Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	IPP-0050-US35 nextremity	deploying the fixation member to stabilize the bone fastener.	249	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	19.The method of claim 18 wherein deploying the fixation member further comprises:	250	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	confirming an orientation of a cross fixation insertion axis coaxial with the guide member by way of a temporary fastener passed through a pin sleeve positioned within a drill sleeve which is positioned within a fixation member sleeve which is positioned within a passage of the guide member of the guide;	251	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	drilling a hole into one of the first bone portion and the second abutting bone portion by way of a bit within the drill sleeve; and	252	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	deploying the fixation member into the hole by way of a driver connected to the fixation member within the fixation member sleeve.	253	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	20.The method of claim 18 wherein securing the guide member further comprises:	254	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	engaging a locking mechanism of the engagement member to secure the guide member at the desired orientation;	255	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	disengaging the locking mechanism of the engagement member of the guide;	256	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	rotating the guide to a new orientation about the engagement axis; and	257	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	reengaging the locking mechanism of the engagement member of the guide.	258	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	A solution is disclosed for deploying a fixation member into an aperture of a bone fastener. The solution may include a guide having a body that includes a proximal end and a distal end. The guide may also include a guide member coupled to the body near the proximal end. The guide member may be configured to guide placement of the fixation member to secure the bone fastener. The solution may include an engagement member coupled to the body near the distal end. The engagement member can be configured to engage the bone fastener such that the guide member is rotatable, relative to the bone fastener, about an engagement axis to the guide member at any of the plurality of relative orientations about the engagement axis.	259	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The guide member 816 may include a passage 842 through the guide member 816 that aligns with the cross fixation insertion axis 420. The guide member 816 may also include one or more of a first sleeve 808a, a second sleeve 808b, and a third sleeve 808c. The first sleeve 808a may be coaxial with the cross fixation insertion axis 420 and have a cross sectional diameter less than a cross sectional diameter of the passage 842. The second sleeve 808b may be coaxial with the cross fixation insertion axis 420 and have a cross sectional diameter less than a cross sectional diameter of the first sleeve 808a. The third sleeve 808c may be coaxial with the cross fixation insertion axis 420 and have a cross sectional diameter less than a cross sectional diameter of the second sleeve 808b. In certain embodiments, the sleeves 808a,b,c may include external threads configured to engage with internal threads of a sleeve and/or the passage 842 that has a larger cross sectional diameter. In one embodiment, the first sleeve 808a fits axially within the passage 842 and either the second sleeve 808b or the third sleeve 808c fit axially within the first sleeve 808a. Alternatively, or in addition, the first sleeve 808a fits axially within the passage 842, the second sleeve 808b fits axially within the first sleeve 808a, and the third sleeve 808c fit axially within the second sleeve 808b.	135	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	In one embodiment, the engagement member 818 may engage the fastener 804 directly without an intervening inserter 806. For example, the fastener 804 may include a socket similar to socket 880 that a shaft 828 can engage to secure the relative orientation of the guide 802 and the fastener 804. For example, the fastener 804 may include a threaded socket similar to socket 880 that threads 834 of the shaft 828 may engage to secure a relative orientation of the guide 802 with respect to the fastener 804.	147	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	In this manner, a user may engage the lock mechanism 824 to securely position the guide 802 about the engagement axis 412 and thereby position a fixation member 812 to enter the aperture 118 to secure the fastener 804. In other words, the fixation member 812 is aligned with the aperture 118 by the guide member 816. Further, the guide member 816 is securely positioned for deployment of the fixation member 812.	146	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	In one embodiment, a user can rotate the guide 802 about the engagement axis 412 until a desired orientation of the guide 802 in relation to the fastener 804 is found. Once the desired orientation is found or obtained, the guide 802 can be secured to maintain the desired orientation. In one embodiment, to secure the guide 802 a user may engage a lock mechanism 824. Referring to FIG. 47, to engage the lock mechanism 824 a user may press the handle 826 toward the inserter 806. In the illustrated embodiment, the inserter 806 includes a threaded socket 880. A user may rotate the shaft 828 by turning the handle 826 about the engagement axis 412 in a direction that causes the shaft 828 to advance distally within the socket 880. For example, threads 834 of the shaft 828 may engage internal threads 886 of the socket 880. As the shaft 828 is rotated the shaft 828 may advance distally into the socket 880. As the shaft 828 advances, the shoulder 830 of the lock mechanism 824 pinches the guide body 814 against the inserter 806. In one embodiment, this contact provides sufficient friction to retain the guide 802 in the desired orientation. In certain embodiments, the user may tighten the lock mechanism 824 to increase the resistance to rotation by guide 802 about the engagement axis 412.	145	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	Referring to FIGS. 40-47, a guide 802 is engageable with the inserter 806 to guide placement of an elongate member (e.g., fixation member 812) into, or through, the aperture 118 of the fastener 804. The guide 802 is coupled to the inserter 806 by inserting the pin 836 into the socket 880 until the inferior surface 838 abuts the superior surface 882 of the inserter handle portion 860 as shown in FIG. 47. Thus assembled, the cross fixation insertion axis 420 is aligned with the center of the fastener aperture 118. Insertion of a fixation member allow fixation axis 420 will enter the aperture 118. In addition, in an exemplary embodiment, the inserter 806 is positioned between the engagement member 818 and the fastener 804.	144	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The inserter 806 is joined to the fastener 804 by sliding the locking bolts 868 proximally until the knobs 870 abut the proximal margin 872 of the window 866 as shown in FIG. 45. The threaded portion 322 may then be inserted into the cavity 160 of the fastener 804. Each knob 870 is then rotated to thread the locking bolt 868 into the cavity 160 and secure the fastener 804 to the inserter 806 as shown in FIG. 46.	143	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	In the illustrated embodiment, the inserter 806 includes four stop members 892a,b,c,d positioned about the peripheral edge 884. Alternatively, or in addition, the inserter 806 may include a single stop member 892a, a pair of stop members 892a,b on one long side, a pair of stop members 892a,c on one short side. In the illustrated embodiment, the stop member 892 may include a projection 894 and a recess 896. As used herein, a “recess” refers to hollow, void, opening, or depression formed in a surface. In certain embodiments, the recess does not pass through the structure having the surface. A recess can have a variety of cross-section shapes (e.g., ovoid, oval, round, circular, rectangular, square, or the like) and have a variety of configurations for one or more walls that define the recess. In one example, a recess can have one or more walls that connect in rounded corners. In certain embodiments, a recess is sized and shaped to receive or accept another structure.	142	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The coupling member may also include one or more rotational stop members 892 arranged about a longitudinal axis of the body 854. The one or more stop members 892 may cooperate with a stop of the engagement member 818 (e.g., side surface 840) to define a set of relative orientations for the guide 802 relative to the fastener 804 and/or inserter 806.	141	Added by DJM 12 2021	12/2/21, 12:00 AM
View Edit Delete	IPP-0050-US35 nextremity	The proximal end 858 of the inserter 806 includes a coupling member configured to rotationally couple to a guide 802 described herein. In the illustrative example of FIGS. 43-46, the coupling member includes a socket 880 extending distally into a superior surface 882 of the coupling member and a peripheral edge 884. In certain embodiments, the socket 880 may include internal threads 886. Alternatively, or in addition, the socket 880 may be a stepped cylindrical socket or cavity with a larger diameter proximal portion 888 and a smaller diameter, distal portion 890 that includes the internal threads 886. In one embodiment, the threads 834 of the lock mechanism 824 are configured to engage the internal threads 886 of the socket 880 and the socket 880 has a depth that permits distal advancement of the shaft 828 until the shoulder 830 presses against the superior surface 832 of the engagement member 818.	140	Added by DJM 12 2021	12/2/21, 12:00 AM

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