CN109350139A - Implantable atrium part flow arrangement - Google Patents

Implantable atrium part flow arrangement Download PDF

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Publication number
CN109350139A
CN109350139A CN201811474671.6A CN201811474671A CN109350139A CN 109350139 A CN109350139 A CN 109350139A CN 201811474671 A CN201811474671 A CN 201811474671A CN 109350139 A CN109350139 A CN 109350139A
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China
Prior art keywords
disk
take
waist
connecting line
implantable
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.)
Granted
Application number
CN201811474671.6A
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Chinese (zh)
Other versions
CN109350139B (en
Inventor
张长东
董念国
陈松
王雪丽
陈澍
尚小珂
丁珊珊
卢蓉
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Wuhan Wei Ke Medical Technology Co Ltd
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Wuhan Wei Ke Medical Technology Co Ltd
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Priority to CN201811474671.6A priority Critical patent/CN109350139B/en
Publication of CN109350139A publication Critical patent/CN109350139A/en
Application granted granted Critical
Publication of CN109350139B publication Critical patent/CN109350139B/en
Active legal-status Critical Current
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • 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
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheet material or tubes, e.g. perforated by laser cuts or etched holes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00796Breast surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00902Material properties transparent or translucent
    • A61B2017/00915Material properties transparent or translucent for radioactive radiation
    • A61B2017/0092Material properties transparent or translucent for radioactive radiation for X-rays
    • 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
    • A61F2210/00Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • 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
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0058Additional features; Implant or prostheses properties not otherwise provided for
    • A61F2250/0096Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers
    • A61F2250/0098Markers and sensors for detecting a position or changes of a position of an implant, e.g. RF sensors, ultrasound markers radio-opaque, e.g. radio-opaque markers

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Optics & Photonics (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Vascular Medicine (AREA)
  • Prostheses (AREA)

Abstract

The present invention relates to the field of medical instrument technology, in particular to implantable atrium part flow arrangement, including, left disk, right disk and waist disk;The core of the left disk, right disk and waist disk is tap hole.Left disk connecting line is set on circumferencial direction at the maximum gauge of the left disk, and the end of a thread of the left disk connecting line is located at the outer surface of take-up beam and is fixed in take-up ball;When the take-up ball is rotated relative to take-up beam, the left disk connecting line is wound in take-up beam surface, reduces the maximum gauge of the left disk.By the above-mentioned means, in embodiments of the present invention, being designed by novel structure, so that whole implantable atrium part flow arrangement can recycle at any time, it solves the irretrievable technical problem of existing implantable atrium part flow arrangement, extends the sufferer service life, and recycling is more convenient.

Description

Implantable atrium part flow arrangement
Technical field
The present invention relates to the field of medical instrument technology, and in particular, to implantable atrium part flow arrangement.
Background technique
Heart failure (heart failure) abbreviation heart failure, refers to the contractile function and (or) diastolic function due to heart Obstacle occurs, heart cannot be sufficiently discharged in venous return, lead to venous system sludging, arterial system hemoperfusion Deficiency shows as pulmonary venous pleonaemia, vena cave extravasated blood so as to cause cardiac cycle obstacle syndrome in such obstacle disease cluster.The heart Force failure is not an independent disease, but the terminal stage of heart disease development.Wherein most of heart failure All it is to be started with left heart failure, that is, first appears as pulmonary circulatory stasis.
Atrium sinistrum continuous high-pressure makes left chamber compression increase filling volume, and stroke volume increases and leads to left ventricular hypertrophy, in turn Lead to chronic heart failure.For duration atrium sinistrum high pressure patient, clinical research finds that artificial atrial septal defect can be effective Atrium sinistrum high pressure is reduced, left atria volume is reduced, to alleviate left heart function sexual dysfunction.But the artificial room for puncturing manufacture Every defect, there are the risks of secondary closure.
For this purpose, those skilled in the art are supported by using stoma portion in atrial septum for bracket, so that 78% patient NYHA cardiac functional grading switchs to II grade by III grade.The Du Ke activity questionnaire index and Kansas cardiomyopathy questionnaire of all patients is commented Point, it is significantly improved, gait test range averaging increases by 74 meters within 6 minutes.In addition, the pulmonary capillary wedge pressure of patient is also Decline, average out to 23mmHg when baseline, 3 months whens, drop to 17mmHg (P=0.035).But in the long-term use, The bracket of implantable is also easy to produce thrombus, so that health is further endangered, for this purpose, a recyclable atrium of research and development shunts dress Setting is particularly important.
Summary of the invention
For in view of the above drawbacks of the prior art, the main purpose of the present invention is to provide implantable atrium part flow arrangement, Realize the beneficial effect of convenient recycling.
In order to solve the above technical problems, the embodiment of the invention provides implantable atrium part flow arrangements, including, left disk, the right side Disk and waist disk;The core of the left disk, right disk and waist disk is tap hole;
The waist disk is cylindrical reticular structure made of Ultimum Ti laser engraving;
The right disk is the reticular structure of plate-like made of Ultimum Ti braiding;
The left disk is the reticular structure of plate-like made of Ultimum Ti braiding;
It is take-up beam that the take-up head of the braiding of the left disk, which is mixed into a branch of, and the take-up beam inserts in take-up ball;
The right disk and the left disk are sutured in waist disk two sides respectively;
Left disk connecting line is set on circumferencial direction at the maximum gauge of the left disk, and the end of a thread of the left disk connecting line is located at The outer surface of take-up beam is simultaneously fixed in take-up ball;When the take-up ball is rotated relative to take-up beam, the left disk connecting line is twined It is around in take-up beam surface, reduces the maximum gauge of the left disk.
Wherein, right disk connecting line, the line of the right disk connecting line are set on circumferencial direction at the maximum gauge of the right disk Head is located at the outer surface of take-up beam and is fixed in take-up ball;When the take-up ball is rotated relative to take-up beam, the right disk connects Wiring is wound in take-up beam surface, reduces the maximum gauge of the right disk.
Wherein, waist disk connecting line is set on the circumferencial direction of the waist disk, and the end of a thread of the waist disk connecting line is located at take-up The outer surface of beam is simultaneously fixed in take-up ball;When the take-up ball is rotated relative to take-up beam, the waist disk connecting line is wound in Take-up beam surface makes the diameter reduction of the waist disk.
Wherein, the maximum gauge of the left disk is 22-30mm.
Wherein, the maximum gauge of the left disk is greater than the maximum gauge of right disk.
Wherein, the waist disk inner surface seamed endless membrane material.
Wherein, the material of the annular membrane material is PET or ePTFE.
Wherein, the waist disk is equipped with radiography point.
In embodiments of the present invention, it is designed by novel structure, so that whole implantable atrium part flow arrangement can be at any time Recycling, solves the irretrievable technical problem of existing implantable atrium part flow arrangement, extends the sufferer service life, and recycle more It is convenient.
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 are briefly described.In all the appended drawings, similar element Or part is generally identified by similar appended drawing reference.In attached drawing, each element or part might not be drawn according to actual ratio.
Fig. 1 is structural schematic diagram of the invention.
Specific embodiment
It is described in detail below in conjunction with embodiment of the attached drawing to technical solution of the present invention.Following embodiment is only used for Clearly illustrate technical solution of the present invention, therefore be only used as example, and cannot be used as a limitation and limit protection model of the invention It encloses.
It should be noted that unless otherwise indicated, technical term or scientific term used in this application should be this hair The ordinary meaning that bright one of ordinary skill in the art are understood.
In the description of the present application, it is to be understood that term " center ", " longitudinal direction ", " transverse direction ", " length ", " width ", " thickness ", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom" "inner", "outside", " up time The orientation or positional relationship of the instructions such as needle ", " counterclockwise ", " axial direction ", " radial direction ", " circumferential direction " be orientation based on the figure or Positional relationship is merely for convenience of description of the present invention and simplification of the description, rather than the device or element of indication or suggestion meaning must There must be specific orientation, be constructed and operated in a specific orientation, therefore be not considered as limiting the invention.
In addition, term " first ", " second " etc. are used for description purposes only, it is not understood to indicate or imply relatively important Property or implicitly indicate the quantity of indicated technical characteristic.In the description of the present invention, the meaning of " plurality " is two or more, Unless otherwise specifically defined.
In this application unless specifically defined or limited otherwise, term " installation ", " connected ", " connection ", " fixation " etc. Term shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or integral;It can be mechanical connect It connects, is also possible to be electrically connected;It can be directly connected, can also can be in two elements indirectly connected through an intermediary The interaction relationship of the connection in portion or two elements.It for the ordinary skill in the art, can be according to specific feelings Condition understands the concrete meaning of above-mentioned term in the present invention.
In this application unless specifically defined or limited otherwise, fisrt feature in the second feature " on " or " down " can be with It is that the first and second features directly contact or the first and second features pass through intermediary mediate contact.Moreover, fisrt feature exists Second feature " on ", " top " and " above " but fisrt feature be directly above or diagonally above the second feature, or be merely representative of First feature horizontal height is higher than second feature.Fisrt feature can be under the second feature " below ", " below " and " below " One feature is directly under or diagonally below the second feature, or is merely representative of first feature horizontal height greater than second feature.
Referring to Fig. 1, implantable atrium part flow arrangement, including, left disk 1, right disk 2 and waist disk 3;The left disk 1, right disk 2 And the core of waist disk 3 is tap hole 4, diffluence pass 4 is for being connected to left atrium.Left disk 1 is located in atrium sinistrum, and right disk 2 is located at the right side In atrium.Waist disk 3 is located at atrial septum making-port.
The waist disk 3 is cylindrical reticular structure made of Ultimum Ti laser engraving;
The right disk 2 is the reticular structure of plate-like made of Ultimum Ti braiding;
The left disk 1 is the reticular structure of plate-like made of Ultimum Ti braiding;
Marmem is with shape memory effect by thermoelasticity and martensitic traoformation and its inversion by two Kind or more the material that is constituted of metallic element.Marmem is that shape-memory properties are best in current shape-memory material Material.So far, it has been found that the alloy with shape memory effect has more than 50 kinds.Nitinol is a kind of shape memory conjunction Gold, marmem are that the plastic deformation of itself can be automatically restored to the extraordinary of original-shape to close under a certain specific temperature Gold has good plasticity.
It is take-up beam 101 that the take-up head of the braiding of the left disk 1, which is mixed into a branch of, and the take-up beam 101 inserts in take-up ball In 102;Take-up ball 102 can be rotated relative to take-up beam 101.
The right disk 2 is sutured in 3 two sides of waist disk with the left disk 1 respectively;
Left disk connecting line 11, the line of the left disk connecting line 11 are set on circumferencial direction at the maximum gauge of the left disk 1 Head is located at the outer surface of take-up beam 101 and is fixed in take-up ball;When the take-up ball 102 is rotated relative to take-up beam 101, institute It states left disk connecting line 11 and is wound in 102 surface of take-up beam, reduce the maximum gauge of the left disk 1.Concretely, Zuo Panlian Wiring 11 is a flexible cord, is fixed at the maximum gauge of left disk 1 on circumferencial direction, take-up ball is fixed on two heads of flexible cord In 102, when rotary wire-reeling ball 102, flexible cord pulls circumferential position at the maximum gauge of left disk 1, so that left disk 1 is shunk.
Right disk connecting line 21, the line of the right disk connecting line 21 are set on circumferencial direction at the maximum gauge of the right disk 2 Head is located at the outer surface of take-up beam 101 and is fixed in take-up ball 102;When the take-up ball 102 is rotated relative to take-up beam 101 When, the right disk connecting line 21 is wound in 101 surface of take-up beam, reduces the maximum gauge of the right disk 2.Principle is the same as left disk.
Waist disk connecting line 31 is set on the circumferencial direction of the waist disk 3, and the end of a thread of the waist disk connecting line 31 is located at take-up The outer surface of beam 101 is simultaneously fixed in take-up ball 102;When the take-up ball 102 is rotated relative to take-up beam 101, the waist disk Connecting line 31 is wound in 101 surface of take-up beam, makes the diameter reduction of the waist disk 3.Principle is the same as left disk.
In an alternative embodiment, the maximum gauge of the left disk 1 is 22-30mm.
In an alternative embodiment, the maximum gauge of the left disk 1 is greater than the maximum gauge of right disk.
In an alternative embodiment, the 3 inner surface seamed endless membrane material of waist disk, convenient for reducing the formation of thrombus.
In an alternative embodiment, the material of the annular membrane material is PET or ePTFE.
In an alternative embodiment, the waist disk 3 is equipped with radiography point 32, and radiography point 32 selects radiography material, just In positioning.
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 should all cover within the scope of the claims and the description of the invention.Especially, as long as there is no knots Structure conflict, items technical characteristic mentioned in the various embodiments can be combined in any way.The present invention does not limit to In specific embodiment disclosed herein, but include all technical solutions falling within the scope of the claims.

Claims (8)

1. implantable atrium part flow arrangement, which is characterized in that including left disk, right disk and waist disk;The left disk, right disk and waist disk Core be tap hole;
The waist disk is cylindrical reticular structure made of Ultimum Ti laser engraving;
The right disk is the reticular structure of plate-like made of Ultimum Ti braiding;
The left disk is the reticular structure of plate-like made of Ultimum Ti braiding;
It is take-up beam that the take-up head of the braiding of the left disk, which is mixed into a branch of, and the take-up beam inserts in take-up ball;
The right disk and the left disk are sutured in waist disk two sides respectively;
Left disk connecting line is set on circumferencial direction at the maximum gauge of the left disk, and the end of a thread of the left disk connecting line is located at take-up The outer surface of beam is simultaneously fixed in take-up ball;When the take-up ball is rotated relative to take-up beam, the left disk connecting line is wound in Take-up beam surface reduces the maximum gauge of the left disk.
2. implantable atrium as described in claim 1 part flow arrangement, which is characterized in that circumference at the maximum gauge of the right disk Side sets up right disk connecting line, and the end of a thread of the right disk connecting line is located at the outer surface of take-up beam and is fixed in take-up ball; When the take-up ball is rotated relative to take-up beam, the right disk connecting line is wound in take-up beam surface, makes the maximum of the right disk Diameter reduction.
3. implantable atrium as claimed in claim 2 part flow arrangement, which is characterized in that be arranged on the circumferencial direction of the waist disk Waist disk connecting line, the end of a thread of the waist disk connecting line are located at the outer surface of take-up beam and are fixed in take-up ball;When the take-up When ball is rotated relative to take-up beam, the waist disk connecting line is wound in take-up beam surface, makes the diameter reduction of the waist disk.
4. implantable atrium as claimed in claim 3 part flow arrangement, which is characterized in that the maximum gauge of the left disk is 22- 30mm。
5. implantable atrium as claimed in claim 4 part flow arrangement, which is characterized in that the maximum gauge of the left disk is greater than the right side The maximum gauge of disk.
6. implantable atrium as claimed in claim 5 part flow arrangement, which is characterized in that the waist disk inner surface seamed endless film Material.
7. implantable atrium as claimed in claim 6 part flow arrangement, which is characterized in that the material of the annular membrane material is PET Or ePTFE.
8. implantable atrium as claimed in claim 7 part flow arrangement, which is characterized in that the waist disk is equipped with radiography point.
CN201811474671.6A 2018-12-04 2018-12-04 Implantable atrial shunt device Active CN109350139B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811474671.6A CN109350139B (en) 2018-12-04 2018-12-04 Implantable atrial shunt device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811474671.6A CN109350139B (en) 2018-12-04 2018-12-04 Implantable atrial shunt device

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CN109350139A true CN109350139A (en) 2019-02-19
CN109350139B CN109350139B (en) 2020-07-10

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109646063A (en) * 2019-02-27 2019-04-19 武汉唯柯医疗科技有限公司 The atrium part flow arrangement and tighten driving device that high stable type can be adjusted adaptively
WO2021046753A1 (en) * 2019-09-11 2021-03-18 武汉唯柯医疗科技有限公司 Atrial shunt decompression device, weaving device and weaving method thereof
CN116019607A (en) * 2021-11-22 2023-04-28 武汉唯柯医疗科技有限公司 Atrial shunt pressure reducing device

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205648435U (en) * 2016-04-01 2016-10-19 沈斌 Storage device of usefulness is picked to agricultural
CN106510777A (en) * 2016-12-09 2017-03-22 上海形状记忆合金材料有限公司 Atrial shunt

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN205648435U (en) * 2016-04-01 2016-10-19 沈斌 Storage device of usefulness is picked to agricultural
CN106510777A (en) * 2016-12-09 2017-03-22 上海形状记忆合金材料有限公司 Atrial shunt

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109646063A (en) * 2019-02-27 2019-04-19 武汉唯柯医疗科技有限公司 The atrium part flow arrangement and tighten driving device that high stable type can be adjusted adaptively
CN109646063B (en) * 2019-02-27 2020-04-28 武汉唯柯医疗科技有限公司 But atrium diverging device of high stability type self-adaptation adjustment
WO2021046753A1 (en) * 2019-09-11 2021-03-18 武汉唯柯医疗科技有限公司 Atrial shunt decompression device, weaving device and weaving method thereof
CN116019607A (en) * 2021-11-22 2023-04-28 武汉唯柯医疗科技有限公司 Atrial shunt pressure reducing device
CN116019607B (en) * 2021-11-22 2024-02-23 武汉唯柯医疗科技有限公司 Atrial shunt pressure reducing device

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