The device for blocking the pulse tube in dermal excision procedure. It can use the long access device where it possesses the opening distal (2036) edge which the stab does lumen, and organization, communicates with lumen, in order to access the pulse tube which supplies the blood to the organization which is dealt with dermally. It is long, it can use the balloon development device, in order to deliver the balloon to with inside the pulse tube. Next, the balloon expanding, the pulse tube is blocked. The pulse tube which next, is dealt with is excised. Almost there is no blood vessel in order to transmit from the organization which heat energy is heated or because or completely it is not, excision procedure is executed from efficiently. Next, the normal flow where the balloon is contracted and passes by this pulse tube profit, with that, is returned.
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