CN102205160B - Novel endotracheal cannula mirror system - Google Patents
Novel endotracheal cannula mirror system Download PDFInfo
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- CN102205160B CN102205160B CN2011101303811A CN201110130381A CN102205160B CN 102205160 B CN102205160 B CN 102205160B CN 2011101303811 A CN2011101303811 A CN 2011101303811A CN 201110130381 A CN201110130381 A CN 201110130381A CN 102205160 B CN102205160 B CN 102205160B
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- tracheal intubation
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- 238000002627 tracheal intubation Methods 0.000 claims abstract description 80
- 206010036790 Productive cough Diseases 0.000 claims abstract description 23
- 210000003802 sputum Anatomy 0.000 claims abstract description 23
- 208000024794 sputum Diseases 0.000 claims abstract description 23
- 238000005452 bending Methods 0.000 claims abstract description 6
- 210000003437 trachea Anatomy 0.000 claims description 65
- 230000003287 optical effect Effects 0.000 claims description 23
- 230000000694 effects Effects 0.000 claims description 4
- 238000012544 monitoring process Methods 0.000 claims description 4
- 239000013307 optical fiber Substances 0.000 claims description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 abstract description 5
- 239000001301 oxygen Substances 0.000 abstract description 5
- 229910052760 oxygen Inorganic materials 0.000 abstract description 5
- 230000000149 penetrating effect Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 9
- 238000005276 aerator Methods 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 210000000214 mouth Anatomy 0.000 description 3
- 206010002091 Anaesthesia Diseases 0.000 description 2
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 239000000741 silica gel Substances 0.000 description 2
- 229910002027 silica gel Inorganic materials 0.000 description 2
- 229960001866 silicon dioxide Drugs 0.000 description 2
- 208000006601 tracheal stenosis Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000003928 nasal cavity Anatomy 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
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Abstract
The invention belongs to the field of medical appliances, and particularly discloses a novel endotracheal cannula mirror system. The system comprises endotracheal cannula and an endotracheal cannula mirror in matching connection with the endotracheal cannula, wherein the endotracheal cannula mirror comprises an operation part and a rigid working end part; the operation part is provided with a sputum aspiration channel, an oxygen supply channel and a mechanical channel which are arranged in the rigid working end part in a penetrating manner and are independent from one another; and the rigid working end part is of a bending shape with a certain arc. The endotracheal cannula mirror system ensures that a doctor can accurately perform endotracheal intubation under direct view of a monitor, and provides a plurality of channels through the endotracheal cannula mirror to ensure that the endotracheal intubation can be carried out more accurately and more safely, so that the successful rate is greatly improved, the blind intubation state of the existing endotracheal intubation is changed, and the safety of endotracheal intubation is effectively improved.
Description
Technical field
The invention belongs to field of medical appliances, be specifically related to modern medicine and carry out a kind of Novel endotracheal cannula mirror system of tracheal intubation.
Prior art
Endotracheal intubation refers to special tracheal intubation, by oral cavity or nasal cavity, inserts in patient's trachea.Being a kind of endotracheal anesthesia and the technology that gives emergency treatment to a patient, is also the reliable means that keeps upper respiratory tract unobstructed.Trachea or endobronchial intubation are to implement safety measure of anesthesia.The instrument that endotracheal intubation uses generally has tracheal intubation, laryngoscope, stethoscope, the oxygen saturation monitor of suitable patient's model, conduit inner guide wire, suction catheter, bite-block, syringe etc., now general medical personnel carry out endotracheal intubation and rely on medical personnel's self-technique level more, operation by rule of thumb, be commonly called as " blindmate ", owing to lacking necessary supervision, so in the situation for urgent rescue, can have a certain impact to therapeutic effect, success rate also can greatly reduce.And its work end of existing trachea endoscope is straight work end, and its operating walk way is less, is unfavorable for carrying out smoothly of endotracheal intubation.
Summary of the invention
The object of the invention is to endoscopic technic in conjunction with tracheal intubation, a kind of Novel endotracheal cannula mirror system is proposed, this trachea cannula mirror system can make the doctor accurately carry out tracheal intubation under the direct-view of monitor, and the multichannel that provides by trachea endoscope, make endotracheal intubation more accurately carry out safely, thereby success rate greatly promotes, and has changed the blindmate state of existing endotracheal intubation, the safety that effectively improves endotracheal intubation.
In order to reach above-mentioned technical purpose, the present invention is achieved through the following technical solutions:
a kind of Novel endotracheal cannula mirror system of the present invention, comprise tracheal intubation, with the supporting trachea endoscope that is connected of tracheal intubation and the shooting main frame that is connected with trachea endoscope, the cold light source main frame, described trachea endoscope comprises operating portion and hard work end, described operating portion is provided with eyepiece input or the data output end that is communicated with hard work end, the cold light source input, eyepiece input or data output end are connected with the shooting main frame, the cold light source input is connected with the cold light source main frame, also be provided with on described operating portion and be placed in hard work end and run through hard work end and separate suction sputum passage, air supply channel and instrument channel, can insert operating theater instruments by instrument channel and take out rapidly the foreign bodies such as clot, described hard work end is into the bending of certain radian, the front end of described hard work end is that first end is provided with optical lens, the suction sputum channel outlet, air supply channel outlet and instrument channel outlet.The hard work end of trachea endoscope bending fully coordinates the characteristic of the natural torsion of body cavities, is convenient to carrying out smoothly of endotracheal intubation, reduces the injury to human body.
As the further improvement of above-mentioned technology, described tracheal intubation comprises soft work end, and described soft work end front end is provided with the air feed interface that is connected with external air feed equipment, and its rear end is provided with the connection bayonet socket that is connected with trachea endoscope.This tracheal intubation adopts soft nontoxic material to make, such as adopting medical plastic, rubber and medical silica-gel etc. to make.
In the present invention, described tracheal intubation is divided into the child with tracheal intubation series and is grown up with tracheal intubation series according to the size of its external diameter: wherein the child is 2.0～6.0mm with its soft work outer end diameter scope of tracheal intubation series, for example can define according to the external diameter of the 1.0mm of often being separated by a model, specifically 2.0mm, 3.0mm, 4.0mm, 5.0mm, 6.0mm Deng five models, it can be applicable to the needs of the infant of all ages and classes section, in addition, this child is 100～220mm with the length of tracheal intubation, and wall thickness is 1～1.5mm; The adult is 6.0～9.5mm with its soft work outer end diameter scope of tracheal intubation series, the sorting technique of its serial model No. is identical with the type that the child uses, about 1mm of for example often being separated by defines a model, respectively five models such as 6.0mm, 7.0mm, 8.0mm, 9.0mm, 9.5mm, this adult is 220～300mm with the length of tracheal intubation, and wall thickness is 1～1.5mm.
In the present invention, because child's tracheal stenosis does not need the air bag gas injection, so the child is not with air bag with the front end of the soft work end of tracheal intubation; Form people's trachea more roomy, so the adult is provided with air bag with the leading section of the soft work end of tracheal intubation.
In the present invention, the hard work outer end diameter of described trachea endoscope and the internal diameter of tracheal intubation coupling, can select according to the difference of its corresponding diameter model the trachea endoscope of different-diameter hard work end, in addition, can also there be different angle of bend the hard work end of described trachea endoscope, and the angle of bend of the hard work end of the trachea endoscope that every group of model tracheal intubation is corresponding can be three kinds of 30 ° or 45 ° or 60 ° etc.
In addition, in the present invention, described air supply channel and suction sputum passage internal diameter are all more than or equal to 0.8mm, and the instrument channel internal diameter is more than or equal to 1.0mm, according to different tracheal intubation models, the internal diameter of the air supply channel of the trachea endoscope that it is supporting, suction sputum passage and instrument channel is done suitable increase.The diameter of optical lens is more than or equal to 1.0mm, and according to different tracheal intubation models, the optical lens of the trachea endoscope that it is supporting is also done the increase that adapts to.
The optical system of described trachea endoscope is optical system or the electronic CCD optical system of traditional rib lens ordered arrangement, the CCD chip of described CCD optical system adopts Diagonal Dimension≤1/4 "; the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.While using traditional rib lens optical system, the connection corresponding to the eyepiece input of shooting main frame; While using the CCD electron-optical system, the connection corresponding to data output end of shooting main frame.
Described cold light source main frame, shooting main frame or difference field usage indoor by it are divided into following two kinds:
The first, described cold light source main frame is the light source main frame that is suitable for indoor use, shooting main frame with function for monitoring be suitable for, the shooting main frame of indoor use, be connected with on this shooting main frame for the monitor that shows, and the adult is circumscribed with the air feed module with the air bag that the leading section of the soft work end of tracheal intubation is provided with;
The second, the cold light source main frame and the shooting main frame that are applicable to field usage are mancarried device, this mancarried device is integrated with cold light source module, camera system module and air bag air feed module, wherein the cold light source inside modules include high intensity light bulbs and repeatedly the charging high-capacity battery; The camera system module comprises display screen, control unit, camera interface, storage element, mainframe box charging inlet and mainframe box main body, trachea endoscope is connected with the camera interface of mancarried device by data wire, be connected with the cold light source joint by optical fiber, the input adapter of the air bag that the adult is provided with the leading section of the soft work end of tracheal intubation connects the air feed module joint of mancarried device, the image of display screen demonstration trachea endoscope.
A kind of novel trachea cannula mirror system of the present invention, its operation method is as follows:
The doctor selects trachea endoscope and the tracheal intubation of suitable model according to patient's situation, eyepiece input or the data output end of trachea endoscope connect the shooting main frame, light source input termination light source main frame, monitor effectively shows, the external aerator of the air supply channel of trachea endoscope, the external sputum aspirator of suction sputum passage.The hand-held trachea endoscope of doctor and the tracheal intubation that effectively coordinates thereof from the patient oral cavity by suitable maneuver, under the supervision of monitor, can successfully insert patient's trachea, start aerator and keep the oxygen supply of patient's necessity, there is sputum to exist in trachea as the patient, can draw by sputum aspirator by independent suction sputum passage, as patient's trachea, have foreign body to need to process, can pass into operating theater instruments by instrument channel independently, process.Thereby complete smoothly endotracheal intubation.
Compared with prior art, the invention has the beneficial effects as follows:
relatively existing endotracheal intubation is more laid particular stress on operator's experience and technology, success rate is subject to objective, the restriction of supervisor's reason, tracheal cannula mirror of the present invention is comprised of the trachea endoscope of tracheal intubation and crooked hard work end, trachea endoscope is with after tracheal intubation coordinates, the hard work end of trachea endoscope bending can be smoothly through patient's trachea, and effectively play fixing effect, the air supply channel of trachea endoscope provides the patient necessary oxygen, can clear up the sputum of patient's throat by the suction sputum passage, instrument channel can pass into the apparatus of suitable diameter, take out the foreign bodies such as the interior clot of patient's trachea.Like this, trachea cannula mirror system can make the doctor accurately carry out tracheal intubation under the direct-view of monitor, and, by the multichannel that trachea endoscope provides, makes endotracheal intubation more accurately carry out safely, thereby success rate greatly promotes, and has changed the blindmate state of existing endotracheal intubation.
Description of drawings
Fig. 1 is the described Novel endotracheal cannula mirror system structural representation of embodiment one;
Fig. 2 is trachea endoscope and tracheal intubation combination schematic diagram in the present invention;
Fig. 3 is the A place enlarged diagram in above-mentioned Fig. 2;
Fig. 4 is that in the present invention, the child uses the tracheal intubation structural representation;
Fig. 5 is that in the present invention, the adult uses the tracheal intubation structural representation;
Fig. 6 is trachea endoscope structural representation in the present invention (adopting the traditional cold lens optical system);
Fig. 7 is trachea endoscope structural representation in the present invention (adopting the CCD electron-optical system);
Fig. 8 is trachea endoscope hard work end structural representation (three kinds of differently curved angles) in the present invention;
Fig. 9 is the first end structural representation of trachea endoscope hard work end in the present invention;
Figure 10 Novel endotracheal cannula mirror system operation of the present invention schematic diagram.
Figure 11 is the described Novel endotracheal cannula mirror system structural representation of embodiment two.
The specific embodiment
The present invention is described in further detail below in conjunction with accompanying drawing:
Embodiment one:
as Fig. 1～Fig. 3, and Fig. 6 and shown in Figure 7, Novel endotracheal cannula mirror system of the present invention, comprise tracheal intubation 2, with the supporting trachea endoscope that is connected 1 of tracheal intubation 2 and the shooting main frame 3 that is connected with trachea endoscope 1, cold light source main frame 4, described trachea endoscope 1 comprises operating portion and hard work end 11, described operating portion is provided with eyepiece input 12 or the data output end 17 that is communicated with hard work end 11, cold light source input 16, eyepiece input 12 or data output end 17 are connected with shooting main frame 3, cold light source input 16 is connected with cold light source main frame 4, also be provided with on described operating portion and be placed in hard work end 11 and run through hard work end 11 and separate suction sputum passage 13, air supply channel 15 and instrument channel 14, the internal diameter of described air supply channel 15 and suction sputum passage 13 is more than or equal to 0.8mm, the internal diameter of instrument channel 14 is more than or equal to 1.0mm, and the diameter of optical lens 121 is more than or equal to 1.0mm.As shown in Figure 9, the front end of described hard work end 11 is that first end is provided with optical lens 121, suction sputum channel outlet 131, air supply channel outlet 151 and instrument channel outlet 141.
As shown in Figure 8, described hard work end 11 is into the bending of certain radian, and the angle of bend of the hard work end 11 of described trachea endoscope 1 is following three kinds of angles: 30 ° or 45 ° or 60 °.
In the present invention, described tracheal intubation 2 is divided into the child with tracheal intubation series and is grown up with tracheal intubation series according to the size of its external diameter: as shown in Figure 4, the child is 2.0～6.0mm with its soft work end 21 external diameter scopes of tracheal intubation series, for example can define according to the external diameter of the 1.0mm of often being separated by a model, specifically 2.0mm, 3.0mm, 4.0mm, 5.0mm, 6.0mm Deng five models, it can be applicable to the needs of the infant of all ages and classes section.In addition, the length of tracheal intubation is 100～220mm, and wall thickness is 1～1.5mm; These 21 rear ends, soft work end be provided with trachea endoscope 1 socket be connected bayonet socket 22, due to child's tracheal stenosis, the child is not with air bag with the front end of the soft work end 21 of tracheal intubation 2.
as shown in Figure 5, the connection bayonet socket 22 that the adult is connected with trachea endoscope 1 except rear end is provided with serial its soft work end 21 of tracheal intubation, its front end also is provided with the air feed interface 23 that is connected with external air feed equipment, and the adult is provided with air bag 24 with the leading section of the soft work end 21 of tracheal intubation, the external diameter scope of its soft work end 21 is 6.0～9.5mm, the sorting technique of its serial model No. is identical with the type that the child uses, about 1mm of for example often being separated by defines a model, respectively 6.0mm, 7.0mm, 8.0mm, 9.0mm, 9.5mm Deng five models, this adult is 220～300mm with the length of tracheal intubation 2, wall thickness is 1～1.5mm.
Above-mentioned tracheal intubation is to adopt soft nontoxic material to make, such as adopting medical plastic, rubber and medical silica-gel etc. to make.
In this embodiment, as shown in Figure 1, described cold light source main frame 4 is for being suitable for the light source main frame of indoor use, has the shooting main frame 3 of function for monitoring for being suitable for the shooting main frame of indoor use, be connected with on this shooting main frame 3 for the monitor 5 that shows, and the adult is circumscribed with air feed module 6 with the air bag that the leading section of the soft work end of tracheal intubation is provided with.
As shown in Figure 6, Figure 7, the optical system of described trachea endoscope 1 is optical system or the electronic CCD optical system of traditional rib lens ordered arrangement, when using traditional rib lens optical system, and the connection corresponding to eyepiece input 12 of shooting main frame 3; While using the CCD electron-optical system, the connection corresponding to data output end 17 of shooting main frame 3, CCD chip employing Diagonal Dimension≤1/4 of described CCD optical system ", the CCD of at least 48 universal effect pixels, 100 ° of the angles of view or more than.
Below to adopt traditional rib lens optical system to describe as the operation process of example to trachea cannula mirror system of the present invention:
As shown in figure 10, the doctor selects trachea endoscope 1 and the tracheal intubation 2 of suitable model according to patient's situation, the eyepiece input termination shooting main frame 3 of trachea endoscope 1, light source input termination light source main frame 4, monitor 5 effectively shows, the external aerator 9 of the air supply channel of trachea endoscope 1, the external sputum aspirator 8 of suction sputum passage.The hand-held trachea endoscope 1 of doctor and the tracheal intubation 2 that effectively coordinates thereof from patient oral cavity 10 by suitable maneuver, under the supervision of monitoring machine 5, can successfully insert patient's trachea, start aerator 9 and keep the oxygen supply of patient's necessity, as the patient, have sputum to exist in trachea, can draw by sputum aspirator 8 by independent suction sputum passage, there is foreign body to need to process as patient's trachea, can pass into operating theater instruments 7 by instrument channel independently, process, operation as shown in the figure.
Embodiment two:
This embodiment is identical with the structure of a kind of described trachea endoscope 1 of embodiment and tracheal intubation 2, and its difference is: described cold light source main frame, shooting main frame are the structure that is applicable to field usage,
As shown in figure 11, the cold light source main frame and the shooting main frame that are applicable to field usage are integrated mancarried device 7, this mancarried device 7 is integrated with cold light source module, camera system module and air bag air feed module, wherein the cold light source inside modules include high intensity light bulbs and repeatedly the charging high-capacity battery; The camera system module comprises display screen 74, control unit 75, camera interface 71, storage element, mainframe box charging inlet and mainframe box main body, trachea endoscope 1 is connected with the camera interface 71 of mancarried device 7 by data wire, be connected with cold light source joint 72 by optical fiber, the air bag input adapter connects the air feed module joint 73 of mancarried device 7.
The present invention is not limited to above-mentioned embodiment, if various changes of the present invention or modification are not broken away from the spirit and scope of the present invention, if within these changes and modification belonged to claim of the present invention and equivalent technologies scope, the present invention also was intended to comprise these changes and modification.
Claims (4)
1. Novel endotracheal cannula mirror system, comprise tracheal intubation, with the supporting trachea endoscope that is connected of tracheal intubation and the shooting main frame that is connected with trachea endoscope, the cold light source main frame, described trachea endoscope comprises operating portion and hard work end, described operating portion is provided with eyepiece input or the data output end that is communicated with hard work end, the cold light source input, eyepiece input or data output end are connected with the shooting main frame, the cold light source input is connected with the cold light source main frame, it is characterized in that: also be provided with on described operating portion and be placed in hard work end and run through hard work end and separate suction sputum passage, air supply channel and instrument channel, described hard work end is into the bending of certain radian, the front end of described hard work end is that first end is provided with optical lens, the suction sputum channel outlet, air supply channel outlet and instrument channel outlet,
Described tracheal intubation comprises soft work end, and described soft work end front end is provided with the air feed interface that is connected with external air feed equipment, and its rear end is provided with the connection bayonet socket that is connected with trachea endoscope;
Described tracheal intubation is divided into the child with tracheal intubation series and is grown up with tracheal intubation series according to the size of its external diameter: wherein the child is 2.0～6.0mm with its soft work outer end diameter scope of tracheal intubation series, the length of tracheal intubation is 100～220mm, and wall thickness is 1～1.5mm; The adult is 6.0～9.5mm with its soft work outer end diameter scope of tracheal intubation series, and the length of tracheal intubation is 220～300mm, and wall thickness is 1～1.5mm;
Described child is not with air bag with the front end of the soft work end of tracheal intubation, and described adult is provided with air bag with the leading section of the soft work end of tracheal intubation;
The hard work end angle of bend of described trachea endoscope is 30 ° or 45 ° or 60 °.
2. Novel endotracheal cannula mirror system according to claim 1, it is characterized in that: the internal diameter of described air supply channel and suction sputum passage is more than or equal to 0.8mm, and the instrument channel internal diameter is more than or equal to 1.0mm, and the diameter of optical lens is more than or equal to 1.0mm.
3. Novel endotracheal cannula mirror system according to claim 1, it is characterized in that: the optical system of described trachea endoscope is optical system or the electronic CCD optical system of traditional rib lens ordered arrangement, the CCD chip of described CCD optical system adopts Diagonal Dimension≤1/4 〞, the CCD of at least 48 universal effect pixels, the angle of view is more than 100 °.
4. Novel endotracheal cannula mirror system according to claim 1 is characterized in that:
Described cold light source main frame, shooting main frame or difference field usage indoor by it are divided into following two kinds:
The first, described cold light source main frame is the light source main frame that is suitable for indoor use, shooting main frame with function for monitoring is the shooting main frame that is suitable for indoor use, be connected with on this shooting main frame for the monitor that shows, and the adult is circumscribed with the air feed module with the air bag that the leading section of the soft work end of tracheal intubation is provided with;
The second, the cold light source main frame and the shooting main frame that are applicable to field usage are mancarried device, this mancarried device is integrated with cold light source module, camera system module and air bag air feed module, wherein the cold light source inside modules include high intensity light bulbs and repeatedly the charging high-capacity battery; The camera system module comprises display screen, control unit, camera interface, storage element, mainframe box charging inlet and mainframe box main body, trachea endoscope is connected with the camera interface of mancarried device by data wire, be connected the air feed module joint of the input adapter connection mancarried device of the air bag that the adult is provided with the leading section of the soft work end of tracheal intubation with the cold light source joint by optical fiber.
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| CN2011101303811A CN102205160B (en) | 2011-05-19 | 2011-05-19 | Novel endotracheal cannula mirror system |
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| CN2011101303811A CN102205160B (en) | 2011-05-19 | 2011-05-19 | Novel endotracheal cannula mirror system |
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Families Citing this family (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104436394B (en) * | 2013-09-12 | 2017-08-25 | 涓腾有限公司 | Intubation auxiliary device |
| CN105662325B (en) * | 2014-11-24 | 2023-05-16 | 上海安清医疗器械有限公司 | Electronic laryngoscope |
| CN105944198B (en) * | 2016-05-16 | 2017-12-12 | 西安交通大学第一附属医院 | A kind of lung ventilator with suction sputum robot |
| CN106039428B (en) * | 2016-05-16 | 2018-03-16 | 西安交通大学第一附属医院 | A kind of intelligent sputum aspirator |
| CN106139350A (en) * | 2016-07-06 | 2016-11-23 | 河南驼人医疗器械集团有限公司 | A kind of integrated shooting visual trachea cannula |
| CN111920366B (en) * | 2020-06-24 | 2021-10-08 | 海南大学 | Confocal endoscope with fixing device |
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| US6405725B1 (en) * | 1996-02-26 | 2002-06-18 | Evergreen Medical, Inc. | Method and apparatus for ventilation/oxygenation during guided insertion of an endotracheal tube |
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