CN105496507A - Device for dredging cardio-cerebral vessels and cleaning vascular thrombosis - Google Patents

Device for dredging cardio-cerebral vessels and cleaning vascular thrombosis Download PDF

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Publication number
CN105496507A
CN105496507A CN201610063058.XA CN201610063058A CN105496507A CN 105496507 A CN105496507 A CN 105496507A CN 201610063058 A CN201610063058 A CN 201610063058A CN 105496507 A CN105496507 A CN 105496507A
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China
Prior art keywords
guiding catheter
microtubular
microcatheter
micro
cleaning
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CN201610063058.XA
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Chinese (zh)
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李新民
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Individual
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Individual
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Priority to CN201610063058.XA priority Critical patent/CN105496507A/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
    • A61B17/22004Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves
    • A61B17/22012Implements 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 using mechanical vibrations, e.g. ultrasonic shock waves in direct contact with, or very close to, the obstruction or concrement
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • 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
    • 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
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22035Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
    • 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
    • A61B2017/22038Implements 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 a guide wire
    • 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
    • A61B2017/22038Implements 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 a guide wire
    • A61B2017/22042Details of the tip of the guide wire
    • 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
    • A61B2017/22051Implements 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 an inflatable part, e.g. balloon, for positioning, blocking, or immobilisation
    • A61B2017/22065Functions of balloons
    • A61B2017/22067Blocking; Occlusion
    • 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
    • A61B2017/22081Treatment of vulnerable plaque

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Vascular Medicine (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Child & Adolescent Psychology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to a device for dredging cardio-cerebral vessels and cleaning vascular thrombosis, and belongs to the technical field of medical appliance structures. The device comprises a guiding catheter, wherein an inflatable balloon which can be inflated and deflated is arranged on the outer wall of the guiding catheter, and a microcatheter is inserted in the guiding catheter; a part of the microcatheter is positioned inside the guiding catheter, and a part of the microcatheter is positioned outside the guiding catheter; a driving mechanism used for driving the microcatheter to rotate and a sucking device are arranged on the microcatheter; sucking holes are distributed in partial wall of the microcatheter; a micro-guiding wire is inserted in the microcatheter; a detachable anti-thrombus ball net is arranged at one end of the micro-guiding wire; and a reticular vessel stent for supporting vessels is arranged outside the micro-catheter, and is of a cylindrical shape after being unfolded. The device is reasonable in structure design, simple and convenient to operate and strong in plasticity, can be used for sucking and cleaning thrombus while dredging vessels, and has a vessel supporting effect.

Description

A kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism
Technical field
The present invention relates to a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism, belong to technical field of medical appliance structures.
Background technology
Cerebral thrombosis is more common in middle-aged and elderly people, and cerebral thrombosis is the modal type of cerebral infarction.That cerebral arteries trunk or cortical branches atherosclerosis cause Aldosterone, luminal stenosis obturation and thrombosis, brain regional blood flow is caused to reduce or blood supply interruption, brain tissue ischemia anoxia causes the focal neurological symptom of softening downright bad appearance, that in ischemic cerebrovascular, morbidity is anxious, the acute cerebrovascular disease that lethal, disability rate is high.
Because allowing the time compole carrying out endovascular treatment short, very easily cause massive cerebral infarction, old people's body constitution is poor, and case fatality rate and disability rate are very high.Medical intravenous or the Arterial thrombolysis method of adopting treats thrombosis more at present, and wherein, intravenous thrombolysis therapy takes up rate less than 30%, and Arterial thrombolysis treatment takes up rate less than 60%, and postoperative hemorrhage rate is up to more than 10%.
Summary of the invention
The object of the invention is to the weak point solving the existence of above-mentioned prior art, there is provided a kind of reasonable in design, easy and simple to handle, plasticity is strong, thrombosis can be removed clean while dredging vascellum, and there is the device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism of vessel support effect.
One of the present invention is used for conducting cardiovascular and cerebrovascular vessel, the device of cleaning blood vessel embolism, its special character is to comprise guiding catheter 1, the outer wall of guiding catheter 1 is provided with can the inflating balloon 2 of inflation/deflation, microtubular 3 is inserted with in guiding catheter 1, it is inner that microtubular 3 part is positioned at guiding catheter 1, it is outside that part is positioned at guiding catheter 1, microtubular 3 is provided with the driving mechanism 4 for driving microtubular 3 to rotate and aspirator 9, the section tubular wall of microtubular 3 is laid with sucker 5, micro-wire 6 is inserted with in microtubular 3, one end of micro-wire 6 is provided with dismountable anti-bolt net 7, the outside of microtubular 3 is provided with the netted intravascular stent 8 for support blood vessels, in cylindricality after intravascular stent 8 launches,
Further, in order to more convenient to use, described driving mechanism 4 is micromotor;
Further again, the diameter of described sucker 5 is 1-2mm
Further again, the aperture of described anti-bolt net 7 is 4mm*4mm;
Further, the outer surface of described intravascular stent 8 is coated with biomembrane.
Of the present invention for conducting cardiovascular and cerebrovascular vessel, the device of cleaning blood vessel embolism, smart structural design, during use, first insert guiding catheter from femoral artery, by micro-wire, guiding catheter 1 is positioned over thrombosis proximal part, then microtubular is placed in guiding catheter by micro-wire, open the inflating balloon on guiding catheter, blood flow capable of blocking after inflating balloon inflation, start driving mechanism, driving mechanism drives microtubular to rotate, rotation limit, microtubular limit is aspirated, arrive thrombosis body distal end, by micro-wire, anti-bolt net is put into thrombosis distal end to open, inflating balloon is exitted simultaneously, open blood flow, rotate with microtubular while aspirate, the thrombosis of thrombus area is all aspirated totally, in aspiration procedure, the thrombosis fragment come off is stopped completely by the anti-bolt net being positioned at distal end, avoid thrombosis at a distance, after operation is satisfied, anti-bolt net is taken out, outer surface is coated with biomembranous intravascular stent and puts into endovascular thrombus area, support blood vessels.
In sum, the present invention has following beneficial effect:
1, thrombus cleaning is totally thorough;
2, suction limit, microtubular 3 limit is rotated, and reduce thrombosis by disturbance, anti-tampon fragment causes distal vessels thromboembolism;
3, anti-bolt net can be tackled the thrombosis fragment come off after opening, and avoids distal end portion blood vessel embolism;
4, increase the protection to damaged vessel walls, be with biomembranous intravascular stent 8 pairs of thrombi blood vessels to play support and protective effect;
5, inflating balloon can of short duration occluding vascular, reduces the movement of thrombosis;
6, easy and simple to handle, efficiency is high, and greatly reduce the lethal disability rate of cerebral thrombosis, take up rate and reach 93.3%, postoperative hemorrhage rate is less than 6%.
Accompanying drawing explanation
Fig. 1: a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism of the present invention does not insert structural representation during intravascular stent;
Fig. 2: a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism of the present invention inserts the structural representation after intravascular stent.
In figure: 1, guiding catheter; 2, inflating balloon; 3, microtubular; 4, driving mechanism; 5, sucker; 6, micro-wire; 7, anti-bolt net; 8, intravascular stent.
Detailed description of the invention
Be clearly and completely described the technical scheme in the embodiment of the present invention below, obviously, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art, in the every other embodiment not having to obtain under creative work prerequisite, belong to the scope of protection of the invention.
Embodiment 1
The one of the present embodiment is used for conducting cardiovascular and cerebrovascular vessel, the device of cleaning blood vessel embolism, a kind of for conducting cardiovascular and cerebrovascular vessel, the device of cleaning blood vessel embolism, its special character is to comprise guiding catheter 1, the outer wall of guiding catheter 1 is provided with can the inflating balloon 2 of inflation/deflation, microtubular 3 is inserted with in guiding catheter 1, it is inner that microtubular 3 part is positioned at guiding catheter 1, it is outside that part is positioned at guiding catheter 1, microtubular 3 is provided with the driving mechanism 4 for driving microtubular 3 to rotate and aspirator 9, the section tubular wall of microtubular 3 is laid with sucker 5, micro-wire 6 is inserted with in microtubular 3, one end of micro-wire 6 is provided with dismountable anti-bolt net 7, the outside of microtubular 3 is provided with the netted intravascular stent 8 for support blood vessels, in cylindricality after intravascular stent 8 launches, in order to more convenient to use, driving mechanism 4 is micromotor, the diameter of described sucker 5 for the aperture of bolt net 7 anti-described in 1-2mm be 4mm*4mm, the outer surface of described intravascular stent 8 is coated with biomembrane.
Device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism of the present invention has following beneficial effect:
1, thrombus cleaning is totally thorough;
2, suction limit, microtubular 3 limit is rotated, and reduce thrombosis by disturbance, anti-tampon fragment causes distal vessels thromboembolism;
3, anti-bolt net can be tackled the thrombosis fragment come off after opening, and avoids distal end portion blood vessel embolism;
4, increase the protection to damaged vessel walls, be with biomembranous intravascular stent 8 pairs of thrombi blood vessels to play support and protective effect;
5, inflating balloon can of short duration occluding vascular, reduces the movement of thrombosis;
6, easy and simple to handle, efficiency is high, and greatly reduce the lethal disability rate of cerebral thrombosis, take up rate and reach 93.3%, postoperative hemorrhage rate is less than 6%.
The foregoing is only preferred embodiment of the present invention, not in order to limit the present invention, within the spirit and principles in the present invention all, any amendment done, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.

Claims (5)

1. one kind for conducting cardiovascular and cerebrovascular vessel, the device of cleaning blood vessel embolism, it is characterized in that comprising guiding catheter (1), the outer wall of guiding catheter (1) is provided with can the inflating balloon (2) of inflation/deflation, microtubular (3) is inserted with in guiding catheter (1), it is inner that microtubular (3) part is positioned at guiding catheter (1), it is outside that part is positioned at guiding catheter (1), microtubular (3) is provided with the driving mechanism (4) for driving microtubular (3) to rotate and aspirator (9), the section tubular wall of microtubular (3) is laid with sucker (5), micro-wire (6) is inserted with in microtubular (3), one end of micro-wire (6) is provided with dismountable anti-bolt net (7), the outside of microtubular (3) is provided with the netted intravascular stent (8) for support blood vessels, in cylindricality after intravascular stent (8) launches.
2., according to a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism according to claim 1, it is characterized in that described driving mechanism (4) is micromotor.
3., according to a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism according to claim 1, it is characterized in that the diameter of described sucker (5) is 1-2mm.
4., according to a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism described in claim 1 or 2, it is characterized in that the aperture of described anti-bolt net (7) is 4mm*4mm.
5., according to a kind of device for conducting cardiovascular and cerebrovascular vessel, cleaning blood vessel embolism according to claim 1, it is characterized in that the outer surface of described intravascular stent (8) is coated with biomembrane.
CN201610063058.XA 2016-01-30 2016-01-30 Device for dredging cardio-cerebral vessels and cleaning vascular thrombosis Pending CN105496507A (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106073856A (en) * 2016-05-16 2016-11-09 西安交通大学第附属医院 A kind of cardiovascular thromboembolism is got involved and is taken pin device
CN107260252A (en) * 2017-06-29 2017-10-20 武汉大学 Encephalic phlebothrombosis is aspirated and venous return device
CN109199531A (en) * 2018-11-19 2019-01-15 浙江海洋大学 A kind of blood vessel embolism conducting device
CN110013290A (en) * 2018-10-17 2019-07-16 深圳达芬奇创新科技有限公司 Barrier assembly is used in a kind of cleaning of blood vessel depths blood lipid rubbish
CN110859656A (en) * 2019-11-21 2020-03-06 昆山金泰医疗科技有限公司 Water flow replacement thrombus suction device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5876414A (en) * 1995-03-28 1999-03-02 Straub Medical Ag Catheter for detaching abnormal deposits from blood vessels in humans
US6579298B1 (en) * 2000-02-29 2003-06-17 Scimed Life Systems, Inc. Method and apparatus for treating vein graft lesions
CN102335022A (en) * 2010-07-27 2012-02-01 上海理工大学 Locally-plugged thrombus scaler
CN102481158A (en) * 2009-08-27 2012-05-30 施特劳勃医疗器械股份公司 Catheter comprising a protection system for aspirating, fragmenting and extracting removable material from hollow bodies and/or vessels, in particular of the human or animal body
CN102499734A (en) * 2011-11-17 2012-06-20 祖茂衡 Remover for thrombus in stents
CN203354604U (en) * 2013-07-23 2013-12-25 李长江 Thrombus aspiration catheter

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5876414A (en) * 1995-03-28 1999-03-02 Straub Medical Ag Catheter for detaching abnormal deposits from blood vessels in humans
US6579298B1 (en) * 2000-02-29 2003-06-17 Scimed Life Systems, Inc. Method and apparatus for treating vein graft lesions
CN102481158A (en) * 2009-08-27 2012-05-30 施特劳勃医疗器械股份公司 Catheter comprising a protection system for aspirating, fragmenting and extracting removable material from hollow bodies and/or vessels, in particular of the human or animal body
CN102335022A (en) * 2010-07-27 2012-02-01 上海理工大学 Locally-plugged thrombus scaler
CN102499734A (en) * 2011-11-17 2012-06-20 祖茂衡 Remover for thrombus in stents
CN203354604U (en) * 2013-07-23 2013-12-25 李长江 Thrombus aspiration catheter

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106073856A (en) * 2016-05-16 2016-11-09 西安交通大学第附属医院 A kind of cardiovascular thromboembolism is got involved and is taken pin device
CN106073856B (en) * 2016-05-16 2018-09-18 西安交通大学第一附属医院 It is a kind of angiocarpy embolism intervention take pin device
CN107260252A (en) * 2017-06-29 2017-10-20 武汉大学 Encephalic phlebothrombosis is aspirated and venous return device
CN110013290A (en) * 2018-10-17 2019-07-16 深圳达芬奇创新科技有限公司 Barrier assembly is used in a kind of cleaning of blood vessel depths blood lipid rubbish
CN109199531A (en) * 2018-11-19 2019-01-15 浙江海洋大学 A kind of blood vessel embolism conducting device
CN110859656A (en) * 2019-11-21 2020-03-06 昆山金泰医疗科技有限公司 Water flow replacement thrombus suction device

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