Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The shaft 108, distal end 104, and proximal end 106 may be manufactured from a single piece of material. In another embodiment, the shaft 108, distal end 104, the proximal end 106 may each or a combination of them be made from a single piece of material that is then connected, joined, or coupled to form the intramedullary nail 100.	47	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The shaft 108 connects the distal end 104 and the proximal end 106. The length of the shaft 108 may determine the length of the intramedullary nail 100. In certain embodiments, the shaft 108 include a curve or bow such that the intramedullary nail 100 follows a natural curve in the intramedullary canal of a patient’s long bone.	46	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The cross-sectional diameter and length of the intramedullary nail 100 can vary depending on the age, gender, nature and position of long bone fracture(s) (e.g., diaphyseal, metaphyseal, periarticular, etc.), size of the patient, and the like. In certain embodiments, an intramedullary nail 100 having about a 10 mm cross section can be used. The shaft 108 is a rigid structure that connects the distal end 104 and proximal end 106. The distal end 104 and proximal end 106 may each also be rigid. In certain embodiments, the shaft 108, distal end 104, and/or proximal end 106 may include some level of resilience. The amount of resilience in the shaft 108, distal end 104, and/or proximal end 106 may vary or may be consistent and may be engineered to facilitate deployment of the intramedullary nail 100 within the medullary canal of the long bone.	45	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Figure 1B is a perspective side view of the intramedullary nail 100 of FIG. 1A, according to one embodiment. The intramedullary nail 100 serves to provide weight bearing load, axial loading, and structural support for the long bone (e.g., femur 102) of a patient. The intramedullary nail 100 may be made from a variety of biocompatible materials used in IMDFs. The intramedullary nail 100 may be hollow along its length. The passage through the intramedullary nail 100 may permit deployment of the intramedullary nail 100 along a guide wire. The intramedullary nail 100 may have a longitudinal cross section that is circular, ovoid, polygonal, or the like.	44	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The intramedullary nail 100 may include a distal end 104, a proximal end 106, and a shaft 108. The distal end 104 may include a coupling 110 and the proximal end 106 may include a point 112. The intramedullary nail 100 includes a longitudinal axis 114.	43	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Referring to FIG. 1C and 1D, in one embodiment, the offset section 116 includes a first bend 118 and a second bend 120. The first bend 118 and second bend 120 may be described by how the bends are angled in relation to the longitudinal axis 114 of the intramedullary nail 100. For example, in one embodiment, the first bend 118 is angled posteriorly from the longitudinal axis 114 when the intramedullary nail 100 is deployed within a long bone of a patient. The first bend 118 may define a first angle 126 between the longitudinal axis 114 and a body 128 of the offset section 116. The first angle 126 may be a variety of angles and may range from between about 3 degrees and about 90 degrees. In certain embodiments, the first angle 126 may be about 45 degrees.	51	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	It is desirable that bone plates be as thin, short, light weight, and flexible as possible. However, bone plates with such characteristics may provide insufficient fixation of a long bone when used in isolation. Intramedullary nails may provide sufficient fixation but may have other limitations. A fixation system is needed that includes a thinner and/or more suitably flexible bone plate and an intramedullary nail that together provide the desired fixation of the long bone with a facture.	41	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Conventional lateral bone plates offer limited deployment configurations that may not accommodate anatomical variations between patients. A simple modular lateral bone plate that facilitates fixation that accounts for patient variations and needs determined both before and during surgery is needed.	40	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Conventional medial bone plates offer limited fixation structures that account for arteries in close proximity to the long bone (e.g., a neurovascular bundle or femoral artery near the medial side of the femur). A simple medial bone plate that facilitates fixation that accounts for arteries and/or a neurovascular bundle in close proximity to the long bone is needed.	39	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In patients who have received a joint prosthesis at the joint at the distal end of a long bone, existing intramedullary fixation devices (IMDFs), such as nails, rods, and the like can make retrograde and antegrade deployment from a distal/proximal end of the long bone challenging or not possible using conventional techniques and instrumentation. A simple, easy IMDF that facilitates retrograde/antegrade deployment from a distal/proximal end of the long bone is needed.	38	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The present disclosure discloses surgical devices, systems, and/or methods for fixation in relation to fractures of a long bone of a patient. Existing fixators and/or fixation devices, methods, or steps for long bone fractures are limited.	37	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	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. Proximal means toward the trunk of the body. Proximal may also mean toward a user or operator. Distal means away from the trunk. Distal may also mean away from a user or operator. Dorsal means toward the top of a body part such as a foot. Plantar means toward the sole of the foot. 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.	36	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	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.	35	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	Standard medical planes of reference and descriptive terminology are employed in this specification. While these terms are commonly used to refer to the human body, certain terms are applicable to physical objects in general, including prosthesis, implants, and/or instruments.	34	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	In addition, the second bend 120 is angled anteriorly from, or in relation to, the longitudinal axis 114 when the intramedullary nail 100 is deployed within a long bone of a patient. The second bend 120 may define a second angle 130 between the body 128 and an offset axis 122 (i.e., a longitudinal axis of the offset section 116). The second angle 130 may be a variety of angles and may range from between about 25 degrees and about 155 degrees. In certain embodiments, the second angle 130 may be about 135 degrees.	52	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 first angle 126 and second angle 130 may be supplementary angles such that joining the first bend 118 and second bend 120 together with the body 128 between them results in the coupling 110 extending in a direction or along an offset axis 122 that is parallel to the longitudinal axis 114. Said another way, the second bend 120 may be angled anteriorly from, or in relation to, the longitudinal axis 114 such that a coupling 110 connected to the second bend 120 extends, or is oriented, in a direction that is parallel to the longitudinal axis 114. An offset axis 122 that passes through a cross sectional center 124 of the coupling 110 and into the second bend 120 is substantially parallel to the longitudinal axis 114.	53	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	FIG. 1D illustrates example first angle 126 and second angle 130 for one embodiment in relation to longitudinal axis 114. In the illustrated embodiment, the first angle 126 and second angle 130 are supplementary angles. Of course, first angle 126 and second angle 130 may not be supplementary angles in other embodiments.	54	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The length of the body 128 may vary depending on the type of long bone and/or type of fracture being treated. Similarly, the angle of the first bend 118 and/or second bend 120 can vary depending on the type of long bone and/or type of fracture being treated.	55	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 offset section 116 may include a single bend, such as first bend 118. In such an embodiment, the coupling 110 and an end of the distal end 104 extends posteriorly from a distal joint of the long bone.	56	Added by DJM 8 2021	8/16/21, 12:00 AM
View Edit Delete	NXT-5PROV NXT-5, 6, 7, 8	The distal end 104 of the intramedullary nail 100 may include one or more openings 132 configured to accept one or more fasteners (e.g., a bone screws) used to lock the intramedullary nail 100 in place, or fix the intramedullary nail 100, in place within the long bone. The one or more openings 132 may include internal threads that engage threads of fasteners or may permit the fasteners to pass through the intramedullary nail 100 and engage bone on an opposite side of the one or more openings 132. One of the one or more openings 132 may be within the body 128 of the offset section 116 and one of the one or more openings 132 may be at another position along the distal end 104. The fastener openings 132 may be configured to accept fasteners driven into the long bone at a variety of angles.	57	Added by DJM 8 2021	8/16/21, 12:00 AM

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