Bone marrow aspiration system

• US 6,981,948 B2
• Filed: 11/18/2002
• Issued: 01/03/2006
• Est. Priority Date: 11/18/2002
• Status: Expired due to Fees

• Current Assignee: Depuy Acromed Incorporated (Johnson & Johnson)
• Original Assignee: Depuy Spine Incorporated (Johnson & Johnson)
• Inventors: Voellmicke, John C., Pellegrino, Richard C.
• Primary Examiner(s): Hindenburg, Max F.
• Assistant Examiner(s): SZMAL, BRIAN SCOTT
• Application Number:
  US10/298,371
• Publication Number:
  US 20040097828A1
• Time in Patent Office: 1,142 Days
• Field of Search: 600/562, 600/566, 600/567, 604/272
• US Class Current: 600/562
• CPC Class Codes: A61B 10/025 for taking bone, bone marrow or cartilage samples
• CPC Class Codes: A61B 2010/0258 Marrow samples
• CPC Class Codes: A61B 2017/00969 used for transplantation
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61F 2/4644 Preparation of bone graft, bone plugs or bone dowels, e.g. grinding or milling bone material bone material A61F2/28; disintegrating or milling devices B02C
• CPC Class Codes: A61F 2002/2835 Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/4685 by means of vacuum
• CPC Class Codes: A61M 1/79 Filters for solid matter specially adapted for dental use A61C17/065

Abstract

Bone marrow aspiration devices and methods are disclosed for use in preparing a substrate. In general, the device includes an elongate penetrating element, a chamber adapted to retain a substrate, and a fluid extraction mechanism that is effective to pull fluid through the elongate penetrating element, into the chamber, and through the substrate. The device is particularly advantageous in that it will allow for the removal of fluids from a patient'"'"'s body and the preparation of a substrate in a single process, thereby providing a more efficient method and device for preparing a substrate.

Claims

1. A bone marrow aspiration device, comprising:

an elongate penetrating element having a proximal end, a distal end, and an inner lumen extending therebetween;

a chamber in communication with the proximal end of the elongate penetrating element;

a container removably disposed within the chamber and having an implantable substrate disposed therein, the container being effective to allow fluid to flow therethrough; and

a fluid extraction mechanism in communication with the chamber, the fluid extraction mechanism being effective to pull fluid through the elongate penetrating element into the chamber and through the substrate.

2. The device of claim 1, wherein the chamber includes an opening sized to slidably receive the container.

3. The device of claim 1, further comprising a unidirectional valve disposed between the elongate penetrating element and the chamber, the unidirectional valve being effective to allow fluid to flow only in a direction from the elongate penetrating element to the chamber.

4. The device of claim 1, further comprising a control member mated to the fluid extraction mechanism and effective to control the amount of fluid being extracted by the fluid extraction mechanism.

5. The device of claim 4, wherein the control member is effective to control the rate of fluid being extracted by the fluid extraction mechanism.

6. The device of claim 4, wherein the control member comprises a trigger mechanism effective to actuate the fluid extraction mechanism to extract a predetermined amount of fluid.

7. The device of claim 6, wherein the trigger mechanism is effective to actuate the fluid extraction mechanism to extract a volume of fluid in the range of about 20 cc to 60 cc.

8. The device of claim 1, wherein the elongate penetrating element is removably mated to a distal end of the chamber.

9. The device of claim 1, wherein the chamber includes a proximal end in communication with the fluid extraction mechanism, and a distal end having an inlet port in communication with the proximal end of the elongate penetrating element.

10. The device of claim 9, wherein the chamber is adapted to retain the container in a position proximal to the inlet port in the chamber.

11. The device of claim 10, wherein the inlet port comprises a unidirectional valve configured to allow fluid to flow only in a direction from the elongate penetrating element into the chamber.

12. The device of claim 10, wherein the chamber comprises an elongate, cylindrical barrel, and the fluid extraction mechanism comprises a plunger disposed within the barrel and having a handle adapted to move the plunger proximally to extract fluid through the device.

13. The device of claim 12, wherein the plunger is adapted to move proximally in predetermined increments to control the amount of fluid being extracted through the device.

14. The device of claim 12, wherein the container is disc-shaped and it is adapted to be removably disposed within the cylindrical barrel of the chamber.

15. The device of claim 10, wherein the proximal end of the elongate penetrating element is removably mated to the inlet port of the chamber.

16. The device of claim 15, further comprising a standard luer connection for removably mating the proximal end of the elongate penetrating element to the inlet port of the chamber.

17. The device of claim 9, further comprising a fluid receptacle in communication with the chamber, the fluid receptacle being adapted to receive fluid passed through the chamber and through the substrate disposed within the container in the chamber.

18. The device of claim 17, wherein the container is disposed at an inlet port of the fluid receptacle.

19. The device of claim 18, wherein the fluid receptacle is removably mated to the chamber.

20. The device of claim 17, further comprising a unidirectional valve disposed between the chamber and the fluid receptacle, the unidirectional valve being effective to allow fluid to flow only in the direction from the chamber to the fluid receptacle.

21. The device of claim 20, wherein the unidirectional valve is disposed at the proximal end of the chamber such that fluid can flow from the chamber through the unidirectional valve, then through the substrate in the container, and into the fluid receptacle.

22. The device of claim 9, further comprising a conduit extending between the proximal end of the elongate penetrating element and the inlet port of the chamber such that fluid can flow from the elongate penetrating element, through the conduit, and into the chamber.

23. The device of claim 17, wherein a conduit is removably attached to the proximal end of the elongate penetrating element and an inlet port in the chamber.

24. The device of claim 1, further comprising a fluid receptacle disposed between the chamber and the fluid extraction mechanism.

25. The device of claim 24, wherein the chamber includes an inlet port in fluid communication with the proximal end of the elongate penetrating element, and an outlet port in communication with the fluid receptacle, and wherein the fluid receptacle includes an inlet port in communication with the outlet port of the chamber, and an outlet port in communication with the fluid extraction mechanism.

26. The device of claim 25, further comprising:

a first conduit extending between the proximal end of the elongate penetrating element and the inlet port of the chamber, the first conduit being effective to allow fluid to flow from the elongate penetrating element to the chamber;

a second conduit extending from the outlet port of the chamber to an inlet port in the fluid receptacle, the second conduit being effective to allow fluid to flow from the chamber to the receptacle; and

a third conduit extending from the outlet port of the fluid receptacle to the fluid extraction mechanism.

27. The device of claim 26, wherein the fluid extraction mechanism comprises a suction element effective to extract fluid from the elongate penetrating element, through the chamber, and into the fluid receptacle.

28. The device of claim 27, wherein the suction element comprises a vacuum pump.

29. The device of claim 26, further comprising a unidirectional valve disposed at the inlet port of the fluid receptacle, the unidirectional valve being effective to enable fluid to flow into the inlet port of the fluid receptacle, and the prevent fluid from flow out of the inlet port of the fluid receptacle.

30. A method for preparing an implantable substrate, comprising:

providing a bone marrow aspirator device having

an elongate penetrating element having a proximal end, a distal end adapted to penetrate bone, and an inner lumen extending therebetween,

a chamber in fluid communication with the proximal end of the elongate penetrating element,

a container disposed within the chamber and adapted to allow fluid to flow therethrough;

an implantable substrate disposed within the chamber, and

a fluid extraction mechanism effective to pull fluid through the elongate penetrating element, into the chamber, and through the substrate;

penetrating the distal end of the elongate penetrating element into a patient;

actuating the fluid extraction mechanism to pull fluid from the patient through the elongate penetrating element, into the chamber, and through the substrate, thereby concentrating cells from a biological material within the substrate.

31. The method of claim 30, wherein the elongate penetrating element is penetrated into a patient'"'"'s bone and the fluid being extracted is bone marrow.

32. The method of claim 31, further comprising wherein the substrate present in the container, the substrate being is selected from the group consisting of allograft bone, autograft bone, synthetic materials, purified materials, and combinations thereof.

33. The method of claim 31, wherein the chamber comprises an elongate, cylindrical barrel having a distal end removably mated to the proximal end of the elongate penetrating element, and the fluid extraction mechanism comprises a plunger disposed within the barrel and having a handle adapted to move the plunger proximally to extract fluid through the device.