The CER-SUB-83N is a bone access device that has an open tip 8 gauge cannula and is designed to be powered by a drill. The device can serve as an access port to ream, transplant or remove tissue. For example, the dowel capture spoons from the CER-BN-84 and CER-BN-116 can be used with the CER-SUB-83N to transplant bone dowels. The harvesting cannula of the CER-BN-116 is 3 cm longer than the CER-SUB-83N cannula and can be used in tandem with the CER-SUB-83N to remove necrotic bone. Removing necrotic bone and 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.