CN104383620A - Novel dual-channel peritoneal dialysis catheter suitable for operation under endoscope - Google Patents

Novel dual-channel peritoneal dialysis catheter suitable for operation under endoscope Download PDF

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Publication number
CN104383620A
CN104383620A CN201410667787.7A CN201410667787A CN104383620A CN 104383620 A CN104383620 A CN 104383620A CN 201410667787 A CN201410667787 A CN 201410667787A CN 104383620 A CN104383620 A CN 104383620A
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CN
China
Prior art keywords
pipe
abdomen
channel
saturating
peritoneal dialysis
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Pending
Application number
CN201410667787.7A
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Chinese (zh)
Inventor
钱小强
边帆
齐隽
蒋更如
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
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Application filed by XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine filed Critical XinHua Hospital Affiliated To Shanghai JiaoTong University School of Medicine
Priority to CN201410667787.7A priority Critical patent/CN104383620A/en
Publication of CN104383620A publication Critical patent/CN104383620A/en
Pending legal-status Critical Current

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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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/14Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
    • A61M1/28Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
    • A61M1/285Catheters therefor

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Urology & Nephrology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention relates to a novel dual-channel peritoneal dialysis catheter suitable for operation under an endoscope. The peritoneal dialysis catheter comprises a peritoneal dialysis catheter body, the peritoneal dialysis catheter body comprises an external abdominal section, a gooseneck section and an abdominal cavity section, dacron buckles are disposed at two ends of the gooseneck section respectively, the abdominal cavity section comprises a first channel pipe and a second channel pipe, the first channel pipe and the second channel pipe are communicated with the peritoneal dialysis catheter body, drainage holes are formed in the first channel pipe and the second channel pipe, and the drainage holes are uniformly distributed. The novel dual-channel peritoneal dialysis catheter suitable for operation under the endoscope has the advantages that the dual-channel structural design is applied, catheter floating and blocking is not prone to occur, and the service life is long; more drainage holes are formed in the peritoneal dialysis catheter than those of single channel, the abdominal permeability is good, liquid replacing time is reduced, removing capacity of metabolic waste is increased, the efficiency is high, the peritoneal dialysis catheter is put under the endoscope, the positioning is accurate, operations are safe, reliable and low in price, and the cut part is small.

Description

The Novel double-channel abdomen operated under a kind of applicable scope is managed thoroughly
Technical field
The present invention relates to medical instruments field, specifically, is that the Novel double-channel abdomen operated under a kind of applicable scope is managed thoroughly.
Background technology
Peritoneal dialysis is effective alternative medicine for the treatment of renal failure, it is to patient's intraperitoneal input dialysis solution, utilize peritoneum as dialyzer, make the water of delay in body, electrolyte and metabolic waste through ultrafiltration and penetrate into abdominal cavity, and the Cucumber in dialysis solution enters blood circulation through blood capillary, with the needs in added body.At present, the peritoneal dialysis catheter used clinically mainly contains two kinds, and one is straight tube, and another kind is crimp tube.The saturating pipe of existing abdomen is single channel, easily floats pipe, plugging.Once there is above-mentioned complication, need again to put pipe, even abandon abdomen and thoroughly treat.Then affect service life of the saturating pipe of abdomen and the saturating efficiency of abdomen, increase misery and the financial burden of patient.
Peritoneal dialysis comparatively hemodialysis has the advantages such as safe, clean, convenient, America and Europe extensive use.But occurring the saturating blockage of abdomen in therapeutic process, floating pipe is hinder abdomen thoroughly to treat the one of the main reasons of effectively carrying out.
Chinese patent literature CN2010206593207.7,2010 applyings date December 14 days, patent name is double-cavity peritoneal dialysis tube, disclose a kind of peritoneal dialysis catheter, comprise the body of a peritoneal dialysis catheter, be provided with a permeate pipe in Dialysis tubing, described peritoneal dialysis catheter leading portion is curved, and described permeate pipe is arranged on the arc of peritoneal dialysis catheter in the outer part; Be provided with a water pocket in the tube wall of the arc shaped inside of the front end body of described Dialysis tubing, described water pocket is connected with a water injection pipe; The tube wall both sides of the front end body of described liquid pipe are provided with more than one oval aperture, and described perforate is liquid drain hole.Because the arcuate front ends of above-mentioned double-cavity peritoneal dialysis tube is provided with water pocket, can water pocket water filling be passed through, increase body weight, thus prevent Dialysis tubing floating or Dialysis tubing is resetted.
But although the weight passing through to increase the saturating pipe of abdomen prevents abdomen saturating pipe drift pipe to a certain extent, complex operation, and also the moisture in water pocket is easily missed, if can not in time to water filling in water pocket, abdomen be thoroughly managed and is easily floated pipe.
Chinese patent literature CN201420026501.2, at on 01 16th, 2014 applying date, patent name is anti-shift peritoneum dialysis pipe, disclose a kind of anti-shift peritoneum dialysis pipe, comprise Dialysis tubing, the front end of described Dialysis tubing is provided with a hollow oval shape, hollow oval shape and Dialysis tubing UNICOM, hollow oval shape is provided with multiple conduction hole, is provided with multiple soft projection with it in the outer surface week of hollow oval shape.By increasing the contact area of Dialysis tubing and abdominal cavity of patients, Dialysis tubing is prevented to drift about in abdominal cavity of patients.
In such scheme, although rely on hollow oval shape to increase the saturating pipe of abdomen can prevent the saturating pipe drift of abdomen to a certain extent in intraperitoneal contact area, hollow ellipsoid in intraperitoneal easily movement, thus causes abdomen saturating pipe drift pipe.
In addition, blindly under existing abdomen saturating pipe laying method mostly is local anaesthesia to put, have potential risks to peritoneal free cancer cells, and may occur that abdomen saturating pipe indwelling position is undesirable, increase the probability of postoperative abdomen through drift pipe, plugging in journey.Then the life-span that effective abdomen is saturating is affected.
In sum, need badly and want a kind of employing dual pathways, reduce the generation of drift pipe, plugging, the Novel double-channel abdomen operated under being applicable to scope is managed thoroughly.And yet there are no report about the saturating pipe of this abdomen.
Summary of the invention
The object of the invention is, provide a kind of and adopt the dual pathways, reduce the generation of drift pipe, plugging, the Novel double-channel abdomen operated under being applicable to scope is managed thoroughly.
Another object of the present invention is, the method for intubation of the saturating pipe of novel abdomen operated under providing a kind of applicable scope.
For achieving the above object, the technical scheme that the present invention takes is:
The Novel double-channel abdomen operated under a kind of applicable scope is managed thoroughly, and the saturating pipe of described abdomen comprises the saturating tube body of abdomen, the saturating tube body of described abdomen comprises abdomen outer section, gooseneck section, abdominal cavity section; Described gooseneck section two ends are respectively equipped with terylene button; Described abdominal cavity section comprises first passage pipe and second channel pipe; Described first passage pipe and second channel pipe and the saturating tube body of abdomen are connected; Described first passage pipe and second channel pipe are symmetrically distributed in the both sides of the saturating tube body of abdomen; Between described first passage pipe and second channel pipe, angle is 45 degree; Described first passage pipe and second channel pipe and the saturating tube body of abdomen are Integratively formed; Described first passage pipe and second channel pipe are provided with conduction hole; Described conduction hole is uniformly distributed.
Described terylene button is cylindrical.
V-shaped between described first passage pipe and second channel pipe.
Described first passage pipe and second channel pipe are in the shape of a spiral.
Described first passage pipe and second channel pipe and the saturating tube body of abdomen are symmetric.
Described first passage pipe and the internal diameter of second channel pipe are 4.0mm.
For realizing above-mentioned second object, the technical scheme that the present invention takes is:
The method of the saturating pipe of described abdomen when putting pipe, utilize scope imaging device that saturating for abdomen pipe is inserted vesicorectal pouch or vesicouterine nest, looked at straight down by cystoscope and place peritoneal dialysis catheter, accurate positioning, and can effectively prevent from damaging abdominal viscera, reduce peritoneal dialysis catheter floating tube and occur.
The invention has the advantages that:
1, the abdomen operated under a kind of applicable scope of the present invention manages the saturating all patients of applicable current chronic renal failure needs abdomen thoroughly, can substitute all single pass abdomens in the market and thoroughly manage, have good market efficiency;
2, due to channel structure design, pipe, plugging is not easily floated, long service life;
3, compared with single channel, the saturating pipe of abdomen is provided with more conduction hole, makes abdomen permeability good, reduces and changes the liquid time, and increase the removing of metabolic waste, efficiency is high;
4, put abdomen under adopting scope thoroughly to manage, accurate positioning, make operation safer, reliable, cheap, and wound is little.
Accompanying drawing explanation
Accompanying drawing 1 is the front view of the saturating pipe of Novel double-channel abdomen operated under a kind of applicable scope of the present invention.
Accompanying drawing 2 is the structural representations in the saturating pipe of Novel double-channel abdomen operated under a kind of applicable scope of the present invention.
Detailed description of the invention
Below in conjunction with embodiment, also with reference to accompanying drawing, the invention will be further described.
The Reference numeral related in accompanying drawing and ingredient as follows:
1. the outer section of abdomen saturating tube body 11. abdomen
12. gooseneck section 13. abdominal cavity sections
131. first passage pipe 132. second channel pipes
2. terylene button 3. conduction hole
Embodiment 1
Please refer to Fig. 1, Fig. 1 is the front view of the saturating pipe of Novel double-channel abdomen operated under a kind of applicable scope of the present invention.The Novel double-channel abdomen operated under a kind of applicable scope is managed thoroughly, and the saturating pipe of described abdomen comprises the saturating tube body of abdomen 1, the saturating tube body 1 of described abdomen comprises abdomen outer section 11, gooseneck section 12, abdominal cavity section 13; Described gooseneck section 12 two ends are respectively equipped with terylene button 2; Described abdominal cavity section 13 comprises first passage pipe 131 and second channel pipe 132; Described first passage pipe 131 and second channel pipe 132 are twist.
Please refer to Fig. 2, Fig. 2 is the structural representation in the saturating pipe of Novel double-channel abdomen operated under a kind of applicable scope of the present invention.Described terylene button 2 is cylindrical; Described first passage pipe 131 and second channel pipe 132 are connected with the saturating tube body 1 of abdomen; Described first passage pipe 131 and second channel pipe 132 are symmetrically distributed in the both sides of the saturating tube body 1 of abdomen; Between described first passage pipe 131 and second channel pipe 132, angle is 45 degree; V-shaped between described first passage pipe 131 and second channel pipe 132; Described first passage pipe 131 and second channel pipe 132 and the saturating tube body of abdomen 1 are Integratively formed; Described first passage pipe 131 and second channel pipe 132 are provided with conduction hole 3; Described conduction hole 3 is uniformly distributed.
It should be noted that: the saturating tube body of described abdomen 1 is adopted made of plastic, non-ripple, gel, bubble and impurity on inside and outside smooth, clean, tube wall; The outer section 11 of described abdomen is positioned at human external under surgical state; Described gooseneck section 12 is positioned at subcutaneous tissue position; Described terylene button 2 is normally pasted onto on the saturating tube body 1 of abdomen, after the saturating tube body 1 of abdomen inserts abdominal cavity, stomach wall epithelial tissue can be climbed raw bonding terylene button 2 and be formed the collar, thus can fix the saturating tube body 1 of abdomen, and effectively reduces outer antibacterial enters abdominal cavity of patients risk by conduit; According to clinical experience, between described first passage pipe 131 and second channel pipe 132, angle is 30-75 degree, between the preferred first passage pipe 131 of the present embodiment and second channel pipe 132, angle is 45 degree, and described first passage pipe 131 and second channel pipe 132 internal diameter are 2.5-6.0mm; The internal diameter of the preferred first passage pipe 131 of the present embodiment and the second admittance pipe 132 is 4.0mm, its this angle and internal diameter abdomen permeability better; Described first passage pipe 131 and second channel pipe 132 are in the shape of a spiral, peritoneal dialysis liquid flow velocity can be reduced, abdomen saturating pipe terminus area is large, reduce the nethike embrane caused by siphonage and intestinal tube parcel phenomenon, even if abdomen is managed thoroughly do not insert bladder (uterus) rectal sinuses, or shift out true pelvis in use procedure, its drainage function is still good; The dual pathways is selected to insert rectal sinuses, when one of them passages of blocking such as tissue such as the large net fat of intraperitoneal, protein exudates and clots, another passage can continue to use, prevent the service life of abdomen saturating pipe event resolves or the saturating pipe of reduction abdomen, increase the financial burden of patient, bring unnecessary loss to patient; Described conduction hole 3 is convenient to body fluid and dialysis solution carries out mass exchange.
Described first passage pipe 131 and second channel pipe 132 are combined to form the dual pathways; Adopt the dual pathways to insert rectal sinuses (man) or vesicouterine nest (female), because dual pathways end is helical form natural crimp, add the saturating pipe of abdomen in Intraabdominal space, abdomen is managed thoroughly and not easily floats pipe; Described first passage pipe 131 and second channel pipe 132 are symmetric, and have the effect of equilibrant on the one hand, make the saturating pipe stress balance of abdomen, not easily float pipe; On the other hand, compared with single channel, add gravity to prevent abdomen saturating pipe drift pipe; The dual pathways makes the saturating pipe of abdomen have more conduction hole 3, to reduce when changing liquid peritoneal dialysis liquid to the direct impulsive force of peritoneum, the patient pain effectively reduced and malaise symptoms.
The method of intubation of the saturating pipe of abdomen operated under a kind of applicable scope of the present invention, utilize scope (cystoscope) imaging device that saturating for abdomen pipe is inserted vesicorectal pouch (man) or vesicouterine nest (female), looked at straight down by cystoscope and place peritoneal dialysis catheter, accurate positioning, and effectively can prevent peritoneal free cancer cells, reduce the generation of postsurgical peritoneal Dialysis tubing drift pipe, plugging.
The abdomen operated under a kind of applicable scope of the present invention manages the saturating all patients of applicable current chronic renal failure needs abdomen thoroughly, can substitute all single pass abdomens in the market and thoroughly manage, have good market efficiency; Due to channel structure design, not easily float pipe, plugging, long service life; Compared with single channel, the saturating pipe of abdomen is provided with more conduction hole 3, makes abdomen permeability good, reduces and changes the liquid time, and increase the removing of metabolic waste, efficiency is high; Put abdomen under adopting cystoscope thoroughly to manage, accurate positioning, make operation safer, reliable, cheap, and wound is little.
The above is only the preferred embodiment of the present invention; it should be pointed out that for those skilled in the art, under the premise without departing from the principles of the invention; can also make some improvement and supplement, these improve and supplement and also should be considered as protection scope of the present invention.

Claims (7)

1. the Novel double-channel abdomen operated under an applicable scope is managed thoroughly, it is characterized in that, the saturating pipe of described abdomen comprises the saturating tube body of abdomen, the saturating tube body of described abdomen comprises abdomen outer section, gooseneck section, abdominal cavity section; Described gooseneck section two ends are respectively equipped with terylene button; Described abdominal cavity section comprises first passage pipe and second channel pipe; Described first passage pipe and second channel pipe and the saturating tube body of abdomen are connected; Described first passage pipe and second channel pipe are symmetrically distributed in the both sides of the saturating tube body of abdomen; Between described first passage pipe and second channel pipe, angle is 45 degree; Described first passage pipe and second channel pipe and the saturating tube body of abdomen are Integratively formed; Described first passage pipe and second channel pipe are provided with conduction hole; Described conduction hole is uniformly distributed.
2. abdomen according to claim 1 is managed thoroughly, it is characterized in that, described terylene button is cylindrical.
3. abdomen according to claim 1 is managed thoroughly, it is characterized in that, V-shaped between described first passage pipe and second channel pipe.
4. abdomen according to claim 1 is managed thoroughly, it is characterized in that, described first passage pipe and second channel pipe are in the shape of a spiral.
5. abdomen according to claim 1 is managed thoroughly, it is characterized in that, described first passage pipe and second channel pipe and the saturating tube body of abdomen are symmetric.
6. abdomen according to claim 1 is managed thoroughly, it is characterized in that, described first passage pipe and the internal diameter of second channel pipe are 4.0mm.
7. the method for the saturating pipe of the abdomen described in claim 1-6 when putting pipe, utilize scope imaging device that saturating for abdomen pipe is inserted vesicorectal pouch or vesicouterine nest, looked at straight down by cystoscope and place peritoneal dialysis catheter, accurate positioning, and can effectively prevent from damaging abdominal viscera, reduce peritoneal dialysis catheter floating tube and occur.
CN201410667787.7A 2014-11-20 2014-11-20 Novel dual-channel peritoneal dialysis catheter suitable for operation under endoscope Pending CN104383620A (en)

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Application Number Priority Date Filing Date Title
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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105288765A (en) * 2015-04-27 2016-02-03 浙江省人民医院 Peritoneal dialysis catheter enabling position of polyester cuff to be radiation-developable
CN110087709A (en) * 2017-11-03 2019-08-02 龚立峰 A kind of peritoneal dialysis catheters of abdomen inner segment claw type
CN110613891A (en) * 2019-09-21 2019-12-27 天津赛德医药研究院有限公司 Cavity drainage tube with built-in radioactive particle carrier
CN110755761A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Cavity drainage tube with built-in radioactive particle carrier
CN110755759A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Cavity drainage tube with built-in assembled radioactive particle carrier
CN110755760A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Cavity drainage tube with built-in inserting plate type radioactive particle carrier
CN110755758A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Drainage tube capable of carrying radioactive particles
CN110772676A (en) * 2019-11-20 2020-02-11 上海交通大学医学院附属上海儿童医学中心 Prevent stifled anti-drop peritoneal dialysis pipe
CN113730694A (en) * 2021-09-18 2021-12-03 南昌大学第二附属医院 Novel peritoneal dialysis tube

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010014793A1 (en) * 1998-10-05 2001-08-16 James Brugger Methods and apparatus for performing flow-through peritoneal dialysis
US20020091352A1 (en) * 2001-01-09 2002-07-11 Rex Medical Peritoneal dialysis catheter and insertion method
US20030069534A1 (en) * 2001-10-05 2003-04-10 Jack Work Catheter
US20040034333A1 (en) * 2002-08-19 2004-02-19 Seese Timothy M. Dialysis catheters with optimized user-friendly connections
CN1494442A (en) * 2000-10-12 2004-05-05 ���ع��ʹ�˾ Peritoneal dialysis catheters
CN200991447Y (en) * 2006-11-07 2007-12-19 卢艳 Peritoneal dialysis treatment pipe for urinaemia
US20090018493A1 (en) * 2007-07-10 2009-01-15 Ash Stephen R Implantable catheter assembly
CN201361301Y (en) * 2009-02-11 2009-12-16 闵素娟 Peritoneal dialysis catheter
CN202497523U (en) * 2012-03-23 2012-10-24 遵义医学院附属医院 Peritoneum dialysis tube with catheter
CN102908689A (en) * 2012-03-23 2013-02-06 遵义医学院附属医院 Method for preventing peritoneal dialysis catheter from drifting and anti-drifting peritoneal dialysis catheter

Patent Citations (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20010014793A1 (en) * 1998-10-05 2001-08-16 James Brugger Methods and apparatus for performing flow-through peritoneal dialysis
CN1494442A (en) * 2000-10-12 2004-05-05 ���ع��ʹ�˾ Peritoneal dialysis catheters
US20020091352A1 (en) * 2001-01-09 2002-07-11 Rex Medical Peritoneal dialysis catheter and insertion method
US20030069534A1 (en) * 2001-10-05 2003-04-10 Jack Work Catheter
US20040034333A1 (en) * 2002-08-19 2004-02-19 Seese Timothy M. Dialysis catheters with optimized user-friendly connections
CN200991447Y (en) * 2006-11-07 2007-12-19 卢艳 Peritoneal dialysis treatment pipe for urinaemia
US20090018493A1 (en) * 2007-07-10 2009-01-15 Ash Stephen R Implantable catheter assembly
CN201361301Y (en) * 2009-02-11 2009-12-16 闵素娟 Peritoneal dialysis catheter
CN202497523U (en) * 2012-03-23 2012-10-24 遵义医学院附属医院 Peritoneum dialysis tube with catheter
CN102908689A (en) * 2012-03-23 2013-02-06 遵义医学院附属医院 Method for preventing peritoneal dialysis catheter from drifting and anti-drifting peritoneal dialysis catheter

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105288765A (en) * 2015-04-27 2016-02-03 浙江省人民医院 Peritoneal dialysis catheter enabling position of polyester cuff to be radiation-developable
CN105288765B (en) * 2015-04-27 2018-07-31 浙江省人民医院 A kind of radiation can develop the peritoneal dialysis catheters of terylene set position
CN110087709A (en) * 2017-11-03 2019-08-02 龚立峰 A kind of peritoneal dialysis catheters of abdomen inner segment claw type
CN110613891A (en) * 2019-09-21 2019-12-27 天津赛德医药研究院有限公司 Cavity drainage tube with built-in radioactive particle carrier
CN110755761A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Cavity drainage tube with built-in radioactive particle carrier
CN110755759A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Cavity drainage tube with built-in assembled radioactive particle carrier
CN110755760A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Cavity drainage tube with built-in inserting plate type radioactive particle carrier
CN110755758A (en) * 2019-10-14 2020-02-07 天津赛德医药研究院有限公司 Drainage tube capable of carrying radioactive particles
CN110772676A (en) * 2019-11-20 2020-02-11 上海交通大学医学院附属上海儿童医学中心 Prevent stifled anti-drop peritoneal dialysis pipe
CN113730694A (en) * 2021-09-18 2021-12-03 南昌大学第二附属医院 Novel peritoneal dialysis tube

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Application publication date: 20150304