CN117503220B - Vascular diameter-adjusting device - Google Patents
Vascular diameter-adjusting device Download PDFInfo
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- CN117503220B CN117503220B CN202410001123.0A CN202410001123A CN117503220B CN 117503220 B CN117503220 B CN 117503220B CN 202410001123 A CN202410001123 A CN 202410001123A CN 117503220 B CN117503220 B CN 117503220B
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- blood vessel
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- 230000002792 vascular Effects 0.000 title claims description 30
- 230000005540 biological transmission Effects 0.000 claims abstract description 43
- 238000004513 sizing Methods 0.000 claims 8
- 210000004204 blood vessel Anatomy 0.000 abstract description 56
- 239000002473 artificial blood Substances 0.000 abstract description 20
- 230000000694 effects Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 208000007536 Thrombosis Diseases 0.000 description 2
- 230000003872 anastomosis Effects 0.000 description 2
- 230000036770 blood supply Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 238000010008 shearing Methods 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 238000009954 braiding Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000000004 hemodynamic effect Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 210000001503 joint Anatomy 0.000 description 1
- 238000010147 laser engraving Methods 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000037303 wrinkles Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00778—Operations on blood vessels
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/11—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis
- A61B2017/1107—Surgical instruments, devices or methods for performing anastomosis; Buttons for anastomosis for blood vessels
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The invention provides a blood vessel diameter-adjusting device, which relates to the technical field of medical equipment, and the blood vessel diameter-adjusting device is provided by the invention, a transmission rod is slidably inserted into a shell, the middle part of a first support rod is hinged with the middle part of a second support rod, one of the shell and the transmission rod is hinged with one end of the first support rod, the other of the shell and the transmission rod is hinged with one end of the second support rod, one of the other end of the first support rod and the other end of the second support rod is slidably hinged with a limit rod along the extending direction of the limit rod, the other end of the first support rod and the other end of the second support rod are hinged with the limit rod, the shell and the limit rod can jointly prop open a grid support through controlling the transmission rod to prop open a blood vessel fracture into a circular opening so that the blood vessel fracture is anastomosed with an artificial blood vessel, and can be matched with blood vessels with different diameters, and the blood vessel diameter-adjusting device can be used as a measuring tool of the diameter of the blood vessel fracture so as to accurately select the artificial blood vessel.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to a blood vessel diameter-adjusting device.
Background
In the prior art, an artificial blood vessel is connected with a patient autologous blood vessel in a suturing mode, the diameter of the blood vessel is usually determined by CT and X-ray irradiation before operation, an artificial blood vessel with a corresponding diameter is selected in operation, the artificial blood vessel is sleeved outside a fracture of the patient autologous blood vessel, and the artificial blood vessel is sutured by needle along the circumferential direction after being flattened.
In the vascular suturing process, the blood supply end of the blood vessel needs to be clamped, at the moment, the blood vessel is in a soft state (non-cylindrical) due to the fact that the blood supply vessel is lost, and the blood vessel cannot be in perfect butt joint with an artificial blood vessel in the suturing process, so that the suturing effect is affected, and the technical level requirement on an operator is high. In addition, the size of the blood vessel of the patient is measured before operation, however, errors often exist in image measurement, and once the size of the artificial blood vessel is selected, the deviation can influence the suturing effect of the artificial blood vessel and the autologous blood vessel of the patient. The current technology can achieve the best suturing effect only when the circumference of the blood vessel of the patient is equal to that of the artificial blood vessel; when the anastomosis between the artificial blood vessel and the autologous blood vessel of the patient is poor, folds can be generated in the suture process, and the blood flow dynamics of the anastomosis position is unstable, so that thrombus is easily caused.
Disclosure of Invention
The invention aims to provide a vascular diameter-adjusting device which can be matched with the size of a patient blood vessel and can be unfolded so as to be matched with an artificial blood vessel.
In a first aspect, the present invention provides a vascular diameter-adjusting device, comprising: the device comprises a shell, a transmission rod, a first supporting rod, a second supporting rod and a limiting rod;
the transmission rod is inserted into the shell in a sliding manner, and the middle part of the first support rod is hinged with the middle part of the second support rod;
one of the shell and the transmission rod is hinged with one end of the first support rod, and the other of the shell and the transmission rod is hinged with one end of the second support rod;
one of the other end of the first support rod and the other end of the second support rod is hinged with the limiting rod in a sliding mode along the extending direction of the limiting rod, and the other of the other end of the first support rod and the other end of the second support rod is hinged with the limiting rod.
With reference to the first aspect, the present invention provides a first possible implementation manner of the first aspect, wherein a distal end of the shell is hinged with the first supporting rod through a first hinge shaft, the shell is provided with a first sliding groove, the first hinge shaft and the first sliding groove are arranged at intervals along a direction from the distal end to the proximal end, and the transmission rod is hinged with the second supporting rod through a second hinge shaft in sliding fit with the first sliding groove;
the distal end of gag lever post with the second bracing piece passes through the third articulated shaft and articulates, the gag lever post is equipped with the second spout, the third articulated shaft with the second spout is along the direction interval setting from distal end to near-end, first bracing piece with the gag lever post through sliding fit in the fourth articulated shaft sliding hinge of second spout.
With reference to the first possible implementation manner of the first aspect, the present invention provides a second possible implementation manner of the first aspect, wherein a first grip facing away from the limit lever is connected to a distal end of the housing, and a second grip facing away from the limit lever is connected to the second hinge shaft or the transmission lever;
the distal end of the limiting rod is connected with a third handle which is back to the shell, and the fourth hinge shaft is connected with a fourth handle which is back to the shell.
With reference to the first aspect, the present invention provides a third possible implementation manner of the first aspect, wherein the shell sleeve and the outer side of the limiting rod are sleeved with a grid bracket.
With reference to the third possible implementation manner of the first aspect, the present invention provides a fourth possible implementation manner of the first aspect, wherein the grid support adopts a plastic support or an elastic support or an absorbable support.
With reference to the first aspect, the present invention provides a fifth possible implementation manner of the first aspect, wherein the shell is parallel to an extending direction of the stop lever.
With reference to the first aspect, the present invention provides a sixth possible implementation manner of the first aspect, wherein the vascular diameter-adjusting device further includes: a first handle and a second handle;
the middle part of the first handle is hinged with the middle part of the second handle, one end of the first handle is hinged with the shell, and one end of the second handle is hinged with the transmission rod.
With reference to the sixth possible implementation manner of the first aspect, the present invention provides a seventh possible implementation manner of the first aspect, wherein an elastic member is connected between the first handle and the second handle.
With reference to the sixth possible implementation manner of the first aspect, the present invention provides an eighth possible implementation manner of the first aspect, wherein the shell is provided with a third sliding groove extending along a sliding direction of the transmission rod;
the second handle is hinged with the transmission rod through a fifth hinge shaft, and the fifth hinge shaft is in sliding fit with the third sliding groove.
With reference to the first aspect, the present invention provides a ninth possible implementation manner of the first aspect, wherein the transmission rod is provided with a size scale arranged along a sliding direction of the transmission rod.
The embodiment of the invention has the following beneficial effects: the transmission rod is slidably inserted into the shell, the middle of the first support rod is hinged with the middle of the second support rod, one of the shell and the transmission rod is hinged with one end of the first support rod, the other of the shell and the transmission rod is hinged with one end of the second support rod, one of the other end of the first support rod and the other end of the second support rod is slidably hinged with the limit rod along the extending direction of the limit rod, the other of the other end of the first support rod and the other end of the second support rod is hinged with the limit rod, the transmission rod is controlled to slide along the shell, so that the distance between the shell and the limit rod can be adjusted by the first support rod and the second support rod in a shearing mode, the grid support can be jointly unfolded through the shell and the limit rod, and then a blood vessel fracture is unfolded to form a circular opening, so that the blood vessel fracture is anastomosed with an artificial blood vessel, and blood vessels with different diameters can be matched, and the blood vessel diameter adjusting device can be used as a measuring tool for accurately selecting the artificial blood vessel.
In order to make the above objects, features and advantages of the present invention more comprehensible, preferred embodiments accompanied with figures are described in detail below.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the related art, the drawings that are required to be used in the description of the embodiments or the related art will be briefly described, and it is apparent that the drawings in the description below are some embodiments of the present invention, and other drawings may be obtained according to the drawings without inventive effort for those skilled in the art.
Fig. 1 is a schematic diagram of a vascular diameter-adjusting device according to an embodiment of the present invention;
fig. 2 is a schematic partial view of a vascular diameter-adjusting device according to an embodiment of the present invention;
FIG. 3 is a schematic view of a shell of a vascular diameter-adjusting device according to an embodiment of the present invention;
fig. 4 is a schematic diagram of a vascular diameter-adjusting device according to an embodiment of the present invention.
Icon: 100-shell sleeve; 101-a first hinge shaft; 102-a first chute; 103-a second hinge shaft; 104-a first grip; 105-a second grip; 106-a third chute; 107-indication mark; 200-transmission rods; 300-a first support bar; 400-a second support bar; 500-limit rods; 501-a third hinge shaft; 502-a second chute; 503-fourth hinge shaft; 504-third grip; 505-fourth grip; 600-mesh scaffold; 700-a first handle; 800-a second handle; 801-fifth hinge shaft; 900-elastic member.
Detailed Description
The following description of the embodiments of the present invention will be made apparent and fully in view of the accompanying drawings, in which some, but not all embodiments of the invention are shown. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention. In addition, the term "proximal" is used herein to refer to the end closer to the source of operating power or the operator, and the term "distal" is used to refer to the end farther from the source of operating power or the operator. The terms "first," "second," and "third" are used merely to describe name differences and are not to be construed as indicating or implying relative importance. Physical quantities in the formulas, unless otherwise noted, are understood to be basic quantities of basic units of the international system of units, or derived quantities derived from the basic quantities by mathematical operations such as multiplication, division, differentiation, or integration.
In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
As shown in fig. 1 and fig. 4, a vascular diameter-adjusting device provided by an embodiment of the present invention includes: the transmission rod comprises a shell 100, a transmission rod 200, a first supporting rod 300, a second supporting rod 400 and a limiting rod 500; the transmission rod 200 is slidably inserted into the shell 100, and the middle part of the first support rod 300 is hinged with the middle part of the second support rod 400; one of the housing 100 and the driving rod 200 is hinged with one end of the first supporting rod 300, and the other of the housing 100 and the driving rod 200 is hinged with one end of the second supporting rod 400; one of the other end of the first support bar 300 and the other end of the second support bar 400 is slidably hinged to the stopper bar 500 in the extending direction of the stopper bar 500, and the other of the other end of the first support bar 300 and the other end of the second support bar 400 is hinged to the stopper bar 500.
When the radial dimension of the blood vessel is matched, the control transmission rod 200 slides relative to the shell 100, so that the first support rod 300 and the second support rod 400 can be driven to adjust the distance between the shell 100 and the limit rod 500 in a shearing mode, and when the shell 100 and the limit rod 500 are supported in the blood vessel together, the radial dimension of the blood vessel can be adjusted, so that the vascular fracture of a patient can be matched with an artificial blood vessel.
It should be noted that, the shell 100 and the stop lever 500 may prop up the grid support 600 together, and support the grid support 600 on the inner wall of the blood vessel, so that the vascular fracture may prop up to form a circular opening, the vascular fracture and the artificial blood vessel may be anastomosed better, the generation of wrinkles may be avoided, the hemodynamic force at the anastomosed position may be kept good, and the thrombus may be avoided. In addition, even if the diameter of the vascular fracture deviates from the diameter of the artificial blood vessel, the vascular diameter regulating device can eliminate the deviation, thereby achieving the optimal suturing effect.
In addition, the blood vessel diameter-adjusting device can be used for measuring the size of a blood vessel fracture, so that a corresponding artificial blood vessel can be selected, and the phenomenon that the size deviation is generated when the artificial blood vessel is selected only through image detection is avoided.
As shown in fig. 1, 2, 3 and 4, the distal end of the shell 100 is hinged with the first support rod 300 through a first hinge shaft 101, the shell 100 is provided with a first sliding groove 102, the first hinge shaft 101 and the first sliding groove 102 are arranged at intervals along the direction from the distal end to the proximal end, and the transmission rod 200 and the second support rod 400 are hinged with the second hinge shaft 103 of the first sliding groove 102 through sliding fit; the distal end of the limit lever 500 is hinged to the second support lever 400 through a third hinge shaft 501, the limit lever 500 is provided with a second chute 502, the third hinge shaft 501 and the second chute 502 are arranged at intervals along the direction from the distal end to the proximal end, and the first support lever 300 is slidably hinged to the limit lever 500 through a fourth hinge shaft 503 slidably fitted in the second chute 502.
In the embodiment of the present invention, the distal end of the first support rod 300 with respect to the housing 100 is limited and hinged by the first hinge shaft 101, the distal end of the second support rod 400 with respect to the limit rod 500 is limited and hinged by the third hinge shaft 501, and the housing 100, the first support rod 300, the second support rod 400, and the limit rod 500 maintain a relatively stable position in the sliding direction of the transmission rod 200 when the included angle between the first support rod 300 and the second support rod 400 is changed.
Further, the grid bracket 600 is sleeved outside the shell 100 and the limit rod 500, the distance between the shell 100 and the limit rod 500 can change the degree to which the grid bracket 600 is opened, and the grid bracket 600 supports the inner wall of the blood vessel, so that folds exist at the position where the fracture of the blood vessel is opened.
As shown in fig. 1, 2 and 4, the distal end of the housing 100 is connected with a first grip 104 facing away from the stop lever 500, and the second hinge shaft 103 or the transmission lever 200 is connected with a second grip 105 facing away from the stop lever 500; a third grip 504 facing away from the housing 100 is connected to the distal end of the stop lever 500, and a fourth grip 505 facing away from the housing 100 is connected to the fourth articulation shaft 503.
Wherein, the first grip 104, the second grip 105, the third grip 504 and the fourth grip 505 are all matched with the grid support 600, when the vessel diameter-adjusting device is switched from the state shown in fig. 1 to the state shown in fig. 4, the expanding size of the grid support 600 along the radial direction of the vessel is gradually increased, and the expanding size of the grid support 600 along the axial direction of the vessel is gradually shortened.
The grid support 600 adopts a plastic support, an elastic support or an absorbable support, and the processing mode of the grid support 600 comprises wire braiding, laser engraving and the like.
When the lattice stent 600 is a plastic stent, the plastic stent deforms as the shell 100 and the stopper rod 500 act and adaptively varies in axial and radial dimensions of the vessel.
When the grid support 600 adopts an elastic support, the elastic support has an elastic tendency to shrink along the radial direction of the blood vessel, and when the distance between the shell 100 and the limit rod 500 is increased, the elastic support can be driven to expand along the radial direction of the blood vessel by overcoming the elastic force of the elastic support, so that the elastic support is supported on the inner wall of the blood vessel.
When the mesh scaffold 600 is an absorbable scaffold, the absorbable scaffold may be covered and absorbed by the vessel wall tissue after implantation of the absorbable scaffold and removal of the remaining components of the vessel diameter-adjusting device.
As shown in fig. 1, 2 and 4, the shell 100 is parallel to the extending direction of the stopper rod 500, the shell 100 and the stopper rod 500 are supported inside the grid bracket 600, and the radial size of the fracture where the blood vessel is opened along the extending direction of the stopper rod 500 is the same.
As shown in fig. 1 and 4, the vascular diameter-adjusting device further includes: a first handle 700 and a second handle 800; the middle part of the first handle 700 is hinged with the middle part of the second handle 800, one end of the first handle 700 is hinged with the shell 100, and one end of the second handle 800 is hinged with the transmission rod 200.
When the first handle 700 and the second handle 800 are gripped and the included angle between them is reduced, the second handle 800 drives the transmission rod 200 to slide distally relative to the shell 100, and the first support rod 300 and the second support rod 400 swing and drive the shell 100 and the spacing rod 500 to increase, so as to increase the radial dimension of the vascular fracture supported by the grid support 600.
Further, an elastic member 900 is connected between the first handle 700 and the second handle 800, the elastic member 900 may be configured as a spring, a torsion spring or a shrapnel, and the elastic member 900 has a tendency to drive the first handle 700 to swing relative to the second handle 800 and reduce the radial dimension of the vascular fracture supported by the grid support 600.
As shown in fig. 1, 3 and 4, the housing 100 is provided with a third sliding groove 106 extending in the sliding direction of the transmission rod 200; the second handle 800 is hinged with the transmission rod 200 through the fifth hinge shaft 801, and the fifth hinge shaft 801 is slidably fitted in the third slide groove 106, thereby improving structural compactness, and the third slide groove 106 can guide the sliding of the fifth hinge shaft 801.
Further, the transmission rod 200 is provided with a size scale arranged along the sliding direction of the transmission rod 200, the size scale can be exposed through the third sliding groove 106, the shell 100 is provided with the indication mark 107, along with the sliding of the transmission rod 200 relative to the shell 100, the position of the size scale indicated by the indication mark 107 is changed, the size scale can correspond to the radial size of the vascular fracture supported by the grid bracket 600, and therefore the vascular diameter regulating device can measure the inner diameter of a blood vessel, and therefore an artificial blood vessel can be accurately selected.
Finally, it should be noted that: the above embodiments are only for illustrating the technical solution of the present invention, and not for limiting the same; although the invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical scheme described in the foregoing embodiments can be modified or some or all of the technical features thereof can be replaced by equivalents; such modifications and substitutions do not depart from the spirit of the invention.
Claims (9)
1. A vascular sizing device, comprising: the device comprises a shell (100), a transmission rod (200), a first supporting rod (300), a second supporting rod (400) and a limiting rod (500);
the transmission rod (200) is inserted into the shell (100) in a sliding manner, and the middle part of the first supporting rod (300) is hinged with the middle part of the second supporting rod (400);
one of the shell (100) and the transmission rod (200) is hinged with one end of the first support rod (300), and the other of the shell (100) and the transmission rod (200) is hinged with one end of the second support rod (400);
one of the other end of the first support rod (300) and the other end of the second support rod (400) is hinged with the limiting rod (500) in a sliding manner along the extending direction of the limiting rod (500), and the other of the other end of the first support rod (300) and the other end of the second support rod (400) is hinged with the limiting rod (500);
the far end of the shell sleeve (100) is hinged with the first supporting rod (300) through a first hinge shaft (101), the shell sleeve (100) is provided with a first sliding groove (102), the first hinge shaft (101) and the first sliding groove (102) are arranged at intervals along the direction from the far end to the near end, and the transmission rod (200) is hinged with the second supporting rod (400) through a second hinge shaft (103) which is in sliding fit with the first sliding groove (102);
the distal end of the limiting rod (500) is hinged with the second supporting rod (400) through a third hinge shaft (501), the limiting rod (500) is provided with a second sliding groove (502), the third hinge shaft (501) and the second sliding groove (502) are arranged at intervals along the direction from the distal end to the proximal end, and the first supporting rod (300) is slidably hinged with the limiting rod (500) through a fourth hinge shaft (503) which is slidably matched with the second sliding groove (502).
2. The vascular sizing device according to claim 1, characterized in that the distal end of the sheath (100) is connected with a first grip (104) facing away from the stop lever (500), and the second articulation shaft (103) or the transmission lever (200) is connected with a second grip (105) facing away from the stop lever (500);
the distal end of the limiting rod (500) is connected with a third grip (504) facing away from the shell (100), and the fourth hinge shaft (503) is connected with a fourth grip (505) facing away from the shell (100).
3. The vascular diameter-adjusting device according to claim 1 or 2, wherein the outer sides of the shell sleeve (100) and the limit rod (500) are sleeved with a grid bracket (600).
4. A vascular sizing device according to claim 3, wherein the mesh stent (600) is a plastic or elastic or absorbable stent.
5. The vascular sizing device according to claim 1 or 2, characterized in that the sheath (100) is parallel to the extension direction of the stop lever (500).
6. The vascular sizing device of claim 1, further comprising: a first handle (700) and a second handle (800);
the middle part of the first handle (700) is hinged with the middle part of the second handle (800), one end of the first handle (700) is hinged with the shell (100), and one end of the second handle (800) is hinged with the transmission rod (200).
7. The vascular sizing device of claim 6, wherein an elastic member (900) is connected between the first handle (700) and the second handle (800).
8. The vascular sizing device according to claim 6, characterized in that the casing (100) is provided with a third runner (106) extending in the sliding direction of the transmission rod (200);
the second handle (800) is hinged with the transmission rod (200) through a fifth hinge shaft (801), and the fifth hinge shaft (801) is in sliding fit in the third sliding groove (106).
9. The vascular sizing device according to claim 1, wherein the transmission rod (200) is provided with a size scale arranged along the sliding direction of itself.
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