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PER-16
FIG. 11H is a right-side view of the pivoting resection guide 1002, according to one embodiment, including a handle 1004.
259
Added by DJM Jan 2024
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PER-16
Referring now to FIGs. 11A-11H, more details of the illustrated embodiment will be described. Those of skill in the art will appreciate that depending on where on, or in, the body of a patient, a pivoting resection guide 1002 is used, the pivoting resection guide 1002 can have sides that are named differently than those described in relation to the illustrated embodiment (e.g., top, bottom, front, back, left, right). However, with respect to the illustrated embodiment, this illustrated pivoting resection guide 1002 is configured for use on, at, between, or near a medial cuneiform 202 and/or a first metatarsal 208 of a patient. Consequently, the sides of the components of the osteotomy system 1000 are named based on where those sides are positioned and/or oriented when this pivoting resection guide 1002 is in use.
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PER-16
As shown in one or more of FIGs. 11A-11H, the first bone attachment feature 1006 includes a body 1102 which includes a superior side 1104, an inferior side 1106, a medial side 1108, a lateral side 1110, a proximal side 1112, a distal side 1114, at least one opening 1116, and a first coupler 1118. Similarly, the second bone attachment feature 1008 includes a body 1132 which includes a superior side 1134, an inferior side 1136, a medial side 1138, a lateral side 1140, a proximal side 1142, a distal side 1144, at least one opening 1146, and a second coupler 1148. The body 1102 and/or body 1132 can be fabricated using additive or subtractive manufacturing.
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PER-16
In the illustrated embodiment when in use, the superior side 1104 and superior side 1134 face away from one or more bones of the patient. The inferior side 1106 and inferior side 1136 face one or more bones of the patient. The proximal side 1112 and proximal side 1142 are proximal to the patient and the distal side 1114 and distal side 1144 are distal to the patient. The medial side 1108 and medial side 1138 face a medial side of the patient and the lateral side 1110 and lateral side 1140 face a distal side of the patient.
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Added by DJM Jan 2024
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PER-16
The opening 1116 extends from the superior side 1104 to the inferior side 1106. The opening 1146 extends from the superior side 1134 to the inferior side 1136. Each of opening 1116 and opening 1146 are sized to receive a respective fastener 1012. The opening 1116 and opening 1146 may each have the same or similar or different diameter openings. Each of opening 1116 and opening 1146 are configured to receive one of one or more fasteners 1012.
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Added by DJM Jan 2024
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PER-16
The first coupler 1118 is configured to engage with a cutter guide 1010 positioned between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the first coupler 1118 may engage and secure the cutter guide 1010 between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the first coupler 1118 may engage and secure the cutter guide 1010 to the first bone attachment feature 1006 while a second coupler 1148 may engage but not secure the cutter guide 1010 to the second bone attachment feature 1008.
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PER-16
Advantageously, the first coupler 1118 engages with the cutter guide 1010 such that the cutter guide 1010 remains in place and is capable of pivoting or rotating about the pivot axis 1014. In certain embodiments, the first coupler 1118 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is perpendicular to the distal side 1114 of the first bone attachment feature 1006. In another embodiment, the first coupler 1118 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is at an angle that is not perpendicular to the distal side 1114 of the first bone attachment feature 1006.
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Added by DJM Jan 2024
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PER-16
The second coupler 1148 is configured to engage with a cutter guide 1010 positioned between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the second coupler 1148 may engage and secure the cutter guide 1010 between the first bone attachment feature 1006 and the second bone attachment feature 1008. In one embodiment, the second coupler 1148 may engage and secure the cutter guide 1010 to the second bone attachment feature 1008 while a first coupler 1118 may engage but not secure the cutter guide 1010 to the first bone attachment feature 1006.
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Added by DJM Jan 2024
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PER-16
Advantageously, the second coupler 1148 engages with the cutter guide 1010 such that the cutter guide 1010 remains in place and is capable of pivoting or rotating about the pivot axis 1014. In certain embodiments, the second coupler 1148 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is perpendicular to the proximal side 1142 of the second bone attachment feature 1008. In another embodiment, the second coupler 1148 engages the cutter guide 1010 such that the pivot axis 1014 of the cutter guide 1010 is at an angle that is not perpendicular to the proximal side 1142 of the second bone attachment feature 1008.
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Added by DJM Jan 2024
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PER-16
Referring now back to FIG. 11D, FIG. 11D illustrates an embodiment of the pivoting resection guide 1002 that includes a first bone attachment feature 1006 having a first bone engagement surface 1022 that is contoured to substantially match a surface contour of bone (e.g., a proximal metatarsal surface contour) where the pivoting resection guide 1002 is to be anchored/secured. In certain embodiments, the pivoting resection guide 1002 can include a second bone attachment feature 1008 having a second bone engagement surface 1024 that is contoured to substantially match a surface contour of bone (e.g., a distal metatarsal surface contour) where the pivoting resection guide 1002 is to be anchored/secured. Alternatively, or in addition, the first bone engagement surface 1022 and/or second bone engagement surface 1024 may be contoured based on placement of the pivoting resection guide 1002 on a surface of skin of a patient for a procedure.
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PER-16
"Prescription" or "Prescribed" refers to a written order, as by a physician or nurse practitioner, for the administration of a medicine, preparation of an implant, preparation of an instrument, or other intervention. Prescription can also refer to the prescribed medicine or intervention. (Search "prescription" on wordhippo.com. WordHippo, 2023. Web. Accessed 3 May 2023. Modified.)
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PER-16
As used herein, “end” refers to a part or structure of an area or span that lies at the boundary or edge. An end can also refer to a point that marks the extent of something and/or a point where something ceases to exist. An end can also refer to an extreme or last part lengthwise of a structure or surface. (search "end" on Merriam-Webster.com. Merriam-Webster, 2021. Web. 04 Aug. 2021. Modified.)
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PER-16
As used herein, “edge” refers to a structure, boundary, or line where an object, surface, or area begins or ends. An edge can also refer to a boundary or perimeter between two structures, objects, or surfaces. An edge can also refer to a narrow part adjacent to a border. (search "edge" on Merriam-Webster.com. Merriam-Webster, 2021. Web. 03 Aug. 2021. Modified.) In certain embodiments, an edge can be a one dimensional or a two-dimensional structure that joins two adjacent structures or surfaces. Furthermore, an edge may be at a perimeter of an object or within a perimeter or boundary of an object.
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PER-16
"Bone fragment" refers to a part of a bone that is normally part of another bone of a patient. A bone fragment may be separate from another bone of a patient due to a deformity or trauma. In one aspect, the bone the bone fragment is normally connected or joined with is referred to as a parent bone.
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PER-16
"Joint" or "Articulation" refers to the connection made between bones in a human or animal body which link the skeletal system to form a functional whole. Joints may be biomechanically classified as a simple joint, a compound joint, or a complex joint. Joints may be classified anatomically into groups such as joints of hand, elbow joints, wrist joints, axillary joints, sternoclavicular joints, vertebral articulations, temporomandibular joints, sacroiliac joints, hip joints, knee joints, ankle joints, articulations of foot, and the like. (Search "joint" on Wikipedia.com Dec. 19, 2021. CC-BY-SA 3.0 Modified. Accessed Jan 20, 2022.)
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PER-16
"Articular surface" refers to a surface of a structure that is coupled to, and may cooperate with, other structures of a joint of a human or animal to enable movement of structures of the joint.
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Added by DJM Jan 2024
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PER-16
"Tarso-metatarsal joint" or "TMT joint" refers to a joint of a patient between a metatarsal bone and one or more cuneiform/tarsal/cuboid bones. The TMT joint may also be referred to as a "Lis Franc" or "Lisfranc" joint after a French surgeon Lisfranc.
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PER-16
"Cut surface" refers to a surface of an object that is created or formed by the removal of one or more parts of the object that includes the original surface. Cut surfaces can be created using a variety of methods, tools, or apparatuses and may be formed using a variety of removal actions, including, but not limited to, fenestrating, drilling, abrading, cutting, sawing, chiseling, digging, scrapping, and the like. Tools and/or methods used for forming a cut surface can include manual, mechanical, motorized, hydraulic, automated, robotic, and the like. In certain embodiments, the cut surface(s) are planar.
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PER-16
"Orientation" refers to a direction, angle, position, condition, state, or configuration of a first object, component, part, apparatus, system, or assembly relative to another object, component, part, apparatus, system, assembly, reference point, reference axis, or reference plane.
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PER-16
As used herein, a "pivot axis" refers to an axis about which a structure pivots or rotates.
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