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Delete 		PER-17 The output files 1404 may include different combinations of models defined by one or more STL files in a format and/or arrangement that is most suitable for use by the patient-specific device design apparatus 450. For example, for one procedure certain bone models may be active models 1316 while other models are context models 1318. Accordingly, the definitions of the models in the different STL files (e.g., output files 1404) may be customized for a particular surgical procedure. For example, suppose the surgical procedure is a Lapidus, the patient-specific device design apparatus 450 may coordinate with the segmentor 1020 such that active models 1316 are in one STL file while all context models 1318 are in a second different file. Such an organization of the output files 1404 (e.g., STL files) may facilitate operation of the patient-specific device design apparatus 450 using its set of work instructions 1040 and/or workflow 1050. 367 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 Once generated, the segmentor 1020 may send the output files 1404 to the computing device 902 and/or the computing device 902 may retrieve the output files 1404 from the segmentor 1020. The patient-specific device design apparatus 450 is configured to organize the output files 1404 within one or more storage devices 914 for subsequent use by the patient-specific device design apparatus 450 to generate a patient-specific device. 368 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 Those of skill in the art will appreciate that the output files 1404 may be organized in a variety of ways so long as the patient-specific device design apparatus 450 is able to locate and access the necessary output files 1404 when needed for completing of a workflow 1050. In one embodiment, the output files 1404 for a particular patient may be placed within a designated folder of a file system organized on the storage device 914. The workflow 1050 may be configured to read and/or retrieve these files from the same designated folder when executing the workflow 1050. 369 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 Advantageously, the patient-specific device design apparatus 450 can complete the steps to determine the set of medical imaging 1030, configured the segmentor 1020, and/or organize the output files 1404 as needed and/or as part of a set of work instructions 1040 and/or workflow 1050. Alternatively, or in addition, the patient-specific device design apparatus 450 may complete these steps all in one batch process that initiates during non-working hours, or an initial shift) and completes before a user 1002 is available to operate the patient-specific device design apparatus 450 to design a patient-specific device during a subsequent shift. In this manner, the methods, processes, and/or operations of the present disclosure can be scaled to enable patient-specific devices to be generated for hundreds or thousands of customers on each shift. 370 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 FIG. 15 is a flowchart diagram depicting a method 1500 for generating a patient-specific device configured to facilitate remediating a condition present in a patient’s foot. FIG. 15 is a flowchart of an example method 1500. In some implementations, one or more method steps of FIG. 15 may be performed by a surgeon using one or more of the systems, apparatuses, and/or components described herein. 371 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 As shown in FIG. 15, method 1500 may include receiving a prescription for a patient-specific resection guide and medical imaging for a patient’s foot (block 1502). For example, an apparatus may receive a prescription 1100 for a patient-specific resection guide (e.g., a patient-specific device 1090) and medical imaging for a patient’s foot, as described above. 372 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 As also shown in FIG. 15, method 1500 may include generating models of bones of the patient's foot from the medical imaging, the models of bones are positioned and oriented relative to each other according to a deformity condition that matches a deformity of bones of the patient's foot (block 1504). For example, an apparatus may generate models of bones of the patient's foot from the medical imaging, the models of bones are positioned and oriented relative to each other according to a deformity condition that matches a deformity of bones of the patient's foot, as described above. 373 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 As further shown in FIG. 15, method 1500 may include repositioning a bone model of the models of bones to a correction position that mitigates the deformity condition (block 1506). For example, an apparatus may reposition a bone model of the models of bones to a correction position that mitigates the deformity condition, as described above. 374 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 As also shown in FIG. 15, method 1500 may include designing the patient-specific resection guide that creates at least one osteotomy in the bone model that enables movement of the bone model to the correction position (block 1508). For example, an apparatus may design the patient-specific resection guide that creates an osteotomy in the bone model that enables movement of the bone model to the correction position, as described above. Advantageously, embodiments of the systems, methods, and apparatuses of the present disclosure are configured to enable a user and/or a surgeon to reposition bone models virtually from an original position to a new position to prepare for a planned procedure. The bones models are in the same position relative to each other as the bones of the patient. In contrast to some existing surgical techniques, the present disclosure enables a user or surgeon to move the model bones first to a new desired location and based on that new location design a patient-specific device that facilitates one or more osteotomies that enable this repositioning. Conventional techniques move a patient’s bones intraoperatively and then perform one or more osteotomies. With the present disclosure, the osteotomies are performed before surgery and virtually and the new position is used as a guide or reference, a reference feature, for designing and/or fabricating one or more aspects of a patient-specific device. Furthermore, the virtual osteotomies of model bones, enable movement of the bone modes by a surgeon to simulate a fusion of the bones and/or other repositioning and/or rotation without interference from bone material that is to be removed in a subsequent surgical procedure. 375 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 As further shown in FIG. 15, method 1500 may include manufacturing the patient-specific resection guide (block 1510). For example, an apparatus may manufacture the patient-specific resection guide, as described above. 376 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 Method 1500 may include additional implementations, such as any single implementation or any combination of implementations described below and/or in connection with one or more other methods or processes described elsewhere herein. In a first implementation, the bone model may include a first metatarsal bone model and the deformity condition may include a bunion. 377 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 A second implementation, alone or in combination with the first implementation, process 1500 further may include generating a preoperative plan for a surgical procedure that uses the patient-specific resection guide and includes a surgical technique for using the patient-specific resection guide to perform an osteotomy on a bone of the patient that corresponds to the bone model and/or reposition the bone of the patient to the correction position to remediate the condition present in the patient’s foot. 378 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 Although FIG. 15 shows example blocks or steps of a process 1500, in some implementations, A method 1500 may include additional steps, fewer steps, different steps, or differently arranged steps than those depicted in FIG. 15. Additionally, or alternatively, two or more of the steps of a method 1500 may be performed in parallel. 379 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 380 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 381 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 382 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 383 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 384 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 385 Added by DJM Jan 2024 1/6/24, 10:05 PM
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Delete 		PER-17 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. 386 Added by DJM Jan 2024 1/6/24, 10:05 PM

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