CN113456173A - Cerebral nerve and blood vessel thrombus removing device - Google Patents

Cerebral nerve and blood vessel thrombus removing device Download PDF

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Publication number
CN113456173A
CN113456173A CN202110746309.5A CN202110746309A CN113456173A CN 113456173 A CN113456173 A CN 113456173A CN 202110746309 A CN202110746309 A CN 202110746309A CN 113456173 A CN113456173 A CN 113456173A
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China
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negative pressure
ring
thrombus
catheter
thrombectomy
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CN202110746309.5A
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Chinese (zh)
Inventor
金彩云
张宇
李继
张红
刘冬
张丽梅
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Jilin University
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Jilin University
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Priority to CN202110746309.5A priority Critical patent/CN113456173A/en
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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
    • 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
    • A61B2017/22079Implements 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 with suction of debris
    • 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
    • A61B2017/22094Implements 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 for crossing total occlusions, i.e. piercing
    • 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
    • A61B2017/2212Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions having a closed distal end, e.g. a loop

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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

The invention belongs to the field of medical instruments, and particularly relates to a cerebral nerve and blood vessel thrombus extraction device which comprises a catheter, wherein a de-tying end is arranged at one end of the catheter, a control end and a negative pressure end are arranged at the other end of the catheter, a sealing plug which is sealed with the negative pressure end is arranged at the control end, a guide rod is fixedly connected onto the sealing plug, the guide rod penetrates through the interior of the catheter from the control end, and the other end of the guide rod is led out from the de-tying end. The invention can realize the separation of the guide wire and the thrombectomy ring from the catheter and the separation of the guide wire and the thrombectomy ring from the catheter after the guide wire and the thrombectomy ring enter blood through the guide wire and the thrombectomy ring made of memory metal materials, and further realize the recovery deformation of the guide wire and the thrombectomy ring through the blood, so that thrombus can be conveniently separated from blood vessels after the thrombectomy ring is expanded, and further the thrombectomy is conveniently performed, and small thrombi along with the blood flow can be effectively removed through the adsorption assembly and the negative pressure mechanism, thereby ensuring the actual thrombectomy effect.

Description

Cerebral nerve and blood vessel thrombus removing device
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to a cerebral nerve and blood vessel thrombus extraction device.
Background
Thrombi are small patches of blood flow that form on the surface of a denuded or repaired site within a blood vessel of the cardiovascular system. In the variable fluid-dependent type, the thrombus consists of insoluble fibrin, deposited platelets, accumulated leukocytes and entrapped erythrocytes; the thrombus occurring in the vein is red thrombus, which causes blood reflux disorder, and is manifested as limb swelling and pain, venous thrombus can fall off and enter pulmonary circulation to cause pulmonary artery embolism, and serious patients have dyspnea and even death. Thrombi occurring in arteries are usually white thrombi or mixed thrombi, which can cause ischemic changes in limbs and vital organs. Arterial thrombus can block distal arteries along the blood flow, so that acute ischemic change is caused, and necrosis of limbs or organs occurs.
The existing thrombus taking device usually has thrombus destruction, and then the broken thrombus enters other parts of the blood vessel along with the blood circulation to accumulate, so that the condition that the rest parts of the blood vessel are blocked is caused.
To this end, we propose a cerebral neurovascular thrombus extraction device to solve the above problems.
Disclosure of Invention
The invention aims to solve the problems and provides a cerebral neurovascular thrombus extraction device.
In order to achieve the purpose, the invention adopts the following technical scheme: the utility model provides a cranial nerve blood vessel thrombus remove device, includes the pipe, one end is equipped with except tying the end on the pipe, the pipe other end is equipped with control end and negative pressure end, the control end is equipped with the sealing plug that sets up with the negative pressure end is sealed, fixedly connected with guide rod on the sealing plug, guide rod passes inside the pipe and the other end from the control end is followed and is removed to tie the end and draw forth, a plurality of guide wires that lead of guide rod other end fixedly connected with, a plurality of rings that remove of guide wire fixedly connected with, the pipe is close to except that the one end of tying the end is equipped with adsorption component, the negative pressure end is equipped with negative pressure mechanism.
In the above-mentioned device for removing a thrombus from a cerebral neurovascular thrombus, the guide wire and the thrombectomy ring are both made of a titanium-nickel memory alloy, the guide wire has a wire-shaped structure with a diameter of 0.1 mm or less, and the thrombectomy ring has a circular ring structure made of a metal wire with a diameter of O.15 mm or less.
In the above device for taking out a thrombus from a cerebral nerve vessel, the sealing plug is made of rubber, and the outer diameter of one end of the sealing plug close to the guide rod is larger than the inner diameter of the control end.
In foretell cerebrovascular thrombus remove device, adsorption component comprises logical groove and blocking net, lead to the groove setting on the pipe lateral wall, just block net fixed connection on the pipe outside, blocking net fixed connection keeps away from in leading to the groove and removes the one side of tying the end.
In foretell cranial nerve blood vessel thrombus remove device, negative pressure mechanism comprises a negative pressure section of thick bamboo, sealed ring, control lever and control panel, negative pressure section of thick bamboo one end be equipped with negative pressure end complex suction head, the negative pressure section of thick bamboo other end sets up for the opening, just sealed sliding connection of ring is inside a negative pressure section of thick bamboo, the one end fixed connection of suction head is kept away from with sealed ring to the control lever, the one end and the control panel fixed connection of sealed ring are kept away from to the control lever.
In foretell cranial nerve blood vessel thrombus remove device, fixedly connected with spacing on the control lever, be equipped with a plurality of spacing grooves on the spacing, the inside fixedly connected with of negative pressure section of thick bamboo and spacing groove matched with limiting plate.
In the cerebral neurovascular thrombus taking-out device, the fixing ring is sleeved outside the negative pressure end, and the fixing ring is provided with a bolt piece for changing the inner diameter of the fixing ring.
In foretell cranial nerve blood vessel thrombus remove device, negative pressure end lateral wall fixedly connected with mounting, threaded connection has the threaded rod on the mounting, the threaded rod is located the inboard rotation of mounting and is connected with the current-limiting plate.
The invention has the beneficial effects that: through setting up the guide wire and removing the temperature that the tie ring can realize in the blood make the guide wire and remove the tie ring and reply deformation, and then realize removing the tie ring and will set up with the laminating of blood vessel inner wall, and then when realizing dragging guide wire or pipe, remove the tie ring this moment and will cut off blood vessel inner wall and thrombus junction, and then conveniently take out the thrombus.
Can make to remove to tie the end and keep certain negative pressure through setting up adsorption component and negative pressure mechanism, and then ensure that when the thrombus of fritter flows along with blood, the thrombus of fritter will be blockked the net and blockked, and will have the negative pressure to enter into a negative pressure section of thick bamboo, and then avoid the thrombus of fritter to lead to the thrombus of fritter still to stay in the blood vessel along with blood flows.
The following are included: the invention can realize the separation of the guide wire and the thrombectomy ring from the catheter and the separation of the guide wire and the thrombectomy ring from the catheter after the guide wire and the thrombectomy ring enter blood through the guide wire and the thrombectomy ring made of memory metal materials, and further realize the recovery deformation of the guide wire and the thrombectomy ring through the blood, so that thrombus can be conveniently separated from blood vessels after the thrombectomy ring is expanded, and further the thrombectomy is conveniently performed, and small thrombi along with the blood flow can be effectively removed through the adsorption assembly and the negative pressure mechanism, thereby ensuring the actual thrombectomy effect.
Drawings
FIG. 1 is a schematic view of the overall structure of a cerebral neurovascular thrombus extraction device provided by the present invention;
FIG. 2 is an enlarged schematic view of the structure at A in FIG. 1;
FIG. 3 is a schematic structural diagram of a negative pressure mechanism in the device for removing thrombus from cerebral neurovascular thrombus provided by the present invention;
FIG. 4 is a schematic side view of a negative pressure cylinder in the device for removing a thrombus from a cerebral nerve vessel provided by the present invention;
FIG. 5 is a schematic view of a sectional structure of a fixing member in the device for removing a thrombus from a cerebral neurovascular thrombus provided by the present invention.
In the figure: the device comprises a catheter 1, a bolt removing end 11, a control end 12, a negative pressure end 13, a fixing ring 14, a bolt piece 15, a sealing plug 2, a guide rod 3, a guide wire 4, a bolt removing ring 5, an adsorption component 6, a through groove 61, a blocking net 62, a negative pressure mechanism 7, a negative pressure cylinder 71, a sealing ring 72, a control rod 73, a control plate 74, a limiting plate 75, a suction head 76, a limiting strip 8, a limiting groove 81, a fixing piece 9, a threaded rod 91 and a flow limiting plate 92.
Detailed Description
The following examples are for illustrative purposes only and are not intended to limit the scope of the present invention.
As shown in figures 1-5, a cerebral nerve and vessel thrombus extraction device comprises a catheter 1, wherein one end of the catheter 1 is provided with a thrombus removal end 11, the other end of the catheter 1 is provided with a control end 12 and a negative pressure end 13, and the control end 12 and the negative pressure end 13 form a Y-shaped structure.
Control end 12 is equipped with the sealing plug 2 with the sealed setting of negative pressure end 13, and sealing plug 2 is the rubber material, and sealing plug 2 is close to the one end external diameter of guide rod 3 and is greater than the internal diameter of control end 12, and when needs, can realize carrying out the shutoff to control end 12 through the interference fit between sealing plug 2 and the control end 12, and then avoids control end 12 to appear leaking gas the circumstances such as.
The sealing plug 2 is fixedly connected with a guide rod 3, the guide rod 3 penetrates through the interior of the catheter 1 from a control end 12, the other end of the guide rod is led out from a bolt removing end 11, the other end of the guide rod 3 is fixedly connected with a plurality of guide wires 4, and the guide wires 4 are fixedly connected with a plurality of bolt removing rings 5.
The guide wire 4 and the thrombectomy ring 5 are both made of titanium-nickel memory alloy, the guide wire 4 is of a wire-shaped structure with the diameter of less than 0.1 mm, and the thrombectomy ring 5 is of a circular ring structure formed by metal wires with the diameter of less than O.15 mm.
Guide wire 4 and remove the embolic ring 5 and all be located catheter 1 under the normality, after catheter 1 runs through the thrombus, make guide wire 4 and remove embolic ring 5 and remove the catheter 1 outside through guide rod 3 this moment, guide wire 4 and remove embolic ring 5 this moment will reply deformation under the intensification effect of blood, and then realize removing embolic ring 5 this moment will expand and set up with the laminating of blood vessel inner wall, when pulling guide rod 3 or catheter 1 this moment, all can drive and remove embolic ring 5 and remove, when removing embolic ring 5 and remove thrombus and blood vessel junction, remove embolic ring 5 this moment will cut the thrombus, and then realize that the thrombus this moment will separate with the blood vessel inner wall gradually, and can ensure to carry out many times cutting to thrombus and blood vessel junction through setting up a plurality of embolic rings 5 that remove, and then ensure to make thrombus and blood vessel thoroughly separate.
One end of the catheter 1 close to the fastening end 11 is provided with an adsorption component 6, the adsorption component 6 is composed of a through groove 61 and a blocking net 62, the through groove 61 is arranged on the side wall of the catheter 1, the blocking net 62 is fixedly connected to the outer side of the catheter 1, and the blocking net 62 is fixedly connected to one side of the through groove 61 far away from the fastening end 11.
When the catheter 1 cuts the thrombus through the thrombus or the thrombus removal ring 5 to generate small thrombus, the thrombus at the moment is filtered by the blocking net 62 along with the blood flow, and the filtered thrombus moves towards the direction of the through groove 61 under the impact of the blood until the thrombus enters the inside of the catheter 1, and in the process, the blocking net 62 reduces the influence on the blood circulation as much as possible.
Negative pressure end 13 is equipped with negative pressure mechanism 7, negative pressure mechanism 7 comprises a negative pressure section of thick bamboo 71, sealed ring 72, control lever 73 and control panel 74, negative pressure section of thick bamboo 71 one end is equipped with the suction head 76 with negative pressure end 13 matched with, the negative pressure section of thick bamboo 71 other end is the opening setting, and sealed ring 72 seals sliding connection inside negative pressure section of thick bamboo 71, the one end fixed connection of suction head 76 is kept away from with sealed ring 72 to control lever 73, the one end and the control panel 74 fixed connection that sealed ring 72 was kept away from to control lever 73.
When pulling control lever 73 through control panel 74 and moving towards the direction of keeping away from suction head 76, control lever 73 will drive sealed ring 72 and move this moment, and then realize negative pressure section of thick bamboo 71 this moment, will form certain negative pressure in the cavity between sealed ring 72 and the suction head 76, make the inside certain negative pressure that produces of pipe 1 through the negative pressure this moment, and then realize logical groove 61 this moment and will produce the negative pressure, and then ensure that logical groove 61 actually has certain adsorption affinity to the thrombus near logical groove 61, the thrombus will enter into negative pressure section of thick bamboo 71 from pipe 1 this moment at the effect of negative pressure simultaneously, and then ensure to continue the suction to the thrombus to logical groove 61, avoid the thrombus to take place along with the condition of blood "escape".
Spacing 8 of fixedly connected with on the control lever 73, be equipped with a plurality of spacing grooves 81 on the spacing 8, the inside fixedly connected with of negative pressure section of thick bamboo 71 and spacing groove 81 matched with limiting plate 75, when pulling the control lever 73 to certain distance, make a negative pressure section of thick bamboo 71, after the inside negative pressure of cavity between sealed ring 72 and the suction head 76 reaches certain value, accessible this moment rotates control lever 73, control lever 73 will drive spacing 8 and rotate, spacing groove 81 on the spacing 8 will cooperate with the limiting plate 75 on the negative pressure section of thick bamboo 71, and then realize spacing to spacing 8, and then realize spacing to control lever 73, and then ensure that sealed ring 72 removes to realize spacing to sealed ring 72 after certain distance.
The outside cover of negative pressure end 13 is equipped with solid fixed ring 14, is equipped with the bolt piece 15 that changes solid fixed ring 14 internal diameter on the solid fixed ring 14, can ensure through twisting bolt piece 15 that the connection between the suction head 76 of the guarantee negative pressure end 13 of pipe 1 and negative pressure section of thick bamboo 71 is inseparabler, avoids appearing the condition of gas leakage.
13 lateral wall fixedly connected with mounting 9 of negative pressure end, threaded connection has threaded rod 91 on mounting 9, threaded rod 91 is located the inboard rotation of mounting 9 and is connected with restrictor plate 92, when the inside thrombus of negative pressure section of thick bamboo 71 and blood are more, through rotating threaded rod 91 this moment, threaded rod 91 will realize extrudeing negative pressure end 13 through restrictor plate 92, and then ensure that negative pressure end 13 can be in confined state temporarily, and then convenient follow-up change to negative pressure section of thick bamboo 71.
The operating principle of the present invention will now be described as follows:
the catheter 1 is first controlled to move inside the vessel, then until after the catheter 1 has passed through the thrombus, the guide rod 3 is then pushed so that the guide rod 3 pushes the guide wire 4 and the thrombectomy ring 5 to move away from the catheter 1 and into the vessel.
Guide wire 4 this moment and remove the embolic ring 5 and will reply deformation under the intensification effect of blood, and then realize that the embolic ring 5 that removes this moment will expand and the laminating setting of blood vessel inner wall, when pulling guide rod 3 or pipe 1 this moment, all can drive and remove embolic ring 5 and remove, when removing embolic ring 5 and remove to thrombus and blood vessel junction, remove embolic ring 5 this moment will cut the thrombus, and then realize that the thrombus of this moment will separate with blood vessel inner wall gradually, and can ensure to carry out the cutting many times to thrombus and blood vessel junction through setting up a plurality of embolic ring 5 that remove, and then ensure to make thrombus and blood vessel thoroughly separate.
Control panel 74 pulling control lever 73 removes towards the direction of keeping away from suction head 76, control lever 73 will drive sealed ring 72 and remove this moment, and then realize negative pressure section of thick bamboo 71 this moment, will form certain negative pressure in the cavity between sealed ring 72 and the suction head 76, make the inside certain negative pressure that produces of pipe 1 through the negative pressure this moment, and then realize logical groove 61 this moment and will produce the negative pressure, and then ensure that logical groove 61 actually has certain adsorption affinity to the thrombus near logical groove 61, the thrombus will enter into negative pressure section of thick bamboo 71 from pipe 1 this moment at the effect of negative pressure simultaneously, and then ensure to continue the suction escape to logical groove 61 to the thrombus, avoid the thrombus to take place along with the condition of blood "this moment".
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents, improvements and the like that fall within the spirit and principle of the present invention are intended to be included therein.

Claims (7)

1. A cerebral nerve vessel thrombus extraction device comprises a catheter (1) and is characterized in that one end of the catheter (1) is provided with a de-tying end (11), the other end of the catheter (1) is provided with a control end (12) and a negative pressure end (13), the control end (12) is provided with a sealing plug (2) which is hermetically arranged with the negative pressure end (13), the sealing plug (2) is fixedly connected with a guide rod (3), the guide rod (3) penetrates through the interior of the catheter (1) from the control end (12) and the other end of the guide rod is led out from the de-tying end (11), the other end of the guide rod (3) is fixedly connected with a plurality of guide wires (4), the guide wires (4) are fixedly connected with a plurality of de-tying rings (5), one end of the catheter (1) close to the de-tying end (11) is provided with an adsorption component (6), and the negative pressure end (13) is provided with a negative pressure mechanism (7), negative pressure mechanism (7) comprise negative pressure section of thick bamboo (71), sealed ring (72), control lever (73) and control panel (74), negative pressure section of thick bamboo (71) one end be equipped with negative pressure end (13) matched with suction head (76), the negative pressure section of thick bamboo (71) other end sets up for the opening, just sealed sliding connection of ring (72) is inside negative pressure section of thick bamboo (71), the one end fixed connection of suction head (76) is kept away from with sealed ring (72) in control lever (73), the one end and control panel (74) fixed connection of sealed ring (72) are kept away from in control lever (73).
2. The cerebrovascular thrombus extraction device according to claim 1, wherein the guide wire (4) and the thrombus removal ring (5) are both made of a titanium-nickel memory alloy, the guide wire (4) is a wire-shaped structure with a diameter of 0.1 mm or less, and the thrombus removal ring (5) is a circular ring structure made of a metal wire with a diameter of O.15 mm or less.
3. The device for removing the thrombus of the cerebral nerve and blood vessel as claimed in claim 1, wherein the sealing plug (2) is made of rubber, and the outer diameter of the end of the sealing plug (2) close to the guide rod (3) is larger than the inner diameter of the control end (12).
4. The cerebrovascular thrombus extraction device according to claim 1, wherein the adsorption component (6) is composed of a through groove (61) and a blocking net (62), the through groove (61) is arranged on the side wall of the catheter (1), the blocking net (62) is fixedly connected on the outer side of the catheter (1), and the blocking net (62) is fixedly connected on one side of the through groove (61) far away from the tethering end (11).
5. The device for taking out the thrombus of the cerebral neurovascular thrombus as claimed in claim 1, wherein a limiting strip (8) is fixedly connected to the control rod (73), a plurality of limiting grooves (81) are formed in the limiting strip (8), and a limiting plate (75) matched with the limiting grooves (81) is fixedly connected to the inside of the negative pressure cylinder (71).
6. The cerebrovascular thrombus extraction device according to claim 1, wherein a fixing ring (14) is sleeved outside the negative pressure end (13), and the fixing ring (14) is provided with a bolt piece (15) for changing the inner diameter of the fixing ring (14).
7. The cerebrovascular thrombus extraction device as claimed in claim 1, wherein a fixing member (9) is fixedly connected to the outer side wall of the negative pressure end (13), a threaded rod (91) is connected to the fixing member (9) in a threaded manner, and a restrictor plate (92) is rotatably connected to the threaded rod (91) and is positioned on the inner side of the fixing member (9).
CN202110746309.5A 2021-07-01 2021-07-01 Cerebral nerve and blood vessel thrombus removing device Pending CN113456173A (en)

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