# US 5,700,266 A · System for repair of capsulo-labral separations

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- Number: US 5,700,266 A
- Document ID: US5700266A
- Status: Granted
- Kind: A
- Application number: 08/824,255
- Filed: 1997-03-25
- Granted: 1997-12-23
- Earliest claimed: 1992-09-11
- Assignees: University of Washington
- Inventors: Douglas T. Harryman, II
- Web page: https://patentgrep.com/patent/US5700266A

## CPC

- A61B 17/0483: {Hand-held instruments for holding sutures (A61B17/0469 takes precedence; other holders for needles or sutures A61B17/06061; surgical forceps A61B17/28; surgical pincettes A61B17/30)}
- A61B 17/0469: {Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery}
- A61B 17/0482: {Needle or suture guides (guides for drills, pins or wire A61B17/17; guides for puncturing needles A61B17/3403)}
- A61B 17/1778: {for the shoulder}
- A61B 17/1796: {for holes for sutures or flexible wires}
- A61B 2017/06076: {helically or spirally coiled}
- A61B 2017/061: {hollow or tubular}
- A61F 2/40: for shoulders
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

An elongated drill and suture guide is inserted through a posterior portal during arthroscopic surgery to repair a capsulo-labral separation. The drill and suture guide has a linear longitudinal bore for a drill pin to bore through the glenoid rim of the shoulder joint. A suture guide is inserted through the bore and through the hole in the glenoid rim and through the detached glenoid labrum. A suture is then passed through the guide and is manipulated and tied conventionally to secure the glenoid labrum in approximately the anatomically correct position.

## Claims

### Claim 1

The method of repairing a capsulo-labral separation which comprises opening a posterior portal for access to the shoulder joint affected by the separation, inserting a drill guide through the posterior portal and between the affected glenoid cavity and humeral ball, fitting a transverse of the drill guide over the rim of the glenoid cavity at the side of the glenoid cavity generally opposite from the portal, passing a drilling implement through a longitudinal bore of the drill guide for bridging across the recess and for penetrating through the portion of the rim received in the recess to form a hole therethrough, and suturing the separated labrum in the area of the lesion to such hole.

### Claim 2 (depends on 1)

The method defined in claim 1, including holding a portion of separated labrum with a tissue grasper adjacent to the area of the rim of the glenoid cavity engaged by the drill guide prior to passing a drilling implement through the longitudinal bore of the drill guide, such that the drilling implement passes through both the portion of the rim received in the drill guide recess and the separated labrum.

### Claim 3

The method of repairing a capsulo-labral separation which comprises opening a posterior portal for access to the shoulder joint affected by the separation, inserting a drill guide through the posterior portal and between the affected glenoid cavity and humeral ball, fitting a first transverse recess of the drill guide over the rim of the glenoid cavity at the side of the glenoid cavity generally opposite from the portal, firing a portion of separated labrum in a second transverse recess of the drill guide adjacent to the first recess in the area of the rim of the glenoid cavity engaged by the drill guide, passing a drilling implement through a longitudinal bore of the drill guide for bridging across the first recess and the second recess and for penetrating through the portion of the rim received in the first recess to form a hole therethrough and through the portion of the labrum received in the second recess, and suturing the separated labrum in the area of the lesion to the hole through the rim of the glenoid cavity.