CN108635656B - Device capable of preventing ureter skin from making mouth and being narrow after full bladder operation - Google Patents

Device capable of preventing ureter skin from making mouth and being narrow after full bladder operation Download PDF

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Publication number
CN108635656B
CN108635656B CN201810834286.1A CN201810834286A CN108635656B CN 108635656 B CN108635656 B CN 108635656B CN 201810834286 A CN201810834286 A CN 201810834286A CN 108635656 B CN108635656 B CN 108635656B
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section
catheter
skin
internal
needle core
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CN108635656A (en
Inventor
陈炳
姜应传
吴海如
邬嘉波
张小荣
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Zhoushan hospital
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Zhoushan hospital
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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
    • A61M25/10Balloon catheters
    • 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
    • A61M25/0021Catheters; Hollow probes characterised by the form of the tubing
    • A61M25/0023Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
    • 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
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • 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
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • 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
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1072Balloon catheters with special features or adapted for special applications having balloons with two or more compartments
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1089Urethra

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Child & Adolescent Psychology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)

Abstract

The utility model relates to a device capable of preventing ureter skin ostomy stenosis after total bladder operation, which comprises a needle core device and a catheter device; the catheter device comprises a first section of external part catheter, a second section of skin part catheter and a third section of internal part catheter; when the distal ends of the needle core device and the third section of internal part catheter are in conflict, the third section of internal part catheter is in an extension state under the conflict force exerted by the needle core device; when the distal ends of the needle core device and the third section of internal part catheter are separated, the third section of internal part catheter forms a fungus-shaped expansion part under the action of self deformation force. The advantages are as follows: simple structure, convenient and practical pulls out the needle core device after placing into ureter skin and makes a stoma and plays good fixed action through the internal partial pipe of the external part of first section and third section, and the skin partial pipe of second section plays good supporting role to this section ureter, reaches the purpose that prevention ureter made a stoma narrow, reduces the infection probability.

Description

Device capable of preventing ureter skin from making mouth and being narrow after full bladder operation
Technical Field
The utility model relates to the technical field of medical appliances, in particular to a device capable of preventing ureter skin from making an opening into a mouth after a whole bladder operation.
Background
Bladder tumor is common tumor outside urinary system, accounting for more than 60% of urinary system tumor, mainly by operation treatment, and by radiotherapy, immunotherapy, laser treatment, etc. Cystectomy, ileocecal or colo-vesicular surgery is commonly claimed for bladder tumors invading above superficial muscle layers, recurrent tumors, multiple tumors, and tumors located in the trigone of the bladder, but for some patients with advanced age and associated cardiopulmonary disease who cannot tolerate ileal or colo-metabolic bladder surgery, cystocele-ureteral skin ostomy is available.
However, prior art bladder total ureteral dermatological ostomy have the following drawbacks and disadvantages:
first, at the site of the skin stoma, a good fixation is not achieved, and since the skin is peristaltic tissue, if a good fixation is not achieved, a stoma stenosis or necrosis is easily caused.
Secondly, because the ureter is free, ischemia is easy to occur, and the bladder total-cutting ureter skin ostomy has no corresponding instrument to play a good supporting role on the ureter, thereby leading to ureter ostomy stenosis and infection. In addition, a ureteral stent is frequently replaced clinically to prevent ureteral stenosis, and the replacement of the ureteral stent is required to be operated by a specialist in a hospital, and is also easy to cause upper urinary tract infection, ureter injury, kidney injury and even perforation.
Chinese patent document CN201621172710.3, filing date 20161026, patent name: the ureterostomy dilator consists of a round-head silicone tube, a cylindrical air bag, an inflatable ball and a one-way inflation valve connecting tube, wherein the cylindrical air bag is sealed and sleeved at the front end of the round-head silicone tube, the inflatable ball is sealed and sleeved at the rear end of the round-head silicone tube, the cylindrical air bag is communicated with the inflatable ball through the connecting tube, and the one-way inflation valve is positioned at the tail end of the round-head silicone tube. The diameter of the round-head silicone tube is 0.4cm, the length of the silicone tube is 15cm, the length of the cylindrical air bag is 5cm, the inflatable ball is spherical, and the diameter is 2cm.
The ureteral dilator disclosed in the patent document is designed for preventing ureteral skin stoma stenosis in the case that a ureteral stent tube cannot be left after ureteral skin ostomy due to repeated urinary tract infection. The utility model can reduce the cost for replacing the ureteral stent tube. The utility model has reasonable design, simple operation of patients and home use. However, a technical solution for preventing ureteral stenosis and infection, which has a fixing effect on the ostomy skin and a supporting effect on the ureter, has not been disclosed.
In view of the above, there is a need for a ureteral skin ostomy device having a fixing effect on the skin of a stoma, having a supporting effect on the ureter, preventing ureteral stenosis and reducing the probability of infection, and no report has been made on such a device for preventing ureteral skin ostomy stenosis.
Disclosure of Invention
The utility model aims at overcoming the defects in the prior art and provides a ureter skin ostomy device which has a fixing effect on the ostomy skin, has a supporting effect on a ureter, prevents ureter ostomy stenosis and reduces infection probability.
In order to achieve the above purpose, the technical scheme adopted by the utility model is as follows:
a ureteral skin ostomy stenosis preventing device after whole bladder operation, which comprises a needle core device and a catheter device;
the catheter device comprises a first section of external part catheter, a second section of skin part catheter and a third section of internal part catheter; the first section of external part catheter is elliptical in natural state, and the radial dimension specification of the first section of external part catheter is larger than that of the second section of external part catheter;
one end of the second section of skin part conduit is connected with the first section of external body part conduit, and the other end of the second section of skin part conduit is connected with the second section of skin part conduit; the internal channels of the first section of external part catheter, the second section of skin part catheter and the third section of internal part catheter are communicated; the needle core device is placed in the first section of external part catheter, passes through the second section of skin part catheter and reaches the condition that the distal ends of the third section of internal part catheter are in conflict, and when the needle core device is in conflict with the distal ends of the third section of internal part catheter, the third section of internal part catheter is in an extension state under the conflict force exerted by the needle core device, and the diameter of the third section of internal part catheter is smaller than or equal to the diameter of the second section of skin part catheter;
when the distal ends of the needle core device and the third section of internal part catheter are separated, the third section of internal part catheter forms a fungus-shaped expansion part under the action of self deformation force.
As a preferable technical scheme, the catheter device further comprises a first circular ring, a second circular ring, a third circular ring and a fourth circular ring; the first circular ring is arranged at the outer end part of the first section of external part catheter; the second circular ring is arranged at the joint of the first section of external part catheter and the second section of skin part catheter; the third ring is arranged at the joint of the second section of skin part conduit and the third section of internal part conduit; the fourth ring is arranged at the outer end part of the catheter at the inner part of the third section.
As a preferable technical scheme, the length of the first section of external part catheter is 0.5cm, and the radial dimension specification is FR8-FR10; the length of the second section skin part catheter is 2cm, and the radial dimension specification is FR6; the length of the inner part of the third section of the catheter is 1-2cm, and the radial dimension of the bacterial expansion part formed by the inner part of the third section of the catheter is FR12-FR14.
As a preferable embodiment, the radial dimension of the side of the bacterial bulge portion close to the skin is larger than the dimension of the side of the bacterial bulge portion away from the skin.
The utility model has the advantages that:
1. the device for preventing the ureter skin ostomy stenosis after the whole bladder operation has a simple structure, is convenient and practical, prevents a patient from regularly receiving invasive operation which is easy to cause infection in a hospital and placing the long-section in-vivo foreign matters, greatly improves the operation safety, reduces the economic burden of the patient, and achieves the purposes of preventing ureter ostomy stenosis and reducing infection probability by pulling out the needle core device after the ureter skin ostomy through the first-section in-vitro part catheter and the third-section in-vivo part catheter, wherein the second-section skin part catheter has a good supporting effect on the section of ureter.
2. The catheter device comprises a first section of external part catheter, a second section of skin part catheter and a third section of internal part catheter, so that the catheter device is divided into three different parts, and the forms of the different parts can be accurately controlled.
3. The internal channels of the first section of external part catheter, the second section of skin part catheter and the third section of internal part catheter are communicated, and the design mode provides an imbedding channel for the needle core device, so that the needle core device can be imbedded from the first section of external part catheter and reaches the third section of internal part catheter, and the shape of the third section of internal part catheter is controlled by the needle core device.
4. The first section of external part conduit is elliptical in natural state, and the third section of internal part conduit forms a bacterial expansion part under the action of self deformation force. Thus, the needle core device is pulled out after being placed into the ureter skin stoma, and the needle core device has good fixing effect through the first section of external part catheter and the third section of internal part catheter.
5. The second section skin part catheter can be stably fixed in the skin, can not deform or shift, has a good supporting effect on the section of ureter, and achieves the purposes of preventing ureter stoma stenosis and reducing infection probability.
Drawings
Fig. 1 is a schematic view of the structure of the device for preventing ureteral skin stoma stenosis after a whole bladder operation, which is used for inserting a needle tube.
Fig. 2 is a schematic view of the structure of the device for preventing ureteral skin stoma stenosis after whole bladder operation when the needle tube is withdrawn.
Detailed Description
The following detailed description of the utility model provides specific embodiments with reference to the accompanying drawings.
Reference numerals and components referred to in the drawings are as follows:
1. needle core device 2 catheter device
21. First section of extracorporeal portion catheter 22. Second section of skin portion catheter
23. Third section of inner catheter 3. First circular ring
4. Second ring 5 third ring
6. Fourth circular ring
Referring to fig. 1, fig. 1 is a schematic view of a device for preventing ureteral skin stoma stenosis after a total bladder operation according to the present utility model when a needle cannula is inserted. A ureter skin ostomy stenosis preventing device after a whole bladder operation, which comprises a needle core device 1 and a catheter device 2; the catheter device 2 comprises a first section of external part catheter 21, a second section of skin part catheter 22 and a third section of internal part catheter 23; one end of the second section skin part conduit 22 is connected with the first section external body part conduit 21, and the other end is connected with the second section skin part conduit 22; the internal channels of the first section of external part conduit 21, the second section of skin part conduit 22 and the third section of internal part conduit 23 are communicated; the said core device 1 is put into from the external part conduit 21 of the first section, pass the external part conduit 22 of the second section and reach the internal part conduit 23 of the third section and collide with distal end of the internal part conduit 23, and when the core device 1 and distal end of the internal part conduit 23 of the third section collide, the internal part conduit 23 of the third section is in the elongating state under the interference force exerted by the core device 1, the diameter of the internal part conduit 23 of the third section is smaller than or equal to the diameter of the external part conduit 22 of the second section.
The catheter device 2 also comprises a first circular ring 3, a second circular ring 4, a third circular ring 5 and a fourth circular ring 6; the first circular ring 3 is arranged at the outer end part of the first section of external part conduit 21; the second circular ring 4 is arranged at the joint of the first section of external part conduit 21 and the second section of skin part conduit 22; the third circular ring 5 is arranged at the joint of the second section skin part conduit 22 and the third section body part conduit 23; the fourth ring 6 is arranged at the outer end of the inner part conduit 23 of the third section.
Referring to fig. 2, fig. 2 is a schematic view of the structure of the apparatus for preventing ureteral skin stoma stenosis after a total bladder operation when a needle tube is withdrawn. When the distal ends of the needle core device 1 and the third-stage internal part catheter 23 are separated, the third-stage internal part catheter 23 forms a bacterial expansion part under the action of self deformation force, and the radial dimension of the side of the bacterial expansion part close to the skin is larger than the dimension of the side of the bacterial expansion part far away from the skin; the first section of external part catheter 21 is elliptical in natural state, and the radial dimension of the first section of external part catheter 21 is larger than that of the second section of external part catheter 22; the length of the first section of external part conduit 21 is 0.5cm, and the radial dimension specification is FR8-FR10; the second section of skin portion catheter 22 is 2cm long and has a radial dimension FR6; the length of the third section of internal part conduit 23 is 1-2cm, and the radial dimension of the third section of internal part conduit 23 forming a bacterial expansion part is FR12-FR14.
It should be noted that:
the catheter device 2 comprises a first section of external part catheter 21, a second section of skin part catheter 22 and a third section of internal part catheter 23, so that the catheter device 2 is divided into three different parts, and the forms of the different parts are convenient to precisely control.
The internal channels of the first section of external part catheter 21, the second section of skin part catheter 22 and the third section of internal part catheter 23 are communicated, and the design mode provides an imbedding channel for the needle core device 1, so that the needle core device 1 can be imbedded from the first section of external part catheter 21 and reaches the third section of internal part catheter 23, thereby realizing the control of the shape of the third section of internal part catheter 23 through the needle core device 1.
When the core device 1 collides with the distal end of the third-section internal part catheter 23, the third-section internal part catheter 23 becomes longer, and the specific principle is as follows: when the distal end of the third-stage inner catheter 23 of the core device 1 abuts against the distal end, the human hand gives forward pushing force to the core device 1 and simultaneously fixes the first-stage outer catheter 21, so that the pushing force causes deformation of the third-stage inner catheter 23 to lengthen.
When the needle core device 1 is separated from the distal end of the third-stage internal part catheter 23, the third-stage internal part catheter 23 forms a fungus-shaped expansion part under the action of self deformation force. The specific principle is as follows: since the third-stage inner-part catheter 23 is not under the action of the interference force when the core device 1 is separated from the distal end of the third-stage inner-part catheter 23, the third-stage inner-part catheter 23 is deformed due to the previous interference, and the deformation amount, including the deformation force, is provided, so that the bacterial expansion part is formed under the action of the self deformation force. Preferably, the third-section internal part conduit 23 is made of a memory deformation material, namely, the third-section internal part conduit 23 stretches when stressed and forms a fungus-shaped expansion part when unstressed, so that the sensitivity is good.
The first section of external part conduit 21 is elliptical in nature, and the third section of internal part conduit 23 forms a bacterial expansion part under the action of self deformation force. In this way, the needle core device 1 is pulled out after being placed into the ureter skin stoma, and a good fixing effect is achieved through the first section of the external part catheter 21 and the third section of the internal part catheter 23.
The second section of skin catheter 22 can be stably fixed in the skin without deformation or displacement, and has good supporting effect on the section of ureter, thereby achieving the purposes of preventing ureter from making a stoma narrow and reducing infection probability.
The catheter device 2 also comprises a first circular ring 3, a second circular ring 4, a third circular ring 5 and a fourth circular ring 6; the first ring 3 and the second ring 4 are used for accommodating and fixing two ends of the first section of external part of the catheter 21, so that the first section of external part maintains a uniform elliptic shape. At the same time, the second ring 4 and the cooperating third ring 5 are arranged at the second skin segment conduit 22 as a deformation demarcation point, thereby preventing deformation of the second skin segment conduit 22. In addition, the third ring 5 and the fourth ring 6 are arranged at two ends of the inner part conduit 23 of the third section, and on one hand, are used as dividing points for deformation, so as to avoid the deformation of the skin part conduit 22 of the second section; on the other hand, the fourth ring 6 can also be used as a control point and directly collides with the needle core device 1, so that the operability is good.
The length of the first section of external part conduit 21 is 0.5cm, and the radial dimension specification is FR8-FR10; the second section of skin portion catheter 22 is 2cm long and has a radial dimension FR6; the length of the third section of internal part conduit 23 is 1-2cm, and the radial dimension of the third section of internal part conduit 23 forming a bacterial expansion part is FR12-FR14. The above dimensions are designed according to clinical needs and are the best to work with.
The device for preventing the ureter skin stoma stenosis after the whole bladder operation has a simple structure, is convenient and practical, and can be used for preventing the ureter stoma stenosis and reducing the infection probability by pulling out the needle core device 1 after being placed into the ureter skin stoma, and has a good fixing effect through the first section of external part catheter 21 and the third section of internal part catheter 23, and the second section of skin part catheter 22 has a good supporting effect on the section of ureter; the catheter device 2 comprises a first section of external part catheter 21, a second section of skin part catheter 22 and a third section of internal part catheter 23, so that the catheter device 2 is divided into three different parts, and the forms of the different parts are convenient to accurately control; the internal channels of the first section of external part catheter 21, the second section of skin part catheter 22 and the third section of internal part catheter 23 are communicated, and the design mode provides an imbedding channel for the needle core device 1, so that the needle core device 1 can be imbedded from the first section of external part catheter 21 and reaches the third section of internal part catheter 23, thereby realizing the control of the form of the third section of internal part catheter 23 through the needle core device 1; the first-stage external part conduit 21 is elliptical in a natural state, and the third-stage internal part conduit 23 forms a bacterial expansion part under the action of self deformation force. In this way, the needle core device 1 is pulled out after being placed into the ureter skin stoma, and a good fixing effect is achieved through the first section of the external part catheter 21 and the third section of the internal part catheter 23; the second section of skin portion catheter 22 can be stably fixed in the skin without deformation or displacement, and has good supporting effect on the section of ureter, thereby achieving the purposes of preventing ureter stoma stenosis and reducing infection probability.
The foregoing is merely a preferred embodiment of the present utility model, and it should be noted that modifications and additions may be made to those skilled in the art without departing from the method of the present utility model, which modifications and additions are also to be considered as within the scope of the present utility model.

Claims (1)

1. The device for preventing the ureteral skin ostomy stenosis after the whole bladder operation is characterized by comprising a needle core device and a catheter device;
the catheter device comprises a first section of external part catheter, a second section of skin part catheter and a third section of internal part catheter; the first section of external part catheter is elliptical in natural state, and the radial dimension specification of the first section of external part catheter is larger than that of the second section of external part catheter;
one end of the second section of skin part conduit is connected with the first section of external body part conduit, and the other end of the second section of skin part conduit is connected with the second section of skin part conduit; the internal channels of the first section of external part catheter, the second section of skin part catheter and the third section of internal part catheter are communicated; the needle core device is placed in the first section of external part catheter, passes through the second section of skin part catheter and reaches the condition that the distal ends of the third section of internal part catheter are in conflict, and when the needle core device is in conflict with the distal ends of the third section of internal part catheter, the third section of internal part catheter is in an extension state under the conflict force exerted by the needle core device, and the diameter of the third section of internal part catheter is smaller than or equal to the diameter of the second section of skin part catheter;
when the distal ends of the needle core device and the third section of internal part catheter are separated, the third section of internal part catheter forms a fungus-shaped expansion part under the action of self deformation force, the radial dimension of one side of the fungus-shaped expansion part close to the skin is larger than the dimension of one side of the fungus-shaped expansion part far away from the skin, and the catheter device further comprises a first circular ring, a second circular ring, a third circular ring and a fourth circular ring; the first circular ring is arranged at the outer end part of the first section of external part catheter; the second circular ring is arranged at the joint of the first section of external part catheter and the second section of skin part catheter; the third ring is arranged at the joint of the second section of skin part conduit and the third section of internal part conduit; the fourth circular ring is arranged at the outer end part of the inner part of the third section of the catheter, the length of the outer part of the first section of the catheter is 0.5cm, and the radial dimension specification is FR8-FR10; the length of the second section skin part catheter is 2cm, and the radial dimension specification is FR6; the length of the inner part of the third section of the catheter is 1-2cm, and the radial dimension of the bacterial expansion part formed by the inner part of the third section of the catheter is FR12-FR14.
CN201810834286.1A 2018-07-26 2018-07-26 Device capable of preventing ureter skin from making mouth and being narrow after full bladder operation Active CN108635656B (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322501A (en) * 1992-10-02 1994-06-21 Mahmud Durrani Ayaz Continent urethral stent for treating and preventing urethral stricture after surgery
CN206492097U (en) * 2016-10-26 2017-09-15 浙江省人民医院 A kind of ureter stoma expander
KR20180019262A (en) * 2016-08-16 2018-02-26 전북대학교산학협력단 Catheter cover
CN208974940U (en) * 2018-07-26 2019-06-14 舟山医院 It can prevent the narrow device of ureter skin stoma after full bladder surgery

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20070088280A1 (en) * 2004-12-21 2007-04-19 Gomez Matthew A Retention element for securing a catheter
US20090105659A1 (en) * 2007-10-17 2009-04-23 Tyco Healthcare Group Lp Anchoring cannula
ITGO20110004A1 (en) * 2011-05-06 2012-11-07 Romano Guerra NEW DEVICE FOR TRACHEOSTOMY WITH EXPANSION BALL

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322501A (en) * 1992-10-02 1994-06-21 Mahmud Durrani Ayaz Continent urethral stent for treating and preventing urethral stricture after surgery
KR20180019262A (en) * 2016-08-16 2018-02-26 전북대학교산학협력단 Catheter cover
CN206492097U (en) * 2016-10-26 2017-09-15 浙江省人民医院 A kind of ureter stoma expander
CN208974940U (en) * 2018-07-26 2019-06-14 舟山医院 It can prevent the narrow device of ureter skin stoma after full bladder surgery

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