CN101534740B - Medical procedures trays with endosseous device - Google Patents
Medical procedures trays with endosseous device Download PDFInfo
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- CN101534740B CN101534740B CN200780001188XA CN200780001188A CN101534740B CN 101534740 B CN101534740 B CN 101534740B CN 200780001188X A CN200780001188X A CN 200780001188XA CN 200780001188 A CN200780001188 A CN 200780001188A CN 101534740 B CN101534740 B CN 101534740B
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Abstract
Medical procedure trays and related methods are provided to accommodate joining a first non-sterile medical device with a second sterile medical device and maintaining required sterilization of the second sterile medical device to perform an associated medical procedure. One example of such medical procedures includes biopsy of a bone and/or associated bone marrow using a non-sterile powered drive and a sterile biopsy needle or biopsy needle set. Medical procedure trays and related methods may also be provided for use during aspiration of bone marrow and/or stem cell transplant procedures. Each medical procedure tray may include a containment bag or sterile sleeve. A coupler assembly, one or more sharps protectors, a biopsy sample ejector and/or associated ejector funnel may also be included. Some medical procedure trays may allow engaging a non-sterile powered driver with one end of a coupler assembly and sealing the non-sterile powered driver in a sterile sleeve or containment bag without compromising sterility of other components in the medical procedure tray.
Description
Related application
The application require the applying date be JIUYUE 12 in 2006 day, be called the U.S. Provisional Patent Application No.60/825 of " Apparatus and Methods for Biopsy and Aspiration of Bone Marrow ", 325 priority.It is for reference that the content of this application is all incorporated this paper into.
The application require the applying date be April 4 in 2007 day, be called the U.S. Provisional Patent Application No.60/910 of " Powered Driver Intraosseous Device and Methods To Access Bone Marrow ", 122 priority.It is for reference that the content of this application is all incorporated this paper into.
Technical field
The present invention relates in general to the medical procedure for example suction and the biopsy of bone marrow, and equipment and the method relevant with tool kit with power drill/driver, connector assembly, aspiration needle, biopsy needle and corresponding medical procedures trays.
Background technology
Entering and taking-up bone marrow are very important concerning many clinical conditions.In some cases, need treat disease to recover the hemocyte function with bone marrow or stem cell transplantation.These situation include but not limited to acute leukemia, cerebroma, breast carcinoma, Hokdkin disease, multiple myeloma, neuroblastoma, non_hodgkin lymphoma, ovarian cancer, sarcoma and carcinoma of testis.In other cases, need to get into bone marrow acquisition sample of bone marrow or sample and make diagnostic test.These situation include but not limited to the cancer of any kind and the hematopathy that any reason causes.
The anatomical structure that depends on each the selected target district, operator proficiency level and the patient that gather bone and/or corresponding bone marrow, get into bone and corresponding bone marrow with obtain a small amount of biopsy sample or aspirate a large amount of bone marrow very difficulty, cause wound, danger close also sometimes.The existing apparatus and the method that are used to get into bone and corresponding bone marrow can comprise and wherein be provided with (IO) pin in the bone that can take out the trocar.The handle of different shape and size can be used for the hands pressurization and manually rotates the complete IO pin and the trocar that can take out.The manual IO device of this type usually need be with the outer cortex that pierces through bone very energetically.Apply such power and can cause patient's pain, damage bone and/or IO device sometimes.When the patient of worsening because of disease (cancer) from the softer child of bone structure or bone gathered bone marrow, such power can be brought infringement.
Sometimes, the core sample of using the biopsy needle of standard can't successfully take out bone and/or bone marrow.Therefore, be necessary repeatedly to insert the bone and/or the bone marrow biopsy sample that could obtain satisfaction at different parts.Since increased by the operation of the sharp apparatus that blood stains dye, also higher to medical personnel's danger.Neglectful acupuncture and miss the target area and can make program more seem complicated also increases medical personnel and/or patient's danger.
Traditional bone marrow transplantation technology is carried out conventional bone marrow transplantation needs a plurality of sites of puncture (each patient reaches 20) in order to obtain enough bone marrow.The workload of this program is very big.Traditional biopsy needle and/or aspiration needle generally need be with hands with inserting very energetically.This power can cause out of control or operator's fatigue.When biopsy needle or aspiration needle are in place, generally remove the corresponding trocar, and syringe is connected on the end of biopsy needle or aspiration needle bone marrow to aspirate several cubic centimetres.Extract biopsy needle or aspiration needle then.Can leave new insertion position of about centimeters puncture, the first insertion position usually again.This program can repeat repeatedly.
Summary of the invention
According to instruction of the present disclosure, be provided for aspirating and/or the equipment and the method for biopsy bone marrow.This kind equipment and method also can be used when all kinds of stem cell transplantation program.Various instruction of the present disclosure can be used with the intraosseous device of other type outside the field that vascular access treatment patient is provided and the medical procedure of other type.The example of these programs include but not limited to kyphoplasty art, vertebroplasty, with replacement joint and relevant placement steel wire and screw and other the many orthopedic procedures of fracture internal fixation.Instruction of the present disclosure also can be used for various the intestines and stomach-urology biopsy devices and program.
One aspect of the present invention comprises the bone marrow aspiration system, and this system has the aspiration needle group and can be used for inserting power drill/driver and connector assembly in bone and the corresponding bone marrow to this aspiration needle group.This aspiration needle group can comprise the sleeve pipe with single cavity and the trocar or the stylet that are slidably disposed in this sleeve pipe cavity.Include but not limited to that all kinds of connections that road strategic point locking connects can be used for the interior trocar of abutment sleeve releasedly.
Another aspect of the present invention comprises bone and/or bone marrow biopsy system, and this system has biopsy needle or biopsy needle group and power drill/driver or manual driver.This power drill/driver and connector assembly can be used for inserting bone and corresponding bone marrow to this biopsy needle or biopsy needle group.This biopsy needle group can comprise the sleeve pipe with single cavity and slidably or releasedly be arranged on the trocar in this sleeve pipe cavity.This type pin and pin group can be used for detecting and/or treating various cancers and other disease indication.
Another aspect of the present invention comprises working power driver and connector assembly pin in the bone or the pin group is inserted bone and corresponding bone marrow is obtained bone marrow, and this power drill/driver and connector assembly can be used for obtaining with pin or pin group in this bone of optimum speed rotation the biopsy sample of bone and corresponding bone marrow.Can be provided with single screw in one end of biopsy needle, obtain sample of bone marrow or bone marrow core, thereby improve obtaining of biopsy sample through should single screw screwing in corresponding spongy bone.
One aspect of the present invention comprises and placing power drill/driver in pouch or the sterilization cover so that this power drill/driver is isolated from the outside.This pouch can be processed with flexible, in light weight, transparent plastic materials.This pouch can comprise and can be used for engaging releasedly with this power drill/driver one end and keep the interface module of fluid barriers with the adjacent part of actuator housing.Intraosseous device can be connected an end of this interface module.The driving shaft that stretches out from this power drill/driver can engage with the other end of this interface module releasedly.
Another aspect of the present invention comprises the biopsy tool kit, and this tool kit has biopsy needle and takes out the displacer of bone and/or sample of bone marrow or discharge bar from biopsy needle with can be used for.Also can comprise funnel (being sometimes referred to as " discharge funnel ") in this biopsy tool kit.This funnel can supply this displacer to insert an end of biopsy needle.According to instruction of the present disclosure, this funnel can comprise that internal diameter dwindles portion.In certain embodiments, the interior section of funnel can be used as " unidirectional adapter ", thereby can allow the tip protector of this funnel as an end that is located at biopsy needle wherein.
Another aspect of the present invention comprises and can be used for connector assembly that the intraosseous device and the part of the driving shaft that stretches out from power drill/driver one end are engaged releasedly.This connector assembly can allow this power drill/driver inserting position insertion (power insertion) to this intraosseous device (powerin).This connector assembly also can allow this power drill/driver " fast rotational (spin) " intraosseous device from insertion position taking-up (power is extracted) (power out) time.This characteristic of the present invention also can be described as " power inserts and power is extracted ".
Equipment of the present invention and method can:
Reduce the physical fitness requirement that the IO device inserts bone and corresponding bone marrow;
Control the IO device during insertion better;
The speed of accomplishing the IO program improves;
Patient's uncomfortable minimizing;
System and program simplification is understood concerning the operator, is convenient to grasp.
More than general introduction includes only a limited number of examples of various embodiments of the present invention and characteristic.Other example of embodiment and characteristic details hereinafter.
Description of drawings
From below in conjunction with the explanation of accompanying drawing more complete sum understand various embodiments of the present invention and advantage fully, similar features is represented with similar label in each accompanying drawing, in the accompanying drawing:
Figure 1A is the schematic isometric that is located at aspiration needle group of the present invention one example in the tool kit;
Figure 1B is the schematic isometric that is located at biopsy needle group of the present invention one example in the tool kit;
Fig. 1 C comprises the biopsy needle group and is applicable to other parts that in gnotobasis, use with power drill/driver for the schematic isometric of medical procedures trays one example of the present invention, this medical procedures trays;
Fig. 1 D is for to cut open the profile of getting along 1D-1D line among Fig. 1 C;
Fig. 1 E is the schematic isometric of the medical procedures trays of the present invention of Fig. 1 D, is provided with not sterilise medical apparatus in the pouch;
Fig. 1 F is another schematic isometric of the medical procedures trays of the present invention of Fig. 1 D, is provided with not sterilise medical apparatus in the pouch;
Fig. 1 G is another schematic isometric of Fig. 1 C medical procedures trays;
Fig. 1 H is the schematic isometric of Fig. 1 G medical procedures trays after first drop cloth and the expansion of second drop cloth;
Fig. 1 I be according to the present invention Fig. 1 G medical procedures trays in power drill/driver and schematic isometric after connector assembly engages;
Fig. 1 J is that Fig. 1 G medical procedures trays is in the schematic isometric of mentioning after second drop cloth is enclosed in power drill/driver (a not example of sterilise medical apparatus) in the pouch;
Fig. 2 can (IO) install the sketch map of power drill/driver one example of using according to the present invention in bone;
Fig. 3 A is the schematic isometric of Figure 1A aspiration needle;
Fig. 3 B is the decomposing schematic representation of Fig. 3 A aspiration needle group;
Fig. 3 C is the exploded pictorial axonometric chart of biopsy needle one example of the present invention;
Fig. 3 D is another routine schematic isometric of pin group in the bone of the present invention;
Fig. 3 E is the broken section schematic isometric at the tip of pin group in the bone of Fig. 3 A;
Fig. 3 F is the schematic isometric of an embodiment at intraosseous device of the present invention or telescopic tip;
Fig. 3 G is the schematic isometric of another embodiment at the tip of biopsy needle of the present invention;
Fig. 3 H is the schematic isometric of the another embodiment at the tip of intraosseous device of the present invention or conduit;
Fig. 3 I is the broken section schematic isometric of pin group in the bone of the present invention;
Fig. 3 J is another routine broken section schematic isometric of biopsy needle group of the present invention;
Fig. 4 A is that cross section and part are the exploded pictorial axonometric chart of facade for the part that can be used for being fit into threaded insert the plug broken section in the part of biopsy needle according to the present invention;
Fig. 4 B is the sketch map of an example of the threaded insert in the vertical hole that can be located at biopsy needle according to the present invention;
Fig. 4 C is provided with single screw for the broken section schematic section of biopsy needle one example of the present invention in this biopsy needle one end;
Fig. 4 D is another routine broken section schematic section of biopsy needle of the present invention, is provided with single screw in this biopsy needle one end;
Fig. 4 E is the cross section and the elevational schematic view of the broken section of biopsy needle group of the present invention, and this biopsy needle group comprises the trocar and near the single screw of hollow bushing one end roughly;
Fig. 5 A is the exploded pictorial axonometric chart of power drill/driver of the present invention, connector assembly and intraosseous device;
Fig. 5 B is another exploded pictorial axonometric chart of Fig. 5 A connector assembly and intraosseous device;
Fig. 5 C is another broken section exploded pictorial sectional view of Fig. 5 A power drill/driver, connector assembly and intraosseous device;
Fig. 5 D for before inserting in the connector assembly at an end of driving shaft along the sketch map of looking closely of the connector assembly of 5D-5D line among Fig. 5 C;
Fig. 5 E is the broken section schematic section of Fig. 5 A power drill/driver, connector assembly and intraosseous device;
Broken section schematic section when Fig. 5 F is on the second position that power drill/driver can break away from socket in connector assembly first end for Fig. 5 D connector assembly;
Fig. 5 G illustrates each characteristic of connector assembly of the present invention and blocking mechanism for to cut open the generalized section of getting along 5G-5G line among Fig. 5 E;
Fig. 5 H illustrates each characteristic of connector assembly of the present invention and blocking mechanism for to cut open the generalized section of getting along 5H-5H line among Fig. 5 F;
Fig. 5 I is another routine broken section schematic section of connector assembly of the present invention;
Fig. 6 A is the sketch map of connector assembly alternate embodiment of the present invention, and this connector assembly can be used for intraosseous device is engaged with the driving shaft that stretches out from power drill/driver one end releasedly;
Fig. 6 B is the broken section generalized section of Fig. 6 A power drill/driver, connector assembly and intraosseous device each several part;
Fig. 7 A is the broken section schematic isometric of power drill/driver of the present invention, pouch or sterilizing covers and connector assembly;
Fig. 7 B is for being located at another sketch map of the power drill/driver in Fig. 7 A pouch according to the present invention;
Fig. 8 is the exploded perspective sketch map applicable to intraosseous device of the present invention that uses with power drill/driver of the present invention or manual driver and connector assembly;
Fig. 9 A is the exploded perspective sketch map of biopsy sample displacer of the present invention and corresponding funnel;
Fig. 9 B is biopsy sample displacer of the present invention and another routine schematic perspective view of corresponding funnel;
Fig. 9 C is the generalized section of Fig. 9 B funnel; And
Figure 10 for be positioned at according to the present invention target site and with the cross section and the elevational schematic view of the broken section of the aspiration needle of bone marrow aspiration system connectivity.
The specific embodiment
Be appreciated that each preferred embodiment of the present invention and various advantage with reference to Figure 1A-10, in these accompanying drawings, identical and similar parts are represented with similar label.
" pouch " speech in this application can comprise that any sterilizing covers (sleeve), sterilization big envelope (envelope), sterile glove, sterilization cover (enclosure) or any other can be used to device that decontaminating apparatus is not engaged with decontaminating apparatus according to the present invention, to carry out the medical procedure of aseptic occasion of requirement or gnotobasis.
In some application scenario, can put into pouch of the present invention to the power drill/driver of not sterilizing, and engage, in requiring the various medical procedures of aseptic occasion or gnotobasis, to use with the sterilization intraosseous device.These pouch can be installed on connector assembly of the present invention or any other device, to prevent not sterilize power drill/driver in this do not sterilize power drill/driver and sterilization bone during (IO) means for engaging and engage this sterilization of after stain IO device.
" driver " speech in this application can comprise the power drill/driver that is applicable to any kind in the selected position of (IO) device insertion patient's blood vessel system in the bone.These power drill/drivers rotate the driving shaft that stretches out from this power drill/driver usually.But various instructions of the present disclosure also can be with the reciprocating power drill/driver of associated drives axle (not illustrating specially) is used.
Various technology are applicable to IO device of the present invention being engaged with power drill/driver releasedly or being connected.For example, the connecting device of the present invention's connector assembly miscellaneous, interface module, joint, socket, connection fittings, needle stand (hub), needle stand assembly, blocking mechanism and/or other type goes for releasedly the IO device being engaged with power drill/driver.
Various connector assembly of the present invention closes applicable to an end and a termination of intraosseous device of the axle that will stretch out from driver releasedly.In certain embodiments, power drill/driver can comprise driving shaft, and its end that is hexagonal cross-section substantially is used for engaging releasedly with the blocking mechanism that is arranged on connector assembly one end.In certain embodiments, connector assembly of the present invention can be described as " without hands " adapter, fast quick-detach or rapid release adapter and/or interface module.
According to the present invention, each blocking mechanism can be arranged near first end of connector assembly and second end.Push an end of the driving shaft that stretches out from power drill/driver the annular concave seat that can cause being located on this end of driving shaft second end of connector assembly engages with corresponding interlocking mechanism " engaging " releasedly.Push intraosseous device one end in first end of connector assembly to cause the annular concave seat on this end of intraosseous device to engage releasedly with corresponding blocking mechanism " engaging ".
In certain embodiments, according to the present invention, connector assembly or interface module can engage with pouch or sterilizing covers.Connector assembly of the present invention and/or needle stand assembly can easily separate relevant power drill/driver with the IO device, so that the IO device can be retained in the patient body, thereby allow marrow aspiration or remove bone and/or the bone marrow biopsy sample.These connector assemblies and/or interface module also can allow power drill/driver from inserting position " fast rotational (spin) " or IO device of being rotatedly connected when extracting the IO device or changing the insertion depth of IO device the target area.Extract or rotate when changing the degree of depth (power is extracted) the IO device and can improve patient's comfort level greatly and the wound that reduces to cause bone and soft tissue near the insertion position.
But the working power driver is just inserted IO device of the present invention in selected target district or the target site in 10 seconds or less time.But various instructions of the present disclosure are not limited to use with power drill/driver.Manual driver and spring powered driver also can be used with IO device of the present invention.
The example of manual driver referring to the applying date be January 25 in 2005 day, be called Manual Intraosseous Device coexist the trial in patent application serial number No.11/042,912 (be at present United States Patent (USP) _ _ _ _ _).
" fluid " speech in this application can comprise liquid; Such as but not limited to blood, water, saline solution, IV solution, slurry, or with the biopsy of bone marrow or suction or with bone marrow or other target site fluid flow any mixture of relevant liquid, particulate matter, dissolved medicament and/or medicine." fluid " speech in this application also can comprise any body fluid and/or contain the liquid of particulate matter, the bone marrow and/or the cell that for example can aspirate from the target area.
" collection " speech can comprise the biopsy of bone and/or bone marrow and the suction of bone marrow in this application.The biopsy of bone and/or bone marrow (being sometimes referred to as " pin biopsy ") generally can refer to take out more a spot of bone and/or sample of bone marrow to carry out biopsy from the selected target district.Bone marrow aspiration (being sometimes referred to as " bone marrow sampling ") generally can refer to take out than a large amount of bone marrow from the selected target district.A large amount of bone marrow can be used for diagnosis, transplant and/or research.For example, a large amount of bone marrow of some stem-cell research Technology Need.
" insertion position ", " site of puncture " and " installation position " can represent that intraosseous device can be inserted into or pierce the position on bone in bone and the corresponding bone marrow in this application.Inserting position, site of puncture and installation position is generally covered by skin and soft tissue.
" (IO) device in the bone " speech in this application can include but not limited to can be used for providing any hollow needle, hollow boring bit, perforator assembly, bone puncturing apparatus, conduit, sleeve pipe, the trocar, stylet, interior perforator, outer perforator, IO pin, biopsy needle, aspiration needle, IO pin group, biopsy needle group or the aspiration needle group of the path that gets into interior space of bone or inside bone.These IO devices can be at least in part with metal alloy for example 304 rustless steels process with other and pin and the corresponding biocompatible material of similar medical treatment device.
Can form all kinds of IO devices according to the present invention.The example of these IO devices can include but not limited to biopsy needle, biopsy needle group, aspiration needle and aspiration needle group.But, also can form other IO device miscellaneous according to one or more instructions of the present disclosure.These IO devices can comprise also can not comprise the trocar or stylet.
In some application scenario, the trocar or stylet can insert in corresponding pipe or the telescopic hollow basically vertical hole or chamber.First end of second needle stand can engage with second end of first needle stand releasedly, so that the trocar or stylet are arranged in vertical hole of sleeve pipe or conduit releasedly.The aspiration needle group 100 or the biopsy needle group 100a that the invention is not restricted among the application to be discussed.
" target area " speech in this application can refer to can therefrom gather according to instruction of the present disclosure selected part or the selected position in the bone cavity of the bone cavity of bone marrow.
Many prior aries of gathering bone and/or bone marrow need puncture more than once bone and corresponding bone marrow are to take out enough bone and/or bone marrow sample.If do not take out biopsy sample satisfactorily in first site of puncture, on same bone, just need a plurality of sites of puncture so.The medical worker need insert the some different sites of puncture on the same bone to the IO pin, to obtain to be used to transplant or the capacity bone marrow of stem-cell research.For example, obtain six of capacity bone marrow needs or more insert the position from patient's pelvis.Repeatedly the insertion meeting brings very big misery to patient, and can make some people dare not contribute bone marrow.Repeatedly insert and cause fatigue also can for the medical worker who uses manual IO device to carry out these programs.
Bone marrow transplantation program and various search procedure for example stem-cell research need a large amount of bones and/or bone marrow usually.The bone cavity of hipbone is generally bigger, the target area of making to gather the bone marrow of any other program that is used for a large amount of bone marrow of transplanting program, stem-cell research program or needs therefore commonly used.
In some occasion, IO pin or other IO device can be formed with first end of be used to puncture bone and/or corresponding bone marrow.Joint or needle stand can be connected to second end of this IO pin or other IO device.These joints or needle stand can be used for releasedly this IO pin or IO device being engaged with power drill/driver, manual driver and/or connector assembly.
IO pin group of the present invention can comprise an IO device with other IO device, for example sleeve pipe, conduit or outer perforator and the 2nd IO device, for example stylet, the trocar or interior perforator.Can be formed with various facets near first end of an IO device and first end of the 2nd IO device.The facet of the facet of the one IO device and the 2nd IO device can be worked in coordination, with puncture bone and/or corresponding bone marrow.
First joint or first needle stand can be used for releasedly with an IO pin or IO device and the 2nd IO pin or IO means for engaging.For example, IO pin group can comprise first joint or first needle stand, and hollow basically sleeve pipe, conduit or outer perforator connect above that and extend from first end of first needle stand.Second end of first needle stand can be used for closing with first termination of second joint or second needle stand releasedly.Stylet, the trocar or interior perforator also can be connected to first end of second needle stand and extend from first end of second needle stand.Second end of first needle stand can comprise opening, and its big I allows stylet, the trocar or interior perforator to pass the cavity of this opening and sleeve pipe, conduit or outer perforator.
Second end of second needle stand can be used for closing with first termination of connector assembly of the present invention releasedly.One end of the axle that stretches out from power drill/driver or manual driver can engage with second end of this connector assembly releasedly.
About other details of power drill/driver, joint, needle stand and IO device can referring to the applying date for _ _ _ _, name is called the patent application serial number No.____ in the trial that coexists of Powered Driver Intraosseous Device and MethodTo Access Bone Marrow, this application requires the preference of the temporary patent application that the applying date is on April 4th, 2007, title is identical.
Can be with reference to power drill/driver 200, connector assembly 250,250a, 250b and 250c, needle stand assembly 130,130a, 130b and 130c, IO pin group 100,100a and 100b, biopsy needle 100c and/or pouch 170 are explained each characteristic of the present invention.But, the invention is not restricted to these power drill/drivers, connector assembly, needle stand assembly, IO pin group, biopsy needle and/or pouch.Can form intraosseous device miscellaneous, needle stand assembly, connector assembly and/or the pouch of various sizes and/or structure according to the present invention.
Figure 1A-1J illustrates medical procedures trays that the one or more intraosseous devices of the present invention and/or other parts can be housed and/or some examples of tool kit.For example, the 20a of medical procedures trays shown in Figure 1A can comprise pin group or aspiration needle group 100 in the bone of the present invention.The 20b of medical procedures trays shown in Figure 1B can comprise pin group or biopsy needle group 100b, displacer 90, funnel 80 and/or pouch or sterilizing covers 170 in the bone.Medical procedures trays 20c shown in Fig. 1 C-1I also can comprise the various IO devices of the present invention and other parts, and these parts include but not limited to biopsy needle group 100b, connector assembly 250, pouch 170, displacer 90 and/or funnel 80a.
Medical procedures trays formed according to the present invention and/or tool kit can be various parts for example connector assembly, funnel and/or tip protector provide support or the basis, just can carry out various functions to allow operator or user to need not to hold or operate each parts.For example, medical procedures trays 20c shown in Figure 1 can make connector assembly 250 location one end of power drill/driver can insert (pushing) to become with second end 252 of connector assembly 250 and engage releasedly with supporting to.Then, operator or user need not directly to hold or be operatively connected device assembly 250 and from medical procedures trays 20c, take out connector assembly 250 with regard to the usable power driver.
Medical procedures trays formed according to the present invention and tool kit can have structure miscellaneous and/or size.In some occasion, the tool kit that intraosseous device is housed according to the present invention can always be about 4.5 inches, and is wide about 3 inches, dark about 2 inches.Various heat-sealing technology are applicable to being contained in removable lid (not illustrating specially) on medical procedures trays of the present invention or the tool kit.
In some occasion, medical procedures trays 20a can be described as " bone marrow aspiration pallet ", " suction procedures trays " or " bone marrow aspiration tool kit ".In some occasion, medical procedures trays 20b and 20c can be described as " bone and/or bone marrow biopsy procedures trays " or " biopsy procedure pallet " or " bone marrow biopsy tool kit " sometimes.
As the part of corresponding sterilization and packaging process, can on each medical procedures trays 20a, 20b and 20c, close the lid (not illustrating specially).These can take off before covering the various parts in using each medical procedures trays.
Medical procedures trays or suction pallet 20a (seeing Figure 1A) can comprise that size is suitable for the elongate groove 22 of corresponding intraosseous device such as but not limited to aspiration needle group 100.The size of groove 22 and configuration can be selected, with the length overall of the sleeve pipe 110a that adapts to needle stand assembly 130 and stretch out from needle stand assembly 130.The big I of one end of groove 22 is designed to adapt to the size and the configuration of needle stand assembly 130.The opening or the finger groove 24 of expansion also can be provided, so that in groove 22, insert and take out aspiration needle group 100.To combine Fig. 3 A to discuss hereinafter with aspiration needle group 100 each relevant details.
Medical procedures trays or biopsy pallet 20b (seeing Figure 1B) can comprise elongate groove 30 and 32.The size of elongate groove 30 and configuration may be selected to and be suitable for placing therein displacer 90.The size of elongate groove 32 and configuration may be selected to and be suitable for placing therein intraosseous device or biopsy needle group 100b.
The size of elongate groove 30 1 ends and configuration may be selected to second end 92 of being located at ejector bar 94 on the size and the configuration of handle 96 fit mutually.Pair of finger groove 34 can constitute the part of elongate groove 30, to allow to install and take out displacer 90.One end of elongate groove 32 can be fitted with corresponding configuration and the size of the needle stand assembly 130a of biopsy needle group 100b mutually.Pair of finger groove 36 also can be used as the part of elongate groove 32, to be suitable in elongate groove 32, inserting and taking out biopsy needle group 100b.
Medical procedures trays shown in Fig. 1 C-1I or biopsy pallet 20c represent another example of medical procedures trays formed according to the present invention.Biopsy procedure pallet 20c can comprise intraosseous device or the biopsy needle group 100b that is placed on releasedly in the elongate groove 42 and be placed on the displacer 90 in the elongate groove 44.Elongate groove 42 and 44 respective end can be adjacent one another are, so that can form finger groove 46a, 46b and 46c more easily.Biopsy procedure pallet 20c also comprises a pair of tip protector 64a that is located in the corresponding bearing 48.Each bearing 48 comprises pair of finger groove 50.
One of advantage of the present invention comprises and can releasedly an end of power drill/driver and a termination of connector assembly be closed; End with biopsy needle engages with the other end of this connector assembly releasedly; Insert the selected target district to the other end of this biopsy needle; " power is extracted " biopsy needle under guaranteeing to have in the biopsy needle situation of biopsy sample reliably; And the other end of biopsy needle insert funnel with protect most advanced and sophisticated with take out biopsy sample.The direct contact of operator and biopsy needle can be only limited in the corresponding end that pushes an end of biopsy needle connector assembly.
In medical procedures trays 20c, also can be formed with a pair of bearing or anchor clamps (not illustrating specially) with the bearing adjacent that is used for connector assembly 250.These anchor clamps can be designed to hold first end 181 and second end 182 of the flexible strut 180 on second opening 172 of being located at pouch 170.Connector assembly 250 also can be installed in the bearing 58 of biopsy procedure pallet 20c, its first end 251 down, second end 252 is up.
Fig. 1 E and 1F illustrate according to the present invention and are used for placing a program in the pouch to power drill/driver.Pouch 170 can be processed with substantial flexibility, fluid-tight material, also can use the routine disinfection technology that it is carried out disinfection.When bone marrow biopsy program or bone marrow aspiration program, pouch 170 can be used for preventing that the disinfectant power drill/driver does not pollute disinfectant intraosseous device and/or site of puncture especially.Pouch 170 can be operated, and forms fluid barriers with the adjacent part with housing unit 270.Simultaneously, connector assembly 250 allows power drill/driver to rotate the intraosseous device that engages releasedly with connector assembly 250 first ends 251 and does not damage pouch 170.
Along pouch or overlap one side of 170 and can be formed with first opening 171.Relative another side along pouch 170 can be formed with second opening 172.The size of second opening 172 and configuration may be selected to and be suitable for inserting and take out not sterilise medical apparatus of power drill/driver or other from this second opening 172.
In some occasion, power drill/driver 200 can directly place pouch, and engages with connector assembly 250.In other occasions, be associated with from medical procedures trays, taking out connector assembly 250, the power drill/driver of not sterilizing can insert in the pouch 170.
In some occasion, can take off over cap (not illustrating specially) from medical procedures trays 20c.Then, can pass second opening 172 of pouch 170 from the end 224 that the driving shaft of power drill/driver 200 222 extends, and engage releasedly with second end 252 of connector assembly 250.
Then, take out first end 181 and second end 182 of flexible strut 180 in corresponding anchor clamps that can be from medical procedures trays 20c or the bearing, with hands second opening 172 is upwards mentioned with respect to power drill/driver 200 with permission.See Fig. 1 E.Pouch 170 can continue raised to complete expanded position, and makes power drill/driver 200 place pouch.See Fig. 1 F.Then, can flap 174 be covered on second opening 172.Then, can from the bearing 58 of medical procedures trays 20c, take out the pouch 170 and connector assembly 250 of wherein dynamic driver 200.
Fig. 1 G-1J illustrates another program of the present invention; Power drill/driver is not put into pouch sterilizing; Connector assembly or interface module are enclosed in this pouch from this pouch extension and this power drill/driver of not sterilizing, and make this connector assembly to engage with the sterilization intraosseous device.Also available identical program with other not sterilise medical apparatus engage with sterilise medical apparatus.
In some occasion, can be placed on medical procedures trays 20c among the second pallet 20d, be provided with first drop cloth 51 between them.See Fig. 1 G and 1J.Then, can be opening being arranged or 54 second drop cloth 52 of windowing places on the medical procedures trays 20c, opening or window and 54 align basically with second opening 172 of pouch 170 and second end 252 of connector assembly 250.Second drop cloth 52 also can cover first drop cloth 51 from outward extending part between medical procedures trays 20c and second medical procedures trays (not illustrating specially).
In some occasion, second drop cloth 52 with window 54 adjacent parts can with the engaging releasedly of pouch 170 with second opening, 172 adjacent parts.See Fig. 1 J.Various low-intensity jointing materials on sale come between second opening 172 near window 54 part and pouch 170 of second drop cloth 52, to provide releasable and engage on the available markets.
Then, for example shown in Fig. 1 G, can fold first drop cloth 51 and second drop cloth 52, to cover the thing in the medical procedures trays 20c.Between the appropriate section of first drop cloth 51, can see the part of second drop cloth 52 among Fig. 1 G.
Then, can cover the exposed portions serve of these two medical procedures trays and drop cloth 51 and 52 to over cap (not illustrating specially).Then, can be to medical procedures trays (the not illustrating specially) sterilization of this combination.According to the present invention, advantage of this disinfectant includes but not limited to provide the disinfectant pouch, and it can be used to sterilise medical apparatus is not engaged with sterilise medical apparatus.
Then, first drop cloth 51 and second drop cloth 52 be can shown in Fig. 1 H, launch, thereby 54 second opening 172 of pouch 170 and second end 252 of connector assembly 250 exposed through windowing on second drop cloth 52.The people's (not illustrating specially) that do not sterilize can pass the power drill/driver 200 of not sterilizing opening or window 54 then, and the end 224 of the driving shaft 222 that stretches out of the power drill/driver 200 of will never sterilizing engages with second end 252 of connector assembly 250 releasedly.Then, the people that do not sterilize can be lifted to position shown in Fig. 1 J to second drop cloth 52, and this moment, power drill/driver 200 was positioned at pouch 170.The people that do not sterilize can continue to mention second drop cloth 52, thus engaging between that discharge second drop cloth 52 and the part adjacent window 54 adjacent parts and pouch 170 with second opening 172.
Can comprise the following steps with using medical procedures trays of the present invention or the relevant general procedure of tool kit.Place medical procedures trays 20d will carry out on the precalculated position of related medical program.For example, can place medical procedures trays 20d near the table or utility cart the operating-table, wherein, bone marrow aspiration program or bone marrow biopsy program can be carried out on this operating-table.
The sterilization people can take off corresponding lid from medical procedures trays 20d, to expose folding drop cloth 51 and 52.Then, the sterilization deployable drop cloth 51 of people and 52 is shown in Fig. 1 H.Then, the people that do not sterilize can pick up the power drill/driver 200 of not sterilizing, and passes power drill/driver 200 and window 54 on second drop cloth 52, shown in Fig. 1 H.The end 224 of the driving shaft 222 of power drill/driver 200 can be " snapped " in connector assembly 250 second ends 252.The people that do not sterilize can mention second drop cloth 52 then shown in Fig. 1 J, thereby causes pouch 170 to be lifted on the power drill/driver 200.The people that do not sterilize can take second drop cloth 52 then away.
The sterilization people can cover flap 174 second end 172 of pouch 170 then.Then, this sterilization people can catch the handle 214 of power drill/driver 200 through pouch 170, and mentions the bearing 58 of the power drill/driver that is connected with connector assembly 250 on it 200 from tool kit 20c.Then, this sterilization people can take out for example biopsy needle group 100b of intraosseous device from medical procedure tool kit 20c, and inserts second end 102 of biopsy needle group 100b in first end 251 of connector assembly 250.When second end 102 of biopsy needle group 100b (or any other intraosseous device of the present invention) is locked in connector assembly 250 first ends 251 releasedly, can feel " engaging ".When second end 102 with after first end 251 of connector assembly 250 engages releasedly, can take off pin protective cap (not illustrating specially) from biopsy needle 100b first end 101.
The sterilization people can hold power drill/driver 200 in the pouch 170 together with connector assembly 250 and the biopsy needle group 100b that stretches out from connector assembly 250 with one, confirms to insert the position with another hands simultaneously.Power drill/driver 200 can place and insert on the position, with biopsy needle group 100b first end 101 to bone direction pierce.When touching bone, but operator's squeeze buttons or trigger 246 and the handle 214 of power drill/driver 200 applied metastable soft pressure.After piercing through bone cortex, the operator can decontrol trigger 246, with the further insertion of first end 101 that stops biopsy needle group 100b.
Then, can be to the effect of first shell section 280, to throw off engaging of biopsy needle group 100b second end 102 and connector assembly 250.Then, can rotate counterclockwise the second needle stand 150a, so that the second needle stand 150a and corresponding stylet 120 are thrown off from the first needle stand 140a.See Fig. 3 B.Then, can extract stylet 120 out, and from biopsy needle or sleeve pipe 110b, take away.Then, can insert stylet 102 first ends 121 among the tip protector 64a.After suitable biopsy procedure was accomplished, the second needle stand 150a can engage with the first needle stand 140a once more.Then, connector assembly 250 first ends 251 can engage with biopsy needle group 100b second end 102 once more, to rotate or fast rotational biopsy needle group 100b, extract out from inserting the position simultaneously.After opening from the insertion section displacement, biopsy needle group 100b second end 102 can be disengaged with connector assembly 250.Then, can insert biopsy needle group 100b first end 101 among the tip protector 64a.
After second drop cloth 52 took away from second opening 172, sterilization people (not illustrating specially) can close flap 174, to be enclosed in the power drill/driver of not sterilizing wherein.This sterilization people can take out pouch 170, power drill/driver 200 and connector assembly 250 from bearing 58 then.The sterilization people can engage connector assembly 250 first ends 251 with a end of sterilization intraosseous device in being located at medical procedures trays 20c of the present invention then releasedly.After using this intraosseous device to accomplish bone marrow aspiration program, bone and/or bone marrow biopsy program and/or other medical procedure, the tip of this intraosseous device or tip can insert in the material 66 among the tip protector 64a, further to dispose according to suitable program.
Drop cloth miscellaneous can be suitable for using with medical procedures trays of the present invention or tool kit.One example of the drop cloth relevant with medical procedure is seen United States Patent (USP) 4,553,539.But first drop cloth 51 and/or second drop cloth 52 can be made from a variety of materials, and can be various configurations and/or size.
Fig. 1 E, 1F, 1I, 2 with power drill/driver 200 shown in the 5A and Fig. 7 A and power drill/driver 200a shown in the 7B applicable in intraosseous device insertion bone of the present invention and the corresponding bone marrow.Power drill/driver 200 is similar basically with 200a, and the end 224 of the driving shaft 222 that just stretches out from housing 210 first ends 211 is different with 224a.For example see Fig. 2 and 7A.Therefore only specify power drill/driver 200 below.
Power drill/driver 200 can comprise housing 210, and the overall configuration of this housing 210 is similar to the pocket pistol that is partly limited handle 214.Can be positioned at the housing 210 that comprises handle 214 with power drill/driver 200 each relevant parts.For example, can be provided with for example set of cells 216 of power supply in the handle 214.Set of cells 216 can be various structures and size.
Comprise handle 214 housing 210 can with the polymeric material firmer, that bearing capacity is big for example the material that is fit to of Merlon or other process.In some occasion, housing 210 can be made up of halves (not illustrating specially), and this halves can be tightly connected together with fluid-tight, is located at each parts of the intravital power drill/driver 200 of shell with protection.
In the part adjacent that motor 218 and gear drive 220 can be arranged on housing 210 with handle 214.Motor 218 can be aligned with each other basically with gear drive 220.Motor 218 can engage with an end of gear drive 220 rotationally.Driving shaft 222 can with the engaging rotationally with the motor 218 opposite other ends and stretch out of gear drive 220 from this end.In some occasion, motor 218 can all be substantial cylindrical with gear drive 220.
Can obtain to be suitable for motor and gear drive from each distributors with power drill/driver 200 uses.These motors and gear drive can " complete " be provided with, and an end of each motor firmly is connected with an abutting end of respective gears actuating device.The driving shaft of various sizes and/or structure can stretch out from an end opposite with motor of gear drive.This gear drive can be described as " reduction gearing " or " planetary gear " sometimes.The size of housing 210 and/or structure can change, to adapt with corresponding motor and gear drive.
The far-end of housing 210 or first end 211 can comprise opening (not illustrating specially), and the part of driving shaft 222 is stretched out from this opening.In some occasion, the part or the end 224 of the driving shaft 222 that extends from first end 211 of housing 210 can be roughly hexagonal cross-section, and each surface 226 is arranged on it.The socket of being located in connector assembly 250 second ends 252 263 can have the roughly hexagonal cross-section that matches.See Fig. 5 E.
Can be roughly parallel to each other and extend abreast with longitudinal axis or pivot center (not illustrating specially) corresponding to driving shaft 222 in each surface 226.Also can be formed with one or more taper surfaces 228 on the end 224, power drill/driver 200 engaged with connector assembly 250 releasedly helping.See Fig. 5 E and 5G.The end of the driving shaft that stretches out from power drill/driver can be various configurations.For example see Fig. 6 A and 6B.
Driving shaft with required size and structure can stretch out from one side opposite with motor of gear drive.This driving shaft can be used as the part of every cover motor and gear drive.The size of respective housings and/or structure can change according to instruction of the present disclosure, to adapt to various motors, gear drive and/or driving shaft.For example, the power drill/driver that uses with aspiration needle and/or biopsy needle can comprise the gear drive of large-size, satisfying than the big retarding ratio as 60: 1～80: 1, thereby causes the RPM of driving shaft lower.Be used for when the emergency medical service program, providing the power drill/driver of bone inner gateway can be, and can comprise gear drive, for example be 10: 1～30: 1, thereby cause the RPM of driving shaft higher with less speed reducing ratio in high rotational speed work.In some occasion, the size differences of gear drive causes the internal diameter of respective housings to increase about 2～3mm, be fit to corresponding to the power drill/driver that is used for inserting biopsy needle and/or aspiration needle than the open-bull gear drive device.
There is the connector assembly of respective openings or socket to engage releasedly with end 224 of stretching out or the end 224a that stretches out from power drill/driver 200a first end 211 from power drill/driver 200 first ends 211.For example, like Fig. 1 E, 1F shown in 5C and the 5D, can engage with the socket 264 near connector assembly 250 second ends 252 from the end 224 that housing 210 first ends 211 stretch out releasedly.
In some occasion, can be provided with thrust bearing 241 between the adjacent part of housing 210 first ends or far-end 211 and gear drive 220.Can be provided with thrust bearing 242 between the adjacent part of housing 210 second ends or near-end 212 and motor 218.Thrust bearing 241 and 242 can limit the lengthwise movement in housing 210 each relevant portion of motor 218, gear drive 220 and driving shaft 222.
In housing 210, also can be provided with trigger assembly 244 near handle 214.Trigger assembly 244 can comprise trigger or contact switch 246.Alternately press or unclamp trigger 246 and just can switch on or off motor 218.Also can be provided with circuit board 247 in the housing 210.Circuit board 247 can be electrically connected with trigger assembly 244, motor 218, power supply 216 and display lamp 248.
In some occasion, display lamp 248 can be light emitting diode (LED) or more common miniature bulb.In some occasion, display lamp 248 can be lighted when 90% electric reserves of set of cells 216 run out.
The structure of intraosseous device of the present invention is different and different with visual its each intraosseous device application of size.For example, the length of biopsy needle of the present invention can be from about 5mm to 30mm.But, also can form biopsy needle with other length according to the present invention.The length of aspiration needle of the present invention is about 25mm, 60mm and 90mm.In some occasion, length is that 90mm or longer aspiration needle also can comprise one or more side mouths.For example see Fig. 3 A.The external diameter of (IO) device is with vertically hole or chamber can be roughly corresponding with No. 18-No. 10 pins in the bone of the present invention.The structure of each IO device and size are decided with the corresponding bone marrow desired depth of puncture by the size of corresponding bone.
According to the present invention power drill/driver and connector assembly and aspiration needle group being united use can get into crista iliaca or other rapidly and insert the position and answer bone marrow with extract phase.Bone marrow aspiration of the present invention system can insert desired depth in the spongy bone to aspiration needle in second at 10-15.According to the present invention, this ability can be used for obtaining bone and/or sample of bone marrow according to inserting biopsy needle with the optimum speed that obtains reliable biopsy sample.
Bone marrow aspiration of the present invention system can be provided for inserting aspiration needle spongy bone and extracting the power drill/driver and the connector assembly of bone marrow out.The aspiration needle group can be taken out the trocar or stylet after inserting and being used to extract the desired depth of bone marrow out in the bone from corresponding pipe or telescopic chamber.Needle stand assembly of the present invention can be connected on second end of this pin group, so that relatively easily and promptly from the chamber of sleeve pipe or conduit, take out the trocar or stylet.Then, can the road strategic point locked joints that be connected on sleeve pipe or the supravasal needle stand be connected with the bone marrow aspiration system.See Figure 10.In some occasion, needle stand and needle stand assembly can be processed with medical Merlon.
After suction aequum bone marrow or required sample of bone marrow had been accomplished in first target area, the trocar or stylet can insert in outer perforator or the telescopic chamber again.First end that is connected in the needle stand on the trocar or the stylet can engage with second end that is connected in sleeve pipe or supravasal needle stand once more.Then, available power drill/driver of the present invention and connector assembly insert in the spongy bone second desired depth to the aspiration needle group obtaining another sample of bone marrow, or this aspiration needle group of available this power drill/driver " power is extracted ".Can most advanced and sophisticated security protection ability be provided for stylet and/or sleeve pipe as the part of said suction system.
In the embodiment of IO pin group 100 and 100a representative, first end, the 121 puncture bone and the corresponding bone marrow of the first end 111a of available sleeve pipe 110a and stylet 120.Each characteristic of sleeve pipe 110a first end 111a and stylet 120 first ends 121 illustrates in greater detail in Fig. 3 D and 3F.First end 101 of IO pin group 100 and 100a can be roughly corresponding with sleeve pipe 110a first end 111a and stylet 120 first ends 121.
Can have a plurality of labellings 104 on the exterior section of sleeve pipe 110a.Labelling 104 can be described as " telltale mark " or " degree of depth indication " sometimes.Labelling 104 can be used for representing aspiration needle group 100 or the paracentesis depth of 100a in bone and corresponding bone marrow.In some occasion, sleeve pipe 110a can be about 60mm, and nominal outside diameter can be about 0.017 inch, roughly is equivalent to pin No. 16.Sleeve pipe 110a can process with rustless steel or other suitable biocompatible material.Telltale mark 104 can be apart from one another by about 1cm on sleeve pipe 110a exterior section.In some occasion, can on sleeve pipe 110a exterior section, be formed with one or more and first end 111a side mouth 106 separately.
Needle stand assembly 130 shown in Fig. 3 A can be used for being arranged at stylet 120 releasedly in the vertical hole or chamber 118 of sleeve pipe 110a.See Fig. 3 E.Needle stand assembly 130 can comprise first needle stand 140 and second needle stand 150.Second end opposite of sleeve pipe 110a with the first end 111a can with the second end firm engagement of sleeve pipe 110a.Second end opposite of stylet 120 with first end 121 can with the first end firm engagement of needle stand 150.
Shown in Fig. 3 A, sleeve pipe 110a can longitudinally stretch out from needle stand 140 first ends 141.Stylet 120 also can stretch out (not illustrating specially) from needle stand 150 first ends.Needle stand 140 second ends can comprise the standard luer locked joints that can engage releasedly with the corresponding road strategic point locked joints in being located at second needle stand, 150 first ends.Being threaded between dotted line shown in Fig. 3 A 134 expression first needle stand 140 second ends and second needle stand, 150 first ends.The details of the example of road strategic point locking connection and/or joint are seen Fig. 3 B, 3C, 5E, 5F, 5I and 10.Be located at road strategic point locked joints on needle stand 140 second ends and can be used for being connected joint releasedly with the intravenous (IV) of standard syringes type joint and/or standard.
Various sockets can be suitable for being located in needle stand 150 second ends 152, needle stand assembly 130 are engaged with power drill/driver releasedly being used for.For example, the socket that has the general conical corresponding with the conical configuration of the driving shaft that stretches out from power drill/driver one an end structure can engage with second end 152 of needle stand 150 releasedly.Power drill/driver 200a shown in Fig. 6 A and the 6B can represent an a kind of like this example of power drill/driver, and the driving shaft that stretches out from housing of this power drill/driver has tapered portion, thereby can be used for engaging releasedly with the socket with corresponding general conical structure.In some occasion, be located at the Magnet (not illustrating specially) from the diminished shaft end that power drill/driver stretches out and be located at the metal dish in the respective socket the intraosseous device through employing, this type power drill/driver can be fastened on this intraosseous device.This type power drill/driver also can use with being used to obtain the intraosseous device that urgent blood vessel gets into (EVA).
Among other embodiment described in detail below, can operate second end of needle stand assembly, to be placed in the socket that is formed in the connector assembly of the present invention.A characteristic of the present invention can comprise formation needle stand assembly, and this needle stand assembly can be bonded in first socket that is located in connector assembly first end releasedly.For example see shown in Fig. 5 E near the socket 263 that extends core 260 first ends 261.The structure of socket 263 and size may be selected to when inserting the IO device in bone and the corresponding bone marrow (rotation) and prevent that needle stand 150a from rotating with respect to needle stand 140a.This power drill/driver can engage with second socket in being located at this connector assembly second end releasedly.For example see shown in Fig. 5 E near the socket 264 that extends core 260 second ends 262.
In intraosseous device shown in Fig. 3 B or aspiration needle group 100a, needle stand 150a first end 151 is spaced apart with needle stand 140a second end 142.As shown in the figure, the part of stretching out from needle stand 150a first end 151 of stylet 120 is slidably disposed in the chamber or vertical hole 118 of sleeve pipe 110a.
The 130a of needle stand assembly shown in Fig. 3 B can comprise first end 131, and this first end 131 can be roughly corresponding with needle stand 140a first end 141.Needle stand assembly 130a also can comprise second end 132, and this second end 132 can be roughly corresponding with needle stand assembly 130a second end 102 with needle stand 150a second end 152.See Fig. 3 B.Sleeve pipe 110a can be connected on needle stand 140a first end 141 and from this first end 141 and stretch out.
Needle stand 140a second end 142 can comprise that the strategic point locking of common road connects or joint half the, its can be used for be located at the second needle stand 150a, first end 151 in the road strategic point lock and be connected or the appropriate section of joint engages releasedly.In Fig. 3 B and 3C illustrated embodiment, needle stand assembly 130a first end 131 can be corresponding with the first needle stand 140a, first end 141.The second needle stand 150a, second end 152 can be corresponding with aspiration needle group 100a second end 102 with needle stand assembly 130a second end 132.
At least a portion of needle stand assembly 130a can have roughly hexagonal cross-section, and it can be received within the socket 264 of the roughly hexagonal cross-section that is provided with near connector assembly 250 first ends 251.See Fig. 5 E.In certain embodiments, the first needle stand 140a's can have roughly hexagonal cross section with reduced diameter portion 143 adjacent parts.See Fig. 3 B and 3C.Various cross sections except hexagon are applicable to power drill/driver is engaged with the other end of connector assembly with an end of connector assembly and with intraosseous device releasedly.
The aspiration needle group can comprise the trocar, stylet or the interior perforator with respective sleeve, conduit or the combination of outer perforator usually.But biopsy needle of the present invention can comprise also can not comprise the trocar, stylet or interior perforator.For example, biopsy needle 100c shown in Fig. 3 C is connected on needle stand 140a first end.Stylet or interior perforator are not connected on needle stand 150a first end 151.
In the embodiment by biopsy needle 100c representative, needle stand 140a can be used for being bonded on biopsy needle 100c releasedly in the socket that forms in the connector assembly of the present invention.Can connect needle stand 150a, with the end 141 of sealing needle stand 140a.But in many occasions, the needle stand 140a with needle stand 150a can not be connected with an end of connector assembly of the present invention.Biopsy needle 100c can be used for obtaining the biopsy sample of bone and corresponding bone marrow.In biopsy needle 100c, place the trocar and when puncturing bone, can cause sizable infringement the bone sample with the combination tip of the trocar and biopsy needle 100c.
Needle stand 140a can comprise second end 142 that is formed with opening 144.Passage 146 can extend to first end 141 from second end 142 of needle stand 140a.See Fig. 5 E, 5F and 5I.Passage 146 can be used for being communicated with chamber 118 fluids of sleeve pipe 100a.Needle stand 140 second ends 142 can comprise that the strategic point locking of common road connects or the various characteristics of joint, comprise screw thread 148.Can be formed with corresponding screw thread 158 in needle stand 150a first end 151.For example see Fig. 5 E, 5F and 5I.The connector assembly 250 of the outlet end 151 of the first structure 263 may be selected and the size of the IO device is inserted in the needle holder 140a 2UU bone (the turn) to prevent the needle holder 140a and needle relative movement between the seat 150a.If this relative motion takes place, being connected between the screw thread 148 and 158 can be thrown off.
In some occasion, needle stand 140a and needle stand 150a can adopt injection molding technology and form.In certain embodiments, needle stand 140a can comprise the reduced diameter portion 143 that is located between first end 141 and second end 142.For example see Fig. 3 B, 3C and 5C.The a plurality of spaces or the otch 153 that in a similar fashion, can in needle stand 150a, be formed with contiguous second end 152 and extend to the direction of first end 151 from second end 152.For example see Fig. 3 B, 3C and 5A.The structure of reduced diameter portion 143 and/or otch 153 and size can change, so that corresponding injection molding technology optimization provides required structure, size and the strength of materials simultaneously, play a role according to the present invention to allow respective needle holder assembly 130a.
Fig. 3 D and 3E illustrate a facet and a most advanced and sophisticated example, and they can be formed near sleeve pipe and the respective sleeve needle end part according to the present invention.By sleeve pipe or outside among the embodiment of perforator 110a and the trocar or interior perforator 120a representative, the tip 123 of stylet 120 can be near the tip 113 of sleeve pipe 110a.In some occasion, the trocar of grinding simultaneously 120 first ends 121 and the sleeve pipe 110a first end 111a are to form adjacent facet 114 and 124.Shown in Fig. 3 D and 3E, grinding end 111a and 121 can form single cutter unit simultaneously, to form cutting edge 124e and the 114e that roughly matches.The facet of other type formed according to the present invention is explained hereinafter.
The trocar 120 first ends 121 can pass the opening 144 in needle stand 140a second end 142.See Fig. 3 B.The needle stand 150a that is located on the trocar 120 second ends can engage with sleeve pipe 110a second end of being represented by needle stand 140a releasedly.See Fig. 3 B.
Because existing biopsy needle can't obtain satisfied bone and/or sample of bone marrow sometimes, so oncologist possibly can't successfully obtain suitable bone and/or sample of bone marrow with other medical personnel.When obtaining sample, sample is damaged sometimes or is polluted.Intraosseous device of the present invention can significantly reduce or eliminate the problem that runs into when obtaining suitable bone and/or sample of bone marrow.Various instruction of the present disclosure can have increased access to the probability of satisfied spongy bone and corresponding bone marrow biopsy sample greatly.
People's bone generally has hard outer layer or the osseous tissue layer that is called " cortical bone ".Spongy bone (being also referred to as dendritic bone or spongy bone) generally is filled in the inner chamber relevant with cortical bone.Spongy bone is that density and intensity are general lower but another kind of osseous tissue that surface area is big.Spongy bone generally comprises spicule or bone trabecula, and they form the network structure in the gap that is full of connective tissue or bone marrow.The spongy bone exterior section generally comprises the red bone marrow that generates the hemocyte composition.The most of tremulous pulsies and the vein of bone are arranged in corresponding spongy bone.
One of advantage of the present invention comprises various intraosseous devices, and intraosseous device includes but not limited to biopsy needle group and biopsy needle, and they are used for biopsy sample and the corresponding biopsy sample of not serious infringement of reliable acquisition cortical bone and/or spongy bone.For example, form a plurality of facets according to the present invention outside on perforator or the cannula end and can make biopsy needle can puncture sooner bone and corresponding bone marrow, and can reduce according to the present invention and to take out bone and/or required time and the power of sample of bone marrow from the target area.
The most advanced and sophisticated structure of sleeve pipe or outer perforator can be changed according to the present invention, with insert with power drill/driver sleeve pipe or outside perforator best torque is provided when obtaining bone and/or bone marrow biopsy sample.Stable during the working power driver, controlled feed rate is compared with manual insertion biopsy needle and can be obtained higher-quality biopsy sample.Can be provided with at least one screw near the corresponding tip or first end in the hollow bushing, to help to obtain bone and/or bone marrow biopsy sample.
The quality of using power drill/driver of the present invention and biopsy needle to obtain reliability and the bone and/or the sample of bone marrow of bone and/or sample of bone marrow can be inserted bone and corresponding bone marrow to biopsy needle and improves greatly through adopting best feed rate.Feed rate that biopsy needle of the present invention inserts or speed can be the function of the revolutions per minute (RPM) of the pitch that is located at least one screw thread on the biopsy needle interior section and biopsy needle.
The pitch of RPM=feed rate * screw thread
Fig. 4 C, the pitch of screw 190 shown in 4D and the 4E is about 24 screw threads of per inch.Optimum pitch can change according to the factor of for example gear reduction ratio (being 77: 1 in certain embodiments) and the suffered load of respective motors and so on.
Other technological merit comprises, through improving speed and the control that the pin group is inserted in bone marrow biopsy program and the bone marrow aspiration program process, has reduced physical fitness requirement and psychentonia to user, and has reduced patient's pain and anxiety.
The combination of power drill/driver and biopsy needle group can be used to get into rapidly crista iliaca or other inserts the position to extract corresponding bone and/or sample of bone marrow.Bone marrow biopsy of the present invention system substitutes the existing manual technique that is used for inserting biopsy needle bone and bone marrow that generally is counted as industry standard with power technology.
In some occasion, aspiration needle of the present invention or biopsy needle can comprise hollow bushing or conduit, and the one of which end forms with spark machined (EDM) technology, grinding process and/or other process for machining.Can use electrical discharge machining (EDM) technology, grinding process and/or other process for machining on an end of sleeve pipe or conduit, to form a plurality of teeth.
In certain embodiments, also can be provided with the trocar or stylet in sleeve pipe or the conduit, first end of stylet stretches out from first end of sleeve pipe or conduit.Increase length that the trocar or stylet first end stretch out from sleeve pipe or conduit first end can reduce to puncture required torque of bone or power, and can shorten corresponding aspiration needle group or biopsy needle group puncture bone and corresponding bone marrow required time.
The general torque that produces when boring os osseum or cartilage of specific power drill/driver, intraosseous device and pointed tip configuration is identical.But it is general longer than piercing the similar degree of depth required time of cartilage to pierce os osseum first degree of depth required time.
In further embodiments, the tooth that is formed on sleeve pipe or conduit one end can be radially outward crooked, to reduce to use sleeve pipe or conduit puncture bone and corresponding bone marrow required time and/or power.In some occasion, power drill/driver of the present invention and aspiration needle group or biopsy needle group can provide the path that gets into patient's bone marrow with the torque of analog quantity.Compare with the puncture time required, increased the unyielding time of puncture than the coward.
Adopt coolant slowly a plurality of stylets of grinding the present invention and telescopic tip, to prevent that being used for making stylet and telescopic metal alloy or elastomeric material suffers possible cause thermal damage.Stylet becomes each IO pin group with sleeve-assembled.Under the controlled test condition, insert the tip of each pin group in surgeon's test block.Some tests have been carried out with Pacific Research surgeon test block.Power and 12V unidirectional current (12VDC) with 10 pounds (lbs) are added on the corresponding power drill/driver, are inserted into about 2cm degree of depth to pin group tip.Stylet or cannula tip did not have wearing and tearing that can survey or visible after test was accomplished.
In certain embodiments, when inserting the selected target district, can under optimum speed or RPM, rotate roughly hollow biopsy needle basically continuously with the acquisition biopsy sample.Biopsy needle can comprise from the vertical hole of pin first opening to the extension of second opening.Can be formed with little screw on vertical hole interior section near first end.In certain embodiments, the pitch of this screw thread can be similar with the screw thread of use on the normal wood screw.Through the gear drive with required speed reducing ratio (being generally 60: 1～80: 1) is installed, just can select the rotating speed or the revolutions per minute (RPM) of biopsy needle between motor and respective drive axle.In some occasion, gear drive can reduce the rotating speed of the motor that links to each other with the ratio of about 66: 1 or 77: 1.
Outer perforator shown in Fig. 3 F or sleeve pipe 110f can comprise the first end 111f, and the first end 111f has a plurality of facet 114f of opening 116 formation of the contiguous first end 111f.Opening 116 can be communicated with and constitute the part in vertical hole or chamber 118 with corresponding vertical hole or chamber 118.In some occasion, facet 114f can use electrical discharge machining (EDM) technology to form.
In Fig. 3 G illustrated embodiment for example, outer perforator or sleeve pipe 110g can comprise the first end 111g, and it is general conical or compares reduced diameter with other part of sleeve pipe 110g.End 111g goes up adjacent openings 116 can be provided with a plurality of facet 114g.In some occasion, facet 114g can form with grinding process.In certain embodiments, the end 111g of sleeve pipe 110g can comprise the facet 114g that 6 grindings form, and can be formed with corresponding bizet 115 between the facet 114g.Biopsy needle group and/or the biopsy needle that is formed with tapered end 111g and a plurality of facet 114g and bizet 115 can improve when biopsy needle group and/or biopsy needle use with power drill/driver of the present invention and pierce performance.
In some occasion, vertically can be formed with helicla flute 117 near opening 116 in the hole 118.Helicla flute 117 can help to be retained in biopsy sample or sample of bone marrow in vertical hole 118.
The test shows that sleeve pipe of the present invention or outer perforator are carried out forms velocity ratio that facet or cutting teeth cause respective sleeve or outer perforator can bore deep and corresponding bone marrow sometimes with spark machined (EDM) and has with the sleeve pipe or the outer perforator outline of the facet of grinding process formation fast.Some test result also shows, be bent to form sleeve pipe of the present invention or outside facet on perforator one end can reduce and take out bone and/or required time and/or the power of sample of bone marrow from the target area.
Fig. 3 I and 3J illustrate pin group or biopsy needle group 100g in the bone.Biopsy needle group 100g can comprise sleeve pipe or outer perforator 110g, wherein is provided with stylet or interior perforator 120g slidably.Fig. 3 I and 3J illustrate first end 101 of biopsy needle group 100g.In some occasion, first end 101 of biopsy needle group 100g can make the injury of inserting position skin and health soft tissue minimum.
In some occasion, interior perforator or trocar 120g can comprise first end 121, are formed with a plurality of from corresponding most advanced and sophisticated 123 facets 125 and 126 to the trocar or the extension of interior perforator 120g second end on its exterior section.In some occasion, one or more facets 125 can form has the length 127 that extends to the corresponding facet 114g of respective sleeve 110g from tip 123.With each facet 125 adjacent one or more facet 126 that form with second length 128.First length, 127 to the second length 128 are long.The ratio of first length 127 and second length 128 can change according to the present invention, so that the performance of selected bone of puncture and corresponding bone marrow is best.
In some occasion, the vertical hole or the intracavity of biopsy needle of the present invention, sleeve pipe, conduit or outer perforator can be provided with single screw thread.Various technologies and method be applicable to being formed in this single screw thread roughly in hollow bushing or the outer perforator near this sleeve pipe or outer perforator one end place, and this sleeve pipe or outer perforator have an end of can be used to puncture bone and/or corresponding bone marrow.In certain embodiments, structure and size and the corresponding spiral winding of this single screw thread can place plug for example on the end of spot-wedling electrode assembly.What then, this plug or electrode assemblie can insert sleeve pipe or outer perforator is used for puncturing in the opening of an end of bone and/or corresponding bone marrow.Then, this spiral winding can combine with telescopic adjacent part.The coil of various structures and size is applicable to being arranged at this single screw thread in the biopsy needle.
In Fig. 4 A-4E illustrated embodiment for example, each example of being located at the screw in biopsy needle of the present invention or the sleeve pipe is shown.Outer perforator shown in Fig. 4 A or sleeve pipe 110h can be formed with from opening 116 and pass vertical hole 118 or the chamber 118 that sleeve pipe 110h extends.Electrode assemblie or plug 160 are used in the chamber 118 and near opening 116 places (spot welding) single screw are installed.
Spiral winding 192 shown in Fig. 4 B can place on electrode assemblie 160 first ends 161.The cross section of spiral winding 192 is triangle at right angles.First end or copper electrode 161 can have suitable structure and size, so that be received in slidably in the opening 116 in first end 111 that is formed at sleeve pipe or outer perforator 110h.First end or the copper electrode 161 of plug 160 can comprise corresponding grooves 164, and groove 164 has and is suitable for spiral winding 192 is received in wherein structure and size.Groove 164 can form to have when connecting with sleeve pipe 110h interior section or combining and the right mutually pitch of screw thread 190.
In some occasion, electrode assemblie 160 can comprise external diameter expansion section or the plastic insulation 194 adjacent with first end 161.The size of copper electrode 161 and plastic insulation 194 and/or structure may be selected to and be fit to be installed in the optimum position that for end 116, is used in chamber 118, keeping biopsy sample to spiral winding 192.For example, the size of plastic insulation 194 may be selected to outer perforator or sleeve pipe 110h with structure and contacts near the end of bizet 115.
The copper electrode that spiral winding 192 is housed 161 of electrode assemblie 160 can insert in the opening 116 of the sleeve pipe 110h first end 111h.Electrode assemblie 160 can be used to copper electrode 161 conduction, thus be welded in 192 of spiral windings sleeve pipe 110h vertical hole 118 adjacent inner partly on.In certain embodiments, plug 160 can be processed spiral winding 192 laser weld with being suitable in the vertical hole of sleeve pipe 110h or the material on 118 interior sections of chamber.When be connected sleeve pipe or outside on the interior section of perforator 110h the time, spiral winding 192 can constitute single screw thread, it has the shoulder 191 that generally perpendicularly extends with the adjacent inner part in chamber 118.The size of screw 190 may be selected to structure and is retained in bone and/or sample of bone marrow best on the shoulder 191 of the screw thread 190 in the chamber 118.
Fig. 4 C illustrates the sleeve pipe 110c of biopsy needle 100c, wherein is provided with screw 190.The combination of screw 190 and the shoulder 191 that basically vertically extends with chamber 118 interior sections can improve the reliability that biopsy needle 100c keeps bone and/or sample of bone marrow.In some occasion, when biopsy needle 100c used with power drill/driver of the present invention, screw 190 can improve the reliability that obtains satisfied bone sample greatly with the combination of facet 114 and bizet 115.
Screw 190 can be located on the optimum position for the opening 116 of sleeve pipe 110c, to begin to obtain sample of bone marrow or spongy bone core.Through inserting biopsy needle 100c with the corresponding best feeding of the pitch of screw 190, screw 190 can " screw in " spongy bone that gets into opening 116, to improve the probability of obtaining satisfied biopsy sample or bone marrow core greatly.
In Fig. 4 D illustrated embodiment for example, sleeve pipe or outer perforator 110d can comprise the first end 111d, be formed with on the first end 111d from the first end 111d extend a plurality of outside facet 114d.The length of facet 114d can be longer than the length of corresponding facet 114.Can be formed with each bizet 115d between adjacent facet 114d and the 114g.
In some occasion, the outer perforator of the present invention or telescopic vertical hole or intracavity can be provided with the roughly screw of " wedge shape " of the similar equilateral triangle of cross section.For example, sleeve pipe 110d can comprise the screw 190a of the approximate wedge shape of the approximate equilateral triangle of cross section.Above can adopting, screw 190a is installed in the sleeve pipe 110d to screw 190 described equipment and method.
Fig. 4 E illustration goes out by interior perforator or stylet 120c and the sleeve pipe of screw 190 is arranged or the biopsy needle group 100c of the present invention that outer perforator 110c combines in it.Biopsy needle 100c does not have the stylet or the trocar shown in Fig. 3 C and the 4C.In the sleeve pipe 110c of the 100c of biopsy needle group shown in Fig. 4 E the trocar or stylet 120c are arranged.Trocar 120c can comprise end 121c, and shown in Fig. 3 I, this end 121c has a pair of facet 125 and a pair of facet 126. Facet 125 and 126 can be worked in coordination, on the trocar or stylet 120c, to form the such cutting tip of similar " chisel edge " drill bit.These can be with respect to this to facet 126 skew (angle of reliefs) about 8 ° to facet 125.Angle between two facets 125 is about 34 ° ± 4 °.Angle between two facets 126 is about 16 ° ± 43 °.
In some occasion, the end 121 of trocar 120c can be extended from sleeve pipe 110c end 111c, and an end opposite with trocar 120c most advanced and sophisticated 123 of each facet 114 of sleeve pipe 110g and each facet 126 (short facet) is adjacent.See Fig. 4 E.Therefore, the part of each facet 125 (long facet) of trocar 120c can be positioned at the end 111 of sleeve pipe 110c.See Fig. 4 E.
The part of facet 125 being located in the end 111 of sleeve pipe 110c can be so that the end 101 of intraosseous device 100c be stressed more even when using biopsy needle group 100c of the present invention and power drill/driver to puncture corresponding bone cortex.After piercing through cortex, the power that is applied to biopsy needle group 100c end 101 can be reduced to is enough to show that end 101 has got in the corresponding bone marrow.Then, the operator can extract trocar 120c out from sleeve pipe 110c, and the end 111c of sleeve 110c places the predeterminated target district to carry out bone marrow biopsy.
In certain embodiments, screw thread 190 can extend about 0.005 inch with 190a from the adjacent part in corresponding vertical hole or chamber 118.Respective sleeve pin shown in Fig. 4 E for example external diameter of trocar 120c can be reduced to the height that adapts to screw thread 190 or 190a.When for example biopsy needle group 100c inserts in surgeon's material or the test block of 50 pounds of (50#) 3mm and 40 pounds of (40#) 40mm intraosseous device shown in Fig. 4 E, draw following test result.
| Test # | Motor torque (g-cm) | Time (s) |
| 44 | 1101 | 2.23 |
| 45 | 1081 | 2.49 |
| 46 | 1071 | 2.36 |
| 47 | 1081 | 2.50 |
| 48 | 1030 | 2.46 |
| 49 | 1070 | 2.33 |
| On average | 1072 | 2.40 |
The distance that the end of trocar 120c or facet 126 and sleeve pipe 110c go up between the adjacent facet 114 is about 0.14 inch.The facet 114 that the end 111 of sleeve pipe 110c has 6 grindings to form.The external diameter of trocar 120c is about 0.086 inch.
Connector assembly of the present invention can be used as " quick release mechanism ", the IO device is engaged and pulls down with the power drill/driver that is positioned at flexible package bag or sterilizing covers being used for.This type connector assembly can allow the IO device to rotate, and does not damage flexible package bag or sterilizing covers simultaneously.In some occasion, this IO device can be aspiration needle or biopsy needle.One end of connector assembly can be used for forming fluid-tight or fluid barriers with the adjacent part of pouch or sterilizing covers.Connector assembly of the present invention also can be described as the interface module that is connected on the pouch.This interface module can be easily with power drill/driver and IO means for engaging or take apart, also can allow simultaneously this power drill/driver with the IO device from inserting position " power inserts and power is extracted ".
Connector assembly of the present invention can be used for " non-sterilization " environment and/or does not require the medical procedure that uses pouch or sterilizing covers.
Fig. 5 A-5I and 6A-6B illustrate the various examples of connector assembly of the present invention or interface module.Fig. 5 A-5I is power drill/driver of the present invention 200, connector assembly 250, the sketch map of 250a and 250b and intraosseous device 100b.Connector assembly 250,250a and 250b can comprise respectively that first end, 251, the first ends 251 can be used for an end of intraosseous device, engage releasedly such as but not limited to second end 102 of biopsy needle group 100b.
Except the corresponding second end 272b of the second end 250b of the corresponding second end 272a of the second end 252a of connector assembly 250a and housing unit 270a and connector assembly 250b and housing unit 270b; Connector assembly 250,250a can have basic identical or similar parts, function and characteristic with 250b.Therefore, can be about connector assembly 250 explanations various characteristics of the present invention, because except being connected with pouch or sterilizing covers, connector assembly 250a and 250b have essentially identical characteristic.
Connector assembly of the present invention can be placed in medical procedures trays or the tool kit, an end down the other end up, thereby " need not to use hands " just can engage with power drill/driver or manual driver releasedly.For example, connector assembly 250 can be located among the medical procedures trays 20c, and first end 251 inserts in the bearing 58, and second end 252 up.See Fig. 1 C, 1E and 1F.Therefore; Operator or user (not illustrating specially) need not Body contact or handle any part of connector assembly 250, just can insert second end 252 of connector assemblies 250 end 224 of the driving shaft that stretches out from power drill/driver 200 222 and joint releasedly with it.Each characteristic of the blocking mechanism that " need not to use hands " combines Fig. 5 E below, 5F, 5H and 5G explanation.
Shown in Fig. 5 E and 5F, connector assembly 250 can comprise elongation core 260, and housing unit 270 is located on the exterior section of elongation core 260 slidably.Housing unit 270 can comprise respectively and first end 261 of elongation core 260 and first end 271 and second end 272 that second end 262 roughly aligns.In some occasion, elongation core 260 can have the substantial cylindrical structure that is made up of the first exterior section 260a and the second exterior section 260b, and shoulder and/or dimple are arranged on it.In certain embodiments, the diameter of the first exterior section 260a can be greater than the diameter of the second exterior section 260b.
Can extend radially outwardly from substantial cylindrical ring 277 with helical spring 274 second ends 276 relevant annular shoulders 278.Substantial cylindrical ring 277 can be slidably and is arranged on rotationally on the exterior section 260a of elongation core 260.Annular shoulder 279 can be arranged on the interior section of substantial cylindrical ring 277, and can extend radially inwardly to the adjacent part of elongation core 260.
The exterior section 260a that annular shoulder 268 can be formed on elongation core 260 goes up between first end 261 and second end 262.The structure of annular shoulder 268 and annular shoulder 279 is fitted with being dimensioned to each other mutually, so that engaging between the annular shoulder 268 of the annular shoulder 279 of substantial cylindrical ring 277 and elongation core 260 can limit second shell section 290 to the lengthwise movement of extending on core 260 second ends 262 directions.
In some occasion, a plurality of flexible chucks or folder refer to that 477 can 278 extensions from substantial cylindrical ring 277 in contrast to annular shoulder.On the end opposite that each chuck head 478 can be formed on each chuck 477 with annular shoulder 278.The structure of chuck head 478 and size may be selected to and be received in the slit or opening 297 that is formed in second housing 290.When making connector assembly 250, each chuck head 478 can be arranged in each slit or the opening 297, firmly to engage substantial cylindrical ring 277 and annular shoulder 278 at first end, 291 places near second shell section 290.Therefore, second shell section 290 can move with respect to the elongation core 260 and first shell section 280 as individual unit with annular shoulder 278 basically.
When intraosseous device and connector assembly 250 first ends 251 were disengaged, first shell section 280 can be in the vertical moves or slides to second shell section 290.Similarly, when power drill/driver and connector assembly 250 second ends 252 were disengaged, second shell section 290 can be in the vertical moves or slides to first shell section 280.
As stated, elongation core 260 can form annular shoulder 268 on the exterior section between first end 261 and second end 262.Engaging between the annular shoulder 279 of annular shoulder 268 and substantial cylindrical ring 277 can be limited second shell section 290 moving to elongation core 260 second ends 262.First shell section 280 vertically moving on elongation core 260 second ends 262 directions when contacting between the annular shoulder 278 of spring 274 and first shell section 280 and the annular shoulder 284 can be limited in intraosseous device and connector assembly 250 first ends 251 and be disengaged.
Substantial cylindrical ring 277 and the annular shoulder 279 that links to each other can be in the longitudinal sliding motions on the exterior section between annular shoulder 268 and the annular shoulder 267 of toroidal cores 260.First shell section 280 can vertically move to elongation core 260 second ends 262, so that first end 251 of an end of intraosseous device and connector assembly 250 is disengaged.In a similar manner, second shell section 290 can vertically move to elongation core 260 first ends 261, so that an end of the driving shaft that stretches out from power drill/driver and second end 252 of connector assembly 250 are disengaged.
Various lockings and blocking mechanism are applicable to being bonded on an end of intraosseous device releasedly in first end of connector assembly of the present invention.Similarly, various lockings and blocking mechanism are applicable to being bonded on an end of the driving shaft that stretches out from power drill/driver or manual driver releasedly in second end of connector assembly of the present invention.
By connector assembly 250; Among the embodiment of 250a and 250b representative; First locking 410 can be arranged on the exterior section near the elongation core 260 of the socket 263 adjacent with first end 261; With an end of IO device for example second end 102 of biopsy needle group 100b be bonded on connector assembly 250 releasedly, in the socket 263 of 250a and/or 250b.Second blocking mechanism 420 can be formed on the exterior section near the elongation core 260 of the socket 264 adjacent with second end 262, engages releasedly with second end 252 of connector assembly 250 with the end with driving shaft.See Fig. 5 C, 5E and 5I.
The end 224 of the driving shaft 222 that second locking 420 can be used for for example stretching out the part of driving shaft from power drill/driver 200 is bonded on connector assembly 250 releasedly, in second end 252 of 250a and/or 250b.Locking 410 can engage intraosseous device with first end 251 of connector assembly 250 releasedly, and same basically locking 420 can engage power drill/driver with second end 252 of connector assembly 250 releasedly.
In some occasion, locking 410 can have similar structure with 420, for example roughly is " Ω " shape.See the locking 420 among Fig. 5 G and the 5H.But locking 410 can have the corresponding large-size of exterior section 260a basic and elongation core 260.Locking 420 can have the corresponding reduced size of exterior section 260b basic and elongation core 260.Each characteristic of exterior section 260b explanation the present invention that can combine the adjacent part and the elongation core 260 of the blocking mechanism 420 shown in Fig. 5 G and the 5H and second shell section 290.
Roughly can be formed with pawl 421 and 422 respectively on 420 liang of end opposite of Ω shape locking.See Fig. 5 D, 5G and 5H.Similarly, roughly can be formed with pawl (not illustrating specially) respectively on Ω shape locking 410 two ends.Pawl 421 and 422 structure and size can be suitable for being put in each pawl 421 and 422 in each slit or opening 431 and 432 that between elongation core 260 exterior section 260b and the interior section near the socket 264 of connector assembly 250 second ends 252, extends.
Locking 420 can be the for example primary importance shown in Fig. 5 D and 5G, and at this moment, pawl 421 and 422 part are passed each slit 431 and 432.Pawl 421 and 422 structure and size can make it and be formed on annular groove 402 firm engagement in power drill/driver 200 ends 224.Similarly, each pawl in the corresponding locking 410 can engage with the annular groove 401 in biopsy needle 100b second end 102 releasedly.
In some occasion; Needle stand 140a is near being formed with a plurality of taper surfaces 403 (seeing Fig. 5 C) on the exterior section of first end 142; Insert connector assembly 250 at biopsy needle 100b second end 102; In the time of in 250a and 250b first end 251, taper surface 403 makes with Ω shape locking 410 relevant pawl mechanisms and radially outward expands.This pawl mechanism can be when aliging with annular groove 401 in " snapping in " annular groove 401.Similarly; Can be formed with a plurality of taper surfaces 228 on the exterior section of the end 224 of the driving shaft 222 that stretches out from power drill/driver 200; In the time of in second end 252 of the end of power drill/driver 200 224 insertion connector assemblies 250, taper surface 228 radially outward expands pawl mechanism 421 and 422.When pawl mechanism 421 and 422 aligns with annular groove 402 in " snapping in " annular groove 402.See Fig. 5 F.
Engaging between the pawl mechanism relevant with locking 410 and the annular groove 401 of needle stand assembly 130a will make second end 102 of biopsy needle 100b keep basically engaging with connector assembly 250 first ends 251.This joint allows power drill/driver 200 rotating or fast rotational sleeve pipe or biopsy needle 110b when sleeve pipe or biopsy needle 110b are extracted in the position from inserting.Similarly, the pawl mechanism 421 of Ω shape locking 420 and 422 with the annular groove 402 of power drill/driver 200 ends 224 between engage and will keep engaging of connector assembly 250 second ends 252 and power drill/driver 100 when sleeve pipe 110b is extracted at the position basically from inserting.
Through making first shell section 280, just can unload biopsy needle group 100b from connector assembly 250 first ends 251 to 262 longitudinal sliding motions of elongation core 260 second ends.This of first shell section 280 moves the exterior section and compression Ω shape locking 410 will cause the 286 contact Ω shape lockings 410 of interior tapered face, thereby makes corresponding pawl mechanism's (not illustrating specially) expanded radially and break away from and the engaging of the annular groove 401 of needle stand assembly 130a.Therefore, can from connector assembly 250 first ends 251, easily extract biopsy needle group 100b out.
Similarly; Second shell section 290 will cause the exterior section of interior tapered face 296 contact Ω shape lockings 420 to vertically moving of connector assembly 250 first ends 251; To compress roughly Ω shape locking 420; Thereby regain or withdrawal pawl mechanism 421 and 422, with engaging of the annular groove 402 of disengaging and end 224.See Fig. 5 F and 5H.Therefore, power drill/driver 200 can be easily separated from one another with second end 222 of connector assembly 250.
Total structure and the size of connector assembly 250 and 250a can be basic identical, comprise from second end 252 and radially-protruding each flange 254 of 252a.Flange 254 is expansion infundibulate or toroidal basically.The structure of flange 254 may be selected to the end 211 of power drill/driver 200 with size and conforms to.Connector assembly 250b does not have flange 254.See Fig. 5 I.The housing unit 270b second end 272b can stop near first end 262 of corresponding elongation core 260 and the corresponding second end 252b place of connector assembly 250b.
As stated, connector assembly 250 can with the opening firm engagement that is formed in pouch of the present invention or the sterilizing covers.In for example Fig. 5 E and 5F illustrated embodiment, second end 272 of the housing 270 of connector assembly 250 can comprise the annular ring 370 that can be used for the adjacent part firm engagement of flange 254.The external diameter of annular ring 370 is can be basically identical with the external diameter of the adjacent part of flange 254.The internal diameter of annular ring 370 is also can be basically identical with the internal diameter of the adjacent part of flange 254.
In certain embodiments, a plurality of posts 372 and roughly V-shaped groove 374 alternately be arranged on flange 254 ends.Annular ring 370 can comprise that a plurality of sizes are suitable for admitting the hole 371 of post 372.Annular ring 370 also can comprise a plurality of roughly V-arrangement projections 376, its size be suitable for being received in be formed in flange 254 adjacent parts each roughly in the V-shaped groove 374.
At for example Fig. 1 C, 1E, 1F, in 7A and the 7B illustrated embodiment, pouch 170 and first opening, 171 adjacent parts can be between the adjacent part of annular ring 370 and flange 254.For example, post 372 can pass pouch 170 and adjacent each hole (not illustrating specially) of opening 171 peripheries.Can align with post 372 in the hole 371 of annular ring 370.Pouch 170 and opening 171 other adjacent parts can be clamped between V-arrangement projection 376 and the V-shaped groove 374.Can on post 372, use various welding procedures, include but not limited to laser weld, to combine the adjacent part of annular ring 370 with flange 354.Therefore, the periphery that pouch 170 is adjacent with first opening 171 can with connector assembly 250 second ends 252 firm engagement together.See Fig. 7 A and 7B.
Fig. 6 A and 6B are the sketch map of power drill/driver 200a of the present invention, connector assembly 250b and biopsy needle group 100b.Connector assembly 250b can comprise and can be used for first end 251 that engages releasedly with intraosseous device 100b second end 102.Connector assembly 250b also can comprise and can be used for second end 252 that engages releasedly with the end 224a of the driving shaft 222a that stretches out from power drill/driver 200a first end 211.
Shown in Fig. 6 B, biopsy needle group 100b second end 102 can be arranged in connector assembly 250b first end 251 releasedly.The end 224a of the driving shaft 222a that stretches out from power drill/driver 220a end 211 can engage with connector assembly 250 second end 252b releasedly.In the embodiment by connector assembly 250b representative, connector assembly 250b second end 252 can comprise structure and corresponding with the tapering point 224a of the power drill/driver 220a basically tapered socket 264b of size.
In some occasion, connector assembly 250b can comprise the blocking mechanism 430 near second end, 252 settings of connector assembly 250b.Blocking mechanism 430 has partly by being arranged essentially parallel to first section 431 of elongation core 260b extension and being substantially perpendicular to second section 432 basic " L " shape structure that constitute of elongation core 260b extension near second end 262.Can comprise that big I allows the end 224a of power drill/driver 200a to insert the enlarged openings 434 among the socket 264b for second section 432.The section 432 of blocking mechanism 430 can comprise that also size is suitable for being bonded on releasedly the pawl mechanism 436 near the annular groove 402 the end 224a of power drill/driver 200a.See Fig. 6 B.
When connector assembly 250b was connected with the end 224a of power drill/driver 200, available subordinate press first section 431 and compression spring 438 and moving jaws mechanism 436 were to allow the getting into socket 264b among the connector assembly 250b second end 252b fully.The end 224a of power drill/driver 200a can insert among the socket 264b through opening 434 then.Then can unclamp blocking mechanism 430 first section 431, thus pawl mechanism 436 can firmly be bonded in the annular groove 402 of power drill/driver 200a end 224a.Therefore, connector assembly 250b keeps firmly engaging with power drill/driver 200a, up to pressing down first section 430 and make pawl mechanism 436 disengaging annular grooves 402 once more.
In certain embodiments, connector assembly 250b is near being provided with annular ring 440 on the exterior section of second end 252.Annular ring 440 is illustrated among Fig. 6 B.The not shown annular ring 440 of Fig. 6 A.Can be formed with groove 442 on annular ring 440 exterior sections, firmly engage with the periphery of pouch first opening with suitable.The size of annular ring 440 and structure may be selected to and allow connector assembly 250b in annular ring 440, to rotate.Therefore, the rotation of connector assembly 250b can not damage the pouch that is connected with annular ring 440 basically.
Fig. 7 A and 7B are sketch map, and the example that according to the present invention pouch or sterilizing covers engage with connector assembly is shown.Fig. 7 A illustrates the power drill/driver 200 before being placed in the pouch 170.Pouch 170 has first opening 171 and second opening 172 basically.In some occasion, pouch 170 can be processed with material like the plastics of substantially transparent, flexibility.
The big I of first opening 171 is suitable for firmly engaging with connector assembly 250 second ends 252.In the embodiment by connector assembly 250 representatives, available annular ring 370 firmly engages the part of pouch 170 near first opening 171 with connector assembly 250 second ends 252.See Fig. 5 E and 5F.Between the adjacent part of near part first opening 171 of pouch 170 and connector assembly 250 second ends 252, can form fluid barriers.
The size of pouch 170 second openings 172 and configuration are preferably selected to and can supply power drill/driver 200 to pass.Various closing means engage rear enclosed second opening 172 applicable to the end 224 at power drill/driver 200 with second end 252 of connector assembly 250.In some occasion, flap 174 can close up on second opening 172.Various self sealss jointing materials engage with the adjacent part of pouch 170 applicable to the part with flap 174 releasedly.The invention is not restricted to use the opening on flap and the jointing material sealing pouch.
Fig. 8 is connector assembly 250c and the exploded perspective sketch map that therefrom stretches out the needle stand assembly 130c of intraosseous device 100d.Intraosseous device 100d first end 101 can be used for inserting bone and corresponding bone marrow.Intraosseous device 100d can comprise the sleeve pipe 110c that stretches out from needle stand 140c.The interior perforator or the trocar 120 can stretch out from needle stand 150c first end 151.The size of needle stand 150c first end 151 is suitable for inserting releasedly in needle stand 140c second end 142.Connector assembly 250c first end 251 can insert in needle stand 150c second end 152 releasedly.In for example embodiment illustrated in fig. 8, connector assembly 250c first end 251, needle stand 150c second end 152, needle stand 150c first end 151 and needle stand 140c second end 142 can be in the form of a substantially rectangular.
Various displacers, discharge bar, funnel and/or displacer funnel also can use with biopsy needle of the present invention, biopsy needle group and/or other intraosseous device.In some occasion, funnel of the present invention can comprise first opening and second opening on second end on funnel first end.The internal diameter of first opening and second opening can be different.
For example, the big I of first opening supplies biopsy needle to insert, and the internal diameter of second opening dwindles, thereby prevents that biopsy needle from inserting.The size of second opening is inserted an end of respective row rod only.In some occasion, vertical passage can extend between first opening of funnel and second opening.Can be formed with taper surface on contiguous first end in the vertical passage.Taper surface can be used as " unidirectional " joint, and when inserting wherein with convenient biopsy needle, funnel firmly engages with first end of biopsy needle.Thereby funnel can be used as the tip protector of biopsy needle first end.
Fig. 9 A, 9B and 9C are illustrated in and can be used to from roughly hollow bushing or biopsy needle take out the equipment of biopsy sample and some examples of method after hollow bushing roughly or biopsy needle first end insert in bone and/or the corresponding bone marrow.Funnel 80 shown in Fig. 9 A can comprise first end 81 and second end 82, and roughly hollow cylinder portion 83 extends between first end 81 and second end 82.Roughly hollow cylinder portion 83 can comprise that big I holds the vertical passage (not illustrating specially) of corresponding intraosseous device one end and displacer 90 first ends 91.In some occasion, displacer 90 also can be described as " discharge bar ".
The length in the chamber of the comparable corresponding biopsy needle of length of displacer 90 is long.Can be provided with handle or needle stand 96 on displacer 90 second ends 92.The size of discharge bar 90 first ends 91 and configuration are chosen to be suitable for this first end 91 and pass the opening insertion in corresponding biopsy needle first end.
In for example Fig. 9 B and 9C illustrated embodiment, funnel 80a can comprise the first end 81a, and an end of its big I and intraosseous device for example biopsy needle 100c first end 101 firmly engages.Funnel 80a can comprise the second end 82a, and its size is suitable for displacer 90 first ends 91 are received in wherein slidably.Vertical passage 84 can be arranged among the funnel 80a and between the first end 81a and the second end 82a, extend.
In some occasion, can be formed with first tapered opening 87 near the first end 81a.Can be formed with second tapered opening 88 near the second end 82a.The big I of first tapered opening 87 supplies the end 101 of biopsy needle 100c to pass and insert among first section 84a of vertical passage 84.The size of second tapered opening 88 only allows the end 91 of displacer 90 to pass and insert among the diameter diminution part 84b of vertical passage 84.Diameter diminution part 84b is littler than the external diameter of biopsy needle 100c or other intraosseous device.
In some occasion, vertical passage 84 can comprise the 84a of tapered bore portion adjacent with first opening 87 and that extend from first opening 87.The 84a of tapered bore portion can limit biopsy needle 100c first end 101 or other intraosseous device moving therein.Size and the configuration of the 84a of tapered bore portion can become " adhesion taper ", thereby funnel 80a is firmly engaged with intraosseous device first end that inserts wherein.Because " the adhesion taper " that provides in the vertical passage 84 can be taken out funnel 80a from the corresponding bearing of medical procedure tool kit, insert the second end 82a to allow discharging bar 80.Because funnel 80a firmly engages with first end of corresponding intraosseous device this moment, so funnel 80a also can be used as tip protector.
One of advantage of the present invention can comprise, can be with an end and the funnel positive engagement of intraosseous device, and the operator need not to catch funnel or intraosseous device in this engaging process.Power drill/driver of the present invention and connector assembly are applicable to inserting intraosseous device one end in the funnel.Then, connector assembly can break away from another end opposite of intraosseous device releasedly.
Advantage of the present invention can comprise, through raising aspiration needle inserts in spongy bone and bone marrow collection program speed and control, thereby alleviates operator and patient's physical fitness requirement and psychentonia.Bone marrow aspiration of the present invention system can comprise battery powered power drill/driver, connector assembly, pouch and aspiration needle group.Be placed on power drill/driver in the packaged sterile bag be rotatably connected device assembly and the aspiration needle group that is connected above that, extract bone marrow out to certain depth with puncture bone cortex and corresponding spongy bone.Driver and connector assembly break away from the aspiration needle group then.Can be operatively connected the needle stand assembly on aspiration needle group one end, so that aspiration needle or sleeve pipe are fixed in the bone reliably.Can with standard luer locked joints (part of needle stand assembly) and standard syringe or from a bone marrow aspiration system stretch out hose connection.
Figure 10 is for being located at the sketch map of the aspiration needle in the hipbone part (usually being called ilium).Usually be used for obtaining the site of puncture of bone marrow or insert one of position to be the back crista iliaca from hipbone.Another inserts the position can be preceding crista iliaca (not illustrating specially).Also can be from tibia (thigh bone) and breastbone (chest) marrow aspiration.
All bones consist essentially of the tough and tensile cortical layer that is difficult to pierce through.The ridge 304 of hipbone 300 generally comprises cortical layer 306.For seeing clearly Chu Qijian, Figure 10 is the enlarged drawing of skin and soft tissue layer 302 and cortical layer 306.Skin and soft tissue layer 302 general thick 7mm-8mm.The about 2mm of cortical layer 306 general thick.
As stated, according to the present invention, bone interior (IO) device or aspiration needle group 100a can insert iliac crest or any other inserts position with minimally invasive acquisition bone and/or sample of bone marrow.
Figure 10 illustrates and uses present device and the method example from the system of bone marrow aspiration.Can use present device and method to include but not limited to that from any suitable bone tibia (thigh bone), ilium (pelvis) or breastbone (chest) obtain bone and/or sample of bone marrow.Figure 10 illustrates sleeve pipe or the aspiration needle 110a that inserts in patient's ilium target area.
In one embodiment, system 310 can comprise vacuum source or low pressure source 312, collection container 314, vacuum tube 316 and collecting pipe 318.Vacuum source 312 can be pump for example shown in Figure 10, or can be the part of hospital or operating room low-voltage vacuum system (not illustrating specially).Vacuum tube 316 can extend between vacuum source 312 and collection container 314.The all kinds pipe is applicable to forming vacuum tube 316 and/or collecting pipe 318.The length of vacuum tube 316 and/or collecting pipe 318 can be according to each facility of using system 310 and difference.
Collecting pipe 318 extends between (IO) adapter assembly 320 in collection container 314 and bone.Various connections and adapter assembly include but not limited to IO adapter assembly 320 be used in the IO device for example between aspiration needle 110a and the collecting pipe 318 fluid be communicated with.
Can be provided with lock nut 342 on the exterior section of the adjacent luer joint 340 of angle coupling 326.Also can be formed with flange 344 on the outside of the adjacent luer joint 340 of angle coupling 326.Lock nut 342 is rotatable and be slidably disposed on the exterior section of adjacent luer joint 340 of angle coupling 326, and flange 344 is between the joint 340 in distress of lock nut 342 and road.The screw thread 346 that forms on lock nut 342 interior sections can be used for angle coupling 326 is engaged with near the first needle stand 140a, second end, 142 screw threads 148 releasedly.
After aspirating required sample of bone marrow from target area shown in Figure 10, can pull down IO adapter assembly 320 from the first needle stand 140a, second end 142.The second needle stand 150a (can be connected with also and can not be connected with the trocar) can be connected with the first needle stand 140a, second end 142 once more.Power drill/driver 200 can be connected with needle stand assembly 130a with connector assembly 250 once more, to shift out aspiration needle 110a (power is extracted) or to be inserted into another target area in the hipbone 300.
Although more than specified the present invention and advantage thereof, should understand and in the spirit and scope of the invention that appended claim limits, to make many variations, replacement and change.
Claims (12)
1. medical procedures trays comprises:
Be located at a plurality of slits and bearing in the medical procedures trays;
Be located at least one intraosseous device in the respective slots of this pallet;
This intraosseous device has first end of can be used for puncturing bone and corresponding bone marrow;
Connector assembly, it has and can be used for first end that engages releasedly with intraosseous device second end;
Connector assembly second end that engages with pouch; And
Connector assembly and pouch are located in the bearing that is formed in this pallet.
2. by the described medical procedures trays of claim 1, it is characterized in that, further comprise:
Be located at the discharge bar in one of them slit of this pallet releasedly; And
This discharge bar can be used for taking out biopsy sample from the chamber of intraosseous device.
3. by the described medical procedures trays of claim 1, it is characterized in that, further comprise:
Be located at the funnel in the corresponding bearing in this pallet releasedly; And
The end that this funnel can be used for helping to discharge biopsy sample on bar inserts in intraosseous device first end from the intraosseous device chamber, to take out biopsy sample.
4. by the described medical procedures trays of claim 1, it is characterized in that, further comprise:
Funnel with first end, this first end has first opening, first end of the big or small receivability intraosseous device of this first opening; And
This funnel is located in the corresponding bearing in this pallet, and funnel first end extends upward from this pallet, so that intraosseous device first end can insert in first opening of funnel first end.
5. by the described medical procedures trays of claim 1, it is characterized in that, further comprise:
Be formed with the drop cloth of windowing; And
This drop cloth covers on each slit and bearing in this pallet, and connector assembly second end this from drop cloth windowed and exposed.
6. by the described medical procedures trays of claim 1, it is characterized in that, comprise that further at least one is located at the tip protector in the corresponding bearing.
7. by the described medical procedures trays of claim 1, it is characterized in that, further comprise:
This pouch has opening, and the big I of this opening allows power drill/driver to pass this opening and inserts in the pouch;
The flexible strut that engages with the part of this opening;
First end of this flexibility strut and second end engage with corresponding bearing in this pallet releasedly, allow power drill/driver to insert the open position in the pouch to remain on pouch.
8. medical procedures trays comprises:
Wherein be formed with first pallet of a plurality of slits and bearing;
A plurality of intraosseous devices and relevant parts in each slit that is located at this first and the bearing;
Said intraosseous device comprises IO pin group, and this IO pin group has first end of can be used for puncturing bone and corresponding bone marrow;
Connector assembly, it has and can be used for first end that engages releasedly with this IO pin group second end;
This connector assembly has and can be used for second end that engages releasedly with an end of the driving shaft that stretches out from driver; And
This connector assembly is used in when being connected on this driver and from first pallet, takes out.
9. by the described medical procedures trays of claim 8, it is characterized in that, further comprise:
Be located at the displacer in one of them slit of first pallet releasedly; And
This displacer can be used for from the roughly hollow bushing of this IO pin group, taking out biopsy sample.
10. by the described medical procedures trays of claim 8, it is characterized in that, further comprise:
Be located at the funnel in the corresponding bearing in first pallet releasedly; And
This funnel can be used for helping an end of displacer insert this roughly in first end of hollow bushing from casing cavity, to take out biopsy sample.
11. by the described medical procedures trays of claim 8, it is characterized in that, further comprise:
Wherein be provided with the bearing of this connector assembly first end releasedly;
Second end of this connector assembly exposes, to close with a said termination of the driving shaft that stretches out from this power drill/driver;
Pouch, it has first opening that engages near connector assembly second end; And
Second opening of pouch is positioned on the upside down position with respect to the corresponding bearing that is provided with connector assembly.
12. by the described medical procedures trays of claim 8, it is characterized in that, further comprise second pallet and drop cloth, first pallet in second pallet and this drop cloth between first pallet and second pallet.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510050199.3A CN104814768B (en) | 2006-09-12 | 2007-09-11 | Medical procedures trays and correlation technique |
Applications Claiming Priority (5)
| Application Number | Priority Date | Filing Date | Title |
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| US82532506P | 2006-09-12 | 2006-09-12 | |
| US60/825,325 | 2006-09-12 | ||
| US91012207P | 2007-04-04 | 2007-04-04 | |
| US60/910,122 | 2007-04-04 | ||
| PCT/US2007/078205 WO2008033873A2 (en) | 2006-09-12 | 2007-09-11 | Medical procedures trays and related methods |
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| CN201210110577.9A Division CN102626344B (en) | 2006-09-12 | 2007-09-11 | Medical procedure tray and related methods |
| CN201510050199.3A Division CN104814768B (en) | 2006-09-12 | 2007-09-11 | Medical procedures trays and correlation technique |
Publications (2)
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| CN101534740A CN101534740A (en) | 2009-09-16 |
| CN101534740B true CN101534740B (en) | 2012-06-20 |
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| CN2007800011907A Active CN101516274B (en) | 2006-09-12 | 2007-09-11 | Biopsy devices and related methods |
| CNA2007800011964A Pending CN101355981A (en) | 2006-09-12 | 2007-09-11 | Medical procedures trays and related methods |
| CN2007800011983A Active CN101365390B (en) | 2006-09-12 | 2007-09-11 | Apparatus for biopsy and aspiration of bone marrow |
| CN200780001188XA Active CN101534740B (en) | 2006-09-12 | 2007-09-11 | Medical procedures trays with endosseous device |
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| Application Number | Title | Priority Date | Filing Date |
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| CN2007800011907A Active CN101516274B (en) | 2006-09-12 | 2007-09-11 | Biopsy devices and related methods |
| CNA2007800011964A Pending CN101355981A (en) | 2006-09-12 | 2007-09-11 | Medical procedures trays and related methods |
| CN2007800011983A Active CN101365390B (en) | 2006-09-12 | 2007-09-11 | Apparatus for biopsy and aspiration of bone marrow |
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| CN (4) | CN101516274B (en) |
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| KR101815453B1 (en) * | 2011-04-07 | 2018-01-05 | 신세스 게엠바하 | Surgical drill instrument with motor and locking mechanism to receive an attachment and a cutting burr |
| CN102217955B (en) * | 2011-05-05 | 2012-10-17 | 单建林 | Bone biopsy needle |
| US9414816B2 (en) * | 2011-06-23 | 2016-08-16 | Devicor Medical Products, Inc. | Introducer for biopsy device |
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| CA2880505A1 (en) * | 2012-07-31 | 2014-02-06 | Safe Wire Holding, Llc | Depth controlled jamshidi needle |
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| FR3013958B1 (en) * | 2013-12-03 | 2017-11-03 | Thierry Masseglia | TROCART A BIOPSY. |
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| EP3434418B1 (en) * | 2014-02-17 | 2021-01-27 | Teleflex Medical Devices S.à.r.l. | Driver for inserting intraosseous device |
| CN104739457B (en) * | 2015-04-16 | 2017-04-12 | 北京德迈特科技发展有限公司 | Electric bone biopsy device |
| EP3308716A4 (en) * | 2015-06-10 | 2019-01-30 | Olympus Corporation | Biopsy needle |
| CN105230760A (en) * | 2015-09-02 | 2016-01-13 | 临泽中云数据有限公司 | Equipment for sucking grease in livestock bones |
| FR3047890B1 (en) * | 2016-02-22 | 2021-04-30 | Laurent Fumex | DEVICE FOR THE STERILE COUPLING OF A PERCUTANE SURGICAL INSTRUMENT AND A TRAINING TOOL AND METHOD FOR PERFORMING SUCH COUPLING |
| US11071562B2 (en) * | 2016-02-25 | 2021-07-27 | Lalu Joseph | Reusable universal tissue morcellator system |
| KR102607362B1 (en) * | 2017-11-07 | 2023-11-29 | 니프로 가부시키가이샤 | instrument for puncture |
| CN108578880B (en) * | 2018-02-13 | 2024-04-05 | 上海长海医院 | Portable intramedullary injection system |
| AU2019264954B2 (en) * | 2018-05-11 | 2021-11-18 | Teleflex Life Sciences Limited | Intraosseous access device and method to access bone marrow |
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- 2007-09-11 CN CN2007800011907A patent/CN101516274B/en active Active
- 2007-09-11 CN CNA2007800011964A patent/CN101355981A/en active Pending
- 2007-09-11 CN CN2007800011983A patent/CN101365390B/en active Active
- 2007-09-11 CN CN200780001188XA patent/CN101534740B/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| CN101365390A (en) | 2009-02-11 |
| CN101534740A (en) | 2009-09-16 |
| CN101516274A (en) | 2009-08-26 |
| CN101365390B (en) | 2011-02-16 |
| CN101516274B (en) | 2011-10-19 |
| CN101355981A (en) | 2009-01-28 |
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