US20070016100A1 — Apparatus and Methods to Harvest Bone and Bone Ma…

Claim 1

Independent Claim 98 words

1 . An apparatus for harvesting portions of bone and associated bone marrow from a target area comprising: a powered driver defined in part by a housing and portions of a drive shaft extending from the housing; a connector and a connector receptacle operable to releasably engage the powered driver with an intraosseous device; the intraosseous device having a first end operable to penetrate the bone and associated bone marrow; the intraosseous device having a second end; a longitudinal bore extending between the first end and the second end; and the longitudinal bore operable to harvest bone marrow.

Claim 2

Dependent Claim 98 words

1 . An apparatus for harvesting portions of bone and associated bone marrow from a target area comprising: a powered driver defined in part by a housing and portions of a drive shaft extending from the housing; a connector and a connector receptacle operable to releasably engage the powered driver with an intraosseous device; the intraosseous device having a first end operable to penetrate the bone and associated bone marrow; the intraosseous device having a second end; a longitudinal bore extending between the first end and the second end; and the longitudinal bore operable to harvest bone marrow.

Claim 3

Dependent Claim 33 words

2 . The apparatus of claim 1 further comprising: a removable trocar slidably disposed in the longitudinal bore; and the removable trocar having a first end operable to penetrate bone and bone marrow.

Claim 4

Dependent Claim 26 words

3 . The apparatus of claim 2 wherein the removable trocar further comprises inner channel operable to convey portions of the bone and bone marrow therethrough.

Claim 5

Dependent Claim 31 words

4 . The apparatus of claim 2 wherein the removable trocar further comprises a tip having a longitudinal groove operable to release bone chips from an insertion site into the bone.

Claim 6

Dependent Claim 25 words

5 . The apparatus of claim 1 further comprising the second end of the intraosseous device operable to be attached to bone marrow aspiration equipment.

Claim 7

Dependent Claim 42 words

6 . The apparatus of claim 1 further comprising: internal threads disposed proximate the first end of the longitudinal bore; and the internal threads operable to engage a biopsy specimen of the bone during rotation of the apparatus by the powered driver.

Claim 8

Dependent Claim 26 words

7 . The apparatus of claim 1 wherein the longitudinal bore comprises at least one side port operable to harvest a portion of the bone marrow.

Claim 9

Dependent Claim 131 words

8 . An intraosseous device operable to harvest bone marrow comprising: an outer penetrator having a first end operable to penetrate a bone and associated bone marrow; the outer penetrator having a second end operable to accommodate harvesting of bone marrow; the outer penetrator having a longitudinal bore extending from the first end to the second end; a removable trocar operable to be slidably disposed in the longitudinal bore of the outer penetrator; the outer penetrator having at least one side port disposed therein; the removable trocar having at least one side port operable to be aligned with each side port disposed in the outer penetrator to harvest adjacent portions of the bone marrow; and the removable penetrator having a second end operable to be attached to bone marrow aspiration equipment.

Claim 10

Dependent Claim 131 words

8 . An intraosseous device operable to harvest bone marrow comprising: an outer penetrator having a first end operable to penetrate a bone and associated bone marrow; the outer penetrator having a second end operable to accommodate harvesting of bone marrow; the outer penetrator having a longitudinal bore extending from the first end to the second end; a removable trocar operable to be slidably disposed in the longitudinal bore of the outer penetrator; the outer penetrator having at least one side port disposed therein; the removable trocar having at least one side port operable to be aligned with each side port disposed in the outer penetrator to harvest adjacent portions of the bone marrow; and the removable penetrator having a second end operable to be attached to bone marrow aspiration equipment.

Claim 11

Dependent Claim 20 words

9 . The apparatus of claim 8 wherein the second end of the removable trocar comprising a Luer lock connector.

Claim 12

Dependent Claim 93 words

10 . An apparatus for harvesting portions of bone and associated bone marrow from a target area comprising: an intraosseous device having a first end operable to penetrate a bone and associated bone marrow; the intraosseous device having a second end operable to be attached with bone aspiration equipment; the intraosseous device having a longitudinal bore extending from the first end to the second end; a right angle connector releasably engaged with the second end of the intraosseous device; and collection tubing extending between the right angle connector and the bone aspiration equipment.

Claim 13

Dependent Claim 93 words

10 . An apparatus for harvesting portions of bone and associated bone marrow from a target area comprising: an intraosseous device having a first end operable to penetrate a bone and associated bone marrow; the intraosseous device having a second end operable to be attached with bone aspiration equipment; the intraosseous device having a longitudinal bore extending from the first end to the second end; a right angle connector releasably engaged with the second end of the intraosseous device; and collection tubing extending between the right angle connector and the bone aspiration equipment.

Claim 14

Dependent Claim 101 words

11 . The apparatus of claim 10 further comprising: a connector assembly defined in part by a Luer fitting formed on a first end of the right angle connector; a lock nut disposed on exterior portions of the right angle connector; the lock nut having threads compatible with releasably engaging similar threads provided on the first end of the hub; and a flange formed on exterior portions of the right angle connector proximate the Luer fitting; and the lock nut and the flange cooperating with each other to releasably engage the right angle connector with the first end of the hub.

Claim 15

Dependent Claim 84 words

12 . The apparatus of claim 11 further comprising: flexible tubing extending from a second end of the right angle connector; a tubing connector disposed on the flexible tubing opposite from the right angle connector; a flow control device disposed on the flexible tubing between the right angle connector and the tubing connector; and the flow control device having a first position operable to allow fluid communication through the flexible tubing and a second position operable to block fluid communication through the flexible tubing.

Claim 16

Dependent Claim 135 words

13 . An apparatus for harvesting portions of bone and associated bone marrow from a target area comprising: an intraosseous device having a first end operable to penetrate a bone and associated bone marrow; an outer penetrator having a first end and a second end with a longitudinal bore extending therebetween; the longitudinal bore of the outer penetrator forming a portion of the longitudinal bore of the intraosseous device; a hub securely engaged with the second end of the inner penetrator; the outer penetrator extending from a flange formed on the hub; the longitudinal bore of the intraosseous device extending through the hub; collection tubing communicating with the longitudinal bore of the intraosseous device via the hub; the collection tubing connected to a container; and the container coupled with a source of low pressure backing.

Claim 17

Dependent Claim 135 words

13 . An apparatus for harvesting portions of bone and associated bone marrow from a target area comprising: an intraosseous device having a first end operable to penetrate a bone and associated bone marrow; an outer penetrator having a first end and a second end with a longitudinal bore extending therebetween; the longitudinal bore of the outer penetrator forming a portion of the longitudinal bore of the intraosseous device; a hub securely engaged with the second end of the inner penetrator; the outer penetrator extending from a flange formed on the hub; the longitudinal bore of the intraosseous device extending through the hub; collection tubing communicating with the longitudinal bore of the intraosseous device via the hub; the collection tubing connected to a container; and the container coupled with a source of low pressure backing.

Claim 18

Dependent Claim 31 words

14 . The apparatus of claim 13 further comprising the flange on the hub operable to allow insertion of the intraosseous device at an insertion site on a patient's iliac crest.

Claim 19

Dependent Claim 31 words

15 . The apparatus of claim 13 further comprising a removable trocar operable to be inserted into the outer penetrator to aid in inserting the intraosseous device at an insertion site.

Claim 20

Dependent Claim 194 words

16 . An intraosseous device for harvesting bone and bone marrow comprising: an outer penetrator having a first end operable to penetrate a bone and associated bone marrow; the outer penetrator having a second end operable to accommodate harvesting bone marrow; the outer penetrator having a longitudinal bore extending from the first end to the second end; an inner penetrator operable to be slidably disposed in the longitudinal bore of the outer penetrator; the inner penetrator having a first end operable to penetrate the bone marrow in cooperation with the first end of the outer penetrator; the inner penetrator having a second end spaced longitudinally from the first end of the inner penetrator; a connector operable to releasably attach in the second end of the inner penetrator to the second end of the outer penetrator; the first end of the inner penetrator extending from the first end of the outer penetrator when the second end of the inner penetrator is releasably attached to the second end of the outer penetrator; and the connector operable to be releasably engaged with a driver to allow the driver to install the intraosseous device at an insertion site.

Claim 21

Dependent Claim 194 words

16 . An intraosseous device for harvesting bone and bone marrow comprising: an outer penetrator having a first end operable to penetrate a bone and associated bone marrow; the outer penetrator having a second end operable to accommodate harvesting bone marrow; the outer penetrator having a longitudinal bore extending from the first end to the second end; an inner penetrator operable to be slidably disposed in the longitudinal bore of the outer penetrator; the inner penetrator having a first end operable to penetrate the bone marrow in cooperation with the first end of the outer penetrator; the inner penetrator having a second end spaced longitudinally from the first end of the inner penetrator; a connector operable to releasably attach in the second end of the inner penetrator to the second end of the outer penetrator; the first end of the inner penetrator extending from the first end of the outer penetrator when the second end of the inner penetrator is releasably attached to the second end of the outer penetrator; and the connector operable to be releasably engaged with a driver to allow the driver to install the intraosseous device at an insertion site.

Claim 22

Dependent Claim 31 words

17 . The apparatus of claim 16 wherein the inner penetrator comprises a tip having a longitudinal groove operable to release bone chips from an insertion site into the bone marrow.

Claim 23

Dependent Claim 89 words

18 . The apparatus of claim 16 further comprising: a trocar operable to be slidably disposed within the longitudinal bore of the outer penetrator after the inner penetrator has been removed therefrom; the trocar having a length greater than the length of the outer penetrator; the trocar having a first end operable to extend from the first end of the outer penetrator when the trocar is slidably disposed in the longitudinal bore; and the first end of the trocar having a first, open position and a second, closed position.

Claim 24

Dependent Claim 76 words

19 . The apparatus of claim 16 further comprising: a hub attached to the second end of the outer penetrator; the hub having a opening extending therethrough to communicate with the longitudinal bore of the outer penetrator; the opening in the hub sized to accommodate inserting the inner penetrator therethrough; and the connector operable to be releasably engaged with the hub when the inner penetrator is slidably disposed in the longitudinal bore of the outer penetrator.

Claim 25

Dependent Claim 132 words

20 . An intraosseous device operable to harvest a bone sample comprising: an outer penetrator having a first end and a second end; the first end of the outer penetrator operable to penetrate bone and bone marrow; the first end of the outer penetrator having an opening formed therein; a longitudinal bore extending between the opening in the first end and an opening formed in the second end; the longitudinal bore operable to convey portions of bone and bone marrow from the opening in the first end to the opening in the second end; and at least one thread disposed within the longitudinal bore proximate the first end of the outer penetrator to grasp a sample of a bone as the first end of the outer penetrator is inserted into the bone.

Claim 26

Dependent Claim 132 words

20 . An intraosseous device operable to harvest a bone sample comprising: an outer penetrator having a first end and a second end; the first end of the outer penetrator operable to penetrate bone and bone marrow; the first end of the outer penetrator having an opening formed therein; a longitudinal bore extending between the opening in the first end and an opening formed in the second end; the longitudinal bore operable to convey portions of bone and bone marrow from the opening in the first end to the opening in the second end; and at least one thread disposed within the longitudinal bore proximate the first end of the outer penetrator to grasp a sample of a bone as the first end of the outer penetrator is inserted into the bone.

Claim 27

Dependent Claim 21 words

21 . The intraosseous device of claim 20 further comprising multiple threads disposed within the longitudinal bore proximate the first end.

Claim 28

Dependent Claim 127 words

22 . An intraosseous device comprising: an outer penetrator having a first end and a second end with a longitudinal bore extending from the first end and the second end; a trocar having a first end and a second end with a longitudinal bore extending from the first end; the trocar slidably disposed within the longitudinal bore of the outer penetrator; the trocar split into a first segment and a second segment extending from the first end of the trocar; the first segment and the second segment operable to move between an open position and a closed position depending on the location of the trocar relative to the outer penetrator, and the first segment and the second segment operable to grasp a sample of bone marrow therebetween.

Claim 29

Dependent Claim 127 words

22 . An intraosseous device comprising: an outer penetrator having a first end and a second end with a longitudinal bore extending from the first end and the second end; a trocar having a first end and a second end with a longitudinal bore extending from the first end; the trocar slidably disposed within the longitudinal bore of the outer penetrator; the trocar split into a first segment and a second segment extending from the first end of the trocar; the first segment and the second segment operable to move between an open position and a closed position depending on the location of the trocar relative to the outer penetrator, and the first segment and the second segment operable to grasp a sample of bone marrow therebetween.

Claim 30

Dependent Claim 76 words

23 . The intraosseous device of claim 22 wherein the trocar further comprises: respective tips formed on the extreme end of the first segment and the second segment; respective curved jaws extending from the tip of the first segment and the tip of the second segment; and the first jaw and the second jaw cooperating with each other to securely grasp a sample of bone marrow therebetween when the trocar has moved to its closed position.

Claim 31

Dependent Claim 126 words

24 . The intraosseous device of claim 22 further comprising: the longitudinal bore extending through the outer penetrator having an enlarged inside diameter portion disposed adjacent to the first end of the outer penetrator and a reduced inside diameter portion spaced therefrom; a respective enlargement formed on exterior portions of each segment spaced from the first end of the trocar; the first, open position of the trocar defined in part by the enlargements disposed within the enlarged inside diameter portion of the outer penetrator; and the contact between the enlargements of the first and second segments of the trocar and the reduced inside diameter portion of the outer penetrator resulting in movement of the first and second segments from the open position to their closed position.

Claim 32

Dependent Claim 70 words

25 . The intraosseous device of claim 22 wherein the first segment and the second segment further comprise: respective tips with a respective curved jaw extending from each tip; the segments operable to separate or come together depending on their position relative to the outer penetrator; and the curved jaws operable to grasp a sample of bone marrow between the curved jaws when the segments are in their closed position.

Claim 33

Dependent Claim 86 words

26 . A method of performing a bone marrow biopsy comprising: attaching one end of an intraosseous device to a powered driver; inserting an opposite end of the intraosseous device into a bone and associated bone marrow using the powered driver; removing the powered driver from the intraosseous device; applying suction to the one end of the intraosseous device; and retrieving portions of bone marrow through a longitudinal bore extending between the one end and the opposite end disposed in the bone marrow using the suction.

Claim 34

Dependent Claim 86 words

26 . A method of performing a bone marrow biopsy comprising: attaching one end of an intraosseous device to a powered driver; inserting an opposite end of the intraosseous device into a bone and associated bone marrow using the powered driver; removing the powered driver from the intraosseous device; applying suction to the one end of the intraosseous device; and retrieving portions of bone marrow through a longitudinal bore extending between the one end and the opposite end disposed in the bone marrow using the suction.

Claim 35

Dependent Claim 15 words

27 . The method of claim 26 further comprising harvesting the bone marrow for transplantation.

Claim 36

Dependent Claim 17 words

28 . The method of claim 26 further comprising harvesting the bone marrow for stem cell research.

Claim 37

Dependent Claim 34 words

29 . The method of claim 26 further comprising using a medical grade syringe to apply suction to the one end of the intraosseous device to remove approximately two cubic centimeters of bone marrow.

Apparatus and Methods to Harvest Bone and Bone Marrow

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