Dave's PCF WIP: Paragraphs

Paragraphs

Actions	Matter	Content	Para #	Notes	Modified
View Edit Delete	PER-33	FIG. 17 is a flowchart diagram of an example process 1700 or method for generating a tendon trajectory guide, according to one embodiment. In some implementations, one or more process blocks of FIG. 17 may be performed by a patient-specific tendon transfer anchor guide.	380	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	As shown in FIG. 17, process 1700 may include receiving (block 1702) an order for a patient-specific tendon transfer anchor guide for a particular soft tissue transfer surgical procedure. The patient-specific tendon transfer anchor guide may include: a body having a superior side, an inferior side, a medial side, a lateral, a posterior side, and an anterior side; a trajectory port that extends through the body, the trajectory port configured to guide a tool for forming a bone tunnel in a foot bone of a patient; a bone engagement surface on the inferior side of the body, the bone engagement surface configured to engage a surface of the foot bone such that the bone engagement surface positions the patient-specific tendon transfer anchor guide at a position on the foot bone that satisfies a desired position for a bone tunnel in the foot bone; an appendage that extends laterally from the body, the appendage having an appendage inferior surface; and where the bone engagement surface extends across at least a portion of the inferior side of the body and at least a portion of the appendage inferior surface.	381	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	For example, patient-specific tendon transfer anchor guide may receive an order for a patient-specific tendon transfer anchor guide for a particular soft tissue transfer surgical procedure, as described above.	382	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	As also shown in FIG. 17, process 1700 may include preparing (block 1704) a draft design of the patient-specific tendon transfer anchor guide, the draft design defined based at least partially on a bone model of at least a portion of a foot bone of the patient, the bone model based on medical imaging of a patient’s foot. For example, a technician may prepare a draft design of the patient-specific tendon transfer anchor guide, as described above.	383	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	As further shown in FIG. 17, process 1700 may include sharing (block 1706) the draft design with a user of the patient-specific tendon transfer anchor guide. For example, a technician may share the draft design with a user (e.g., a surgeon). In one embodiment, the technician may schedule a meeting or may send an email or file with the draft design.	384	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Next, the process 1700 may include a determination (block 1708) in which the surgeon (e.g., a user) determines whether or not the surgeon approves of the draft design. If so, the process 1700 may continue with fabricating (block 1710) the patient-specific tendon transfer anchor guide based on the draft design after approval of the draft design by the user. If the surgeon does not approve (block 1708), the process may continue with revising (block 1712) the draft design based at least partially on user directions.	385	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In one embodiment, a technician may revise (block 1712) the draft design. Alternatively, or in addition, a user (e.g., surgeon) may revise the draft design. Alternatively, or in addition, the surgeon may simply provide instructions on what to change and a technician may make those changes. At this point, the process 1700 returns back to block 1706 in which a technician may share (block 1706) a revised version of the draft design with the user. The cycle of sharing 1706, determination 1708, and revising 1712, may continue for multiple iterations until the surgeon is satisfied that the draft design will serve its purpose.	386	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In one embodiment, process 1700 may include additional implementations, such as any single implementation or any combination of implementations described below and/or in connection with one or more other processes described elsewhere herein. A first implementation, alone or in combination with the first implementation, revising further may include adding a second appendage extending from the patient-specific tendon transfer anchor guide, the second appendage having an appendage inferior surface that may include at least a portion of the bone engagement surface.	387	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Although FIG. 17 shows example blocks of process 1700, in some implementations, process 1700 may include additional blocks, fewer blocks, different blocks, or differently arranged blocks than those depicted in FIG. 17. Additionally, or alternatively, two or more of the blocks of process 1700 may be performed in parallel.	388	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Those of skill in the art will appreciate that embodiments of the system disclosed herein can be used on humans and animals and on bones that are relatively small in comparison to other bones of the body (e.g., bones of the foot and hand). Advantageously, the embodiments of the system seek to minimize the number of fasteners or pins placed within the bones of a patient by planning a surgical procedure such that pins or fasteners placed in one stage are and/or can be reused in subsequent stages. Consequently, pins initially deployed can remain in the bone or bone fragment as instruments are deployed and/or subsequent stages of the surgical procedure are performed.	389	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Advantageously, because the present disclosure uses a bone model of the patient’s bones the sizes, dimensions, lengths and configurations of the components of the example systems can each be changed, adapted, revised, and/or customized to meet the needs and/or preferences of the patient and/or surgeon. Advantageously, using the apparatus, systems, and/or methods of the present disclosure the surgeon may have a preoperative plan that identifies which specific bone screw (length, width, diameter, thread, pitch, etc.) to use for the fasteners.	390	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Advantageously, the present disclosure provides an apparatus, system, and/or method that can remediate a condition in a patient’s foot. Those of skill in the art will appreciate that the methods, processes, apparatuses, systems, devices, and/or instruments of the present disclosure can be used to address a variety of conditions in a variety of procedures and/or parts of the body of the patient.	391	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Conventionally, correction methods, systems, and/or instrumentation for a condition such as, for example, a bunion and/or a hallux valgus, face several challenges. One example is how to cut the bone such that the cut faces have a desired angle in relation to each other. Advantageously, the present disclosure can address many, if not all, of these challenges to assist a surgeon in performing the surgical procedure and improve the quality of patient care and outcomes.	392	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Any methods disclosed herein comprise one or more steps or actions for performing the described method. The method steps and/or actions may be interchanged with one another. In other words, unless a specific order of steps or actions is required for proper operation of the embodiment, the order and/or use of specific steps and/or actions may be modified.	393	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Reference throughout this specification to “an embodiment” or “the embodiment” means that a particular feature, structure or characteristic described in connection with that embodiment is included in at least one embodiment. Thus, the quoted phrases, or variations thereof, as recited throughout this specification are not necessarily all referring to the same embodiment.	394	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Similarly, it should be appreciated that in the above description of embodiments, various features are sometimes grouped together in a single embodiment, Figure, or description thereof for the purpose of streamlining the disclosure. This method of disclosure, however, is not to be interpreted as reflecting an intention that any claim require more features than those expressly recited in that claim. Rather, as the following claims reflect, inventive aspects lie in a combination of fewer than all features of any single foregoing disclosed embodiment. Thus, the claims following this Detailed Description are hereby expressly incorporated into this Detailed Description, with each claim standing on its own as a separate embodiment. This disclosure includes all permutations of the independent claims with their dependent claims.	395	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Additionally, a surgeon may use one or more components in an exemplary system 700 to make multiple cuts, openings, and/or bone tunnels in the bone(s). The multiple cuts may be centered over or around an apex of a deformity or positioned at other locations within the foot such that when the multiple cuts are made, any resected segments removed, bone tunnels formed, or added bone void fillers introduced, and/or bones and/or bone fragments translated and/or rotated the combined angles, surfaces, removed segments, and/or added portions cooperate to provide a desired correction. Each of the components of the exemplary system 700 can be identified, defined, and reviewed using the apparatuses, systems, and/or methods of the present disclosure.	259	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	In certain embodiments, the components of system 700 may be made as small as possible to minimize the amount of soft tissue that is opened in the patient for the procedure. Alternatively, or in addition, walls and/or sides of the components may be beveled and/or angled to avoid contact with other hard tissue or soft tissues in the operating field for the procedure.	260	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	Those of skill in the art will appreciate that for certain procedures a complementary component 730 may not be needed or a given complementary component 730 may be optional for use in the procedure. Similarly, those of skill in the art will appreciate that certain features of the fasteners 710, STRGs 720, and/or complementary components 730 can be combined into one or more of apparatus or devices or may be provided using a plurality of separate devices.	261	Added by DJM Jan 2024	1/6/24, 9:58 PM
View Edit Delete	PER-33	FIG. 8 illustrates an exemplary soft tissue rearrangement system 800, according to one embodiment. The soft tissue rearrangement system 800 can include one or more fasteners 710 embodied in for the form of depicted exemplary fastener 910, one or more STRGs 720 embodied in for the form of depicted exemplary bone tunnel guide 920, and zero or one or more complementary components 730. The bone tunnel guide 920 may also include one or more trajectory ports 722, one or more optional landmark registration features 724, and/or one or more optional bone engagement features 726. (See FIG. 7) In certain embodiments, a bone engagement feature 928 can include one or more bone engagement surfaces.	262	Added by DJM Jan 2024	1/6/24, 9:58 PM

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