Source: http://www.google.es/patents/US8419683
Timestamp: 2018-01-20 22:55:06
Document Index: 268114272

Matched Legal Cases: ['§120', '§120', 'Application No. 05', 'Application No. 08158699', 'Application No. 200580003261', 'Application No. 03756317']

Patente US8419683 - Intraosseous device and methods for accessing bone marrow in the sternum and ... - Google Patentes
Apparatus and methods are provided to access bone marrow at various target areas. Such apparatus may include an intraosseous device operable to penetrate bone at a selected target area and a depth limiter operable to control depth of penetration of the intraosseous device into bone and associated bone...http://www.google.es/patents/US8419683?utm_source=gb-gplus-sharePatente US8419683 - Intraosseous device and methods for accessing bone marrow in the sternum and other target areas
Número de publicación US8419683 B2
Número de solicitud US 12/554,664
También publicado como CN101541370A, CN101541370B, US8998848, US20070270775, US20100004626, WO2008086258A1
Número de publicación 12554664, 554664, US 8419683 B2, US 8419683B2, US-B2-8419683, US8419683 B2, US8419683B2
Inventores Larry J. Miller, Robert W. Titkemeyer, David S. Bolleter, Ruben Trevino, Matthew T. Harmon, Christopher Kilcoin
Cesionario original Vidacare Corporation
Citas de patentes (362), Otras citas (61), Citada por (24), Clasificaciones (13), Eventos legales (7)
US 8419683 B2
1. An apparatus for controlling the depth of penetration of an intraosseous device into a sternal bone and associated bone marrow comprising:
the second end of the outer penetrator operable to penetrate the sternal bone and associated bone marrow;
a hub having a first end and a second end;
a flange disposed at the second end of the hub, the flange extending radially outward from the hub and configured to be supported by a skin surface of a patient to stabilize the intraosseous device;
the first end of the outer penetrator disposed in the hub;
the second end of the outer penetrator extending from the flange;
a collar having an elongated and hollow configuration compatible with engaging the outside diameter of the outer penetrator;
the collar extending from the flange and disposed around a portion of the outer penetrator;
the collar having a first end disposed toward the hub and a second end extending at a selected distance from the flange; and
where the distance between the second end of the collar and the second end of the outer penetrator is non-adjustably fixed to control the depth of penetration of the intraosseous device into the sternal bone and associated bone marrow.
2. The apparatus of claim 1, further comprising the distance between the second end of the hub and the second end of the collar limiting the depth of penetration of the outer penetrator into the sternal bone and associated bone marrow.
3. The apparatus of claim 1, wherein the first end of the collar is installed over an exterior portion of the outer penetrator.
4. The apparatus of claim 3, wherein the first end of the collar is disposed within adjacent portions of the hub.
5. The apparatus of claim 1, wherein the collar and respective exterior portions of the outer penetrator are operable to rotate relative to each other.
6. The apparatus of claim 1, wherein the outer penetrator further comprises:
a longitudinal passageway operable to slidably receive an inner penetrator;
the inner penetrator having a first end and a second end;
the first end of the inner penetrator operable to penetrate the sternal bone and associated bone marrow;
the inner penetrator slidably disposed in the outer penetrator with the first end of the inner penetrator extending from the first end of the outer penetrator; and
the distance between the second end of the collar and the first end of the inner penetrator determining the depth of penetration of the intraosseous device.
7. The apparatus of claim 1, further comprising the collar from material selected from the group consisting of stainless steel, titanium or a material used to form the outer penetrator.
8. The apparatus of claim 1, wherein the distance between the second end of the collar and the second end of the outer penetrator comprises approximately eight (8) millimeters.
9. The apparatus of claim 1, wherein the depth of penetration of the intraosseous device comprises approximately eight (8) millimeters.
10. The apparatus of claim 1, wherein the spacing between the second end of the hub and the second end of the collar comprises approximately seventeen (17) millimeters.
11. The apparatus of claim 1, wherein the length of the outer penetrator is from five (5) millimeter to thirty (30) millimeter.
12. An apparatus for controlling the depth of penetration of an intraosseous device into a sternal bone and associated bone marrow comprising:
the distance between the second end of the collar and the second end of the outer penetrator controlling the depth of penetration of the intraosseous device into the sternal bone and associated bone marrow; and
wherein the spacing between the second end of the hub and the second end of the collar is approximately the average thickness of skin, muscle and other soft tissue covering the sternal bone.
13. The apparatus of claim 1, wherein the spacing between the second end of the hub and the second end of the collar is variable.
14. An apparatus for controlling the depth of penetration of an intraosseous device into a sternal bone and associated bone marrow comprising:
the distance between the second end of the collar and the second end of the outer penetrator controlling the depth of penetration of the intraosseous device into the sternal bone and associated bone marrow;
wherein the spacing between the second end of the hub and the second end of the collar is variable; and
wherein the hub further comprises:
a first segment having a first thread and a second segment having a second thread;
the first segment and the second segment operable to being rotated with respect to each other; and
the first thread and the second thread having matching thread profiles operable to engage with one another upon rotation of the first segment with respect to the second segment whereby rotation of the first segment with respect to the second segment varies the spacing between the second end of the hub and the second end of the collar.
15. The apparatus of claim 1, wherein the second end of the collar comprises an effective surface area large enough to support up to fifty pounds of force without the second end of the collar penetrating bone surrounding an intraosseous space in a sternum.
16. An apparatus for controlling the depth of penetration of an intraosseous device into a sternal bone and associated bone marrow comprising:
further comprising at least one blade disposed in at least one slot adjacent to the second end of the collar.
17. The apparatus of claim 1, wherein the collar comprises a removable collar.
This application is a Continuation under 35 U.S.C. §120 of U.S. patent application Ser. No. 11/620,927, filed Jan. 8, 2007, which is a Continuation-in-part under 35 U.S.C. §120 of U.S. patent application Ser. No. 10/987,051 filed Nov. 12, 2004, to which the present application also claims priority. These applications are incorporated by reference in their entirety.
This application makes cross-reference to the following related applications: U.S. patent application Ser. No. 10/449,503 filed May 30, 2003; and U.S. patent application Ser. No. 11/023,173 filed Dec. 27, 2004.
Power driver (not expressly shown) may include a housing with various types of motors and/or gear assemblies disposed therein. A rotatable shaft (not expressly shown) may be disposed within the housing and connected with a gear assembly (not expressly shown). Various types of fittings, connections, connectors and/or connector receptacles may be provided at one end of the rotatable shaft extending from a power driver for releasable engagement with an IO device.
Examples of power drivers are shown in patent application Ser. No. 10/449,503 filed May 30, 2003 entitled “Apparatus and Method to Provide Emergency Access To Bone Marrow,” now U.S. Pat. No. 7,670,328; Ser. No. 10/449,476 filed May 30, 2003 entitled “Apparatus and Method to Access Bone Marrow,” now U.S. Pat. No. 7,699,850; and Ser. No. 11/042,912 filed Jan. 25, 2005 entitled “Manual Intraosseous Device,” and published as Pub. No. US 2005/0165404.
For embodiments such as shown in FIG. 3C manubrium 92 may include anterior cortex 106, posterior cortex 110 with bone marrow 108 disposed there between. As shown in FIGS. 3A, 3B and 3C, intraosseous device 160 a may have similar features and characteristics as previously described for intraosseous device 160 except for modifications to hub 200 a and collar 170 a. For example, collar 170 a may be formed from the same or similar materials as used to form collar 170 or may be formed from materials the same or similar to hub 200 a. Collar 170 a may have an inside diameter larger than the outside diameter of outer penetrator 210. The difference in diameter may result in forming annular space 250 between the exterior of outer penetrator 210 and interior of collar 170 a. See FIGS. 3B and 3C.
For some applications first end 171 a of collar 170 a may be rotatably engaged with adjacent portions of hub 200 a. For embodiments such as shown in FIGS. 3A, 3B and 3C annular recess or annular groove 214 may be formed in hub 200 a spaced from second end 202 a. First end 171 a may include annular projection or annular flange 174 extending radially therefrom. The configuration and dimensions of flange 174 may be selected to be smaller than corresponding configuration and dimensions of annular recess 214. As a result, intraosseous device 160 a and particularly hub 200 a may rotate relative to collar 170 a and first end 171 a.
Manual driver 20 a may be used to insert intraosseous device 160 a into bone marrow 108 until second end 172 contacts adjacent portions of anterior cortex layer 106. As a result of annular space 250 formed between exterior portions of outer penetrator 210 and collar 170 a including attached blades 176 and by rotatably attaching first end 171 a of collar 170 a with annular recess 214 of hub 200, collar 170 a and associated blades 176 may remain in a relatively fixed location while inserting intraosseous device 160 a into associated bone marrow. Annular space 250 and the rotatable connection at first end 171 a help to limit any additional cutting or tearing of skin 80 and soft tissue 82 during rotation of intraosseous device 160 a.
For some applications a spring or other mechanism (not expressly shown) may be disposed within handle 22 a to assist with rotation of intraosseous device 160 a. Various types of trigger mechanisms (not expressly shown) may also be provided to allow rotation of drive shaft 32 when guide mechanism 40 has been disposed over a desired insertion site.
For embodiments such as shown in FIGS. 4, 5A and 5B collar 170 b may be formed as an integral component of associated hub 200 b or 200 c. For such embodiments collar 170 b may be formed from the same or similar materials used to form other portions of associated hubs 200 b and 200 c. For some applications collar 170 b may be formed as a separate component and a first end of collar 170 b (not expressly shown) may be securely engaged with adjacent portions of hubs 200 b or 200 c. Collar 170 b may include inside diameter 178 compatible with contacting exterior or outside diameter portions of outer penetrator 210.
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Clasificación de EE.UU. 604/117, 604/240, 600/567, 600/564, 606/167, 604/187
Clasificación internacional A61B17/32, A61B10/00, A61M5/00, A61M5/31
Clasificación cooperativa A61M5/46, A61B2010/0258, A61B10/025
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