Method and apparatus for tissue harvesting
Exemplary methods and devices can be provided for harvesting a plurality of small tissue pieces, e.g., having widths less than about 1 mm or 0.5 mm, using one or more hollow needles. A fluid can be flowed through a conduit past the proximal ends of the needles to facilitate removal of the tissue pieces from the needle lumens, and can maintain the tissue pieces in a controlled and protective liquid environment. A filter can be used to extract and collect the tissue pieces from the liquid, or the tissue pieces can be deposited directly onto a porous dressing. Such tissue pieces can be used as microscopic grafts, which can be applied directly to a wound site or provided on a substrate or dressing, or stored for later use. Such microscopic grafts can promote tissue regrowth and wound healing, or can be applied to a scaffold to grow new tissue.
1. An apparatus comprising:
a hub;
a housing including a recess;
a plurality of harvesting needles coupled to the hub, each of the plurality of harvesting needles configured to penetrate a skin tissue a particular depth, wherein the hub is configured to fit in the recess of the housing and the hub is removably coupled to the housing to facilitate removal of the plurality of harvesting needles;
a conduit configured to facilitate flow of a fluid therethrough, wherein each of the plurality of harvesting needles is in communication with the conduit;
a filter arrangement provided at least partially in a path of the fluid; and
a base attached to an end of the housing and configured to be placed on a surface of the skin tissue the base including an opening configured to form an enclosed volume above the surface of the skin tissue;
wherein when the plurality of harvesting needles are in a retracted state, the plurality of harvesting needles do not protrude from a lower surface of the base; and
wherein when the plurality of harvesting needles are pulled downward, the plurality of harvesting needles protrudes beyond the lower surface of the base.
2. The apparatus of claim 1 , wherein the base is movably coupled to the housing along an axis, and
wherein the housing is configured to insert and withdraw the plurality of harvesting needles from the skin tissue when the housing is translated back and forth along the axis relative to the base.
3. The apparatus of claim 1 , wherein each of the plurality of harvesting needles has an inner diameter of less than 1 mm.
4. The apparatus of claim 1 , further comprising:
an actuator configured to move the plurality of harvesting needles into the skin tissue; and
a spring configured to withdraw the plurality of harvesting needles out from the skin tissue.
5. The apparatus of claim 1 ,
wherein in the retracted state, a distal end of each of the harvesting needles is positioned above the recess; and
wherein when each of the harvesting needles is pulled downward, the distal end of each harvesting needle extends through the recess and pierces the skin tissue.
6. The apparatus of claim 1 , wherein the conduit passes at least partially through the housing;
wherein a distal portion of each of the plurality of harvesting needles is structured to be inserted, into the skin tissue to remove at least one portion of the skin tissue therefrom when each of the plurality of harvesting needles is withdrawn from the skin tissue; and
wherein, in operation, the fluid flows through the conduit so as to remove the at least one portion of the skin tissue from each of the plurality of harvesting needles, and transport the at least one portion of the skin tissue to the filter arrangement.
7. The apparatus of claim 6 , further comprising:
a chamber in fluid communication with the conduit, the filter arrangement positioned within the chamber to define a first side of the filter arrangement and a second side of the filter arrangement; and
a vent provided in fluid communication with the conduit, the vent positioned on the second side of the filter arrangement to facilitate entrained gas from passing from the first side of the filter arrangement, through the filter arrangement to the second side of the filter arrangement, and out the vent; and
wherein the filter arrangement blocks the at least one portion of the skin tissue from passing through the filter arrangement into the vent.
8. The apparatus of claim 1 , further comprising a valve positioned between the plurality of harvesting needles and the filter arrangement;
wherein the valve is configured to open to facilitate movement of the fluid and a portion of the skin tissue harvested using at least one of plurality of harvesting needles through the valve; and
wherein the valve is configured to close when the plurality of harvesting needles are not positioned within the skin tissue to direct some fluid through the at least one of the plurality of harvesting needles to clean or unblock the at least one of the plurality of harvesting needles.
9. The apparatus of claim 1 , further comprising a sensor configured to detect a presence of at least one portion of the skin tissue within the conduit.
10. An apparatus comprising:
a plurality of harvesting needles each of which is configured to penetrate skin tissue;
a housing including a recess;
a hub that is configured to fit in the recess of the housing, the plurality of harvesting needles coupled to the hub, the hub being removably coupled to the housing to facilitate removal of the plurality of harvesting needles;
a base configured to be placed on a surface of the skin tissue, wherein the base includes an opening configured to form an enclosed volume above the surface of the skin tissue, wherein in a retracted state, a distal end of each of the harvesting needles is positioned outside of the opening, and wherein when each of the harvesting needles is pulled downward, the distal end of each of the harvesting needles extends through the opening and pierces the skin tissue;
a conduit fluidly coupled to each of the plurality of harvesting needles, the conduit configured to facilitate flow of a fluid therethrough; and
a filter arrangement provided at least partially in a path of the fluid;
wherein a distal portion of each of the plurality of harvesting needles is configured to be inserted into the skin tissue to remove at least one portion of the skin tissue therefrom when the harvesting needle is withdrawn from the skin tissue; and
wherein, in operation, the fluid flows through the conduit so as to remove the at least one portion of the skin tissue from each of the plurality of the harvesting needles, and transport the at least one portion of the skin tissue to the filter arrangement, which retains the at least one portion of the skin tissue.
11. The apparatus of claim 10 , further comprising an actuator configured to move the plurality of harvesting needles into the skin tissue.
12. The apparatus of claim 10 , wherein in the retracted state each of the harvesting needles does not protrude from a lower surface of the base; and
wherein when each of the harvesting needles is pulled downward, each of the harvesting needles protrudes beyond the lower surface of the base.
13. The apparatus of claim 10 , further comprising a valve positioned between the plurality of harvesting needles and the filter arrangement; and
wherein the valve is configured to close when a first harvesting needle of the plurality of harvesting needles is not positioned within the skin tissue to direct some fluid through the first harvesting needle in a direction from a proximal end of the first harvesting needle to a distal end of the first harvesting needle to clean or unblock the first harvesting needle.
14. An apparatus comprising:
a harvesting needle configured to penetrate skin tissue;
a conduit fluidly coupled to the harvesting needle, the conduit configured to facilitate flow of a fluid therethrough;
a filter arrangement provided at least partially in a path of the fluid;
a first pressure sensor and a second pressure sensor, the first and second pressure sensors being configured to detect a pressure differential across the filter arrangement to ascertain whether the filter arrangement is clogged;
wherein a distal portion of the harvesting needle is configured to be inserted into the skin tissue to remove the portion of the skin tissue therefrom when the harvesting needle is withdrawn from the skin tissue; and
wherein, in operation, the fluid flows through the conduit so as to remove the portion of the skin tissue from the harvesting needle, and transport the portion of the skin tissue away from the harvesting needle and to the filter arrangement, which retains the portion of the skin tissue.
15. The apparatus of claim 14 , further comprising a third sensor and a controller in communication with the third sensor, the third sensor being configured to provide a parameter to the controller;
wherein the controller is configured to control a flow rate or a composition of the fluid, based on the parameter; and
wherein the parameter is at least one of a flow rate of the fluid, or indicative of a composition of the fluid.
16. The apparatus of claim 14 , further comprising:
a housing that is coupled to the harvesting needle;
a flexible tube coupled to the housing, the flexible tube fluidly coupled to the conduit; and
a receiving substrate positioned outside of the housing that includes the filter arrangement; and
wherein a position of an end of the flexible tube and the receiving substrate is adjustable to change the location in which the portion of the skin tissue is deposited on the filter arrangement.