1.
Bone Marrow Aspiration Needle
1. Parts: Handle, hollow needle, removable stylet, adjustable guard/stopper.
2. Function: Aspiration of marrow for cytology, special stains, cultures.
3. Principle: Penetrates bone cortex; guard controls depth to avoid injury.
4. Sites: Sternum (adults), posterior superior iliac spine, tibia (infants).
5. Special point: Stylet prevents blockage of lumen by tissue during insertion.
2. PCV Tube (Wintrobe’s Tube)
1. Material: Thick glass tube, 11 cm length, uniform bore.
2. Markings: 0–100 mm from both ends — top for ESR, bottom for PCV.
3. Use: Packed Cell Volume (hematocrit) and ESR by Wintrobe’s method.
4. Principle: Centrifugation separates blood into layers — RBCs, buffy coat,
plasma.
5. Special point: Requires anticoagulated blood; slower ESR reading than
Westergren.
3. Urinometer
1. Structure: Weighted bulb with graduated stem; made of glass.
2. Principle: Buoyancy — depth of floating depends on urine density.
3. Use: Measure specific gravity of urine (normal 1.003–1.030).
4. Procedure: Requires ~50 ml urine in a tall cylinder; temperature correction
needed.
5. Special point: Correction for glucose/protein is necessary for true renal function
interpretation.
4. RBC Pipette
1. Structure: Narrow-bore stem with red bead in bulb, markings up to 101.
2. Use: Dilution of blood (usually 1:200) for RBC counting in hemocytometer.
3. Diluting fluid: Hayem’s or Gower’s solution (prevents clotting & preserves cells).
4. Principle: Accurate dilution ensures proper counting in Neubauer chamber.
5. Special point: Red bead aids mixing and identification from WBC pipette.
5. WBC Pipette
1. Structure: Wider bore stem with white bead in bulb, markings up to 11.
2. Use: Dilution of blood (usually 1:20) for WBC count in hemocytometer.
3. Diluting fluid: Turk’s fluid (acetic acid lyses RBCs, gentian violet stains nuclei).
4. Principle: Lysis of RBCs allows only WBCs to be counted.
5. Special point: White bead for mixing and easy differentiation from RBC pipette.
6. Sahli’s Hemoglobinometer
1. Parts: Comparator with brown glass standards, graduated Hb tube, pipette,
stirrer, dropper.
2. Principle: Acid haematin method — Hb converted to brown acid haematin by
N/10 HCl.
3. Use: Estimation of hemoglobin concentration in g/dL.
4. Procedure: Mix blood with HCl, dilute until colour matches standard, read from
graduation.
5. Special point: Less accurate than cyanmethemoglobin method but cheap and
quick.