Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-10	4. The patient specific instrument of claim 1, wherein the body comprises:	331	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	3. The patient specific instrument of claim 1, wherein one of the first guide feature and the second guide feature comprise a position and an orientation, at least one of which is based on patient imaging data and wherein the patient imaging data is used to define a distance between at least one of a first top edge of the first guide feature and the first surface and a second top edge of the second guide feature and the second surface.	330	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	wherein the first cut surface is perpendicular to a longitudinal axis of the first bone.	329	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	wherein the second cut surface extends inferiorly away from the first cut surface at a first angle measured from the first cut surface and extends posteriorly away from the first cut surface at a second angle measured relative to the first cut surface; and	328	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	the second guide feature is configured to define a second cut surface formed by resection of the second bone;	327	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	FIG. 26 illustrates a perspective view of the first cuneiform and the first metatarsal of FIGS. 24A, 25A with a compressor / distractor and cross joint guide. In the illustrated embodiment, a surgeon has removed other instruments such that fasteners 1956 of the proximal alignment feature 1980/2280 and fasteners 1956 of the distal alignment feature 1990/2290 remain in the bones. Next, the surgeon may couple an active compression instrument 2610 (which may be similar to the exemplary parallel compressor/distractor 1500 or parallel compressor/distractor 1600) to the fasteners 1956 by sliding the holes 1502a,b over the fasteners 1956 of the proximal alignment feature 1980/2280 and the holes 1502c,d over the fasteners 1956 of the distal alignment feature 1990/2290. An active compression instrument 2610 refers to any instrument that can compress two or more structures together towards each other or against a stationary object. An "active compression instrument" refers to a mechanical device, apparatus, member, object, body, component, or structure, that is organized, configured, designed, arranged, or engineered to maintain two objects in a compressed state one against the other which may enable a user to perform one or more other operations, method steps, or activities. One example of an active compression instrument is a compressor or an instrument that can function as both a compressor and a distractor. An active compression instrument 2610 may be configured to only provide a compression feature. Alternatively, or in addition, an active compression instrument 2610 may be configured to provide both a compression feature and a distraction feature. The distraction feature is a feature the distracts or separates at least two structures.	287	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	2. The patient specific instrument of claim 1, wherein when the bone engagement surface seats over the joint:	325	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	wherein the body is configured to seat transverse to the joint with the bone engagement surface engaging at least one of the first surface of the first bone and the second surface of the second bone.	324	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	a superior side comprising a first guide feature and a second guide feature that together, with the bone engagement surface overlying the first surface and the second surface, are positioned to guide resection of the first bone and the second bone during a surgical osteotomy for correcting the condition; and	323	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	an inferior side comprising a bone engagement surface shaped to match a first surface of a first bone and a second surface of a second bone of a joint;	322	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	a proximal side, a distal side, a medial side, and a lateral side;	321	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	a body comprising:	320	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	1. A patient specific instrument for correcting a condition present in a patient, the patient specific instrument comprising:	319	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Those of skill in the art will appreciate that method 3100 is one of many that may be used to address a condition of the patient using the apparatuses, devices, methods, features, and aspects of the present disclosure.	315	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	The method begins and the surgeon positions 3102 a patient specific cut guide across of joint of two bones of a patient. Next, the surgeon may secure 3104 the patient specific cut guide to the bones of the joint using pins (e.g., K-wires). Next, the surgeon may resect 3106 the articular surface of both bones of the joint. Next, the surgeon may remove 3108 the patient specific cut guide while leaving one or more pins in place on the bones. Pins left in place may include pins that are part of the proximal bone attachment feature 2252 and/or the distal bone attachment feature 2254. Next, the surgeon may de-rotate 3110 one or more bones of the joint. Next, the surgeon may connect 3112 an active compression instrument to pins on each bone of the joint. Next, the surgeon may compress 3114 the two bones of the joint together. Next, the surgeon may deploy 3116 fasteners across the joint. The fasteners may be temporary fasteners such as K-wires or bone screws or permanent fasteners such as a bone plate and bone screws.	314	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	FIG. 31 is a flow chart diagram of one example method 3100 for using a patient specific cutting guide according to one embodiment to mitigate a condition present in a patient. Before the method 3100 begins a surgeon may obtain a patient specific cut guide and/or one or more other instruments that may be patient specific or may be configured for use with most patients.	313	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	In the illustrated embodiment, of FIGS 30A, 30B, an inferior side, also referred to as the bone engagement surface of the preliminary cutting guide model 3000 has a squared and boxy configuration because the inferior side for the preliminary cutting guide model 3000 has not yet been defined. FIG. 30C illustrates an inferior side 3022, or bone engagement surface 3024 that has been defined to match the contour of bones of the patient based on patient imaging data. The modified preliminary cutting guide model 3000 of FIG. 30C is ready to be manufactured, for example, using additive manufacturing.	312	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	Thus, providing a patient-specific cutting guide may provide unique benefits. Specifically, the patient-specific cutting guide may provide precise correction of the deformity present in the foot 200 and may also reduce the likelihood of improper correction due to misalignment of the cutting guide on the foot 200. The optimal cut provided by such a cutting guide may further reduce the likelihood that additional procedures, such as attachment of the first metatarsal 230 to the second metatarsal 240 to each other with screws or the like, will be needed to provide the desired correction. Any such additional procedure carries its own added surgical burden and risk of failure. Thus, the use of patient-specific instrumentation may shorten surgery, accelerate recovery, and reduce the risk of complications.	85	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	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.	53	Added by DJM 2 2022	2/25/22, 12:00 AM
View Edit Delete	PER-10	The present disclosure discloses surgical systems and methods by which a bone condition, such as a deformity, may be corrected using patient-specific instrumentation. Known methods of correcting bone conditions are often limited to a finite range of discretely sized instruments. A patient with an unusual condition, or anatomy that falls between instrument sizes, may not be readily treated with such systems. One example is correction of a bunion, in particular, via adjustment of the angulation between a cuneiform and a metatarsal.	54	Added by DJM 2 2022	2/25/22, 12:00 AM

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