CN114469227B - Turbulence device in bag - Google Patents

Turbulence device in bag Download PDF

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Publication number
CN114469227B
CN114469227B CN202210002480.XA CN202210002480A CN114469227B CN 114469227 B CN114469227 B CN 114469227B CN 202210002480 A CN202210002480 A CN 202210002480A CN 114469227 B CN114469227 B CN 114469227B
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CN
China
Prior art keywords
blade
developing ring
bag
spoiler
blade tip
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CN202210002480.XA
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Chinese (zh)
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CN114469227A (en
Inventor
梁栋
吕怡然
高洪亮
抗超
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Eco Medical Devices Beijing Co ltd
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Eco Medical Devices Beijing Co ltd
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Priority to CN202210002480.XA priority Critical patent/CN114469227B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12031Type of occlusion complete occlusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12109Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel
    • A61B17/12113Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in a blood vessel within an aneurysm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12168Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device having a mesh structure

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

Abstract

The invention provides an in-bag turbulence device which comprises a plurality of blades, a plurality of blade tip wires, an upper developing ring, a lower developing ring and a movable developing ring, wherein each blade tip wire extends from the blade root of the corresponding blade to pass through the blade tip, the tip ends of the blade tip wires are fixed on the upper developing ring, the blade root of the plurality of blades is fixed on the lower developing ring, and each blade is arranged on the corresponding blade tip wire through the corresponding movable developing ring and can slide on the corresponding blade tip wire. The intra-bag turbulence device vein net is positioned in the neck of the aneurysm and is attached to the neck of the aneurysm, the aneurysm is not completely filled or the spring ring is added for assistance, the space occupying effect is reduced, compared with the traditional treatment mode, the intra-bag turbulence device vein net reduces the operation in blood vessels, stent-like articles are not required to be implanted into the artery carrying the aneurysm, the occurrence probability of thrombus events in the operation period is reduced, meanwhile, a patient does not need to take double-antibody medicines after treatment, and the safety is improved.

Description

Turbulence device in bag
Technical Field
The invention relates to the field of medical instruments, in particular to an intracapsular turbulence device.
Background
Intravascular devices such as catheters are often used in the medical field. Catheters are typically inserted into a patient's femoral, radial, carotid, or jugular vein and pass through the patient's blood vessels to the heart, brain, or other target anatomy. Typically, the guidewire is first directed to the target anatomy, and one or more catheters are then passed through the guidewire and directed to the target anatomy. Once in place, the catheter can be used to deliver drugs, stents, embolic devices, radiopaque dyes, or other devices or substances for treating a patient in a desired manner. In other cases, the catheter and guidewire are simultaneously delivered toward the target anatomy while the guidewire is within the catheter, and then the guidewire is further delivered into the anatomy by translating within the catheter.
Aneurysms are hemangioid projections that result from abnormal changes in the local blood vessels of the arteries. Subarachnoid hemorrhage due to rupture of aneurysms is often associated with very high mortality rates. Patients may be life threatening at any time if the aneurysm does not have a good treatment. The intracapsular spoiler device is currently a mesh device configured to fully deploy within the aneurysm, with the interstices of the mesh covering the neck of the aneurysm and reconstructing the aneurysm-carrying blood vessel interface. The intracapsular spoiler device can be used to treat wide-neck aneurysms and aneurysmal ruptures. Since the intracapsular spoiler device is fully placed within the aneurysm, the tumor-bearing and branched blood vessels are unobstructed and can be accessed during treatment for any further retreatment or subsequent deployment of the auxiliary device. The prior art spherical or spheroid-like intracapsular spoiler devices have the following problems: residual blood flow in the intracapsular spoiler device; poor developing property, and can not judge the covering effect of the tumor neck; the model is limited and can not adapt to aneurysms or wide neck aneurysms with various forms. The wide carotid aneurysm, which is only suitable for the bifurcation of the blood vessel, cannot be treated for most sidewall type aneurysms.
The invention aims to provide a novel intracapsular spoiler device which can solve the problems of the existing intracapsular spoiler device.
Disclosure of Invention
The invention aims to provide a novel intracapsular turbulence device which can adapt to a plurality of aneurysms of different types. The aim of the invention is achieved by the following technical scheme.
One embodiment of the present invention provides an in-bag turbulence device, wherein the in-bag turbulence device includes a plurality of blades, a plurality of blade tip wires, an upper developing ring, a lower developing ring, and a movable developing ring, each blade tip wire extends from a blade root of a corresponding blade through a blade tip, a blade tip end is fixed to the upper developing ring, a blade root of the plurality of blades is fixed to the lower developing ring, and each blade is disposed on the corresponding blade tip wire through the corresponding movable developing ring and is capable of sliding thereon.
According to the present invention, there is provided an intracapsular spoiler according to the above-described one embodiment, wherein the intracapsular spoiler comprises four blades, each of which comprises a blade-shaped blade edge wire and a vein mesh provided in the blade edge wire.
According to the intracapsular spoiler device provided by the embodiment of the invention, each blade comprises a first area A and a second area B, the first area A and the second area B of two adjacent blades overlap to form a blade overlapping area C, and the blade overlapping area C is positioned at a tumor diameter opening.
According to the invention, the intracapsular spoiler device is provided, wherein two opposite blade roots are opposite and have no overlapping areas.
According to the intracapsular spoiler device provided by the embodiment of the invention, the vein mesh is of a woven structure.
According to the intracapsular spoiler provided by the embodiment of the invention, the vein mesh is formed by independently weaving nickel-titanium alloy wires, cobalt-chromium alloy wires and stainless steel wires.
According to the intracapsular spoiler device provided by the embodiment of the invention, the vein mesh is formed by braiding nickel-titanium alloy wires, cobalt-chromium alloy wires, stainless steel wires and radiopaque wires together.
According to the in-bag turbulence device provided by the embodiment of the invention, the upper developing ring, the lower developing ring and the movable developing ring are metal developing rings.
According to the in-bag spoiler device provided by the embodiment of the invention, the lower developing ring comprises a columnar wall part and a plurality of annular grooves arranged on the columnar wall part.
According to the invention, the blade root of each blade is fixed on the annular groove of the corresponding lower developing ring.
According to the present invention, there is provided an intracapsular spoiler according to the above-described one embodiment, wherein the intracapsular spoiler comprises a compressed state and an expanded state.
The intracapsular spoiler according to one embodiment of the present invention has the following advantages:
because the vein net of the intra-bag turbulence device provided by the invention is positioned in the neck opening of the aneurysm and is attached to the neck opening of the aneurysm, the aneurysm is not completely filled or the assistance of a spring ring is added, and the space occupying effect is reduced.
Because the intracapsular spoiler device provided by the invention is provided with the blade edge silk and the blade tip silk which are connected with the vein net, and the blade edge silk, the blade tip silk and the vein net are completely in the aneurysm sac, the vein net can be fixed, and the vein net is prevented from protruding into a blood vessel or falling into the aneurysm, so that an auxiliary bracket or a filling spring ring is avoided, and the cost is saved.
Because the vein net of the intracapsular spoiler device provided by the invention can be completely attached to the neck of an aneurysm, the intrasaccular spoiler device can adapt to aneurysms with different shapes relative to a spherical embolic device, and can be used for treating ruptured and uncracked intracranial wide carotid aneurysms, bifurcation aneurysms and side wall aneurysms.
Because the intracapsular spoiler device provided by the invention is placed without affecting the tumor-bearing artery, other tiny blood branches can not be blocked after the intracapsular spoiler device is released, and the risk of blocking other branches is reduced relative to the blood flow guiding device.
Because the vein net of the intracapsular spoiler device provided by the invention completely seals the neck of the aneurysm, the risk of delayed rupture of the aneurysm is reduced relative to a blood flow guiding device.
Compared with the traditional treatment mode, the intracapsular spoiler device provided by the embodiment of the invention reduces intravascular operation, does not need to implant stent articles into the tumor-carrying artery, reduces the occurrence probability of thrombus events in the operation period, simultaneously, does not need to take double-resistant medicaments after treatment of patients, and improves the safety
Drawings
Other features, objects and advantages of the present invention will become more apparent upon reading of the detailed description of non-limiting embodiments made with reference to the following drawings.
Fig. 1 shows an expanded schematic view of an intracapsular spoiler according to an embodiment of the present invention.
Fig. 2 shows a top view of an intra-balloon turbulence device according to an embodiment of the invention.
Fig. 3 illustrates a front view of an intra-balloon spoiler according to one embodiment of the invention.
FIG. 4 illustrates a schematic view of a blade in a natural inflated state after shaping of an in-bag spoiler according to one embodiment of the invention.
FIG. 5 illustrates a schematic view of the intersection of two adjacent blades of an in-bag spoiler according to one embodiment of the invention.
FIG. 6 illustrates a schematic view of a non-intersecting condition of two opposing blades of an in-bag spoiler according to one embodiment of the invention.
Fig. 7 shows a schematic view of a developing ring of an intra-balloon turbulence device according to one embodiment of the invention.
FIG. 8 illustrates a schematic view of an intra-capsular spoiler in a compressed state according to one embodiment of the invention.
Fig. 9 shows a schematic view of an intracapsular spoiler device in an aneurysm according to an embodiment of the present invention.
Reference numerals and parts list: 1-first blade tip silk, 2-blade edge silk, 3-vein mesh, 4-second blade, 5-lower developing ring, 6-third blade, 7-fourth blade tip silk, 8-movable developing ring, 9-fourth blade, 10-first blade, 11-upper developing ring, 12-second blade tip silk, 13-third blade tip silk, A-first blade region, B-second blade region, C-blade overlap region, 50-wall, 51-annular groove, 100-intracapsular turbulence device, 200-blood vessel, 300-aneurysm.
Detailed Description
The following description of the embodiments of the present invention is provided with reference to the accompanying drawings and examples, and those skilled in the art will readily understand the technical problems, technical solutions and technical effects that the present invention solves from the descriptions in this specification. It is to be understood that the specific embodiments described herein are merely illustrative of the invention and are not limiting of the invention. In addition, for convenience of description, only a portion related to the related invention is shown in the drawings.
It should be noted that, the structures, proportions, sizes, etc. shown in the drawings are only used for being matched with those described in the specification for understanding and reading, and are not intended to limit the applicable limitation of the present invention, so that the present invention has no technical significance, and any modification of structures, changes in proportions or adjustment of sizes, without affecting the efficacy and achievement of the present invention, should still fall within the scope covered by the technical content disclosed in the present invention.
Reference to words such as "first," "second," "the," and the like herein do not denote a limitation of quantity, but rather denote the singular or plural. The terms "comprising," "including," "having," and any variations thereof, are intended to cover a non-exclusive inclusion; for example, a process, method, system, article, or apparatus that comprises a list of steps or modules (elements) is not limited to only those steps or elements but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus. The terms "connected," "coupled," and the like in connection with the present invention are not limited to physical or mechanical connections, but may include electrical connections, whether direct or indirect.
Fig. 1 shows an expanded schematic view of an intracapsular spoiler according to an embodiment of the present invention. Fig. 2 shows a top view of an intra-balloon turbulence device according to an embodiment of the invention. Fig. 3 illustrates a front view of an intra-balloon spoiler according to one embodiment of the invention. As shown in fig. 1-3, the in-bag turbulence device comprises a first blade 10, a second blade 4, a third blade 6, a fourth blade 9, an upper developing ring 11, a lower developing ring 5, a first blade tip wire 1, a second blade tip wire 12, a third blade tip wire 13, a fourth blade tip wire 7 and a plurality of movable developing rings 8, wherein the first blade tip wire 1 penetrates through the blade tip from the blade root of the first blade 10, the second blade tip wire 12 penetrates through the blade tip from the blade root of the second blade 4, the third blade tip wire 13 penetrates through the blade tip from the blade root of the third blade 6, the fourth blade tip wire 7 penetrates through the blade tip from the blade root of the fourth blade 9, the tips of the first blade tip wire 1, the second blade tip wire 12, the third blade tip wire 13 and the fourth blade tip wire 7 are fixed through the upper developing ring 11, the blade roots of the first blade 10, the second blade 4, the third blade 6 and the fourth blade 9 are fixed through the lower developing ring 5, and the blade tips of the first blade 10, the second blade 4, the third blade 6 and the fourth blade 9 are arranged on the corresponding blade tips through the movable developing rings 8 and can slide.
FIG. 4 illustrates a schematic view of a blade in a natural inflated state after shaping of an in-bag spoiler according to one embodiment of the invention. FIG. 5 illustrates a schematic view of the intersection of two adjacent blades of an in-bag spoiler according to one embodiment of the invention. FIG. 6 illustrates a schematic view of a non-intersecting condition of two opposing blades of an in-bag spoiler according to one embodiment of the invention. As shown in fig. 4-6, each blade includes a first blade region a and a second blade region B, and the first blade region a and the second blade region B of two adjacent blades intersect to form a blade overlap region C. The two opposed blade roots are opposed and have no overlapping blade areas.
As shown in fig. 1 to 6, the blade of the in-bag spoiler according to one embodiment of the present invention includes a blade-shaped blade edge wire 2 and a vein mesh 3 provided in the blade edge wire 2. The vein net 3 is a woven structure, and the metal coverage rate of unit area is 30% -40%. The stainless steel wire can be formed by independently braiding nickel-titanium alloy wires, cobalt-chromium alloy wires and stainless steel wires, or jointly braiding nickel-titanium alloy wires, cobalt-chromium alloy wires, stainless steel wires and radiopaque wire.
Fig. 7 shows a schematic view of a developing ring of an intra-balloon turbulence device according to one embodiment of the invention. As shown in fig. 7, the lower developing ring 5 includes a columnar wall portion 50 and a plurality of annular grooves 51 provided on the columnar wall portion at intervals. The blade roots of the four blades may be fixed in the corresponding annular grooves 51 of the lower developing ring. It will be clear to those skilled in the art that the blade roots of the four blades may also be secured in the corresponding annular grooves of the lower developer ring in other ways, while remaining within the scope of the present invention.
As shown in fig. 3, the tip of each blade tip wire of the in-bag spoiler according to one embodiment of the invention may be bent and fixed into the upper developer ring 11. It will be apparent to those skilled in the art that the tip of the tip wire may be secured in the upper developer ring by other means as well, and that it is within the scope of the present invention.
FIG. 8 illustrates a schematic view of an intra-capsular spoiler in a compressed state according to one embodiment of the invention. As shown in fig. 8, the intracapsular spoiler according to an embodiment of the present invention is made of a shape memory alloy except for a developing ring. The developing ring of the in-bag turbulence device according to one embodiment of the present invention is a metal developing ring.
Fig. 9 shows a schematic view of an intracapsular spoiler device in an aneurysm according to an embodiment of the present invention. As shown in fig. 9, the intracapsular spoiler 100 is disposed in the aneurysm 300 of the blood vessel 200, the intracapsular spoiler 100 is in an inflated state, and the blade overlapping region C is located at the tumor diameter opening, increasing the density of woven meshes and blocking blood flow.
The intracapsular spoiler according to one embodiment of the present invention has the following advantages:
because the vein net of the intra-bag turbulence device provided by the invention is positioned in the neck opening of the aneurysm and is attached to the neck opening of the aneurysm, the aneurysm is not completely filled or the assistance of a spring ring is added, and the space occupying effect is reduced.
Because the intracapsular spoiler device provided by the invention is provided with the blade edge silk and the blade tip silk which are connected with the vein net, and the blade edge silk, the blade tip silk and the vein net are completely in the aneurysm sac, the vein net can be fixed, and the vein net is prevented from protruding into a blood vessel or falling into the aneurysm, so that an auxiliary bracket or a filling spring ring is avoided, and the cost is saved.
Because the vein net of the intracapsular spoiler device provided by the invention can be completely attached to the neck of an aneurysm, the intrasaccular spoiler device can adapt to aneurysms with different shapes relative to a spherical embolic device, and can be used for treating ruptured and uncracked intracranial wide carotid aneurysms, bifurcation aneurysms and side wall aneurysms.
Because the intracapsular spoiler device provided by the invention is placed without affecting the tumor-bearing artery, other tiny blood branches can not be blocked after the intracapsular spoiler device is released, and the risk of blocking other branches is reduced relative to the blood flow guiding device.
Because the vein net of the intracapsular spoiler device provided by the invention completely seals the neck of the aneurysm, the risk of delayed rupture of the aneurysm is reduced relative to a blood flow guiding device.
Compared with the traditional treatment mode, the intracapsular spoiler device provided by the embodiment of the invention reduces intravascular operation, does not need to implant stent articles into a tumor-carrying artery, reduces the occurrence probability of thrombus events in an operation period, and simultaneously, does not need to take double-resistance medicines after treatment of patients, thereby improving safety.
While the invention has been described and illustrated with reference to specific embodiments thereof, the description and illustration is not intended to limit the invention. It will be apparent to those skilled in the art that various changes may be made and equivalents may be substituted for elements thereof within the embodiments thereof without departing from the true spirit and scope of the invention as defined by the appended claims. The illustrations may not be drawn to scale. There may be a distinction between technical reproduction in the present invention and actual equipment due to variables in the manufacturing process, etc. Other embodiments of the invention not specifically illustrated may exist. The specification and drawings are to be regarded in an illustrative rather than a restrictive sense. Modifications may be made to adapt a particular situation, material, composition of matter, method or process to the objective, spirit and scope of the present invention. All such modifications are intended to fall within the scope of the claims appended hereto. Although the methods disclosed herein have been described with reference to particular operations being performed in a particular order, it should be understood that these operations may be combined, sub-divided, or reordered to form an equivalent method without departing from the teachings of the present disclosure. Thus, the order and grouping of the operations is not a limitation of the present invention unless specifically indicated herein.

Claims (8)

1. The in-bag turbulence device is characterized by comprising a plurality of blades, a plurality of blade tip wires, an upper developing ring, a lower developing ring and a movable developing ring, wherein each blade tip wire extends from the blade root of the corresponding blade to pass through the blade tip, the tip end of the blade tip wire is fixed on the upper developing ring, the blade root of the plurality of blades is fixed on the lower developing ring, and each blade is arranged on the corresponding blade tip wire through the corresponding movable developing ring and can slide on the corresponding blade tip wire;
each blade comprises a blade-shaped blade edge silk and a vein net arranged in the blade edge silk;
each blade comprises a first area A and a second area B, the first areas A and the second areas B of two adjacent blades are overlapped to form a blade overlapping area C, and the blade overlapping area C is positioned at the tumor diameter opening;
the blade root of each blade is fixed on the annular groove of the corresponding lower developing ring;
the intracapsular spoiler comprises a compressed state and an expanded state.
2. The in-bag spoiler of claim 1, wherein the in-bag spoiler comprises four blades.
3. The in-bag spoiler of claim 2, wherein two opposing blade roots are opposed and have no overlapping blade areas.
4. The intra-balloon turbulence device of claim 2, wherein the vein mesh is a woven structure.
5. The intra-balloon turbulence device of claim 4, wherein the vein mesh is individually woven from nickel-titanium alloy wire, cobalt-chromium alloy, and stainless steel wire.
6. The intra-balloon turbulence device of claim 4, wherein the vein mesh is co-woven from nickel-titanium alloy wire, cobalt-chromium alloy, stainless steel wire, and radiopaque wire.
7. The in-bag spoiler of claim 1, wherein said upper developing ring, said lower developing ring and said movable developing ring are metallic developing rings.
8. The intra-bag spoiler of claim 2, wherein the lower developer ring includes a cylindrical wall portion and a plurality of annular grooves provided on the cylindrical wall portion.
CN202210002480.XA 2022-01-04 2022-01-04 Turbulence device in bag Active CN114469227B (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109561896A (en) * 2016-05-26 2019-04-02 纳米结构公司 The system and method for embolic occlusive for neuro-vascular aneurysms
CN109789008A (en) * 2016-09-14 2019-05-21 美帝诺有限公司 Aneurysm occlusion device
CN113069170A (en) * 2021-04-30 2021-07-06 上海暖阳医疗器械有限公司 Aneurysm occlusion device

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11090078B2 (en) * 2016-12-05 2021-08-17 Daniel E. Walzman Alternative use for hydrogel intrasaccular occlusion device with vertically oriented reinforcement members for structural support
US11272939B2 (en) * 2018-12-18 2022-03-15 DePuy Synthes Products, Inc. Intrasaccular flow diverter for treating cerebral aneurysms

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109561896A (en) * 2016-05-26 2019-04-02 纳米结构公司 The system and method for embolic occlusive for neuro-vascular aneurysms
CN109789008A (en) * 2016-09-14 2019-05-21 美帝诺有限公司 Aneurysm occlusion device
CN113069170A (en) * 2021-04-30 2021-07-06 上海暖阳医疗器械有限公司 Aneurysm occlusion device

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