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TMC-PAT-4 "Predetermined Position" refers to a position that is decided, determined, finalized, and/or defined earlier in time. In certain embodiments, a predetermined position is a desired, designed, and/or engineered position of a first object in relation to a second object. Thus, a predetermined position is a planned position for the two objects in relation to each other. In certain embodiments, one or both of the two objects may be moved relative to each other to accomplish the predetermined position and the predetermined position may become the final position. In other embodiments, the two objects may be moved towards the predetermined position but may not reach the exact predetermined position due to some impediment and/or interference or a decision to change the predetermined position to a new position. In certain aspects, a predetermined position may be a position that is decided after a process of recommendation, review, and/or analysis, and final approval such that a position may not become a predetermined position until the process is completed. For example, in a medical patient-specific instrument or technique design process a position may not become the predetermined position until a surgeon or other doctor provides final approval for the position. 37 Added by DJM Jan 2024 1/3/24, 4:24 AM
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TMC-PAT-4 Antegrade means forward moving from a proximal location/position to a distal location/position or moving in a forward direction. Retrograde means backward moving from a distal location/position to a proximal location/position or moving in a backwards direction. Sagittal refers to a midline of a patient’s anatomy, which divides the body into left or right halves. The sagittal plane may be in the center of the body, splitting it into two halves. Prone means a body of a person lying face down. Supine means a body of a person lying face up. 6 Added by DJM Jan 2024 1/3/24, 4:24 AM
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TMC-PAT-4 Anterior means toward the front of a body. Posterior means toward the back of a body. Superior or cephalad means toward the head. Inferior or caudal means toward the feet or tail. Medial means toward the midline of a body, particularly toward a plane of bilateral symmetry of the body. Lateral means away from the midline of a body or away from a plane of bilateral symmetry of the body. Axial means toward a central axis of a body. Abaxial means away from a central axis of a body. Ipsilateral means on the same side of the body. Contralateral means on the opposite side of the body from the side which has a particular condition or structure. Proximal means toward the trunk of the body. Proximal may also mean toward a user, viewer, or operator. Distal means away from the trunk. Distal may also mean away from a user, viewer, or operator. Dorsal means toward the top of the foot or other body structure. Plantar means toward the sole of the foot or toward the bottom of the body structure. 5 Added by DJM Jan 2024 1/3/24, 4:24 AM
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TMC-PAT-4 Standard medical planes of reference and descriptive terminology are employed in this disclosure. While these terms are commonly used to refer to the human body, certain terms are applicable to physical objects in general. A standard system of three mutually perpendicular reference planes is employed. A sagittal plane divides a body into right and left portions. A coronal plane divides a body into anterior and posterior portions. A transverse plane divides a body into superior and inferior portions. A mid-sagittal, mid-coronal, or mid-transverse plane divides a body into equal portions, which may be bilaterally symmetric. The intersection of the sagittal and coronal planes defines a superior-inferior or cephalad-caudal axis. The intersection of the sagittal and transverse planes defines an anterior-posterior axis. The intersection of the coronal and transverse planes defines a medial-lateral axis. The superior-inferior or cephalad-caudal axis, the anterior-posterior axis, and the medial-lateral axis are mutually perpendicular. 4 Added by DJM Jan 2024 1/3/24, 4:24 AM
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TMC-PAT-4 The word "exemplary" is used herein to mean "serving as an example, instance, or illustration." Any embodiment described herein as "exemplary" is not necessarily to be construed as preferred or advantageous over other embodiments. While the various aspects of the embodiments are presented in drawings, the drawings are not necessarily drawn to scale unless specifically indicated. 3 Added by DJM Jan 2024 1/3/24, 4:24 AM
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TMC-PAT-4 The phrases "connected to," "coupled to" and "in communication with" refer to any form of interaction between two or more entities, including mechanical, electrical, magnetic, electromagnetic, fluid, and thermal interaction. Two components may be functionally coupled to each other even though they are not in direct contact with each other. The term "abutting" refers to items that are in direct physical contact with each other, although the items may not necessarily be attached together. The phrase "fluid communication" refers to two features that are connected such that a fluid within one feature can pass into the other feature. 2 Added by DJM Jan 2024 1/3/24, 4:24 AM
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TMC-PAT-4 Exemplary embodiments of the disclosure will be best understood by reference to the drawings, wherein like parts are designated by like numerals throughout. It will be readily understood that the components, as generally described and illustrated in the Figures herein, could be arranged and designed in a wide variety of different configurations. Thus, the following more detailed description of the embodiments of the apparatus, system, and method is not intended to limit the scope of the disclosure but is merely representative of exemplary embodiments. 1 Added by DJM Jan 2024 1/3/24, 4:24 AM
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PER-10 defining one or more guide features of a preliminary cutting guide model for an osteotomy procedure, the preliminary cutting guide model comprising a superior surface and an inferior surface; 350 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 modifying the bone model of the first modeled bone to include the first cut surface and the second modeled bone to include the second cut surface; and 359 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 defining at least a portion of the inferior surface of the preliminary cutting guide model according to a topographical surface of at least one bone of the bone model such that the inferior surface substantially matches a contour of the topographical surface; and 351 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 wherein the preliminary cutting guide model is configured for fabrication of a patient specific cutting guide corresponding to the preliminary cutting guide model. 352 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 13. The method of claim 12, further comprising defining one or more alignment features of the preliminary cutting guide model for the osteotomy procedure. 353 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 14. The method of claim 12, wherein accessing the bone model further comprises: 354 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 modifying a bone model comprising a first modeled bone and a second modeled bone of a joint of the patient such that the first modeled bone is rotated about a longitudinal axis of the first modeled bone from a first position to a second position; 355 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 defining a first cut surface in the first modeled bone, wherein the first cut surface is perpendicular to the longitudinal axis of the first modeled bone; 356 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 defining a first angle for a second cut surface of the second modeled bone, the first angle measured relative to the first cut surface and extends inferiorly away from the first cut surface; 357 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 defining a second angle for the second cut surface of the second modeled bone, the second angle measured relative to the first cut surface and configured to mitigate the condition; 358 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 7. The patient specific instrument of claim 4, wherein at least one of the body, the proximal arm, the distal arm, and the bone engagement surface of the inferior side of the body is configured to engage a dorsal surface of one or more of the first bone and the second bone. 340 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 accessing a bone model of one or more bones of a patient based on the condition and/or the bone model; 349 Added by DJM 2 2022 2/25/22, 12:00 AM
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PER-10 12. A method for making a patient specific cutting guide configured to mitigate a condition present in a patient, the method comprising: 348 Added by DJM 2 2022 2/25/22, 12:00 AM

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