CN110141304A - Biliary tract continuously arranges stone device and its application method - Google Patents

Biliary tract continuously arranges stone device and its application method Download PDF

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Publication number
CN110141304A
CN110141304A CN201910518255.XA CN201910518255A CN110141304A CN 110141304 A CN110141304 A CN 110141304A CN 201910518255 A CN201910518255 A CN 201910518255A CN 110141304 A CN110141304 A CN 110141304A
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China
Prior art keywords
sheath
tee tube
biliary tract
stone device
helical conveyor
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CN201910518255.XA
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Chinese (zh)
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刘奇为
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Individual
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Priority to CN201910518255.XA priority Critical patent/CN110141304A/en
Publication of CN110141304A publication Critical patent/CN110141304A/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
    • 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
    • A61B2017/22072Implements 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 instrument channel, e.g. for replacing one instrument by the other
    • 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

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

Abstract

The invention discloses a kind of biliary tracts continuously to arrange stone device, including sheath and dynamical system, and the sheath is at least made of soft sheath and rigid tee tube;The dynamical system is at least made of driving motor and helical conveyor;The output shaft of the driving motor is fixedly connected with the shaft of helical conveyor;First main line of the hardness tee tube connects the shaft of helical conveyor by bearing, and driving motor is able to drive helical conveyor and rotates in rigid tee tube;Second main line of rigid tee tube is fixedly connected with soft sheath;Attraction interface of the branch of rigid tee tube as connection aspirator.It is more present invention is especially suited for calculus quantity and be difficult to the calculus naturally drained, it takes the efficiency of stone to be able to ascend tens times compared with mesh basket using the present invention, so as to reduce the operating time of eligible patients, accordingly reduces the pain and damage of patient.The invention also discloses the application methods that a kind of biliary tract continuously arranges stone device.

Description

Biliary tract continuously arranges stone device and its application method
Technical field
The present invention relates to a kind of Minimally Invasive Surgery instruments, and in particular to a kind of biliary tract continuously arranges stone device.The invention further relates to The biliary tract continuously arranges the application method of stone device.
Background technique
Cholelithiasis be gall-bladder, in bile duct crystal concentration precipitating, if calculus is located at gall-bladder, be called cholecystolithiasis;Such as calculus Positioned at choledochus, it is called choledocholithiasis.Women of the cholelithiasis in specific crowd is most common, such as U.S. original inhabitant.Cholelith shape At risk factor include advanced age, obesity, western diet and heredodiathesis.There is 20% to suffer from the U.S., the people more than 65 years old Cholelithiasis, but it is most of asymptomatic.There is the people about more than 500,000 to do surgical operation every year and take stone, wherein most of is because going out Existing symptom and operation of going.
The main component of most choleliths is cholesterol, is made of calcium salt.Contain a large amount of cholesterol in bile, leads to Exist in liquid form under normal state, when bile cholesterol supersaturation, cholesterol becomes insoluble, by being precipitated in bile Precipitate into stone.
Most of choleliths are formed in gall-bladder, and from most of calculus of bile duct move by gall-bladder.Calculus in bile duct Be formed as bile flow velocity it is slack-off, be retarded by silt and cause, as bile duct has narrow or postcholecystectomy.
Choledocholithiasis can lead to serious, threat to life choledochus infection (cholangitis), pancreatitis or liver inflammation. When biliary system obstruction, bacterial reproduction forms bile duct inflammation rapidly, and bacterium can spread to blood flow and cause other positions of body Infection.
The biliary tract stone extraction that modern times pass through is to implement ERCP (through duodenoscope retrograde cholangiopancreatography)+EST (scope nipple Endoscopic sphincterotomy) stone-extraction operation, using biliary tract stone extraction basket, take the realization of the instruments such as stone air bag, lithotriptor is minimally invasive to take stone.But It is that the operating method of existing calculus removing instrument is all first to protrude on the head of calculus removing instrument in biliary tract, clamps a coccolith head, then Calculus removing instrument is taken out out of biliary tract together with stone, then biliary tract is protruded into on the head of calculus removing instrument again and clamps next Stone.Therefore, existing calculus removing instrument can only a ground take, if biliary tract stone is very more, or using after lithotrity Rubble is more, or belongs to silt shape calculus, especially because in cause specific biliary tract rubble or silt shape calculus cannot be natural When discharge, using above-mentioned instrument, not only take stone operation it is relatively complicated, operation takes a long time, and calculus removing instrument need continually into Human biliary duct out, it is easy to which interior tissue is damaged.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of biliary tracts continuously to arrange stone device, and the company of biliary tract may be implemented in it Continuous row's stone.
In order to solve the above technical problems, biliary tract of the present invention continuously arranges the technical solution of stone device are as follows:
Including sheath and dynamical system, the sheath is at least made of soft sheath 1 and rigid tee tube 2;The power System is at least made of driving motor and helical conveyor 4;The output shaft of the driving motor is fixedly connected with helical form transmission With 4 shaft 4-1;First main line of the hardness tee tube 2 connects the shaft 4-1 of helical conveyor 4 by bearing 5, drives Dynamic motor is able to drive helical conveyor 4 and rotates in rigid tee tube 2;Second main line of rigid tee tube 2 is fixedly connected Soft sheath 1;Attraction interface of the branch of rigid tee tube 2 as connection aspirator.
In another embodiment, the length of the helical conveyor 4 is not more than the length of the sheath.
In another embodiment, the second main line of the rigid tee tube 2 and the inner hole intersection of branch are formed in one tiltedly Face 2-2.
In another embodiment, it is recessed to be formed with bonding for the inner hole of the outer end 2-1 on the second main line of the rigid tee tube 2 Slot, the internal diameter for being bonded groove are matched with the outer diameter of soft sheath 1, are bonded the radial depth of groove and the wall thickness of soft sheath 1 It is identical.
In another embodiment, the rigid tee tube 2 is identical as the junction internal diameter of soft sheath 1.
In another embodiment, the branch of the rigid tee tube 2 is formed with external screw thread, and the branch of rigid tee tube 2 is logical It crosses screw fastening manner and realizes and be fixedly connected with aspirator.
In another embodiment, the driving motor is fixedly installed in the shell of piggyback pod 3.
In another embodiment, it is provided with fixed bracket in the shell of the piggyback pod 3, for fixing the driving motor And battery.
In another embodiment, the rigid tee tube 2 uses medical plastic;And/or the soft sheath 1 is by three layers The knitted tubing of structure is at cladding material uses thermoplastic polyurethane elastomer rubber, and middle layer is stainless steel mesh grid, internal layer Material uses polytetrafluoroethylene (PTFE);And/or the helical conveyor 4 is made of stainless steel tube.
The present invention also provides the application methods that a kind of biliary tract continuously arranges stone device, its technical solution is that: including following Step:
A piece seal wire is sent into biliary tract by duodenoscope by the first step;
Second step withdraws from duodenoscope, and the sheath that the biliary tract continuously arranges stone device is inserted in seal wire, and by sheath edge Seal wire is pushed into bile duct;
Third step withdraws from seal wire, and the helical conveyor 4 that the biliary tract continuously arranges the dynamical system of stone device is penetrated Sheath makes the upper end of sheath be connected to the bearing 5 of dynamical system, to realize being fixedly connected for sheath and dynamical system;Make sheath Attraction interface connect with adapter for suction unit;
4th step is moved forward and backward sheath, and the head of sheath is made to reach the calculus region of bile duct;
5th step starts driving motor, drives the low speed rotation in sheath of helical conveyor 4;Aspirator is opened simultaneously, Under the double action of the screw transmission strap (4) of the negative pressure and low speed rotation of aspirator, Biliary Calculi is moved upwards, and is connect through attracting Biliary tract is sucked out in Biliary Calculi by mouth.
What the present invention can achieve has the technical effect that
It is more present invention is especially suited for calculus quantity and be difficult to the calculus naturally drained, stone is taken compared with mesh basket using the present invention Efficiency is able to ascend tens times, so as to reduce the operating time of eligible patients, accordingly reduce patient pain and Damage.
Detailed description of the invention
It should be understood by those skilled in the art that following explanation is only schematically to illustrate the principle of the present invention, the principle It can apply in many ways, to realize many different alternative embodiments.These explanations are only used for showing religion of the invention Lead the General Principle of content, it is not intended to which limitation is conceived in this disclosed invention.
It is incorporated in the present specification and forms part of this specification that accompanying drawing shows embodiment of the present invention, and And the principle for explaining the present invention together with the detailed description of general description and following drawings above.
The present invention will be further described in detail below with reference to the accompanying drawings and specific embodiments:
Fig. 1 is the stereoscopic schematic diagram that biliary tract of the present invention continuously arranges stone device;
Fig. 2 is front schematic view of the invention;
Fig. 3 is the schematic diagram of helical conveyor of the invention;
Fig. 4 is the schematic diagram of sheath of the invention;
Fig. 5 is the diagrammatic cross-section of sheath of the invention;
Fig. 6 is the assembling schematic diagram of sheath and helical conveyor of the invention.
Description of symbols in figure:
1 is soft sheath, and 2 be rigid tee tube,
3 be piggyback pod, and 4 be helical conveyor,
5 be bearing, and 6 be power switch,
2-1 is outer end, and 2-2 is outer inclined-plane,
4-1 is shaft.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention Attached drawing, the technical solution of the embodiment of the present invention is clearly and completely described.Obviously, described embodiment is this hair Bright a part of the embodiment, instead of all the embodiments.Based on described the embodiment of the present invention, ordinary skill Personnel's every other embodiment obtained under the premise of being not necessarily to creative work, shall fall within the protection scope of the present invention.It removes Non- other definition, the technical term or scientific term used herein are should be in fields of the present invention with general technical ability The ordinary meaning that personage is understood." first " used herein, " second " and similar word be not offered as any sequence, Quantity or importance, and be used only to distinguish different component parts.The similar word such as " comprising " means before there is the word The element or object in face are covered the element for appearing in the word presented hereinafter or object and its are equal, and are not excluded for other elements Or object." connection " either the similar word such as " connected " is not limited to physics or mechanical connection, but can be with It is either direct or indirect including electrical connection."upper", "lower", "left", "right" etc. are only used for indicating relative position Relationship, after the absolute position for being described object changes, then the relative positional relationship may also correspondingly change.
As shown in Figure 1 and Figure 2, biliary tract of the present invention continuously arranges stone device, including soft sheath 1, rigid tee tube 2, piggyback pod 3;
Driving motor is fixedly installed in the shell of piggyback pod 3, the output shaft of driving motor is fixedly connected by shaft coupling The shaft 4-1 of helical conveyor 4 as shown in Figure 3;Driving motor and helical conveyor 4 form dynamical system, driving electricity Machine is able to drive the rotation of helical conveyor 4;Driving motor is powered by being built in the intracorporal battery of shell;Battery is preferably No. 5 Alkaline battery;Direct current generator of the driving motor preferably with deceleration device;
Power switch 6 is provided on the shell of piggyback pod 3;The anode of battery is connected by the anode of electric wire and driving motor It connects, is connect after the cathode concatenation power switch 6 of battery with the cathode of driving motor;
Fixed bracket is provided in the shell of piggyback pod 3, for fixing driving motor and battery;
First main line of rigid tee tube 2 connects the shaft 4-1 of helical conveyor 4 by bearing 5, so that helical form passes Send band 4 that can rotate in rigid tee tube 2;
Second main line of rigid tee tube 2 is fixedly connected with soft sheath 1;Rigid tee tube 2 and soft sheath 1 form sheath Pipe;The length of helical conveyor 4 is not more than the length of sheath, i.e. the length of helical conveyor 4 is not more than rigid tee tube 2 With the overall length of soft sheath 1, sheath is stretched out to avoid helical conveyor 4 and injures biliary tract wall in rotary course;
As an embodiment, the overall length of sheath is 1.5 meters, wall thickness 0.025mm;According to the difference of calculus size, outer diameter It can be 4.0mm, 4.5mm, 5.0mm, 5.5mm;
The inner hole of the outer end 2-1 on the second main line of rigid tee tube 2 is formed with bonding groove, be bonded the internal diameter of groove with it is soft The outer diameter of property sheath 1 matches, and the radial depth for being bonded groove is identical as the wall thickness of soft sheath 1;Rigid tee tube 2 second is dry The bonding groove on road realized by technique for sticking and is fixedly connected with soft sheath 1, and rigid tee tube 2 and soft sheath 1 Junction internal diameter is identical, to guarantee junction no protrusion of the rigid tee tube 2 with soft sheath 1, in order to helical form transmission Band 4 rotates in sheath;
Attraction interface of the branch of rigid tee tube 2 as connection aspirator;The branch of rigid tee tube 2 is formed with outer spiral shell Line, the branch of rigid tee tube 2 are realized by screw fastening manner and are fixedly connected with aspirator;
For the suction convenient for stone, one can be formed on the second main line of rigid tee tube 2 and the inner hole intersection of branch Outer inclined-plane 2-2;
Rigid tee tube 2 can use common medical plastic material;
Soft sheath 1 can be by the knitted tubing of three-decker at cladding material uses TPU (thermoplastic polyurethane elastic Body rubber), middle layer is stainless steel mesh grid, and inner layer material uses the preferable PTFE of smoothness (polytetrafluoroethylene (PTFE));
Helical conveyor 4 is made of 304 stainless steel tubes through laser cutting parameter and technique for grinding.
Biliary tract of the present invention continuously arranges the application method of stone device, comprising the following steps:
A piece seal wire is sent into biliary tract by duodenoscope by the first step;
Second step withdraws from duodenoscope, and the sheath that biliary tract is continuously arranged to stone device is inserted in seal wire, and by sheath along seal wire It is pushed into bile duct;
Third step withdraws from seal wire, and the helical conveyor 4 of dynamical system is penetrated sheath, is connected to the upper end of sheath The bearing 5 of dynamical system, to realize being fixedly connected for sheath and dynamical system;Make the attraction interface and adapter for suction unit of sheath Connection;
4th step is moved forward and backward sheath under X-ray image help, and the head of sheath is made to reach the calculus region of bile duct;
5th step opens power switch 6 and starts driving motor, and the low speed in sheath of helical conveyor 4 is driven (can be 150 revs/min, the value is merely illustrative) rotation;Aspirator is opened simultaneously, is passed in the negative pressure of aspirator and the spiral of low speed rotation Under the double action for sending band 4, Biliary Calculi (including silt shape calculus) is moved upwards, through attracting interface to enter the storage of aspirator In object tank.
The calculus of bile duct continuously can be sucked out by means of the suction function of helical conveyor 4 and aspirator by the present invention, Without taking out sheath out of bile duct in operating process, therefore it can greatly shorten and take the stone time.Several hundred are taken using the present invention Calculus only needs time-consuming more than ten minutes, and compared with existing calculus removing instrument easily time-consuming several hours, of the invention takes stone efficiency pole It is high.
Obviously, those skilled in the art can carry out various changes and deformation to the present invention, without departing from of the invention Spirit and scope.In this way, if these modifications of the invention belong within the scope of the claims in the present invention and its equivalent technology, Then the present invention is also intended to encompass including these changes and deformation.

Claims (10)

1. a kind of biliary tract continuously arranges stone device, it is characterised in that: including sheath and dynamical system, the sheath is at least by soft sheath It manages (1) and rigid tee tube (2) forms;The dynamical system is at least made of driving motor and helical conveyor (4);
The output shaft of the driving motor is fixedly connected with the shaft (4-1) of helical conveyor (4);
Shaft (4-1) of first main line of the hardness tee tube (2) by bearing (5) connection helical conveyor (4), driving Motor is able to drive helical conveyor (4) rotation in rigid tee tube (2);Second main line of rigid tee tube (2) is fixed Connect soft sheath (1);Attraction interface of the branch of rigid tee tube (2) as connection aspirator.
2. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: the helical conveyor (4) Length be not more than the sheath length.
3. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: the second of the hardness tee tube (2) The inner hole intersection of main line and branch forms an outer inclined-plane (2-2).
4. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: the second of the hardness tee tube (2) The inner hole of the outer end (2-1) on main line is formed with bonding groove, and the internal diameter for being bonded groove is matched with the outer diameter of soft sheath (1), The radial depth for being bonded groove is identical as the wall thickness of soft sheath (1).
5. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: it is described hardness tee tube (2) with it is soft The junction internal diameter of sheath (1) is identical.
6. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: the branch of the hardness tee tube (2) It is formed with external screw thread, the branch of rigid tee tube (2) is realized by screw fastening manner and is fixedly connected with aspirator.
7. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: the driving motor is fixedly installed on dynamic In the shell in power cabin (3).
8. biliary tract according to claim 7 continuously arranges stone device, it is characterised in that: set in the shell of the piggyback pod (3) It is equipped with fixed bracket, for fixing the driving motor and battery.
9. biliary tract according to claim 1 continuously arranges stone device, it is characterised in that: the hardness tee tube (2) is using doctor Use plastics;And/or the soft sheath (1) uses thermoplastic polyurethane bullet at, cladding material by the knitted tubing of three-decker Property body rubber, middle layer is stainless steel mesh grid, inner layer material use polytetrafluoroethylene (PTFE);And/or the helical conveyor (4) It is made of stainless steel tube.
10. the application method that a kind of described in any item biliary tracts of claim 1 to 9 continuously arrange stone device, it is characterised in that: including Following steps:
A piece seal wire is sent into biliary tract by duodenoscope by the first step;
Second step withdraws from duodenoscope, the sheath that the biliary tract continuously arranges stone device is inserted in seal wire, and by sheath along seal wire It is pushed into bile duct;
Third step withdraws from seal wire, and the helical conveyor (4) that the biliary tract continuously arranges the dynamical system of stone device is penetrated sheath Pipe, makes the upper end of sheath be connected to the bearing (5) of dynamical system, to realize being fixedly connected for sheath and dynamical system;Make sheath Attraction interface connect with adapter for suction unit;
4th step is moved forward and backward sheath, and the head of sheath is made to reach the calculus region of bile duct;
5th step starts driving motor, drives helical conveyor (4) low speed rotation in sheath;Aspirator is opened simultaneously, Under the double action of the screw transmission strap (4) of the negative pressure and low speed rotation of aspirator, Biliary Calculi is moved upwards, through attracting interface Biliary tract is sucked out in Biliary Calculi.
CN201910518255.XA 2019-06-15 2019-06-15 Biliary tract continuously arranges stone device and its application method Withdrawn CN110141304A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910518255.XA CN110141304A (en) 2019-06-15 2019-06-15 Biliary tract continuously arranges stone device and its application method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910518255.XA CN110141304A (en) 2019-06-15 2019-06-15 Biliary tract continuously arranges stone device and its application method

Publications (1)

Publication Number Publication Date
CN110141304A true CN110141304A (en) 2019-08-20

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CN201910518255.XA Withdrawn CN110141304A (en) 2019-06-15 2019-06-15 Biliary tract continuously arranges stone device and its application method

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN86200636U (en) * 1986-01-31 1987-03-25 山东医科大学附属医院 Optical fibre biliary tract with stone breaking and washing unit
US5129910A (en) * 1991-07-26 1992-07-14 The Regents Of The University Of California Stone expulsion stent
CN101084836A (en) * 2006-06-08 2007-12-12 蒋志坚 Front end controllable stone-removed net-basket
CN101816810A (en) * 2009-02-27 2010-09-01 王涛 Human lumen dredger
CN210521051U (en) * 2019-06-15 2020-05-15 刘奇为 Biliary tract continuous calculus removing device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN86200636U (en) * 1986-01-31 1987-03-25 山东医科大学附属医院 Optical fibre biliary tract with stone breaking and washing unit
US5129910A (en) * 1991-07-26 1992-07-14 The Regents Of The University Of California Stone expulsion stent
CN101084836A (en) * 2006-06-08 2007-12-12 蒋志坚 Front end controllable stone-removed net-basket
CN101816810A (en) * 2009-02-27 2010-09-01 王涛 Human lumen dredger
CN210521051U (en) * 2019-06-15 2020-05-15 刘奇为 Biliary tract continuous calculus removing device

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Application publication date: 20190820