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CN107335130A - Portal vein self-retaining formula radioactive particle sleeve pipe and preparation method thereof - Google Patents

Portal vein self-retaining formula radioactive particle sleeve pipe and preparation method thereof Download PDF

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Publication number
CN107335130A
CN107335130A CN201611226048.XA CN201611226048A CN107335130A CN 107335130 A CN107335130 A CN 107335130A CN 201611226048 A CN201611226048 A CN 201611226048A CN 107335130 A CN107335130 A CN 107335130A
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CN
China
Prior art keywords
sleeve pipe
stereo
portal vein
radioactive particle
self
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Pending
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CN201611226048.XA
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Chinese (zh)
Inventor
王万胜
王晨
沈健
任葆胜
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Individual
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Priority to CN201611226048.XA priority Critical patent/CN107335130A/en
Publication of CN107335130A publication Critical patent/CN107335130A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1002Intraluminal radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1007Arrangements or means for the introduction of sources into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1001X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy using radiation sources introduced into or applied onto the body; brachytherapy
    • A61N5/1014Intracavitary radiation therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N2005/1092Details
    • A61N2005/1096Elements inserted into the radiation path placed on the patient, e.g. bags, bolus, compensators

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The invention discloses a kind of portal vein self-retaining formula radioactive particle sleeve pipe and preparation method, including 3 D stereo sleeve pipe and the radioactive particle in 3 D stereo sleeve pipe, 3 D stereo sleeve pipe is helical structure, be in line type after the tension of 3 D stereo sleeve pipe, after loosening can resilience, 3 D stereo sleeve pipe it is closed at both ends.Its advantage is:Shape in line after 3 D stereo sleeve pipe tenses, just reverts to 3 D stereo shape after loosening.It can so be oppressed using its own elasticity in portal vein inwall, play a part of self-retaining in portal vein, 3 D stereo sleeve pipe optimal morphology should be sped structure.Stereo spiral formula structure is designed as, can not only play a part of voluntarily being fixed in portal vein, screw type particle distribution mode is yet forms both, is more beneficial for the treatment to cancer embolus.

Description

Portal vein self-retaining formula radioactive particle sleeve pipe and preparation method thereof
Technical field
The present invention relates to technical field of medical instruments, more particularly to portal vein self-retaining formula radioactive particle sleeve pipe and its system Preparation Method.
Background technology
The incidence of disease of the hepatocellular carcinoma (HCC) in China is high, accounts for the half of all new cases in the whole world, wherein 10- 40%HCC patient is associated with TTPV.Once main portal vein is involved by cancer embolus, it can be significantly greatly increased in tumour liver and send out generally Rate, while hinder enter liver portal venous flow and cause hepatic functional reserve to deteriorate and aggravate secondary to the door on liver cirrhosis basis Venous hypertension, therefore this kind of patient's poor prognosis.Merging main portal vein cancer embolus (MPVTT) currently for HCC there is no standard to control Treatment scheme.It is considered as the radical treatment method that HCC merges TTPV that liver inner disease foci excision joint portal vein, which takes bolt, but only There is the idicatio that 10% or so patient meets surgical operation when medical.Research is suffered from it has proven convenient that merging portal vein tumor thrombus for HCC It is safe, feasible that person implements Arterial chemotherapy and embolization (TACE);HCC merge MPVTT patient receive TACE, Sorafenib list medicine and After TACE joint Sorafenib treatments, its median survival interval is respectively 4.1,3.0 and 3.0~7.0 months, and three kinds of therapeutic modalities are equal MPVTT patient, which may be merged, to HCC brings existence to benefit.
Probability is sent out in HCC livers, hinders enter liver portal venous flow and increase portal venous pressure in view of MPVTT can increase, if Main portal vein is opened in time using support, is effectively suppressed portal vein tumor thrombus progress using I125 radioactive particle, perhaps can be entered One step extends the life cycle that HCC merges MPVTT patient.Therefore, Zhongshan Hospital Attached to Fudan Univ takes the lead in having carried out " blood vessel interplantation Enter I-125 seeds bar and support joint TACE treatments HCC merges MPVTT " clinical research.Preliminary result shows:Implantation branch The patency of portal vein trunk can be restored in time after frame, and continuation low dose radiation can suppress cancer caused by I-125 seeds bar The progress of bolt.In I-125 seeds bar combined bracket treats MPVTT, support, which plays, recovers the effect of main portal vein blood flow, and Particle bar then plays a part for the treatment of cancer embolus.However, Stent Implantation and particle bar simultaneously in portal vein, technology is relative complex, Puncture channel substantially makes bleeding risk higher and costly, therefore the country is not carried out extensively.
After support opens main portal vein, portal venous flow is recovered, and this not only mean onlys that normal liver can obtain More blood supplies, it is often more important that for the creation chance of the TACE treatments of tumour in liver.This is that above-mentioned " blood vessel is implanted into iodine-125 grain Sub- bar and support joint TACE treatments HCC merges MPVTT " clinical researches most important theories basis.HCC patient TACE is treated relative Contraindication is that main portal vein entirely shuts, but with the maturation for widely using and intervening Doctors' skill of microtubular, precisely and The TACE treatments of appropriateness are feasible.And in most cases, main portal vein not entirely shuts or has that side shoot is compensatory, It is safe and feasible to carry out Superselective catheterization row TACE treatments, and this has been recognized.Therefore, since merging MPVTT for most of HCC can row TACE treatment, then portal vein support insert and it is nonessential.On the other hand, join in I-125 seeds bar Close in stent in the treatment MPVTT, because line style particle bar (particle bar is line style at present) can not be fixed in portal vein, therefore support Another effect played is then that the compressing of particle bar is fixed on into portal vein inwall, so that particle bar plays low coverage in cancer embolus region Acted on from radiotherapy.It is fixed on using the contention effect of support in portal vein, plays brachytherapy effect.However, particle bar quilt Support pressure is under the pressure of cancer embolus side or the normal side wall of portal vein, then uncontrollable.The portal vein stent diameter inserted is often 14mm, and The a diameter of 17mm of Net long wave radiation of particle bar, if particle bar is located at the normal side wall of portal vein of cancer embolus offside, grain can be influenceed Therapeutic action of the sub- bar to cancer embolus.
Try to can voluntarily be fixed on particle bar in the portal vein in cancer embolus region, then without Stent Implantation to oppress Fixed particle bar.So, when treating such lesion without portal vein support, then it can substantially reduce intervention operating difficulty, reduce out Blood risk and surgery cost, thus may be such that this therapeutic modality is carried out extensively, allow more patients to be benefited.Meanwhile Screw type particle distribution mode, is more beneficial for the treatment to cancer embolus.
The content of the invention
For the one or more to solve the above problems, there is provided portal vein self-retaining formula radioactive particle sleeve pipe and its preparation side Method.
According to an aspect of the present invention, there is provided a kind of portal vein self-retaining formula radioactive particle sleeve pipe, including it is three-dimensional vertical Body sleeve pipe and the radioactive particle in 3 D stereo sleeve pipe, 3 D stereo sleeve pipe are helical structure, 3 D stereo sleeve pipe Be in line type after tension, after loosening can resilience, 3 D stereo sleeve pipe it is closed at both ends.Its advantage is:3 D stereo set Shape in line after pipe tenses, just reverts to 3 D stereo shape after loosening.It can so be oppressed using its own elasticity quiet in door Arteries and veins inwall, play a part of self-retaining in portal vein, 3 D stereo sleeve pipe optimal morphology should be sped structure.It is designed as standing Body sped structure, it can not only play a part of voluntarily being fixed in portal vein, yet forms both screw type particle distribution side Formula, it is more beneficial for the treatment to cancer embolus.
In some embodiments, 3 D stereo sleeve pipe is helical structure.Its advantage is:3 D stereo sleeve pipe is optimal Form should be sped structure.Stereo spiral formula structure is designed as, can not only play a part of voluntarily being fixed in portal vein, Screw type particle distribution mode is yet forms both, is more beneficial for the treatment to cancer embolus.
In some embodiments, radioactive particle is iodine-125 radioactive particle.
In some embodiments, iodine-125 radioactive particle includes titanium shell and the silver in titanium shell Rod, silver-colored rod adsorption have iodine-125 radionuclide.
In some embodiments, the width of 3 D stereo sleeve pipe is more than main portal vein diameter.Its advantage is:Should The width of 3 D stereo sleeve pipe should be big compared with main portal vein diameter, can so be oppressed using its own elasticity in portal vein Wall, play a part of self-retaining in portal vein.
In some embodiments, the width of 3 D stereo sleeve pipe is bigger than main portal vein diameter by 10~20%.Its is beneficial Effect is:The width of the 3 D stereo sleeve pipe should be big compared with main portal vein diameter by 10~20%, can so utilize its own bullet Sexual oppression plays a part of self-retaining in portal vein in portal vein inwall.
According to another aspect of the present invention, the preparation method of portal vein self-retaining formula radioactive particle sleeve pipe, its feature It is, comprises the following steps,
Prepare 3 D stereo sleeve pipe, 3 D stereo sleeve pipe is helical structure, and be in line type after the tension of 3 D stereo sleeve pipe, puts After pine can resilience, the first port of 3 D stereo sleeve pipe is cecum;Will at the second port of 3 D stereo sleeve pipe with seal wire More pieces of radioactive particle sources are pushed in pipe, and the second port of 3 D stereo sleeve pipe is carried out into heat sealing.Its advantage is:This The portal vein self-retaining formula radioactive particle sleeve pipe that kind method prepares has relatively stable structure, and preparation method letter It is single, it is easy to operate.Wherein 3 D stereo sleeve pipe optimal morphology should be sped structure, be designed as stereo spiral formula structure, not only It can play a part of voluntarily being fixed in portal vein, yet forms both screw type particle distribution mode, be more beneficial for cancer embolus Treatment.
In some embodiments, radioactive particle is iodine-125 radioactive particle.
In some embodiments, the width of 3 D stereo sleeve pipe is more than main portal vein diameter.Its advantage is:Should The width of 3 D stereo shape sleeve pipe should be big compared with main portal vein diameter, can so be oppressed using its own elasticity in portal vein Wall, play a part of self-retaining in portal vein.
In some embodiments, the width of 3 D stereo sleeve pipe is more than main portal vein diameter.Its advantage is:Should The width of 3 D stereo sleeve pipe should be big compared with main portal vein diameter by 10~20%, can so be oppressed using its own elasticity in door Vein inwall, play a part of self-retaining in portal vein.
Brief description of the drawings
Fig. 1 is the portal vein self-retaining formula radioactive particle sleeve structure schematic diagram of an embodiment of the present invention;
Fig. 2 is the radioactive particle structural representation of the radioactive particle sleeve pipe of portal vein self-retaining formula shown in Fig. 1;
Fig. 3 is the use state figure of portal vein self-retaining formula radioactive particle sleeve pipe of the present invention.
3 D stereo sleeve pipe 1, first port 101, second port 102, radioactive particle source 2, titanium shell 201, silver-colored rod 202, liver 3, tumour 4, right branch of portal vein 5, left branch of portal vein 6, main portal vein 7, splenic vein 8, superior mesenteric vein 9, cancer Bolt 10.
Embodiment
The invention will now be described in further detail with reference to the accompanying drawings.
Referring to Figures 1 and 2, a kind of portal vein self-retaining formula radioactive particle sleeve pipe, including 3 D stereo sleeve pipe 1 and set In the radioactive particle 2 in 3 D stereo sleeve pipe 1,3 D stereo sleeve pipe 1 is helical structure, 3 D stereo sleeve pipe 1 tense after into Linear pattern, after loosening can resilience, 3 D stereo sleeve pipe 1 it is closed at both ends.Preferably, radioactive particle 2 radiates for iodine-125 Property particle.Wherein iodine-125 radioactive particle existing can be used clinically, specifically can include titanium shell 201 and Silver-colored rod 202 in titanium shell 201, the silver-colored adsorption of rod 202 have iodine-125 radionuclide.The length of titanium shell 201 Spend for 4.5mm, a diameter of 0.8mm.The length of silver-colored rod 202 is 3~4mm.Shape in line after 3 D stereo sleeve pipe 1 tenses, puts Just 3 D stereo shape is reverted to after pine.3 D stereo sleeve pipe 1 can apply the common conduit conduct commonly used in blood vessel intervention operation The material of 3 D stereo sleeve pipe 1, a diameter of 4F.It can so be oppressed in portal vein inwall, be played from solid using its own elasticity Due to the effect in portal vein, the optimal morphology of 3 D stereo sleeve pipe 1 should be sped structure.Stereo spiral formula structure is designed as, It can not only play a part of voluntarily being fixed in portal vein, yet forms both screw type particle distribution mode, be more beneficial for pair The treatment of cancer embolus 10.
Preferably, the width of 3 D stereo sleeve pipe 1 is more than the diameter of main portal vein 7.More preferably, the width of three-dimensional sleeve pipe 1 is tieed up Degree is bigger by 10%~20% than the diameter of main portal vein 7.The width of the 3 D stereo sleeve pipe 1 should be big compared with the diameter of main portal vein 7 10%~20% or so, it can so be oppressed using its own elasticity in portal vein inwall, play self-retaining in portal vein Effect.The length of 3 D stereo sleeve pipe 1 can be according to cancer embolus 10 depending on the length that portal vein is accumulated.
According to another aspect of the present invention, there is provided a kind of preparation side of portal vein self-retaining formula radioactive particle sleeve pipe Method, comprise the following steps, prepare 3 D stereo sleeve pipe 1,3 D stereo sleeve pipe 1 is helical structure, after 3 D stereo sleeve pipe 1 tenses Be in line type, being capable of resilience after loosening;It is cecum by the first port 101 of 3 D stereo sleeve pipe 1;With seal wire from 3 D stereo set More pieces of radioactive particles 2 are pushed in pipe at the second port 102 of pipe 1, the second port 102 of 3 D stereo sleeve pipe 1 is entered Row heat sealing.Wherein, 3 D stereo sleeve pipe 1 can apply the common conduit commonly used in blood vessel intervention operation as 3 D stereo set The material of pipe 1, a diameter of 4F.Its advantage is:The portal vein self-retaining formula radioactive particle set that this method prepares Pipe has relatively stable structure, and preparation method is simple, easy to operate.The wherein optimal morphology of 3 D stereo sleeve pipe 1 should be Sped structure, is designed as stereo spiral formula structure, can not only play a part of voluntarily being fixed in portal vein, yet forms both Screw type particle distribution mode, is more beneficial for the treatment to cancer embolus 10.
Wherein, radioactive particle 2 is iodine-125 radioactive particle.
Preferably, the width of 3 D stereo sleeve pipe 1 is more than the diameter of main portal vein 7.More preferably, the width of three-dimensional sleeve pipe 1 is tieed up Degree is bigger by 10%~20% than the diameter of main portal vein 7.The width of the 3 D stereo sleeve pipe 1 should be big compared with the diameter of main portal vein 7 10%~20% or so, it can so be oppressed using its own elasticity in portal vein inwall, play self-retaining in portal vein Effect.
During using portal vein self-retaining formula radioactive particle sleeve pipe of the invention, as shown in figure 3, tumour 4 is located at portal vein At right branch 5, cancer embolus 10 invades right branch of portal vein 5 and main portal vein 7, percutaneously punctures branch of portal vein through liver 3, introduce 4F or In the long sheaths of 5F to main portal vein 7, head end exceedes the lower edge of cancer embolus 10, then by the portal vein self-retaining formula radioactivity of the present invention After particle sleeve pipe stretches, the leading portion of sheath is pushed to through long sheath, behind the position for determining storing, seal wire fixes the radioactivity of the present invention Particle sleeve pipe simultaneously withdraws long sheath, and now particle bar is just progressively discharged to portal vein, and is progressively deployed with 3 D stereo shape structure, Oppressed by its elasticity in portal vein inwall, play a part of self-retaining in portal vein, while screw type particle distribution side Formula, it is more beneficial for the treatment to cancer embolus 10.
Above-described is only some embodiments of the present invention.For the person of ordinary skill of the art, not On the premise of departing from the invention design, various modifications and improvements can be made, these belong to the protection model of the present invention Enclose.

Claims (9)

1. portal vein self-retaining formula radioactive particle sleeve pipe, it is characterised in that including 3 D stereo sleeve pipe (1) and located at described Radioactive particle (2) in 3 D stereo sleeve pipe (1), be in line type after 3 D stereo sleeve pipe (1) tension, can after loosening Resilience, the 3 D stereo sleeve pipe (1) it is closed at both ends.
2. portal vein self-retaining formula radioactive particle sleeve pipe according to claim 1, it is characterised in that the 3 D stereo Sleeve pipe (1) is helical structure.
3. portal vein self-retaining formula radioactive particle sleeve pipe according to claim 1, it is characterised in that the radioactivity grain Sub (2) are iodine-125 radioactive particle.
4. portal vein self-retaining formula radioactive particle sleeve pipe according to claim 1, it is characterised in that the 3 D stereo The width of sleeve pipe (1) is more than the main portal vein (7) diameter.
5. portal vein self-retaining formula radioactive particle sleeve pipe according to claim 1, it is characterised in that the 3 D stereo The width of sleeve pipe (1) is bigger by 10~20% than the main portal vein (7) diameter.
6. the preparation method of portal vein self-retaining formula radioactive particle sleeve pipe, it is characterised in that comprise the following steps,
Prepare 3 D stereo sleeve pipe (1), the 3 D stereo sleeve pipe (1) is helical structure, and the 3 D stereo sleeve pipe (1) tenses After be in line type, after loosening can resilience, the first port (101) of the 3 D stereo sleeve pipe (1) is cecum;
More pieces of radioactive particles (2) are pushed into pipe from the second port (102) of the 3 D stereo sleeve pipe (1) with seal wire It is interior;
The second port (102) of the 3 D stereo sleeve pipe (1) is subjected to heat sealing.
7. a kind of preparation method of portal vein self-retaining formula radioactive particle sleeve pipe according to claim 6, its feature exist In the radioactive particle (2) is iodine-125 radioactive particle.
8. a kind of preparation method of portal vein self-retaining formula radioactive particle sleeve pipe according to claim 6, its feature exist In the width of the 3 D stereo sleeve pipe (1) is more than the main portal vein (7) diameter.
9. a kind of preparation method of portal vein self-retaining formula radioactive particle sleeve pipe according to claim 6, its feature exist In the width of the 3 D stereo sleeve pipe (1) is more than the 10~20% of the main portal vein (7) diameter.
CN201611226048.XA 2016-12-27 2016-12-27 Portal vein self-retaining formula radioactive particle sleeve pipe and preparation method thereof Pending CN107335130A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201611226048.XA CN107335130A (en) 2016-12-27 2016-12-27 Portal vein self-retaining formula radioactive particle sleeve pipe and preparation method thereof

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Application Number Priority Date Filing Date Title
CN201611226048.XA CN107335130A (en) 2016-12-27 2016-12-27 Portal vein self-retaining formula radioactive particle sleeve pipe and preparation method thereof

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109847202A (en) * 2019-04-08 2019-06-07 郑州大学第一附属医院 Portal vein seed stent implantation system

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102596174A (en) * 2009-09-10 2012-07-18 塔里斯生物医药公司 Implantable device for controlled drug delivery
CN203539496U (en) * 2013-11-01 2014-04-16 巴格那 Medical support
CN203790087U (en) * 2014-01-09 2014-08-27 刘阳 Radioactive particle stent
US20140378739A1 (en) * 2013-06-20 2014-12-25 Source Production & Equipment Co., Inc. Radioactive therapeutic device with fixation
CN204275281U (en) * 2014-09-29 2015-04-22 潘阳林 A kind of biliary tract chemotherapy support
CN204798622U (en) * 2015-06-23 2015-11-25 颜标 Novel medical treatment is dissolved and is tied vascular pipe
CN105920727A (en) * 2016-04-11 2016-09-07 王娟 Radioactive particle chain and use method thereof
CN206745740U (en) * 2016-12-27 2017-12-15 王万胜 Portal vein self-retaining formula radioactive particle sleeve pipe

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102596174A (en) * 2009-09-10 2012-07-18 塔里斯生物医药公司 Implantable device for controlled drug delivery
US20140378739A1 (en) * 2013-06-20 2014-12-25 Source Production & Equipment Co., Inc. Radioactive therapeutic device with fixation
CN203539496U (en) * 2013-11-01 2014-04-16 巴格那 Medical support
CN203790087U (en) * 2014-01-09 2014-08-27 刘阳 Radioactive particle stent
CN204275281U (en) * 2014-09-29 2015-04-22 潘阳林 A kind of biliary tract chemotherapy support
CN204798622U (en) * 2015-06-23 2015-11-25 颜标 Novel medical treatment is dissolved and is tied vascular pipe
CN105920727A (en) * 2016-04-11 2016-09-07 王娟 Radioactive particle chain and use method thereof
CN206745740U (en) * 2016-12-27 2017-12-15 王万胜 Portal vein self-retaining formula radioactive particle sleeve pipe

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109847202A (en) * 2019-04-08 2019-06-07 郑州大学第一附属医院 Portal vein seed stent implantation system

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Application publication date: 20171110