CN106963529B - A kind of rapid exchange stent imbedding system - Google Patents

A kind of rapid exchange stent imbedding system Download PDF

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Publication number
CN106963529B
CN106963529B CN201710186275.2A CN201710186275A CN106963529B CN 106963529 B CN106963529 B CN 106963529B CN 201710186275 A CN201710186275 A CN 201710186275A CN 106963529 B CN106963529 B CN 106963529B
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China
Prior art keywords
inner tube
guide part
seal wire
tube
slit
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CN201710186275.2A
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Chinese (zh)
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CN106963529A (en
Inventor
曹杰
徐潮伟
唐志
张岚
夏天
陈晓丹
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Micro Tech Nanjing Co Ltd
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Micro Tech Nanjing Co Ltd
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Priority to CN201710186275.2A priority Critical patent/CN106963529B/en
Publication of CN106963529A publication Critical patent/CN106963529A/en
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    • 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
    • A61F2/95Instruments specially adapted for placement or removal of stents or stent-grafts
    • A61F2/962Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve
    • A61F2/966Instruments specially adapted for placement or removal of stents or stent-grafts having an outer sleeve with relative longitudinal movement between outer sleeve and prosthesis, e.g. using a push rod
    • 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
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/09Guide wires
    • 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
    • A61M2025/0008Catheters; Hollow probes having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type

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

Abstract

A kind of rapid exchange stent imbedding system, it is characterized in that the bracket imbedding system (10) includes seal wire (2), inner tube (3), plastic stent (4), guide part, developing ring (7), it is oriented to outer tube (8), front hand grip (15), Handleset (16), boost tube (17) and back handle (18), seal wire (2) setting is in inner tube (3), guiding outer tube (8) proximal end and front hand grip (15) are fixed together, inner tube (3) is fixed on back handle (18) proximally by boost tube (17), developing ring (7) is fixed on inner tube (3), guide part is mounted on inner tube (3).The present invention compared with the prior art for, do not need first to extract seal wire out when Stent Implantation, seal wire can still remain in medical staff needs position.For the present invention because of the position of slit and apart from adjustable, seal wire only needs a short distance that can draw from system, then the above problem is not present.

Description

A kind of rapid exchange stent imbedding system
Technical field
The present invention relates to minimally invasive medical instrument field, especially a kind of rapid exchange stent imbedding system.
Background technique
Last century the seventies are traced back to, at that time, for the jaundice that Malignent Biliary Obstruction causes, alleviation method still has very much Limit.The morbidity and mortality of biliary tract Bypass Surgery are high, and percutaneous liver drainage operation causes pain and bile to be lost, extremely It is also very high to die rate.In the seventies later period, the appearance of biliary tract rack Intra drainage is placed under scope, is the mirror of Malignent Biliary Obstruction Lower treatment brings breakthrough progress.
Relative to Endoscopic nasobiliary drainage, the merging of bile duct inner drainage tube will eliminate patient's oropharynx and nasal cavity not The shortcomings that fitting, overcoming the loss of body fluid caused by nasobiliary drainage, acid-base imbalance and water and rock-soil coupling, it is also unlikely In the feed and instrument that influence patient.But it can not observe the drainage situation of bile after being placed in, can not be rinsed, into Synthesis, adequately assessment should be carried out when row therapeutic choice.
Since Minimally Invasive Surgery does not have to operate on, wound is small, and operating time is short, and complication is few compared with surgical operation, the hospital stays It greatly shortens, it is deep to be welcome by patient.Huge achievement is clinically achieved in short decades, has become current pancreas gallbladder disease The seriously ill treatment means wanted, the market demand are also increasing.
Plastic stent imbedding system currently used in the market is essentially all conventional structure, using 4.5m long seal wire into Row guide instrument, it is inconvenient in change of equipment.In order to make medical staff more convenient using instrument, exchange more rapidly, from And reduce operating time, cause less pain to patient, provide can fast exchange medical instrument and method increasingly have must It wants.
A kind of mainstream fast exchange scheme is that a slope is arranged in guiding tube portion to export, and seal wire enters from inner spout, meets It exports out to guide pipe slope, since it needs to accomplish inner tube completely into bracket is discharged in guide pipe, inner tube needs again The bracket of its releasable longest specification is wanted, therefore the outlet of its slope needs the length at least more than inner tube apart from guide pipe far distance port (its inner tube assembly is made of one piece of steel wire of one section of inner tube and push), then seal wire is drawn from its system, is needed in its system Very long a distance is inside occupied, seal wire, then there may be the defect of curtailment, will be unfavorable for medical care after the introducing of its support system Personnel's operation.
It only punches the shortcomings that directly leading out scheme (COOK) of seal wire on inner pipe currently on the market to be, only on inner pipe Punching, after bracket imbedding system is introduced human body by seal wire, due to the obstruction of seal wire, inner tube cannot be introduced into guide pipe, then bracket It can not discharge, it is therefore necessary to first take out seal wire from system, just releasable bracket, such support system loses seal wire guidance, then Bracket releasing position loses accuracy.
Summary of the invention
The purpose of the present invention is to provide a kind of bracket imbedding systems of fast exchange, to realize the mesh of fast exchange instrument 's.
The technical scheme is that
A kind of rapid exchange stent imbedding system, the bracket imbedding system (10) include seal wire (2), inner tube (3), plastics Bracket (4), guide part, developing ring (7), guiding outer tube (8), front hand grip (15), Handleset (16), boost tube (17) and defensive position Handle (18), seal wire (2) setting are oriented to outer tube (8) proximal end and front hand grip (15) are fixed together, inner tube (3) is close in inner tube (3) End is fixed on back handle (18) by boost tube (17), and developing ring (7) is fixed on inner tube (3), and guide part is mounted on inner tube (3) on, the slit (20) of the release stent length enough of guiding outer tube (8) setting one, inner tube (3) installs guide part, guide part limit Position is placed in slit (20), and inner tube (3) is opened a side opening (3a), and seal wire (2) is inserted into from inner tube (3) front end, encounter guide part from Inner tube (3) is drawn, and by pulling back handle (18) that inner tube (3) is driven to make inner tube (3) completely into guiding outer tube (8), is then moulded Expect that bracket (4) are i.e. releasable, while seal wire (2) can be along slit (20) activity of guiding outer tube (8), thus real on inner tube (3) The fast exchange function of existing instrument.
The seal wire (2) is fast exchange 2.6m short-length guidewires.
Side opening (3a) setting of said inner tube (3) is in distally close guiding outer tube (8) distal end endface position, and side opening The opening direction of (3a) and slit (20) are consistent.
Distal face of slit (20) initial position apart from guide pipe (8) retains a distance.
The guide part is first scheme guide part (5), and first scheme guide part (5) is mounted on inner tube (3) by proximal aperture At (3a), the front end of first scheme guide part (5) has an arc surface (5a), and the rear end of first scheme guide part (5) has One guide protrusions (5b);Wherein: the guide protrusions (5b) of first scheme guide part (5) are placed in slit (20);] seal wire (2) be inserted into side opening (3a) from inner tube (3) front end, seal wire (2) encounter the guide part arc surface (5a) of first scheme guide part (5) from Inner tube (3) is drawn, and by pulling back handle (18) that inner tube (3) is driven to make inner tube (3) completely into guiding outer tube (8), is then moulded Expect that bracket (4) are i.e. releasable;Seal wire (2) can be along slit (20) activity of guiding outer tube (8), thus real on inner tube (3) simultaneously The fast exchange function of existing instrument.
The guide part is alternative plan guide part (35), and alternative plan guide part (35) includes the guiding with arc surface Head (35a) and guide and limit body (35b);The guide head (35a) of alternative plan guide part (35) is mounted in inner tube (3);Second The guide and limit body (35b) of scheme guide part (35) is placed in slit (20), and guide and limit body (35b) is T-type, T-type top Part is wider than the width of slit (20), it is ensured that alternative plan guide part (35) will not because of guide pipe (8) distortion and lose Guiding role;Seal wire (2) is inserted into from inner tube (3) front end, is encountered after the guide head (35a) of alternative plan guide part (35) from inner tube (3) it draws, pulls back handle (18) that inner tube (3) is driven to keep inner tube (3) interior completely into guiding outer tube (8), then plastic stent (4) It is i.e. releasable;Slit (20) of the seal wire (2) on inner tube (3) along guiding outer tube (8) is movable simultaneously, to realize the quick of instrument Function of exchange.
The guide part is third program guide part comprising two independent components, it is respectively only with arc surface Vertical guide head (44) and independent pilot tail (45), independent pilot tail (45) are equipped with protuberance component (46), independent pilot head (44) It being mounted in inner tube (3) with independent pilot tail (45), the protuberance component (46) of independent pilot tail (45) is placed in slit (20), Inner tube (3) is opened a side opening (3a), and seal wire (2) is inserted into from inner tube (3) front end, is drawn after encountering independent pilot head (44) from inner tube (3) Out, inner tube (3) are driven to keep inner tube (3) interior completely into guiding outer tube (8) by pulling back handle (18), then plastic stent (4) It is i.e. releasable, while seal wire (2) can be along slit (20) activity of guiding outer tube (8), to realize the fast of instrument on inner tube (3) Fast function of exchange.
The beneficial effects of the present invention are:
The present invention compared with the prior art for, do not need first to extract seal wire out when Stent Implantation, seal wire can be still It is maintained at the position of medical staff's needs.The present invention because of the position of slit and apart from adjustable, seal wire only need very short one section away from From that can draw from system, then the above problem is not present.
Detailed description of the invention
Fig. 1 is the cross section structure schematic diagram of fast exchange imbedding system of the present invention.
Fig. 2 is one of the schematic diagram of fast exchange imbedding system of the invention.
Fig. 3 is the two of the schematic diagram of fast exchange imbedding system of the invention.
Fig. 4 is the three of the schematic diagram of fast exchange imbedding system of the invention.
Fig. 5 is the four of the schematic diagram of fast exchange imbedding system of the invention.
Fig. 6 is the five of the schematic diagram of fast exchange imbedding system of the invention.
Fig. 7 is the six of the schematic diagram of fast exchange imbedding system of the invention.
Fig. 8 is the structural schematic diagram of the alternative plan of slit of the invention.
Fig. 9 is the structural schematic diagram of alternative plan guide part 35 of the invention.
Figure 10 is the mounting structure schematic diagram of alternative plan guide part 35 of the invention.
Figure 11 is the structural schematic diagram of third program guide part of the invention.
Figure 12 is the mounting structure schematic diagram of third program guide part of the invention.
Specific embodiment
The invention will be further described below in conjunction with the accompanying drawings:
Such as Fig. 1 to Figure 12, a kind of rapid exchange stent imbedding system, the bracket imbedding system (10) include seal wire (2), Inner tube (3), plastic stent (4), guide part, developing ring (7), guiding outer tube (8), front hand grip (15), Handleset (16), boosting (17) and back handle (18) are managed, seal wire (2) setting is oriented to outer tube (8) proximal end and front hand grip (15) is fixed on one in inner tube (3) It rises, inner tube (3) is fixed on back handle (18) proximally by boost tube (17), and developing ring (7) is fixed on inner tube (3), guiding Part is mounted on inner tube (3), the slit (20) of the release stent length enough of guiding outer tube (8) setting one, inner tube (3) installation guiding Part, guide part limit are placed in slit (20), and inner tube (3) is opened a side opening (3a), and seal wire (2) is inserted into from inner tube (3) front end, are touched It is drawn to guide part from inner tube (3), by pulling back handle (18) that inner tube (3) is driven to make inner tube (3) completely into guiding outer tube (8) in, then plastic stent (4) is i.e. releasable, while seal wire (2) can live on inner tube (3) along the slit (20) of guiding outer tube (8) It is dynamic, to realize the fast exchange function of instrument.
The seal wire (2) is fast exchange 2.6m short-length guidewires.
Such as Fig. 3, Fig. 4, distal face of slit (20) initial position apart from guide pipe (8) retains a distance.It can be with Keep inner tube (3) inner more stable in guide pipe (8), while guide pipe (8) retains better intensity when discharging bracket (4), Bracket can smoothly be discharged.
Such as Fig. 5, the side opening (3a) of said inner tube (3) is arranged in distal end close to guiding outer tube (8) distal end endface position, and The opening direction of side opening (3a) and slit (20) are consistent.
Such as Fig. 6, the guide part is first scheme guide part (5), and first scheme guide part (5) is mounted on inner tube (3) and leans on At proximal aperture (3a), the front end of first scheme guide part (5) has an arc surface (5a), after first scheme guide part (5) End has a guide protrusions (5b);Wherein: the guide protrusions (5b) of first scheme guide part (5) are placed in slit (20);] Seal wire (2) is inserted into side opening (3a) from inner tube (3) front end, and seal wire (2) encounters the guide part arc surface of first scheme guide part (5) (5a) is drawn from inner tube (3), by pulling back handle (18) that inner tube (3) is driven to make inner tube (3) completely into guiding outer tube (8) Interior, then plastic stent (4) is i.e. releasable;Seal wire (2) can be movable along the slit (20) for being oriented to outer tube (8) on inner tube (3) simultaneously, To realize the fast exchange function of instrument.
Such as Fig. 9, Figure 10, the guide part is alternative plan guide part (35), and alternative plan guide part (35) includes having The guide head (35a) and guide and limit body (35b) of arc surface;In the guide head (35a) of alternative plan guide part (35) is mounted on It manages in (3);The guide and limit body (35b) of alternative plan guide part (35) is placed in slit (20), and guide and limit body (35b) is T-type, T-type tip portion are wider than the width of slit (20), it is ensured that alternative plan guide part (35) will not be because of guide pipe (8) It distorts and loses guiding role;Seal wire (2) is inserted into from inner tube (3) front end, encounters the guide head of alternative plan guide part (35) It is drawn after (35a) from inner tube (3), pulls back handle (18) that inner tube (3) is driven to keep inner tube (3) interior completely into guiding outer tube (8), Then plastic stent (4) is i.e. releasable;Slit (20) of the seal wire (2) on inner tube (3) along guiding outer tube (8) is movable simultaneously, thus Realize the fast exchange function of instrument.
Such as Figure 11, Figure 12, the guide part is third program guide part comprising two independent components respectively have There are the independent pilot head (44) and independent pilot tail (45) of arc surface, independent pilot tail (45) is equipped with protuberance component (46), solely Vertical guide head (44) and independent pilot tail (45) are mounted in inner tube (3), and the protuberance component (46) of independent pilot tail (45) is placed In slit (20), inner tube (3) is opened a side opening (3a), and seal wire (2) is inserted into from inner tube (3) front end, encounters independent pilot head (44) It is drawn afterwards from inner tube (3), by pulling back handle (18) that inner tube (3) is driven to keep inner tube (3) interior completely into guiding outer tube (8), Then plastic stent (4) is i.e. releasable, while seal wire (2) can be movable along the slit (20) for being oriented to outer tube (8) on inner tube (3), from And realize the fast exchange function of instrument.
The above-described embodiments are merely illustrative of preferred embodiments of the present invention, not to structure of the invention Think and range is defined, under the premise of not departing from design concept of the present invention, ordinary engineering and technical personnel is to this hair in this field The all variations and modifications that bright technical solution is made should all fall into protection scope of the present invention, the claimed skill of the present invention Art content is all described in the claims.

Claims (5)

1. a kind of rapid exchange stent imbedding system, it is characterized in that the bracket imbedding system (10) includes seal wire (2), inner tube (3), plastic stent (4), guide part, developing ring (7), guiding outer tube (8), front hand grip (15), Handleset (16), boost tube (17) it is oriented to outer tube (8) proximal end in inner tube (3) with back handle (18), seal wire (2) setting and front hand grip (15) is fixed on one It rises, inner tube (3) is fixed on back handle (18) proximally by boost tube (17), and developing ring (7) is fixed on inner tube (3), guiding Part is mounted on inner tube (3), and the slit (20) of the release stent length enough of guiding outer tube (8) setting one, guide part limit is placed In slit (20), inner tube (3) is opened a side opening (3a), and seal wire (2) is inserted into from inner tube (3) front end, encounters guide part from inner tube (3) It draws, drives inner tube (3) to keep inner tube (3) interior completely into guiding outer tube (8) by pulling back handle (18), then plastic stent (4) i.e. releasable, while seal wire (2) can be along slit (20) activity of guiding outer tube (8), to realize instrument on inner tube (3) Fast exchange function.
2. a kind of rapid exchange stent imbedding system according to claim 1, it is characterised in that the seal wire (2) is quick Exchange 2.6m short-length guidewires;The side opening (3a) of said inner tube (3) is arranged in distal end close to guiding outer tube (8) distal end endface position, and And the opening direction of side opening (3a) and slit (20) are consistent;The distal end of slit (20) initial position distance guiding outer tube (8) Face retains a distance.
3. a kind of rapid exchange stent imbedding system according to claim 1, it is characterised in that the guide part is first Scheme guide part (5), first scheme guide part (5) are mounted on inner tube (3) at proximal aperture (3a), first scheme guide part (5) Front end there is an arc surface (5a), the rear end of first scheme guide part (5) has a guide protrusions (5b);Wherein: the The guide protrusions (5b) of one scheme guide part (5) are placed in slit (20);Seal wire (2) is inserted into side opening from inner tube (3) front end (3a), the guide part arc surface (5a) that seal wire (2) encounters first scheme guide part (5) is drawn from inner tube (3), by pulling defensive position Handle (18) drives inner tube (3) to make inner tube (3) completely into guiding outer tube (8), then plastic stent (4) is i.e. releasable;It leads simultaneously Silk (2) can be along slit (20) activity of guiding outer tube (8), to realize the fast exchange function of instrument on inner tube (3).
4. a kind of rapid exchange stent imbedding system according to claim 1, it is characterised in that the guide part is second Scheme guide part (35), alternative plan guide part (35) include the guide head (35a) and guide and limit body with arc surface (35b);The guide head (35a) of alternative plan guide part (35) is mounted in inner tube (3);The guiding of alternative plan guide part (35) Limit body (35b) is placed in slit (20), and guide and limit body (35b) is T-type, and T-type tip portion is wider than the width of slit (20) Degree, it is ensured that alternative plan guide part (35) will not lose guiding role because of the distortion for being oriented to outer tube (8);Seal wire (2) from The insertion of inner tube (3) front end draws from inner tube (3) after encountering the guide head (35a) of alternative plan guide part (35), pulls back handle (18) inner tube (3) are driven to make inner tube (3) completely into guiding outer tube (8), then plastic stent (4) is i.e. releasable;Seal wire simultaneously (2) along slit (20) activity of guiding outer tube (8) on inner tube (3), to realize the fast exchange function of instrument.
5. a kind of rapid exchange stent imbedding system according to claim 1, it is characterised in that the guide part is third Scheme guide part comprising two independent components, respectively with the independent pilot head (44) and independent pilot tail of arc surface (45), independent pilot tail (45) is equipped with protuberance component (46), and independent pilot head (44) and independent pilot tail (45) are mounted on interior It manages in (3), the protuberance component (46) of independent pilot tail (45) is placed in slit (20), and seal wire (2) is inserted from inner tube (3) front end Enter, is drawn after encountering independent pilot head (44) from inner tube (3), by pulling back handle (18) that inner tube (3) is driven to keep inner tube (3) complete Complete to enter in guiding outer tube (8), then plastic stent (4) is i.e. releasable, while seal wire (2) can be along guiding outer tube on inner tube (3) (8) slit (20) activity, to realize the fast exchange function of instrument.
CN201710186275.2A 2017-03-27 2017-03-27 A kind of rapid exchange stent imbedding system Active CN106963529B (en)

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CN110124182A (en) * 2019-04-04 2019-08-16 董鹏 Foley's tube

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CN103876872A (en) * 2014-03-31 2014-06-25 南京微创医学科技有限公司 Fast exchanging imbedding device with smaller wave pipe
CN103932827A (en) * 2014-03-31 2014-07-23 南京微创医学科技有限公司 More reliable hypotube fast switching and imbedding device
CN106308986A (en) * 2015-07-01 2017-01-11 微创心脉医疗科技(上海)有限公司 A catheter handle used for an implant conveying system

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US6679909B2 (en) * 2001-07-31 2004-01-20 Advanced Cardiovascular Systems, Inc. Rapid exchange delivery system for self-expanding stent
US10849771B2 (en) * 2011-06-27 2020-12-01 Boston Scientific Scimed, Inc. Stent delivery systems and methods for making and using stent delivery systems
CN207613916U (en) * 2017-03-27 2018-07-17 南京微创医学科技股份有限公司 A kind of rapid exchange stent imbedding system

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Publication number Priority date Publication date Assignee Title
CN1897892A (en) * 2003-11-20 2007-01-17 先进心血管***公司 Rapid-exchange delivery systems for self-expanding stents
CN103313750A (en) * 2010-10-20 2013-09-18 斯瑞克公司 Stent delivery catheter with rapid exchange capabilities
CN103876872A (en) * 2014-03-31 2014-06-25 南京微创医学科技有限公司 Fast exchanging imbedding device with smaller wave pipe
CN103932827A (en) * 2014-03-31 2014-07-23 南京微创医学科技有限公司 More reliable hypotube fast switching and imbedding device
CN106308986A (en) * 2015-07-01 2017-01-11 微创心脉医疗科技(上海)有限公司 A catheter handle used for an implant conveying system

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