Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-10	a cut guide comprising:	369	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	19. A system for correcting a condition present in a patient, the system comprising:	368	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	18. The method of claim 12, wherein the bone model is derived from patient imaging data generated while the patient places their weight on at least one joint involved in the osteotomy procedure.	367	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	17. The method of claim 12, further comprising defining a coupler configured to engage an alignment guide, the alignment guide configured to indicate a resulting alignment of patient body parts upon completion of the osteotomy procedure.	366	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	16. The method of claim 12, further comprising selecting the preliminary cutting guide model from a repository of template cutting guide models, each template cutting guide model configured for an osteotomy procedure configured to correct one of a plurality of conditions.	365	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	wherein the first slot and second slot are positioned such that fixing the first cut surface of the first bone to the second cut surface of the second bone mitigates the condition.	364	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	defining a second slot configured to guide formation of a second cut surface of a second bone of the patient corresponding to a second modeled bone; and	363	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	defining a first slot configured to guide formation of a first cut surface of a first bone of the patient corresponding to a first modeled bone;	362	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	15. The method of claim 12, wherein defining one or more guide features of the preliminary cutting guide model further comprises:	361	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	A bone model or anatomic model of a patient’s body or body part(s) may be generated by computing devices that analyze medical imaging images. Structures of a patient’s body can be determined using a process called segmentation. In certain embodiments, the patient imaging data maybe gathered from the patient as the patient is not placing their weight on one or more feet. Alternatively, or in addition, in certain embodiments, the patient imaging data maybe gathered from the patient as the patient is placing their weight on one or more feet. Such imaging may be referred to as weight-bearing patient imaging data. For example in one embodiment, the bone model is derived from patient imaging data generated while the patient placed their weight on at least one joint involved in the osteotomy procedure.	299	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Next, as part of accessing 2910 a bone model, the bone model of the first modeled bone may be modified to include the first cut surface and the second modeled bone may be modified to include the second cut surface. In addition, one or more guide members of the preliminary cutting guide model 3000 are configured and positioned to enable a surgeon to form the first cut surface and the second cut surface.	310	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Next, as part of accessing 2910 a bone model, a first angle for a second cut surface of the second modeled bone may be defined. The first angle may be measured relative to the first cut surface and may extend inferiorly away from the first cut surface. FIG. 19D illustrates one example of the first angle by way of angle A. Next, a second angle for the second cut surface of the second modeled bone may be defined. The second angle may be measured relative to the first cut surface and configured to mitigate the condition. FIG. 19H illustrates one example of the first angle by way of angle B.	309	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	In one embodiment, the preliminary cutting guide model 3000 may originally include a predefined first guide feature 3060 that is aligned perpendicular to two or more holes 3050 of a distal bone attachment feature 3054. It should be noted that the preliminary cutting guide model 3000 of FIG. 30A does not include a second guide feature and/or a second hole 3050 because the orientation and position of the second guide feature and/or a second hole 3050 has not yet been determined or defined. In certain embodiments, the preliminary cutting guide model 3000 may be selected from a repository of template cutting guide models. Each template cutting guide model may be configured for an osteotomy procedure configured to correct one of a plurality of conditions.	308	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Next, a first cut surface in the first modeled bone is defined that is perpendicular to the longitudinal axis of the first modeled bone. The first cut surface may be defined using a first guide feature 3060 and may be predefined in a preliminary cutting guide model 3000. In certain embodiments, the first cut surface may be formed during the procedure on a patient’s bone by a surgeon cutting using a first guide feature 3060. The first guide feature 3060 may be defined in the preliminary cutting guide model 3000 such that cutting using the first guide feature 3060 will form the first cut surface. The first guide feature 3060 may include a slot formed in the preliminary cutting guide model 3000 that is configured to guide formation of the first cut surface.	307	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	For example, accessing 2910 a bone model of one or more bones of a patient based on the condition and/or the bone model may include additional steps. For example, the bone model may include a first modeled bone (not shown in FIG. 30A) and a second modeled bone (not shown in FIG. 30A) of a joint of the patient and the bone model may be modified such that the first modeled bone (e.g., a first metatarsal 230) is rotated about a longitudinal axis of the first modeled bone from a first position to a second position. FIG. 30A illustrates one example of a preliminary cutting guide model 3000.	306	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	FIGS. 30A-30C illustrates perspective views of an exemplary preliminary cutting guide model modified in accordance with one embodiment for use as a patient-specific cutting guide. In certain embodiments, steps of the method 2900 may include additional steps that add to or expand upon steps of the method 2900.	305	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	The patient specific cutting guide can be used by a user, such as a surgeon, to guide making one or more resections of a structure, such as a bone for a procedure. Accordingly, a preliminary cutting guide model can be used to generate a patient specific cutting guide model. The patient specific cutting guide model may be used in a surgical procedure to address, correct, or mitigate effects of the identified deformity and may be used to generate a patient specific cutting guide that can be used in a surgical procedure for the patient.	304	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	In one aspect, the preliminary cutting guide may be used, as-is, without any further changes, modifications, or adjustments and thus become a patient specific cutting guide. In another aspect, the preliminary cutting guide may be modified, adjusted, or configured to more specifically address the goals, objectives, or needs of a patient or a surgeon and by way of the modifications become a patient specific cutting guide.	303	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	“Topographical” refers to the physical distribution of parts, structures, or features on the surface of, or within, an organ or other anatomical structure, or organism. (Search “define topographical” on google.com. Oxford Languages, Copyright 2022. Oxford University Press. Web., Modified. Accessed 15 Feb. 2022.)	302	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	In one embodiment, the method 2900 begins after a bone model of a patient’s body or body part(s) is generated. In a first step 2910, bone model of one or more bones of a patient based on the condition and/or the bone model is accessed. Next, the method 2900 defines 2920 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. Next, the method 2900 proceeds by defining 2930 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. In certain embodiments, the method 2900 may also include a step of defining one or more alignment features of the preliminary cutting guide model for the osteotomy procedure. After step 2930, the preliminary cutting guide model is configured for fabrication of a patient specific cutting guide corresponding to the preliminary cutting guide model. After step 2930, the method 2900 may end.	301	Added by DJM 2 2022	2/25/22, 12:00 AM

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