CN103948373B - A kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored - Google Patents

A kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored Download PDF

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Publication number
CN103948373B
CN103948373B CN201410191317.8A CN201410191317A CN103948373B CN 103948373 B CN103948373 B CN 103948373B CN 201410191317 A CN201410191317 A CN 201410191317A CN 103948373 B CN103948373 B CN 103948373B
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China
Prior art keywords
lower jaw
jaw support
gastric content
support
kind ofly
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Expired - Fee Related
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CN201410191317.8A
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Chinese (zh)
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CN103948373A (en
Inventor
孙敏
朱晓庆
郭保林
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QINGDAO LINCHUAN ENGINEERING TECHNOLOGY CONSULTING Co Ltd
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QINGDAO LINCHUAN ENGINEERING TECHNOLOGY CONSULTING Co Ltd
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Priority to CN201510847556.9A priority Critical patent/CN105266771B/en
Priority to CN201410191317.8A priority patent/CN103948373B/en
Publication of CN103948373A publication Critical patent/CN103948373A/en
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Publication of CN103948373B publication Critical patent/CN103948373B/en
Expired - Fee Related legal-status Critical Current
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Abstract

The invention discloses and a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, comprise base, the left side of base and right side are provided with can along the adjustment support of base sliding, the phase of two adjustment supports is respectively arranged with Lower jaw support to the inside, each adjustment support is respectively arranged with Lower jaw support mounting blocks, drive drive division and the Lower jaw support lifting guide part of the lifting of Lower jaw support mounting blocks, one of them adjustment support is also provided with the alarm mechanism for monitoring gastric content reflux, described alarm mechanism comprises monitoring probe and monitoring system, monitoring probe is connected with monitoring system by call wire, PH sensor and temperature sensor is provided with in monitoring probe.Push away before the lower jaw that the present invention can hold up coma patient makes mandibular joint, need fixing mandibular location according to clinical, ensure respiration unobstructed; Alarm mechanism can detect pH value and Temperature changing in patient's mouth, prevents the accidents such as the death by suffocation caused because gastric content reflux does not find in patient's operation process.

Description

A kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored
Technical field
The invention belongs to technical field of medical instruments, particularly relate to and a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored.
Background technology
In neurosurgery coma patient management of respiratory, or in other clinical department first aids, or operation general anesthesia is regained consciousness in process, and setting up and maintaining the complete and unobstructed air flue of patient is the prerequisite keeping patient's normal ventilation and breathing.Find in clinical practice, patient is easy behind patients during induction of general anesthesia, maintenance phase, postoperative recovery convalescent period and time ward after applying narcotics, there is the phenomenons such as in a certain state of delirium, hypopnea, glossoptosis, vomiting, malignant hyperthermia and cooperation be not good enough, thus cause that ventilation is smooth, hypoxemia is even suffocated, vomit suction by mistake, postoperative hyperpyrexia is too low can not the potential danger such as Timeliness coverage, brings great threat to the life of patient.In addition, gastric content reflux in art, because there is no monitoring system in this respect clinically, so patient is often because failing Timeliness coverage, and cause patient's reflux erroneous aspiration to cause serious consequence, and the generation of patients with hypoxemia mainly adiposis patient, the patient of You Snore disease history and the patient of respiratory tract exception, for ensureing that patients with respiratory tract is unobstructed, medical personnel are often needed patients head to be swung back, and hold up lower jaw, open airway as much as possible, and clinically, there is a lot of weak point in the work of this respect, such as: be not easily found during a small amount of gastric content reflux of patient in anesthesia, open airway needs manually to hold in the palm lower jaw, labor intensity is larger, need two doctor co-operate to coordinate during pressure-vent, lavish labor on, the oropharyngeal airway adopted clinically and nasopharyngeal air duct are large to the zest of patient, and there is length not and too slightly damage the defects such as respiratory mucosa due to caliber to some patient, at head-cervical radiotherapy and when checking, often there is unconscious activity phenomenon in patient, thus cause pendulum position poor repeatability, some patient, because hypopnea does not feel like oneself, even may swing head, affect surgical operation, add operation risk.
As can be seen here, prior art awaits further improving.
Summary of the invention
The present invention is the weak point avoiding above-mentioned prior art to exist, and provides a kind ofly keep patient respiration road unobstructed and can monitor the device of gastric content reflux.
The technical solution adopted in the present invention is:
A kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, comprise base, the left side of base and right side are provided with can along the adjustment support of base sliding, the phase of two adjustment supports is respectively arranged with Lower jaw support to the inside, each adjustment support is respectively arranged with Lower jaw support mounting blocks, drive drive division and the Lower jaw support lifting guide part of the lifting of Lower jaw support mounting blocks, one of them adjustment support is also provided with the alarm mechanism for monitoring gastric content reflux, described alarm mechanism comprises monitoring probe and monitoring system, monitoring probe is connected with monitoring system by call wire, PH sensor and temperature sensor is provided with in monitoring probe.
The bottom of described each adjustment support is provided with sliding support, each Lower jaw support lifting guide part includes two and is separately positioned on sliding support top and the guide rod be parallel to each other, and the front side of each Lower jaw support mounting blocks and rear side offer the through hole that can pass for guide rod respectively.
Described each drive division includes screw pair and Worm and worm-wheel gearing, each screw pair includes the leading screw that is arranged between two guide rods and is located in nut in the middle of Lower jaw support mounting blocks and suitable with described leading screw, the top of the guide rod and leading screw that are positioned at base homonymy is installed in same limit top plate, described turbine and worm drive mechanism comprises the turbine that is nested with in leading screw bottom and is arranged on turbine side and the worm screw be engaged with, one end of worm screw is provided with hand dish, hand dish is provided with rocking handle, the bottom of support is regulated to be provided with worm screw mounting blocks, worm screw mounting blocks is positioned at the top of sliding support and is nested with on two guide rods, thrust bearing is provided with bottom leading screw and between worm screw mounting blocks.
The outside of described each adjustment support is all equipped with shell, the phase of two shells is provided with vertical chute to the inside, above-mentioned alarm mechanism is arranged on one of them shell regulating stent outer, described monitoring system comprises controller, display screen and control knob, control treatment circuit is provided with in controller, display screen is for showing patient's mouth temperature and pH value, and control knob is for setting normal oral temperature value and normal oral pH value.
Described control treatment circuit comprises the photovoltaic conversion circuit be connected with power supply, be connected with photovoltaic conversion circuit respectively and temperature check circuit in parallel each other, the first voltage comparator circuit, the second voltage comparator circuit and PH testing circuit, wherein, first voltage comparator circuit is connected with gauge tap circuit respectively with the second voltage comparator circuit, voltage conversion circuit and gauge tap circuit in parallel, gauge tap circuit is connected with warning indicating circuit, be provided with alarm lamp and speaker in warning indicating circuit, alarm lamp comprises two light emitting diodes parallel with one another.
Described call wire is equipped with bite-block near one end of monitoring probe, and in a tubular form, the upper end of bite-block offers V-type draw-in groove to described bite-block.
Described Lower jaw support comprises the Lower jaw support main body matched with human body lower jaw, and Lower jaw support main body is concave arc shape, and the side of Lower jaw support main body is provided with the back bracket for being positioned.
Described Lower jaw support is connected with Lower jaw support mounting blocks by rotary components, described rotary components comprises central shaft, one end of central shaft is connected with Lower jaw support mounting blocks, the other end is connected with Lower jaw support, one end that central shaft is connected with Lower jaw support is provided with external screw thread, one end that Lower jaw support is connected with central shaft offers axis hole, and is provided with female thread in axis hole.
The left side of described base and right side all offer the horizontal concrete chute suitable with sliding support, each sliding support realizes its fastening location on base by tightening knob, and the left side of base, the upper surface on right side all offering twice can for the end face chute of guide rod horizontal sliding.
The cross section of described base is curved, and base is coated with memory cotton layer, and the thickness of memory cotton layer is 4mm ~ 5mm.
The side of described each shell is provided with the hook for hook oxygen face mask static line.
Described monitoring probe is cylindrical, and its surface is in Openworks shape.
The Surface coating of described Lower jaw support has medical silica-gel.
The Surface coating of described call wire has medical grade rubber.
The surface of described controller offers several open-works.
Owing to have employed technique scheme, the beneficial effect acquired by the present invention is:
1, the present invention can after anesthesia of patient autonomous respiration faint or disappear time the stable lower jaw upwards holding up patient make mandibular joint before push away, according to operation and anesthesia need effectively fix mandibular location, Opening Ventilation road, keep smooth breathing; Alarm mechanism in the present invention can detect the change of pH value and body temperature in patient's mouth, make medical personnel's Timeliness coverage and process the gastric content of patient's reflux, effectively prevent patient because gastric content reflux is to oropharynx, cause the generation that respiratory tract obstruction, anoxia, aspiration pneumonitis are even dead.
2, the present invention is reasonable in design, safe and reliable, and structure is simple, easy to use, be easy to safeguard, time saving and energy saving, improve quality of medical care, alleviate the workload of medical personnel, ensure that therapeutic treatment or check effectively errorless carrying out, there is popularizing value well.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present invention.
Fig. 2 is the structural representation that the present invention removes decapsidate and alarm mechanism.
Fig. 3 is the structural representation of alarm mechanism in the present invention.
Fig. 4 is the position relationship schematic diagram of bite-block and monitoring probe in the present invention.
Fig. 5 is the structural representation of bite-block in the present invention.
Fig. 6 is the structural representation of Lower jaw support in the present invention.
Fig. 7 is the composition frame chart of control treatment circuit in the present invention.
Fig. 8 is the basic circuit layout of control treatment circuit in the present invention.
Wherein,
1, base 101, memory cotton layer 102, tightening knob 103, end face chute 104, horizontal concrete chute 2, regulate support 201, shell 202, vertical chute 203, limit top plate 204, guide rod 205, leading screw 206, worm screw 207, worm screw mounting blocks 208, hand dish 209, sliding support 210, rocking handle 211, thrust bearing 212, turbine 213, hook 3, Lower jaw support 301, Lower jaw support main body 302, back bracket 303, central shaft 304, Lower jaw support mounting blocks 4, alarm mechanism 401, monitoring probe 402, bite-block 403, V-type draw-in groove 404, call wire 405, alarm lamp 406, controller 407, open-work 408, display screen 409, control knob
Detailed description of the invention
Below in conjunction with accompanying drawing and specific embodiment, the present invention is described in further detail, but the present invention is not limited to these embodiments.
As shown in Figures 1 to 6, a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, comprise base 1, the cross section of described base 1 is curved, base 1 is coated with the memory cotton layer 101 that thickness is 4mm ~ 5mm, memory cotton layer 101 contacts with human body nape, head can be fixed according to the normal physiological curve of human body, the left side of base 1 and right side are provided with the adjustment support 2 that can slide along base 1, the phase of two adjustment supports 2 is respectively arranged with Lower jaw support 3 to the inside, each adjustment support 2 is respectively arranged with Lower jaw support mounting blocks 304, the drive division driving Lower jaw support mounting blocks 304 to be elevated and Lower jaw support lifting guide part, the Surface coating of described Lower jaw support 3 has medical silica-gel, improve comfort level, Lower jaw support 3 comprises the Lower jaw support main body 301 matched with human body lower jaw, Lower jaw support main body 301 is in concave arc shape, the side of Lower jaw support main body 301 is provided with the back bracket 302 for being positioned, Lower jaw support 3 is according to simulation of human body principle design, meet Human Physiology curve, described Lower jaw support 3 is connected with Lower jaw support mounting blocks 304 by rotary components, described rotary components comprises central shaft, one end of central shaft is connected with Lower jaw support mounting blocks 304, the other end is connected with back bracket 302, one end that central shaft is connected with back bracket 302 is provided with external screw thread, one end that back bracket 302 is connected with central shaft offers axis hole, and be provided with female thread in axis hole, the setting party of rotary components medical personnel require according to patient's lower jaw curve and anesthesia the angle regulating Lower jaw support 3, the bottom of described each adjustment support 2 is provided with sliding support 209, each Lower jaw support lifting guide part includes two and is separately positioned on sliding support 209 top and the guide rod 204 be parallel to each other, and the front side of each Lower jaw support mounting blocks 304 and rear side offer the through hole that can pass for guide rod 204 respectively, the left side of described base 1 and right side all offer the horizontal concrete chute 104 suitable with sliding support 209, sliding support 209 realizes its fastening location on base 1 by tightening knob 102, the left side of base 1, the upper surface on right side all offering twice can for the end face chute 103 of guide rod 204 horizontal sliding, medical personnel can regulate left side and right side to regulate the position of support according to sick human needs, and two regulate the maximum spacing between support 201 to be 20cm ~ 50cm, described each drive division includes screw pair and Worm and worm-wheel gearing, each screw pair includes the leading screw 205 that is arranged between two guide rods 204 and is located in nut in the middle of Lower jaw support mounting blocks 304 and suitable with described leading screw 205, the top of the guide rod 204 and leading screw 205 that are positioned at base 1 homonymy is installed in same limit top plate 203, described turbine and worm drive mechanism comprises the turbine 212 that is nested with in leading screw 205 bottom and is arranged on turbine 212 side and the worm screw 206 be engaged with, one end of worm screw 206 is provided with hand dish 208, hand dish 208 is provided with rocking handle 210, the bottom of support 2 is regulated to be provided with worm screw mounting blocks 207, worm screw mounting blocks 207 is positioned at the top of sliding support 209 and is nested with on two guide rods 204, thrust bearing 211 is provided with bottom leading screw 205 and between worm screw mounting blocks 207, described Lower jaw support 3 can move up and down under the drive of drive division, its maximum vertical penetration is 20cm, minimum constructive height is 5cm.
In addition, as shown in Figure 1, the outside of described each adjustment support 2 is all equipped with the shell 201 for ensureing use safety, the phase of two shells 201 is provided with vertical chute 202 to the inside, the side of described each shell 201 is provided with the hook 213 for hook oxygen face mask static line, is convenient to hook oxygen face mask.
As Fig. 1, Fig. 3, shown in Fig. 7 and Fig. 8, one of them adjustment support 2 is also provided with the alarm mechanism 4 for monitoring gastric content reflux, described alarm mechanism 4 comprises monitoring probe 401 and monitoring system, monitoring probe 401 is connected with monitoring system by call wire 404, PH sensor and temperature sensor is provided with in monitoring probe 401, described monitoring probe 401 is cylindrical, its surface is in Openworks shape, the PH sensor in monitoring probe 401 can be enable fully to contact with oral secretion with temperature sensor, the Surface coating of described call wire 404 has medical grade rubber, ensure use safety, call wire 404 is equipped with bite-block 402 near one end of monitoring probe 401, bite-block 402 can prevent patients teeth from damaging call wire 404, described bite-block 402 in a tubular form, the upper end of bite-block 402 offers V-type draw-in groove 403, call wire 404 can be stuck in its bottom land by this V-type draw-in groove 403, the position of stationary monitoring probe 401 as requested, above-mentioned alarm mechanism 4 is arranged on one of them shell 201 regulated outside support 2, described monitoring system comprises controller 406, display screen 408 and control knob 409, control treatment circuit is provided with in controller 406, display screen 408 is positioned on the front end face of shell 201, control knob 409 is positioned at the below of display screen 408, display screen 408 is for showing patient's mouth temperature and pH value, control knob 409 is for setting normal oral temperature value and normal oral pH value, the electrical signal transfer that PH sensor and temperature sensor can send by described call wire 404 is to control treatment circuit, described control treatment circuit comprises the photovoltaic conversion circuit be connected with power supply, be connected with photovoltaic conversion circuit respectively and temperature check circuit in parallel each other, first voltage comparator circuit, second voltage comparator circuit and PH testing circuit, wherein, first voltage comparator circuit is connected with gauge tap circuit respectively with the second voltage comparator circuit, voltage conversion circuit and gauge tap circuit in parallel, gauge tap circuit is connected with warning indicating circuit, alarm lamp 405 and speaker is provided with in warning indicating circuit, alarm lamp 405 comprises two light emitting diodes parallel with one another, if body temperature is within the scope of 36.2 DEG C ~ 37.2 DEG C, pH value is in 6.7 ~ 7.1 scopes, then alarm lamp 405 green light, if exceed normal range, alarm lamp 405 glows, the surface of described controller offers several open-works 407, so that speaker sends the sound.
In the present invention, the use step of alarm mechanism 4 and principle are: (1), external power interface connect 220V alternating current power supply, provide electric energy to described alarm mechanism 4; (2), the pH value of human normal and the scope of body temperature is set by control knob 409; (3), by monitoring probe 401 be placed in the suitable position of patient's mouth, bite-block 402 is placed between lower teeth, and call wire 404 is stuck in the bottom of the V-type notch 403 of bite-block 402; (4), when patient's mouth temperature and pH value are in normal range, alarm lamp 405 presents green, and speaker is in rest state; When exceeding normal range, alarm lamp 405 presents redness, simultaneously speaker sends the sound, reminds medical personnel to note patient temperature and observe patient whether have gastric content reflux or vomiting phenomenon, the danger preventing from patient from gastric content reflux erroneous aspiration occurring even suffocating.
The related content do not addressed in the present invention adopts or uses for reference prior art and can realize.
In describing the invention, it will be appreciated that, orientation or the position relationship of the instruction such as term " " center ", " on ", D score, " top " " end ", " interior ", " outward ", "left", "right" be based on orientation shown in the drawings or position relationship; be only the present invention for convenience of description and simplified characterization; instead of instruction or imply the device of indication or element must have specific orientation, with specific azimuth configuration and operation, therefore can not be interpreted as limitation of the present invention.
Although more employ such as base 1, memory cotton layer 101, end face chute 103 herein, regulate the terms such as support 2, limit top plate 203, sliding support 209, Lower jaw support 3, back bracket 302, monitoring probe 401, do not get rid of the probability using other term.These terms are used to be only used to describe and explain essence of the present invention more easily; The restriction that they are construed to any one additional is all contrary with spirit of the present invention.
Need to further illustrate, specific embodiment described herein is only to spiritual example explanation of the present invention.Those skilled in the art can make various amendment or supplement or adopt similar mode to substitute to described specific embodiment, but can't depart from spirit of the present invention or surmount the scope that appended claims defines.

Claims (14)

1. one kind keeps patient respiration road unobstructed and can monitor the device of gastric content reflux, it is characterized in that: comprise base, the left side of base and right side are provided with can along the adjustment support of base sliding, the phase of two adjustment supports is respectively arranged with Lower jaw support to the inside, each adjustment support is respectively arranged with Lower jaw support mounting blocks, drive drive division and the Lower jaw support lifting guide part of the lifting of Lower jaw support mounting blocks, one of them adjustment support is also provided with the alarm mechanism for monitoring gastric content reflux, described alarm mechanism comprises monitoring probe and monitoring system, monitoring probe is connected with monitoring system by call wire, PH sensor and temperature sensor is provided with in monitoring probe.
2. according to claim 1ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: the bottom of described each adjustment support is provided with sliding support, each Lower jaw support lifting guide part includes two and is separately positioned on sliding support top and the guide rod be parallel to each other, and the front side of each Lower jaw support mounting blocks and rear side offer the through hole that can pass for guide rod respectively.
3. according to claim 1ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: the outside of described each adjustment support is all equipped with shell, the phase of two shells is provided with vertical chute to the inside, above-mentioned alarm mechanism is arranged on one of them shell regulating stent outer, described monitoring system comprises controller, display screen and control knob, control treatment circuit is provided with in controller, display screen is for showing patient's mouth temperature and pH value, and control knob is for setting normal oral temperature value and normal oral pH value.
4. according to claim 3ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: described control treatment circuit comprises the photovoltaic conversion circuit be connected with power supply, be connected with photovoltaic conversion circuit respectively and temperature check circuit in parallel each other, first voltage comparator circuit, second voltage comparator circuit and PH testing circuit, wherein, first voltage comparator circuit is connected with gauge tap circuit respectively with the second voltage comparator circuit, voltage conversion circuit and gauge tap circuit in parallel, gauge tap circuit is connected with warning indicating circuit, alarm lamp and speaker is provided with in warning indicating circuit, alarm lamp comprises two light emitting diodes parallel with one another.
5. a kind of according to claim 1,3 or 4 any one claim keeps patient respiration road unobstructed and can monitor the device of gastric content reflux, it is characterized in that: described call wire is equipped with bite-block near one end of monitoring probe, in a tubular form, the upper end of bite-block offers V-type draw-in groove to described bite-block.
6. according to claim 1ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: described Lower jaw support comprises the Lower jaw support main body matched with human body lower jaw, Lower jaw support main body is concave arc shape, and the side of Lower jaw support main body is provided with the back bracket for being positioned.
7. according to claim 1ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: described Lower jaw support is connected with Lower jaw support mounting blocks by rotary components, described rotary components comprises central shaft, one end of central shaft is connected with Lower jaw support mounting blocks, the other end is connected with Lower jaw support, one end that central shaft is connected with Lower jaw support is provided with external screw thread, one end that Lower jaw support is connected with central shaft offers axis hole, and is provided with female thread in axis hole.
8. according to claim 2ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: the left side of described base and right side all offer the horizontal concrete chute suitable with sliding support, each sliding support realizes its fastening location on base by tightening knob, and the left side of base, the upper surface on right side all offering twice can for the end face chute of guide rod horizontal sliding.
9. according to claim 1ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: the cross section of described base is curved, and base is coated with memory cotton layer, and the thickness of memory cotton layer being 4mm ~ 5mm.
10. according to claim 3ly a kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored, it is characterized in that: the side of described each shell is provided with the hook for hook oxygen face mask static line.
11. according to claim 1ly a kind ofly keep patient respiration road unobstructed and can monitor the device of gastric content reflux, and it is characterized in that: described monitoring probe is cylindrical, its surface is in Openworks shape.
12. according to claim 1ly a kind ofly keep patient respiration road unobstructed and can monitor the device of gastric content reflux, it is characterized in that: the Surface coating of described Lower jaw support has medical silica-gel.
13. according to claim 5ly a kind ofly keep patient respiration road unobstructed and can monitor the device of gastric content reflux, it is characterized in that: the Surface coating of described call wire has medical grade rubber.
14. according to claim 3ly a kind ofly keep patient respiration road unobstructed and can monitor the device of gastric content reflux, it is characterized in that: the surface of described controller offers several open-works.
CN201410191317.8A 2014-05-08 2014-05-08 A kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored Expired - Fee Related CN103948373B (en)

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CN201510847556.9A CN105266771B (en) 2014-05-08 2014-05-08 It is a kind of keep coma patient respiratory passage unblocked and can early warning gastric content reflux device
CN201410191317.8A CN103948373B (en) 2014-05-08 2014-05-08 A kind ofly keep patient respiration road unobstructed and the device of gastric content reflux can be monitored

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CN109531302B (en) * 2018-12-12 2024-03-01 大开精密工业(浙江)有限公司 Round bar material feeding and receiving rack
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