CN107233122A - A kind of polydisc takes bolt device and its conveying device, carrying method - Google Patents

A kind of polydisc takes bolt device and its conveying device, carrying method Download PDF

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Publication number
CN107233122A
CN107233122A CN201710317178.2A CN201710317178A CN107233122A CN 107233122 A CN107233122 A CN 107233122A CN 201710317178 A CN201710317178 A CN 201710317178A CN 107233122 A CN107233122 A CN 107233122A
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CN
China
Prior art keywords
polydisc
bolt device
takes
niti
card
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
CN201710317178.2A
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Chinese (zh)
Inventor
曾凡艳
王广卉
杨永森
张红梅
李博
耿聪颖
陈娟
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.)
Shanghai Shape Memory Alloy Material Co Ltd
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Shanghai Shape Memory Alloy Material 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 Shanghai Shape Memory Alloy Material Co Ltd filed Critical Shanghai Shape Memory Alloy Material Co Ltd
Priority to CN201710317178.2A priority Critical patent/CN107233122A/en
Publication of CN107233122A publication Critical patent/CN107233122A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22001Angioplasty, e.g. PCTA
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A61B2017/2215Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having an open distal end

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Bolt device, including NiTi host's body and tapered cap, the top connection tapered cap of NiTi host's body are taken the invention provides a kind of polydisc;NiTi host's body includes connecting by waist between at least three cards, adjacent card, and card top foremost connects the tapered cap;The turn for being used for connecting the tapered cap and conveying device is provided with inside the waist.Present invention also offers the conveying device and carrying method that polydisc takes bolt device, conveying device includes outer sheath, the push rod for controlling interior sheath, the card tail end of rearmost end for taking bolt device with the polydisc that the polydisc takes NiTi host's body of bolt device to discharge and shrink to be connected, interior sheath is with being located on the outside of push rod, and outer sheath is same to be located on the outside of interior sheath.The polydisc that the present invention is provided takes bolt device to avoid coming off for thrombus patch, thoroughly takes out thrombus, noresidue, and greatly reduces the damage to vascular wall, with good safety and reliability.

Description

A kind of polydisc takes bolt device and its conveying device, carrying method
Technical field
The present invention relates to the provisional three classes interventional medical device of one kind, more particularly to a kind of with many dish structures Catching type takes bolt device.
Background technology
Blood thrombus can form embolism in patient's vascular system.Sometimes, these embolisms are dissolved in by safe and harmless In blood.But, in other times, these embolisms may be stopped in the blood vessel, partially or even wholly block blood vessel, prevent blood The flowing of liquid.If embolism position occurs in sensitive organization, for example:Brain, lung or heart coronary artery blood vessel etc., may result in serious Tissue damage, for example:Cerebral apoplexy, pulmonary embolism, myocardial infarction etc..
Intravascular Thrombus is common disease and frequently-occurring disease clinically, blood vessel lead to again be treatment acute ischemic cerebral apoplexy, The key of pulmonary embolism, myocardial infarction etc..The treatment method of current Intravascular Thrombus mainly has two kinds:Medicine thrombolysis and machinery take Bolt.
Medicine thromboembolism treatment is thrombolytics to be injected near the endovascular focus where lesion, local instantaneously in focus Very high thrombolysis agent concentration is formed, accelerates thrombolysis speed, and then increase the chance of revascularization.But, according to state of the U.S. Vertical sacred disease and the result of study of palsy research institute (NINDS), intravenous thrombolysis should be carried out in 3 hours in morbidity, Arterial thrombolysis Time window is within 6 hours.Because medicine thrombolytic treatment time window is shorter, and thromboembolism treatment is only applicable to the blood of small volume Bolt, its therapeutic effect to large volume thromboembolism is unsatisfactory, thus it is final only about 3%~5% patient be adapted to do Medicine thromboembolism treatment.
Machinery takes bolt to be that bolt device will be taken to be delivered to lesion locations, is then taken out thrombus to external by sheath.Machinery takes Bolt includes following several method:Seizure takes bolt, suction to take bolt, rotary-cut to take bolt etc..Seizure takes bolt, and when taking massive, effect is most It is good, but easily cause the patch on vascular wall and broken thrombi come off after flow to distal vessels and cause new embolism, one Denier blocks important branch vessel, it will cause serious malpractice, and often exist when taking bolt take bolt not thoroughly, The problem of having residual, it is easy to cause the formation of secondary acute thrombus.Suction takes bolt effect when taking fritter embolus preferably, taking Need to smash to pieces repeatedly after thrombus and aspirate again to prevent from blocking suction tube during massive, cumbersome and be easy to damage blood Pipe.The damage that rotary-cut takes bolt to cause vascular wall is larger, it is easy to cause complication.
Therefore, when machinery takes bolt, coming off for thrombus patch how is avoided, thoroughly thrombus is taken out, noresidue, and drop The low damage to vascular wall, is those skilled in the art's problem urgently to be resolved hurrily.
The content of the invention
The technical problem to be solved in the present invention is how to avoid coming off for thrombus patch, is thoroughly taken out thrombus, without residual Stay, and damage of the reduction to vascular wall.
In order to solve the above-mentioned technical problem, the technical scheme is that providing a kind of polydisc takes bolt device, it is characterised in that: Including NiTi host's body and tapered cap, the top connection tapered cap of NiTi host's body;
NiTi host's body includes connecting by waist between at least three cards, adjacent card, card foremost Top connects the tapered cap;
The turn for being used for connecting the tapered cap and conveying device is provided with inside the waist.
Preferably, the card and waist are molded by NiTi integrated wovens.
Preferably, the size of the multiple card can be with identical, can also be different, the radius of such as card, two ends can With more than centre;
Preferably, the thickness of shown multiple cards can be with identical, can also be different, the thickness of such as card, two ends can With thicker than middle, or two ends can be thinner than middle.
Preferably, the taper cap surface is smooth structure.
Preferably, when all cards are opened, turn is in NiTi host's body in after nature, with release NiTi host's body keeps identical length.
Preferably, when all cards are taken in conveying device, turn is in stretching shape in NiTi host's body, with stretching Long NiTi host's body keeps identical length.
Preferably, the tapered cap, the inner core of turn are provided with and can allow for the freely through through hole of seal wire.
Present invention also offers the conveying device that a kind of above-mentioned polydisc takes bolt device, it is characterised in that:Including outer sheath, it is used for Interior sheath, the rearmost end for taking bolt device with the polydisc for controlling the polydisc to take NiTi host's body of bolt device to discharge and shrink The connection of card tail end push rod, interior sheath is with being located on the outside of push rod, and outer sheath is with being located on the outside of interior sheath.
Preferably, the turn connects the tapered cap and the push rod.
Preferably, the inner core of the push rod is provided with and can allow for the freely through through hole of seal wire.
Present invention also offers the carrying method that a kind of above-mentioned polydisc takes bolt device, it is characterised in that:The polydisc takes bolt device Conveyed by above-mentioned conveying device, seal wire reaches specified location through the through hole in push rod, turn, tapered cap, seal wire Afterwards, thrombus is initially passed through, then outer sheath and expansion pipe ride seal wire and reach thrombus edge, withdraws from expansion pipe, feeding polydisc takes bolt device, Now, polydisc takes bolt device to be received in interior sheath;Polydisc takes bolt device to ride seal wire and passed through after thrombus, exits interior sheath, polydisc is taken bolt The card of device discharges one by one;Wherein, first card is released to the front end of thrombus, and last card is released to the end of thrombus End, middle card is released to the central of thrombus, thrombus is gradually attached in card;Then interior sheath and push rod are withdrawn, Each card is set to be recovered into outer sheath release one by one together with thrombus attached thereto, it is ensured that polydisc takes the card at bolt device two ends to distinguish Positioned at the edge of thrombus.
The polydisc that the present invention is provided takes bolt device to overcome the deficiencies in the prior art, can avoid coming off for thrombus patch, thorough Bottom thrombus is taken out, noresidue, and greatly reduce the damage to vascular wall, with good safety and reliability.
Brief description of the drawings
Fig. 1 takes the side view after the release completely of bolt device for the polydisc that the present embodiment is provided;
Fig. 2 takes the top view after the release completely of bolt device for the polydisc that the present embodiment is provided;
Fig. 3 takes view during sheath in bolt device income for the polydisc that the present embodiment is provided;
Fig. 4 takes bolt device to pass through thrombus schematic diagram for the polydisc that the present embodiment is provided;
Fig. 5 takes bolt device to withdraw from interior sheath through thrombus to discharge schematic diagram completely for the polydisc that the present embodiment is provided;
Fig. 6 takes bolt device to catch and catches thrombus and progressively take in outer sheath schematic diagram for the polydisc that the present embodiment is provided;
Fig. 7 takes bolt device to catch thrombus and takes in outer sheath schematic diagram completely for the polydisc that the present embodiment is provided.
Embodiment
With reference to specific embodiment, the present invention is expanded on further.It should be understood that these embodiments are merely to illustrate the present invention Rather than limitation the scope of the present invention.In addition, it is to be understood that after the content of the invention lectured has been read, people in the art Member can make various changes or modifications to the present invention, and these equivalent form of values equally fall within the application appended claims and limited Scope.
Fig. 1 takes bolt device structural representation for the polydisc that the present embodiment is provided, and described polydisc takes bolt device to include NiTi host Body and tapered cap 1, the top of NiTi host's body are ligatured by tapered cap 1.
NiTi host's body includes at least three cards 2, is connected between card and card by thinner waist 3, foremost The top of card 2 connection tapered cap 1, the inside of waist 3 is equipped with the turn 4 for being used for connecting tapered cap 1 and conveying device.
Card 2 and waist 3 are molded by NiTi integrated wovens.
Tapered cap 1 is non-degradable macromolecule material, and surface is smooth, it is easy to shuttle in the blood vessel, drill-through thromboembolism.
The high polymer material can be:Polytetrafluoroethylene (PTFE), makrolon, ABS, polyethylene, high density polyethylene (HDPE), pebax, PVC, TPU, FEP etc..
Polydisc takes the conveying device of bolt device to include push rod 5, interior sheath 6 and outer sheath 7, and interior sheath 6 is same to be located in push The outside of bar 5, outer sheath 7 is same to be located in the interior outside of sheath 6.
Push rod 5 is made up of macromolecule tubing.The macromolecule material can be:It is polytetrafluoroethylene (PTFE), makrolon, ABS, poly- Ethene, high density polyethylene (HDPE), pebax, PVC, TPU, FEP etc..
Polydisc takes the tail end of the card 2 of the rearmost end of bolt device to be connected with push rod 5, and is ligatured by it.
The inside netted in NiTi, connection tapered cap 1 and push rod 5 are a turns 4.The linear type of turn 4, With certain axial motive force, when by sheath, do not give a discount, do not accumulate, do not bend, will not also be bored from NiTi nets Go out.The turn 4 also has certain pliability and adaptability, in the blood vessels, can be bent according to the specific trend of blood vessel Certain angle, and the direction of front and rear bending and angle can be with inconsistent.In addition, the turn 4 is being taken in bolt device, also with compared with Strong retractility, when the multiple cards 2 for taking bolt device are opened, turn 4 is in card 2 in after nature, with release NiTi nets keep identical length;When the multiple cards 2 for taking bolt device are taken in sheath, turn is in NiTi nets in stretching Shape, keeps the NiTi net identical length with elongation.
With reference to Fig. 2, there is one in the inner core of tapered cap 1, turn 4, push rod 5 to can allow for seal wire freely through logical Hole 1a.
Within outer sheath 7, outside tapered cap 1, turn 4, push rod 5, there is a special control NiTi net to take bolt device Release and the interior sheath 6 shunk.
This takes bolt device to be conveyed by sheath, and seal wire is reached after specified location, initially passes through thrombus, then outer sheath 7 and expansion Pipe rides seal wire and reaches thrombus edge, withdraws from expansion pipe, and feeding takes bolt device.Now, bolt device is taken to be received in interior sheath 6.Bolt device is taken to ride Seal wire is passed through after thrombus, is slowly exited interior sheath 6, is made to take the NiTi Dropbox face of bolt device to discharge one by one.Wherein, first card is released The front end of thrombus is put in, last card is released to the end of thrombus, middle multiple cards are released to the central of thrombus, made Thrombus is gradually attached on NiTi Dropbox face.As seen in figures 3-5.
Then interior sheath 6 and push rod 5 are slowly withdrawn, makes to take multiple cards of bolt device together with being attached on NiTi Dropbox face Thrombus be recovered into outer sheath 7 one by one and discharge, it is ensured that take the card at bolt device two ends to be located at the edge of thrombus, such as Fig. 6 and Fig. 7 respectively It is shown.

Claims (10)

1. a kind of polydisc takes bolt device, it is characterised in that:Including NiTi host's body and tapered cap (1), the top of NiTi host's body connects Connect tapered cap (1);
NiTi host's body includes at least three cards (2), is connected by waist (3) between adjacent card (2), foremost Card (2) top connects the tapered cap (1);
The turn (4) for being used for connecting the tapered cap (1) and conveying device is provided with inside the waist (3).
2. a kind of polydisc as claimed in claim 1 takes bolt device, it is characterised in that:The card (2) and waist (3) are by NiTi Integrated woven is molded.
3. a kind of polydisc as claimed in claim 1 takes bolt device, it is characterised in that:Tapered cap (1) surface is smooth structure.
4. a kind of polydisc as claimed in claim 1 takes bolt device, it is characterised in that:When all cards (2) are opened, turn (4) identical length is kept in NiTi host's body after nature, with release in NiTi host's body.
5. a kind of polydisc as described in claim 1 or 4 takes bolt device, it is characterised in that:When all cards (2) take in conveying dress When putting middle, turn (4), in stretching shape, identical length is kept with NiTi host's body of elongation in NiTi host's body.
6. a kind of polydisc as claimed in claim 1 takes bolt device, it is characterised in that:The tapered cap (1), turn (4) it is interior Core is provided with and can allow for the freely through through hole of seal wire (1a).
7. a kind of polydisc as described in any one of claim 1~6 takes the conveying device of bolt device, it is characterised in that:Including epitheca Pipe (7), for control the polydisc take bolt device NiTi host's body discharge and shrink interior sheath (6), for the polydisc The push rod (5) for taking card (2) tail end of the rearmost end of bolt device to connect, interior sheath (6) is with being located on the outside of push rod (5), outside Sheath (7) is same to be located on the outside of interior sheath (6).
8. polydisc as claimed in claim 7 takes the conveying device of bolt device, it is characterised in that:Turn (4) connection is described Tapered cap (1) and the push rod (5).
9. polydisc as claimed in claim 7 takes the conveying device of bolt device, it is characterised in that:The inner core of the push rod (5) is set It can allow for the freely through through hole of seal wire.
10. a kind of polydisc as described in any one of claim 1~6 takes the carrying method of bolt device, it is characterised in that:The polydisc Take bolt device to be conveyed by conveying device as described in any one of claim 7~9, seal wire through push rod (5), turn (4), Through hole in tapered cap (1), seal wire is reached after specified location, initially passes through thrombus, and then outer sheath (7) and expansion pipe are ridden seal wire and arrived Up to thrombus edge, expansion pipe is withdrawn from, feeding polydisc takes bolt device, and now, polydisc takes bolt device to be received in interior sheath (6);Polydisc takes bolt Device is ridden seal wire and passed through after thrombus, exits interior sheath (6), makes polydisc take the card (2) of bolt device to discharge one by one;Wherein, first disk Face (2) is released to the front end of thrombus, and last card (2) is released to the end of thrombus, and middle card (2) is released to thrombus It is central, thrombus is gradually attached in card (2);Then interior sheath (6) and push rod (5) are withdrawn, make each card (2) together with Thrombus attached thereto is recovered into outer sheath (7) release one by one, it is ensured that polydisc takes the card (2) at bolt device two ends to be located at blood respectively The edge of bolt.
CN201710317178.2A 2017-05-08 2017-05-08 A kind of polydisc takes bolt device and its conveying device, carrying method Pending CN107233122A (en)

Priority Applications (1)

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CN201710317178.2A CN107233122A (en) 2017-05-08 2017-05-08 A kind of polydisc takes bolt device and its conveying device, carrying method

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Application Number Priority Date Filing Date Title
CN201710317178.2A CN107233122A (en) 2017-05-08 2017-05-08 A kind of polydisc takes bolt device and its conveying device, carrying method

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CN107233122A true CN107233122A (en) 2017-10-10

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009326A (en) * 2018-08-27 2018-12-18 恩脉(上海)医疗科技有限公司 One kind taking bolt device system
CN109350181A (en) * 2018-11-21 2019-02-19 中国医科大学 A kind of taking thrombus device
CN109480958A (en) * 2018-12-03 2019-03-19 魏铭 It is a kind of to prevent that the flexible multi-pipe-diameter excessively cut takes bolt device
CN109875642A (en) * 2019-03-11 2019-06-14 恩脉(上海)医疗科技有限公司 One kind taking pin device
CN112294394A (en) * 2019-07-24 2021-02-02 西安交通大学医学院第一附属医院 Adjustable peripheral blood vessel thrombus taking support assembly
CN112890915A (en) * 2020-12-30 2021-06-04 上海融脉医疗科技有限公司 Intravascular multi-segment embolectomy support and conveying device thereof
CN113229884A (en) * 2021-04-25 2021-08-10 启晨(上海)医疗器械有限公司 Thrombus removing device and using method thereof
CN113633446A (en) * 2021-07-09 2021-11-12 上海玮琅医疗科技有限公司 Thrombus-taking bracket catheter
CN114469256A (en) * 2022-01-28 2022-05-13 上海玮琅医疗科技有限公司 Thrombus capturing covered stent and manufacturing process thereof
CN114948088A (en) * 2022-04-27 2022-08-30 晨兴(南通)医疗器械有限公司 Pulmonary artery embolectomy system

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WO2001097697A1 (en) * 2000-06-22 2001-12-27 White Geoffrey H Method and apparatus for performing percutaneous thromboembolectomies
CN101172051A (en) * 2006-10-31 2008-05-07 朱正兵 Device for crushing and taking out thrombus
CN103385744A (en) * 2012-05-07 2013-11-13 王涛 Temporary filter with far-end protector
CN104068910A (en) * 2013-03-26 2014-10-01 上海微创医疗器械(集团)有限公司 Blood vessel thrombus extracting system
CN104434258A (en) * 2014-11-28 2015-03-25 苏州亘科医疗科技有限公司 Multifunctional balloon dilatation catheter
EP2979649A1 (en) * 2013-03-26 2016-02-03 Shanghai MicroPort Medical (Group) Co., Ltd. Intracranial vascular thrombectomy device and thrombectomy apparatus
CN105476689A (en) * 2015-12-28 2016-04-13 威海维心医疗设备有限公司 Thrombus extraction support device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2001097697A1 (en) * 2000-06-22 2001-12-27 White Geoffrey H Method and apparatus for performing percutaneous thromboembolectomies
CN101172051A (en) * 2006-10-31 2008-05-07 朱正兵 Device for crushing and taking out thrombus
CN103385744A (en) * 2012-05-07 2013-11-13 王涛 Temporary filter with far-end protector
CN104068910A (en) * 2013-03-26 2014-10-01 上海微创医疗器械(集团)有限公司 Blood vessel thrombus extracting system
EP2979649A1 (en) * 2013-03-26 2016-02-03 Shanghai MicroPort Medical (Group) Co., Ltd. Intracranial vascular thrombectomy device and thrombectomy apparatus
CN104434258A (en) * 2014-11-28 2015-03-25 苏州亘科医疗科技有限公司 Multifunctional balloon dilatation catheter
CN105476689A (en) * 2015-12-28 2016-04-13 威海维心医疗设备有限公司 Thrombus extraction support device

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109009326A (en) * 2018-08-27 2018-12-18 恩脉(上海)医疗科技有限公司 One kind taking bolt device system
CN109350181A (en) * 2018-11-21 2019-02-19 中国医科大学 A kind of taking thrombus device
CN109480958A (en) * 2018-12-03 2019-03-19 魏铭 It is a kind of to prevent that the flexible multi-pipe-diameter excessively cut takes bolt device
CN109480958B (en) * 2018-12-03 2023-12-01 魏铭 Multi-adaptability multi-tube-diameter thrombus taking device capable of preventing excessive cutting
CN109875642A (en) * 2019-03-11 2019-06-14 恩脉(上海)医疗科技有限公司 One kind taking pin device
CN112294394A (en) * 2019-07-24 2021-02-02 西安交通大学医学院第一附属医院 Adjustable peripheral blood vessel thrombus taking support assembly
CN112890915A (en) * 2020-12-30 2021-06-04 上海融脉医疗科技有限公司 Intravascular multi-segment embolectomy support and conveying device thereof
CN113229884A (en) * 2021-04-25 2021-08-10 启晨(上海)医疗器械有限公司 Thrombus removing device and using method thereof
CN113633446A (en) * 2021-07-09 2021-11-12 上海玮琅医疗科技有限公司 Thrombus-taking bracket catheter
CN114469256A (en) * 2022-01-28 2022-05-13 上海玮琅医疗科技有限公司 Thrombus capturing covered stent and manufacturing process thereof
CN114948088A (en) * 2022-04-27 2022-08-30 晨兴(南通)医疗器械有限公司 Pulmonary artery embolectomy system

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