CN111643221A - Intrahepatic portosystemic shunt bracket with diameter capable of being automatically adjusted - Google Patents

Intrahepatic portosystemic shunt bracket with diameter capable of being automatically adjusted Download PDF

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Publication number
CN111643221A
CN111643221A CN202010548949.0A CN202010548949A CN111643221A CN 111643221 A CN111643221 A CN 111643221A CN 202010548949 A CN202010548949 A CN 202010548949A CN 111643221 A CN111643221 A CN 111643221A
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CN
China
Prior art keywords
section
line
intrahepatic
tectorial membrane
stent
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
CN202010548949.0A
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Chinese (zh)
Inventor
张文广
刘冬梅
韩新巍
任建庄
周朋利
丁鹏绪
陈鹏飞
李方正
邝东林
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.)
First Affiliated Hospital of Zhengzhou University
Original Assignee
First Affiliated Hospital of Zhengzhou University
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 First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN202010548949.0A priority Critical patent/CN111643221A/en
Publication of CN111643221A publication Critical patent/CN111643221A/en
Pending legal-status Critical Current

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    • 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • 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
    • A61F2/848Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents having means for fixation to the vessel wall, e.g. barbs
    • 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
    • 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
    • A61F2/02Prostheses implantable into the body
    • A61F2/04Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/06Blood vessels
    • A61F2/07Stent-grafts
    • A61F2002/072Encapsulated stents, e.g. wire or whole stent embedded in lining
    • 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

Abstract

The invention discloses a intrahepatic portosystemic shunt bracket with automatically adjustable diameter, belonging to the technical field of medical treatment, which comprises: the artificial blood vessel stent comprises an intrahepatic tectorial membrane section, a non-projection line gold mark line, a portal vein naked section and a through hole groove, wherein the right side end of the intrahepatic tectorial membrane section is fixedly connected with the non-projection line gold mark line, the right side end of the non-projection line gold mark line is fixedly connected with the portal vein naked section, the right side end of the portal vein naked section is fixedly provided with an expansion head, the outer wall of the expansion head is uniformly and fixedly provided with a plurality of barbs, the inner wall of the expansion head is fixedly provided with an inner tectorial membrane flaring, and the inner walls of the intrahepatic tectorial membrane section and the portal vein naked section are both provided with the through hole groove.

Description

Intrahepatic portosystemic shunt bracket with diameter capable of being automatically adjusted
Technical Field
The invention relates to the technical field of medical treatment, in particular to an intrahepatic portosystemic shunt bracket with automatically adjustable diameter.
Background
Transjugular intrahepatic portosystemic stent-graft (TIPSS). The principle is that a special interventional therapy apparatus is adopted, under the guidance of X-ray fluoroscopy, a jugular vein is accessed, an artificial shunt channel which is positioned between a hepatic vein and a main branch of a portal vein in the liver is established, and a metal inner support is used for maintaining the permanent smoothness of the artificial shunt channel, so that the aims of controlling and preventing esophageal and gastric fundus varices from cracking and bleeding after portal vein high pressure is reduced, and ascites absorption is promoted. The puncture portal vein branch is a technical difficulty of TIPS. The spatial relationship between the hepatic vein and the portal vein is complex, and the spatial relationship can be changed by the pathological changes of anatomical variation and hepatic cirrhosis, so that the portal vein puncture positioning is difficult. Thus, the normal anatomical relationships are understood first, and variations may exist. Preoperative ultrasound f, cun venous location and intraoperative ultrasound guided puncture are practical, noninvasive, economical and convenient methods. The optimal puncture position is the position with the branch distance of 1.5-2.0 cm from the right trunk of the portal vein, and the ideal shunting effect is difficult to achieve if the optimal puncture position is too close to the peripheral branch. Too close to the portal trunk is very likely to cause penetration and severe intra-abdominal bleeding.
The liver cirrhosis portal hypertension combined with upper gastrointestinal hemorrhage seriously threatens the life of a patient, the internal treatment effect is not ideal, the surgical operation wound is large, and the death rate is high. By adopting transjugular intrahepatic portosystemic shunt (TIPSS), the pressure of the portal vein can be effectively reduced, and the embolization treatment can be performed on varicose bleeding gastric coronary veins and gastric short veins, so that the wound is small, the curative effect is good, but the restenosis after the operation is an important factor restricting the wide application of the restenosis. The restenosis rate of a purely applied bare stent is high, inflammation stimulation caused by bile leakage can be reduced by applying a covered stent, the restenosis rate can be reduced to a certain extent, but the covered stent has high hardness, is easy to cause poor form of a shunt, and affects the long-term patency rate.
The poor stability that generally fixes of intrahepatic portosystemic shunt support among the prior art leads to droing between the reposition of redundant personnel easily or causes easily to exert great pressure to the blood vessel, leads to the installation failure easily, the while is not convenient for observe the male degree of depth between the reposition of redundant personnel among the prior art, leads to accident easily, secondly, can not adjust support diameter size according to hepatic venous pressure gradient, consequently need urgently to develop a intrahepatic portosystemic shunt support that the diameter can automatic adjustment.
Disclosure of Invention
This section is for the purpose of summarizing some aspects of embodiments of the invention and to briefly introduce some preferred embodiments. In this section, as well as in the abstract and the title of the invention of this application, simplifications or omissions may be made to avoid obscuring the purpose of the section, the abstract and the title, and such simplifications or omissions are not intended to limit the scope of the invention.
The present invention has been made in view of the above and/or other problems associated with the prior art intrahepatic portosystemic shunt stent having a diameter that can be automatically adjusted.
Therefore, the invention aims to provide the intrahepatic portosystemic shunt bracket with the diameter capable of being automatically adjusted, which can effectively and stably connect blood vessels, is not easy to fall off, has high success rate of installation and is convenient for observing the insertion depth.
To solve the above technical problem, according to an aspect of the present invention, the present invention provides the following technical solutions:
an intrahepatic portosystemic shunt stent with a diameter that can be automatically adjusted, comprising: tectorial membrane section in the liver, do not throw line gold mark line, the naked section of door pulse and through-hole groove, the right side end fixed connection of tectorial membrane section in the liver does not throw line gold mark line, the right side end fixed connection who does not throw line gold mark line the naked section of door pulse, the right side end fixed mounting of the naked section of door pulse has the expansion head, the even fixed mounting of outer wall of expansion head has a plurality of barbs, tectorial membrane flaring in the inner wall fixed mounting of expansion head, the tectorial membrane section in the liver with the through-hole groove has all been seted up to the inner wall of the naked section of door pulse.
As a preferable aspect of the intrahepatic portosystemic shunt stent with the diameter capable of being automatically adjusted according to the present invention, wherein: the intrahepatic tectorial membrane section includes nitinol alloy support, interior tectorial membrane, does not throw line gold marking and valve, nitinol alloy support's inner wall fixed mounting interior tectorial membrane, the left side fixed mounting of interior tectorial membrane does not throw line gold marking, the inner wall fixed mounting of interior tectorial membrane the valve.
As a preferable aspect of the intrahepatic portosystemic shunt stent with the diameter capable of being automatically adjusted according to the present invention, wherein: the nitinol alloy stent is a self-expanding electropolished nitinol alloy stent.
As a preferable aspect of the intrahepatic portosystemic shunt stent with the diameter capable of being automatically adjusted according to the present invention, wherein: the inner coating is a low-permeability expanded polytetrafluoroethylene coating.
As a preferable aspect of the intrahepatic portosystemic shunt stent with the diameter capable of being automatically adjusted according to the present invention, wherein: the non-projection line gold mark line is an annular non-projection line gold mark belt.
Compared with the prior art: utilize not projecting line gold marking line and not projecting the position of line gold mark line branch support when being convenient for observe the puncture, can more accurate puncture, can effectually stably connect the blood vessel, be difficult for droing, the success rate of installation is higher, utilize the interior tectorial membrane of nitinol alloy support drive to expand, realize that automatic adjustment position relation is convenient for observe male degree of depth, can be more accurate stretch into, simultaneously utilize overhead barb and the blood vessel looks joint of expansion, blood realizes circulating through the through-hole groove, can adjust support diameter size according to hepatic vein pressure gradient simultaneously.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the present invention will be described in detail with reference to the accompanying drawings and detailed embodiments, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive exercise. Wherein:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic structural diagram of a naked segment of a portal vein according to the present invention;
FIG. 3 is a schematic structural view of an inner film-covered flare of the present invention;
fig. 4 is a schematic view of the position structure of the present invention.
In the figure: 100 intrahepatic tectorial membrane sections, 110 nitinol alloy stents, 120 intratectorial membranes, 130 non-projection line gold marking lines, 140 valves, 200 non-projection line gold marking lines, 300 portal vein bare sections, 310 expansion heads, 320 barbs, 330 intratectorial membrane flaring and 400 through hole slots.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in detail below.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways than those specifically described herein, and it will be apparent to those of ordinary skill in the art that the present invention may be practiced without departing from the spirit and scope of the present invention, and therefore the present invention is not limited to the specific embodiments disclosed below.
Next, the present invention will be described in detail with reference to the drawings, wherein for convenience of illustration, the cross-sectional view of the device structure is not enlarged partially according to the general scale, and the drawings are only examples, which should not limit the scope of the present invention. In addition, the three-dimensional dimensions of length, width and depth should be included in the actual fabrication.
In order to make the objects, technical solutions and advantages of the present invention more apparent, embodiments of the present invention will be described in detail with reference to the accompanying drawings.
The invention provides a intrahepatic portosystemic shunt stent with automatically adjustable diameter, which can effectively and stably connect blood vessels, is not easy to fall off, has higher success rate of installation, and is convenient for observing the insertion depth, please refer to fig. 1, and comprises an intrahepatic tectorial membrane section 100, a non-projection line gold mark line 200, a portal vein naked section 300 and a through hole groove 400;
referring to fig. 1 again, the intrahepatic tectorial membrane section 100 includes a nitinol alloy stent 110, an inner tectorial membrane 120, a non-projective line gold marking 130 and a valve 140, specifically, the inner wall of the nitinol alloy stent 110 is fixedly connected with the inner tectorial membrane 120 by suturing, the left side end of the inner tectorial membrane 120 is integrally formed with the non-projective line gold marking 130, the valve 140 is fixedly installed on the inner wall of the inner tectorial membrane 120, the valve 140 is automatically adjusted along with the change of hepatic venous pressure gradient, the nitinol alloy stent 110 is a self-expanding electropolished nitinol alloy stent, the inner tectorial membrane 120 is a low-permeability expanded polytetrafluoroethylene tectorial membrane, and the intrahepatic tectorial membrane section 100 is used for fixedly installing the non-projective line gold marking 200;
referring to fig. 1 again, the non-projection line gold mark line 200 is fixedly installed at the right side of the intrahepatic tectorial membrane section 100, specifically, the non-projection line gold mark line 200 is integrally formed at the right side end of the intrahepatic tectorial membrane section 100, the non-projection line gold mark line 200 is an annular non-projection line gold mark belt, and the non-projection line gold mark line 200 is used for fixedly installing the portal vein bare section 300;
referring to fig. 2 and 3, the exposed portal segment 300 has an expansion head 310, barbs 320 and an inner covering flaring 330, the exposed portal segment 300 is installed on the right side of the non-projection line gold marking line 200, specifically, the outer wall of the exposed portal segment 300 is fixedly clamped with the nitinol stent 110, the expansion head 310 is integrally formed at the right end of the exposed portal segment 300, nine barbs 320 are uniformly fixedly clamped on the outer wall of the expansion head 310, and the inner wall of the expansion head 310 is fixedly sewn with the inner covering flaring 330;
referring to fig. 3 again, the through hole slots 400 are installed on the inner walls of the intrahepatic tectorial membrane section 100 and the portal vein bare section 300, and specifically, the inner walls of the intrahepatic tectorial membrane section 100 and the portal vein bare section 300 are both provided with the through hole slots 400.
In the specific use process, when the invention is required to be used, firstly, the position of the shunt stent during puncture is conveniently observed by using the non-projection line gold marking line 130 and the non-projection line gold marking line 200, deviation is not easy to occur, puncture can be more accurately carried out, the nitinol alloy stent 110 is used for driving the inner covering film 120 to expand, the position relation is automatically adjusted, meanwhile, the barb 320 on the expansion head 310 is clamped with a blood vessel, blood is circulated through the through hole groove 400, if HVPG is high, the TIPS stent diameter is correspondingly increased, portal vein pressure can be reduced, clinical symptoms are obviously improved, on the contrary, after HVPG is gradually reduced, the stent diameter can be correspondingly reduced, excessive portal vein pressure is prevented from entering body circulation, and the incidence rate of hepatic encephalopathy is reduced.
The number of barbs 320 is not limited to the specific number described in the embodiment, and those skilled in the art can increase or decrease the number as needed on the premise that the device can perform its fixing function.
While the invention has been described above with reference to an embodiment, various modifications may be made and equivalents may be substituted for elements thereof without departing from the scope of the invention. In particular, the various features of the disclosed embodiments of the invention may be used in any combination, provided that no structural conflict exists, and the combinations are not exhaustively described in this specification merely for the sake of brevity and resource conservation. Therefore, it is intended that the invention not be limited to the particular embodiments disclosed, but that the invention will include all embodiments falling within the scope of the appended claims.

Claims (5)

1. The utility model provides a diameter can automatic adjustment's intrahepatic portosystemic reposition of redundant personnel support which characterized in that includes: tectorial membrane section (100) in the liver, do not throw line gold mark line (200), the naked section of portal vein (300) and through-hole groove (400), the right side end fixed connection of tectorial membrane section in the liver (100) do not throw line gold mark line (200), the right side end fixed connection who does not throw line gold mark line (200) the naked section of portal vein (300), the right side end fixed mounting of the naked section of portal vein (300) has expansion head (310), the even fixed mounting of outer wall of expansion head (310) has a plurality of barbs (320), tectorial membrane flaring (330) in the inner wall fixed mounting of expansion head (310), tectorial membrane section in the liver (100) with through-hole groove (400) have all been seted up to the inner wall of the naked section of portal vein (300).
2. The intrahepatic portosystemic shunt stent capable of automatically adjusting in diameter according to claim 1, wherein the intrahepatic capsule section (100) comprises a nitinol stent (110), an inner capsule (120), a non-projective line golden marking (130) and a valve (140), the inner wall of the nitinol stent (110) is fixedly installed with the inner capsule (120), the left side of the inner capsule (120) is fixedly installed with the non-projective line golden marking (130), and the inner wall of the inner capsule (120) is fixedly installed with the valve (140).
3. An automatically diameter adjustable intrahepatic portosystemic shunt stent as claimed in claim 1, wherein said nitinol stent (110) is a self-expanding electropolished nitinol stent.
4. The intrahepatic portosystemic shunt stent of claim 1, wherein said inner coating (120) is an expanded polytetrafluoroethylene coating of low permeability.
5. The intrahepatic portosystemic shunt stent of claim 1, wherein said no-projection line golden marker line (200) is a ring-shaped no-projection line golden marker band.
CN202010548949.0A 2020-06-16 2020-06-16 Intrahepatic portosystemic shunt bracket with diameter capable of being automatically adjusted Pending CN111643221A (en)

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CN202010548949.0A CN111643221A (en) 2020-06-16 2020-06-16 Intrahepatic portosystemic shunt bracket with diameter capable of being automatically adjusted

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112972082A (en) * 2021-05-12 2021-06-18 上海微创心脉医疗科技(集团)股份有限公司 Medical support

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1044663A2 (en) * 1999-04-14 2000-10-18 Marco Pasquinucci Intrahepatic endoprosthesis
US20140207227A1 (en) * 2013-01-23 2014-07-24 Cook Medical Technologies Llc Stent with positioning arms
CN109069257A (en) * 2016-04-21 2018-12-21 W.L.戈尔及同仁股份有限公司 The adjustable built-in prothesis of diameter and relevant system and method
CN109662804A (en) * 2019-01-15 2019-04-23 李卫校 The dedicated endovascular stent of TIPS operation
CN208974227U (en) * 2018-07-04 2019-06-14 中国人民解放军总医院 A kind of TIPS rack for operation
CN210330823U (en) * 2019-03-21 2020-04-17 北京爱琳医疗科技有限公司 Blood flow controllable covered stent
CN212592562U (en) * 2020-03-05 2021-02-26 上海宏派医疗科技有限公司 Coated TIPS (tip-in-stent graft)

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP1044663A2 (en) * 1999-04-14 2000-10-18 Marco Pasquinucci Intrahepatic endoprosthesis
US20140207227A1 (en) * 2013-01-23 2014-07-24 Cook Medical Technologies Llc Stent with positioning arms
CN109069257A (en) * 2016-04-21 2018-12-21 W.L.戈尔及同仁股份有限公司 The adjustable built-in prothesis of diameter and relevant system and method
CN208974227U (en) * 2018-07-04 2019-06-14 中国人民解放军总医院 A kind of TIPS rack for operation
CN109662804A (en) * 2019-01-15 2019-04-23 李卫校 The dedicated endovascular stent of TIPS operation
CN210330823U (en) * 2019-03-21 2020-04-17 北京爱琳医疗科技有限公司 Blood flow controllable covered stent
CN212592562U (en) * 2020-03-05 2021-02-26 上海宏派医疗科技有限公司 Coated TIPS (tip-in-stent graft)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112972082A (en) * 2021-05-12 2021-06-18 上海微创心脉医疗科技(集团)股份有限公司 Medical support

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Application publication date: 20200911