CN109303576A - A kind of Endovascular biopsy extraction element - Google Patents

A kind of Endovascular biopsy extraction element Download PDF

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Publication number
CN109303576A
CN109303576A CN201811236440.1A CN201811236440A CN109303576A CN 109303576 A CN109303576 A CN 109303576A CN 201811236440 A CN201811236440 A CN 201811236440A CN 109303576 A CN109303576 A CN 109303576A
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CN
China
Prior art keywords
biopsy
chamber
endovascular
extraction element
conduit
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
CN201811236440.1A
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Chinese (zh)
Inventor
倪冷
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.)
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Original Assignee
Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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.)
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Publication date
Application filed by Peking Union Medical College Hospital Chinese Academy of Medical Sciences filed Critical Peking Union Medical College Hospital Chinese Academy of Medical Sciences
Priority to CN201811236440.1A priority Critical patent/CN109303576A/en
Publication of CN109303576A publication Critical patent/CN109303576A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments

Abstract

The present invention provides a kind of Endovascular biopsy extraction elements, are related to the field of medical instrument technology.The Endovascular biopsy extraction element includes conduit and cutter;The conduit is divided by demarcation plate extracts chamber and inflatable chamber;Biopsy, which is provided with, in the cavity wall for extracting chamber accommodates notch;The conduit, which corresponds to the biopsy and accommodates, is provided with sacculus on the outer wall of notch;The inflatable chamber is connected to the sacculus;The cutter is for protruding into the extraction chamber with Biopsy.The present invention solves the low efficiency of biopsy extraction, the big technical problem of risk.

Description

A kind of Endovascular biopsy extraction element
Technical field
The present invention relates to the field of medical instrument technology, more particularly, to a kind of Endovascular biopsy extraction element.
Background technique
The method for clinically often needing to use tissue biopsy and pathology detection carrys out clear medical diagnosis on disease.At present clinically The biopsy method of use mainly includes direct cutting tissue, needle point method and clamp method.Direct cutting tissue is usually cut off in operation It is carried out while treatment, needle point method is often used for parenchymal viscera (such as liver, kidney), and clamp method is dirty commonly used in cavity Device (such as alimentary canal, respiratory tract).For the lesion (such as vascular wall tumour, inflammation) of vascular wall itself, using above-mentioned biopsy Method often acquires a certain degree of difficulty and limitation, if needle point method needs precise positioning and puncture to enter vascular wall, as careless manipulation holds Continuous vessel bleeding is easily caused, and the efficiency that biopsy is extracted is lower, risk is larger.Endovascular clamp method lacks accuracy, and Equally there is the risk for causing angiorrhoxis bleeding during clamp.
Therefore, it clinically there is no the device for being suitable for Endovascular biopsy at present.Based on this, the present invention provides a kind of blood Biopsy extraction element is to solve the above technical problems in lumen.
Summary of the invention
The purpose of the present invention is to provide a kind of Endovascular biopsy extraction elements, to solve work existing in the prior art Examine the low efficiency extracted, the big technical problem of risk.
Based on above-mentioned purpose, the present invention provides a kind of Endovascular biopsy extraction elements, including conduit and cutter;
The conduit is divided by demarcation plate extracts chamber and inflatable chamber;Biopsy receiving is provided in the cavity wall for extracting chamber to lack Mouthful;The conduit, which corresponds to the biopsy and accommodates, is provided with sacculus on the outer wall of notch;The inflatable chamber is connected to the sacculus;
The cutter is for protruding into the extraction chamber with Biopsy.
Optionally, above-mentioned Endovascular biopsy extraction element, the biopsy accommodate that be provided on the edge of notch can be in X The gold markers point to develop under ray.
Biopsy receiving notch is surrounded by the gold markers point that can develop under X-ray, is conducive to conduit and is entering blood Choice direction after in lumen, it is ensured that biopsy accommodates the quasi- vascular wall tissue extracted of notch alignment, avoids blindly cutting.
Optionally, above-mentioned Endovascular biopsy extraction element, the cutter include knife handle, and the front end of the knife handle is provided with Blade.
Specifically, knife handle is in a strip shape, the front end of knife handle is extend into conduit by one end of conduit, and front end first connects with biopsy Biopsy is responsible in touching.Therefore, the front end of knife handle is arranged in blade by the present invention.Knife handle can be integrally formed with blade, can also be with It is arranged to dismountable structure.When knife handle and blade be it is detachable, the profile of blade cutting part can be according to the shape of biopsy It is configured, for example, the shape of biopsy is whole about in spherical, then the profile of blade cutting part is correspondingly arranged into the arc of indent Shape structure.
Optionally, above-mentioned Endovascular biopsy extraction element, the cross section of the knife handle alongst are arc-shaped.
Knife handle enters energy cut and extract biopsy to greatest extent along the cavity wall for extracting chamber, is to guarantee knife handle along extraction chamber Cavity wall protrude into, the cross section of knife handle alongst is set arc by the present invention, the arc core of the arc and the circle of conduit The heart is overlapped.
Optionally, above-mentioned Endovascular biopsy extraction element, it is described extract chamber cavity wall on close to the biopsy accommodate lack The position of mouth is provided with guide groove;The guide groove is arranged along the length direction of the conduit;
The guide groove is used to provide guiding for the entrance of the cutter.
Moving along conduit circumferential direction occurs for the process that knife handle is entered by tube at one end in order to prevent, and the present invention is close to biopsy Guide groove is arranged in the position for accommodating notch, and guide groove is arranged along catheter length direction, is used for when use and cutter a side edge Moving along conduit circumferential direction occurs for cooperation, the process for preventing cutter from protruding into.Guide groove can be arranged one, also can be set two It is a.It is respectively provided with guide groove in the two sides that biopsy accommodates notch, two guide grooves, along cooperation, are limited respectively at the two sides of knife handle Knife handle after knife handle protrudes into, can accelerate the speed protruded into, can occur without having to worry about knife handle towards two sides towards the axial movement of two sides Movement, improve the efficiency of biopsy extraction, and avoid the mobile bring risk of knife handle, surgical procedure is safer.
Optionally, above-mentioned Endovascular biopsy extraction element, the cross section of the demarcation plate along its length are arc-shaped.
Optionally, above-mentioned Endovascular biopsy extraction element, the cross-sectional profiles of the knife handle along its length with it is described The cross-sectional profiles of chamber along its length are extracted to coincide.
The inner space of conduit is divided by demarcation plate extracts chamber and inflatable chamber, extracts the cross of chamber and inflatable chamber along its length Section is not circle, and knife handle is designed as cross-sectional profiles along its length and extraction chamber along its length transversal at this time The open column shape body that facial contour matches, knife handle will not rotate during protruding into and extracting chamber, and knife handle can be quick It reaches biopsy position and biopsy is extracted by blade, improve the efficiency of biopsy extraction.
Optionally, above-mentioned Endovascular biopsy extraction element, it is described to extract the intracavitary storage chamber for being provided with one-way cock.
The storage chamber of the intracavitary setting one-way cock of the extraction of conduit, cutting undertissue enter in storage chamber immediately, effectively keep away Exempt from tissue and other internal position arterial embolisms are lost and caused with blood flow.
Optionally, above-mentioned Endovascular biopsy extraction element, the sacculus are compliant balloon.
Sacculus uses compliant balloon, can change balloon diameter according to the blowing pressure, conveniently adapt to various external calibers.
Optionally, above-mentioned Endovascular biopsy extraction element, the cavity wall for extracting chamber are engraved structure.
The effect for extracting chamber is cooperation cutter Biopsy, and the present invention sets engraved structure for the cavity wall for extracting chamber, subtracts The light weight of conduit, has saved material, while being also conducive to the circulation between the liquid inside and outside conduit, so as to avoid blood is increased The pressure of pipe is born.
The Endovascular biopsy extraction element provided by the invention, including conduit and cutter;The conduit is by demarcation plate It is divided into and extracts chamber and inflatable chamber;Biopsy, which is provided with, in the cavity wall for extracting chamber accommodates notch;The conduit corresponds to the biopsy It accommodates and is provided with sacculus on the outer wall of notch;The inflatable chamber is connected to the sacculus;The cutter is for protruding into the extraction Chamber is with Biopsy.Endovascular biopsy extraction element provided by the invention, in use, first conduit is extend into blood vessel, directly The position where the biopsy of notch face is accommodated to biopsy, is then inflated by inflatable chamber, is held since sacculus is located at biopsy It receives the respective side of notch, vascular wall is abutted against after inflation, while pushing conduit to biopsy, biopsy accommodates notch by biopsy and enters In conduit, finally it is extend into and is extracted in chamber using cutter, to cut lower biopsy.Entire biopsy extraction process, cutter is along conduit Inner wall enters and is limited in the biopsy in biopsy receiving notch in the cutting of biopsy position, has biopsy bright True purpose and accurate polarization, another aspect cutter are not easy scuffing vascular wall and cause angiorrhoxis bleeding.
Based on this, for Endovascular biopsy, other relatively current Biopsies of the present invention have biopsy cut and extract safety With high-efficient advantage.
Detailed description of the invention
It, below will be to specific in order to illustrate more clearly of the specific embodiment of the invention or technical solution in the prior art Embodiment or attached drawing needed to be used in the description of the prior art be briefly described, it should be apparent that, it is described below Attached drawing is some embodiments of the present invention, for those of ordinary skill in the art, before not making the creative labor It puts, is also possible to obtain other drawings based on these drawings.
Fig. 1 is the structural schematic diagram of the first state of Endovascular biopsy extraction element provided in an embodiment of the present invention;
Fig. 2 is the structural schematic diagram of second of state of Endovascular biopsy extraction element provided in an embodiment of the present invention;
Fig. 3 is the first knot that biopsy accommodates indentation, there in Endovascular biopsy extraction element provided in an embodiment of the present invention Structure schematic diagram;
Fig. 4 is second of knot that biopsy accommodates indentation, there in Endovascular biopsy extraction element provided in an embodiment of the present invention Structure schematic diagram.
Icon: 100- conduit;101- demarcation plate;102- extracts chamber;103- inflatable chamber;104- biopsy accommodates notch;105- Sacculus;200- cutter;201- knife handle;202- blade;203- guide groove.
Specific embodiment
Technical solution of the present invention is clearly and completely described below in conjunction with attached drawing, it is clear that described implementation Example is a part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, ordinary skill Personnel's every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
In the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", "vertical", The orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" be based on the orientation or positional relationship shown in the drawings, merely to Convenient for description the present invention and simplify description, rather than the device or element of indication or suggestion meaning must have a particular orientation, It is constructed and operated in a specific orientation, therefore is not considered as limiting the invention.In addition, term " first ", " second ", " third " is used for descriptive purposes only and cannot be understood as indicating or suggesting relative importance.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or be integrally connected;It can To be mechanical connection, it is also possible to be electrically connected;It can be directly connected, can also can be indirectly connected through an intermediary Connection inside two elements.For the ordinary skill in the art, above-mentioned term can be understood at this with concrete condition Concrete meaning in invention.
Embodiment one
Fig. 1 is the structural schematic diagram of the first state of Endovascular biopsy extraction element provided in an embodiment of the present invention;Fig. 2 For the structural schematic diagram of second of state of Endovascular biopsy extraction element provided in an embodiment of the present invention;Fig. 3 is that the present invention is real Apply the first structural schematic diagram that biopsy in the Endovascular biopsy extraction element of example offer accommodates indentation, there;Fig. 4 is the present invention Biopsy accommodates second of structural schematic diagram of indentation, there in the Endovascular biopsy extraction element that embodiment provides.
As shown in Figure 1 to Figure 3, a kind of Endovascular biopsy extraction element, the lumen of vessels are provided in the present embodiment Interior biopsy extraction element includes conduit 100 and cutter 200;
The conduit 100 is divided to extract chamber 102 and inflatable chamber 103 by demarcation plate 101;In the cavity wall for extracting chamber 102 It is provided with biopsy and accommodates notch 104;Sacculus is provided on the outer wall of the corresponding biopsy receiving notch 104 of the conduit 100 105;The inflatable chamber 103 is connected to the sacculus 105;
The cutter 200 is for protruding into the extraction chamber 102 with Biopsy.
Endovascular biopsy extraction element provided by the invention, in use, first conduit 100 is extend into blood vessel, until Biopsy accommodates the position where 104 face biopsy of notch, is then the inflation of sacculus 105 by inflatable chamber 103, due to sacculus 105 The respective side that notch 104 is accommodated positioned at biopsy, abuts against vascular wall, while pushing conduit 100 to biopsy, biopsy passes through work after inflation Inspection accommodates notch 104 and enters in conduit 100, is finally extend into and is extracted in chamber 102 using cutter 200, to cut lower biopsy.It is whole A biopsy extraction process, cutter 200, which enters along the inner wall of conduit 100 and is limited in biopsy in the cutting of biopsy position, to be accommodated On the one hand biopsy in notch 104 makes biopsy have specific purpose and accurate polarization, another aspect cutter 200 It is not easy scuffing vascular wall and causes angiorrhoxis bleeding.
Based on this, the present invention has the advantages that biopsy cut and extract is safe and high-efficient compared with original technology.
In the optinal plan of the present embodiment, it is provided with and can be shown under X-ray on the edge of the biopsy receiving notch 104 The gold markers point of shadow.
Biopsy receiving notch 104 is surrounded by the gold markers point that can develop under X-ray, is conducive to conduit 100 and exists Choice direction after into Endovascular, it is ensured that biopsy accommodates the quasi- vascular wall tissue extracted of the alignment of notch 104, avoids blindly cutting It cuts.
As shown in Fig. 2, in the optinal plan of the present embodiment, the cutter 200 includes knife handle 201, before the knife handle 201 End is provided with blade 202.
Specifically, knife handle 201 is in a strip shape, the front end of knife handle 201 is extend into conduit 100 by one end of conduit 100, front end It is first contacted with biopsy, is responsible for Biopsy.Therefore, the front end of knife handle 201 is arranged in blade 202 by the present embodiment.Knife handle 201 with Blade 202 can be integrally formed, and dismountable structure also can be set into.When knife handle 201 and blade 202 are detachable, blade The profile of 202 cutting parts can be configured according to the shape of biopsy, for example, the shape of biopsy is whole about in spherical, then knife The profile of 202 cutting part of sword is correspondingly arranged into the arcuate structure of indent.
In the above-mentioned technical solutions, further, the cross section of the knife handle 201 alongst is arc-shaped.
Knife handle 201 enters energy cut and extract biopsy to greatest extent along the cavity wall for extracting chamber 102, to guarantee knife handle 201 It is protruded into along the cavity wall for extracting chamber 102, the cross section of knife handle 201 alongst is set arc by the present embodiment, the arc The arc core of shape is overlapped with the center of circle of conduit 100, specific as shown in Figure 3.
In the optinal plan of the present embodiment, the position of notch 104 is accommodated in the cavity wall for extracting chamber 102 close to the biopsy It installs and is equipped with guide groove 203;The guide groove 203 is arranged along the length direction of the conduit 100;
The guide groove 203 is used to provide guiding for the entrance of the cutter 200.
Moving along 100 circumferential direction of conduit, this implementation occur for the process that knife handle 201 is entered by 100 one end of conduit in order to prevent Guide groove 203 is arranged in the position for accommodating notch 104 close to biopsy in example, and guide groove 203 is arranged along 100 length direction of conduit, For, along cooperating, moving along 100 circumferential direction of conduit to occur for the process for preventing cutter 200 from protruding into 200 a side of cutter when use.
In the above-mentioned technical solutions, further, the quantity of the guide groove 203 is two;Two guide grooves 203 It is separately positioned on the two sides that the biopsy accommodates notch 104;
Two guide grooves 203 are respectively used to the two sides of the knife handle 201 along cooperation.
Specifically as shown in figure 4,201 direction of knife handle can be limited in the side setting guide groove 203 that biopsy accommodates notch 104 Circumferential movement occurs for the guide groove 203, during knife handle 201 protrudes into, in order to guarantee that knife handle 201 does not occur towards the other side Movement, during protruding into it should be noted that by a side of knife handle 201 along and 203 closing of guide groove.The present embodiment holds in biopsy Receiving the two sides of notch 104 is respectively provided with guide groove 203, and two guide grooves 203 are respectively at the two sides of knife handle 201 along cooperation, limitation Axial movement of the knife handle 201 towards two sides, after knife handle 201 protrudes into, can accelerate the speed protruded into, without having to worry about 201 meeting of knife handle The movement towards two sides occurs, improves the efficiency of biopsy extraction, and avoids the mobile bring risk of knife handle 201, operation It operates safer.
In the optinal plan of the present embodiment, the cross section of the demarcation plate 101 along its length is arc-shaped.
In the above-mentioned technical solutions, further, the cross-sectional profiles of the knife handle 201 along its length and the extraction The cross-sectional profiles of chamber 102 along its length coincide.
The inner space of conduit 100 is divided by demarcation plate 101 extracts chamber 102 and inflatable chamber 103, extracts chamber 102 and inflation The cross section of chamber 103 along its length is not circle, at this time by knife handle 201 be designed as cross-sectional profiles along its length with The open column shape body that the cross-sectional profiles of chamber 102 along its length match is extracted, knife handle 201 extracts the mistake of chamber 102 protruding into It will not rotate in journey, knife handle 201 can quickly reach biopsy position and extract biopsy by blade 202, mention The efficiency that high biopsy is extracted.
It is described to extract the intracavitary storage chamber for being provided with one-way cock in the optinal plan of the present embodiment.
The storage chamber of the intracavitary setting one-way cock of the extraction of conduit 100, cutting undertissue enter in storage chamber immediately, effectively Avoid tissue that other position arterial embolisms are lost and caused with blood flow.
In the optinal plan of the present embodiment, the sacculus is compliant balloon.
Sacculus uses compliant balloon, can change balloon diameter according to the blowing pressure, conveniently adapt to various external calibers.
In the optinal plan of the present embodiment, the profile that the biopsy accommodates notch 104 is oval.
Biopsy accommodates notch 104 by biopsy and enters in extraction chamber 102, and biopsy is accommodated notch 104 by the present embodiment Profile is set as ellipse, and corner angle are not present, and the process that biopsy enters extraction chamber 102 is not easy to be destroyed.
In the optinal plan of the present embodiment, the outer surface of the conduit 100 is provided with hydrophilic coating.
Conduit 100 needs to enter in blood vessel, in order to enable conduit 100 more to smoothly enter blood vessel and not to blood Tube wall causes to damage, and hydrophilic coating is arranged on the outer surface of conduit 100 in the present embodiment.
In the optinal plan of the present embodiment, the cavity wall for extracting chamber 102 is engraved structure.
The effect for extracting chamber 102 is cooperation 200 Biopsy of cutter, and the present embodiment sets the cavity wall for extracting chamber 102 to Engraved structure alleviates the weight of conduit 100, has saved material, while being also conducive to the stream between the liquid inside and outside conduit 100 It is logical, so as to avoid the pressure burden for increasing blood vessel.
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations;To the greatest extent Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into Row equivalent replacement;And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution The range of scheme.

Claims (10)

1. a kind of Endovascular biopsy extraction element, which is characterized in that including conduit and cutter;
The conduit is divided by demarcation plate extracts chamber and inflatable chamber;Biopsy, which is provided with, in the cavity wall for extracting chamber accommodates notch; The conduit, which corresponds to the biopsy and accommodates, is provided with sacculus on the outer wall of notch;The inflatable chamber is connected to the sacculus;
The cutter is for protruding into the extraction chamber with Biopsy.
2. Endovascular biopsy extraction element according to claim 1, which is characterized in that the biopsy accommodates the side of notch The gold markers point that can develop under X-ray is provided on edge.
3. Endovascular biopsy extraction element according to claim 1, which is characterized in that the cutter includes knife handle, institute The front end for stating knife handle is provided with blade.
4. Endovascular biopsy extraction element according to claim 3, which is characterized in that the knife handle is alongst Cross section it is arc-shaped.
5. Endovascular biopsy extraction element according to claim 4, which is characterized in that leaned in the cavity wall for extracting chamber The position that the nearly biopsy accommodates notch is provided with guide groove;The guide groove is arranged along the length direction of the conduit;
The guide groove is used to provide guiding for the entrance of the cutter.
6. Endovascular biopsy extraction element according to claim 3, which is characterized in that the demarcation plate is along its length Cross section it is arc-shaped.
7. Endovascular biopsy extraction element according to claim 6, which is characterized in that the knife handle is along its length The cross-sectional profiles of cross-sectional profiles and the extraction chamber along its length coincide.
8. Endovascular biopsy extraction element according to claim 1, which is characterized in that the extraction is intracavitary to be provided with list To the storage chamber of valve.
9. Endovascular biopsy extraction element according to claim 1, which is characterized in that the sacculus is compliance ball Capsule.
10. Endovascular biopsy extraction element according to claim 1, which is characterized in that it is described extract chamber cavity wall be Engraved structure.
CN201811236440.1A 2018-10-23 2018-10-23 A kind of Endovascular biopsy extraction element Pending CN109303576A (en)

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Application Number Priority Date Filing Date Title
CN201811236440.1A CN109303576A (en) 2018-10-23 2018-10-23 A kind of Endovascular biopsy extraction element

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110037754A (en) * 2019-05-20 2019-07-23 中国医学科学院北京协和医院 Endovascular biopsy device and biopsy syste
CN111700659A (en) * 2020-05-06 2020-09-25 中国人民解放军陆军军医大学第一附属医院 Intracavitary blood vessel flow guiding device

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US20050027210A1 (en) * 2000-11-06 2005-02-03 Miller Michael E. Biopsy apparatus
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Publication number Priority date Publication date Assignee Title
CN110037754A (en) * 2019-05-20 2019-07-23 中国医学科学院北京协和医院 Endovascular biopsy device and biopsy syste
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CN111700659A (en) * 2020-05-06 2020-09-25 中国人民解放军陆军军医大学第一附属医院 Intracavitary blood vessel flow guiding device

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