A Stem Cell Harvesting Manipulator with Flexible Drilling Unit for Bone Marrow Transplantation

We present the development of an innovative device (Stem Cell Harvesting Manipulator) to get hematopoietic stem cells for bone marrow transplantation. By using this manipulator, stem cells are harvested from the iliac bone of the donor with minimal puncture. Additionally, the time for carrying out harvesting and the contamination of T cells can be minimized. In this paper, we report the development of a prototype of the Stem Cell Harvesting Manipulator with Flexible Drilling Unit. The manipulator is inserted into the medullary space from the iliac crest and aspirates the bone marrow while an end-mill on the tip of the Flexible Drilling Unit drills through cancellous bone to create a curved path. We found that the manipulator can be inserted into the medullary space of the pig iliac bone 131 mm by 32.1 mm/min and harvests a phantom of bone marrow about 6 times as much in mass as the conventional Aspiration Method. Further consideration regarding whether or not this device can harvest viable hematopoietic stem cells should be considered through experiments using laboratory animals.

[1]  E D Thomas,et al.  Does bone marrow transplantation confer a normal life span? , 1999, The New England journal of medicine.

[2]  Jane L. Liesveld,et al.  Handbook of Bone Marrow Transplantation , 2000 .

[3]  Maria Chiara Carrozza,et al.  A novel mechatronic tool for computer-assisted arthroscopy , 2000, IEEE Transactions on Information Technology in Biomedicine.

[4]  H. Rininsland ARTEMIS. A telemanipulator for cardiac surgery. , 1999, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[5]  Kazuhiro Kosuge,et al.  Micro active catheter system with multi degrees of freedom , 1994, Proceedings of the 1994 IEEE International Conference on Robotics and Automation.

[6]  Makoto Hashizume,et al.  Multi-DOF Forceps Manipulator System for Laparoscopic Surgery - Mechanism Miniaturized & Evaluation of New Interface , 2001, MICCAI.

[7]  J Kohyama,et al.  Brain from bone: efficient "meta-differentiation" of marrow stroma-derived mature osteoblasts to neurons with Noggin or a demethylating agent. , 2001, Differentiation; research in biological diversity.

[8]  J. Haroscak,et al.  A phase I trial of augmentation of unrelated unbilical cord blood transplantation with ex vivo expanded cells , 1998 .

[9]  Thomas Ed,et al.  DOES BONE MARROW TRANSPLANTATION CONFER A NORMAL LIFE SPAN , 1999 .

[10]  Ken Masamune,et al.  Multi-DOF Forceps Manipulator System for Laparoscopic Surgery , 2000, MICCAI.

[11]  Koji Ikuta,et al.  Micro active forceps with optical fiber scope for intra-ocular microsurgery , 1996, Proceedings of Ninth International Workshop on Micro Electromechanical Systems.

[12]  S. Ikehara,et al.  A New Method for Bone Marrow Cell Harvesting , 2000, Stem cells.

[13]  Yoshimi Ito,et al.  Basic Study on Bone Cutting Forces for Developing Surgical Instruments , 1983 .

[14]  Peter N. Brett,et al.  Learning a linear association of drilling profiles in stapedotomy surgery , 1998, Proceedings. 1998 IEEE International Conference on Robotics and Automation (Cat. No.98CH36146).

[15]  H. Deeg,et al.  A Guide to Blood and Marrow Transplantation , 1998, Springer Berlin Heidelberg.

[16]  A. Marmont,et al.  Immune ablation followed by allogeneic or autologous bone marrow transplantation: A new treatment for severe autoimmune diseases? , 1994, Stem cells.

[17]  K. Yasukawa,et al.  gp130 and c-Kit signalings synergize for ex vivo expansion of human primitive hemopoietic progenitor cells. , 1995, Proceedings of the National Academy of Sciences of the United States of America.

[18]  Paolo Dario,et al.  A miniature steerable end-effector for application in an integrated system for computer-assisted arthroscopy , 1997, Proceedings of International Conference on Robotics and Automation.

[19]  Mara Riminucci,et al.  Bone Marrow Stromal Stem Cells: Nature, Biology, and Potential Applications , 2001, Stem cells.