Apparatus and method for forming pilot holes in bone and delivering fasteners therein for retaining an implant

A kit for deploying a staple in bone for fixing a sheet-like implant in position on a tendon, the kit comprising:

• a position retention sleeve having a lumen extending therethrough and at least one position retention member proximate a distal end of the position retention sleeve;
• a trocar sized for being releasably disposed within the lumen of the position retention sleeve, the trocar including at least one distally extending spike, wherein when assembled for use the at least one distally extending spike extends beyond the distal end of the position retention sleeve to form a pilot hole when contacted with bone;
• and,
• a staple delivery device having a barrel sized for disposition within the lumen of the position retention sleeve and delivery of a staple from a distal portion thereof, wherein the barrel is keyed for controlled rotational position of the barrel relative to the position retention sleeve.

A method for fixing a positioned sheet-like material to bone comprising the steps of:

• providing a position retention sleeve having a lumen extending therethrough and at least one position retention member proximate a distal end of the position retention sleeve;
• providing a trocar sized for being releasably disposed within the lumen of the position retention sleeve, the trocar including at least one distally extending spike;
• positioning the trocar within the position retention sleeve with the at least one spike extending beyond the distal end of the position retention sleeve;
• driving the spike into bone to form at least one pilot hole;
• removing the trocar with the position retention member maintaining the sleeve position relative to the at least one formed pilot hole;
• providing a staple delivery device having a barrel sized for disposition within the lumen of the position retention sleeve wherein the barrel is keyed for controlled rotational position of the barrel relative to the position retention sleeve;
• and,
• inserting the staple delivery barrel into the sleeve lumen and deploying a staple.