Source: http://www.google.fr/patents/US7850620?hl=fr
Timestamp: 2013-06-19 16:53:49
Document Index: 4743790

Matched Legal Cases: ['Application No. 2003240970', 'Application No. 200780000590', 'Application No. 200780001198', 'Application No. 200780001190', 'Application No. 200780001196', 'Application No. 05', 'Application No. 09', 'Application No. 2004', 'Application No. 200580003261', 'Application No. 03756317']

Brevet US7850620 - Biopsy devices and related methods - Google�BrevetsRecherche Images Maps Play YouTube Actualit�s Gmail Drive Plus » Recherche avanc�e dans les brevets | Historique Web | Connexion Recherche avanc�e dans les brevets BrevetsApparatus and methods provided to remove biopsy specimens from bone and/or associated bone marrow. A powered driver may rotate a biopsy needle at an optimum speed to obtain the biopsy specimen. A thread or a groove may be disposed on interior portions of the biopsy needle. The thread or groove may engage...http://www.google.fr/patents/US7850620?utm_source=gb-gplus-shareBrevet US7850620 - Biopsy devices and related methods Num�ro de publicationUS7850620 B2Type de publicationOctroi Num�ro de demande11/853,685 Date de publication14 d�c. 2010 Date de d�p�t11 sept. 2007 Date de priorit�31 mai 2002Autre r�f�rence de publicationEP2068725A2, EP2068725A4, US20080045860, WO2008033871A2, WO2008033871A3 Num�ro de publication11853685, 853685, US 7850620 B2, US 7850620B2, US-B2-7850620, US7850620 B2, US7850620B2 InventeursDavid S. Bolleter, Bradford Hughes Craig, Christopher Brian Kilcoin, Larry J. Miller, Robert W. Titkemeyer Cessionnaire d'origineVidacare CorporationCitations de brevets (110), Citations hors brevets (60), Classifications (20) Liens externes: USPTO, Cession USPTO, EspacenetBiopsy devices and related methodsUS 7850620 B2 R�sum� Apparatus and methods provided to remove biopsy specimens from bone and/or associated bone marrow. A powered driver may rotate a biopsy needle at an optimum speed to obtain the biopsy specimen. A thread or a groove may be disposed on interior portions of the biopsy needle. The thread or groove may engage a biopsy specimen and enhance removal of a bone marrow core from cancellous bone. Manufacturing procedures are provided for bonding a single helical thread with interior portions of the biopsy needle. The apparatus may also include a biopsy sample ejector and/or ejector funnel. A biopsy needle set may include a cannula and a trocar with respective tips having optimum configurations, dimensions and/or orientations relative to each other to optimize penetration of a bone and/or bone marrow with minimum patient trauma and enhanced reliability of obtaining a biopsy specimen.
RELATED APPLICATION This application is a continuation-in-part of U.S. patent application Ser. No. 10/449,503 entitled �Apparatus and Method to Provide Emergency Access to Bone Marrow� filed May 30, 2003; which claims the benefit of U.S. Provisional Patent Application Ser. No. 60/384,756 filed May 31, 2002. The contents of these applications are incorporated herein in their entirety by this reference.
This application is a continuation-in-part of U.S. patent application Ser. No. 11/427,501 entitled �Apparatus and Methods to Harvest Bone and Bone Marrow� filed Jun. 29, 2006; which is a continuation-in-part application of U.S. patent application Ser. No. 10/448,650 filed May 30, 2003, now abandoned; and a continuation-in-part application of U.S. Divisional application Ser. No. 11/389,732 filed Mar. 27, 2006; now abandoned and a continuation-in-part application of U.S. Divisional application Ser. No. 11/389,733 filed Mar. 27, 2006. now abandoned. The contents of this application is incorporated herein in its' entirety by this reference.
This application is a continuation-in-part of U.S. patent application Ser. No. 11/781,568 entitled �Apparatus and Method to Access the Bone Marrow for Oncology and Stem Cell Applications� filed Jul. 23, 2007; which is a divisional of U.S. patent application Ser. No. 11/389,733 filed Mar. 27, 2006; now abandoned which is a divisional of U.S. patent application Ser. No. 10/448,650 filed May 30, 2003; now abandoned which claims the benefit of U.S. Provisional Application Ser. No. 60/384,756 filed May 31, 2002. The contents of this application is incorporated herein in its' entirety by this reference.
This application is a continuation-in-part of U.S. patent application Ser. No. 11/781,597 entitled �Apparatus and Method to Access the Bone Marrow for Oncology and Stem Cell Applications� filed Jul. 23, 2007; which is a divisional of U.S. patent application Ser. No. 11/389,732 filed Mar. 27, 2006; now abandoned which is a divisional of U.S. patent application Ser. No. 10/448,650 filed May 30, 2003; now abandoned which claims the benefit of U.S. Provisional Application Ser. No. 60/384,756 filed May 31, 2002. The contents of this application is incorporated herein in its' entirety by this reference.
TECHNICAL FIELD The present disclosure is related generally to medical procedures such as aspiration and biopsy of bone marrow along with apparatus and methods associated with powered drivers, coupler assemblies, aspiration needles, biopsy needles, and associated medical procedure trays and kits.
BACKGROUND OF THE DISCLOSURE There are many clinical conditions where it is important to access and retrieve bone marrow. In some cases it may be necessary to treat diseases with bone marrow or stem cell transplants to restore functioning blood cells. Such conditions may include, but are not limited to, acute leukemia, brain tumors, breast cancer, Hodgkin's disease, multiple myeloma, neuroblastoma, non-Hodgkin's lymphomas, ovarian cancer, sarcoma and testicular cancer. In other cases it is necessary to access bone marrow to obtain a sample or specimen of the marrow for diagnostic testing. These conditions may include, but are not limited to, cancers of any type and hematologic disease of any origin.
SUMMARY OF THE DISCLOSURE In accordance with teachings of the present disclosure, apparatus and methods are provided for aspiration and/or biopsy of bone marrow. Such apparatus and methods may also be used during various types of stem cell transplant procedures. Various teaching of the present disclosure may be used with other types of intraosseous devices and other types of medical procedures outside the field of providing vascular access for treatment of a patient. Examples of such procedures may include, but are not limited to, kyphoplasty, vertebral plasty, placement of wires and screws associated with replacement of joints and internal fixation of bone fractures and many other orthopedic procedures. Teachings of the present disclosure may also be incorporated into various gastroenterology-urology biopsy devices and procedures.
A further aspect of the present disclosure may include a biopsy kit having a biopsy needle and an ejector or ejector rod operable to remove a bone and/or bone marrow specimen from a biopsy needle. A funnel (sometimes referred to as an �ejector funnel�) may also be included within the biopsy kit. The funnel may accommodate insertion of the ejector into one end of the biopsy needle. The funnel may include a reduced inside diameter portion formed in accordance with teachings of the present disclosure. For some embodiments, interior portions of the funnel may function as a �one way connector� which may allow the funnel to function as a sharps protector for one end of the biopsy needle disposed therein.
A further aspect of the present disclosure may include a coupler assembly operable to releasably engage an intraosseous device with portions of a drive shaft extending from one end of a powered driver. The coupler assembly may allow the powered driver to insert the intraosseous device at an insertion site (power in.) The coupler assembly may also allow the powered driver to �spin� the intraosseous device during removal from the insertion site (power out). This feature of the present disclosure may also be referred to as �power in and power out.�
DETAILED DESCRIPTION OF THE DISCLOSURE Preferred embodiments of the disclosure and various advantages may be understood by reference to FIGS. 1A-10, wherein like numbers refer to same and like parts.
The term �containment bag� as used in this application may include any sterile sleeve, sterile envelope, sterile glove, sterile enclosure or any other device incorporating teachings of the present disclosure and operable to allow engaging a non-sterile device with a sterile device and conducting a medical procedure requiring a sterile field or sterile environment.
The term �driver� as used in this application may include any type of powered driver satisfactory for inserting an intraosseous (IO) device into a selected portion of a patient's vascular system. Such powered drivers often rotate a drive shaft extending therefrom. However, various teachings of the present disclosure may be used with powered drivers that reciprocate an associated drive shaft (not expressly shown).
Various types of coupler assemblies incorporating teachings of the present disclosure may be satisfactorily used to releasably engage one end of a shaft extending from a driver with one end of an intraosseous device. For some embodiments the powered driver may include a drive shaft having one end with a generally hexagonal cross section operable to be releasably engaged with a latch mechanism disposed in one end of a coupler assembly. For some embodiments a coupler assembly incorporating teachings of the present disclosure may be referred to as a �hands free� coupler, a quick disconnect or quick release coupler and/or port assembly.
Respective latch mechanisms may be disposed proximate a first end and a second end of a coupler assembly in accordance with teachings of the present disclosure. Pushing one end of a drive shaft extending from a powered driver into the second end of the coupler assembly may result in an annular recess disposed in the one end of the drive shaft �snapping� into releasable engagement with the respective latch mechanism. Pushing one end of an intraosseous device into the first end of the coupler assembly may result in an annular recess in the one end of the intraosseous device �snapping� into releasable engagement with the respective latch mechanism.
For some embodiments, a coupler assembly or port assembly may be engaged with a containment bag or sterile sleeve in accordance with teachings of the present disclosure. Coupler assemblies and/or hub assemblies incorporating teachings of the present disclosure allow easy separation of an associated powered driver from an IO device such that the IO device may remain in place in a patient to allow bone marrow aspiration or removal of bone and/or bone marrow biopsy specimens. Such coupler assemblies and/or port assemblies may also allow an associated powered driver to �spin� or rotate an attached IO device while withdrawing an IO device from an insertion site or changing the depth of penetration of an IO device in a target area. Rotating the IO device during withdrawal or changing depth (power out) may substantially improve patient comfort and reduce potential trauma to bone and soft body tissue proximate an insertion site.
The term �fluid� may be used in this application to include liquids such as, but not limited to, blood, water, saline solutions, IV solutions, plasma or any mixture of liquids, particulate matter, dissolved medication and/or drugs associated with biopsy or aspiration of bone marrow or communication of fluids with bone marrow or other target sites. The term �fluid� may also be used in this patent application to include any body fluids and/or liquids containing particulate matter such as bone marrow and/or cells which may be withdrawn from a target area.
The terms �harvest� and �harvesting� may be used in this application to include bone and/or bone marrow biopsy and bone marrow aspiration. Bone and/or bone marrow biopsy (sometimes referred to as �needle biopsy�) may be generally described as removing a relatively small piece or specimen of bone and/or bone marrow from a selected target area for biopsy purposes. Bone marrow aspiration (sometimes referred to as �bone marrow sampling�) may be generally described as removing larger quantities of bone marrow from a selected target area. Relatively large quantities of bone marrow may be used for diagnostic, transplantation and/or research purposes. For example some stem cell research techniques may require relatively large quantities of bone marrow.
The terms �insertion site,� �penetration site,� and �installation site� may be used in this application to describe a location on a bone at which an intraosseous device may be inserted or drilled into the bone and associated bone marrow. Insertion sites, penetration sites and installation sites are generally covered by skin and soft tissue.
The term �intraosseous (IO) device� may be used in this application to include, but is not limited to, any hollow needle, hollow drill bit, penetrator assembly, bone penetrator, catheter, cannula, trocar, stylet, inner penetrator, outer penetrator, IO needle, biopsy needle, aspiration needle, IO needle set, biopsy needle set or aspiration needle set operable to provide access to an intraosseous space or interior portions of a bone. Such IO devices may be formed, at least in part, from metal alloys such as 304 stainless steel and other biocompatible materials associated with needles and similar medical devices.
The term �target area� may be used in this application to describe selected portions of a bone cavity or locations in a bone cavity from which associated bone marrow may be harvested in accordance with teachings of the present disclosure.
Additional details concerning powered drivers, connectors, hubs, and IO devices may be found in patent application entitled �Powered Driver Intraosseous Device and Methods To Access Bone Marrow� filed Apr. 3, 2008 Ser. No. 12/061,944 which claims priority from a provisional patent application with the same title filed on Apr. 4, 2007.
Funnel 80 a may be positioned and supported within medical procedure tray 20 c such that one end of an intraosseous device may be inserted (pushed) into funnel 80 a. Funnel 80 a may be withdrawn from medical procedure tray 20 c without requiring that an operator or user directly hold or manipulate funnel 80 a. Each sharps protector 64 a may also be positioned and supported within medical procedure tray 20 c to allow inserting (pushing) one end of an intraosseous device or any other medical device requiring sharps protection into sharps protector 64 a without requiring that an operator or user to directly hold or manipulate the associated sharps protector 64 a. Medical procedure trays, coupler assemblies and other components formed in accordance with teachings of the present disclosure may substantially reduce the number of opportunities for an accidental �needle stick� and/or dropping, contaminating or other problems associated with handling and manipulating various components disposed within an associated medical procedure tray.
For some applications, medical procedure tray 20 a may be referred to as a �bone marrow aspiration tray,� �aspiration procedure tray� or �bone marrow aspiration kit�. For some applications, medical procedure trays 20 b and 20 c may sometimes be referred to as �bone and/or bone marrow biopsy procedure trays� or �biopsy procedure trays� or �bone marrow biopsy kits.�
One of the benefits of the present disclosure may include being able to releasably engage one end of a powered driver with one end of a coupler assembly, releasably engage one end of a biopsy needle with an opposite end of the coupler assembly, insert another end of the biopsy needle into a selected target area, �power out� the biopsy needle with a high degree of confidence that a biopsy specimen will be disposed therein and insert the other end of the biopsy needle into a funnel to provide both sharps protection and removal of the biopsy specimen. Any direct contact between an operator and the biopsy needle may be limited to pushing the one end of the biopsy needle into a respective end of the coupler assembly.
An associated cover may be removed from medical procedure tray 20 d by a sterile person to expose folded drapes 51 and 52. Drapes 51 and 52 may then be unfolded by the sterile person such as shown in FIG. 1H. A non-sterile person may then pick up non-sterile powered driver 200 and insert powered driver 200 through fenestration 54 in second drape 52 such as shown in FIG. 1H. End 224 of drive shaft 222 of powered driver 200 may �snap� into place within second end 252 of coupler assembly 250. The non-sterile person may then lift second drape 52 such as shown in FIG. 1J which will result in lifting containment bag 170 up and over powered driver 200. The non-sterile person may then remove second drape 52.
A sterile person may next close flap 174 over second end 172 of containment bag 170. The sterile person may then grasp handle 214 of powered driver 200 through containment bag 170 and lift powered driver 200 with coupler assembly 250 attached thereto from holder 58 disposed in kit 20 c. The sterile person may then remove an intraosseous device such as biopsy needle set 100 b from medical procedure kit 20 c and insert second end 102 of biopsy needle set 100 b into first end 251 of coupler assembly 250. A �snap� may be felt when second end 102 of biopsy needle set 100 b (or any other intraosseous device incorporating teachings of the present disclosure) is releasably latched within first end 251 of coupler assembly 250. A needle safety cap (not expressly shown) may be removed from first end 101 of biopsy needle 100 b after releasably engaging second end 102 with first end 251 of coupler assembly 250.
Motors and gear assemblies satisfactory for use with powered driver 200 may be obtained from various vendors. Such motor and gear assemblies may be ordered as �sets� with one end of each motor securely attached to an adjacent end of an associated gear assembly. A drive shaft having various dimensions and/or configurations may extend from the gear assembly opposite from the motor. Such gear assemblies may sometimes be referred to as �reduction gears� or �planetary gears�. The dimensions and/or configuration of housing 210 may be modified to accommodate an associated motor and gear assembly.
Upon completing aspiration of a desired volume or sample of bone marrow at a first target area, the trocar or stylet may be reinserted into the lumen of the outer penetrator or cannula. The first end of a hub attached to the trocar or stylet may be reengaged with the second end of a hub attached to the cannula or catheter. A powered driver and coupler assembly incorporating teachings of the present disclosure may then be used to insert the aspiration needle set to a second desired depth in the cancellous bone to obtain another bone marrow sample or the powered driver may be used to �power out� the aspiration needle set. Sharps safety capability for the stylet and/or cannula may be provided as part of such aspiration systems.
Cannula 110 a may have a plurality of markings 104 disposed on exterior portions thereof. Markings 104 may sometimes be referred to as �positioning marks� or �depth indicators.� Markings 104 may be used to indicate the depth of penetration of aspiration needle set 100 or 100 a into a bone and associated bone marrow. For some applications cannula 110 a may have a length of approximately sixty (60) millimeters and may have a nominal outside diameter of approximately 0.017 inches corresponding generally with a sixteen (16) gauge needle. Cannula 110 a may be formed from stainless steel or other suitable biocompatible materials. Positioning marks 104 may be spaced approximately one (1) centimeter from each other on exterior portions of cannula 110 a. For some applications one or more side ports 106 may be formed in exterior portions of cannula 110 a spaced from first end 111 a. Hub assembly 130 as shown in FIG. 3A may be used to releasably dispose stylet 120 within longitudinal bore or lumen 118 of cannula 110 a. See FIG. 3E. Hub assembly 130 may include first hub 140 and second hub 150. The second end of cannula 110 a, opposite from first end 111 a, may be securely engaged with the second end of cannula 110 a. The second end of stylet 120, opposite from first end 121, may be securely engaged with the first end of hub 150.
Human bones may generally be described as having a hard outer lamellae or layer of osseous tissue known as �cortical bone�. Cancellous bone (also known as trabecular or spongy bone) typically fills an inner cavity associated with cortical bone. Cancellous bone is another type of osseous tissue with generally low density and strength but high surface area. Cancellous bone typically includes spicules or trabeculae which form a latticework of interstices filled with connective tissue or bone marrow. Exterior portions of cancellous bone generally contain red bone marrow which produces blood cellular components. Most of the arteries and veins of a bone are located in the associated cancellous bone.
Helical thread 190 may be positioned at an optimum location relative to opening 116 in cannula 110 c to begin capture of a bone marrow specimen or cancellous bone core. By inserting biopsy needle 100 c at an optimum feed corresponding with the pitch of helical thread 190, helical thread 190 may be �screwed in� cancellous bone entering opening 116 to substantially increase the probability of capturing a satisfactory biopsy specimen or bone marrow core.
For embodiments such as shown in FIG. 4D cannula or outer penetrator 110 d may include first end 111 d having a plurality of exterior cutting surfaces 114 d formed thereon and extending therefrom. The length of cutting surfaces 114 d may be longer than the length of corresponding cutting surfaces 114. Respective crowns 115 d may be formed between adjacent cutting surfaces 114 d and 114 g. For some applications a helical thread having a generally �wedge shaped� cross section similar to an equilateral triangle may be disposed within the longitudinal bore or lumen of an outer penetrator or cannula incorporating teachings of the present disclosure. For example cannula 110 d may include helical thread 190 a having a generally wedge shaped cross section corresponding approximately with an equilateral triangle. Helical thread 190 a may be installed within cannula 110 d using apparatus and procedures as previously described with respect to helical thread 190.
FIG. 4E shows an example of combining inner penetrator or stylet 120 c with cannula or outer penetrator 110 c having helical thread 190 disposed therein to form biopsy needle set 100 c in accordance with teachings of the present disclosure. Biopsy needle 100 c is shown in FIGS. 3C and 4C without a stylet or trocar. Biopsy needle set 100 c is shown in FIG. 4E with trocar or stylet 120 c disposed in cannula 110 c. Trocar 120 c may include end 121 c with a pair of cutting surfaces 125 and a pair of cutting surface 126 as shown in FIG. 3I. Surfaces 125 and 126 may cooperate with each other to form a cutting tip on trocar or stylet 120 c similar to a �chisel point� drill bit. The pair of cutting surfaces 125 may be offset (relief angle) approximately eight degrees relative to the pair of cutting surfaces 126. The included angle of cutting surfaces 125 may be approximately thirty four degrees (34�) plus or minus four degrees (�4�). The included angle of cutting surfaces 126 may be approximately sixteen degrees (16�) plus or minus three degrees (�3�).
Coupler assemblies incorporating teachings of the present disclosure may function as �quick release mechanisms� operable to engage and disengage an IO device from a powered driver disposed within a flexible containment bag or sterile sleeve. Such coupler assemblies may allow rotation of an IO device without damage to the flexible containment bag or sterile sleeve. For some applications the IO device may be an aspiration needle or a biopsy needle. One end of the coupler assembly may be operable to form a fluid seal or fluid barrier with adjacent portions of the containment bag or sterile sleeve. A coupler assembly incorporating teachings of the present disclosure may also be described as a port assembly attached to a containment bag. Such port assemblies may allow easy engagement or disengagement of a powered driver from an IO device and at the same time allow the powered driver to �power in and power out� an IO device from an insertion site.
A coupler assembly incorporating teachings of the present disclosure may be used in �non-sterile� environments and/or medical procedures which do not require the use of a containment bag or sterile sleeve.
Coupler assemblies incorporating various teachings of the present disclosure may be placed in a medical procedure tray or kit with one end down and an opposite end looking up to allow �hands free� releasable engagement with a powered driver or a manual driver. For example, coupler assembly 250 may be disposed in medical procedure tray 20 c with first end 251 insert into holders 58 and second end 252 looking up. See FIGS. 1C, 1E and 1F. As a result, end 224 of drive shaft 222 extending from powered driver 200 may be inserted into and releasably engaged with second end 252 of coupler assembly 250 without requiring an operator or user (not expressly shown) to physically contact or manipulate any portion of coupler assembly 250. Various features of associated �hands free� latching mechanisms will be discussed with respect to FIGS. 5E, 5F, 5G and 5H.
For some applications, latches 410 and 420 may have similar configurations such as a general �omega� shape. See latch 420 in FIGS. 5G and 5H. However, latch 410 may have larger dimensions corresponding generally with exterior portion 260 a of elongated core 260. Latch 420 may have smaller dimensions corresponding generally with exterior portion 260 b of elongated core 260. Various features of the present disclosure may be described with respect to latch mechanism 420 as shown in FIGS. 5G and 5H along with adjacent portions of second housing segment 290 and exterior portion 260 b of elongated core 260.
Latch 420 may have a first position such as shown in FIGS. 5D and 5G in which portions of detents 421 and 422 may extend through respective slots 431 and 432. The dimensions and configuration of detent 421 and 422 may be operable to be securely engaged with annular groove 402 formed in end 224 of powered driver 200. In a similar manner, respective detents on associated latch 410 may be releasably engaged with annular groove 401 disposed in second end 102 of biopsy needle 100 b. For some applications, a plurality of tapered surfaces 403 may be formed on exterior portions of hub 140 a proximate first end 142 (See FIG. 5C) to radially expand detent mechanisms associated with omega shaped latch 410 radially outward while inserting second end 102 of biopsy needle 100 b into first end 251 of coupler assembly 250, 250 a or 250 b. The detent mechanism may �snap� into annular groove 401 when aligned therewith. In a similar manner, a plurality of tapered surfaces 228 may be formed on exterior portions of end 224 of drive shaft 222 extending from powered driver 200 to radially expand detent mechanisms 421 and 422 radially outward during the insertion of end 224 of powered driver 200 into second end 252 of coupler assembly 250. Detent mechanisms 421 and 422 will �snap� into annular groove 402 when aligned therewith. See FIG. 5F.
For some applications, coupler assembly 250 b may include latch mechanism 430 disposed proximate second end 252 of coupler assembly 250 b. Latch mechanism 430 may be generally described as having an �L� shaped configuration defined in part by first segment 431 extending generally parallel with elongated core 260 b and second segment 432 extending generally perpendicular with respect to elongated core 260 b proximate second end 262. Second segment 432 may include an enlarged opening 434 sized to allow inserting end 224 a of powered driver 200 a into receptacle 264 b. Segment 432 of latch mechanism 430 may also include detent mechanism 436 sized to be releasably engaged within annular groove 402 proximate end 224 a of powered driver 200 a. See FIG. 6B.
For example, the first opening may be sized to accommodate inserting a biopsy needle therein while the second opening may have a reduced inside diameter which prevents inserting the biopsy needle therein. The second opening may be sized to only accommodate one end of an associated ejector rod. For some applications, a longitudinal passageway may extend between the first end and the second end of the funnel. Tapered surfaces may be formed within the longitudinal passageway adjacent to the first end. The tapered surfaces may function as a �one way� connector such that when a biopsy needle is inserted therein, the funnel will be securely engaged with the first end of the biopsy needle. The funnel may then function as a sharps protector for the first end of the biopsy needle.
FIGS. 9A, 9B and 9C show some examples of apparatus and methods which may be used to remove a biopsy specimen from a generally hollow cannula or biopsy needle after inserting a first end of the generally hollow cannula or biopsy needle into a bone and/or associated bone marrow. Funnel 80 as shown in FIG. 9A may include first end 81 and second end 82 with a generally hollow, cylindrical portion 83 extending therebetween. Generally hollow, cylindrical portion 83 may include a longitudinal passageway (not expressly shown) sized to accommodate one end of an associated intraosseous device and first end 91 of ejector 90. For some applications ejector 90 may also be referred to as an �ejector rod�.
For some applications longitudinal passageway 84 may include tapered inside diameter portion 84 a disposed adjacent to and extending from first opening 87. The tapered inside diameter portion 84 a may limit movement of the first end 101 of biopsy needle 100 c or other intraosseous device therethrough. The configuration and dimensions associated with tapered inside diameter portion 84 a may be described as a �sticking taper� which will result in securely engaging funnel 80 a with the first end of an intraosseous device inserted therein. As a result of providing a �sticking taper� within longitudinal passageway 84, funnel 80 a may then be withdrawn from a respective holder in a medical procedure kit to allow inserting injector rod 80 through second end 82 a. Funnel 80 a also may serve as a sharps protector since it is now securely engaged with the first end of the associated intraosseous device.
Hip bone 300 as shown in FIG. 10 may include three segments�the ilium, the ischium and the pubis. These segments are generally distinct from each other in young patients but are generally fused together in adults. Skin and soft tissue 302 generally cover insertion sites in crest 304 of the ilium.
Citations de brevets Brevet cit� Date de d�p�t Date de publication D�posant TitreUS15396374 juin 192326 mai 1925Bronner Finn JDental instrumentUS23176488 juil. 194127 avr. 1943Siqveland Ivar EProcess and apparatus for producing intraosseous anesthesiaUS24190454 janv. 194715 avr. 1947Whittaker Charles CSpring-driven rotatable surgical cutter with hand pressure speed controlUS277350110 mars 195511 d�c. 1956Young Harold SDrill element for effecting intraosseous fluid injections and the likeUS310444821 sept. 196124 sept. 1963MorrowMortician's body cavity injectorUS312084520 f�vr. 196111 f�vr. 1964Horner David BSelf-powered surgical drillUS317341715 juin 196116 mars 1965Horner David BSelf-powered sterilizable surgical drillUS317555426 mars 196330 mars 1965Becton Dickinson And CompanySplit biopsy needleUS350727628 ao�t 196821 avr. 1970Catherine M. BurgessJet injectorUS352958023 oct. 196822 sept. 1970Foster Wheeler Corp.Start-up systemUS354396616 oct. 19681 d�c. 1970Mattel Inc.Mixing and dispensing deviceUS381560511 mai 197211 juin 1974Philips Corp,UsDevice and holder therefor for inserting a hollow coupling member into bone marrowUS383586021 juin 197317 sept. 1974H Us GarretsonSurgical bone punchUS38934459 janv. 19748 juil. 1975Becton, Dickinson And CompanyBone marrow biopsy instrumentUS39917659 avr. 197516 nov. 1976Cohen; HowardCricothyrotomy apparatusUS402192013 mars 197510 mai 1977Kirschner; HorstDrilling or milling apparatus for the working of live bone, particularly for dentistryUS4099518 *10 mai 197611 juil. 1978Baylis; Shelby M.Biopsy apparatusUS412402611 mai 19777 nov. 1978Deutsche Gardner-Denver GmbhProcedure and apparatus for screwing implants into bonesUS414251723 juil. 19766 mars 1979Contreras Guerrero De Stavropoulos; Elvia E.Apparatus for extracting bone marrow specimensUS417099313 mars 197816 oct. 1979Marcial AlvarezSliding I.V. needle carrier assemblyUS41856191 d�c. 197529 janv. 1980Atomic Products CorporationRetractable shield for syringesUS419450515 sept. 197825 mars 1980Vac-O-Cast, Inc.Containerized hypodermic moduleUS425872215 d�c. 197831 mars 1981Ferris Manufacturing Corp.Disposable biopsy needle, particularly for bone marrow samplingsUS426267624 ao�t 197921 avr. 1981Jamshidi; KhosrowBiopsy needle having integral stylet locking deviceUS430657020 ao�t 198022 d�c. 1981Matthews; Larry S.Counter rotating biopsy needleUS43334594 mars 19818 juin 1982Becker; MichaelIntramuscular injection device suitable for insulin injectionsUS438177713 janv. 19813 mai 1983Micro-Mega S.A.Syringe with oscillating needleUS44415632 nov. 198110 avr. 1984Black & Decker Inc.Tool collet and control meansUS446910924 d�c. 19814 sept. 1984Creative Research And Manufacturing Inc.Bone marrow aspiration needleUS448457712 mai 198227 nov. 1984Key Pharmaceuticals, Inc.Drug delivery method and inhalation device thereforUS454396616 mai 19841 oct. 1985Downs Surgical PlcBiopsy needleUS455353930 sept. 198319 nov. 1985Surgikos, Inc.Bilateral fenestrated drapeUS460501113 mars 198412 ao�t 1986Naeslund; Jan I.Cell sampling apparatusUS462053911 juil. 19834 nov. 1986Andrews; E. TrentPistol grip, bone drillUS464673120 mai 19853 mars 1987Brower; Arthur B.Self adhesive suture and bandageUS465449212 avr. 198531 mars 1987Bbc Aktiengesellschaft Brown, Boverie & CieSwitch driveUS465522620 d�c. 19847 avr. 1987Southland Instruments, Inc.Disposable biopsy needle unitUS46593294 juin 198621 avr. 1987The Kendall CompanyLiquid drainage systemUS46920731 juil. 19868 sept. 1987Martindell; J. RichardHandle adapter and chuck apparatus for power bitsUS47116368 nov. 19858 d�c. 1987Bierman; Steven F.Catheterization systemUS471306114 juil. 198615 d�c. 1987Survival Technology, Inc.Cartridge with universal plastic hubUS471690125 sept. 19855 janv. 1988Pratt Burnerd International LimitedSurgical appliance for forming an opening through the skinUS472394527 juin 19869 f�vr. 1988Bunder Glas GmbhHypodermic syringeUS47582257 nov. 198619 juil. 1988Pharmacia LimitedDevices for sampling, drainage or infusion of liquids from or to the human or animal bodyUS476211828 juil. 19879 ao�t 1988Welch Allyn, Inc.Self-adjusting steering mechanism for borescope, endoscope, or guide tubeUS477226129 janv. 198720 sept. 1988Board Of Regents, The University Of Texas SystemIntramedullary catheterUS478789325 juin 198629 nov. 1988Villette; AlainInstrument for injecting biocompatible products through bone tissueUS479336311 sept. 198627 d�c. 1988Sherwood Medical CompanyBiopsy needleUS486715820 juil. 198719 sept. 1989Sugg; Winfred L.Hand held battery powered bone awlUS491914625 oct. 198824 avr. 1990Medrad, Inc.Biopsy deviceUS492101321 ao�t 19891 mai 1990Aeroquip CorporationCoupling adapterUS49350109 nov. 198719 juin 1990Pharmacia LimitedDevices for sampling, drainage or infusion of liquids from or to the human or animal bodyUS494045912 oct. 198810 juil. 1990Mallinckrodt, Inc.Inflation device for balloon catheterUS494467729 juin 198731 juil. 1990Raymond Joseph AlexandreIntraosseus dental anesthesia apparatus and methodUS49698707 juin 198913 nov. 1990The Regents Of The University Of CaliforniaMethod and apparatus for intraosseous infusionsUS49862791 mars 198922 janv. 1991National-Standard CompanyLocalization needle assembly with reinforced needle assemblyUS500254618 avr. 199026 mars 1991Romano; Jack W.Curved bore drilling apparatusUS502579729 mars 198925 juin 1991Baran; Gregory W.Automated biopsy instrumentUS503686024 nov. 19896 ao�t 1991Medical Device Technologies, Inc.Disposable soft tissue biopsy apparatusUS505708524 nov. 198915 oct. 1991Medical Device Technologies, Inc.Stabilized aspiration biopsy needle assemblyUS50743119 oct. 199024 d�c. 1991Hasson; Harrith M.Biopsy deviceUS511632415 juil. 199126 mai 1992Brierley; Carol L.Protector for IV siteUS512031220 avr. 19909 juin 1992Regents Of The University Of MinnesotaMethod and apparatus for catheterizationUS51221141 f�vr. 199116 juin 1992Board Of Regents, University Of Texas SystemMethod of using intramedullary catheterUS51333598 f�vr. 199128 juil. 1992Du-Kedem Technologies Ltd.Hard tissue biopsy instrument with rotary driveUS513751821 oct. 199111 ao�t 1992Becton, Dickinson And CompanyInstantaneous vein entry indicator for intravenous needleUS51395009 janv. 199018 ao�t 1992Schwartz; Nathan H.Bone attachment systemUS517270128 f�vr. 199022 d�c. 1992Medical Device Technologies, Inc.Single use automated soft tissue aspiration biopsy deviceUS51727021 avr. 199122 d�c. 1992Medical Device Technologies, Inc.Disposable spring-loaded soft tissue biopsy apparatusUS517664329 avr. 19915 janv. 1993George C. KramerSystem and method for rapid vascular drug deliveryUS519598525 mai 199023 mars 1993Hall; John E.Syringe having a retractable needleUS52030567 mai 199220 avr. 1993Joka Kathetertechnik GmbhHose clamp for medical applicationUS520769727 juin 19914 mai 1993Stryker CorporationBattery powered surgical handpieceUS52495839 nov. 19925 oct. 1993Vance Products IncorporatedElectronic biopsy instrument with wiperless position sensorsUS52576329 sept. 19922 nov. 1993Symbiosis CorporationCoaxial bone marrow biopsy coring and aspirating needle assembly and method of use thereofUS526978528 juin 199014 d�c. 1993Bonutti; Peter M.Apparatus and method for tissue removalUS527930624 juil. 199118 janv. 1994Creative Research And ManufacturingBiopsy needleUS53123646 ao�t 199317 mai 1994PyngIntraosseous infusion deviceUS532430025 oct. 199128 juin 1994Chapolini; Robert J.Device for the controlled excision of tissue from a living bodyUS533239810 avr. 199226 juil. 1994Board Of Regents, The University Of Texas SystemIntramedullary catheterUS533379020 avr. 19922 ao�t 1994Christopher; Gilman O.Quick disconnect nozzle apparatusUS53418238 nov. 199330 ao�t 1994Abbott LaboratoriesMethod for loading a T-shaped tension device into a slotted needleUS534802226 f�vr. 199120 sept. 1994Medical Device Technologies, Inc.Single use automated soft tissue aspiration biopsy deviceUS53579744 mars 199325 oct. 1994John P. BethellBone marrow biopsy instrumentUS536804624 mars 199329 nov. 1994Symbiosis CorporationBone marrow needle assemblyUS537258325 nov. 199213 d�c. 1994Cardiopulmonary Specialities, Inc.Bone marrow infuser and method of useUS53838594 oct. 199324 janv. 1995Sewell, Jr.; FrankRotatable laparoscopic puncturing instrumentUS538555315 juin 199331 janv. 1995Applied Medical Resources CorporationTrocar with floating septum sealUS540079823 avr. 199328 mars 1995Baran; Gregory W.Automated biopsy instrumentUS540534812 f�vr. 199311 avr. 1995Anspach, Jr.; William E.Surgical cutting instrumentUS542382423 mars 199313 juin 1995Radi Medical Systems AbMethod of accessing hard tissueUS54316559 juin 199311 juil. 1995Cook IncorporatedIntraosseous needleUS545121017 d�c. 199319 sept. 1995Board Of Regents, Univ. Of Tx SystemSystem and method for rapid vascular drug deliveryUS548444211 mai 199216 janv. 1996Cook IncorporatedIntraosseous needleUS55268211 juil. 199418 juin 1996Medical Biopsy, Inc.Biopsy needle with sample retaining meansUS55295804 mai 199425 juin 1996Olympus Optical Co., Ltd.Surgical resecting toolUS554956513 juil. 199327 ao�t 1996Symbiosis CorporationReusable surgical trocar with disposable valve assemblyUS55541543 mars 199510 sept. 1996Rosenberg; NormanIntra-osseous needle drillUS5556399 *14 f�vr. 199517 sept. 1996Huebner; Randall J.Bone-harvesting drill apparatus and method for its useUS5624214 *15 d�c. 199529 avr. 1997Carroll; StuartAdjustable drill bit extensionUS5868750 *3 nov. 19979 f�vr. 1999Spectrum Surgical Instruments, Inc.Orthopedic pin insertion toolUS5993454 *29 sept. 199830 nov. 1999Stryker CorporationDrill attachment for a surgical drillUS6309358 *5 mars 199930 oct. 2001Terumo Kabushiki KaishaTube unit system including an adapter interposed between a connector and a connecting partUS6550786 *14 f�vr. 200122 avr. 2003Black & Decker Inc.Removable chuckUS6846314 *14 d�c. 200125 janv. 2005Ira L. ShapiraMethod and apparatus for extracting bone marrowUS20030199879 *22 avr. 200223 oct. 2003Spranza Joseph JohnHardware for cutting bone coresUS20040215102 *8 ao�t 200228 oct. 2004Masakazu AdachiMarrow fluid sampling set and marrow needleUS20050171504 *30 mai 20034 ao�t 2005Vidacare CorporationApparatus and method to provide emergency access to bone marrowUSD36985814 juin 199414 mai 1996Medical Device Technologies, Inc.Combined biopsy stylet and biopsy cannulaUSRE340563 mai 19918 sept. 1992C.R. Bard, Inc.Tissue sampling device* Cit� par l'examinateurCitations hors brevetsR�f�rence1"Proven reliability for quality bone marrow samples", Special Procedures, Cardinal Health, 6 pages, 2003.2�str�m, K. Gunnar O., "CT-guided Transsternal Core Biopsy of Anterior Mediastinal Masses," Radiology 1996; 199:564-567, May 1996.3Åstr�m, K. Gunnar O., "CT-guided Transsternal Core Biopsy of Anterior Mediastinal Masses," Radiology 1996; 199:564-567, May 1996.4�str�m, K.G., "Automatic Biopsy Instruments Used Through a Coaxial Bone Biopsy System with an Eccentric Drill Tip," Acta Radiologica, 1995; 36:237-242, May 1995.5Åstr�m, K.G., "Automatic Biopsy Instruments Used Through a Coaxial Bone Biopsy System with an Eccentric Drill Tip," Acta Radiologica, 1995; 36:237-242, May 1995.6Australian Exam Report on Patent Application No. 2003240970, 2 pages, Oct. 15, 2007.7BioAccess.com, Single Use Small Bone Power Tool-How It Works, 1 pg, Printed Jun. 9, 2008.8BioAccess.com, Single Use Small Bone Power Tool�How It Works, 1 pg, Printed Jun. 9, 2008.9Buckley et al., CT-guided bone biopsy: Initial experience with commercially available hand held Black and Decker drill, European Journal of Radiology 61, pp. 176-180, 2007.10Chinese Office Action with English translation, Application No. 200780000590.6, 13 pgs., Aug. 21, 2009.11Chinese Office Action with English translation, Application No. 200780001198.3; 13 pgs., Apr. 27, 2010.12Chinese Office Action with English translation; Application No. 200780001190.7; 12 pgs., Jun. 2, 2010.13Chinese Office Action with English translation; Application No. 200780001196; 12 pgs., Jul. 12, 2010.14Communication Pursuant to Article 94(3) EPC, Application No. 05 712 091.7-1265, 4 pages, Apr. 8, 2008.15Communication relating to the results of the partial International Search Report for PCT/US2005/002484, 6 pages, Mailed May 19, 2005.16EP Office Action for Application 08158699.2-1265/1967142, 10 pages, Nov. 4, 2008.17European Office Action EP03731475.4, 4 pages, Oct. 11, 2007.18European Office Action; Application No. 09 155 111.9-2310; 3 pgs., Nov. 25, 2009.19European Search Report 08158699.2-1265, 4 pages, Aug. 2008.20F.A.S.T. 1 Intraosseous Infusion System with Depth-Control Mechanism Brochure, 6 pages, 2000.21Final Office Action, U.S. Appl. No. 11/781,597, 14 pages, Nov. 17, 2009.22Gunal et al., Compartment Syndrome After Intraosseous Infusion: An Expiremental Study in Dogs, Journal of Pediatric Surgery, vol. 31, No. 11, pp. 1491-1493, Nov. 1996.23Hakan et al., CT-guided Bone BiopsyPerformed by Means of Coaxial Bopsy System with an Eccentric Drill, Radiology, pp. 549-552, Aug. 1993.24International PCT Search Report and Written Opinion PCT/US2004/037753, 16 pages, Mailed Jul. 8, 2005.25International PCT Search Report and Written Opinion PCT/US2005/002484, 15 pages, Mailed Jul. 22, 2005.26International PCT Search Report PCT/US03/17167, 8 pages, Mailed Sep. 16, 2003.27International PCT Search Report PCT/US03/17203, 8 pages, Mailed Sep. 16, 2003.28International PCT Search Report PCT/US2004/037753, 6 pages, Mailed Apr. 9, 2005.29International Preliminary Report on Patentability, PCT/US/2007/078204, 11 pages, Apr. 2, 2009.30International Preliminary Report on Patentability, PCT/US/2007/078205, 10 pgs., Mar. 26, 2009.31International Preliminary Report on Patentability, PCT/US/2007/078207, 10 pgs., Mar. 26, 2009.32International Preliminary Report on Patentability, PCT/US2007/072202, 10 pages, Mailed Jan. 15, 2009.33International Preliminary Report on Patentability, PCT/US2007/072217, 11 pages, Mailed Feb. 12, 2009.34International Search Report and Written Opinion, PCT/US08/500346, 12 pages, Mailing Date May. 22, 2008.35International Search Report and Written Opinion, PCT/US08/52943, 8 pages, Mailing Date Sep. 26, 2008.36International Search Report and Written Opinion, PCT/US2007/072202, 17 pages, Mailing Date Mar. 25, 2008.37International Search Report and Written Opinion, PCT/US2007/078203, 15 pages, Mailing Date May 13, 2008.38International Search Report and Written Opinion, PCT/US2007/078204, 14 pages, Mailing Date May 15, 2008.39International Search Report and Written Opinion, PCT/US2007/078205, 13 pages, Mailing date Sep. 11, 2007.40International Search Report and Written Opinion, PCT/US2007/078207, 13 pages, Mailing Date Apr. 7, 2008.41International Search Report w/ Written Opinion, PCT/US2006/025201, 18 pgs, Mailing Date Jan. 29, 2007.42International Search Report, PCT/US2006/025201, 12 pages, Mailing Date Feb. 7, 2008.43International Search Report, PCT/US2007/072209, 18 pages, Mailing Date Apr. 25, 2008.44International Search Report, PCT/US2007/072217, 20 pages, Mailing Date Mar. 31, 2008.45Japanese Office Action with English summary, Application No. 2004-508,669, 9 pgs., Aug. 3, 2009.46Liakat A. Parapia, Trepanning or trephines: a history of bone marrow biopsy, British Journal of Haematology, pp. 14-19.47Michael Trotty, "Technology (A Special Report)-The Wall Street Journal 2008 Technology Innovation Awards-This years winners include: an IV alternative, a better way to make solar panels, a cheap, fuel efficient car and a better way to see in the dark", The Wall Street Journal, Factiva, 5 pages, 2008.48Michael Trotty, "Technology (A Special Report)�The Wall Street Journal 2008 Technology Innovation Awards�This years winners include: an IV alternative, a better way to make solar panels, a cheap, fuel efficient car and a better way to see in the dark", The Wall Street Journal, Factiva, 5 pages, 2008.49Non-Final Office Action, U.S. Appl. No. 10/449,476, 8 pages, Mailed Oct. 29, 2008.50Notification of the First Chinese Office Action, Application No. 200580003261.8, 3 pages, Mar. 21, 2008.51Official Action for European Application No. 03756317.8 (4 pages), Dec. 28, 2006.52PCT International Preliminary Search Report PCT/US2005/002484, 9 pages, Mailing Date Aug. 3, 2006.53PCT Invitation to Pay Additional Fees, PCT/US2007/072209, 9 pages, Mailing Dec. 3, 2007.54Pediatric Emergency, Intraosseous Infusion for Administration of Fluids and Drugs, www.cookgroup.com, 1 pg, 2000.55Pediatrics, 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care of Pediatric and Neonatal Patients:Pediatric Advanced Life Support, Downloaded from www.pediatrics.org, Printed Feb. 21, 2007.56Richard O. Cummins et al., "ACLS-Principles and Practice", ACLS-The Reference Textbook, American Heart Association, pp. 214-218, 2003.57Richard O. Cummins et al., "ACLS-Principles and Practice", ACLS�The Reference Textbook, American Heart Association, pp. 214-218, 2003.58Riley et al., "A Pathologist's Perspective on Bone Marrow Aspiration Biopsy: I. Performing a Bone Marrow Examination," Journal of Clinical Laboratory Analysis 18, pp. 70-90, 2004.59U.S. Appl. No. 11/427,501 Non Final Office Action, 14 pages, Mailed Aug. 7, 2008.60Vidacare Corporation Comments to Intraosseous Vascular Access Position Paper, Infusion Nurses Society, 6 pages, May. 4, 2009.Classifications Classification aux �tats-Unis600/568 Classification internationaleA61B10/02 Classification coop�rativeA61B2010/0258, A61B19/081, A61B2017/320064, A61B2019/462, A61B19/0271, A61B19/026, A61B2017/00734, A61B19/10, A61B2017/00477, A61B17/32053, A61B10/025, A61B19/08, A61B17/32002 Classification europ�enneA61B19/08B, A61B10/02P4, A61B19/08, A61B19/02P6, A61B19/02PFaire pivoterImage d'origineAccueil Google - Plan du site - T�l�chargements par lot sur l'USPTO - R�gles de confidentialit� - Conditions d'utilisation - � propos de Google�Brevets - Envoyer des commentairesDonn�es fournies par IFI CLAIMS Patent Services©2012 Google