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PER-8 PROV 6. The method of claim 1, further comprising exporting one or more of the bone model, anatomic data, and the patient specific cutting guide model according to a format configured for use in one or more of a manufacturing tool, a simulation tool, virtual reality tool, an augmented reality tool, an operative procedure simulation tool, and a robotic assistance tool. 212 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV 5. The method of claim 1, further comprising generating a preoperative plan that uses the patient specific cutting guide model. 211 Added by DJM 7 2021 7/2/21, 12:00 AM
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PER-8 PROV 4. The method of claim 1, further comprising selecting a bone plate for fixation of two bones of the patient during an osteotomy procedure. 210 Added by DJM 7 2021 7/2/21, 12:00 AM
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FLO-4 FIG. 7 is a top view of an implant assembly 700, according to one embodiment of the present disclosure. The implant assembly 100 can include three pairs of screws 104 inserted within corresponding pairs of screw openings 106. Of course, in other implementations, each screw opening 106 may not include a screw 104. The implant assembly 100 includes three rotatable structures 112 that are each coupled to the bone plate 108 and that each include a pair of opposed arms 702. 80 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 a screw comprising a head comprising a head feature comprising one of a ridge and a radial groove; and 94 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 1.An implant assembly comprising: 93 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 Figure 8 is a top view of an implant assembly 800, according to one embodiment of the present disclosure. The implant assembly 800 may serve as a vertebral assembly. In the illustrated embodiment, the implant assembly 800 supports three levels 704 (e.g., level 704a, level 704b, and level 704c). The present disclosure supports move levels 704 as well. In one embodiment, the implant assembly 100 can support 5 levels and may include four rotatable structures 112, four pairs of screw openings 106, and four corresponding pair of screws 104. 89 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 Those of skill in the art will appreciate that the presented disclosure supports an embodiment of an implant assembly 100 that supports no levels 704. Such an embodiment may include one or more screw openings 106, one or more screws 104, and at least one locking mechanism 110 that may include at least one rotatable structure 112. 88 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 Each level 704 can include one or more locking mechanisms 110. Adjacent levels (e.g., level 704a and level 704b) can share a common locking mechanism 110 between them. Those of skill in the art recognize that the present disclosure supports embodiments of an implant assembly 100 that supports any number of levels 704. For each number of levels, the implant assembly 100 may include one more pair of screw openings 106, corresponding pair of screws 104, and locking mechanism 110 or rotatable structure 112 than the number of levels. For example, an implant assembly 100 that support two levels may include three rotatable structures 112, three pairs of screw openings 106, and three corresponding pair of screws 104. Likewise, an implant assembly 100 that supports one level may include two rotatable structures 112, two pairs of screw openings 106, and two corresponding pair of screws 104. In certain embodiments, the implant assembly 100 may include a bone plate 108, a rotatable structure 112, a pair of screw openings 106 and screws may not be included in the implant assembly 100. 87 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 FIG. 7 illustrates an embodiment of a vertebral implant 700 that may include two levels 704a, 704b. Each level 704 can include one or more screw openings 106 that receive corresponding screws 104 and one or more locking mechanisms 110 that can include corresponding rotatable structures 112. In one embodiment, each level 704 can include a pair of screw openings 106 that receive corresponding pair of screws 104 and two locking mechanisms 110 that can include corresponding rotatable structures 112. In certain embodiments of the implant assembly 100, the opening 506 may serve as a window that permits a surgeon or other user to view a condition of parts between bones 102 secured with the vertebral implant 700 installed. 86 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 In one embodiment, a vertebral implant 700 may be configured, designed, engineered, or adapted to support one or more levels 704. In such an embodiment, the bone plate 108 may be sized to support the one or more levels 704. As used herein, a “level” refers to a location within the body of a patient that includes a bone on either end of the level with another body part of section between the bones 102. For example, the vertebral implant 700 can be used to secure adjacent vertebral bodies that may include either a cervical disc, a cervical fixation implant, or a combination of all, or part of, a cervical disc and a cervical fixation implant in between each vertebral body. 85 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 FIG. 7 illustrates one example of an implant assembly that can serve as a vertebral implant 700. In this example, the bone plate 108 can include three pairs of screw openings 106 and the vertebral implant can include three rotatable structures 112. Each rotatable structure 112 may be positioned in, or on, the bone plate 108 and adapted to retain a pair of screws 104. Each screw 104 is positioned within a screw opening 106 of the three pairs of screw openings 106. 84 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 In one embodiment, the bone plate 108 may include a single niche 130 for each rotatable structure 112. The niche 130 may be formed in a straight section of the rim 304 around the recess 120. The niche 130 may serve as part of a detent mechanism that secures two ears 132. For example, in one embodiment, a detent mechanism includes a niche 130 and two ears 132. A first ear 132a that fits within the niche 130 when the rotatable structure 112 is in the locked orientation and a second ear 132b and that seats within the same niche 130 when the rotatable structure 112 is in the unlocked orientation. (See FIG. 1) The second ear 132b and the first ear 132a may be sized to be received in the niche 130. The bone plate 108 may include one or more openings 506. 83 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 Together the bone plate 108 and rotatable structure 112 can cooperate to create a detent mechanism. The detent mechanism can retain the rotatable structure 112 in a locked orientation and may include a niche 130 and at least one ear 132. In the illustrated embodiment, the detent mechanism can include a niche 130 and one or more ears 132. The niche 130 and/or ears 132 can be formed in either the rotatable structure 112 (e.g., along an edge of the rotatable structure 112) and/or in the bone plate 108, for example in a rim 304 of a recess 120. 82 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 In one embodiment, the pair of opposed arms 702 extend in opposite directions from each other. In one embodiment, the pair of opposed arms 702 may be in the shape of a delta shape, like a delta wing. In this manner, given the placement and orientation of the recess 120, rotatable structure 112, and the screw opening(s) 106, a single pair of opposed arms 702 can engage two screws 104 positioned within a pair of screw openings 106 when the rotatable structure 112 is in a locked orientation. The arm 114 serves to restrict back-out of the screw 104. The rotatable structures 112 also include a drive feature 118 that can receive torque from a driver to rotate the rotatable structure 112 between the locked orientation and an unlocked orientation. 81 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 an implant securable to a bone of a patient with the screw, the implant comprising: 95 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 FIG. 6 is a perspective top view of an exemplary screw 104 of FIG. 1A, according to one embodiment of the present disclosure showing an enlarged version of the head feature 107. In particular, FIG. 6 shows a plurality of raised ridges 216. Looking at a single ridge 216, as one example, each ridge 216 may include a long ramp 602 and a short ramp 604. In one embodiment, the angle and size and relationship of the long ramp 602 and the short ramp 604 are designed, or selected, such that the long ramp 602 facilitates sliding of a lock feature 105 past one or more of the raised ridges 216 as a rotatable structure 112 is rotated to the locked orientation. 79 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 In certain embodiments, the implant assembly 100 may include a bone plate 108 having one or more openings 506. The opening 506 may serve as a window that permits a surgeon, post-operation, to view progress of a bone fusion procedure between bones 102 secured with the implant assembly 100. Alternatively, or in addition, the opening 506 can provide structural integrity to the bone plate 108. The openings 506 may mitigate coverage of body parts of a patient unnecessarily, may reduce the weight and amount of material used to form the bone plate 108, enable desirable flexing or stretching of the bone plate 108 as a patient moves. Alternatively, or in addition, the opening 506 may provide an aesthetic appeal for the bone plate 108. 78 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 In certain embodiments, the rotatable structure 112 can be made from a variety of materials including plastic (e.g., ultra-high molecular weight polyethylene (UHMW). In such embodiments, a color for the rotatable structure 112 may be chosen to provide a high contrast between the rotatable structure 112 and other structures of the implant assembly 100 and/or parts of a patient’s body. In one embodiment, the rotatable structure 112 may be made of a material having a bright color and/or a high contrast color such as yellow. Using a bright color (e.g., yellow) may be advantageous and facilitate a user connecting a driver (not shown) to a drive feature 118 of the rotatable structure 112. The drive feature 118 can receive torque from the driver to rotate the rotatable structure 112 between an unlocked orientation and a locked orientation and/or vice versa. 77 Added by DJM 5 2021 5/1/21, 12:00 AM
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FLO-4 In the illustrated example, the rotation limiter 502 can engage the rotatable structure 112 and thereby limit the degree of rotation 504. In one embodiment, the degree of rotation 504 can range between 0 degrees and about 50 degrees. 76 Added by DJM 5 2021 5/1/21, 12:00 AM

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