Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-12	In certain embodiments, the term fastener may be used with an adjective that identifies an object or structure that the fastener may be particularly configured, designed, or engineered to engage, connect to, join, contact, or couple together with one or more other structures of the same or different types. For example, a "bone fastener" may refer to an apparatus for joining or connecting one or more bones, one or more bone portions, soft tissue and a bone or bone portion, hard tissue and a bone or bone portion, an apparatus and a bone or portion of bone, or the like.	24	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	In certain embodiments, a fastener may be a temporary fastener. A temporary fastener is configured to engage and serve a fastening function for a relatively short period of time. Typically, a temporary fastener is configured to be used until another procedure or operation is completed and/or until a particular event. In certain embodiments, a user may remove or disengage a temporary fastener. Alternatively, or in addition, another structure, event, or machine may cause the temporary fastener to become disengaged.	25	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	As used herein, “osteotomy” or "osteotomy procedure" or "surgical osteotomy" refers to a surgical operation in which one or more bones are cut to shorten or lengthen them or to change their alignment. The procedure can include removing one or more portions of bone and/or adding one or more portions of bone or bone substitutes. (Search "osteotomy" on Wikipedia.com Feb. 3, 22, 2021. CC-BY-SA 3.0 Modified. Accessed Feb. 15, 2022.) As used herein, "patient specific osteotomy procedure" refers to an osteotomy procedure that has been adjusted, tailored, modified, or configured to specifically address the anatomy, physiology, condition, abnormalities, needs, or desires of a particular patient. In certain aspects, one patient specific osteotomy procedure may be useable in connection with only one patient. In other aspects, one patient specific osteotomy procedure may be useable with a number of patients having a particular class of characteristics. In certain aspects, a patient specific osteotomy procedure may refer to a non-patient specific osteotomy procedure that includes one or more patient specific implants and/or instrumentation. In another aspects, a patient specific osteotomy procedure may refer to a patient specific osteotomy procedure that includes one or more patient specific implants, patient specific surgical steps, and/or patient specific instrumentation.	26	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	"Trajectory" refers to a path a body travels or a path configured for a body to travel through space. (Search "trajectory" on wordhippo.com. WordHippo, 2023. Web. Modified. Accessed 13 June 2023.)	27	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	"Wedge osteotomy" refers to an osteotomy procedure in which one or more wedges are used as part of the procedure. Generally, wedge osteotomies can be of one of two types, open wedge and closing wedge. The type of osteotomy refers to how the procedure changes the relation between two parts of a bone involved in the osteotomy. In an open wedge osteotomy a wedge of bone or graft or other material is inserted in between two parts of a bone. Consequently, a wedge shape is "opened" in the bone. In a close/closed wedge osteotomy or closing wedge osteotomy a wedge of bone is removed from a bone. Consequently, a wedge shape formed in the bone is "closed."	28	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	As used herein, "anatomic data" refers to data identified, used, collected, gathered, and/or generated in connection with an anatomy of a human or animal. Examples of anatomic data may include location data for structures, both independent, and those connected to other structures within a coordinate system. Anatomic data may also include data that labels or identifies one or more anatomical structures. Anatomic data can include volumetric data, material composition data, and/or the like. Anatomic data can be generated based on medical imaging data or measurements using a variety of instruments including monitors and/or sensors. Anatomic data can be gathered, measured, or collected from anatomical models and/or can be used to generate, manipulate, or modify anatomical models.	29	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	A bone model or anatomic model of a patient’s body or body part(s) may be generated by computing devices that analyze medical imaging images. Structures of a patient’s body can be determined using a process called segmentation.	30	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	As used herein, "segmentation" or "image segmentation" refers the process of partitioning an image into different meaningful segments. These segments may correspond to different tissue classes, organs, pathologies, bones, or other biologically relevant structures. Medical image segmentation accommodates imaging ambiguities such as by low contrast, noise, and other imaging ambiguities.	31	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-12	Certain computer vision techniques can be used or adapted for image segmentation. For example, the techniques and or algorithms for segmentation may include, but are not limited to: Atlas-Based Segmentation: For many applications, a clinical expert can manually label several images; segmenting unseen images is a matter of extrapolating from these manually labeled training images. Methods of this style are typically referred to as atlas-based segmentation methods. Parametric atlas methods typically combine these training images into a single atlas image, while nonparametric atlas methods typically use all of the training images separately. Atlas-based methods usually require the use of image registration in order to align the atlas image or images to a new, unseen image.	32	Added by DJM Jan 2024	1/6/24, 10:03 PM
View Edit Delete	PER-24	FIG. 22 illustrates an exemplary system for an osteotomy 2200 using a medial approach, according to one embodiment. In one embodiment, the exemplary ankle fusion osteotomy system 2200 is specifically designed for use on a medial side of the patient’s ankle (e.g., using a medial approach). Those of skill in the art will appreciate that the same or a similar exemplary ankle fusion osteotomy system 2200 can be used on a lateral side of the patient’s ankle (e.g., using a lateral approach). Those of skill in the art will also appreciate that a surgical procedure that conducts an ankle fusion on an ankle from a medial or lateral approach generally includes steps to perform an osteotomy on the malleolus (medial or lateral depending on the approach) and retracting or holding a distal end of the malleolus out of the way for the osteotomy steps on the tibia 226 and/or talus 222.	428	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	The osteotomy system 2200 can include one or more fasteners 810 and/or two or more sets of fasteners (810a, 810b, 810c), one or more resection guides 2220, and zero or one or more complementary components 730. In the illustrated embodiment, the resection guides 2220 include a first resection guide 2222 and a second resection guide 2224. The resection guides 2220 may also include one or more of resection features 2226, bone attachment features 2228, bone engagement feature 2230, and/or landmark registration feature 2234. In certain embodiments, a bone engagement feature 2230 can include a bone engagement surface 2232.	429	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	While specific embodiments of complementary components 730 are not specifically shown here in relation to the osteotomy system 2200, those of skill in the art will appreciate that complementary components 730 can be similar in feature, design, implementation, configuration, and purpose as those described in relation to the osteotomy system 700 and can be used for the osteotomy system 2200. Thus, the osteotomy system 2200 can include one or more alignment guides 740, rotation guides 750, correction guides 760, compression guides 770, positioning guides 780, fixation guides 790, navigation guides 792, implants 794, or the like.	430	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	Either or both of the resection guides 2220 may be custom patient-specific resection guides made for a particular patient and/or for a particular surgical procedure. Various aspects of the resection guides 2220 may be patient-specific, including, but not limited to, an angle and/or orientation for a resection feature of the resection guide 2220, a position of the resection feature, a depth of the resection feature, a size of the resection guide 2220, a configuration and/or composition of a bone contacting surface such as a bone engagement surface of the resection guide 2220, and the like.	431	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	Either or both of the resection guides 2220 of osteotomy system 2200 can include some or all of the same or substantially the same features, aspects, alternatives, and/or components as other example resection guides described herein with like components including the same or similar reference numerals. Accordingly, the resection guide 2222 can or may include a first resection feature 2264, a second resection feature 2266, one or more bone attachment features 2228, one or more bone engagement features 2230, one or more alignment guides 2274, one or more shafts 2278, one or more openings 2276, one or more resection guards 2270 (not shown), one or more fastener guides 2290 (not shown), and the like. The bone engagement features 2230 may include one or more bone engagement surfaces 2232. Alternatively, or in addition, either or both of the resection guides 2220 can include one or more stabilizers 2292 and one or more sights 2294.	432	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	The resection guides 2222 may each include a body that includes an anterior side, a posterior side, a medial side, a lateral side, a superior side, and an inferior side. In certain embodiments, a first resection guide 2222 may be combined with a second resection guide 2224 into a single resection guide 2220.	433	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	The resection guide 2222 and/or resection guide 2224 of osteotomy system 2200 can include some, or all of the same or substantially the same features, aspects, and/or components as the resection guides 820 and/or first resection guide 1822 and/or second resection guide 1824 described herein with like components including the same reference numerals. Accordingly, the resection guides 2220 can or may include one or more resection features, one or more bone attachment features, one or more bone engagement features, one or more alignment guides, one or more shafts, one or more openings, one or more resection guards, one or more fastener guides, and/or the like.	434	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	FIGs. 23A-23G illustrate different views of one example first resection guide 2222. In one embodiment, the first resection guide 2222 includes a body 2302 that includes an anterior side 2304, a posterior side 2306, a medial side 2308, a lateral side 2310, a superior side 2312, and an inferior side 2314. Generally, the sides of the first resection guide 2222 refer to the direction the sides face when the first resection guide 2222 is in use. FIG. 23A is an anterior perspective view of one example first resection guide 2222. FIG. 23B is a medial view of the example first resection guide 2222 of FIG. 23A. FIG. 23C is a lateral view of the example first resection guide 2222 of FIG. 23A. FIG. 23D is an anterior view of the example first resection guide 2222 of FIG. 23A. FIG. 23E is a posterior view of the example first resection guide 2222 of FIG. 23A. FIG. 23F is a superior view of the example first resection guide 2222 of FIG. 23A. FIG. 23G is an inferior view of the example first resection guide 2222 of FIG. 23A. FIGs. 23C, 23D, 23E, and 23G include views of the bone engagement surface 2232. In certain embodiments, the first resection guide 2222 can include one or more landmark registration features 2234.	435	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	FIGs. 24A-24G illustrate different views of one example second resection guide 2224. In one embodiment, the second resection guide 2224 includes a body 2402 that includes an anterior side 2404, a posterior side 2406, a medial side 2408, a lateral side 2410, a superior side 2412, and an inferior side 2414. Generally, the sides of the second resection guide 2224 refer to the direction the sides face when the second resection guide 2224 is in use. FIG. 24A is an anterior perspective view of one example second resection guide 2224. FIG. 24B is a medial view of the example second resection guide 2224 of FIG. 24A. FIG. 24C is a lateral view of the example second resection guide 2224 of FIG. 24A. FIG. 24D is an anterior view of the example second resection guide 2224 of FIG. 24A. FIG. 24E is a posterior view of the example second resection guide 2224 of FIG. 24A. FIG. 24F is a superior view of the example second resection guide 2224 of FIG. 24A. FIG. 24G is an inferior view of the example second resection guide 2224 of FIG. 24A. FIGs. 24C, 24D, 24E, and 24G include views of the bone engagement surface 2232. In certain embodiments, the second resection guide 2224 can include one or more landmark registration features 2234.	436	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	FIGs. 25A-25E illustrate different views of a surgical osteotomy procedure using the osteotomy system of FIG. 22, according to one embodiment.	437	Added by DJM Jan 2024	1/6/24, 10:01 PM
View Edit Delete	PER-24	FIG. 25A illustrates a stage of an osteotomy surgical procedure in which a first resection guide 2222 is positioned on a medial surface of an ankle joint. The first resection guide 2222 is positioned for an osteotomy of a talus 222 or a tibia 226. However, the osteotomy of the talus 222 may also resect a portion of a distal end of a tibia 226, and vice versa.	438	Added by DJM Jan 2024	1/6/24, 10:01 PM

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