Islam Anwarul
Division of Haematology/Oncology, Department of Medicine, Buffalo General Hospital, Buffalo, NY 14203, USA.
Biomed Instrum Technol. 2005 Sep-Oct;39(5):391-6. doi: 10.2345/0899-8205(2005)39[391:ANSBMB]2.0.CO;2.
A new needle for taking a bone marrow biopsy sample from the posterior iliac crest is described. The needle comprises a hollow tube having a front-end portion formed to a reduced diameter. The front end is tapered by means of circumferentially spaced facets, forming a cutting edge. A series of flutes/serrations are introduced at the tapering transitional portion, between the main wider portion of the hollow tube and its reduced-diameter front-end portion. This design is new and is not available in any other conventional biopsy needle. These serrations help in its penetration through the hard cortical bone. A spacer guide, which is placed between the plastic dome of the needle and the stilette cap to enhance the ergonomics, is also new. The inside of the spacer guide is funnel shaped, through which the stilette is passed, thereby ensuring an easy and accurate alignment of the distal ends of the hollow needle and the stilette. This technique facilitates removal of the biopsy sample rearwardly out of the hollow needle particularly when the mouth (distal-end opening) of the needle is covered by extraneous bony soft tissue. In this technique, the same stilette that occupies the needle during its entry into the marrow cavity is used in sample removal. Thus, the need for an additional pusher to remove the biopsy sample from within the lumen of the needle has been eliminated.
描述了一种用于从髂后嵴采集骨髓活检样本的新型针。该针包括一根中空管,其前端部分形成为直径减小的部分。前端通过周向间隔的小平面逐渐变细,形成一个切割边缘。在中空管的较宽主要部分与其直径减小的前端部分之间的逐渐变细过渡部分引入了一系列凹槽/锯齿。这种设计是新颖的,在任何其他传统活检针中都没有。这些锯齿有助于其穿透坚硬的皮质骨。一种间隔导向器也是新颖的,它放置在针的塑料圆顶和细针帽之间以增强人体工程学设计。间隔导向器的内部呈漏斗形,细针从中穿过,从而确保中空针和细针的远端轻松且准确地对齐。这种技术便于将活检样本向后从中空针中取出,特别是当针的口部(远端开口)被外部骨软组织覆盖时。在这种技术中,在进入骨髓腔时占据针的同一根细针用于样本取出。因此,消除了使用额外的推杆从针腔内取出活检样本的需求。