A new posterior iliac puncture/aspiration needle

J Clin Pathol. 2016 Mar 25:jclinpath-2016-203698. doi: 10.1136/jclinpath-2016-203698. Online ahead of print.

Abstract

Aims: The needles that are currently used for obtaining bone marrow aspirate samples from the posterior ilium are typically those of 1930s vintage (eg, Klima, Salah or similar needles), which were specifically designed for sternal aspiration. These needles are not designed to obtain bone marrow aspirate samples from the posterior ilium and as a result they are unsatisfactory particularly if the patient is large or obese. A new posterior iliac puncture/aspiration needle has therefore been designed, which is particularly suited for bone marrow aspiration from the posterior ilium.

Methods: The needle was tested on five cadavers and on five patients.

Results: The design and construction of the needle was found to be satisfactory and a marked improvement over the conventional sternal puncture needles particularly when large or obese patients were concerned.

Conclusions: The new posterior iliac bone marrow aspiration needle has advantages that overcome the limitations of using a conventional sternal puncture needle to obtain marrow aspirates from the posterior ilium.

Keywords: BONE MARROW; HAEMATOLOGY; HAEMATOPATHOLOGY.