





技术领域technical field
本发明属于医疗设备技术领域,具体涉及一种多功能可植入式胃肠刺激系统。The invention belongs to the technical field of medical equipment, in particular to a multifunctional implantable gastrointestinal stimulation system.
背景技术Background technique
危重患者由于疾病的原因复杂,病情变化较快,容易发生胃肠道功能紊乱。相关研究证实,胃肠道功能紊乱严重影响危重患者预后。胃肠电刺激是通过外源性电刺激调控胃肠电活动来促进胃肠动力。许多胃肠道疾病常伴胃肠道动力的紊乱,包括胃排空延迟、便秘、大便失禁等。胃肠电刺激可调控胃肠电活动进而影响胃肠运动,被认为是治疗胃肠动力紊乱疾病的一种有效途径。国内外大量人及动物实验研究阐明了胃机电活动的性质、与胃收缩的关系以及胃肠电刺激对胃肠动力紊乱疾病的临床作用,尤其在胃轻瘫方面已被视为治疗顽固性胃轻瘫的安全有效手段,具有良好的应用前景。Critically ill patients are prone to gastrointestinal dysfunction due to complex disease causes and rapid changes in their condition. Relevant studies have confirmed that gastrointestinal dysfunction seriously affects the prognosis of critically ill patients. Gastrointestinal electrical stimulation is to promote gastrointestinal motility by regulating gastrointestinal electrical activity through exogenous electrical stimulation. Many gastrointestinal diseases are often accompanied by disturbances of gastrointestinal motility, including delayed gastric emptying, constipation, and fecal incontinence. Gastrointestinal electrical stimulation can regulate gastrointestinal electrical activity and then affect gastrointestinal motility, which is considered to be an effective way to treat gastrointestinal motility disorders. A large number of human and animal experimental studies at home and abroad have clarified the nature of gastric electromechanical activity, its relationship with gastric contraction, and the clinical effect of gastrointestinal electrical stimulation on gastrointestinal motility disorders, especially in gastroparesis, which has been regarded as a treatment for intractable gastric It is a safe and effective method for paralysis and has good application prospects.
但现有的植入式电刺激器及刺激电极材料单一、功能有限,胃管直接插入后,往往无法很好的应对胃功能差异不同的患者。However, the existing implantable electrical stimulators and stimulating electrodes have a single material and limited functions. After the gastric tube is directly inserted, it is often unable to cope well with patients with different gastric function differences.
发明内容SUMMARY OF THE INVENTION
本发明的目的就在于为了解决上述问题而提供一种结构简单,设计合理的多功能可植入式胃肠刺激系统。The purpose of the present invention is to provide a multifunctional implantable gastrointestinal stimulation system with simple structure and reasonable design in order to solve the above problems.
本发明通过以下技术方案来实现上述目的:The present invention realizes above-mentioned purpose through following technical scheme:
一种多功能可植入式胃肠刺激系统,包括胃管,所述胃管的一端固定连接有胃刺激器,所述胃刺激器包括密封外壳,所述密封外壳的表面连接有刺激电极与传感器,所述传感器包括微型压力传感器、温度传感器与PH 传感器,所述密封外壳内设置有中央处理模块、电源处理模块以及通讯模块,所述胃管内插入有导丝,所述导丝的一端与密封外壳内的中央处理模块、电源处理模块以及通讯模块连接,所述导丝的另一端固定连接有体外控制器,所述体外控制器的外表面设置有显示屏与控制面板,所述胃管的外表面开设有引导口,所述引导口靠近胃刺激器,所述胃管为中空软管。A multifunctional implantable gastrointestinal stimulation system, comprising a gastric tube, one end of the gastric tube is fixedly connected with a gastric stimulator, the gastric stimulator includes a sealed casing, and a stimulation electrode and a stimulation electrode are connected to the surface of the sealed casing. The sensor includes a miniature pressure sensor, a temperature sensor and a PH sensor, a central processing module, a power processing module and a communication module are arranged in the sealed casing, a guide wire is inserted into the gastric tube, and one end of the guide wire is It is connected with the central processing module, the power processing module and the communication module in the sealed shell, the other end of the guide wire is fixedly connected with an external controller, the external surface of the external controller is provided with a display screen and a control panel, the stomach The outer surface of the tube is provided with a guide port, the guide port is close to the gastric stimulator, and the gastric tube is a hollow flexible tube.
作为本发明的进一步优化方案,所述胃管位于体外的一端设置有电控岔管,所述导丝穿出电控岔管与体外控制器连接。As a further optimized solution of the present invention, an electronically controlled bifurcated tube is provided at one end of the stomach tube located outside the body, and the guide wire is passed through the electronically controlled bifurcated tube to be connected to the extracorporeal controller.
作为本发明的进一步优化方案,所述胃管位于体外的一端设置有软管岔管。As a further optimized solution of the present invention, one end of the stomach tube located outside the body is provided with a hose bifurcated tube.
作为本发明的进一步优化方案,所述胃管内部固定连接有内置软管,所述内置软管盘旋于胃管的内表面。As a further optimized solution of the present invention, a built-in flexible tube is fixedly connected inside the gastric tube, and the built-in flexible tube is coiled on the inner surface of the gastric tube.
作为本发明的进一步优化方案,所述内置软管的一端封闭,另一端与软管岔管连通。As a further optimized solution of the present invention, one end of the built-in hose is closed, and the other end is communicated with the hose branch pipe.
作为本发明的进一步优化方案,所述软管岔管内设置有控制阀,所述内置软管通气后变硬。As a further optimized solution of the present invention, a control valve is arranged in the hose bifurcated pipe, and the built-in hose becomes rigid after being ventilated.
作为本发明的进一步优化方案,所述胃管位于体外的一端设置有连通岔管,所述连通岔管与胃管的内部连通。As a further optimized solution of the present invention, one end of the stomach tube located outside the body is provided with a communication bifurcated tube, and the communication bifurcated tube communicates with the interior of the stomach tube.
作为本发明的进一步优化方案,所述导丝的外表面套有内置保护管。As a further optimized solution of the present invention, the outer surface of the guide wire is covered with a built-in protection tube.
作为本发明的进一步优化方案,所述引导口与连通岔管之间设置有内置通管。As a further optimized solution of the present invention, a built-in through pipe is arranged between the guide port and the communication branch pipe.
作为本发明的进一步优化方案,所述胃管为双层结构,所述胃管包括内层软管,所述内置软管位于胃管的双层结构之间,且内置软管为若干组充气气囊管组成,若干组充气气囊管彼此互相不通,若干组所述充气气囊管的外表面连通有充气气管,若干组所述充气气管从软管岔管处穿出,且若干组所述充气气管的外表面固定连接有位置标签,所述位置标签标记充气气管对应的充气气囊管。As a further optimized solution of the present invention, the stomach tube has a double-layer structure, the stomach tube includes an inner-layer flexible tube, the built-in flexible tube is located between the double-layer structures of the stomach tube, and the built-in flexible tube is inflated for several groups The airbag tubes are composed of several groups of inflatable airbag tubes that do not communicate with each other. The outer surfaces of the several groups of inflatable airbag tubes are connected with inflatable air tubes. The outer surface of the trachea is fixedly connected with a position label, and the position label marks the inflatable air bag tube corresponding to the inflatable trachea.
本发明的有益效果在于:本发明设置有胃刺激器,利用胃刺激器内的刺激电极以及传感器,来刺激患者的胃部以及收集患者胃部数据;同时本发明的胃管设置有三组岔管,分别为电控岔管、软管岔管以及连通岔管,利用三组岔管,分别连接安置导丝、连通内置软管以及提供引流灌注,其中内置软管采用柔性材料,通常情况下其贴敷于胃管的内表面,占用胃管内的空间十分小,在消化道瘘或者感染的情况下,可以向其中充气,进一步提高胃管的硬度(人体可接受范围),便于处理在该种情况下引流抽吸等操作,整个系统还具有辅助控制流食灌注速度等功能;整个系统结构简单,操作方便,使用灵活,便于医师使用,应对胃功能受损的患者,且适应面广泛,便于业内推广使用。The beneficial effects of the present invention are as follows: the present invention is provided with a gastric stimulator, and the stimulation electrodes and sensors in the gastric stimulator are used to stimulate the patient's stomach and collect data on the patient's stomach; at the same time, the gastric tube of the present invention is provided with three sets of bifurcated tubes , which are the electric control bifurcation pipe, the hose bifurcation pipe and the communication bifurcation pipe, respectively. Three sets of bifurcation pipes are used to connect and place the guide wire, connect the built-in hose and provide drainage and perfusion. The built-in hose is made of flexible materials. It is applied to the inner surface of the gastric tube and occupies a very small space in the gastric tube. In the case of gastrointestinal fistula or infection, it can be inflated to further improve the hardness of the gastric tube (acceptable range for the human body), which is convenient for handling in this The whole system also has functions such as auxiliary control of liquid food perfusion speed and other functions; the whole system is simple in structure, convenient in operation, flexible in use, convenient for doctors to use, and can be used for patients with impaired gastric function. Promotion and use in the industry.
附图说明Description of drawings
图1是本发明的整体结构示意图;Fig. 1 is the overall structure schematic diagram of the present invention;
图2是本发明的体外控制器结构示意图;Fig. 2 is the external controller structure schematic diagram of the present invention;
图3是本发明实施例1的胃管结构示意图;Fig. 3 is the gastric tube structure schematic diagram of the
图4是本发明实施例2的胃管结构示意图;Fig. 4 is the structural schematic diagram of the stomach tube of
图5是本发明实施例3的胃管结构示意图。FIG. 5 is a schematic structural diagram of a gastric tube according to
图6是本发明实施例4的胃管结构示意图。FIG. 6 is a schematic view of the structure of the gastric tube according to Embodiment 4 of the present invention.
图中:1、胃管;2、胃刺激器;3、体外控制器;4、导丝;5、电控岔管;6、软管岔管;7、连通岔管;8、内置通管;9、控制面板;10、显示屏;11、内置保护管;12、引导口;13、内置软管;14、充气气管;15、内层软管。In the figure: 1. Gastric tube; 2. Gastric stimulator; 3. External controller; 4. Guide wire; 5. Electronically controlled bifurcated pipe; 6. Hose bifurcated pipe; 9. Control panel; 10. Display screen; 11. Built-in protective tube; 12. Guide port; 13. Built-in hose;
具体实施方式Detailed ways
下面结合附图对本申请作进一步详细描述,有必要在此指出的是,以下具体实施方式只用于对本申请进行进一步的说明,不能理解为对本申请保护范围的限制,该领域的技术人员可以根据上述申请内容对本申请作出一些非本质的改进和调整。The application will be described in further detail below in conjunction with the accompanying drawings. It is necessary to point out that the following specific embodiments are only used to further illustrate the application, and should not be construed as limiting the protection scope of the application. Those skilled in the art can The above application content makes some non-essential improvements and adjustments to this application.
实施例1Example 1
如图1-3所示,一种多功能可植入式胃肠刺激系统,包括胃管1,所述胃管1的一端固定连接有胃刺激器2,所述胃刺激器2包括密封外壳,密封外壳通过生物膜粘附在胃壁上,所述密封外壳的表面连接有刺激电极与传感器,刺激电极设置有若干组,在本实施例中,密封外壳内还设置有刺激信号发生模块,其通过数据线与刺激电极连接,每组刺激电极一端的针头部分通过生物膜粘附在胃壁上的不同刺激部位,所述传感器包括微型压力传感器、温度传感器与PH传感器,微型压力传感器的检测单元缝合在胃壁上,温度传感器、PH传感器均固定连接在密封外壳的外部,所述密封外壳内设置有中央处理模块、电源处理模块以及通讯模块,所述胃管1内插入有导丝4,所述导丝4的一端与密封外壳内的中央处理模块、电源处理模块以及通讯模块连接,所述导丝4的另一端固定连接有体外控制器3,导丝4 可通过USB数据线与体外控制器3连接,所述体外控制器3的外表面设置有显示屏10与控制面板9,所述胃管1的外表面开设有引导口12,所述引导口12靠近胃刺激器2,所述胃管1为中空软管。As shown in Figures 1-3, a multifunctional implantable gastrointestinal stimulation system includes a
在本实施例中,密封外壳采用无毒、耐腐蚀且与人体组织有良好相容性的材质,达到将植入式胃刺激器对人体的伤害减小到最小程度,胃管1 位于体外的部分设置有三组岔管,分别为电控岔管5、软管岔管6与连通岔管7;所述胃管1位于体外的一端设置有电控岔管5,所述导丝4穿出电控岔管5与体外控制器3连接,电控岔管5用于引导连接导丝4;所述胃管1 位于体外的一端设置有软管岔管6;所述胃管1内部固定连接有内置软管 13,所述内置软管13盘旋于胃管1的内表面;所述内置软管13的一端封闭,另一端与软管岔管6连通;所述软管岔管6内设置有控制阀,所述内置软管13通气后变硬,软管岔管6用于连通内置软管13,在必要的情况下,可以将软管岔管6连接充气装置,使胃管1的硬度进一步提高,胃管1整体的硬度,与充气量相关;所述胃管1位于体外的一端设置有连通岔管7,所述连通岔管7与胃管1的内部连通,连通岔管7可以用作吸附引流的作用,也可以用于流食灌入;In this embodiment, the sealed casing is made of non-toxic, corrosion-resistant and well-compatible materials with human tissue, so as to minimize the damage of the implantable gastric stimulator to the human body, and the
需要说明的是,该多功能可植入式胃肠刺激系统,在使用时,整个装置中的内置软管13的外表面应当与胃管1的内表面粘连,并且确保,在该内置软管13在控制阀的作用下充满气体的状态时,该胃管1此时仍为具有一定弹性的管件,以此来确保整个装置的安全性。It should be noted that, when the multifunctional implantable gastrointestinal stimulation system is in use, the outer surface of the built-in
实施例2Example 2
如图4所示,一种多功能可植入式胃肠刺激系统,包括胃管1,所述胃管1的一端固定连接有胃刺激器2,所述胃刺激器2包括密封外壳,密封外壳通过生物膜粘附在胃壁上,所述密封外壳的表面连接有刺激电极与传感器,刺激电极设置有若干组,在本实施例中,密封外壳内还设置有刺激信号发生模块,其通过数据线与刺激电极连接,每组刺激电极一端的针头部分通过生物膜粘附在胃壁上的不同刺激部位,所述传感器包括微型压力传感器、温度传感器与PH传感器,微型压力传感器的检测单元缝合在胃壁上,温度传感器、PH传感器均固定连接在密封外壳的外部,所述密封外壳内设置有中央处理模块、电源处理模块以及通讯模块,所述胃管1内插入有导丝4,所述导丝4的一端与密封外壳内的中央处理模块、电源处理模块以及通讯模块连接,所述导丝4的另一端固定连接有体外控制器3,导丝4可通过USB数据线与体外控制器3连接,所述体外控制器3的外表面设置有显示屏10与控制面板9,所述胃管1的外表面开设有引导口12,所述引导口 12靠近胃刺激器2,所述胃管1为中空软管。As shown in FIG. 4, a multifunctional implantable gastrointestinal stimulation system includes a
在本实施例中,密封外壳采用无毒、耐腐蚀且与人体组织有良好相容性的材质,达到将植入式胃刺激器对人体的伤害减小到最小程度,胃管1 位于体外的部分设置有三组岔管,分别为电控岔管5、软管岔管6与连通岔管7;所述胃管1位于体外的一端设置有电控岔管5,所述导丝4穿出电控岔管5与体外控制器3连接,电控岔管5用于引导连接导丝4;所述胃管1 位于体外的一端设置有软管岔管6;所述胃管1内部固定连接有内置软管 13,所述内置软管13盘旋于胃管1的内表面;所述内置软管13的一端封闭,另一端与软管岔管6连通;所述软管岔管6内设置有控制阀,所述内置软管13通气后变硬,软管岔管6用于连通内置软管13,在必要的情况下,可以将软管岔管6连接充气装置,使胃管1的硬度进一步提高,胃管1整体的硬度,与充气量相关;所述胃管1位于体外的一端设置有连通岔管7,所述连通岔管7与胃管1的内部连通,连通岔管7可以用作吸附引流的作用,也可以用于流食灌入;所述导丝4的外表面套有内置保护管11;In this embodiment, the sealed casing is made of non-toxic, corrosion-resistant and well-compatible materials with human tissue, so as to minimize the damage of the implantable gastric stimulator to the human body, and the
该内置保护管11同样为空心管,其内置保护管11的上端(即位于体外的端口)同样设置有控制气阀(为常用的气阀),导丝4位于内置保护管11内,导丝4贯穿而出的位置设有密封结构,在该内置保护管11内本身充入一定的空气,使其略微膨起(内置保护管11同样为柔性软管,该状态不影响内置保护管11的弹性),在利用连通岔管7灌入流食时,可以添加充气装置,利用控制气阀使内置保护管11略微膨起,从而减慢流食滑落的速度,也可以利用控制气阀降低内置保护管11的管径,加快流食滑落的速度,整个装置较为使用。The built-in
实施例3Example 3
如图5所示,一种多功能可植入式胃肠刺激系统,包括胃管1,所述胃管1的一端固定连接有胃刺激器2,所述胃刺激器2包括密封外壳,密封外壳通过生物膜粘附在胃壁上,所述密封外壳的表面连接有刺激电极与传感器,刺激电极设置有若干组,在本实施例中,密封外壳内还设置有刺激信号发生模块,其通过数据线与刺激电极连接,每组刺激电极一端的针头部分通过生物膜粘附在胃壁上的不同刺激部位,所述传感器包括微型压力传感器、温度传感器与PH传感器,微型压力传感器的检测单元缝合在胃壁上,温度传感器、PH传感器均固定连接在密封外壳的外部,所述密封外壳内设置有中央处理模块、电源处理模块以及通讯模块,所述胃管1内插入有导丝4,所述导丝4的一端与密封外壳内的中央处理模块、电源处理模块以及通讯模块连接,所述导丝4的另一端固定连接有体外控制器3,导丝4可通过USB数据线与体外控制器3连接,所述体外控制器3的外表面设置有显示屏10与控制面板9,所述胃管1的外表面开设有引导口12,所述引导口 12靠近胃刺激器2,所述胃管1为中空软管。As shown in FIG. 5 , a multifunctional implantable gastrointestinal stimulation system includes a
在本实施例中,密封外壳采用无毒、耐腐蚀且与人体组织有良好相容性的材质,达到将植入式胃刺激器对人体的伤害减小到最小程度,胃管1 位于体外的部分设置有三组岔管,分别为电控岔管5、软管岔管6与连通岔管7;所述胃管1位于体外的一端设置有电控岔管5,所述导丝4穿出电控岔管5与体外控制器3连接,电控岔管5用于引导连接导丝4;所述胃管1 位于体外的一端设置有软管岔管6;所述胃管1内部固定连接有内置软管 13,所述内置软管13盘旋于胃管1的内表面;所述内置软管13的一端封闭,另一端与软管岔管6连通;所述软管岔管6内设置有控制阀,所述内置软管13通气后变硬,软管岔管6用于连通内置软管13,在必要的情况下,可以将软管岔管6连接充气装置,使胃管1的硬度进一步提高,胃管1整体的硬度,与充气量相关;所述胃管1位于体外的一端设置有连通岔管7,所述连通岔管7与胃管1的内部连通,连通岔管7可以用作吸附引流的作用,也可以用于流食灌入;所述引导口12与连通岔管7之间设置有内置通管8;增加内置通管8,可以进一步使得整个胃管1更细,使得内置软管13、导丝4以及内置通管8三者结构更为紧凑,不再担心流食滑入或者抽吸时堵塞情况,整个装置较为使用。In this embodiment, the sealed casing is made of non-toxic, corrosion-resistant and well-compatible materials with human tissue, so as to minimize the damage of the implantable gastric stimulator to the human body, and the
实施例4Example 4
如图6所示,一种多功能可植入式胃肠刺激系统,包括胃管1,所述胃管1的一端固定连接有胃刺激器2,所述胃刺激器2包括密封外壳,密封外壳通过生物膜粘附在胃壁上,所述密封外壳的表面连接有刺激电极与传感器,刺激电极设置有若干组,在本实施例中,密封外壳内还设置有刺激信号发生模块,其通过数据线与刺激电极连接,每组刺激电极一端的针头部分通过生物膜粘附在胃壁上的不同刺激部位,所述传感器包括微型压力传感器、温度传感器与PH传感器,微型压力传感器的检测单元缝合在胃壁上,温度传感器、PH传感器均固定连接在密封外壳的外部,所述密封外壳内设置有中央处理模块、电源处理模块以及通讯模块,所述胃管1内插入有导丝4,所述导丝4的一端与密封外壳内的中央处理模块、电源处理模块以及通讯模块连接,所述导丝4的另一端固定连接有体外控制器3,导丝4可通过USB数据线与体外控制器3连接,所述体外控制器3的外表面设置有显示屏10与控制面板9,所述胃管1的外表面开设有引导口12,所述引导口 12靠近胃刺激器2,所述胃管1为中空软管。As shown in FIG. 6, a multifunctional implantable gastrointestinal stimulation system includes a
在本实施例中,密封外壳采用无毒、耐腐蚀且与人体组织有良好相容性的材质,达到将植入式胃刺激器对人体的伤害减小到最小程度,胃管1 位于体外的部分设置有三组岔管,分别为电控岔管5、软管岔管6与连通岔管7;所述胃管1位于体外的一端设置有电控岔管5,所述导丝4穿出电控岔管5与体外控制器3连接,电控岔管5用于引导连接导丝4;所述胃管1 位于体外的一端设置有软管岔管6;所述胃管1内部固定连接有内置软管 13,所述内置软管13盘旋于胃管1的内表面;所述内置软管13的一端封闭,另一端与软管岔管6连通;所述软管岔管6内设置有控制阀,所述内置软管13通气后变硬,软管岔管6用于连通内置软管13,在必要的情况下,可以将软管岔管6连接充气装置,使胃管1的硬度进一步提高,胃管1整体的硬度,与充气量相关;所述胃管1位于体外的一端设置有连通岔管7,所述连通岔管7与胃管1的内部连通,连通岔管7可以用作吸附引流的作用,也可以用于流食灌入。In this embodiment, the sealed casing is made of non-toxic, corrosion-resistant and well-compatible materials with human tissue, so as to minimize the damage of the implantable gastric stimulator to the human body, and the
需要特别指出的是,在本实施例中,胃管1为双层结构,胃管1分为外管与内层软管15,内置软管13位于胃管1的双层结构之间,且内置软管 13为若干组充气气囊管组成,若干组充气气囊管彼此互相不通,若干组所述充气气囊管的外表面连通有充气气管14,若干组所述充气气管14从软管岔管6处穿出,且若干组所述充气气管14的外表面固定连接有位置标签,所述位置标签标记充气气管14对应的充气气囊管,内层软管15与连通岔管7连通,内层软管15可以有效的防止流食灌入时对内置软管13的刮擦影响;在本实施例中,充气气管14为较细的塑料管,利用位置标签来表面其对应的充气气囊管的位置,需要使用时,可以通过充气气管14来对充气气囊管充气,使其局部变硬,相比较上述实施例中整体变硬的技术方案,其安全性更高,使用更加灵活;在实际的使用过程中,充气气管14的数量应当根据实际的胃管1的长度以及充气气囊管的数量、纵向距离决定;盘旋的充气气囊管在充气完成后,其稳定型较高,硬度适中,若采取直接隔离充气的方式,胃管1的外管以及内层软管15均容易变形,可能会给使用者带来更多的伤害;整个装置较为实用。It should be specially pointed out that in this embodiment, the
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。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.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010353974.3ACN111467678A (en) | 2020-04-29 | 2020-04-29 | Multifunctional implantable gastrointestinal stimulation system |
| Application Number | Priority Date | Filing Date | Title |
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| CN202010353974.3ACN111467678A (en) | 2020-04-29 | 2020-04-29 | Multifunctional implantable gastrointestinal stimulation system |
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| CN111467678Atrue CN111467678A (en) | 2020-07-31 |
| Application Number | Title | Priority Date | Filing Date |
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| CN202010353974.3APendingCN111467678A (en) | 2020-04-29 | 2020-04-29 | Multifunctional implantable gastrointestinal stimulation system |
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