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CN108114360B - Vascular interventional surgical guidewire/catheter delivery device - Google Patents

Vascular interventional surgical guidewire/catheter delivery device Download PDF

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CN108114360B
CN108114360B CN201711373182.7A CN201711373182A CN108114360B CN 108114360 B CN108114360 B CN 108114360B CN 201711373182 A CN201711373182 A CN 201711373182A CN 108114360 B CN108114360 B CN 108114360B
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synchronous belt
fixed
guide
synchronous
delivery device
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CN108114360A (en
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韩世鹏
任岭雪
王磊
王国帅
欧芳亮
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Shenzhen Institute of Advanced Technology of CAS
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    • 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
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0116Steering means as part of the catheter or advancing means; Markers for positioning self-propelled, e.g. autonomous robots
    • 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
    • A61M25/0105Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133Tip steering devices

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  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
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  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
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Abstract

A vascular interventional procedure guidewire/catheter delivery device comprising: the device comprises a clamping mechanism, a propelling component for driving the clamping mechanism to move and a guide mechanism for guiding the motion path of a guide wire or a catheter. When a sliding clamp of the clamping mechanism approaches to the fixed sliding rail type clamp, the first anti-skidding elastic block and the second anti-skidding elastic block tightly press the guide wire or the guide pipe so as to clamp the guide wire or the guide pipe; the propelling assembly comprises a boss synchronous belt driving the clamping mechanism to move, a synchronous belt wheel moving mechanism and a synchronous belt wheel tensioning mechanism, and is used for tensioning the synchronous belt wheel so as to adjust the tightness of the boss synchronous belt. The vascular interventional operation guide wire/catheter delivery device is small in size and high in delivery precision.

Description

血管介入手术导丝/导管递送装置Vascular interventional guide wire/catheter delivery device

技术领域technical field

本发明属于血管介入手术辅助设备技术领域,特别涉及一种血管介入手术导丝/导管递送装置。The invention belongs to the technical field of auxiliary equipment for vascular intervention, in particular to a guide wire/catheter delivery device for vascular intervention.

背景技术Background technique

心血管疾病是目前世界死亡率最高的疾病之一。传统针对心血管疾病的治疗方式包括内科的药物治疗和外科的手术治疗,但是内科的药物治疗存在治疗效果差、费用高且无法根治等诸多问题;外科的手术治疗他通过切开人体外组织进行治疗的一种方式,但是该方式存在着病人痛苦较大、住院恢复时间较长等问题。随着医学技术的发展,血管介入手术成为目前治疗心血管疾病的有效方法。Cardiovascular disease is one of the diseases with the highest mortality rate in the world. Traditional treatment methods for cardiovascular diseases include medical drug treatment and surgical operation, but medical drug treatment has many problems such as poor treatment effect, high cost and inability to cure; surgical treatment is performed by incising human tissue. It is a method of treatment, but this method has problems such as greater pain for patients and longer recovery time in hospital. With the development of medical technology, vascular interventional surgery has become an effective method for the treatment of cardiovascular diseases.

传统的血管介入手术需要医生在借助数字减影血管造影机、CT、超声和磁共振等影像设备的引导和监视下,将导丝或导管送入人体血管里到达病灶来治疗疾病,在此过程中,医生会受到X光辐射,从而造成身体伤害。Traditional vascular interventional surgery requires doctors to send guide wires or catheters into human blood vessels to reach the lesions to treat diseases under the guidance and monitoring of imaging equipment such as digital subtraction angiography, CT, ultrasound and magnetic resonance. , doctors are exposed to X-ray radiation, which can cause bodily harm.

目前常用的血管介入手术依旧采用施术者直接操纵导丝或导管的方式进行,存在较大的弊端:1)施术者长期身着铅衣在X辐射的环境下工作,铅衣无法屏蔽所有的X射线,常年累计的辐射会对施术者的身体产生巨大的伤害;2)由于手术时间较长,导丝或导管且均为人工递送,手术的精确度较差,会对手术的效果产生不良的影响,这些问题的存在使得通过机器人来辅助医生进行导丝或导管的递送尤为重要。At present, the commonly used vascular interventional surgery is still performed by the operator directly manipulating the guide wire or catheter, which has major drawbacks: 1) The operator wears lead clothing for a long time to work in the environment of X-radiation, and the lead clothing cannot shield all the 2) Due to the long operation time and the manual delivery of the guide wire or catheter, the precision of the operation is poor, which will affect the effect of the operation. The existence of these problems makes it particularly important to assist physicians in the delivery of guidewires or catheters by robots.

针对上述存在的问题,目前国内外科学家和科研机构已经提出了多种导丝或导管递送的方式。北京航空航天大学的王田苗团队提出了利用电机带动摩擦轮,利用摩擦轮的摩擦里将导丝或导管向前推送的血管介入机器人;中国科学院深圳先进技术研究院王磊团队提出了在将导丝或导管夹持的情况下,利用高精度丝杠将导丝或导管进行向前递送的血管介入机器人;Corindus公司开发了专用于血管介入的CorPath 200血管介入机器人系统,利用一对摩擦轮来实现导丝或导管向前递送的目的。In view of the above-mentioned problems, domestic and foreign scientists and scientific research institutions have proposed a variety of guide wire or catheter delivery methods. Wang Tianmiao's team from Beihang University proposed a vascular intervention robot that uses a motor to drive a friction wheel and uses the friction of the friction wheel to push the guide wire or catheter forward. Wang Lei's team from Shenzhen Institute of Advanced Technology, Chinese Academy of Sciences A vascular intervention robot that uses a high-precision lead screw to forward a guide wire or catheter when the catheter is clamped; Corindus has developed the CorPath 200 vascular intervention robot system dedicated to vascular intervention, which uses a pair of friction wheels to achieve The purpose of forward delivery of a guidewire or catheter.

目前大部分已有的血管介入机器人的导丝/导管递送装置主要可分为摩擦驱动型和滑动平台型两种,其中摩擦驱动型血管介入机器人驱动方式简单,机构整体体积较小,结构紧凑,但是存在摩擦轮夹紧力太小容易导致导丝或导管介入过程打滑,夹紧力太大容易导致损伤导丝或导管的问题,使得整体机构传动的精度较差;滑动平台型血管介入机器人利用丝杠传动解决了目前摩擦驱动型存在的传输精度较差等问题,但同时存在机器人整体体积较大,机器人噪声较大,且推进电机需经常进行正反转等,手术效率较低等问题。At present, most of the existing guide wire/catheter delivery devices for vascular interventional robots can be mainly divided into friction-driven and sliding platform types. Among them, the friction-driven vascular interventional robot has a simple driving method, a small overall volume and a compact structure. However, there is a problem that the clamping force of the friction wheel is too small, which may easily lead to slippage of the guide wire or catheter during the intervention process, and that the clamping force is too large, which may easily lead to damage to the guide wire or catheter, which makes the transmission accuracy of the overall mechanism poor; the sliding platform type vascular intervention robot uses The screw drive solves the problems of poor transmission accuracy of the current friction drive type, but at the same time, the robot has a large overall volume, the robot is noisy, and the propulsion motor needs to be rotated forward and reverse frequently, and the operation efficiency is low.

发明内容SUMMARY OF THE INVENTION

基于此,有必要提供一种体型较小且传送精度高的血管介入手术导丝/导管递送装置。Based on this, it is necessary to provide a guide wire/catheter delivery device for vascular interventional surgery with a small size and high delivery accuracy.

一种血管介入手术导丝/导管递送装置,包括:A vascular interventional surgery guide wire/catheter delivery device, comprising:

夹持机构,所述夹持机构包括相对设置的固定滑轨型夹子和滑动夹子,固定在所述固定滑轨型夹子上的第一防滑弹性块,固定在所述滑动夹子上的第二防滑弹性块,及设置在所述固定滑轨型夹子和所述滑动夹子之间的夹子弹簧,所述第一防滑弹性块和所述第二防滑弹性块相对设置,所述滑动夹子相对于所述固定滑轨型夹子左右平移,当所述滑动夹子向所述固定滑轨型夹子靠近时,所述第一防滑弹性块和所述第二防滑弹性块将导丝或导管压紧从而夹持住导丝或导管;A clamping mechanism, the clamping mechanism includes a fixed slide rail type clip and a sliding clip arranged oppositely, a first anti-slip elastic block fixed on the fixed slide rail type clip, and a second anti-slip elastic block fixed on the sliding clip an elastic block, and a clip spring arranged between the fixed slide rail type clip and the sliding clip, the first anti-slip elastic block and the second anti-slip elastic block are arranged oppositely, and the sliding clip is opposite to the The fixed slide rail type clip translates left and right, and when the slide clip approaches the fixed slide rail type clip, the first anti-slip elastic block and the second anti-slip elastic block compress the guide wire or the catheter to hold it. guide wire or catheter;

推进组件,包括带动所述夹持机构运动的凸台同步带和同步带轮运动机构、及同步带轮张紧机构,所述同步带轮运动机构包括推拉电机固定架、推拉电机、同步带轮安装板、同步带轮、同步带安装轴和轴承,所述推拉电机固定在所述推拉电机固定架上,所述推拉电机的输出轴与所述同步带轮连接,所述同步带轮、所述同步带安装轴及所述轴承同轴安装在所述同步带轮安装板上,所述凸台同步带张紧在所述同步带轮上,所述夹持机构固定在所述凸台同步带上,所述同步带轮张紧机构用于张紧所述同步带轮,从而调整所述凸台同步带的紧度;The propulsion assembly includes a boss synchronous belt and a synchronous pulley motion mechanism that drives the clamping mechanism to move, and a synchronous pulley tensioning mechanism, and the synchronous pulley motion mechanism includes a push-pull motor fixing frame, a push-pull motor, and a synchronous pulley. A mounting plate, a synchronous pulley, a synchronous belt installation shaft and a bearing, the push-pull motor is fixed on the push-pull motor fixing frame, the output shaft of the push-pull motor is connected with the synchronous pulley, the synchronous pulley, the The synchronous belt installation shaft and the bearing are coaxially installed on the synchronous pulley installation plate, the boss synchronous belt is tensioned on the synchronous pulley, and the clamping mechanism is fixed on the boss synchronously On the belt, the synchronous pulley tensioning mechanism is used to tension the synchronous pulley, so as to adjust the tightness of the boss synchronous belt;

导向机构,用于对导丝或导管运动路径进行指引,所述导向机构包括导向板固定板、导向板,所述导向板固定板位于所述同步带轮安装板上端,所述导向板固定在所述导向板固定板上,所述导向板通过挤压所述固定滑轨型夹子以提供所述夹持机构夹持导丝/导管所需的夹紧力。A guide mechanism is used to guide the movement path of the guide wire or the catheter. The guide mechanism includes a guide plate fixing plate and a guide plate. The guide plate fixing plate is located at the upper end of the synchronous pulley installation plate, and the guide plate is fixed on the The guide plate is fixed on the plate, and the guide plate provides the clamping force required by the clamping mechanism to clamp the guide wire/catheter by pressing the fixed slide rail type clamp.

在其中一个实施例中,所述夹持机构包括第一导向销、第二导向销及第三导向销,所述第一导向销和所述第二导向销分别固定在所述固定滑轨型夹子上,所述第三导向销安装于所述滑动夹子上,所述夹子弹簧同轴套设于所述第三导向销上,所述滑动夹子沿所述第一导向销、所述第二导向销及所述第三导向销相对于所述固定滑轨型夹子平移滑动。In one embodiment, the clamping mechanism includes a first guide pin, a second guide pin and a third guide pin, and the first guide pin and the second guide pin are respectively fixed on the fixed slide rail type On the clip, the third guide pin is installed on the sliding clip, the clip spring is coaxially sleeved on the third guide pin, and the sliding clip runs along the first guide pin, the second guide pin and the second guide pin. The guide pin and the third guide pin slide in translation relative to the fixed slide rail type clip.

在其中一个实施例中,所述同步带轮包括主动同步带轮和从动同步带轮,所述同步带安装轴包括第一同步带安装轴和第二同步带安装轴,所述轴承包括第一轴承和第二轴承,所述第一轴承安装在所述同步带轮安装板孔内,所述第一同步带安装轴套设在所述第一轴承上并与所述第一轴承内圈过盈配合,所述主动同步带轮固定在所述第一同步带安装轴上,所述第二轴承安装在所述同步带轮安装板孔内,所述第二同步带安装轴套设在所述第二轴承上并与第二轴承内圈过盈配合,所述从动同步带轮固定在所述第二同步带安装轴之上。In one embodiment, the synchronous pulley includes a driving synchronous pulley and a driven synchronous pulley, the synchronous belt installation shaft includes a first synchronous belt installation shaft and a second synchronous belt installation shaft, and the bearing includes a first synchronous belt installation shaft and a second synchronous belt installation shaft. A bearing and a second bearing, the first bearing is installed in the hole of the synchronous pulley installation plate, the first synchronous belt installation shaft is sleeved on the first bearing and is connected with the inner ring of the first bearing With interference fit, the active synchronous pulley is fixed on the first synchronous belt installation shaft, the second bearing is installed in the hole of the synchronous pulley installation plate, and the second synchronous belt installation shaft is sleeved on the The second bearing is in interference fit with the inner ring of the second bearing, and the driven synchronous pulley is fixed on the second synchronous belt installation shaft.

在其中一个实施例中,所述同步带轮张紧机构包括同步带轮调节板、调节座和调节螺栓,所述同步带轮调节板和所述调节座安装于所述同步带轮安装板之上,且所述同步带轮调节板与所述调节座通过调节螺栓连接。In one embodiment, the timing pulley tensioning mechanism includes a timing pulley adjusting plate, an adjusting seat and an adjusting bolt, and the timing pulley adjusting plate and the adjusting seat are installed between the timing pulley mounting plate and the synchronous pulley adjusting plate and the adjusting seat are connected by adjusting bolts.

在其中一个实施例中,所述第一同步带安装轴的一端通过螺栓与第一同步带轮挡板固定,另一端通过第一锁紧螺母和轴承挡圈固定,所述第二同步带安装轴的一端通过螺栓与第二同步带轮挡板固定,另一端通过第二锁紧螺母与同步带轮调节板固定。In one embodiment, one end of the first synchronous belt installation shaft is fixed with the first synchronous pulley baffle plate by bolts, and the other end is fixed by the first locking nut and the bearing retaining ring, and the second synchronous belt is installed One end of the shaft is fixed with the second synchronous pulley baffle plate through bolts, and the other end is fixed with the synchronous pulley adjusting plate through the second locking nut.

在其中一个实施例中,所述同步带轮运动机构还包括一对模数相同的锥齿轮,所述一对锥齿轮连接推拉电机和同步带轮。In one embodiment, the synchronous pulley motion mechanism further includes a pair of bevel gears with the same modulus, and the pair of bevel gears are connected to the push-pull motor and the synchronous pulley.

在其中一个实施例中,所述第一同步带安装轴设有第一齿轮,所述推拉电机的输出轴之上设有第二齿轮,所述第一齿轮与所述第二齿轮啮合。In one embodiment, the first synchronous belt installation shaft is provided with a first gear, the output shaft of the push-pull motor is provided with a second gear, and the first gear meshes with the second gear.

在其中一个实施例中,所述导向机构还包括第一支架、第二支架、安装在所述第一支架顶端的第一导向管及安装在所述第二支架顶端的第二导向管,所述第一支架和所述第二支架分别对称安装于所述同步带轮安装板的两端。In one embodiment, the guide mechanism further includes a first bracket, a second bracket, a first guide tube installed on the top of the first bracket, and a second guide tube installed on the top of the second bracket, so The first bracket and the second bracket are respectively symmetrically mounted on both ends of the synchronous pulley mounting plate.

在其中一个实施例中,所述凸台同步带的材料为聚氨酯,所述凸台同步带上等距离安装有多个所述夹持机构。In one embodiment, the material of the boss timing belt is polyurethane, and a plurality of the clamping mechanisms are installed on the boss timing belt at equal distances.

在其中一个实施例中,所述第一防滑弹性块和所述第二防滑弹性块为橡胶块,所述第一防滑弹性块可拆卸地固定在所述固定滑轨型夹子上,所述第二防滑弹性块可拆卸地固定在所述滑动夹子上。In one embodiment, the first anti-slip elastic block and the second anti-slip elastic block are rubber blocks, the first anti-slip elastic block is detachably fixed on the fixed slide rail-type clip, and the first anti-slip elastic block is Two anti-skid elastic blocks are detachably fixed on the sliding clip.

上述的血管介入手术导丝/导管递送装置包括夹持机构、用于带动夹持机构运动的推进组件以及用于导丝或导管夹持运动路径指引的导向机构。上述血管介入手术导丝/导管递送装置能够模仿医生对导丝/导管进行递送,电机在无需进行频繁的正反换向即可将导丝或导管持续性向前递送,并且能够通过导向机构在不更换任何零件的情况下适应多种导丝/导管、导管的递送要求,且可同时调整夹持机构的夹紧力,并且可以在更换导向机构中导向板的情况下,改变单次导丝或导管递送的距离。此外,该装置结构较为紧凑,传动简洁且整体重量较轻,导丝或导管的装夹和拆卸方便,为之后进行产业化节约了成本。上述血管介入手术导丝/导管递送装置能够代替医生在X射线的环境下实现对导丝/导管的递送,提高了导丝或导管递送的精度,降低了医生的工作强度,提高了手术的可靠性,同时也避免了医生长期处于辐射环境中所造成的身体损伤,保证手术的成功性。The above-mentioned vascular interventional surgery guide wire/catheter delivery device includes a clamping mechanism, a propulsion assembly for driving the clamping mechanism to move, and a guide mechanism for guiding the guide wire or catheter clamping movement path. The above-mentioned vascular interventional surgery guide wire/catheter delivery device can imitate the delivery of the guide wire/catheter by a doctor, and the motor can continuously deliver the guide wire or catheter forward without frequent reversal of forward and reverse directions, and can be delivered through the guiding mechanism at no time. In the case of replacing any parts, it can adapt to the delivery requirements of various guide wires/catheters and catheters, and the clamping force of the clamping mechanism can be adjusted at the same time, and the single guide wire or Distance delivered by the catheter. In addition, the device has a relatively compact structure, simple transmission, light overall weight, convenient clamping and disassembly of a guide wire or a catheter, and saves costs for subsequent industrialization. The above-mentioned vascular interventional surgery guide wire/catheter delivery device can replace the doctor to realize the delivery of the guide wire/catheter in the X-ray environment, improve the accuracy of the guide wire or catheter delivery, reduce the work intensity of the doctor, and improve the reliability of the operation. At the same time, it also avoids the physical damage caused by the doctor's long-term exposure to the radiation environment, and ensures the success of the operation.

附图说明Description of drawings

图1为一实施方试的血管介入手术导丝/导管递送装置正面结构示意图;1 is a schematic diagram of the frontal structure of a guide wire/catheter delivery device for vascular interventional surgery according to an embodiment;

图2为一实施方试的血管介入手术导丝/导管递送装置背面结构示意图;2 is a schematic diagram of the back structure of a guide wire/catheter delivery device for vascular interventional surgery in one embodiment;

图3为一实施方试的血管介入手术导丝/导管递送装置的夹持机构结构示意图;3 is a schematic structural diagram of a clamping mechanism of a guide wire/catheter delivery device for vascular interventional surgery according to an embodiment;

图4为一实施方试的血管介入手术导丝/导管递送装置的第一同步带安装轴结构示意图;4 is a schematic structural diagram of the first synchronous belt installation shaft of the vascular interventional surgery guide wire/catheter delivery device according to an embodiment;

图5为一实施方试的血管介入手术导丝/导管递送装置的第二同步带安装轴结构示意图;及5 is a schematic structural diagram of a second synchronous belt installation shaft of a vascular interventional guide wire/catheter delivery device according to an embodiment; and

图6为一实施方试的血管介入手术导丝/导管递送装置的导向板结构示意图。FIG. 6 is a schematic structural diagram of a guide plate of a guide wire/catheter delivery device for vascular interventional surgery according to an embodiment.

具体实施方式Detailed ways

下面结合实施方式及附图,对一种血管介入手术导丝/导管递送装置作进一步的详细说明。A guide wire/catheter delivery device for vascular interventional surgery will be described in further detail below with reference to the embodiments and the accompanying drawings.

请参阅图1和2,一实施方式血管介入手术导丝/导管递送装置100,包括夹持机构10、用于带动夹持机构运动的推进组件20,及用来对导丝或导管运动路径进行指引的导向机构30。Referring to FIGS. 1 and 2, an embodiment of a guide wire/catheter delivery device 100 for vascular interventional surgery includes a clamping mechanism 10, a propulsion assembly 20 for driving the clamping mechanism to move, and a guide wire or catheter for moving the guide wire or catheter. Guided guide mechanism 30 .

请参阅图3,在一实施方式中,夹持机构10包括相对设置的固定滑轨型夹子110和滑动夹子120,固定在固定滑轨型夹子110上的第一防滑弹性块130,固定在滑动夹子120上的第二防滑弹性块140,及设置在固定滑轨型夹子110和滑动夹子120之间的夹子弹簧150,第一防滑弹性块130和第二防滑弹性块140相对设置,滑动夹子120相对于固定滑轨型夹子110左右平移,当滑动夹子120向固定滑轨型夹子110足够靠近时,第一防滑弹性块130和第二防滑弹性块140贴紧且利用其弹性将导丝或导管压紧从而夹持住导丝或导管。具体地,在一实施方式中,第一防滑弹性块130和第二防滑弹性块140为橡胶块,在其他实施例中,也可以为其他柔性材料制成的弹性块,只要能实现两个弹性块相互挤压时,能将导丝或导管压紧从而夹持住导丝或导管即可,优选地,第一防滑弹性块130可拆卸地固定在固定滑轨型夹子110上,第二防滑弹性块140可拆卸地固定在滑动夹子上,一次性可抛,从而避免消毒的问题。具体地,在一实施方式中,夹子弹簧150的一端固定在固定滑轨型夹子110上,另一端固定在滑动夹子120上,第一防滑弹性块130和第二防滑弹性块140下端开设有弧形的槽,以收容夹子弹簧150,夹子弹簧150穿过第一防滑弹性块130和第二防滑弹性块140且分别与固定滑轨型夹子110和滑动夹子120连接。Referring to FIG. 3 , in one embodiment, the clamping mechanism 10 includes a fixed slide rail type clip 110 and a sliding clip 120 arranged oppositely, and a first anti-slip elastic block 130 fixed on the fixed slide rail type clip 110 is fixed on the sliding rail type clip 110. The second anti-skid elastic block 140 on the clip 120, and the clip spring 150 arranged between the fixed slide rail type clip 110 and the sliding clip 120, the first anti-skid elastic block 130 and the second anti-skid elastic block 140 are oppositely arranged, and the sliding clip 120 Relative to the fixed slide rail type clip 110, when the slide clip 120 is close enough to the fixed slide rail type clip 110, the first anti-skid elastic block 130 and the second anti-skid elastic block 140 are in close contact with the guide wire or catheter by their elasticity. Squeeze to hold the guidewire or catheter. Specifically, in one embodiment, the first anti-skid elastic block 130 and the second anti-skid elastic block 140 are rubber blocks, and in other embodiments, they can also be elastic blocks made of other flexible materials, as long as two elastic blocks can be achieved When the blocks are pressed against each other, the guide wire or the catheter can be compressed so as to clamp the guide wire or the catheter. The elastic block 140 is detachably fixed on the sliding clip and can be thrown away at one time, thereby avoiding the problem of sterilization. Specifically, in one embodiment, one end of the clip spring 150 is fixed on the fixed slide rail type clip 110, the other end is fixed on the sliding clip 120, and the lower ends of the first anti-skid elastic block 130 and the second anti-skid elastic block 140 are provided with arcs A groove is formed to accommodate the clip spring 150, the clip spring 150 passes through the first anti-skid elastic block 130 and the second anti-skid elastic block 140 and is connected with the fixed slide rail type clip 110 and the sliding clip 120, respectively.

请参阅图3,在一实施方式中,夹持机构10还包括第一导向销160、第二导向销170,第一导向销160、第二导向销170均安装于固定滑轨型夹子110两端的孔内,第三导向销180安装于滑动夹子120之上,固定滑轨型夹子110和滑动夹子120通过上述三个导向销连接。在其他实施方式中,固定滑轨型夹子110和滑动夹子120也可以采用其他方式连接。夹子弹簧150同轴套设于第三导向销180上,滑动夹子120穿过第一导向销160、第二导向销170安装于固定滑轨型夹子110之上。Referring to FIG. 3 , in one embodiment, the clamping mechanism 10 further includes a first guide pin 160 and a second guide pin 170 . In the hole of the end, the third guide pin 180 is installed on the sliding clip 120, and the fixed slide rail type clip 110 and the sliding clip 120 are connected by the above three guide pins. In other embodiments, the fixed rail-type clip 110 and the sliding clip 120 may also be connected in other ways. The clip spring 150 is coaxially sleeved on the third guide pin 180 , and the sliding clip 120 is installed on the fixed slide rail type clip 110 through the first guide pin 160 and the second guide pin 170 .

如图1和2所示,在一实施方式中,推进组件20包括带动夹持机构10运动的凸台同步带210和同步带轮运动机构220、及同步带轮张紧机构230。在一实施方式中,凸台同步带210的材料为聚氨酯,在其他实施例中,凸台同步带210可更换为其他材料。同步带轮运动机构220包括推拉电机固定架221、推拉电机222、同步带轮安装板223、同步带轮224、同步带安装轴225,轴承226。同步同步带轮224包括主动同步带轮2241和从动同步带轮2242,同步带安装轴225包括第一同步带安装轴2251和第二同步带安装轴2252(参阅图4和5)。轴承226包括第一轴承2261和第二轴承2262。第一同步带安装轴2251设有第一齿轮2253,推拉电机222的输出轴上设有第二齿轮2254,第一齿轮2253与第二齿轮2254啮合。在一实施方式中,第一齿轮2253和第二齿轮2254为锥齿轮,齿数为20,模数为1,压力角为20°。在其他实施例中,第一齿轮2253和第二齿轮2254也可以为直齿圆柱型齿轮、斜齿圆柱型齿轮等,模数和齿数可以根据需要调整。推拉电机222固定在推拉电机固定架221上,同步带轮224和同步带安装轴225安装在同步带轮安装板223上。夹持机构10固定在凸台同步带210上,同步带轮张紧机构230用于张紧同步带轮224进行,从而调整凸台同步带210的紧度。在本实施例中,夹持机构10的数量为4个,等距离分布在凸台同步带210上,在其他实施例中,夹持机构10的数量也可以根据需要调整。具体地,在一实施方式中,第一轴承2261安装于同步带轮安装板223的孔内,第一同步带安装轴2251穿过第一轴承2261,与第一轴承2261内圈过盈配合,主动同步带轮2241安装于第一同步带安装轴2251之上,第一同步带安装轴2251前端通过螺栓与第一同步带轮挡板2271固定,后端通过第一锁紧螺母2272和轴承挡圈2273实现固定,第一齿轮2253固定于第一同步带安装轴2251,第二轴承2262安装于同步带轮安装板223的孔内,第二同步带安装轴2252穿过第二轴承2262,与第二轴承2262内圈过盈配合,从动同步带轮2242安装于第二同步带安装轴2252之上,第二同步带安装轴2252前端通过螺栓与第二同步带轮挡板2281固定,后端通过第二锁紧螺母2282与同步带轮调节板固定,推拉电机固定架221安装于同步带轮安装板223后侧,推拉电机222固定于推拉电机固定架221之上,第一齿轮2253固定于推拉电机222输出轴上,实现第一齿轮2253与第二齿轮2254的啮合。As shown in FIGS. 1 and 2 , in one embodiment, the propulsion assembly 20 includes a boss timing belt 210 and a timing pulley moving mechanism 220 that drive the clamping mechanism 10 to move, and a timing pulley tensioning mechanism 230 . In one embodiment, the material of the boss timing belt 210 is polyurethane, and in other embodiments, the boss timing belt 210 can be replaced with other materials. The timing pulley motion mechanism 220 includes a push-pull motor fixing frame 221 , a push-pull motor 222 , a timing pulley mounting plate 223 , a timing pulley 224 , a timing belt mounting shaft 225 , and a bearing 226 . The timing belt pulley 224 includes a driving timing belt pulley 2241 and a driven timing belt pulley 2242, and the timing belt mounting shaft 225 includes a first timing belt mounting shaft 2251 and a second timing belt mounting shaft 2252 (refer to FIGS. 4 and 5). The bearing 226 includes a first bearing 2261 and a second bearing 2262 . The first synchronous belt installation shaft 2251 is provided with a first gear 2253 , the output shaft of the push-pull motor 222 is provided with a second gear 2254 , and the first gear 2253 meshes with the second gear 2254 . In one embodiment, the first gear 2253 and the second gear 2254 are bevel gears, the number of teeth is 20, the modulus is 1, and the pressure angle is 20°. In other embodiments, the first gear 2253 and the second gear 2254 can also be spur-tooth cylindrical gears, helical-toothed cylindrical gears, etc., and the module and the number of teeth can be adjusted as required. The push-pull motor 222 is fixed on the push-pull motor fixing frame 221 , and the synchronous pulley 224 and the synchronous belt installation shaft 225 are installed on the synchronous pulley installation plate 223 . The clamping mechanism 10 is fixed on the boss timing belt 210 , and the timing pulley tensioning mechanism 230 is used to tension the timing pulley 224 to adjust the tightness of the boss timing belt 210 . In this embodiment, the number of clamping mechanisms 10 is 4, which are distributed on the boss timing belt 210 at equal distances. In other embodiments, the number of clamping mechanisms 10 can also be adjusted as required. Specifically, in one embodiment, the first bearing 2261 is installed in the hole of the synchronous pulley installation plate 223, the first synchronous belt installation shaft 2251 passes through the first bearing 2261, and has an interference fit with the inner ring of the first bearing 2261, The active synchronous pulley 2241 is installed on the first synchronous belt installation shaft 2251. The front end of the first synchronous belt installation shaft 2251 is fixed with the first synchronous pulley stopper 2271 by bolts, and the rear end is fixed by the first locking nut 2272 and the bearing stopper. The ring 2273 is fixed, the first gear 2253 is fixed on the first synchronous belt installation shaft 2251, the second bearing 2262 is installed in the hole of the synchronous pulley installation plate 223, the second synchronous belt installation shaft 2252 passes through the second bearing 2262, and The inner ring of the second bearing 2262 has an interference fit, and the driven synchronous pulley 2242 is installed on the second synchronous belt installation shaft 2252. The end is fixed with the timing pulley adjusting plate by the second locking nut 2282, the push-pull motor fixing frame 221 is installed on the rear side of the timing pulley mounting plate 223, the push-pull motor 222 is fixed on the push-pull motor fixing frame 221, and the first gear 2253 is fixed The first gear 2253 and the second gear 2254 are meshed on the output shaft of the push-pull motor 222 .

同步带轮张紧机构230包括同步带轮调节板232、调节座234、调节螺栓236,其中同步带轮调节板232通过螺栓安装在同步带轮安装板223之上,调节座234安装于同步带轮安装板223之上,同步带轮调节板232与调节座234之间通过调节螺栓236连接。在一实施方式中,同步带轮张紧机构230用于对从动同步带轮2242进行张紧,从而调整凸台同步带210的紧度。The timing pulley tensioning mechanism 230 includes a timing pulley adjusting plate 232, an adjusting seat 234, and an adjusting bolt 236, wherein the timing pulley adjusting plate 232 is mounted on the timing pulley mounting plate 223 through bolts, and the adjusting seat 234 is mounted on the timing belt On the wheel mounting plate 223 , the synchronous pulley adjusting plate 232 and the adjusting seat 234 are connected by adjusting bolts 236 . In one embodiment, the timing pulley tensioning mechanism 230 is used for tensioning the driven timing pulley 2242 to adjust the tension of the boss timing belt 210 .

当从动同步带轮2242需要进行张紧时,首先松开同步带轮调节板232与同步带轮安装板223之间的螺栓,之后调节调节螺栓236使得同步带轮调节板232与调节座234之间的相对距离减小,最后用螺栓将同步带轮调节板232固定于同步带轮安装板223之上完成一次从动同步带轮2242的张紧动作。When the driven timing pulley 2242 needs to be tensioned, first loosen the bolts between the timing pulley adjusting plate 232 and the timing pulley mounting plate 223, and then adjust the adjusting bolts 236 so that the timing pulley adjusting plate 232 and the adjusting seat 234 The relative distance between them is reduced, and finally the timing pulley adjusting plate 232 is fixed on the timing pulley mounting plate 223 with bolts to complete a tensioning action of the driven timing pulley 2242 .

结合图1和图6,在一实施方式中,导向机构30用于引导导丝或导管运动路径,导向机构30包括导向板固定板310、导向板320,第一支架330、第二支架340、安装在第一支架330顶端的第一导向管350及安装在第二支架340顶端的第二导向管360,第一支架330和第二支架340分别对称安装于同步带轮安装板223的两端。导向板固定板310位于同步带轮安装板223上端,导向板320固定在导向板固定板310上。在一实施方式中,第一导向管350和第二导向管360为纺锤体形状,在其他实施例中,第一导向管350和第二导向管360也可以为其他形状。1 and FIG. 6, in one embodiment, the guide mechanism 30 is used to guide the guide wire or catheter movement path, the guide mechanism 30 includes a guide plate fixing plate 310, a guide plate 320, a first bracket 330, a second bracket 340, The first guide tube 350 installed on the top of the first bracket 330 and the second guide tube 360 installed on the top of the second bracket 340, the first bracket 330 and the second bracket 340 are symmetrically installed on both ends of the synchronous pulley mounting plate 223 respectively . The guide plate fixing plate 310 is located at the upper end of the synchronous pulley mounting plate 223 , and the guide plate 320 is fixed on the guide plate fixing plate 310 . In one embodiment, the first guide tube 350 and the second guide tube 360 are in the shape of a spindle. In other embodiments, the first guide tube 350 and the second guide tube 360 may also be in other shapes.

在一实施方式中,导向板320的长度为60mm,在其他实施例,可更换为其他长度的导向板320。In one embodiment, the length of the guide plate 320 is 60 mm, and in other embodiments, the guide plate 320 with other lengths can be replaced.

当导丝或导管需要向前推送时,推拉电机222开始正向旋转,由第一齿轮2253和第二齿轮2254啮合将动力传输给主动同步带轮2241,主动同步带轮2241带动凸台同步带210同步向前运动,当夹持机构10与导向板320开始接触后,由于导向板320的挤压作用,夹持机构10的滑动夹子120开始沿着第一导向销160、第二导向销170和第三导向销180向固定滑轨型夹子110一侧滑动,使得第一防滑弹性块130和第二防滑弹性块140与导丝或导管接触,并将其压紧,此时在凸台同步带210的作用下,夹持机构10带动导丝或导管同步前进,当夹持机构10与导向板320开始脱离接触后,由于夹持机构10的夹子弹簧150的回弹力,夹持机构10的滑动夹子120开始沿着第一导向销160、第二导向销170和第三导向销180向固定滑轨型夹子110另一侧滑动,使得第一防滑弹性块130和第二防滑弹性块140与导丝或导管脱离,将其松开,完成一次导丝或导管的向前推送动作。When the guide wire or catheter needs to be pushed forward, the push-pull motor 222 starts to rotate forward, and the first gear 2253 and the second gear 2254 are engaged to transmit the power to the active synchronous pulley 2241, and the active synchronous pulley 2241 drives the boss synchronous belt 210 moves forward synchronously, when the clamping mechanism 10 starts to contact the guide plate 320, due to the pressing action of the guide plate 320, the sliding clip 120 of the clamping mechanism 10 starts to move along the first guide pin 160 and the second guide pin 170 and the third guide pin 180 slide to the side of the fixed slide rail type clip 110, so that the first anti-slip elastic block 130 and the second anti-slip elastic block 140 are in contact with the guide wire or the catheter, and press them tightly. Under the action of the belt 210, the clamping mechanism 10 drives the guide wire or the catheter to advance synchronously. When the clamping mechanism 10 and the guide plate 320 begin to come out of contact, due to the resilience of the clamp spring 150 of the clamping mechanism 10, the clamping mechanism 10 will not move. The sliding clip 120 starts to slide to the other side of the fixed slide rail type clip 110 along the first guide pin 160, the second guide pin 170 and the third guide pin 180, so that the first anti-slip elastic block 130 and the second anti-slip elastic block 140 are connected with each other. When the guidewire or catheter is disengaged, loosen it to complete a forward push of the guidewire or catheter.

当导丝或导管需要向后拉回时,推拉电机222开始反向旋转,由第一齿轮2253和第二齿轮2254啮合将动力传输给主动同步带轮2241,主动同步带轮2241带动凸台同步带210同步向后运动,当夹持机构10与导向板320开始接触后,由于导向板320的挤压作用,夹持机构10的滑动夹子120开始沿着第一导向销160、第二导向销170和第三导向销180向固定滑轨型夹子110一侧滑动,使得第一防滑弹性块130和第二防滑弹性块140与导丝或导管接触,并将其压紧,此时在凸台同步带210的作用下,夹持机构10带动导丝或导管同步前进,当夹持机构10与导向板320开始脱离接触后,由于夹持机构10的夹子弹簧150的回弹力,夹持机构10的滑动夹子120开始沿着第一导向销160、第二导向销170和第三导向销180向固定滑轨型夹子110另一侧滑动,使得第一防滑弹性块130和第二防滑弹性块140与导丝或导管脱离,将其松开,完成一次导丝/导管向后拉回动作。When the guide wire or catheter needs to be pulled back, the push-pull motor 222 starts to rotate in the reverse direction, and the first gear 2253 and the second gear 2254 are engaged to transmit the power to the driving synchronous pulley 2241, and the driving synchronous pulley 2241 drives the boss to synchronize The belt 210 moves backward synchronously. When the clamping mechanism 10 starts to contact the guide plate 320, due to the pressing action of the guide plate 320, the sliding clip 120 of the clamping mechanism 10 begins to move along the first guide pin 160 and the second guide pin. 170 and the third guide pin 180 slide to the side of the fixed slide rail type clip 110, so that the first anti-slip elastic block 130 and the second anti-slip elastic block 140 are in contact with the guide wire or catheter, and press them tightly. Under the action of the synchronous belt 210, the clamping mechanism 10 drives the guide wire or the catheter to advance synchronously. After the clamping mechanism 10 and the guide plate 320 begin to disengage, due to the rebound force of the clamp spring 150 of the clamping mechanism 10, the clamping mechanism 10 is closed. The sliding clip 120 starts to slide to the other side of the fixed slide rail type clip 110 along the first guide pin 160, the second guide pin 170 and the third guide pin 180, so that the first anti-slip elastic block 130 and the second anti-slip elastic block 140 Disengage from the guidewire or catheter, release it, and complete a single pullback of the guidewire/catheter.

上述的血管介入手术导丝/导管递送装置包括夹持机构、用于带动夹持机构运动的推进组件以及用于导丝或导管夹持运动路径指引的导向机构。上述血管介入手术导丝/导管递送装置能够模仿医生对导丝或导管进行递送,电机在无需进行频繁的正反换向即可将导丝或导管持续性向前递送,并且能够通过导向机构在不更换任何零件的情况下适应多种导丝或导管的递送要求,且可同时调整夹持机构的夹紧力,并且可以在更换导向机构中导向板的情况下,改变单次导丝或导管递送的距离。同时本装置在与导丝或导管接触的部件设计为柔软、易拆卸且一次性可抛的弹性医用材料,避免了消毒的问题。此外,该装置结构较为紧凑,传动简洁且整体重量较轻,导丝或导管的装夹和拆卸方便,为之后进行产业化节约了成本。上述血管介入手术导丝/导管递送装置能够代替医生在X射线的环境下实现对导丝或导管的递送,提高了导丝或导管递送的精度,降低了医生的工作强度,提高了手术的可靠性,同时也避免了医生长期处于辐射环境中所造成的身体损伤,保证手术的成功性。The above-mentioned vascular interventional surgery guide wire/catheter delivery device includes a clamping mechanism, a propulsion assembly for driving the clamping mechanism to move, and a guide mechanism for guiding the guide wire or catheter clamping movement path. The above-mentioned vascular interventional surgery guide wire/catheter delivery device can imitate the delivery of the guide wire or catheter by a doctor. It can adapt to the delivery requirements of multiple guide wires or catheters when any part is replaced, and the clamping force of the clamping mechanism can be adjusted at the same time, and the single guide wire or catheter delivery can be changed when the guide plate in the guide mechanism is replaced. the distance. At the same time, the parts of the device in contact with the guide wire or the catheter are designed as elastic medical materials that are soft, easy to disassemble, and disposable, so as to avoid the problem of disinfection. In addition, the device has a relatively compact structure, simple transmission, light overall weight, convenient clamping and disassembly of a guide wire or a catheter, and saves costs for subsequent industrialization. The above-mentioned vascular interventional surgery guide wire/catheter delivery device can replace the doctor to realize the delivery of the guide wire or the catheter in the X-ray environment, improve the accuracy of the guide wire or catheter delivery, reduce the work intensity of the doctor, and improve the reliability of the operation. At the same time, it also avoids the physical damage caused by the doctor's long-term exposure to the radiation environment, and ensures the success of the operation.

以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only represent several embodiments of the present invention, and the descriptions thereof are specific and detailed, but should not be construed as a limitation on the scope of the patent of the present invention. It should be pointed out that for those of ordinary skill in the art, without departing from the concept of the present invention, several modifications and improvements can also be made, which all belong to the protection scope of the present invention. Therefore, the protection scope of the patent of the present invention should be subject to the appended claims.

Claims (10)

1. A vascular interventional procedure guidewire/catheter delivery device, comprising:
the clamping mechanism comprises a fixed slide rail type clamp and a slide clamp which are oppositely arranged, a first anti-skid elastic block fixed on the fixed slide rail type clamp, a second anti-skid elastic block fixed on the slide clamp, and a clamp spring arranged between the fixed slide rail type clamp and the slide clamp, wherein the first anti-skid elastic block and the second anti-skid elastic block are oppositely arranged, the slide clamp horizontally moves left and right relative to the fixed slide rail type clamp, and when the slide clamp approaches to the fixed slide rail type clamp, the first anti-skid elastic block and the second anti-skid elastic block press a guide wire or a guide pipe to clamp the guide wire or the guide pipe;
the pushing assembly comprises a boss synchronous belt and a synchronous belt wheel moving mechanism which drive the clamping mechanism to move, and a synchronous belt wheel tensioning mechanism, wherein the synchronous belt wheel moving mechanism comprises a push-pull motor fixing frame, a push-pull motor, a synchronous belt wheel mounting plate, a synchronous belt wheel, a synchronous belt mounting shaft and a bearing, the push-pull motor is fixed on the push-pull motor fixing frame, an output shaft of the push-pull motor is connected with the synchronous belt wheel, the synchronous belt mounting shaft and the bearing are coaxially mounted on the synchronous belt wheel mounting plate, the boss synchronous belt is tensioned on the synchronous belt wheel, the clamping mechanism is fixed on the boss synchronous belt, and the synchronous belt wheel tensioning mechanism is used for tensioning the synchronous belt wheel so as to adjust the tightness of the boss synchronous;
the guide mechanism is used for guiding a motion path of the guide wire or the guide pipe and comprises a guide plate fixing plate and a guide plate, the guide plate fixing plate is located at the upper end of the synchronous pulley mounting plate, the guide plate is fixed on the guide plate fixing plate, and the guide plate is used for providing clamping force for clamping the guide wire/the guide pipe by the clamping mechanism through extruding the fixed sliding rail type clamp.
2. The endovascular procedure guidewire/catheter delivery device of claim 1, wherein the clamping mechanism comprises a first guide pin, a second guide pin, and a third guide pin, the first guide pin and the second guide pin are each fixed to the fixed-slide-rail-type clamp, the third guide pin is mounted to the slide clamp, the clamp spring is coaxially sleeved on the third guide pin, and the slide clamp slides translationally along the first guide pin, the second guide pin, and the third guide pin relative to the fixed-slide-rail-type clamp.
3. The vascular interventional procedure guidewire/catheter delivery device of claim 1, the synchronous belt wheel comprises a driving synchronous belt wheel and a driven synchronous belt wheel, the synchronous belt mounting shaft comprises a first synchronous belt mounting shaft and a second synchronous belt mounting shaft, the bearing comprises a first bearing and a second bearing, the first bearing is arranged in the synchronous pulley mounting plate hole, the first synchronous belt mounting shaft is sleeved on the first bearing and is in interference fit with the first bearing inner ring, the driving synchronous belt wheel is fixed on the first synchronous belt mounting shaft, the second bearing is mounted in the synchronous belt wheel mounting plate hole, and the second synchronous belt mounting shaft sleeve is arranged on the second bearing and is in interference fit with the inner ring of the second bearing, and the driven synchronous belt pulley is fixed on the second synchronous belt mounting shaft.
4. The vascular interventional procedure guidewire/catheter delivery device of claim 3, wherein the synchronous pulley tensioning mechanism includes a synchronous pulley adjustment plate, an adjustment seat and an adjustment bolt, the synchronous pulley adjustment plate and the adjustment seat are mounted on the synchronous pulley mounting plate, and the synchronous pulley adjustment plate and the adjustment seat are connected by the adjustment bolt.
5. The vascular intervention surgical guidewire/catheter delivery device of claim 4, wherein the first synchronous belt mounting shaft is fixed to the first synchronous pulley baffle at one end by a bolt and fixed to the second synchronous pulley baffle at the other end by a first lock nut and a bearing collar, and the second synchronous belt mounting shaft is fixed to the second synchronous pulley baffle at one end by a bolt and fixed to the synchronous pulley adjustment plate at the other end by a second lock nut.
6. The vascular interventional procedure guidewire/catheter delivery device of claim 1, wherein the synchronous pulley movement mechanism further comprises a pair of bevel gears of the same modulus that connect the push-pull motor and the synchronous pulley.
7. The vascular interventional procedure guidewire/catheter delivery device of claim 5, wherein the first synchronous belt mounting shaft is provided with a first gear, the output shaft of the push-pull motor is provided with a second gear, and the first gear is meshed with the second gear.
8. The vascular interventional procedure guide wire/catheter delivery device of claim 1, wherein the guiding mechanism further comprises a first bracket, a second bracket, a first guiding tube mounted at the top end of the first bracket, and a second guiding tube mounted at the top end of the second bracket, wherein the first bracket and the second bracket are symmetrically mounted at two ends of the synchronous pulley mounting plate respectively.
9. The vascular interventional procedure guide wire/catheter delivery device of claim 1, wherein the boss timing belt is made of polyurethane, and a plurality of the clamping mechanisms are equidistantly mounted on the boss timing belt.
10. The vascular interventional procedure guidewire/catheter delivery device of claim 1, wherein the first and second non-slip resilient blocks are rubber blocks, the first non-slip resilient block being removably secured to the fixed rail-type clip and the second non-slip resilient block being removably secured to the sliding clip.
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