Bone marrow aspiration device and method
A bone marrow aspiration device and related method includes an introducer assembly and an aspiration assembly to couple to the introducer assembly. The introducer assembly includes an introducer cannula having a proximal end and a distal end. The introducer cannula defines a lumen between the distal and proximal ends, the distal end being configured to penetrate bone of a patient. The aspiration assembly includes an aspiration cannula that is receivable in the lumen of the introducer cannula and that extends beyond the distal end of the introducer cannula. The aspiration cannula includes a port to aspirate bone marrow, the port being distal to the distal end of the introducer cannula. The aspiration device further includes a mechanism at the introducer assembly to move the introducer cannula and the aspiration cannula in tandem relative to a distal end of the mechanism when the aspiration cannula is positioned within bone.
1. A bone marrow aspiration device comprising:
an introducer assembly including:
an introducer cannula having a proximal end and a distal end and defining a lumen between the distal and proximal ends, the distal end configured to penetrate a bone of a patient; and
an introducer handle at the proximal end of the introducer cannula;
an aspiration assembly to couple to the introducer assembly, the aspiration assembly including:
an aspiration cannula receivable in the lumen of the introducer cannula and extending beyond the distal end of the introducer cannula, the aspiration cannula including a port to aspirate bone marrow, the port being distal to the distal end of the introducer cannula and spaced proximally from a closed distal end of the aspiration cannula, the closed distal end having a rounded tip; and
a screw mechanism at the introducer assembly to move the introducer cannula and the aspiration cannula in tandem relative to a distal end of the mechanism, the mechanism comprising a threaded jacket and a lead screw receivable in the threaded jacket, the threaded jacket including an internal non-threaded portion to receive the lead screw and an internal threaded portion adjacent the non-threaded portion to engage the lead screw, the lead screw having a length of at least 1.5 inches and being longer than the internal threaded portion, the length of the lead screw enabling the mechanism to reposition the aspiration cannula to different depths within the bone, the mechanism configured to lift both the introducer cannula and the aspiration cannula out of the bone with rotation of the introducer handle.
2. The aspiration device of claim 1 , wherein at least a portion of the introducer cannula extends through the lead screw.
3. The aspiration device of claim 2 , wherein the screw mechanism is configured to move the introducer cannula and the aspiration cannula proximally with a leverage on the patient.
4. The aspiration device of claim 3 , wherein the threaded jacket defines a surface to contact the patient to provide the leverage.
5. The aspiration device of claim 2 , wherein a length of the introducer cannula that extends from a distal end of the threaded jacket is adjustable by advancing the lead screw into the threaded jacket or reversing the lead screw out of the threaded jacket.
6. The aspiration device of claim 5 , wherein the screw mechanism is configured to provide a length of travel of the lead screw relative to the threaded jacket, the length of travel being between 1.5 inches and 5 inches.
7. The aspiration device of claim 6 , wherein an exposed length includes the length of the introducer cannula that extends from the distal end of the threaded jacket when the screw mechanism is fully retracted, the exposed length being between 50% and 200% of the length of travel.
8. The aspiration device of claim 7 , wherein the exposed length further includes the length of the aspiration cannula that extends beyond the distal end of the introducer cannula.
9. The aspiration device of claim 2 , wherein the aspiration assembly includes a connector to couple to the introducer assembly in an air-tight manner to seal against air flow through the introducer cannula.
10. The aspiration device of claim 2 , wherein the port comprises plural side holes in the aspiration cannula.
11. The aspiration device of claim 1 , wherein the introducer assembly includes a removable sharp stylet receivable in the lumen of the introducer cannula to penetrate the bone, the sharp stylet protruding beyond the distal end of the introducer cannula a distance equal to or greater than the distance the aspiration cannula extends beyond the distal end of the introducer cannula.
12. The aspiration device of claim 9 , wherein the connector includes a Luer connector to couple the aspiration cannula to the introducer cannula, the aspiration cannula passing through the Luer connector.
13. The aspiration device of claim 1 , further comprising a removable stylet receivable in the aspiration cannula, wherein the port comprises one or more side holes in the aspiration cannula and the removable stylet is configured to close off the one or more side holes.
14. The aspiration device of claim 1 , further comprising a removable stylet receivable in the aspiration cannula, the stylet providing stiffness to the aspiration cannula to facilitate insertion of the aspiration cannula into the bone beyond the distal end of the introducer cannula.
15. The aspiration device of claim 1 , wherein the aspiration cannula extends about 1 inch to about 1.5 inches beyond the distal end of the introducer cannula.
16. The aspiration device of claim 1 , wherein, in a fully retracted position of the screw mechanism, the lead screw is received along its entire length in the threaded jacket.
17. A method of aspirating bone marrow using the aspiration device of claim 1 , the method comprising:
inserting the aspiration cannula through the introducer cannula of the introducer assembly, the introducer cannula positioned in the bone of the patient, the aspiration cannula extending beyond the distal end of the introducer cannula;
aspirating bone marrow through the port in the aspiration cannula distal to the distal end of the introducer cannula; and
with the screw mechanism at the introducer assembly, moving the introducer cannula and the aspiration cannula in tandem within the bone with leverage on the patient.
18. The method of claim 17 , further comprising coupling the aspiration cannula to the introducer assembly with a connector and forming an air-tight seal between the aspiration cannula and the introducer cannula to seal against air flow through the introducer cannula.
19. The method of claim 18 , wherein at least a portion of the introducer cannula extends through the lead screw.
20. The method of claim 19 , further comprising contacting the patient with a surface of the threaded jacket to provide the leverage.
21. The method of claim 20 , further comprising adjusting a length of the aspiration cannula that extends beyond a distal end of the threaded jacket by advancing the lead screw into the threaded jacket or reversing the lead screw out of the threaded jacket.