Vertebral access system and methods

Abstract

Medical devices, medical procedure trays, kits and related methods are provided for use to perform medical procedures that require access to the interior of a bone. The devices, trays and methods allow multiple use of non-sterile medical devices with sterile medical devices for performing medical procedures requiring sterile conditions.

What is claimed is: 
     
         1 . An intraosseous (IO) medical procedures tray comprising:
 at least one IO device comprising at least one set of IO needles;   the IO needle set comprising at least one IO needle operable to penetrate a bone and at least one IO needle operable to deliver a therapeutic agent to the bone;   a coupler assembly comprising a first end operable to releasably engage one or more IO devices and a second end operable to releasably engage a powered driver;   the coupler further comprising a sterile containment bag operable to enclose the powered driver;   slots and holders for each component; and   a removable sterile cover over the IO medical procedures tray to maintain sterility of the components.   
     
     
         2 . An intraosseous (IO) medical procedures tray of  claim 1 , further comprising other components for placement in the tray from the group consisting of a containers for sharps, a container for collecting a medical sample, an ejector funnel, and one or more smaller trays comprising one or more components of the tray. 
     
     
         3 . An intraosseous (IO) medical procedures tray of  claim 1 , further comprising selecting IO devices for placement in the tray from the group consisting of an IO needle operable to penetrate any bone, a vertebral needle set, a biopsy needle set, an aspiration needle set, a vertebral needle operable to penetrate a vertebral bone, a biopsy needle, an aspiration needle, a trocar operable to inject a therapeutic agent into a bone, an ejector rod operable to inject a therapeutic agent into a bone, an ejector operable to remove a biopsy sample from a bone, a rod operable to remove a biopsy sample from a vertebral bone, a rod operable to be slidably inserted into a vertebral needle that is operable to penetrate a vertebral bone, an IO needle operable to inject bone cement into a bone and combinations thereof. 
     
     
         4 . An intraosseous (IO) medical procedures tray of  claim 1 , wherein the IO needle set further comprises at least one IO needle operable to obtain a medical sample from the bone. 
     
     
         5 . An intraosseous (IO) medical procedures tray of  claim 4 , further comprising other components for placement in the tray from the group consisting of a containers for sharps, a container for collecting a medical sample, an ejector funnel, and one or more smaller trays comprising one or more components of the tray. 
     
     
         6 . An intraosseous (IO) medical procedures tray of  claim 4 , further comprising selecting IO devices for placement in the tray from the group consisting of an IO needle operable to penetrate any bone, a vertebral needle set, a biopsy needle set, an aspiration needle set, a vertebral needle operable to penetrate a vertebral bone, a biopsy needle, an aspiration needle, a trocar operable to inject a therapeutic agent into a bone, an ejector rod operable to inject a therapeutic agent into a bone, an ejector operable to remove a biopsy sample from a bone, a rod operable to remove a biopsy sample from a vertebral bone, a rod operable to be slidably inserted into a vertebral needle that is operable to penetrate a vertebral bone, an IO needle operable to inject bone cement into a bone and combinations thereof. 
     
     
         7 . A vertebral medical procedures tray comprising slots and holders for each component, the components comprising:
 at least one vertebral IO device comprising at least one vertebral IO needle set; the vertebral IO needle set comprising at least one vertebral IO needle operable to penetrate a vertebral bone and at least one IO needle operable to deliver a therapeutic agent to the vertebral bone or a vertebral body;   a coupler assembly comprising a first end operable to releasably engage one or more vertebral IO devices and a second end operable to releasably engage a non-sterile powered driver;   the coupler further comprising a sterile containment bag operable to enclose the non-sterile powered driver; and   a removable cover over the vertebral IO medical procedures tray to maintain sterility of the components.   
     
     
         8 . A vertebral medical procedures tray of  claim 7 , wherein the at least one IO needle operable to deliver a therapeutic agent to the vertebral bone or a vertebral body is an IO needle operable to deliver bone cement into the vertebral bone or the vertebral body. 
     
     
         9 . A vertebral medical procedures tray of  claim 7 , further comprising a vertebral biopsy needle set comprising at least one biopsy needle operable to obtain a medical sample from a vertebral body. 
     
     
         10 . A vertebral medical procedures tray of  claim 7 , further comprising a vertebral aspiration needle set comprising at least one aspiration needle operable to obtain a medical sample from a vertebral body. 
     
     
         11 . A vertebral medical procedures tray of  claim 7 , further comprising selecting vertebral IO devices or other components for placement in the tray from the group consisting of a containers for sharps, a container for collecting a medical sample, an ejector funnel, and one or more smaller trays comprising one or more components of the tray, a vertebral needle set, a biopsy needle set, an aspiration needle set, a vertebral needle operable to penetrate a vertebral bone, a biopsy needle, an aspiration needle, a trocar operable to inject a therapeutic agent into a vertebral bone, an ejector rod operable to inject a therapeutic agent into a vertebral bone, an ejector operable to remove a biopsy sample from a vertebral bone, a rod operable to remove a biopsy sample from a vertebral bone, a rod operable to be slidably inserted into a vertebral needle that is operable to penetrate a vertebral bone, an IO needle operable to inject bone cement into a vertebral body and combinations thereof.