CN108784772A - A kind of telescopic hemostatic balloon - Google Patents

A kind of telescopic hemostatic balloon Download PDF

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Publication number
CN108784772A
CN108784772A CN201810853320.XA CN201810853320A CN108784772A CN 108784772 A CN108784772 A CN 108784772A CN 201810853320 A CN201810853320 A CN 201810853320A CN 108784772 A CN108784772 A CN 108784772A
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CN
China
Prior art keywords
hemostatic
supporting rod
dependent
swelling gasbag
balloon
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Granted
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CN201810853320.XA
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Chinese (zh)
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CN108784772B (en
Inventor
晁勇
帅万钧
乔龙学
张少东
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First Affiliated Hospital Chinese PLA General Hospital
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First Affiliated Hospital Chinese PLA General Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Reproductive Health (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention relates to a kind of telescopic hemostatic balloons, belong to the field of medical instrument technology;Deep wounds are not easy to stop blooding in the prior art, the application carries out the hemostasis of through and through wound, sidewalk for visually impaired people wound using pressurized expansion hemostatic balloon hemostasis by compression material, telescopic design is used in structure, it is suitable for different hindering size and length, the deep for being applicable not only to different shape is hindered, and is this item purpose innovation place with adaptivity is hindered.

Description

A kind of telescopic hemostatic balloon
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of telescopic hemostatic balloon.
Background technology
Pole after limbs engaging portion vascular distribution is abundant, and blood vessel is thick, pressure is high, is hit by bullet, hard object is penetrated or pierced through The damage or fracture for easily causing arterial blood tube wall, so as to cause quickly losing blood for the wounded.The position is lost blood, and bleeding rate is fast, blood flow Pressure is high, and structural texture again limits the use of the conventional hemostasis means such as pressure dressing and tourniquet blocking, is to cause to lose blood One of the main reason for property is dead.Lack the blocking for the through and through wound of above-mentioned body part or sidewalk for visually impaired people wound in currently available technology Property hemostasis and rapid blood coagulation solution.
Invention content
In view of problems of the prior art, one of the objects of the present invention is to provide one kind being used for human body or animal body The sidewalk for visually impaired people of body is hindered or the telescopic hemostatic balloon of the hemostasis of through and through wound.
For this purpose, the present invention uses following technical scheme:
A kind of hemostatic balloon, it is characterised in that:The hemostatic balloon includes positioned at intermediate supporting rod and being arranged in institute The hemostatic material stated the swelling gasbag on supporting rod, be arranged on the swelling gasbag surface;When swelling gasbag inflation is swollen When swollen, it is unfolded and squeezes hemostatic material and hinder tissue or blood vessel fits closely.
Preferably, the supporting rod is double-layer structure, and outer layer is fixed supporting rod, and internal layer is extensible supporting rod, Under the action of the blowing pressure, the swelling gasbag expansion expansion drives the extensible supporting rod stretching, extension.
Preferably, may extend away inside one end that supporting rod 4-2 is located at fixed supporting rod 4-1 has stop part and elastic portion Part.
Preferably, the supporting rod top is inlet chamber, is connected with air flue, and cavity wall trepanning is communicated with inside air bag, is formed Supply access.
Preferably, the surface of the hemostatic material is provided with protective film, the hemostatic material and the protective film are one Body structure, entirety can be dismantled from the airbag wall of swelling gasbag.
Preferably, the protective film is water soluble protective film.
Preferably, the swelling gasbag is made of silastic material, rapid expanding and can bear 0.15Mpa pressure differences;? The lower expansion of 37.2kpa pressure effect, the volume maximum of the swelling gasbag can expand 20 times.
Preferably, hemostatic material selects polymorphic chitosan hemostatic material.
Preferably, the fixed supporting rod top is inlet chamber, and inlet chamber lower part is the gas chamber of pressure sensor.
Preferably, the hemostatic material is folded on the swelling gasbag surface.
Compared with prior art, the present invention at least has the advantages that:(1) stop blooding by using pressurized expansion Balloon tamponade hemostatic material carries out the hemostasis of through and through wound, sidewalk for visually impaired people wound, and telescopic design is used in structure, be suitable for it is different hinder it is big Small and length, the deep for being applicable not only to different shape are hindered, and are solutions where the innovation of this item purpose with adaptivity is hindered Deep wounds are not easy the problem stopped blooding;(2) hemostasis device designed by, small volume and less weight is easy to operate, singlehanded can use, and And it is convenient for later stage debridement treatment after stopping blooding, it is particularly suitable for portable;(3) hemostatic material and swelling gasbag can integrated design, rear It when the processing of the phase condition of the injury, can integrally be taken out after carrying out pressure release, no-sundries residual is convenient for debridement and anaphase.
Description of the drawings
Fig. 1 is the structural schematic diagram under telescopic hemostatic balloon rounding state of the present invention;
Fig. 2 is the structural schematic diagram under telescopic hemostatic balloon unfolded state of the present invention;
Fig. 3 is the embedded hemostasis device schematic diagram of the present invention;
Fig. 4 is hemostatic balloon aseptic packaging schematic diagram of the present invention;
Fig. 5 is another structural schematic diagram of telescopic hemostatic balloon of the present invention.
Reference numeral is as follows in attached drawing:10- gas storage modules, 20- control modules, the telescopic hemostatic balloons of 30-, 40- are sterile Packaging bag, 50- quickly tear mouth, and 1- drawing and pulling types fix strut, and 2- fixes strut gas port, 3- pressure sensors, 3-1 pressure sensings Device gas port, 4- drawing and pulling type extension rods, the fixed supporting rods of 4-1-, 4-2- may extend away supporting rod, 5- airbag fold cavitys, 6- air bags Cavity, 7- airbag walls, 8- hemostatic materials, 9- protective films, 31- air bags upper end, 32- air bags upper end stop zone, 33- normal thickness Air bag region, 34- air bags lower end stop zone, 35- air bags lower end.
The present invention is described in more detail below.But following examples is only the simple example of the present invention, not generation Table or limitation the scope of the present invention, protection scope of the present invention are subject to claims.
Specific implementation mode
Technical solution to further illustrate the present invention below with reference to the accompanying drawings and specific embodiments.
It is necessary to be noted that the attached drawing of the present invention is only for schematically illustrating the basic invention structure of the present invention Think, unique correct embodiment of the invention must not be not understood as;The embodiment provided in the following description be only for It is better described the present invention, and the certain preferred embodiments provided, unique correct embodiment party of the invention must not be not understood as Formula, any deformation implementation of any those skilled in the art's invention content according to the present invention in the case where not making the creative labor are equal Belong to the covering scope of the present invention.
Technical solution to facilitate the understanding of the present invention, typical but non-limiting embodiment of the invention are as follows:
As shown in figure 3, embedded type active emergency hemostatic apparatus is by gas storage module 10, control module 20 and telescopic hemostasis gas The three parts such as capsule 30 are constituted.
Gas storage module 10 is connected with control module 20 by the fast plug of gas and fast combination hub, easy to disassemble.Control mould Block 20 controls electromagnetic valve of gas circuit, to the inflation of telescopic hemostatic balloon 30, pressurization, and realizes when telescopic hemostatic balloon 30 is inflated Staged decompression after pressure protection and hemostasis.Telescopic hemostatic balloon 30 using two-level nested drawing and pulling type strut as support, Gas pressure pushes lower extension and extends, to adapt to hindering for different shape and size;Telescopic hemostatic balloon 30 is using high-elastic Property silica gel utricule, outer layer covers hemostatic material, and hemostasis by compression material is said haemal tissue with wound and come into full contact with after air bag expansion, reaches The purpose of Pressur hemostatic and local blood coagulation in hindering.
Fig. 1 is the structural schematic diagram under telescopic hemostatic balloon rounding state of the present invention, the telescopic hemostasis Air bag includes:Drawing and pulling type fixes strut 1, fixed strut gas port 2, pressure sensor 3, pressure sensor gas port 3-1;Drawing and pulling type branch Support extension rod 4;Airbag fold cavity 5;6- air bag cavitys;7- airbag walls;8- hemostatic materials;9- protective films.
Embodiment 1
As shown in Figure 1, telescopic hemostatic balloon is in rounding state, telescopic hemostatic balloon includes swelling gasbag, pull Formula supports extension rod 4, hemostatic material 8 and protective film 9.Air bag is made of silastic material, rapid expanding and can bear 0.15Mpa pressure differences.
Hemostatic material 8 is folded to be bonded in balloon surface, can expand and be unfolded with air bag.
Supporting rod uses medical stainless steel material, and when ensureing to be inserted under the premise of support strength, it is straight to reduce supporting rod to the greatest extent Diameter, telescopic hemostatic balloon is inserted into and hinders when stopping blooding convenient for first aid.In the fabrication process, between guarantee air bag and supporting rod Air bag and support rod outer surface are connected and fixed by air-tightness using hot-press gluing mode.
Hemostatic balloon 30 uses medical grade silicon rubber material, and balloon surface, can be outside under the action of internal gas pressure Prolonged expansion achievees the purpose that Pressur hemostatic to connect with the blood vessel in hindering.When in use, it is contemplated that hemostatic balloon Top and bottom are frequently located in the outlet or inlet hindered, if the coefficient of expansion of balloon surface is identical, in the outlet hindered Or the air bag of inlet will likely can be expanded from hindering and be come out, consequence is that hemostatic balloon 30 will be unable to be inflated to expected stop Blood pressure power causes hemostasis to fail, while bulging air bag is also not easy to the external wrapping of wound.
Therefore when carrying out the design of the air bag coefficient of expansion, as shown in figure 5, at air bag upper end 31, air bag and fixed branch Strut 4-1 forms interconnecting piece using the connection type of hot-press gluing, at air bag lower end 35, air bag and extensible supporting rod 4-2 Interconnecting piece is formed using the connection type of hot-press gluing;In about 35 1-2cm regional extents of air bag upper end 31 and lower end, The coefficient of elasticity of its material is 2 times of intermediate region, thus in guarantee is hindered under the premise of air bag pressurization conformal expansion, mode Air bag reaches expected Pressur hemostatic effect from entrance of wound tract or outlet bulging.
Gelfoam, collagen protein sponge, Fibrin Glue, converted starch hemostatic material, more may be used in hemostatic material 8 The hemostatic materials such as state chitosan bleeding-stopping dressing, it is preferred to use polymorphic chitosan bleeding-stopping dressing, since it is with good ductility, It is very suitable with the air bag that needs to expand in the application.
Pressure theoretically may be used when being shunk more than human vas and can come into full contact with formula with bleeding vessel in hemostatic balloon Angiorrbagia point is blocked.But excessively high pressure or duration is long, it will generates damage to perienchyma, or even will produce Torn tissue or necrosis, to cause secondary damage.Therefore when carrying out hemostatic balloon design, it need to adhere in balloon surface and stop blooding Drug or material carry out blood coagulation while hemostasis by compression at angiorrbagia point, generate local thrombus, to utilize thrombus Blutpunkte is blocked, and then can suitably reduce pressure value in hemostatic balloon, reduces the generation of secondary damage.
Because hemostatic balloon is when being stopped blooding, airbag aeration rear surface product may be expanded several times more than ten times and differ, and such as adopt With powdery or solid haemostatic drug or material, do not ensure that balloon surface upon inflation is uniformly distributed, local location is not up to To coagulating effectiveness.For this purpose, on the basis of test of many times, intend selecting polymorphic chitosan hemostatic material.The hemostatic material is at 23 DEG C It is liquid below, is colloidal state when being more than 23 DEG C.
Therefore in hemostatic balloon processing and fabricating, keep production environment temperature for 23 DEG C hereinafter, polymorphic chitosan is stopped blooding Material is filling between hemostatic balloon and water soluble protective film, when hemostatic balloon is in storage state, it is ensured that the shell of liquid is poly- Sugared hemostatic material homogeneous compaction is between hemostatic balloon and water soluble protective film.When being stopped blooding, what hemostatic balloon was inserted into stops Blood position is bled profusely, and temperature is at least above 35 DEG C, and polymorphic chitosan hemostatic material is at colloidal state at this time, due to itself and hemostasis The adhesive attraction of balloon surface can stretch with the expansion of balloon surface, therefore have hemostatic material in hemostatic balloon arbitrary surfaces Material distribution, to ensure that the coagulating effectiveness of hemostatic balloon.
Drawing and pulling type support extension rod 4 designs for double-layer structure, and outer layer is fixed supporting rod 4-1, and internal layer is extensible branch Strut 4-2, inside one end that extensible supporting rod 4-2 is located at fixed supporting rod 4-1 have stop part, air pressure can be prevented excessive When, extend supporting rod 4-2 and skidded off inside fixed supporting rod 4-1, it is preferred that extensible supporting rod 4-2 is located at fixed branch Inside one end of strut 4-1 has elastomeric element, when air pressure is sufficiently large so that extensible supporting rod 4-2 is swollen with air bag It is swollen and stretch out, and when there is no air pressure, it will not skid off, prevent from durings transport etc., causing the cracking of protective film 9.
The tops fixed supporting rod 4-1 are inlet chamber, are connected with solenoid valve air flue, and cavity wall trepanning is communicated with inside air bag, Form gas supply access.Inlet chamber lower part is pressure sensor gas chamber, is communicated with air bag, detects gasbag pressure in real time;Before use Telescopic hemostatic balloon is in rounding state.
Embodiment 2
As shown in Fig. 2, telescopic hemostatic balloon be in expansion unfolded state, expand be unfolded when, swelling gasbag it is outermost Side is airbag wall 7, and inside is air bag cavity 6, and the outer surface of airbag wall 7 is provided with hemostatic material 8, in the outer of hemostatic material 8 Surface is provided with protective film 9, and swelling gasbag is made of silastic material, has stronger ductility and expansion intensity, The lower expansion of 37.2kpa pressure effect, volume maximum can expand 20 times, to realize that the pressurization hindered is filled.
Hemostatic material 8 is folded on the surface of airbag wall 7, and set-up mode can be the mode for bonding or engaging;Gas When capsule inflation, it is unfolded and squeezes hemostatic material and hinder tissue or blood vessel fits closely, blood vessel or tissue is blocked quickly to go out Blood, and under the action of hemostatic material, form thrombus agglomerate in blutpunkte, further block exudative hemorrhage.
Hemostatic material meets blood can occur Coagulation test with blood, therefore such as be not added with safeguard measure, be inserted in hemostatic balloon When the roads Ru Shang, a large amount of blood outflows can be encountered, hemostatic material generates Coagulation test and fail, reach with after contacting blood When needing hemostasis point, hemoglutination can not be generated.With this when carrying out product design, intend on the outside of hemostatic balloon and hemostatic material Water soluble protective layer is covered, which expands in air bag and constantly rupture and dissolve in contacting blood, exposes hemostasis Material, generate hemoglutination, when air bag being avoided to be inserted into because hemostatic material with hinder in hematocele contact, react due to cause hemostatic material Timeliness.
8 outer side covering water soluble protective film 9 of hemostatic material, ruptures and dissolves when air bag expands, and exposes hemostatic material 8, When air bag being avoided to be inserted into because hemostatic material with hinder in hematocele contact, react due to cause hemostatic material to fail.
It easily ruptures and is lost in view of 8 outer side covering water soluble protective film 9 of hemostatic material, hemostatic material 8 and water-soluble guarantor Cuticula 9 is structure as a whole, and entirety can be dismantled from airbag wall, so that the two can be transported and be preserved respectively;Hemostatic material Material 8, water soluble protective film 9 also and with swelling gasbag can integrated design, when the later stage condition of the injury handle, progress pressure release after can be whole Body takes out, and no-sundries residual is convenient for debridement and anaphase.
Drawing and pulling type support extension rod 4 designs for double-layer structure, and outer layer is fixed supporting rod 4-1, and internal layer is extensible branch Strut 4-2 is connected with air bag lower end, can make telescopic hemostatic balloon suitable according to form and size is hindered under the blowing pressure effect Shape is unfolded.The tops fixed supporting rod 4-1 are inlet chamber, are connected with solenoid valve air flue, and cavity wall trepanning is communicated with inside air bag, Form gas supply access.Inlet chamber lower part is the gas chamber of pressure sensor 3, and the gas port 3-1 of pressure sensor 3 is communicated with air bag, real When detect gasbag pressure.After telescopic hemostatic balloon insertion is hindered, under the action of the blowing pressure, airbag folded portion expands forward Exhibition drives support extension rod stretching, extension, until stopping after meeting obstructions or being stretched over full-size, to realize conformal filling.
Embodiment 3
Embodiment step same with the above-mentioned embodiment is just not repeated, the present embodiment only introduce certain variations or More specific step.
As shown in figure 4, being hemostatic balloon aseptic packaging schematic diagram;Mounting hole is reserved in the top of packaging bag 40, it is easy to carry and It is fixed.The lower section of mounting hole is quick tear notch 50, and hemostatic balloon quickly removes when being easy to use.Packaging bag front surface is adopted With transparent material, rear surface uses the opaque polythene material of milky, it is ensured that positioning when use and takes.
In daily storage state, hemostatic balloon 30 is packaged in aseptic package bag 40.Packaging bag 40 uses polyethylene material Material sterilizes code requirement, after hemostatic balloon ethane via epoxyethane or gamma-rays disinfection, by being sealed in aseptic packaging according to aseptic material Bag in, it is sterilized after the 30 sterile term of validity of hemostatic balloon be 3 years.
I.e. storage state is as shown in figure 4, telescopic hemostatic balloon 30 is in rounding state before using.Wherein, it may extend away Supporting rod is collapsed in fixed supporting rod, hemostatic balloon with folding mode receive to the same length of supporting rod.Hemostatic balloon protective film It is connect with extensible support bar top, forms the column structure that front end is taper, telescopic hemostatic balloon is smooth when being easy to use Insertion is hindered.
Telescopic hemostatic balloon 30 includes swelling gasbag, drawing and pulling type support extension rod 4;The swelling gasbag is in order to more The good hemostatic material that makes fits closely injury, and swelling gasbag lateral ends and/or longitudinal end are provided with fastening structure, The fastening structure includes buckle structure, bonded structure tether, preferably bonded structure, can be with transform size, according to reality Situation is adjusted.
Drawing and pulling type support extension rod 4 designs for double-layer structure, and outer layer is fixed supporting rod 4-1, and internal layer is extensible branch Strut 4-2, the extensible supporting rod 4-2 can slide back and forth along the fixed supporting rod 4-1, in fixed supporting rod 4-1 It is additionally provided with engaging part, by pressing engaging part, securing elongated supporting rod 4-2 makes it be relatively fixed formula supporting rod 4-1 not It can slide back and forth, it so can be according to the length for needing to adjust the drawing and pulling type and supporting extension rod 4 of practical the wounded.
Applicant states that the present invention illustrates the detailed construction feature of the present invention by above-described embodiment, but the present invention is simultaneously It is not limited to above-mentioned detailed construction feature, that is, does not mean that the present invention has to rely on above-mentioned detailed construction feature and could implement.Institute Belong to those skilled in the art it will be clearly understood that any improvement in the present invention, to the equivalence replacement of component selected by the present invention And the increase of accessory, the selection etc. of concrete mode, it all falls within protection scope of the present invention and the open scope.
The preferred embodiment of the present invention has been described above in detail, still, during present invention is not limited to the embodiments described above Detail can carry out a variety of simple variants to technical scheme of the present invention within the scope of the technical concept of the present invention, this A little simple variants all belong to the scope of protection of the present invention.
It is further to note that specific technical features described in the above specific embodiments, in not lance In the case of shield, can be combined by any suitable means, in order to avoid unnecessary repetition, the present invention to it is various can The combination of energy no longer separately illustrates.
In addition, various embodiments of the present invention can be combined randomly, as long as it is without prejudice to originally The thought of invention, it should also be regarded as the disclosure of the present invention.

Claims (10)

1. a kind of hemostatic balloon, it is characterised in that:The hemostatic balloon includes positioned at intermediate supporting rod and being arranged described Swelling gasbag on supporting rod, the hemostatic material being arranged on the swelling gasbag surface;When the swelling gasbag inflation When, it is unfolded and squeezes hemostatic material and hinder tissue or blood vessel fits closely.
2. claim 2 is the dependent claims of claim 1, it is characterised in that:The supporting rod is double-layer structure, outside Layer is fixed supporting rod, and internal layer is extensible supporting rod, under the action of the blowing pressure, the swelling gasbag expansion expansion, Drive the extensible supporting rod stretching, extension.
3. claim 3 is the dependent claims of claim 2, it is characterised in that:Extensible supporting rod is located at fixed branch Inside one end of strut has stop part and elastomeric element.
4. claim 4 is the dependent claims of claim 1, it is characterised in that:The supporting rod top is inlet chamber, with Air flue is connected, and cavity wall trepanning is communicated with inside air bag, forms gas supply access.
5. claim 5 is the dependent claims of claim 1, it is characterised in that:It is arranged on the surface of the hemostatic material There are protective film, the hemostatic material and the protective film to be structure as a whole, entirety can be torn open from the airbag wall of swelling gasbag It unloads.
6. claim 6 is the dependent claims of claim 5, it is characterised in that:The protective film is water soluble protective film.
7. claim 7 is claim 1 dependent claims, it is characterised in that:The swelling gasbag is by silastic material system At rapid expanding and 0.15Mpa pressure differences can be born;It is expanded under the effect of 37.2kpa pressure, the volume of the swelling gasbag is most 20 times can be expanded greatly.
8. claim 8 is claim 7 dependent claims, it is characterised in that:Hemostatic material selects polymorphic chitosan hemostasis Material.
9. claim 9 is claim 1 dependent claims, it is characterised in that:The fixed supporting rod top is air inlet Chamber, inlet chamber lower part are the gas chamber of pressure sensor.
10. claim 10 is claim 1 dependent claims, it is characterised in that:The hemostatic material is folded in institute It states on swelling gasbag surface.
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CN110897671A (en) * 2019-12-20 2020-03-24 中国人民解放军陆军特色医学中心 Ventilated nasal cavity hemostatic device
CN111237578A (en) * 2020-03-26 2020-06-05 徐有陈 Finger-press type inflatable plug

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