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CN201899524U - Conveying device - Google Patents

Conveying device Download PDF

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Publication number
CN201899524U
CN201899524U CN2010206735583U CN201020673558U CN201899524U CN 201899524 U CN201899524 U CN 201899524U CN 2010206735583 U CN2010206735583 U CN 2010206735583U CN 201020673558 U CN201020673558 U CN 201020673558U CN 201899524 U CN201899524 U CN 201899524U
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CN
China
Prior art keywords
sheath
delivery
connector
guiding
guiding sheath
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Expired - Lifetime
Application number
CN2010206735583U
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Chinese (zh)
Inventor
吕纬岩
王洪建
张正才
蒲忠杰
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Lepu Medical Technology Beijing Co Ltd
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Lepu Medical Technology Beijing Co Ltd
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Priority to CN2010206735583U priority Critical patent/CN201899524U/en
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Publication of CN201899524U publication Critical patent/CN201899524U/en
Anticipated expiration legal-status Critical
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Abstract

本实用新型公开了一种输送装置,包括导引器以及与导引器配合的输送器和扩张管,其中:导引器包括:导引鞘管、设置于导引鞘管一端的导引鞘管连接件、设置于导引鞘管连接件一端的拧紧螺母,扩张管的一端可穿过导引鞘管、导引鞘管连接件和拧紧螺母从而与导引鞘管配合;输送器包括:输送鞘管、设置于输送鞘管一端的输送鞘管连接件、设置于输送鞘管连接件一端的Y型阀以及一端穿过输送鞘管、输送鞘管连接件和Y型阀的推送杆,推送杆的一端不从输送鞘管突出,输送鞘管可穿过导引鞘管、导引鞘管连接件和拧紧螺母从而与导引鞘管配合。本实用新型的装置能够快速的将左心耳封堵装置置入左心耳内,且结构稳定,可操作性强,缩短了手术时间,提高了手术成功率。

The utility model discloses a conveying device, which comprises an introducer, a conveyer and a dilation tube matched with the introducer, wherein: the introducer includes: a guiding sheath, and a guiding sheath arranged at one end of the guiding sheath A tube connector, a tightening nut arranged at one end of the guide sheath connector, one end of the expansion tube can pass through the guide sheath, the guide sheath connector and the tightening nut to cooperate with the guide sheath; the transporter includes: a delivery sheath, a delivery sheath connector arranged at one end of the delivery sheath, a Y-shaped valve arranged at one end of the delivery sheath connector, and a push rod with one end passing through the delivery sheath, the delivery sheath connector and the Y-shaped valve, One end of the push rod does not protrude from the delivery sheath, and the delivery sheath can pass through the guide sheath, the guide sheath connector and the tightening nut so as to cooperate with the guide sheath. The device of the utility model can quickly put the left atrial appendage blocking device into the left atrial appendage, has a stable structure, strong operability, shortens operation time, and improves operation success rate.

Description

Conveyer device
Technical field
This utility model relates to technical field of medical instruments, relates in particular to a kind of conveyer device.
Background technology
Atrial fibrillation is one of common arrhythmia, almost sees all organic heart diseasies.The incidence rate of atrial fibrillation is 0.4%~2.0% in general crowd, every increase of age 10 years old, and sickness rate increases by 1.4 times, and atrial fibrillation accounts for 6%~10% greatly among the crowd more than 75 years old.Studies show that atrial fibrillation is the independent hazard factor that apoplexy takes place, the apoplexy more than 15% is caused that by atrial fibrillation the embolus of nonvalvular atrial fibrillation occurs in left auricle (LAA) more than 90%.Therefore the research at atrial fibrillation thromboembolism complication more and more is subject to people's attention, and that how to prevent the atrial fibrillation apoplexy has an important clinical meaning.
For atrial fibrillation thromboembolism complication, main Therapeutic Method is atrial fibrillation anticoagulant therapy and surgical intervention prevention thromboembolism.Although the curative effect that warfarin anticoagulant therapy prevention atrial fibrillation apoplexy takes place certainly, the clinical practice rate of warfarin is low, only has 1/3 to have the patients with atrial fibrillation of anticoagulant indication to take warfarin according to quantity on time.Anticoagulant therapy is for quite a few patient especially the highest old people of atrial fibrillation sickness rate, often because have bleeding tendency and exist and hemorrhagely wait the anticoagulant contraindication and can't therefrom benefit, and surgical intervention prevention thromboembolism is that to carry out the surgical operation repairing under directly perceived damaged.This surgical effect is bad and wound is big, and certain disability rate and mortality rate are arranged.
External at present advanced Therapeutic Method is a percutaneous left atrial appendage occlusion art prevention atrial fibrillation thromboembolism complication, be mainly the stopper made with niti-shaped memorial alloy and dacron membrane through cardiac catheter shutoff left auricle, this Wicresoft interventional therapy method time is short, wound is little, produce effects fast.
Calendar year 2001, U.S. Appriva Medical company has developed a kind of left atrial appendage occlusion device (PLAATO device), and the X-SEPT by 12F wears at interval that sheath (ApprivaMedical) is positioned over left auricle.The Watchman system is the device that is specifically designed to left atrial appendage occlusion by the development of Architec company.Put into left auricle by 12F carrier and 14F epitheca pipe.The conveyer device of these two kinds of apparatuses is to pass through postcava; the puncture interatrial septum; the arrival left auricle; the apparatus longer dimension; the operating grip position is far away apart from the plugging device rest, so operating time is long and the poor operability of apparatus, can not accurately locate; therefore need be improved, to benefit the patient.
The utility model content
(1) technical problem that will solve
The purpose of this utility model is that the apparatus that operation is used is workable, can accurately locate, thereby make operating time shorter.
(2) technical scheme
For achieving the above object, the utility model proposes a kind of conveyer device, comprise conductor and the carrier and the convergent divergent channel that cooperate with described conductor, wherein:
Described conductor comprises: guiding sheath pipe, be arranged at described guiding sheath Guan Yiduan guiding sheath pipe connections, be arranged at the fastening nut of described guiding sheath pipe connections one end, cooperate with described guiding sheath pipe thereby an end of described convergent divergent channel can pass described guiding sheath pipe, described guiding sheath pipe connections and described fastening nut;
Described carrier comprises: the push rod that delivery sheath, the delivery sheath connector that is arranged at described delivery sheath one end, the Y-valve that is arranged at described delivery sheath connector one end and an end pass described delivery sheath, delivery sheath connector and Y-valve, one end of described push rod is not outstanding from described delivery sheath, cooperates with described guiding sheath pipe thereby described delivery sheath can pass described guiding sheath pipe, described guiding sheath pipe connections and described fastening nut.
Wherein, the other end of described guiding sheath pipe is provided with a plurality of development rings.
Wherein, described guiding sheath pipe connections is provided with tube for transfusion.
Wherein, be provided with rubber ring between described guiding sheath pipe connections and the described fastening nut.
Wherein, the other end of described push rod is provided with the tail end handle.
Wherein, the other end of described convergent divergent channel is provided with haemostatic valve.
Wherein, described convergent divergent channel is made by high density polyethylene (HDPE).
Wherein, described push rod is made by rustless steel.
Wherein, an end of described convergent divergent channel is the taper at 30 degree angles.
(3) beneficial effect
Technique scheme of the present utility model has following advantage: device of the present utility model can be inserted left atrial appendage occlusion device in the left auricle fast, Stability Analysis of Structures, workable, and plugging device accurately is in place, shorten operating time, improved success rate of operation.
Description of drawings
Fig. 1 is the conductor front view of this utility model embodiment;
Fig. 2 is the conductor of this utility model embodiment and the sketch map that cooperates of convergent divergent channel;
Fig. 3 is the carrier front view that has conveyer device of this utility model embodiment;
Fig. 4 is the conductor of this utility model embodiment and the sketch map that cooperates of carrier;
Fig. 5 is the haemostatic valve sketch map of this utility model embodiment;
Fig. 6 is the silica gel circle sketch map of this utility model embodiment;
Fig. 7 a is the guiding sheath pipe connections side view of this utility model embodiment;
Fig. 7 b is the guiding sheath pipe connections profile of this utility model embodiment;
Fig. 8 a is the fastening nut side view of this utility model embodiment;
Fig. 8 b is the fastening nut side view of this utility model embodiment;
Fig. 9 is the curved conveyer device operation of the list of a this utility model embodiment approach sketch map;
Figure 10 is the two curved conveyer device operation approach sketch map of this utility model embodiment;
Among the figure:
1, conductor; 2, carrier; 3, convergent divergent channel; 4, guiding sheath pipe; 6, development ring; 7, haemostatic valve; 8, push rod; 9, delivery sheath; 10, tail end hands handle; 12, guiding sheath pipe connections; 13, fastening nut; 14, silica gel circle; 15, Y-valve; 16, delivery sheath connector; 17, rubber disk with holes; 18, tube for transfusion; 19 plugging devices; 20, single curved sheath pipe; 21, two curved sheath pipes; 22, right auricle; 23 left auricle; 24, aorta; 25, superior vena cava; 26, postcava; 27, interatrial septum; 28, pulmonary artery.
The specific embodiment
Below in conjunction with drawings and Examples, the specific embodiment of the present utility model is described in further detail.Following examples are used to illustrate this utility model, but are not used for limiting scope of the present utility model.
Conveyer device of the present utility model comprises conductor 1 and carrier 2 that cooperates with conductor 1 and convergent divergent channel 3.
Be illustrated in figure 1 as the front view of the conductor 1 of this utility model embodiment, it comprises: guiding sheath pipe 4, guiding sheath pipe connections 12, fastening nut 13 and tube for transfusion 18.One end of guiding sheath pipe connections 12 is arranged at an end of guiding sheath pipe 4.The other end of guiding sheath pipe connections 12 is arranged at an end (guiding sheath pipe connections 12 is threaded, and fastening nut 13 is connected with guiding sheath pipe connections 12 by screw thread) of fastening nut 13, and guiding sheath pipe connections 12 is provided with tube for transfusion 18.Guiding sheath pipe connections 12 is shown in Fig. 7 a and 7b.Silica gel circle 14 is gone into wherein from the C end plug of guiding sheath pipe connections 12 along direction shown in the arrow, after fastening nut 13 (shown in Fig. 8 a and 8b) is screwed on the connector 12C end, the D end of fastening nut 13 protrudes, make extruding silica gel circle 14 in the rundown process, make the distortion of silica gel circle, the internal diameter of silica gel circle diminishes, and therefore can change the internal diameter of silica gel circle in this way, it can well be cooperated with interior pipe, accomplish that internal diameter is adjustable and can prevent leak-stopping blood.Guiding sheath pipe 4 usefulness Pebax expect extrusion molding, inner with metal knitted silk reinforcement, its intensity, fold resistance are strengthened, a plurality of development rings (for example 5) have been processed at head, the ring that develops is to install additional in guiding sheath pipe drawing pipe process, and tungsten filament is wrapped in and forms the ring that develops on the tubing, can't see from pipe outer surface, can under X-ray, develop, can avoid contacting of heavy metal and blood in the operation process like this.After plugging device 19 is written into by carrier 2, be arranged at the development ring of an end aligned proximal (as a reference) of the plugging device 19 of push rod 8 ends with heart, the other end can be at different development interannulars according to the difference of plugging device size, the ring that develops can make the doctor clearly see the position that auto levelizer is carried under the X-ray in surgical environments, the plugging device of different size is aimed at different development rings, the development ring of far-end is aimed at the left auricle opening, discharge plugging device, can guarantee that plugging device discharges the back and aims at the left auricle opening.
Thereby an end of convergent divergent channel 3 can pass guiding sheath pipe 4, guiding sheath pipe connections 12 and fastening nut 13 to be cooperated with guiding sheath pipe 4.As shown in Figure 2, convergent divergent channel 3 is processed into the taper at 30 degree angles from the end that guiding sheath pipe 4 protrudes, be beneficial to the operation of puncture interatrial septum, and tail end adds with the UV curing mode loads onto a haemostatic valve 7, and haemostatic valve is injection molded into the PC material.As shown in Figure 5, rubber disk 17 is filled in the pipe, cracks in the middle of the rubber disk, plays the effect of check valve, anti-leak-stopping blood when guiding wire therefrom passes.Convergent divergent channel 3 is made by high density polyethylene (HDPE), and skin-friction coefficient is little, and head end is softer, can fit tightly with convergent divergent channel 3.Refer again to Fig. 2, after convergent divergent channel 3 inserted guiding sheath pipe 4, convergent divergent channel 3 can freely be twitched in guiding sheath pipe 4.
As shown in Figure 4, carrier 2 comprises: push rod 8, delivery sheath 9, handle 10, Y-valve 15 and delivery sheath connector 16.Delivery sheath 9 one ends are arranged at an end (passing through curing mode) of delivery sheath connector 16, delivery sheath connector 16 other ends are arranged at an end of Y-valve 15, an end that pushes pipe 8 passes delivery sheath 9, delivery sheath connector 16 and Y-valve 15, one end of push rod 8 is not from delivery sheath 9 protrusions and be provided with plugging device 19, and the other end of push rod 8 is provided with tail end handle 10.As shown in Figure 4, thus delivery sheath 9 can pass guiding sheath pipe 4, guiding sheath pipe connections 12 and fastening nut 13 to be cooperated with guiding sheath pipe 4.After carrier 2 is being with in plugging device 19 (plugging device 19 compression the enter carrier 2) conductor of packing into 1, the ring that develops of the near-end on the ring 6 alignment conductors 1 that develop, thus guaranteeing that plugging device 19 and conductor 1 near-end develop to encircle aligns.Push rod 8 is the stainless steel spring bar, and inner core is that stainless steel silk is strengthened, and head end welding one is used to be provided with the screw element of plugging device 19.Tail end handle 10 slides on push rod 8, difference according to plugging device 19 specifications can be adjusted to diverse location, tail end handle 10 is close together with the Y-valve far-end in the dispose procedure, expression plugging device 19 discharges fully, be convenient to understand plugging device 19 releasing degrees, discharge the back fully and counterclockwise rotate tail end handle 10, plugging device 19 is broken away from push rod 8.Determine the length of tail end handle 10 distance Y type valves 15 according to the length of different plugging devices 19, can discharge plugging device 19 fully after directly pushing respective distance, make doctor's operation process on top of.
Guiding sheath pipe 4 have single curved and two bend two kinds different curved.Different according to the relative position of left auricle and right auricle, the difference of interatrial septum height is selected suitable curved.Occupation mode is illustrated in figure 9 as the sketch map that uses single curved situation, Figure 10 shows that the sketch map that uses two curved situations.
In zoopery and clinical practice, select different curved conveyer devices with left auricle radiography result according to transesophageal echocardiography.As shown in figure 10, the puncture operation is puncture right auricle 22 earlier, the lancet puncture interatrial septum 27 then, puncture needle is withdrawn from, carry 0.035 inch guiding wire, conductor is delivered to left atrium along seal wire, convergent divergent channel 3 is withdrawn from, along pigtail conduit of conductor 1 input, will guide sheath pipe 4 and be transported in the left auricle 23.
Left auricle 23 is carried out radiography measure left auricle 23 sizes, select the plugging device of appropriate size.Withdraw from the pigtail conduit, regulate the position of guiding sheath pipe 4 in left auricle 23, the far-end development ring of correspondence is aimed at the opening of left auricle 23, fixing guiding sheath pipe position is motionless, carrier 2 is inserted in the conductor 1, be transported to left auricle along guiding sheath pipe, near-end development ring 6 develops to encircle with guiding sheath pipe 4 near-ends and aligns, tighten the fastening nut on the conductor 1, make conductor 1 hold carrier 2 tightly, unscrew the nut of Y-valve 15, push rod 8 can be slided in delivery sheath 9, return simultaneously and remove delivery sheath 9 and guiding sheath pipe 4, the plugging device 19 that is contained in the carrier 2 is released the sheath pipe, push rod 8 backward directions are drawn and are confirmed that plugging device 19 can not come off from left auricle 23, contrast examination shutoff situation, rotation push rod 8 thoroughly discharges plugging device 19, plugging device 19 breaks away from induction system, with conductor, guiding sheath pipe is withdrawn from the body together.
The above only is an embodiment of the present utility model; should be pointed out that for those skilled in the art, under the prerequisite that does not break away from this utility model know-why; can also make some improvement and modification, these improve and modification also should be considered as protection domain of the present utility model.

Claims (9)

1.一种输送装置,其特征在于,包括导引器(1)以及与所述导引器(1)配合的输送器(2)和扩张管(3),其中:1. A delivery device, characterized in that it comprises an introducer (1) and a delivery device (2) and a dilation tube (3) cooperating with the introducer (1), wherein: 所述导引器(1)包括:导引鞘管(4)、设置于所述导引鞘管(4)一端的导引鞘管连接件(12)、设置于所述导引鞘管连接件(12)一端的拧紧螺母(13),所述扩张管(3)的一端可穿过所述导引鞘管(4)、所述导引鞘管连接件(12)和所述拧紧螺母(13)从而与所述导引鞘管(4)配合;The introducer (1) comprises: a guiding sheath (4), a guiding sheath connector (12) arranged at one end of the guiding sheath (4), a connecting piece (12) arranged at the connecting part of the guiding sheath (4). Tightening nut (13) at one end of piece (12), one end of the expansion tube (3) can pass through the guide sheath (4), the guiding sheath connector (12) and the tightening nut (13) thereby cooperating with the introducing sheath (4); 所述输送器(2)包括:输送鞘管(9)、设置于所述输送鞘管(9)一端的输送鞘管连接件(16)、设置于所述输送鞘管连接件(16)一端的Y型阀(15)以及一端穿过所述输送鞘管(9)、输送鞘管连接件(16)和Y型阀(15)的推送杆(8),所述推送杆(8)的一端不从所述输送鞘管(9)突出,所述输送鞘管(9)可穿过所述导引鞘管(4)、所述导引鞘管连接件(12)和所述拧紧螺母(13)从而与所述导引鞘管(4)配合。The delivery device (2) comprises: a delivery sheath (9), a delivery sheath connector (16) arranged at one end of the delivery sheath (9), a delivery sheath connector (16) arranged at one end of the delivery sheath (16) The Y-shaped valve (15) and one end of the push rod (8) passing through the delivery sheath tube (9), the delivery sheath connector (16) and the Y-shaped valve (15), the push rod (8) One end does not protrude from the delivery sheath (9), the delivery sheath (9) can pass through the introducer sheath (4), the introducer sheath connector (12) and the tightening nut (13) thereby cooperating with said introducing sheath (4). 2.如权利要求1所述的输送装置,其特征在于,所述导引鞘管(4)的另一端上设置有多个显影环(6)。2. The delivery device according to claim 1, characterized in that, a plurality of developing rings (6) are arranged on the other end of the guiding sheath (4). 3.如权利要求2所述的输送装置,其特征在于,所述导引鞘管连接件(12)上设置有输液管(18)。3. The delivery device according to claim 2, characterized in that, an infusion tube (18) is arranged on the guiding sheath connecting piece (12). 4.如权利要求3所述的输送装置,其特征在于,所述导引鞘管连接件(12)和所述拧紧螺母(13)之间设置有橡胶圈(14)。4. The delivery device according to claim 3, characterized in that, a rubber ring (14) is arranged between the guiding sheath connecting piece (12) and the tightening nut (13). 5.如权利要求4所述的输送装置,其特征在于,所述推送杆(8)的另一端设置有尾端手柄(10)。5. The conveying device according to claim 4, characterized in that, the other end of the push rod (8) is provided with a tail end handle (10). 6.如权利要求5所述的输送装置,其特征在于,所述扩张管(3)的另一端设置有止血阀(7)。6. The delivery device according to claim 5, characterized in that, the other end of the expansion tube (3) is provided with a hemostatic valve (7). 7.如权利要求6所述的输送装置,其特征在于,所述扩张管(3)由高密度聚乙烯制成。7. The delivery device according to claim 6, characterized in that the expansion tube (3) is made of high density polyethylene. 8.如权利要求7所述的输送装置,其特征在于,所述推送杆(8)由不锈钢制成。8. The conveying device according to claim 7, characterized in that the push rod (8) is made of stainless steel. 9.如权利要求8所述的输送装置,其特征在于,所述扩张管(3)的一端为30度角的锥形。9. The delivery device according to claim 8, characterized in that one end of the expansion tube (3) is tapered at an angle of 30 degrees.
CN2010206735583U 2010-12-22 2010-12-22 Conveying device Expired - Lifetime CN201899524U (en)

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102028510A (en) * 2010-12-22 2011-04-27 乐普(北京)医疗器械股份有限公司 Conveyor device
CN102793570A (en) * 2012-08-01 2012-11-28 上海形状记忆合金材料有限公司 A surgical delivery device for interventional treatment of congenital heart disease
CN103099652A (en) * 2013-02-19 2013-05-15 湖南埃普特医疗器械有限公司 Left auricle plugging device and transport system
CN103330577A (en) * 2013-05-28 2013-10-02 徐州亚太科技有限公司 Conveying system of transthoracic minimally invasive plugging device
WO2014127641A1 (en) * 2013-02-19 2014-08-28 湖南埃普特医疗器械有限公司 Left atrial appendage plugging device and delivery system
CN105056371A (en) * 2015-08-17 2015-11-18 湖南埃普特医疗器械有限公司 Guiding sheath
CN106419990A (en) * 2016-10-27 2017-02-22 上海心玮医疗科技有限公司 Delivery sheath body and left atrial appendage occluder delivery system
CN106890012A (en) * 2015-10-09 2017-06-27 埃瓦尔维公司 Handle for delivery catheter and method of use thereof
WO2018121345A1 (en) * 2016-12-30 2018-07-05 先健科技(深圳)有限公司 Delivery system for left auricle occluder
CN111671520A (en) * 2020-06-12 2020-09-18 绍兴梅奥心磁医疗科技有限公司 A sheath drive device adapted to a catheter manipulator

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102028510B (en) * 2010-12-22 2012-07-25 乐普(北京)医疗器械股份有限公司 Conveyor device
CN102028510A (en) * 2010-12-22 2011-04-27 乐普(北京)医疗器械股份有限公司 Conveyor device
CN102793570A (en) * 2012-08-01 2012-11-28 上海形状记忆合金材料有限公司 A surgical delivery device for interventional treatment of congenital heart disease
CN103099652A (en) * 2013-02-19 2013-05-15 湖南埃普特医疗器械有限公司 Left auricle plugging device and transport system
WO2014127641A1 (en) * 2013-02-19 2014-08-28 湖南埃普特医疗器械有限公司 Left atrial appendage plugging device and delivery system
CN103099652B (en) * 2013-02-19 2015-08-12 湖南埃普特医疗器械有限公司 A kind of left atrial appendage occlusion device and a kind of induction system
US9763666B2 (en) 2013-02-19 2017-09-19 Apt Medical Inc. Left atrial appendage plugging device and delivery system
CN103330577A (en) * 2013-05-28 2013-10-02 徐州亚太科技有限公司 Conveying system of transthoracic minimally invasive plugging device
CN105056371A (en) * 2015-08-17 2015-11-18 湖南埃普特医疗器械有限公司 Guiding sheath
CN106890012B (en) * 2015-10-09 2021-02-02 埃瓦尔维公司 Handle for delivery catheter and method of use
CN106890012A (en) * 2015-10-09 2017-06-27 埃瓦尔维公司 Handle for delivery catheter and method of use thereof
US11931263B2 (en) 2015-10-09 2024-03-19 Evalve, Inc. Delivery catheter handle and methods of use
CN106419990A (en) * 2016-10-27 2017-02-22 上海心玮医疗科技有限公司 Delivery sheath body and left atrial appendage occluder delivery system
CN108261216A (en) * 2016-12-30 2018-07-10 先健科技(深圳)有限公司 The transport system of occluder for left auricle
CN108261216B (en) * 2016-12-30 2021-03-19 先健科技(深圳)有限公司 Delivery system for left atrial appendage occluder
WO2018121345A1 (en) * 2016-12-30 2018-07-05 先健科技(深圳)有限公司 Delivery system for left auricle occluder
CN111671520A (en) * 2020-06-12 2020-09-18 绍兴梅奥心磁医疗科技有限公司 A sheath drive device adapted to a catheter manipulator

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