The CER-ORTHO device incorporates patented technology that limits peripheral blood dilution and eliminates the need for centrifugation. The length makes it ergonomically friendly for accessing the iliac crest and the k-wire stylet allows for two methods of access. First, the k-wire is used with standard operating room drills, both manual and power. Second, the k-wire adapter allows the needle to be advanced using a mallet. This device is often used in conjunction with the CER-BN-84 bone dowel harvesting device and CF-G10 bone graft granules. Combining marrow aspirate with autogenous bone and a graft extender allows clinicians to fill boney defects using the patient’s own cells as the engine for bone healing. The combination of all three provide cells, signals and a scaffold; the building blocks for repairing bone.