The CER-SUB-1111-OT is a bone access device that has an 11 gauge cannula with an open tip and is designed to be powered by a drill. The kit can be used with CER-RMR-11 Curette and Reamer for preparation of sub chondral space. The Curette and Reamer extend 3 cm past the end of the cannula. The device can serve as an access port to ream, transplant or remove tissue. For example, the dowel capture spoons from the CER-BN-116 can be used with the CER-SUB-1112-CT to transplant bone dowels. Transplanting autologous healthy bone is the gold standard of orthopedic bone repair. The access channel can also be used to transplant CellFuse granules. Combining marrow aspirate with autogenous bone and a graft extender allows clinicians to fill boney defects using the patient’s own cells and scaffold as the engine for bone healing. The combination of all three provide cells, signals and a scaffold; the building blocks for repairing bone.