second temporary fastener; a cutter guide coupled between the first bone attachment feature and the second bone attachment feature, the cutter guide configured to guide a cutting tool as the cutter guide rotates about a pivot axis that extends between the first bone attachment feature and the second bone attachment feature; and a second pivoting resection guide configured to resect the second bone. 360 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 The second pivoting resection guide may include a third bone attachment feature configured to slide over the first temporary fastener; a fourth bone attachment feature configured to slide over the second temporary fastener; a cutter guide coupled between the third bone attachment feature and the fourth bone attachment feature, the cutter guide configured to guide a cutting tool as the cutter guide rotates about a pivot axis that extends between the third bone attachment feature and the fourth bone attachment feature. 361 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 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. 362 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 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. 363 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 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. 364 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 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. 365 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 366 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 What is claimed is: 367 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 In the illustrated embodiment, the first bone engagement surface 1022 is on the inferior side 1106 of the first bone attachment feature 1006 and the second bone engagement surface 1024 is on the inferior side 1136 of the second bone attachment feature 1008. In certain embodiments, only one of the first bone attachment feature 1006 and/or second bone attachment feature 1008 may include a bone engagement surface. The first bone engagement surface 1022 and/or second bone engagement surface 1024 are/is configured to engage a cortical bone surface of one or more bones during a surgical procedure (e.g., forming an osteotomy). 269 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 Advantageously, the first bone engagement surface 1022 and/or second bone engagement surface 1024 assists a surgeon in placement and orientation of the pivoting resection guide 1002 in a desired placement and/or orientation relative one or more bones. In certain embodiments, the first bone engagement surface 1022 and/or second bone engagement surface 1024 is at least partially determined based on a bone model 404 of a patient’s foot. In certain embodiments, the bone model 404 is defined based on medical imaging of the patient’s foot. 270 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 In certain embodiments, the inferior surfaces of the first bone attachment feature 1006 and/or the second bone attachment feature 1008 may be planar and may not be configured to conform, or substantially match a surface contour of bone (e.g., a metatarsal) where the pivoting resection guide 1002 is to be anchored/secured. Alternatively, or in addition, the inferior surfaces of the first bone attachment feature 1006 and/or the second bone attachment feature 1008 may be contoured to sit on a surface of skin of a patient that covers the bone (e.g., a metatarsal). 271 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 In certain embodiments, the first bone attachment feature 1006 and second bone attachment feature 1008 may straddle a joint with the first bone attachment feature 1006 on one side of the joint and the second bone attachment feature 1008 on the other side of the joint. In another embodiment, the first bone attachment feature 1006 and second bone attachment feature 1008 may be secured along a length of the same bone. 272 Added by DJM Jan 2024 1/3/24, 4:26 AM
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PER-16 Referring now to FIG. 11E, the first bone attachment feature 1006 includes a first height 1120 that extends from a highest point on the surface of the superior side 1104 to a lowest point on the surface of the inferior side 1106. Similarly, the second bone attachment feature 1008 includes a second height 1122 that extends from a highest point on the surface of the superior side 1134 to a lowest point on the surface of the inferior side 1136. 273 Added by DJM Jan 2024 1/3/24, 4:26 AM

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