CN106691648A - Accurately-releasable self-expanding stent conveying system - Google Patents

Accurately-releasable self-expanding stent conveying system Download PDF

Info

Publication number
CN106691648A
CN106691648A CN201611181185.6A CN201611181185A CN106691648A CN 106691648 A CN106691648 A CN 106691648A CN 201611181185 A CN201611181185 A CN 201611181185A CN 106691648 A CN106691648 A CN 106691648A
Authority
CN
China
Prior art keywords
knob
screw rod
self
induction system
outer tube
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201611181185.6A
Other languages
Chinese (zh)
Inventor
赵振心
孙剑峰
吴艳雪
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
XINKAINUO MEDICAL TECHNOLOGY (SHANGHAI) Co Ltd
Original Assignee
XINKAINUO MEDICAL TECHNOLOGY (SHANGHAI) Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by XINKAINUO MEDICAL TECHNOLOGY (SHANGHAI) Co Ltd filed Critical XINKAINUO MEDICAL TECHNOLOGY (SHANGHAI) Co Ltd
Priority to CN201611181185.6A priority Critical patent/CN106691648A/en
Publication of CN106691648A publication Critical patent/CN106691648A/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/9517Instruments specially adapted for placement or removal of stents or stent-grafts handle assemblies therefor

Abstract

The invention discloses an accurately-releasable self-expanding stent conveying system which comprises a release handle portion and a catheter portion. The release handle portion comprises a handle shell, a front-end connecting end, a screw, a quick release button, a knob, a safety pin and a rear-end Ruhr interface; the catheter portion comprises an inner tube, a middle tube, an outer tube, a top ring and TIP, wherein the inner tube and the middle tube are arranged in the outer tube and penetrate the release handle, and the outer tube is fixedly connected with the screw in the handle shell through the front-end connecting member; the far end of the inner tube is fixedly connected with the TIP while the near end of the same is fixedly connected with the rear-end Ruhr interface, this part cannot move in the handle shell, and a threaded structure is arranged on the outer surface of the screw; the quick release button and the knob sleeve the screw, a thread of the knob is meshed with the threaded structure of the screw, and the screw can move back and forth in the handle shell and drives the outer tube to move; a safety pin positioning device is arranged in a release handle.

Description

A kind of Self-expanded stent induction system that can accurately discharge
Technical field
The invention belongs to medical instruments field, and in particular to a kind of Self-expanded stent induction system that can accurately discharge.
Background technology
Cardiovascular and cerebrovascular disease be it is a kind of serious threaten the mankind, particularly more than the 50 years old common disease of the elderly's health, entirely The number that the world dies from cardiovascular and cerebrovascular disease every year is up to 15,000,000 people, occupies the various causes of the death the first.Cardiovascular and cerebrovascular disease has turned into Human death's cause of disease highest number one killer.China dies from nearly 3,000,000 people of cardiovascular and cerebrovascular disease every year, accounts for our states annual total dead The 51% of the cause of disease of dying.The topmost reason of artery disease is exactly atherosclerosis, its cause blood vessel it is narrow with it is inaccessible, Cause heart infarction, headstroke and many peripheral artery diseases.
Treatment arteriarctia or inaccessible main modus operandi mainly have two kinds:Surgery is put up a bridge or by-pass operation, minimally invasive Jie Enter treatment operation.Surgery is put up a bridge or autogenous vein or artificial blood vessel are mainly replaced lesion blood by by-pass operation by surgical operation Pipe, so that it is unimpeded to recover blood flow.Minimally Interventional Therapy by puncturing femoral artery, radial artery etc., using seal wire, foley's tube and blood The medicine equipments such as pipe holder expand lesion vesselses, so that it is unobstructed to recover blood flow.The treatment method of minimally invasive intervention is created due to patient Hinder that small, recovery time is short, therapeutic effect is not inferior to surgical operation, now have been widely used for clinic.
Self-expanding support belongs to one of conventional intravascular stent, is a kind of tiny mesh cylinder type medicine equipment, main It is used to treat the lesions such as hemadostewnosis, it can also be used to narrow in all kinds of cavities.Self-expanding type blood vessel dilator is generally pressed in advance It is held in induction system, narrow vascular lesion area is sent into by induction system, then when support is pushed out induction system, branch Frame can self expandable to the diameter of normal blood vessels, strut narrow blood vessel, and keep unobstructed blood vessel state.
Clinically the blood vessel or cavity of some patients are narrow and Occlusion is very long, it is necessary to using length in 100mm at present Support above, or even support most long can be to more than 200mm.The existing part Self-expanded stent induction system for clinically using When support is discharged, there is rack far end front jumping, and the overall release force of long stent is significantly increased, it may appear that during release support It is unstable, cause accurately discharge support, fail to cover lesion well, reduce the therapeutic effect to patient.
The content of the invention
In embodiments of the invention provide a kind of Self-expanded stent induction system that can accurately discharge, with overcome it is above-mentioned from The problem that expandable stent induction system is present.
In order to solve the above-mentioned technical problem, the technical solution adopted in the present invention is as follows:
It is a kind of for conveying and to discharge Self-expanded stent to blood vessel or the induction system of cavity lesion, including release lever part And conduit portion;Release lever includes handle casing, front end connector, screw rod, quick release button, knob, safety pin, rear end Female Luer;Conduit portion includes inner tube, middle pipe, outer tube, apical ring and TIP.Wherein, said inner tube and middle pipe are arranged on described outer In pipe, and through in the release lever;The outer tube is fixedly linked by front end connector with the screw rod in handle casing; Said inner tube distal end is fixedly linked with TIP, and inner tube near-end is fixedly linked with rear end female Luer, this part in handle casing not Can be mobile;The screw rod outer surface is provided with helicitic texture;The quick release button and knob sleeve on screw rod, the screw thread of knob It is meshed with screw flight structure, screw rod can be moved forward and backward in handle casing and drive the outer tube to move;It is described to release Let go and be provided with safe pin positioning device for use in handle, safety pin is provided with buckle.
Preferably, the knob can be circled along screw rod and drive screw rod to be moved axially in handle casing.Turn During dynamic knob, the screw rod in handle casing is moved rearwards by, and drives outer tube while being moved rearwards by, and is fixed on the support of inner tube leading portion Just accurately discharged.
Preferably, when the quick release button is slided backward, the screw rod in handle is moved rearwards by, and outer tube is moved back by simultaneously Dynamic, the support for being fixed on inner tube leading portion is just fast released.
Preferably, the handle casing is provided with sliding groove, when screw rod is moved rearwards by certain size along sliding groove, is fixed on interior The support of pipe distal end discharges corresponding size simultaneously.
Preferably, the screw rod outer surface is provided with helicitic texture, and the screw thread is two-wire or single thread, and thread segment is ladder Shape structure, lead is 1-20mm.
Preferably, the quick release button is T-type structure, and two cantilevers are exposed at outside the sliding groove.
Preferably, the quick release button inclined-plane is provided with anti-skid design.
Preferably, the safety pin is provided with a buckle, and the buckle is snapped in the groove of knob near-end, with knob groove Inlay, knob can be prevented with locking knob, so as to avoid screw rod from being moved rearwards by, while ensureing that backing positions are fixed.
Preferably, the safety pin is provided with two buckles, and two buckles are snapped in the groove of knob near-end, recessed with knob Groove is inlayed, and can prevent knob with locking knob, so as to avoid screw rod from being moved rearwards by, while ensureing that backing positions are fixed.
Preferably, the conduit portion outer tube tube surfaces scribble one layer of aqueous systems Hydrophilic lubrication coating, and coating is tool There are the high molecular polymer or monomer of hydrophilic radical, selected from PVP, NVP, polyethylene glycol Or polyacrylic acid acrylamide copolymer.
Advantages of the present invention:
The Self-expanded stent induction system designed in the present invention can carry out the distal portions of Self-expanded stent by adjusting knob Accurate release, unique helicitic texture ensures support release stabilization.Behind support release part, such as off-position is accurate, Ke Yixiang After slide quick release button, realize quick release support.Front jumping when being discharged present invention effectively prevents Self-expanded stent etc. Orientation problem, in particular improves long stent(Length is more than 100mm)Release accuracy.For operator, it is possible to achieve Single handed release support, it is simple and easy to do.
Brief description of the drawings
In order to illustrate more clearly of the embodiment of the present application or technical scheme of the prior art, below will be to embodiment or existing The accompanying drawing to be used needed for having technology description is briefly described, it should be apparent that, drawings in the following description are only this Some embodiments described in application, for those of ordinary skill in the art, on the premise of not paying creative work, Other accompanying drawings can also be obtained according to these accompanying drawings.
Fig. 1 is overall structure diagram of the invention.
Fig. 2 is the structural representation of screw rod, quick release button and knob.
Fig. 3 is the assembling schematic diagram of screw rod, quick release button and knob.
Fig. 4 is the structural representation of safety pin.
Fig. 5 is a kind of lock mode schematic diagram of safety pin.
Fig. 6 is the lock mode schematic diagram of another safety pin.
Fig. 7 is conduit portion structural representation.
In figure:Pipe in 01 TIP, 02 inner tube, 03,04 outer tube, 05 apical ring, 06 support, 07 front end connector, 08 check valve, 09 quick release button, 10 screw rods, 11 knobs, 12 safety pins, 13 handle casings, 14 rear end female Luers, 15 knob grooves.
Specific embodiment
In order that those skilled in the art are better understood from the technical scheme in the application, below in conjunction with accompanying drawing and reality Apply example and further clear, complete description is made to technical scheme.Obviously, described embodiment is only the application A part of embodiment, rather than whole embodiments.Based on the embodiment in the application, those of ordinary skill in the art are not having The every other embodiment obtained under the premise of creative work is made, should all belong to the scope of the application protection.
Embodiment 1
Referring now to accompanying drawing, the invention will be further described.
As illustrated, a kind of Self-expanded stent induction system, including:Handle casing 13, front end connector 07, screw rod 10, Quick release button 09, knob 11, safety pin 12, rear end female Luer 14, inner tube 02, middle pipe 03, outer tube 04, the and of apical ring 05 TIP 01。
Wherein, inner tube 02 is hollow structure, and distal end is fixedly linked with TIP 01, and near-end is consolidated with handle rear end female Luer 14 It is fixed to be connected, inner chamber can admittance silk, middle pipe 03 is enclosed within outside inner tube 02, and this part is immovable in handle casing 13.Outer tube 04 is Hollow structure, is fixedly linked proximally by front end connector 07 with the screw rod 10 in handle, and outer tube 04 is enclosed within outside middle pipe 03, this portion Dividing can axially move in handle casing 13;Support 06 is compressed into the outer tube 04 of induction system and is fixed in advance The front end of inner tube 02.Check valve 08 is communicated with the inner chamber of outer tube 04, to injection liquid wash outer tube bore during for performing the operation.
In quick release button 09 and 11 sets of knob and screw rod 10, it is meshed with screw flight structure, knob 11 can edge Screw rod 10 is circled and drives screw rod 10 to be moved axially in handle casing, during turning knob 11, in handle casing 13 Screw rod 10 be moved rearwards by, and drive outer tube 04 while being moved rearwards by, the support 06 for being fixed on the leading portion of inner tube 02 is just accurately released Put;Or when sliding backward quick release button 09, the support 06 for being fixed on the leading portion of inner tube 02 is just fast released;Quick release is pressed Button 09 and knob 11 can adjust the relative movement of outer tube 04 and inner tube 02;Handle casing 13 is provided with sliding groove, when screw rod 10 Certain size is slided backward along sliding groove, the support 06 of the leading portion of inner tube 02 is fixed on while discharging corresponding size.
In addition, quick release button 09 is T-type structure, two cantilevers are exposed at outside the sliding groove.Quick release button 09 Inclined-plane is provided with anti-skid design, can prevent from being skidded during operation.
In order to the position for ensureing support 06 is fixed, and avoid support in non-usage environment due to screw rod move and cause branch Situations such as frame is discharged in advance, is provided with safe pin positioning device for use in release lever.
A kind of lock mode of the safety pin of Self-expanded stent induction system that Fig. 5 is provided for the embodiment of the present application is illustrated Figure.
As shown in figure 5, safety pin 12 is provided with a buckle projection being inlayed with knob groove 15, now knob 11 is in lock Determine state, can prevent knob 11 from rotating, so as to avoid screw rod 10 from moving(Make outer tube cannot advance relative to handle casing 13 or Retreat), while ensure that the position of support 06 is fixed, so as to avoid support from causing support because screw rod is moved in non-usage environment Discharged in advance, situations such as cause product failure.
Embodiment 2
The lock mode schematic diagram of the safety pin of another Self-expanded stent induction system that Fig. 6 is provided for the embodiment of the present application.
As shown in fig. 6, safety pin 12 is provided with two buckles being inlayed with knob groove 15, now knob 11 is in locking shape State, can prevent knob 11 from rotating, so as to avoid screw rod 10 from being moved rearwards by(Make outer tube cannot advance relative to handle casing 13 or Retreat), while ensure that the position of support 06 is fixed, so as to avoid support from causing support because screw rod is moved in non-usage environment Discharged in advance, situations such as cause product failure.
Additionally, the structure and annexation of the other parts of the induction system are same as Example 1.
But, the structure of the safe pin positioning device for use is not limited to the buckle projection and knob groove 15 of the present embodiment offer The form inlayed, can also be by setting screw winding device so that safety pin 12 is in the lock state, and makes outer tube 04 and handle The position of shell 13 is relatively fixed, it is to avoid discharging in advance occurs in non-usage environment in support.
Referring to Fig. 1, clinical specific embodiment of the invention is illustrated.Preoperative first radiography assesses the feelings of lesion vesselses Condition, selects mounting system, the catheter sheath of suitable dimension, selects suitable position puncture vessel, and seal wire is inserted by catheter sheath Diseased region, carries out radiography, and to observe diseased region, the inner tube 02 of stent delivery system is hollow structure, and inner chamber can admittance Silk, TIP 01 carries flexibility, can safety reach diseased region with seal wire, apical ring 05 has development effect, in the instrument of development In, whether the support 06 that can clearly observe induction system is delivered to diseased region.Lesion locations are such as transported to, safety pin is unclamped 12, release lever is held, with thumb and the slow turning knob 11 of forefinger, support 06 is slowly released from induction system, observation branch The positioning scenarios of frame 06, after support 06 is accurately positioned, pin quick release button 09, backward quick sliding, are fixed on inner tube The support 06 of leading portion is just fast released, and treats that support 06 discharges completely, and induction system is withdrawn from vitro, you can completion was performed the operation Journey.

Claims (10)

1. a kind of Self-expanded stent induction system that can accurately discharge, including release lever part and conduit portion, release lever Including handle casing, front end connector, screw rod, quick release button, knob, safety pin and rear end female Luer;Conduit portion Including inner tube, middle pipe, outer tube, apical ring and TIP, wherein, said inner tube and middle pipe are arranged in the outer tube, and through described In release lever;The outer tube is fixedly linked by front end connector with the screw rod in handle casing;Said inner tube distal end and TIP It is fixedly linked, inner tube near-end is fixedly linked with rear end female Luer, this part is immovable in handle casing, its feature exists In:The screw rod outer surface is provided with helicitic texture;The quick release button and knob sleeve on screw rod, the screw thread and spiral shell of knob The helicitic texture of bar is meshed, and screw rod can be moved forward and backward in handle casing and drive the outer tube to move;The release hand Safe pin positioning device for use is provided with handle.
2. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that the knob can Circled along screw rod, and drive screw rod to be moved axially in handle casing, during turning knob, the screw rod in handle casing It is moved rearwards by, and drives outer tube while being moved rearwards by, the support for being fixed on inner tube leading portion is just accurately discharged.
3. a kind of Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that described quick When release button is slided backward, the screw rod in handle is moved rearwards by, and outer tube is moved rearwards by simultaneously, is fixed on the support of inner tube leading portion Just it is fast released.
4. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that outside the handle Shell is provided with sliding groove, and when screw rod is moved rearwards by certain size along sliding groove, the support for being fixed on inner tube distal end discharges corresponding simultaneously Size.
5. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that outside the screw rod Surface is provided with helicitic texture, and the screw thread is two-wire or single thread, and lead is 1-20mm.
6. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that the fast quick-release Button is put for T-type structure, two cantilevers are exposed at outside the sliding groove.
7. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that the fast quick-release Put button inclined-plane and be provided with anti-skid design.
8. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that the safety pin A buckle is provided with, the buckle is snapped in the groove of knob near-end, with knob recess-mounted, locks and prevent knob.
9. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that the safety pin Two buckles are provided with, two buckles are snapped in the groove of knob near-end, with knob recess-mounted, lock and prevent knob from turning It is dynamic.
10. the Self-expanded stent induction system that can accurately discharge according to claim 1, it is characterised in that the conduit Part outer tube tube surfaces scribble one layer of aqueous systems Hydrophilic lubrication coating, and coating is the high molecular polymer with hydrophilic radical Or monomer, selected from PVP, NVP, polyethylene glycol or polyacrylic acid acrylamide copolymerization Thing.
CN201611181185.6A 2016-12-20 2016-12-20 Accurately-releasable self-expanding stent conveying system Pending CN106691648A (en)

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Application Number Priority Date Filing Date Title
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Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109528371A (en) * 2018-12-28 2019-03-29 张小明 A kind of aortic stents transportation system that distal end positioning inversely discharges
CN110786973A (en) * 2018-08-03 2020-02-14 先健科技(深圳)有限公司 Assembly, conveyor and system for controlling release of an implantation instrument
CN111012548A (en) * 2019-11-22 2020-04-17 沛嘉医疗科技(苏州)有限公司 Trans-apical mitral valve conveying device
CN111067661A (en) * 2019-12-10 2020-04-28 先健科技(深圳)有限公司 Handle structure, catching device with handle structure and filter system
CN111107810A (en) * 2017-07-28 2020-05-05 波士顿科学国际有限公司 Handle with direct drive mechanism
CN111772893A (en) * 2020-07-10 2020-10-16 深圳市创心医疗科技有限公司 Conveying equipment and control device
CN112891027A (en) * 2021-01-26 2021-06-04 复旦大学附属中山医院 Novel transcatheter artificial aortic valve system for transarterial approach
CN112932738A (en) * 2019-12-10 2021-06-11 先健科技(深圳)有限公司 Conveyor and conveying system
WO2021128940A1 (en) * 2019-12-24 2021-07-01 上海蓝脉医疗科技有限公司 Implant delivery system
CN113349986A (en) * 2021-07-14 2021-09-07 金仕生物科技(常熟)有限公司 Interventional valve delivery system
CN113893067A (en) * 2021-11-03 2022-01-07 科凯(南通)生命科学有限公司 Sleeve locking type conveying device for heart valve repair instrument

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CN105361985A (en) * 2015-11-25 2016-03-02 常州乐奥医疗科技有限公司 Delivery system capable of precisely releasing scaffold with single hand
CN208145087U (en) * 2016-12-20 2018-11-27 心凯诺医疗科技(上海)有限公司 A kind of Self-expanded stent transportation system that can accurately discharge

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JP2011250963A (en) * 2010-06-01 2011-12-15 Kaneka Corp Stent delivery catheter
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Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111107810A (en) * 2017-07-28 2020-05-05 波士顿科学国际有限公司 Handle with direct drive mechanism
CN111107810B (en) * 2017-07-28 2022-06-07 波士顿科学国际有限公司 Handle with direct drive mechanism
CN110786973A (en) * 2018-08-03 2020-02-14 先健科技(深圳)有限公司 Assembly, conveyor and system for controlling release of an implantation instrument
CN109528371A (en) * 2018-12-28 2019-03-29 张小明 A kind of aortic stents transportation system that distal end positioning inversely discharges
CN111012548A (en) * 2019-11-22 2020-04-17 沛嘉医疗科技(苏州)有限公司 Trans-apical mitral valve conveying device
CN111067661A (en) * 2019-12-10 2020-04-28 先健科技(深圳)有限公司 Handle structure, catching device with handle structure and filter system
CN111067661B (en) * 2019-12-10 2022-05-20 先健科技(深圳)有限公司 Handle structure, catching device with handle structure and filter system
CN112932738A (en) * 2019-12-10 2021-06-11 先健科技(深圳)有限公司 Conveyor and conveying system
WO2021128940A1 (en) * 2019-12-24 2021-07-01 上海蓝脉医疗科技有限公司 Implant delivery system
CN111772893B (en) * 2020-07-10 2021-11-26 深圳市创心医疗科技有限公司 Conveying equipment and control device
WO2022007261A1 (en) * 2020-07-10 2022-01-13 深圳市创心医疗科技有限公司 Conveying device and control apparatus
CN111772893A (en) * 2020-07-10 2020-10-16 深圳市创心医疗科技有限公司 Conveying equipment and control device
CN112891027A (en) * 2021-01-26 2021-06-04 复旦大学附属中山医院 Novel transcatheter artificial aortic valve system for transarterial approach
CN113349986A (en) * 2021-07-14 2021-09-07 金仕生物科技(常熟)有限公司 Interventional valve delivery system
CN113349986B (en) * 2021-07-14 2022-04-15 金仕生物科技(常熟)有限公司 Interventional valve delivery system
CN113893067A (en) * 2021-11-03 2022-01-07 科凯(南通)生命科学有限公司 Sleeve locking type conveying device for heart valve repair instrument

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