CN115227949A - Balloon dilatation catheter - Google Patents

Balloon dilatation catheter Download PDF

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Publication number
CN115227949A
CN115227949A CN202210880697.0A CN202210880697A CN115227949A CN 115227949 A CN115227949 A CN 115227949A CN 202210880697 A CN202210880697 A CN 202210880697A CN 115227949 A CN115227949 A CN 115227949A
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CN
China
Prior art keywords
balloon
inflation
tube
connector
air duct
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Granted
Application number
CN202210880697.0A
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Chinese (zh)
Other versions
CN115227949B (en
Inventor
雷明盛
夏铭锴
马进安
张全
唐沅莉
李佳蔚
李卓
黄家乐
张福英
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ZHANGJIAJIE PEOPLE'S HOSPITAL
Jishou University Zhangjiajie College
Original Assignee
ZHANGJIAJIE PEOPLE'S HOSPITAL
Jishou University Zhangjiajie College
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Priority to CN202210880697.0A priority Critical patent/CN115227949B/en
Publication of CN115227949A publication Critical patent/CN115227949A/en
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Publication of CN115227949B publication Critical patent/CN115227949B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • A61M25/10184Means for controlling or monitoring inflation or deflation
    • A61M25/10185Valves
    • A61M25/10186One-way valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1018Balloon inflating or inflation-control devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0004Catheters; Hollow probes having two or more concentrically arranged tubes for forming a concentric catheter system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1054Balloon catheters with special features or adapted for special applications having detachable or disposable balloons

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A balloon dilatation catheter comprises an inflation tube seat, an inflation tube and a balloon, wherein the inflation tube is movably connected with the balloon. An air duct is arranged in the balloon, a connector is arranged at the front end of the balloon, and the air duct is connected with the connector; the inflatable tube is internally provided with a wire conduit and a stay wire, the end part of the inflatable tube is provided with a conical bulge and an umbrella-shaped elastic connecting sheet, and the end part of the connecting sheet is provided with a buckle which is connected with the stay wire. According to the invention, the end part of the air duct is reduced by the stay wire, the stay wire is inserted into the connector of the balloon, then the stay wire is loosened, and the umbrella-shaped elastic connecting sheet is scattered, so that the connection of the air duct and the balloon is realized. The balloon is inserted into the responsible bronchus, then the balloon is inflated, the balloon is inflated to tightly close and seal the opening of the responsible bronchus, and the airway is separated from the balloon after no air leakage or bleeding is observed, so that serious complications of the airway indwelling in the airway are avoided. After the pneumothorax is closed or hemoptysis is stable, the air duct is connected with the saccule, air is discharged, and the air duct is pulled out.

Description

Balloon dilatation catheter
Technical Field
The invention relates to the technical field of medical instruments, in particular to a balloon dilatation catheter.
Background
A balloon dilatation catheter is a medical intervention device and mainly has the functions of pneumothorax and unstable hemoptysis related liability bronchus blocking treatment. Publication number is CN113289209A discloses sacculus expansion pipe, including the sacculus, the expansion pipe, pipe seat and seal wire, the expansion pipe includes wire guide pipe and sacculus gas tube, the pipe seat is including advancing wire pipe seat and air inlet pipe, it is connected with the one end of wire guide pipe to advance the wire pipe seat, the one end of air inlet pipe seat and sacculus gas tube is connected, the seal wire is worn to establish in the wire guide pipe, the wire guide pipe all extends at the both ends of seal wire, the other end of wire guide pipe and sacculus gas tube all stretches into to the sacculus, the surface that is located the inside sacculus gas tube of sacculus evenly is provided with the inflation inlet along length direction, the inflation inlet is even aerifys the sacculus. The invention utilizes the expansion tube to respectively install the wire guide tube and the balloon inflation tube, and the surface of the tail end of the balloon inflation tube is provided with the uniform inflation port, so as to achieve the purpose of uniform compression, reduce the risk coefficient of compression and solve the technical problem of nonuniform balloon inflation at present.
However, the balloon and the dilating tube are integrated, so that after the balloon is inserted into the responsible bronchus, the balloon and the dilating tube cannot be separated, the dilating tube is still arranged in the responsible bronchus and needs to be kept for a long time, which causes discomfort to the patient and even serious complications and is not favorable for the prognosis of pneumothorax and unstable hemoptysis. There is a need for improvements to existing balloon dilation catheters.
In other words, the intractable pneumothorax is a common and intractable clinical problem, the course of the disease is prolonged, the life quality of the patient is seriously affected, and sometimes complications such as secondary infection, respiratory failure and the like can occur, even the life is threatened. The selective bronchial balloon occlusion is a safe, proper and economical selective bronchial occlusion performed by refractory pneumothorax and unstable hemoptysis, but the balloon and the airway are not detachable, and complications which are difficult to avoid exist.
Disclosure of Invention
The invention aims to solve the technical problems that a balloon and an air duct are not detachable and have difficult-to-avoid complications in selective bronchial balloon occlusion, and provides a balloon dilatation catheter.
In order to achieve the purpose, the invention adopts the technical scheme that: a balloon dilatation catheter comprises an inflation tube seat, an inflation tube and a balloon, wherein the inflation tube is movably connected with the balloon.
Preferably, an air duct is arranged in the balloon, and a plurality of inflation ports are formed in the air duct; the front end of the balloon is provided with a connector, and the air duct is connected with the connector; a one-way valve and a connecting ring are arranged in the connector; be provided with the conduit in the gas tube and act as go-between, the tip of gas tube has the taper arch and has umbelliform elastic connection piece, and the tip of connection piece has the buckle, and the buckle is connected with acting as go-between.
Preferably, the buckle is provided with a through hole, the plurality of buckles are connected into a ring shape through a coil, and the coil is connected with the pull wire.
Preferably, the end of the connecting head is provided with a flexible guide ring.
Preferably, a limiting ring is arranged at the inlet of the connecting ring.
Preferably, the end of the inflation tube is provided with an inflation sealing ring, and the wall of the inflation tube in the inflation sealing ring is provided with a plurality of inflation holes.
The invention has the following beneficial effects:
(1) Insert the wire into the conduit earlier, can let umbelliform elastic connection piece and buckle draw in through acting as go-between, make the air duct tip diminish, then insert in the connector of sacculus. When the buckle enters the connecting ring in the connector, the stay wire is loosened, and the umbrella-shaped elastic connecting piece is scattered under the action of the elastic force of the umbrella-shaped elastic connecting piece, so that the connection of the air duct and the balloon is realized. The tip at the connector is provided with wide-mouth flexible guide ring, and the wide-mouth flexible guide ring is the state of opening under the normal condition, and the air duct of being convenient for inserts, simultaneously because wide-mouth flexible guide ring adopts the flexible material preparation, removes easily and can not harm human trachea.
(2) Then the saccule is sent into the patient responsible bronchus, and then the saccule is inflated from the inflation port of the inflation tube seat, and the inflated saccule seals the patient responsible bronchus. In the process of inflation, gas can enter the inflation sealing ring at the end part of the gas guide tube through the inflation hole, so that the inflation sealing ring expands, and the expanded inflation sealing ring forms sealing with a connecting port of the balloon connector, thereby improving the inflation effect. When the inflation is stopped, the gas in the inflation sealing ring is discharged through the inflation hole, and then the umbrella-shaped elastic connecting piece is folded through the pull wire, so that the air guide tube is separated from the balloon connector, and the air guide tube is pulled out of the human body. Because the connector of the sacculus is internally provided with a one-way air valve similar to the inflation of a basketball and a tire. After the air duct is pulled out of a human body, the balloon filled with air cannot leak air, is kept in an inflated state all the time, and is kept in a responsible bronchus for continuous plugging.
(3) When the balloon needs to be taken out of the responsible bronchus, the umbrella-shaped elastic connecting piece is firstly folded by the stay wire to enable the end part of the air duct to be reduced, then the air duct is inserted into the balloon connector through the wide-mouth flexible guide ring, when the buckle enters the connecting ring in the connector, the stay wire is loosened, and the umbrella-shaped elastic connecting piece is scattered under the action of the elastic force of the buckle, so that the connection of the air duct and the balloon is realized. After the connection is realized, the air duct is continuously pushed inwards, and when the umbrella-shaped connecting piece 6 is positioned at the innermost end of the connecting ring 5, the conical bulge at the end part of the air duct can jack the one-way air valve to discharge the air in the balloon, so that the balloon becomes small. The airway and balloon are then pulled out of the culprit bronchus together.
Drawings
Fig. 1 is a schematic view of the overall structure of a balloon dilatation catheter.
Fig. 2 is a partially enlarged view of the connection head in fig. 1.
In the figure: 1, a balloon; 2, inflating a tube; 3, a gas guide tube; 4, a connector; 5 connecting rings; 6, connecting a sheet; 7 inflating the sealing ring; 8, a conical bulge; 9, buckling; 10 coils; 11, an inflation hole; 12 a flexible guide ring; 13 an inflation inlet; 14 a one-way valve; 15, a connecting port; 16, pulling a wire; 17, a limiting ring; 18 inflation tube seats and 19 conduit tubes.
Detailed Description
The present invention will be described in further detail with reference to examples and drawings, but the present invention is not limited to these examples.
Example 1
As shown in fig. 1 and fig. 2, a balloon dilatation catheter comprises an inflation tube seat 18, an inflation tube 2 and a balloon 1, wherein the inflation tube 2 is movably connected with the balloon 1; an air duct 3 is arranged in the balloon 1, and a plurality of inflation ports 13 are arranged on the air duct 3; the front end of the balloon 1 is provided with a connector 4, and the air duct 3 is connected with the connector 4; a one-way valve 14 and a connecting ring 5 are arranged in the connector 4; a conduit 19 and a pull wire 16 are arranged in the inflation tube 2, the end part of the inflation tube 2 is provided with a conical bulge 8 and an umbrella-shaped connecting sheet 6, the conical bulge 8 is provided with a vent hole, the conduit 19 is connected with the conical bulge 8, the outer end of the conduit 19 is open, and the inner end part of the conduit 19 is closed. The conduit 19 is sealed from the gas-filled tube 2. Because the inflation tube 2 is longer, when in use, a lead needs to be inserted into the conduit 19 to improve the strength of the inflation tube 2, so that the inflation tube 2 can be conveniently sent into a responsible bronchus in a human body. The pull-string 16 extends through the inflation gap or along the outer wall of the conduit 19 or the inner wall of the inflation tube 2. The end of the connecting sheet 6 is provided with a buckle 9, the buckle 9 is provided with a through hole, a plurality of buckles 9 pass through the through hole through a coil 10 to be connected into a ring shape, and the coil 10 is connected with a stay wire 16. The plurality of buckles 9 can also be directly connected with the pull wire 16 through a wire. The end of the connector 4 is provided with a wide-mouth flexible guide ring 12. A limiting ring 17 is arranged at the connecting port 15 of the connecting ring 17. The outer side of the end part of the inflation tube 2 is provided with an inflation sealing ring 7, and the wall of the inflation tube 2 in the inflation sealing ring 7 is provided with a plurality of inflation holes 11. The one-way valve 14 is similar to a basketball, tire inflation one-way valve. When the umbrella-shaped connecting sheet 6 is positioned at the innermost end of the connecting ring 5, the cone-shaped bulge 8 can push the one-way valve 14 open. The balloon is spindle-shaped, adapts to the anatomical shape of the responsible bronchus, increases the contact area between the balloon and the responsible bronchus, and is beneficial to fixing and sealing the responsible bronchus. The surface of the balloon is provided with a groove, a flexible monitoring sensor can be placed in the groove, and the monitoring sensor is connected with monitoring equipment.
Example 2
As shown in fig. 1 and 2, the balloon dilatation catheter comprises an inflation tube seat 18, an inflation tube 2 and a balloon 1, wherein the inflation tube 2 is movably connected with the balloon 1; an air duct 3 is arranged in the balloon 1, and a plurality of inflation ports 13 are arranged on the air duct 3; the front end of the balloon 1 is provided with a connector 4, and the air duct 3 is connected with the connector 4; a one-way valve 14 and a connecting ring 5 are arranged in the connector 4; a conduit 19 and a pull wire 16 are arranged in the inflation tube 2, the end part of the inflation tube 2 is provided with a conical bulge 8 and an umbrella-shaped connecting sheet 6, the conical bulge 8 is provided with a vent hole, the conduit 19 is connected with the conical bulge 8, the outer end of the conduit 19 is open, and the inner end part of the conduit 19 is closed. The conduit 19 is sealed from the gas-filled tube 2. Because the inflation tube 2 is longer, when in use, a lead needs to be inserted into the conduit 19 to improve the strength of the inflation tube 2, so that the inflation tube 2 can be conveniently sent into a responsible bronchus in a human body. The pull-string 16 extends through the inflation gap or along the outer wall of the conduit 19 or the inner wall of the inflation tube 2. The end of the connecting sheet 6 is provided with a buckle 9, the buckle 9 is provided with a through hole, a plurality of buckles 9 pass through the through hole through a coil 10 to be connected into a ring shape, and the coil 10 is connected with a pull wire 16. The end of the connector 4 is provided with a wide-mouth flexible guide ring 12. The one-way valve 14 is similar to a basketball, tire inflation one-way valve. When the umbrella-shaped connecting piece 6 is positioned at the innermost end of the connecting ring 5, the cone-shaped bulge 8 can push the one-way valve 14 open. When the umbrella-shaped connecting piece 6 is positioned at the innermost end of the connecting ring 5, the cone-shaped bulge 8 can push the one-way valve 14 open. The balloon is spindle-shaped, adapts to the anatomical shape of the responsible bronchus, increases the contact area of the balloon and the responsible bronchus, and is beneficial to fixing and sealing the responsible bronchus. The surface of the balloon is provided with a groove, a flexible monitoring sensor can be placed in the groove, and the monitoring sensor is connected with monitoring equipment.
Example 3
As shown in fig. 1 and fig. 2, a balloon dilatation catheter comprises an inflation tube seat 18, an inflation tube 2 and a balloon 1, wherein the inflation tube 2 is movably connected with the balloon 1. An air duct 3 is arranged in the balloon 1, and a plurality of inflation ports 13 are arranged on the air duct 3; the front end of the balloon 1 is provided with a connector 4, and the air duct 3 is connected with the connector 4; a gas one-way valve 14 and a connecting ring 5 are arranged in the connector 4; a conduit 19 and a pull wire 16 are arranged in the inflation tube 2, a conical protrusion 8 and an umbrella-shaped connecting sheet 6 are arranged at the end part of the inflation tube 2, a vent hole is formed in the conical protrusion 8, the conduit 19 is connected with the conical protrusion 8, and the open outer end of the conduit 19 is sealed at the inner end. The conduit 19 is sealed from the gas-filled tube 2. Because the inflation tube 2 is longer, when in use, a lead needs to be inserted into the conduit 19 to improve the strength of the inflation tube 2, so that the inflation tube 2 can be conveniently sent into a responsible bronchus in a human body. The pull-string 16 extends through the inflation gap or along the outer wall of the conduit 19 or the inner wall of the inflation tube 2. The end of the connecting sheet 6 is provided with a buckle 9, the buckle 9 is provided with a through hole, a plurality of buckles 9 pass through the through hole through a coil 10 to be connected into a ring shape, and the coil 10 is connected with a pull wire 16. The end of the connector 4 is provided with a wide-mouth flexible guide ring 12. A limiting ring 17 is arranged at the connecting port 15 of the connecting ring 17. The outer side of the end part of the inflation tube 2 is provided with an inflation sealing ring 7, and the wall of the inflation tube 2 in the inflation sealing ring 7 is provided with a plurality of inflation holes 11. The one-way valve 14 is similar to a basketball, tire inflation one-way valve. When the umbrella-shaped connecting piece 6 is positioned at the innermost end of the connecting ring 5, the cone-shaped bulge 8 can push the one-way valve 14 open. The balloon is spindle-shaped, adapts to the anatomical shape of the responsible bronchus, increases the contact area of the balloon and the responsible bronchus, and is beneficial to fixing and sealing the responsible bronchus. The surface of the balloon is provided with a groove, a flexible monitoring sensor can be placed in the groove, and the monitoring sensor is connected with monitoring equipment.
The above description is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (7)

1. A balloon dilatation catheter comprises an inflation tube seat, an inflation tube and a balloon, and is characterized in that the inflation tube is movably connected with the balloon.
2. The balloon dilatation catheter according to claim 1 wherein an airway tube is provided inside the balloon, the airway tube having a plurality of inflation ports; the front end of the balloon is provided with a connector, and the air duct is connected with the connector; a one-way valve and a connecting ring are arranged in the connector; be provided with the conduit in the gas tube and act as go-between, the tip of gas tube has the taper arch and has umbelliform elastic connection piece, and the tip of connection piece has the buckle, and the buckle is connected with acting as go-between.
3. The balloon dilation catheter according to claim 2 wherein said clips have through holes, and wherein a plurality of said clips are connected in a loop by a coil, said coil being connected to a pull wire.
4. A balloon dilation catheter according to claim 3 wherein the end of the connector is provided with a flexible guide ring.
5. The balloon dilation catheter according to claim 4 wherein a stop collar is provided at the entrance of the connection collar.
6. The balloon dilatation catheter of claim 5 wherein the end of the inflation tube has an inflation sealing ring outside the end, and wherein the wall of the inflation tube within the inflation sealing ring has a plurality of inflation holes.
7. The balloon dilation catheter according to claim 1 wherein a guide wire is placed in the guide wire tube.
CN202210880697.0A 2022-07-25 2022-07-25 Balloon dilation catheter Active CN115227949B (en)

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CN202210880697.0A CN115227949B (en) 2022-07-25 2022-07-25 Balloon dilation catheter

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Application Number Priority Date Filing Date Title
CN202210880697.0A CN115227949B (en) 2022-07-25 2022-07-25 Balloon dilation catheter

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CN115227949B CN115227949B (en) 2023-11-14

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Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4341218A (en) * 1978-05-30 1982-07-27 University Of California Detachable balloon catheter
JPH03114250U (en) * 1990-03-05 1991-11-22
US5700242A (en) * 1994-11-22 1997-12-23 Cordis Corporation Balloon catheter and method for facilitating increased radial expansion
JP2002119598A (en) * 2000-10-13 2002-04-23 Unitika Ltd Indwelling balloon intracatheter
US20070106363A1 (en) * 2005-11-04 2007-05-10 Jan Weber Medical devices having particle-containing regions with diamond-like coatings
JP2007244683A (en) * 2006-03-16 2007-09-27 Sekisui Chem Co Ltd Balloon catheter
JP2007244682A (en) * 2006-03-16 2007-09-27 Sekisui Chem Co Ltd Balloon catheter
JP2007244684A (en) * 2006-03-16 2007-09-27 Sekisui Chem Co Ltd Balloon catheter
US20110290245A1 (en) * 2010-05-27 2011-12-01 Cuevas Brian J Internally Braced Radial Balloon Dilator
US20120191123A1 (en) * 2011-01-21 2012-07-26 Obalon Therapeutics. Inc. Intragastric device
CN103356261A (en) * 2012-03-30 2013-10-23 德普伊新特斯产品有限责任公司 Embolic coil detachment mechanism
CN211798183U (en) * 2019-09-29 2020-10-30 周志斌 Diameter-adjustable expansion balloon catheter

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4341218A (en) * 1978-05-30 1982-07-27 University Of California Detachable balloon catheter
JPH03114250U (en) * 1990-03-05 1991-11-22
US5700242A (en) * 1994-11-22 1997-12-23 Cordis Corporation Balloon catheter and method for facilitating increased radial expansion
JP2002119598A (en) * 2000-10-13 2002-04-23 Unitika Ltd Indwelling balloon intracatheter
US20070106363A1 (en) * 2005-11-04 2007-05-10 Jan Weber Medical devices having particle-containing regions with diamond-like coatings
JP2007244683A (en) * 2006-03-16 2007-09-27 Sekisui Chem Co Ltd Balloon catheter
JP2007244682A (en) * 2006-03-16 2007-09-27 Sekisui Chem Co Ltd Balloon catheter
JP2007244684A (en) * 2006-03-16 2007-09-27 Sekisui Chem Co Ltd Balloon catheter
US20110290245A1 (en) * 2010-05-27 2011-12-01 Cuevas Brian J Internally Braced Radial Balloon Dilator
US20120191123A1 (en) * 2011-01-21 2012-07-26 Obalon Therapeutics. Inc. Intragastric device
CN103356261A (en) * 2012-03-30 2013-10-23 德普伊新特斯产品有限责任公司 Embolic coil detachment mechanism
CN211798183U (en) * 2019-09-29 2020-10-30 周志斌 Diameter-adjustable expansion balloon catheter

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