# US 2008/0188854 A1 · Surgical Anchor Delivery System

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- Number: US 2008/0188854 A1
- Document ID: US20080188854A1
- Status: Published application
- Kind: A1
- Application number: 11/969,595
- Filed: 2008-01-04
- Published: 2008-08-07
- Earliest claimed: 2007-01-05
- Assignees: University of Florida Research Foundation, Inc.
- Inventors: Michael William Moser
- Web page: https://patentgrep.com/patent/US20080188854A1

## CPC

- A61B 17/1684: {for the shoulder}
- A61B 17/0401: {Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors (A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811)}
- A61B 17/1631: {Special drive shafts, e.g. flexible shafts (A61B17/1642, A61B17/164 take precedence)}
- A61B 17/1633: {Sleeves, i.e. non-rotating parts surrounding the bit shaft, e.g. the sleeve forming a single unit with the bit shaft (A61B17/1644 takes precedence)}
- A61B 2017/0409: {Instruments for applying suture anchors}
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)

## Abstract

Embodiments of the present invention relate to systems and methods for assisting a user during delivery of a labral anchor. For example, one embodiment provides a labral anchor delivery system that includes a drill sleeve having a proximal end and a distal end that is cannulated therebetween. At least a portion of the drill sleeve proximate to the distal end is curved such that the distal end is configured to be positioned substantially perpendicular to a surface of a glenoid. The labral anchor delivery system includes a drill bit having a proximal end and a distal end and configured to be positioned within the cannulated drill sleeve and into engagement with the surface of the glenoid. In addition, at least a portion of the drill bit between the proximal and distal ends of the drill bit is flexible for conforming to the curved portion of the drill sleeve.

## Claims

### Claim 1

A surgical anchor delivery system for delivering a surgical anchor, the system comprising:
a drill sleeve having a proximal end and a distal end, wherein the drill sleeve defines a passage that extends from the proximal end to the distal end, and wherein at least a portion of the drill sleeve proximate to the distal end is curved to allow the distal end to be positioned substantially perpendicular to a surface of a bone into which a portion of the surgical anchor is to be inserted; and
a drill bit having a proximal end and a distal end, wherein the drill bit is configured to be positioned within the passage and into engagement with the surface of the bone, and wherein at least a portion of the drill bit between the drill bit's proximal and distal ends is sufficiently flexible to conform to the curved portion of the drill sleeve.

### Claim 2 (depends on 1)

The system of claim 1, wherein the bone is a glenoid.

### Claim 3 (depends on 1)

The system of claim 1, wherein the drill sleeve comprises a handle proximate to the drill sleeve's proximal end.

### Claim 4 (depends on 1)

The system of claim 1, wherein the proximal end of the drill sleeve defines a longitudinal axis, and wherein the curved portion of the drill sleeve is curved with respect to the longitudinal axis.

### Claim 5 (depends on 4)

The system of claim 4, wherein the longitudinal axis of the drill sleeve's proximal end and the longitudinal axis of the drill sleeve's distal end define an angle of about 30 degrees due to the curvature of the drill sleeve's curved portion.

### Claim 6 (depends on 1)

The system of claim 1, wherein:
the drill bit comprises a shank and a cutting portion;
the cutting portion defines at least one cutting edge; and
at least a portion of the shank comprises the flexible portion.

### Claim 7 (depends on 6)

The system of claim 6, wherein the at least one cutting edge is in a substantially helical configuration.

### Claim 8 (depends on 7)

The system of claim 7, wherein the flexible portion of the drill bit is adjacent to the at least one cutting edge.

### Claim 9 (depends on 1)

The system of claim 1, further comprising an insertion guide having a proximal end and a distal end, wherein the insertion guide is configured to be positioned within the drill sleeve and proximate to the surface of the bone.

### Claim 10 (depends on 9)

The system of claim 9, wherein at least a portion between the proximal and distal ends of the insertion guide is flexible for conforming to the curved portion of the drill sleeve.

### Claim 11 (depends on 9)

The system of claim 9, further comprising a labral anchor secured to the distal end of the insertion guide.

### Claim 12 (depends on 11)

The system of claim 11, wherein the flexible portion of the insertion guide is adjacent to the labral anchor.

### Claim 13

A surgical anchor delivery system for delivering a surgical anchor, the system comprising:
a sleeve having a proximal end and a distal end, wherein the sleeve defines a passage that extends from the proximal end to the distal end, and wherein at least a portion of the sleeve proximate to the distal end is curved to allow the distal end to be positioned substantially perpendicular to a surface of a bone into which a portion of the surgical anchor is to be inserted; and
an insertion guide having a proximal end and a distal end, wherein the insertion guide is adapted to both support a surgical anchor and to be positioned within the sleeve proximate to the surface of the bone, wherein at least a portion of the insertion guide between the insertion guide's proximal and distal ends is sufficiently flexible to conform to the sleeve's curved portion.

### Claim 14 (depends on 13)

The system of claim 13, wherein the bone is a glenoid.

### Claim 15 (depends on 13)

The system of claim 13, wherein the proximal end of the sleeve defines a longitudinal axis, and wherein the curved portion of the sleeve is curved with respect to the longitudinal axis.

### Claim 16 (depends on 15)

The system of claim 15, wherein the longitudinal axis of the sleeve's proximal end and the longitudinal axis of the sleeve's distal end define an angle of about 30 degrees due to the curvature of the sleeve's curved portion.

### Claim 17 (depends on 13)

The system of claim 13, further comprising a drill bit having a proximal end and a distal end, wherein the drill bit is configured to be positioned within the sleeve's passage and into engagement with the surface of the bone.

### Claim 18 (depends on 16)

The system of claim 16, wherein at least a portion of the drill bit between the proximal and distal ends of the drill bit is sufficiently flexible to conform to the curved portion of the sleeve.

### Claim 19 (depends on 13)

The system of claim 13, wherein the flexible portion of the insertion guide is adjacent to a surgical anchor that is supported by the insertion guide.

### Claim 20

A method for installing a surgical anchor comprising:
positioning a drill sleeve so that a distal end of the drill sleeve is substantially perpendicular to a surface of a bone, wherein at least a portion of the drill sleeve proximate to the distal end is curved;
sliding a drill bit into a passage defined by the drill sleeve so that, as a flexible portion of the drill bit slides into the drill sleeve's curved portion, the flexible portion bends into a curved orientation to at least generally conform to the shape of the drill sleeve's curved portion;
while the drill bit's flexible portion is in the curved orientation, using the drill bit to drill a hole in the bone; and
after drilling the hole, inserting the surgical anchor into the hole.

### Claim 21 (depends on 20)

The method of claim 20, wherein the step of drilling comprises drilling the hole substantially perpendicular to the surface of the bone.

### Claim 22 (depends on 20)

The method of claim 20, wherein the bone is a glenoid.

### Claim 23 (depends on 20)

The method of claim 20, wherein the step of inserting the surgical anchor into the hole comprises sliding an insertion guide to which the surgical anchor is attached into the passage defined by the drill sleeve until the surgical anchor is in place within the hole.

### Claim 24 (depends on 23)

The method of claim 23, wherein the step of sliding the insertion guide comprises sliding the insertion guide into the passage defined by the drill sleeve so that, as a flexible portion of the insertion guide slides into the drill sleeve's curved portion, the flexible portion of the insertion guide bends into a curved orientation to at least generally conform to the shape of the drill sleeve's curved portion.

### Claim 25 (depends on 23)

The method of claim 23, further comprising removing the drill bit from the drill sleeve prior to inserting the insertion sleeve into the drill sleeve.
