CN205548597U - Medical operation passageway support - Google Patents

Medical operation passageway support Download PDF

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Publication number
CN205548597U
CN205548597U CN201620207561.3U CN201620207561U CN205548597U CN 205548597 U CN205548597 U CN 205548597U CN 201620207561 U CN201620207561 U CN 201620207561U CN 205548597 U CN205548597 U CN 205548597U
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China
Prior art keywords
expandable stent
connecting portion
walk way
operating walk
medical operating
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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.)
Withdrawn - After Issue
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CN201620207561.3U
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Chinese (zh)
Inventor
黄赤兵
谭明亮
胡文刚
周宏�
宋亚军
肖亚
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Third Military Medical University TMMU
Second Affiliated Hospital of TMMU
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Second Affiliated Hospital of TMMU
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Priority to CN201620207561.3U priority Critical patent/CN205548597U/en
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Publication of CN205548597U publication Critical patent/CN205548597U/en
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Abstract

The embodiment of the utility model discloses medical operation passageway support, include: but the expansion support frame who has a memory function with be used for with the retracted film of people's physical contact, the retracted film cladding in but expansion support frame is last, wherein, it is cylindric that but expansion support frame's both ends connect into through engaged with connecting device, connecting device includes fixed connector, first connecting portion and second connecting portion, first connecting portion with the second connecting portion connect in turn in but keep away from at expansion support frame's both ends the retracted film first connecting portion one side sets up to the wedge face, the second connecting portion are provided with the round hole, the fixed connector through connection each the round hole. The disclosed passageway support of this embodiment is when putting into or extract the human body, because the pipe diameter is adjustable, has avoided causing operating difficulties and the painful problem of patient.

Description

A kind of medical operating walk way support
Technical field
This utility model relates to technical field of medical instruments, particularly relates to a kind of medical operating walk way support.
Background technology
The advantages such as minimally-invasive treatment is widely used clinically, and it is little that it has damage, and post-operative recovery is fast.And in minimally-invasive treatment mistake Journey often need to set up operating walk way or the physiology expanding natural tract or pathologic stenosis by various medical apparatus and instruments, then pass through The tracts such as the passage set up carry out minimally-invasive treatment.
At present, the clinical conventional method setting up operating walk way mainly has following two: a kind of for initially with puncture needle etc. Apparatus punctures, further along puncture needle place different tube diameters fixing sheath pipe gradually expand, to be expanded to required greatly After little, then operated, such as percutaneous renal puncture etc. by sheath pipe internal passage.Another kind of normal for the expansion of natural tract Use method be first along tract insert a thin seal wire as guide thing, insert fixing caliber further along this root seal wire Sheath pipe or the apparatus such as expandable stent, exit seal wire, passage has built, such as Ureteroscopy, intravascular stent etc..
But in Clinical practice, above method all has many deficiencies: uses fixing sheath pipe progressively to expand and not only operates Numerous and diverse, and putting pipe, tube drawing process mesotheca pipe and puncture orifice surrounding tissue direct friction, cause bigger misery to patient; During using fixing sheath enlargement of pipe for natural tract, the caliber of the fixing sheath pipe inserted is relatively big, the most significantly expands Body cavities and tissue, cause bigger misery to patient;And use expandable stent that natural tract is carried out expansion and compare above Method has clear superiority during putting pipe, but it is not drawn out easily after putting pipe, not only limits its range, And owing to such as occurring that emergency situations can not be changed and will affect its safety after placing.
Utility model content
This utility model embodiment provides a kind of medical operating walk way support, is putting solving sheath pipe of the prior art When entering or extract human body, maybe can not extract owing to caliber is unadjustable, cause operating difficulties and the problem of patient's misery.
In order to solve above-mentioned technical problem, this utility model embodiment discloses following technical scheme:
A kind of medical operating walk way support, including: have memory function expandable stent and for the returning of human contact Contracting film, described retracted film is coated on described expandable stent, wherein,
The two ends of described expandable stent connect into cylindrical shape by the attachment means being meshed, and described attachment means includes solid Determining connector, the first connecting portion and the second connecting portion, the described first connecting portion side away from described retracted film is set to wedge Shape face, described second connecting portion is provided with circular hole, and described fixing connector runs through each described circular hole of connection;
Described first connecting portion and described second connecting portion are alternately connected to the two ends of described expandable stent, described expansible Second connecting portion of support one end contacts with the lozenges of the first connecting portion of the other end, and described retracted film expands described Open the force of periphery of support more than the frictional force between the lozenges of described second connecting portion and described first connecting portion.
Preferably, described expandable stent includes nick-eltitanium alloy stent.
Preferably, one end of described expandable stent connects described second connecting portion, and the other end of described expandable stent is even Connect described first connecting portion and the second connecting portion being arranged alternately.
Preferably, described retracted film is coated on the interior outside of described expandable stent.
Preferably, described fixing connector includes connecting line, and described circular hole is arranged along described expandable stent radial direction, Each described circular hole is run through connection in order by connecting line.
Preferably, described fixing connector includes pitman, and described circular hole is arranged along described expandable stent axial direction, Each described circular hole is run through connection in order by pitman.
Preferably, described attachment means includes that nut wire fixer, described nut wire fixer are arranged at described expandable stent footpath To the one end in direction, fix the described connecting line of connection.
Preferably, described expandable stent includes at least one ripple network.
Preferably, the end face diameter of described pitman is more than the diameter of the skeleton of described expandable stent.
Preferably, the inside and outside wall with the described retracted film of human contact is hydrophilic structure.
From above technical scheme, a kind of medical operating walk way support of this utility model embodiment, including: there is memory The expandable stent of function and for the retracted film with human contact, described retracted film is coated on described expandable stent, Wherein, the two ends of described expandable stent connect into cylindrical shape by the attachment means being meshed, and described attachment means includes Fixing connector, the first connecting portion and the second connecting portion, the described first connecting portion side away from described retracted film is set to Lozenges, described second connecting portion is provided with circular hole, and described fixing connector runs through each described circular hole of connection;Described A junction and described second connecting portion are alternately connected to the two ends of described expandable stent, described expandable stent one end Second connecting portion contacts with the lozenges of the first connecting portion of the other end, the described retracted film circle to described expandable stent Zhou Li is more than the frictional force between the lozenges of described second connecting portion and described first connecting portion.
Use the expandable stent in the channel bracket of technique scheme to have memory function, identical with human body temperature or Under close outdoor temperature, the shape of expandable stent is set, expandable stent is arranged to cylindrical shape;Less than human body At a temperature of, described expandable stent is arranged to contraction-like, the caliber of expandable stent now is less than time cylindric.Make Used time, first described channel bracket is inserted body cavity, owing to described expandable stent has memory function, when reaching human body After Nei, compared to human body outside, temperature changes, and expandable stent, under the influence of human body temperature, returns to originally set Fixed shape, expandable stent reverts to cylindrical shape, and retracted film is supported by expandable stent, and channel bracket fully opens, Service aisle has been set up;When pulling out expandable stent, the connecting line on described expandable stent is extracted, described connection The second connecting portion in device is arranged in the lozenges of described first connecting portion, and the elastical retraction mould outside support compels passage Support resilience, the one end of the described expandable stent being connected with described second connecting portion under the effect of retracted film, start to In crimp, the diameter of channel bracket reduces, and alleviates tube drawing resistance, beneficially tube drawing.
Accompanying drawing explanation
In order to be illustrated more clearly that this utility model embodiment or technical scheme of the prior art, below will to embodiment or In description of the prior art, the required accompanying drawing used is briefly described, it should be apparent that, for ordinary skill people For Yuan, on the premise of not paying creative work, it is also possible to obtain other accompanying drawing according to these accompanying drawings.
The first medical operating walk way support overall structure schematic diagram that Fig. 1 provides for this utility model embodiment;
The first medical crosscutting generalized section of operating walk way support that Fig. 2 provides for this utility model embodiment;
The first medical operating walk way support partial schematic diagram that Fig. 3 provides for this utility model embodiment;
Crosscutting section signal during the first medical operating walk way stent collapses that Fig. 4 provides for this utility model embodiment Figure;
Partial schematic diagram when Fig. 5 is not connected with for the first medical operating walk way support that this utility model embodiment provides;
Partial schematic diagram when Fig. 6 connects for the first medical operating walk way support that this utility model embodiment provides;
The second medical operating walk way support overall structure schematic diagram that Fig. 7 provides for this utility model embodiment;
The second medical operating walk way crosscutting generalized section of support that Fig. 8 provides for this utility model embodiment;
The second medical operating walk way support partial schematic diagram that Fig. 9 provides for this utility model embodiment;
The third medical crosscutting generalized section of operating walk way support that Figure 10 provides for this utility model embodiment;
The 4th kind of medical crosscutting generalized section of operating walk way support that Figure 11 provides for this utility model embodiment;
Fig. 1-Figure 11, symbol represents:
1-retracted film, 2-expandable stent, 3-attachment means, 31-fixes connector, 32 first connecting portions, 33-second Connecting portion.
Detailed description of the invention
For the technical scheme making those skilled in the art be more fully understood that in this utility model, below in conjunction with this practicality Accompanying drawing in new embodiment, is clearly and completely described the technical scheme in this utility model embodiment, it is clear that Described embodiment is only a part of embodiment of this utility model rather than whole embodiments.New based on this practicality Embodiment in type, the every other reality that those of ordinary skill in the art are obtained under not making creative work premise Execute example, all should belong to the scope of this utility model protection.
This utility model provides a kind of medical operating walk way and sets up support, by expansion and the form of contraction, reduces and puts Pipe and the tube drawing misery that causes tissue and the risk of damage, the use for sheath pipe provides safe and simple and wide The general suitability.
In order to make those skilled in the art be more fully understood that this utility model scheme, below in conjunction with the accompanying drawings with embodiment pair This utility model is described in further detail.
Embodiment one
See Fig. 1, Fig. 2 and Fig. 3, the first medical operating walk way support that Fig. 1 provides for this utility model embodiment Overall structure schematic diagram, the first medical crosscutting section of operating walk way support that Fig. 2 provides for this utility model embodiment shows It is intended to;The first medical operating walk way support partial schematic diagram that Fig. 3 provides for this utility model embodiment.
This utility model embodiment provides a kind of medical operating walk way support, including: there is expansible of memory function Frame 2 and for the retracted film 1 of human contact, described retracted film 1 is coated on the interior outside of described expandable stent 2.
The two ends of described expandable stent 2 connect into cylindrical shape, described attachment means 3 by the attachment means 3 being meshed Including fixing connector the 31, first connecting portion 32 and the second connecting portion 33, described first away from described retracted film 1 connects Connecing side, portion 32 and be set to lozenges, described second connecting portion 33 is provided with circular hole, and described fixing connector 31 runs through even Connect each described circular hole.
Described expandable stent 2 includes at least one ripple network, and the internal diameter of described ripple network is with described The effect of expansion pipe increases, and described network is then by the ring staggered of both sides mesh skeleton extension and from bracket bottom End extends to top.Described expandable stent 2 can be made up of Nitinol.
Nitinol is a kind of marmem, and marmem is can be by the plastic deformation of self in a certain specific temperature The special alloy of original-shape it is automatically restored under degree.Its expansion and contraction is more than 20%, and fatigue life reaches 1*107, damping Characteristic is higher than common spring 10 times, and its corrosion resistance is better than the most best medical stainless steel, therefore can meet all kinds of Engineering and the application demand of medical science, be the most outstanding a kind of functional material.
Nitinol, in addition to having the shape memory function of uniqueness, also has wear-resistant, anticorrosive, high-damping and super-elasticity Deng excellent characteristics.
Expandable stent 2 in this utility model is not restricted to above-mentioned Nitinol, every material with memory function Matter, and it is suitable for use as medical material.
In this utility model, the material of above-mentioned expandable stent 2 is a kind of implementation therein, but should not As the restriction of this utility model protection domain, those skilled in the art may select other material according to practical situation, Within it all should fall into protection domain of the present utility model.
In this utility model embodiment, one end of described expandable stent 2 connects described second connecting portion 33, described expands The other end opening support 2 connects described first connecting portion 32 and the second connecting portion 33 being arranged alternately, and is arranged so that When described expandable stent 2 shrinks, the one end being only connected with described second connecting portion 33 is inwardly crimped contraction, it is to avoid described When expandable stent 2 shrinks, cause the jam of expandable stent 2 owing to two ends intersect, cause and cannot shrink Situation.
In the present embodiment, the circular hole on the second connecting portion 33 is arranged along the axial direction of described expandable stent 2, described Fixing connector 31 is pitman, and each described circular hole is run through connection in order by pitman.In order to prevent described pitman from existing Will not bend and be difficult to extract in process of expansion, the end face diameter of described pitman should be than described expandable stent 2 Mesh skeleton big.
The fixed form of above-mentioned expandable stent 2 is a kind of implementation therein, but should not be as this The restriction of utility model protection scope, those skilled in the art may select other fixed form according to practical situation, and it is equal Within protection domain of the present utility model should be fallen into.
Expandable stent 2 external diameter should be more slightly larger than described retracted film 1 internal diameter, buries in elastic retracted film 1, to ensure During inserting, do not have described retracted film 1 come off, in order to the uniformity expanded and shrink.
Described retracted film 1 outer layer should be for water wetted material, it is ensured that support reduces friction during inserting, and alleviates patient Painful.Retracted film 1 described in this utility model embodiment can use the elastomeric material of the favorable elasticities such as medical silica-gel film to make.
Before using, expandable stent 2 and retracted film 1 are combined closely, and are in contraction state, as shown in Figure 4, and Fig. 4 For this utility model embodiment provide the first medical operating walk way stent collapses time crosscutting generalized section.Described A junction 32 and the second connecting portion 33 are linked together by described pitman, the two of the most described expandable stent 2 End connects, and described expandable stent 2 is coated with by described retracted film 1.
The first medical operating walk way support that seeing Fig. 5 and Fig. 6, Fig. 5 provides for this utility model embodiment is not connected with Time partial schematic diagram;When Fig. 6 connects for the first medical operating walk way support that this utility model embodiment provides, local shows It is intended to;Described first connecting portion 32 and described second connecting portion 33 are alternately connected to the two ends of described expandable stent 2, Second connecting portion 33 of described expandable stent 2 one end contacts with the lozenges of the first connecting portion 32 of the other end.Institute State the retracted film 1 force of periphery to described expandable stent 2 more than described second connecting portion 33 and described first connecting portion 32 Lozenges between frictional force.
Before using, under the outdoor temperature same or like with human body temperature, the shape of expandable stent 2 is set, can Expandable stent 2 is arranged to cylindrical shape;Less than in the environment of human body temperature, it is arranged to described expandable stent 2 shrink Shape, the caliber of expandable stent 2 now is less than time cylindric.
During use, first described channel bracket is inserted body cavity, owing to described expandable stent 2 has memory function, when After reaching into the human body, compared to human body outside, temperature changes, and expandable stent 2 is under the influence of human body temperature, extensive It is multiple that to the original shape set, expandable stent 2 reverts to cylindrical shape, and retracted film 1 is supported by expandable stent 2, The force of periphery of described expandable stent 2 is more than the force of periphery of described retracted film 1, and the most described expandable stent 2 will not be because of institute State the effect of retracted film 1 and compressed, cause expandable stent 2 to deform or the diameter of channel bracket diminishes, channel bracket Fully opening, service aisle has been set up;When pulling out expandable stent 2, by the pitman on described expandable stent 2 Extracting, the second connecting portion 33 in described attachment means 3 is arranged in the lozenges of described first connecting portion 32, support Outer elastic described retracted film 1 oppresses channel bracket resilience, described expansible be connected with described second connecting portion 33 One end of frame 2, under the effect of retracted film 1, starts to be inwardly crimped, and the diameter of channel bracket reduces, and alleviates tube drawing resistance, It is beneficial to tube drawing.
This utility model compared to existing technology, is managed by arranging expansion so that support enters body when inserting with relatively loculus footpath Chamber, reduces the risk to tract damaging surrounding tissue during inserting;After inserting again slowly radial dilatation body cavities and Tissue, significantly reduces patient suffering;The compressing utilizing retracted film 1 bounces back, and reduces diameter when support is extracted, subtracts Light tube drawing resistance and the misery caused.
Embodiment two
As shown in Fig. 7, Fig. 8 and Fig. 9, the medical operating walk way of the second that Fig. 7 provides for this utility model embodiment props up Frame overall structure schematic diagram;The second medical operating walk way crosscutting section of support that Fig. 8 provides for this utility model embodiment Schematic diagram;The second medical operating walk way support partial schematic diagram that Fig. 9 provides for this utility model embodiment.
The difference of this embodiment and embodiment one is in this embodiment the fixed form of the expandable stent 2 of employing not With.Fixing connector 31 in the present embodiment is not to use pitman, but uses connecting line;On second connecting portion 33 Circular hole arrange along described expandable stent 2 radial direction, from top, orderly equally spaced arrangement combines to end, And the end in described channel bracket has a nut wire fixer, described nut wire fixer to be arranged at described expandable stent 2 One end of radial direction, the described connecting line of fixing connection.Before use, there is a silk thread through each circular hole, by described Expandable stent 2 is fixed as a complete structure, and uses wire fixer to be fixed by silk thread at end;Wait to extract described expansible When support 2 and retracted film 1, turn on nut wire fixer, silk thread is decontroled one end and extracts silk thread out.Due to retracted film 1 Compressing, expandable stent 2 shrinkage crimping, caliber diminishes, and alleviates resistance, be beneficial to tube drawing when extracting.
The fixed form of above-mentioned expandable stent 2 is a kind of implementation therein, but should not be as this The restriction of utility model protection scope, those skilled in the art may select other fixed form according to practical situation, and it is equal Within protection domain of the present utility model should be fallen into.
Embodiment three
As shown in Figure 10, this embodiment difference compared with embodiment one is, the retracted film in the present embodiment is tight Being wrapped in outside expandable stent 2, both are the most inter-adhesive, and expandable stent 2 uses dentation to combine, and utilizes attachment means 3 are connected, and use pitman to be fixed.Before use, described expandable stent 2 is fixed as overall knot by pitman Structure;When extracting described expandable stent 2, pitman is extracted, now due to the compressing of retracted film 1, expansible Frame 2 fracture retraction, in order to after contraction, resistance alleviates, and extracts retracted film 1 and expandable stent 2.For this embodiment, We equally use the binding site identical with embodiment two, use silk thread to be fixed by expandable stent 2, Silk thread can be dismantled when tube drawing, after contraction, remove support and retracted film 1.
Embodiment four
As shown in figure 11, this embodiment difference compared with embodiment three is, expansible in the present embodiment Frame 2 uses multiple binding site, and this position all uses dentation to combine, and utilizes attachment means 3 to be connected, and uses pitman It is fixed.Before use, described expandable stent 2 is fixed as overall structure by each pitman;Extract described can During expandable stent 2, being extracted by each pitman, now due to the compressing of retracted film 1, expandable stent 2 fracture is scattered, So that resistance alleviates after all parts takes out one by one or shrinks, extract retracted film 1 and expandable stent 2.Real for this Executing example, we equally use the binding site identical with embodiment two, use silk thread to be combined by all parts, Each silk thread put can be dismantled when tube drawing, take out one by one after contraction or whole removing is except support.
Visible, channel bracket described in the utility model is in the memory function by expandable stent 2 after inserting body cavity, Realize with the form expanded stent interior lumen of self expandable, it is to avoid when larger-diameter sheath pipe inserts body cavity by force, Significantly expansion body cavities and the situation of tissue, correspondingly reduces the risk of outside expansion damage surrounding tissue, with Time by the way of continuously slowly expansion, expand body cavities and tissue to alleviate patient painful.
It should be noted that in this article, such as the relational terms of " first " and " second " or the like be used merely to by One entity or operation separate with another entity or operating space, and not necessarily require or imply these entities or behaviour Relation or the order of any this reality is there is between work.And, term " includes ", " comprising " or it is any Other variants are intended to comprising of nonexcludability so that include the process of a series of key element, method, article or Equipment not only includes those key elements, but also includes other key elements being not expressly set out, or also includes for this mistake The key element that journey, method, article or equipment are intrinsic.In the case of there is no more restriction, statement " include one It is individual ... " key element that limits, it is not excluded that there is also in including the process of described key element, method, article or equipment Other identical element.
The above is only detailed description of the invention of the present utility model, makes to skilled artisans appreciate that or realize this reality With novel.Multiple amendment to these embodiments will be apparent to one skilled in the art, herein institute The General Principle of definition can realize in the case of without departing from spirit or scope of the present utility model in other embodiments. Therefore, this utility model is not intended to be limited to the embodiments shown herein, and is to fit to disclosed herein Principle and the consistent the widest scope of features of novelty.

Claims (10)

1. a medical operating walk way support, it is characterised in that including: there is the expandable stent (2) of memory function With for the retracted film (1) with human contact, described retracted film (1) is coated on described expandable stent (2), its In,
The two ends of described expandable stent (2) connect into cylindrical shape, described connection by the attachment means (3) being meshed Device (3) includes fixing connector (31), the first connecting portion (32) and the second connecting portion (33), away from described retraction Described first connecting portion (32) side of film (1) is set to lozenges, and described second connecting portion (33) is provided with circular hole, Described fixing connector (31) runs through each described circular hole of connection;
Described first connecting portion (32) and described second connecting portion (33) are alternately connected to described expandable stent (2) The wedge of two ends, second connecting portion (33) of described expandable stent (2) one end and first connecting portion (32) of the other end Shape face contacts, described retracted film to the force of periphery of described expandable stent (2) more than described second connecting portion (33) with Frictional force between the lozenges of described first connecting portion (32).
Medical operating walk way support the most according to claim 1, it is characterised in that described expandable stent (2) Including nick-eltitanium alloy stent.
Medical operating walk way support the most according to claim 1, it is characterised in that described expandable stent (2) One end connect described second connecting portion (33), the other end of described expandable stent (2) connects be arranged alternately described First connecting portion (32) and the second connecting portion (33).
Medical operating walk way support the most according to claim 1, it is characterised in that described retracted film (1) is coated with Interior outside in described expandable stent (2).
Medical operating walk way support the most according to claim 1, it is characterised in that described fixing connector (31) Including connecting line, described circular hole is arranged along described expandable stent (2) radial direction, and each described circular hole is had by connecting line Sequential wear connection.
Medical operating walk way support the most according to claim 1, it is characterised in that described fixing connector (31) Including pitman, described circular hole is arranged along described expandable stent (2) axial direction, and each described circular hole is had by pitman Sequential wear connection.
Medical operating walk way support the most according to claim 5, it is characterised in that described attachment means (3) is wrapped Including nut wire fixer, described nut wire fixer is arranged at one end of described expandable stent (2) radial direction, fixing connection Described connecting line.
Medical operating walk way support the most according to claim 1, it is characterised in that described expandable stent (2) Including at least one ripple network.
Medical operating walk way support the most according to claim 6, it is characterised in that the end face diameter of described pitman Diameter more than the skeleton of described expandable stent (2).
Medical operating walk way support the most according to claim 1, it is characterised in that return with described in human contact The inside and outside wall of contracting film (1) is hydrophilic structure.
CN201620207561.3U 2016-03-17 2016-03-17 Medical operation passageway support Withdrawn - After Issue CN205548597U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832368A (en) * 2016-03-17 2016-08-10 中国人民解放军第三军医大学第二附属医院 Medical operating channel stent

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832368A (en) * 2016-03-17 2016-08-10 中国人民解放军第三军医大学第二附属医院 Medical operating channel stent

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