Assembly for coupling powered driver with intraosseous device

• US 8,668,698 B2
• Filed: 09/11/2007
• Issued: 03/11/2014
• Est. Priority Date: 05/31/2002
• Status: Active Grant

• Current Assignee: Teleflex Life Sciences II LLC
• Original Assignee: Vidacare Corp. (Teleflex Incorporated)
• Inventors: Miller, Larry J., Bolleter, David S., Titkemeyer, Robert W., Kilcoin, Christopher Brian, Harmon, Matthew T., Craig, Bradford Hughes
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Pani, John
• Application Number:
  US11/853,678
• Publication Number:
  US 20080045965A1
• Time in Patent Office: 2,373 Days
• Field of Search: 600/568, 600/562, 600564-567, 606/80, 606/81, 606/180, 340/566, 408238-240, 433/127, 433/128, 811/778.5
• US Class Current: 606/80
• CPC Class Codes: A61B 10/025 for taking bone, bone marrow or cartilage samples
• CPC Class Codes: A61B 10/0283 with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe A61B10/025, A61B10/0266 take precedence
• CPC Class Codes: A61B 2010/0208 Biopsy devices with actuators, e.g. with triggered spring mechanisms
• CPC Class Codes: A61B 2010/0258 Marrow samples
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2090/062 penetration depth
• CPC Class Codes: A61B 46/00 Surgical drapes
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 46/23 with means to retain or hold surgical implements
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: A61B 50/33 Trays
• CPC Class Codes: Y10T 408/94 Tool-support

Abstract

Apparatus and methods are provided to remove biopsy specimens from a bone and/or associated bone marrow using a powered drive and an intraosseous (IO) needle set. The powered driver may rotate the IO needle set at an optimum speed to obtain a biopsy sample of bone and/or bone marrow. Apparatus and methods may also be provided for aspiration of bone marrow and/or stem cell transplant procedures. The apparatus may include a powered driver, a coupler assembly, a containment bag or sterile sleeve and various IO needles and IO needle sets with associated hubs and/or hub assemblies. Each IO needle set may include a cannula or catheter and an associated trocar stylet with respective tips operable to penetrate a bone and/or bone marrow with minimum trauma to a patient. Each hub assembly may be used to releasably dispose a respective stylet within an associated generally hollow cannula. Some coupler assemblies and/or hub assemblies may also be used with manual drivers.

Claims

1. Apparatus operable to insert an intraosseous device into a bone and associated bone marrow, the apparatus comprising:

a powered driver having a housing with one end of a drive shaft extending therefrom;

the intraosseous device having a first end operable to be inserted into the bone and associated bone marrow;

a coupler assembly having a first end including a first latch mechanism operable to be releasably engaged with a second end of the intraosseous device;

the coupler assembly having a second end including a second latch mechanism operable to be releasably engaged with the one end of the drive shaft; and

a spring that;

urges the first latch mechanism toward a locked configuration if the first latch mechanism is in an unlocked configuration, and

urges the second latch mechanism toward a locked configuration if the second latch mechanism is in an unlocked configuration.

2. The apparatus of claim 1 wherein the powered driver further comprises:

a motor disposed within the housing and rotatably engaged with the drive shaft;

a power supply and electrical circuits operable to power the motor;

a switch connected to the electrical circuits; and

the switch operable to activate the motor to rotate the drive shaft.

3. The apparatus of claim 2 wherein the powered driver further comprises:

a gear assembly disposed between the motor and the drive shaft; and

the gear assembly operable to rotate the drive shaft for insertion of the first end of the intraosseous device into the bone and associated bone marrow.

4. The apparatus of claim 2 wherein the powered driver further comprises:

a gear assembly rotatably attached to the motor;

the drive shaft extending from the gear assembly opposite from the motor; and

the gear assembly operable to reduce rotation of the motor by a ratio between approximately sixty to one and eighty to one.

5. The apparatus of claim 1 further comprising:

the one end of the drive shaft extending from the housing having a generally hexagonal cross section; and

the second end of the coupler assembly having a receptacle with a generally hexagonal cross section sized to receive the one end of the drive shaft therein.

6. The apparatus of claim 1 further comprising:

the first latch mechanism including at least one detent operable to releasably extend into and retract from an associated opening proximate the one end of the coupler assembly;

the second latch mechanism including at least one detent operable to releasably extend into and retract from an associated opening proximate the second end of the coupler assembly;

the second end of the intraosseous device having an annular groove sized to be releasably engaged with the at least one detent of the first latch mechanism disposed in the first end of the coupler assembly; and

the one end of the drive shaft extending from the housing having an annular groove operable to be releasably engaged with the detent of the second latch mechanism disposed in the second end of the coupler assembly.

7. The apparatus of claim 1 further comprising:

a plurality of tapered surfaces disposed on exterior portions of the second end of the intraosseous device;

the tapered surfaces operable to move a detent mechanism from a first extended position to a second retracted position; and

the one end of the drive shaft extending from the housing having a plurality of exterior tapered surfaces operable to move the detent mechanism in the second end of the coupler assembly from the first extended position to the second retracted position whereby the annular groove in the one end of the drive shaft may be aligned with the detent mechanism.

8. The apparatus of claim 1 further comprising:

a containment bag having a first opening and a second opening;

the second end of the coupler assembly securely engaged with the first opening of the containment bag;

a fluid barrier disposed between the first opening of the containment bag and adjacent portions of the coupler assembly;

the second opening of the containment bag sized to allow inserting the powered driver therethrough to engage the one end of the drive shaft with the second end of the coupler assembly; and

a closure mechanism operable to releasably close the second opening of the containment bag after the one end of the powered driver has been releasably engaged with the second end of the coupler assembly.

9. The apparatus of claim 1 further comprising:

the one end of the drive shaft extending from the housing having an annular recess disposed therein; and

the second opening of the coupler assembly having a flexible detent disposed therein that may be releasably engaged with the annular recess of the one end of the drive shaft.

10. The apparatus of claim 1 wherein the coupler assembly further comprises:

an elongated core having a housing disposed on exterior portions of the elongated core;

the housing including a first housing segment and a second housing segment operable to rotate independent of each other and relative to the elongated core;

portions of the first housing segment slidably disposed within adjacent portions of the second housing segment; and

the biasing mechanism disposed between adjacent portions of the first housing segment and the second housing segment to bias the first housing segment and second housing segment to move to a first, extended position relative to each other.

11. Apparatus operable to insert an intraosseous device into a bone and associated bone marrow, the apparatus comprising:

a powered driver having a housing with one end of a drive shaft extending therefrom;

the intraosseous device having a first end operable to be inserted into the bone and associated bone marrow;

a coupler assembly having a first end including a first latch mechanism operable to be releasably engaged with a second end of the intraosseous device;

the coupler assembly having a second end including a first latch mechanism operable to be releasably engaged with the one end of the drive shaft;

a spring that;

urges the first latch mechanism toward a locked configuration if the first latch mechanism is in an unlocked configuration, and

urges the second latch mechanism toward a locked configuration if the second latch mechanism is in an unlocked configuration;

a containment bag having a first opening and a second opening; and

the second end of the coupler assembly securely engaged with the first opening in the containment bag.

12. The apparatus of claim 11 further comprising the second opening of the containment bag having a configuration and dimensions sized to allow placing the powered driver within the containment bag.

13. The apparatus of claim 11 wherein the containment bag further comprises:

a closure mechanism operable to seal the second opening of the containment bag after the powered driver has been releasably engaged with the second end of the coupler assembly; and

the closure mechanism operable to prevent the non-sterile powered driver from contaminating the intraosseous device.

14. The apparatus of claim 11 further comprising the containment bag formed from a flexible, clear polymeric material operable to be sterilized and operable to allow use of the powered driver to insert the intraosseous device into a selected target area.

15. The apparatus of claim 11 wherein the containment bag further comprises:

a flexible stay attached to portions of the second opening; and

the flexible stay operable to hold the second opening in an open position to accommodate placing the powered driver therein.