Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	IPP-0051-US14 cross roads	In the illustrative example of FIGS. 1-12, the distal openings include a single superior opening 118 and two inferior openings 120, 122. The superior opening 118 is formed through the sidewall 103 and centered over the longitudinal axis of the anchor body. The two inferior openings 120, 122 are formed through the sidewall 103 opposite the superior opening 118 and spaced on either side of the longitudinal axis and separated by a dividing wall 124. All of the superior and inferior distal openings 118, 120, 122 are spaced proximally away from the distal end 110 of the anchor body.	97	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	IPP-0051-US14 cross roads	In the illustrative example of FIGS. 1-12, the anchor body 102 has a first exterior dimension 128, perpendicular to the longitudinal axis, over a first portion 130 of its exterior length 132; a second exterior dimension 134, perpendicular to the longitudinal axis, greater than the first dimension 128, over a second portion 136 of its exterior length 132; and a third exterior dimension 138, perpendicular to the longitudinal axis, greater than the second dimension 134, over a third portion 140 of its exterior length 132. For example, the first dimension 128 may be less than or equal to a radial dimension of a bone hole to ease alignment and initial insertion of the anchor body 102 into the bone hole. The second dimension 134 may be larger than the radial dimension of the bone hole to create a press fit of the second portion 136 within the bone hole to resist removal of the anchor body 102 from the bone hole. The third dimension 138 may create an even tighter press fit in the bone hole. The third portion 140 will require the greatest insertion force. By making the length of the third portion 140 relatively short, the total effort to insert the anchor body 102 will be lessened and the maximum insertion force will only be required to insert the relatively short third portion. The second and third portions 136, 140 may also have ribbed surfaces to further resist removal of the anchor body 102 from the bone hole. The spacing, or pitch, of the ribs may vary. For example, the second portion 136 may have ribs with relatively wider spacing for positioning in a relatively wide band of cancellous bone and the third portion 140 may have ribs with relatively narrower spacing for positioning in a relatively narrow band of cortical bone.	98	Added by DJM 9 2021	9/2/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments, the medial bone plate 400 is connectable to other implants such as an intramedullary nail, lateral bone plate, other medial bone plate, arthroplasty implant, or the like. The medial bone plate 400 may connect to these other implants using fasteners or may connect by way of connectors that may be formed in one or the other or both of the medial bone plate 400 and the other implant.	101	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 4A is a perspective view of a medial bone plate 400 deployed on a long bone, such as a femur 102, according to one embodiment. The medial bone plate 400 includes a proximal end 402, a distal end 404, and a body 406. The proximal end 402 includes one or more arms 408. In certain embodiments, an arm 408 may be referred to as a tab, finger, or the like. In the illustrated embodiment, one arm 408 extends from the body 406 in an anterior direction relative to the femur 102. In another embodiment, the one or more arms 408 may extend from the body 406 in a posterior direction relative to the femur 102.	90	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The medial bone plate 400 may be manufactured to have a variety of different widths and/or thicknesses in order to provide a medial bone plate 400 with a desired level of rigidity/stiffness and/or flexibility or both. Accordingly, the components of the medial bone plate 400 may be sized to provide a desired length, width, height, or thickness and the material used for one or more components may be selected to provide a desired level of rigidity and/or flexibility, or both.	91	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the medial bone plate 400 is configured, designed, and/or engineered to account for the close proximity of the large femoral artery of a patient that runs along the medial side of the femur 102. In particular, the femoral artery sits very close to the shaft 410 of the femur 102 and is not as close to the femur 102 near the distal end 412 of the femur 102. The medial bone plate 400 is configured for percutaneous deployment through an entry point/incision on the inside of the thigh (i.e., medial side at the distal end).	92	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The arm 408 at, or near, the proximal end 402 provides for fixation of medial bone plate 400 to the femur 102. The arm 408 can include one or more fastener openings 414 positioned at a variety of positions along the arm 408. The one or more fastener openings 414 are each configured to receive a fastener of a variety of types and configurations. Fasteners placed in the fastener openings 414 may engage the cortex of the long bone at a variety of angles, such as between 20 degree and 90 degrees in relation to a longitudinal axis of the long bone. Similarly, the positioning of the fastener openings 414 on the arm 408 can provide for a variety of different angles for the deployment of fasteners into the bone in relation to the medial bone plate 400. In one embodiment, the fasteners may be deployed at an angle between about 20 degrees relative to a longitudinal axis of the long bone to 90 degrees to 180 degrees (perpendicular to the body 406 of the medial bone plate 400).	93	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments, the presented solution includes the use of a protected drill sleeve/drill guide protector for deployment of fasteners into the fastener openings 414 of the arm 408 from the lateral side of the long bone. As one example, a surgeon may use a protected drill sleeve/drill guide protector similar to those used for fixation of an anterior cruciate ligament (ACL) guide. Use of the protected drill sleeve/drill guide protector when deploying from the lateral side of the long bone can protect soft tissue of the patient at the entry point and mitigate medial over penetration when the fasteners are deployed.	94	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The distal end 404 may include a fixation feature 416 that includes one or more fastener openings 414. The fixation feature 416 may be shaped and contoured to contact and follow a contour of a medial condyle of the long bone. The body 406 may be configured to contact a medial surface of a long bone, such as femur 102. Accordingly, the body 406 may include a curve or bow shape to follow a contour of the medial surface of the femur 102.	95	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the fastener openings 414 ( in the body 406, the arm 408, and/or fixation feature 416) and/or fixation feature 416 may be configured to use fasteners such as screws, pins, bones screws, or the like. In other embodiments, the medial bone plate 400 may include other fixation features and the corresponding components for those fixation features in place of the fastener openings 414 and/or fixation feature 416. For example, the fastener openings 414 and/or fixation feature 416 may instead comprise anchors, nuts, threaded openings, buttons, stops, of the like for implementing one or more of a variety of fixation technologies. For example, fixation of the medial bone plate 400 to the long bone may be done using cables, wires, sutures, suture buttons, flexible fasteners or the like.	96	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the fastener openings 414 may include internal threads configured to engage a bone screw driven from a lateral side of the long bone and into the fastener opening on the medial side of the long bone and in the body 406 or fixation feature 416. In such an embodiment, the fastener openings 414 provides a nut-like device for fixation. Also in such an embodiment, the arm 408 may include one or more fastener openings 414 that include internal threads configured to engage a bone screw or other fastener driven from a posterior side or anterior side of the long bone and into the fastener opening on the anterior side or posterior side of the long bone. In certain embodiments, fasteners can be deployed from a lateral side of the long bone and secured to the fixation feature 416 on the medial side.	97	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Alternatively, or in addition, the body 406 and/or fixation feature 416 may not include openings such as fastener openings 414. Instead, the body 406 and/or fixation feature 416 may be made from a material that permits a fastener driven from a lateral side of the long bone to penetrate the body 406 and/or fixation feature 416 and thereby tap its own opening into the medial bone plate 400.	98	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The body 406 may be of any length between the fixation feature 416 and the proximal end 402. In certain embodiments, the medial bone plate 400 may be manufactured in a variety of sizes with different lengths for the body 406 and/or other components to accommodate different types and locations of fractures of the long bone, sizes of long bone, and/or anatomical characteristics of the patient. In one embodiment, the medial bone plate 400 used is selected such that the arm 408 is superior to a fracture in the long bone. In certain embodiments, the arm 408 can straddle a fracture.	99	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The body 406 may also include one or more fastener openings 414. Together, the arm 408, body 406, and fixation feature 416 with the respective one or more fastener openings 414 provide a surgeon with a number of options for fixing the medial bone plate 400 to the femur 102 on the medial side without a need to attempt fixation using a fastener on the medial side alongside the shaft 410 in close proximity to the large femoral artery of a patient. Different embodiments of the medial bone plate 400 can include different configurations and/or arrangements of the one or more fastener openings 414 positioned along the length of the body 406 and/or within the fixation feature(s) 416. In certain embodiments, certain parts of the body 406 and/or fixation feature(s) 416 may include no fastener openings 414 or any other openings and may instead provide a solid structure which may serve to provide desired strength, durability, and/or rigidity.	100	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments, the intramedullary nail 100 and/or intramedullary nail system 200 can be deployed on a long bone that includes a prosthesis such as a knee prosthesis, a hip prosthesis, and/or one or more fixation prosthesis. Alternatively, or in addition, the intramedullary nail 100 and/or intramedullary nail system 200 can be deployed on a long bone that has no prosthesis (i.e., a native long bone, no joint or fixation prostheses).	89	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figures 4B, 4C, 4D, and 4E are front view, rear view, left side view, and right side view respectively of the medial bone plate of FIG. 4A, according to one embodiment. The medial bone plate 400 may include a front surface 418 and a back surface 420. The medial bone plate 400 may be generally planar. In one embodiment, the back surface 420 is configured to contact and follow the contour of a medial surface of the long bone (e.g., femur 102).	102	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the arm 408 may connect to the body 406 by way of an elbow 422. The elbow 422 may be shaped to facilitate percutaneous deployment of the medial bone plate 400. The arm 408 may be positioned at the furthermost part of the proximal end 402 or at any position between the proximal end 402 and the fixation feature 416. Furthermore, the medial bone plate 400 may include one or more arms 408 positioned along its length and the arms 408 may each extend in the anterior direction relative to the long bone, may each extend in the posterior direction relative to the long bone, and/or some arms 408 may extend in the anterior direction relative to the long bone while other arms 408 extend in the posterior direction relative to the long bone.	103	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In one embodiment, the medial bone plate may be a modular bone plate that includes one or more connectors on a proximal end 402 and/or a distal end 404. With a modular bone plate, the arm 408 may be connectable to the modular bone plate such that the arm 408 extends anteriorly relative to the long bone or posteriorly relative to the long bone. In certain embodiments, the body 406 may include a number of connection points for an arm 408 to be connected such that a surgeon can fixate the arm 408 at a variety of locations on the anterior surface and/or posterior surface of the long bone. In addition, the fixation feature 416 may be connectable to the modular bone plate at or near the distal end 404.	104	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In certain embodiments (not shown), the distal end 404 may include one or more fixation features 416 and the proximal end 402 may not include one or more arms 408. In such embodiments, the body 406 may include a bend, twist, or curve along its length. The bend, twist, or curve may be designed, configured, or engineered such that the one or more fixation features 416 can contact a medial surface of the long bone and the proximal end 402 is positioned above an anterior surface or a posterior surface of the long bone. In such an embodiment, the proximal end 402 may include one or more fastener openings 414 and/or one or more fastener features.	105	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 5A is a perspective view of a medial bone plate 500a deployed on a long bone, according to one embodiment. The medial bone plate 500a may have structures, features, and functions, operations, and configuration similar to that of the medial bone plate 400 described in relation to FIG. 4A-4E. Accordingly, the medial bone plate 500a may include a proximal end 502, distal end 504, body 506, one or more arms 508, one or more fastener openings 514, a fixation feature 516, a front surface 518, a back surface 520 (not shown), and one or more elbows 522. In the illustrated embodiment, the medial bone plate 500a has a longer body 506 such that the arms 508 are positioned above a fracture 524.	106	Added by DJM 8 2021	8/16/21, 12:00 AM

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