Bone marrow harvesting needle improvements
A bone marrow aspiration device and associated method includes an introducer needle assembly and an aspiration needle assembly. The introducer needle assembly includes an introducer cannula having proximal and distal ends, each end including an opening, and a screw assembly coupled to the introducer handle. The screw assembly includes a threaded tube and a lead screw receivable in the threaded tube. An outer cover is disposed around and in sealing engagement with the threaded tube and the lead screw. The aspiration needle assembly is receivable in the introducer cannula and includes an aspiration cannula forming a channel for aspirating bone marrow and including a flexible portion that extends from a distal end along a length of the aspiration cannula. A length of the aspiration cannula that extends beyond the distal end of the introducer cannula is adjustable by advancing the lead screw into or reversing the lead screw out of the threaded tube.
1. A bone marrow aspiration device comprising:
an introducer needle assembly including
an introducer cannula having a proximal end and a distal end, each end including an opening,
a screw assembly coupled to the introducer cannula, the screw assembly including a threaded tube and a lead screw receivable in the threaded tube, and
an outer cover coupled to the screw assembly and being disposed around and in sealing engagement with the threaded tube and the lead screw; and
an aspiration needle assembly to couple to the introducer needle assembly, the aspiration needle assembly including
an aspiration cannula receivable in the introducer cannula, the aspiration cannula having a proximal end and a distal end and including a distal flexible portion that extends along a length of the aspiration cannula, the aspiration cannula forming a channel for aspirating bone marrow,
a length of the aspiration cannula that extends beyond the distal end of the introducer cannula being adjustable by advancing the lead screw into the threaded tube or reversing the lead screw out of the threaded tube.
2. The aspiration device of claim 1 , wherein the flexible portion of the aspiration cannula includes a wire wound tube.
3. The aspiration device of claim 2 , wherein the wire wound tube has a winding in one direction, and wherein the screw assembly is configured to allow the aspiration cannula to be withdrawn from the bone marrow by turning the aspiration cannula in a direction opposite to the direction of the winding, whereby the wire wound tube is tightened as the aspiration cannula is turned and withdrawn.
4. The aspiration device of claim 1 , wherein the introducer cannula comprises an upper cannula and a lower cannula in axial alignment with the upper cannula, the upper cannula being coupled to the lead screw, the lower cannula being coupled to the threaded tube of the screw assembly.
5. The aspiration device of claim 4 , wherein the lower cannula extends from a needle hub coupled to the threaded tube, the upper cannula butting against the needle hub when the screw assembly is in a collapsed state.
6. The aspiration device of claim 1 , wherein the aspiration needle assembly includes a blunt stylet receivable in the aspiration cannula.
7. The aspiration device of claim 6 , wherein the distal end of the aspiration cannula includes an opening and the blunt stylet is configured to extend through and close the opening.
8. The aspiration device of claim 1 , wherein the aspiration needle assembly includes a connector to couple to the introducer needle assembly in an air-tight manner.
9. The aspiration device of claim 1 , wherein the aspiration needle assembly further includes an aspiration handle connected to the proximal end of the aspiration cannula.
10. The aspiration device of claim 9 , wherein the aspiration handle includes a port in fluid communication with the aspiration cannula for aspirating or injecting fluid or fluid containing cells, including bone marrow.
11. The aspiration device of claim 1 , wherein the introducer needle assembly includes an introducer handle and the lead screw is attached to the introducer handle.
12. The aspiration device of claim 1 , wherein the lead screw is hollow and the introducer cannula extends through the hollow lead screw.
13. The aspiration device of claim 1 , further including an O-ring between the threaded tube and the outer cover to form the sealing engagement.
14. The aspiration device of claim 1 , wherein the outer cover is a rigid outer tube that is attached to a proximal end of the lead screw.
15. The aspiration device of claim 14 , wherein the screw assembly includes a finger grip that extends along a length of the threaded tube.
16. The aspiration device of claim 15 , wherein the finger grip is a sleeve that extends around the outer tube and the threaded tube.
17. The aspiration device of claim 1 , further including a removable introducer stylet having a proximal end and a distal end, the stylet extending through the introducer cannula, the distal end of the stylet extending beyond the distal end of the introducer cannula and including a sharp tip to penetrate bone, and wherein the aspiration needle assembly is receivable in the introducer cannula when the introducer stylet is removed from the introducer needle assembly.
18. The aspiration device of claim 1 , wherein the sealing engagement between the outer cover and the threaded tube includes a dynamic seal and the sealing engagement between the outer cover and the lead screw includes a static seal.
19. A bone marrow aspiration device comprising:
an introducer needle assembly including
an introducer cannula having a proximal end and a distal end, each end including an opening,
a screw assembly coupled to the introducer cannula, the screw assembly including a threaded tube and a lead screw receivable in the threaded tube, and
a dynamic O-ring seal between the threaded tube and a non-threaded portion of the introducer needle assembly; and
an aspiration needle assembly to couple to the introducer needle assembly, the aspiration needle assembly including
an aspiration cannula receivable in the introducer cannula, the aspiration cannula having a proximal end and a distal end and including a flexible portion that extends from the distal end along a length of the aspiration cannula, the aspiration cannula forming a channel for aspirating bone marrow,
a length of the aspiration cannula that extends beyond the distal end of the introducer cannula being adjustable by advancing the lead screw into the threaded tube or reversing the lead screw out of the threaded tube.
20. The aspiration device of claim 19 , wherein the introducer needle assembly includes an outer tube disposed around and in sealing engagement with the threaded tube and the lead screw, the dynamic O-ring seal being formed between the outer tube and the threaded tube.
21. The aspiration device of claim 19 , wherein the introducer needle assembly further includes an introducer handle coupled to a proximal end of the screw assembly.
22. The aspiration device of claim 19 , wherein the flexible portion of the aspiration cannula includes a wire wound tube.
23. The aspiration device of claim 22 , wherein the wire wound tube has a winding in one direction, and wherein the screw assembly is configured to allow the aspiration cannula to be withdrawn from the bone marrow by turning the aspiration cannula in a direction opposite to the direction of the winding, whereby the wire wound tube is tightened as the aspiration cannula is turned and withdrawn.
24. A bone marrow aspiration device comprising:
an introducer needle assembly including
an introducer cannula having a proximal end and a distal end, each end including an opening,
a screw assembly coupled to the introducer cannula, the screw assembly including a threaded tube and a lead screw receivable in the threaded tube, the screw assembly further including a finger grip that extends along a length of the threaded tube, and
an outer cover coupled to the screw assembly and being disposed around and in sealing engagement with the threaded tube and the lead screw; and
an aspiration needle assembly to couple to the introducer needle assembly, the aspiration needle assembly including
an aspiration cannula receivable in the introducer cannula, the aspiration cannula having a proximal end and a distal end and including a distal flexible portion that extends along a length of the aspiration cannula, the aspiration cannula forming a channel for aspirating bone marrow,
a length of the aspiration cannula that extends beyond the distal end of the introducer cannula being adjustable by advancing the lead screw into the threaded tube or reversing the lead screw out of the threaded tube.