CN104474622B - Synchronous fixing rack for mandible mask - Google Patents

Synchronous fixing rack for mandible mask Download PDF

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Publication number
CN104474622B
CN104474622B CN201410769791.4A CN201410769791A CN104474622B CN 104474622 B CN104474622 B CN 104474622B CN 201410769791 A CN201410769791 A CN 201410769791A CN 104474622 B CN104474622 B CN 104474622B
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China
Prior art keywords
lower jaw
mask
trailing arm
mandible
fixed mount
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Expired - Fee Related
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CN201410769791.4A
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Chinese (zh)
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CN104474622A (en
Inventor
陈光忠
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JIANYANG CITY PEOPLE'S HOSPITAL
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JIANYANG CITY PEOPLE'S HOSPITAL
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Abstract

The invention discloses a medical apparatus and instrument technology and belongs to the technical field of medical apparatus and instruments. A synchronous fixing rack for a mandible mask comprises a supporting rack with a U-shaped structure, wherein two ends of the supporting rack are respectively provided with a mandible supporting arm, and the two mandible supporting arms can move relative to each other and are respectively connected with a one-piece fixing band which is provided with a connecting piece connected with a ventilation mask. According to the synchronous fixing rack for the mandible mask, the technical problems that an operation of supporting a mandible-closed mask manually is time-consuming and labor-consuming and is not durable are mainly solved; the synchronous fixing rack for the mandible mask can be widely applied to anesthesia induction, emergent first-aid, glossocoma of general anesthesia postoperative patients or coma patients and the like, can ingeniously replace dual hands of people, has a function of synchronously supporting the mandible-closed mask and is matched with an anesthesia apparatus to start mechanical respiration; the total effective rate is up to 97% and the excellent and good rate is up to 94%.

Description

Lower jaw mask synchronization fixed mount
Technical field
The present invention relates to technical field of medical instruments, especially a kind of non-invasive mouth exterior air drain management tool.
Background technology
Anesthesia induction oxygen supply, painless abortion oxygen supply, out operating-room rescue glossoptosis respiratory arrest etc., mask ventilation is the heaviest Want maximally effective basic skills, mask ventilation is conventionally used for anesthesia induction, oxygen supply denitrification at least 3-5 minute.Conventional method is one People's intravenous injection anaesthetic, another people's left hand thumb forefinger fixes mask, and its excess-three is pointed to and held up forward patient's lower jaw, right Hand squeezes respiratory hag by certain frequency, and closing property of the mask difference of this method is it is adaptable to modest build;Great majority particularly neck is short Obese patient, needs both hands to hold up lower jaw and closes mask, carry out manual breathing or mechanical respiration, but overlong time has been difficult to ensure that Effect ventilation.Some patents such as lower jaw supporting device, Simple mandible support rack etc. can only hold up lower jaw, be mainly used for solving comatose patient Glossoptosis, traditional rubber headband can only close mask.But it be unable to do without hand rest lower jaw all the time and closes mask, overlong time finger Arm is easily tired weak, affects ventilatory effect.How to make operating process easily easily safe and efficient, maintain patient breathing cycle Function-stable, creates good Tracheal intubation condition, or selects some operations directly to carry out non-intubation general anesthesia, is to be worth exploring Important clinical problem.
Content of the invention
The goal of the invention of the present invention is:For above-mentioned problem, provide a kind of lower jaw mask synchronization fixed mount, main Solving manually to hold up lower jaw and closing mask wastes time and energy it is impossible to the technical barrier adhered to for a long time, can be widely used for anesthesia induction, Emergency first-aid, Balance anesthesia or comatose patient glossoptosis etc.;It dexterously instead of the both hands of people, has synchronous picking-up lower jaw tight Close the function of mask, and Anesthesia machine supporting unlatching mechanical respiration, total effective rate reaches 97%, and wherein acceptance rate reaches 94%;Because of its structure Simply, easy and simple to handle, and both hands are liberated, and are conducive to doctor to observe and process change of illness state, maintain patient breathing cycle's work( Can be stable, create good Tracheal intubation condition.After picking-up lower jaw raises the root of the tongue, pharyngeal cavity increases resistance and reduces, and is more beneficial for One carries out direct laryngeal mask intubation, Bronchofiberscope intubation so that anesthesia induction mechanization, automation, easy.
The technical solution used in the present invention is as follows:
The lower jaw mask synchronization fixed mount of the present invention, including the bracing frame of " U "-shaped structure, the both sides of support frame as described above are divided It is not provided with relatively-movable lower jaw trailing arm, two lower jaw trailing arms are respectively embedded into Contiuum type fixing band, described Contiuum type is fixed The connector being connected with Ventilation mask is offered on band.
In terms of existing technologies, the bracing frame of the " u "-shaped structure in the present invention, is easy to the head of people and neck is placed In positive middle position, the effect supporting lower jaw trailing arm is played on the both sides top of this bracing frame simultaneously;Lower jaw trailing arm can be with respect to bracing frame Both sides are moved, and adjust its position according to everyone head size difference.The top of other two lower jaw trailing arms can cooperate, Make the lower end of lower jaw trailing arm against ear-lobe just to lower jaw Angle Position, be equivalent to three or four the five fingers and firmly hold up forward lower jaw upwards;With This is connected on Ventilation mask by Contiuum type fixing band simultaneously, is equivalent to thumb forefinger and firmly closes mask downwards, and also Synchronous reinforcement picking-up dynamics;From the angle of breathing mechanics, holding up lower jaw needs to exert oneself forward upwards, buckle mask need vertically to Down firmly it is ensured that power thrusts are consistent with hand.Hold up lower jaw fastening mask both can synchronously carry out, also can distinguish in some cases Carry out, only hold up lower jaw or only buckle mask;It can be seen that the ingenious both hands that instead of people of the present invention, there is synchronous picking-up lower jaw tight Close the function of mask, therefore the lower jaw mask synchronization fixed mount of the present invention, mainly solve artificial to hold up lower jaw to close mask time-consuming Arduously it is impossible to the technical barrier adhered to for a long time, can be widely used for anesthesia induction, emergency first-aid, Balance anesthesia or comatose patient tongue Pendant etc. afterwards;It dexterously instead of the both hands of people, has the function that synchronous picking-up lower jaw closes mask, the supporting unlatching with Anesthesia machine Mechanical respiration, total effective rate reaches 97%, and wherein acceptance rate reaches 94%;Because its structure is simple, easy and simple to handle, and both hands are understood Put, be conducive to doctor to observe and process change of illness state, maintain patient breathing cycle's function-stable, create good trachea cannula bar Part.After picking-up lower jaw raises the root of the tongue, pharyngeal cavity increases resistance and reduces, and is more beneficial for one and carries out direct laryngeal mask intubation, Bronchofiberscope Intubation is so that anesthesia induction mechanization, automation, easy.
The lower jaw mask synchronization fixed mount of the present invention, the two ends of support frame as described above are connected to swingable certain angle Joint groove, described lower jaw trailing arm is sheathed in this joint groove and can relative movement.
Due to said structure, joint groove can swing with respect to the two ends upset of bracing frame, thus flexible modulation lower jaw trailing arm Angle, make the lower end of lower jaw trailing arm against ear-lobe just to lower jaw Angle Position, be equivalent to three or four the five fingers and firmly hold up forward upwards Lower jaw, substitutes the action that staff holds up forward patient's lower jaw upwards;Difference therefore according to head size, flexibly carries out three-dimensional tune Section(Top to bottom, left and right, front and rear)Also very convenient.
The lower jaw mask synchronization fixed mount of the present invention, described lower jaw trailing arm is in " ten " font, the lower end of described lower jaw trailing arm It is provided with lower jaw pad, the transverse arm of described lower jaw trailing arm embeds Contiuum type fixing band, the upper end of described lower jaw trailing arm is provided with limiting plate.
Due to said structure, lower jaw pad presses close to ear-lobe in use just to lower jaw Angle Position, therefore lower jaw pad and people Body contacts, and the soft materials such as rubber can be adopted to make, play the effect of protection human body;The upper end of lower jaw trailing arm passes through joint groove simultaneously Can relative movement, thus angles and positions can be adjusted as needed;In order to avoid lower jaw trailing arm departs from from the groove of joint, therefore exist The top setting limiting plate of lower jaw trailing arm;Contiuum type fixing band is connected on Ventilation mask, is equivalent to thumb forefinger and exerts oneself downwards Close mask, therefore Contiuum type fixing band in use active force in lower jaw trailing arm, in order to ensure to tie up in use Hold the balance of lower jaw trailing arm, need for lower jaw trailing arm to be fabricated to " ten " character form structure, Contiuum type is simultaneously embedded on its transverse arm solid Fixed band, makes the upper and lower side of lower jaw trailing arm be located just at centre, thus ensureing to balance.
The lower jaw mask synchronization fixed mount of the present invention, the middle part of support frame as described above is provided with sliding tray, and the two of described sliding tray End branch is provided with " L " shape and helps jacking, and the described horizontal edge helping jacking can be with respect to slip in sliding tray, the described vertical edge helping jacking Top is provided with hang plate structure, and during use, the described hang plate helping jacking top can fit in the bottom surface of lower jaw trailing arm, and tilts Support lower jaw trailing arm.
Due to said structure, Lower jaw support arm sling hangs over the joint groove on bracing frame both sides, and " L " shape helps the horizontal edge of jacking to be connected to In sliding tray in the middle part of bracing frame, and " L " shape helps the vertical edge top of jacking to be set to hang plate.During use, described help jacking top Hang plate can fit in the bottom surface of lower jaw trailing arm, " L " shape is helped the vertical edge of jacking under plumbness, can be inclined by its hang plate Oblique top plays lower jaw trailing arm, is allowed to be more suitable for the anatomical features of lower jaw, and Contiuum type fixing band is connected with the transverse arm of " ten " font trailing arm, Mask can be buckled simultaneously and hold up lower jaw;This mechanical structure being connected to each other and interacting, strengthens lower jaw trailing arm Stability;Thus the ingenious both hands that instead of people, there is the function that synchronous picking-up lower jaw closes mask.Jacking is wherein helped to slide The two ends of groove, positioned at human body head both sides, tilt to be close to lower jaw trailing arm, with quick lock in or can release picking-up state.
The lower jaw mask synchronization fixed mount of the present invention, the both sides of support frame as described above are provided with boosting notch, support frame as described above It is spliced for monolithic construction or by multiple support blocks.
Due to said structure, the boosting notch on bracing frame both sides in use, can stretch into boosting by the finger of people In notch, thus act on helping jacking, so that the jacking that helps at sliding tray two ends is mutually drawn close, making to help jacking under both sides tilt and are close to Jaw trailing arm;Thus express delivery picking-up state can be locked so that operation is extremely easy;When needing to release picking-up state, support can will be helped Top is located remotely from each other.
The lower jaw mask synchronization fixed mount of the present invention, described Contiuum type fixing band offers can be with Ventilation mask mounting Hanging hole, the top of described Contiuum type fixing band offers arc siamese part, and end offers convenient embedded connector.
Due to said structure, can be easy to so that Contiuum type fixing band is connected with Ventilation mask by hook and hanging hole In use, mask is subject to the downward pulling force of Contiuum type fixing band, is equivalent to thumb forefinger and firmly closes downwards mask.
The lower jaw mask synchronization fixed mount of the present invention, the middle radical of support frame as described above is provided with rear bolster, described rear bolster Surface is set to arc groove, and the described base plate of rear bolster is connected with the middle part of bracing frame.
Due to said structure, the incidence of people can be positioned in the groove of rear bolster, plays the effect supporting human body head, Make neck occupy fixed mount center position it is ensured that both sides symmetry firmly, harmony simultaneously.
In sum, due to employing technique scheme, the invention has the beneficial effects as follows:
1st, the lower jaw mask synchronization fixed mount of the present invention, can replace artificial operation, and not only ventilatory effect is similar in appearance to laryngeal mask, Also there is various clinical purposes, be capable of mask ventilation mechanization, automation, easy, be airway management instrument and method Innovation provide reference frame.
2nd, the lower jaw mask synchronization fixed mount of the present invention, mainly solution artificial picking-up lower jaw closes mask wastes time and energy, no The technical barrier that can adhere to for a long time, can be widely used for anesthesia induction, emergency first-aid, Balance anesthesia or comatose patient glossoptosis etc.; It dexterously instead of the both hands of people, has the function that synchronous picking-up lower jaw closes mask, and unlatching machinery supporting with Anesthesia machine is exhaled Inhale, total effective rate reaches 97%, and wherein acceptance rate reaches 94%;
3rd, the lower jaw mask synchronization fixed mount of the present invention, its structure is simple, easy and simple to handle, and both hands are liberated, and have Observe beneficial to doctor and process change of illness state, maintain patient breathing cycle's function-stable, create good Tracheal intubation condition.In support Rise after lower jaw raises the root of the tongue, pharyngeal cavity increases resistance and reduces, and is more beneficial for one and carries out direct laryngeal mask intubation, Bronchofiberscope intubation, makes Obtain anesthesia induction mechanization, automation, easy.
Brief description
Examples of the present invention will be described by way of reference to the accompanying drawings, wherein:
Fig. 1 is the structural representation of the lower jaw mask synchronization fixed mount of the present invention.
Fig. 2 is the use schematic diagram of the lower jaw mask synchronization fixed mount of the present invention;
In figure marks:1- bracing frame, 2- help jacking, 3- joint groove, 4- lower jaw pad, 5- sliding tray, 6- lower jaw trailing arm, 7- even Bolster, 10- Ventilation mask, 11- head after body formula fixing band, 8- boosting notch, 9-.
Specific embodiment
All features disclosed in this specification, or disclosed all methods or during step, except mutually exclusive Feature and/or step beyond, all can combine by any way.
This specification(Including any accessory claim, summary)Disclosed in any feature, unless specifically stated otherwise, Replaced by other alternative features equivalent or that there is similar purpose.I.e., unless specifically stated otherwise, each feature is a series of One of equivalent or similar characteristics example.
As depicted in figs. 1 and 2, the lower jaw mask synchronization fixed mount of the present invention, it includes the bracing frame 1 of " U "-shaped structure, The joint groove 3 of swingable certain angle is connected on the two ends of support frame as described above 1, described lower jaw trailing arm 6 is sheathed on this pass In section groove 3 and can relative movement;Wherein said lower jaw trailing arm 6 is in " ten " font, and the lower end of described lower jaw trailing arm 6 is provided with lower jaw pad 4, insert formula fixing band 7 on the transverse arm of described lower jaw trailing arm 6, described Contiuum type fixing band 7 offers can be with Ventilation mask The hanging hole of 10 mountings;Top offers arc siamese part, and end offers convenient embedded connector;Described lower jaw trailing arm 6 Top is provided with limiting plate.The middle part of support frame as described above 1 is provided with sliding tray 5, and the two ends branch of described sliding tray 5 is provided with " L " shape Help jacking 2, the described horizontal edge helping jacking 2 can be with respect to slip in sliding tray 5, and the described vertical edge top helping jacking 2 is provided with inclines Swash plate structure, during use, the described hang plate helping jacking 2 top can fit in the bottom surface of lower jaw trailing arm 6, and inclined shore removes Jaw trailing arm 6.Support frame as described above 1 both sides are provided with boosting notch 8, and support frame as described above 1 is for monolithic construction or by multiple support members It is spliced.The middle radical of support frame as described above 1 is provided with rear bolster 9, and the surface of described rear bolster 9 is set to arc groove, described after The base plate of bolster 9 is connected with the middle part of bracing frame 1.
The lower jaw mask synchronization fixed mount of the present invention, its using method:Before anesthesia induction, synchronous fixed mount is placed on trouble Under person's collare, occipitalia is located at rear bolster groove, jacking will be helped to middle passage from left and right notch, and make lower jaw pad just right against ear-lobe Lower jaw Angle Position.Fixing band is elastic suitable, puts mask oxygen inhalation.After patient's consciousness breathing disappears, in the middle of both hands three refer to by under Jaw pad, holds up forward lower jaw on the side from two, and thumb is close to and helps jacking simultaneously, keeps stably holding up state, readjusts fixation Band buckles mask.First manual control Respiration Rate, depending on airway resistance size, is then turned on mechanical respiration, set VT5-8ml/kg, Rate12-16 beat/min, I:E 1:2.The short patient of the big neck of some heads, such as airway resistance are more than 15cmH20, suitably need to be assisted with finger Help picking-up lower jaw.Before preparing trachea cannula, first unclamp fixing band, then unclamp and help jacking, release lower jaw and hold up state.Depending on patient's Head layback degree help jacking it is also possible to not unclamp, some patients are more beneficial for promoting the circulation of qi cannula, Bronchofiberscope intubation, laryngeal mask insert Pipe, completes intubation and drops back from synchronous fixed mount.
The lower jaw mask synchronization fixed mount of the present invention, unique structure, artificial operation can be replaced, not only ventilatory effect is similar In laryngeal mask, also there is various clinical purposes.This research is mainly started with from anesthesia induction, intend demonstration realize mask ventilation mechanization, Automation, the feasibility of easy, the innovation for airway management instrument and method provides reference frame.
Mask ventilation is conventionally used for anesthesia induction, oxygen supply denitrification at least 3-5 minute.Conventional method is people's intravenous injection fiber crops Liquor-saturated medicine, another people's left hand thumb forefinger fixes mask, and its excess-three is pointed to and held up forward patient's lower jaw, and the right hand presses certain frequency Squeeze respiratory hag, closing property of the mask difference of this method is it is adaptable to modest build.The short obese patient of great majority particularly neck, needs Want both hands to hold up lower jaw and close mask, carry out manual breathing or mechanical respiration, but overlong time is difficult to ensure that effective ventilation.This The bright lower jaw that can hold up also can close mask, and ventilatory effect, similar in appearance to laryngeal mask, belongs to non-invasive mouth exterior air drain management tool.
From the angle of breathing mechanics, holding up lower jaw needs to exert oneself forward upwards, and closing mask needs to exert oneself vertically downward.With Step fixed mount utilizes the theory of mechanics such as hinge, lever, jack, apish double-handed exercise to greatest extent:Lower jaw trailing arm relies on Help the hang plate of jacking, make lower jaw pad comply with the anatomical features of angle of mandible, be equivalent to three or four the five fingers and exert oneself forward upwards under picking-up Jaw, helps jacking to tilt to be close to lower jaw trailing arm from both sides, with quick lock in or can release picking-up state.Mask fixing band and Lower jaw support Arm connects, and is equivalent to thumb forefinger and firmly closes mask downwards, and also synchronous reinforcement picking-up dynamics.The arc of bolster is recessed afterwards Groove, makes neck occupy fixed mount center position it is ensured that both sides symmetry firmly, harmony.
The ingenious both hands that instead of people of the present invention, have the function that synchronous picking-up lower jaw closes mask, supporting with Anesthesia machine Open mechanical respiration, total effective rate reaches 97%, and wherein acceptance rate reaches 94%, and postoperative untoward reaction incidence also complies with relevant report. Except the big neck of indivedual heads is short or lower jaw overrelaxation exception is it is adaptable to the overwhelming majority particularly female patient.
Overall process from vein injection to mask ventilation for the anesthesia induction, conventional method needs two people persistently to coordinate, new method Can single seat operation:Dispose synchronous fixed mount oxygen supply, union three way cock and extension tube, anaesthetize through extension tube intravenous injection Medicine, picking-up lower jaw close mask, open mechanical respiration.Because operating process is simple and practical, both hands are liberated, and are conducive to Anesthetist is observed and is processed change of illness state, maintains patient breathing cycle's function-stable, creates good Tracheal intubation condition.Especially It is to be appreciated that after picking-up lower jaw raises the root of the tongue, pharyngeal cavity increases resistance and reduces, and is more beneficial for one and carries out direct laryngeal mask intubation, fibre Prop up mirror intubation.
The present invention also attempts replacing trachea cannula, laryngeal mask intubation, selects some horizontal position Little operation, directly carries out non-inserting Pipe general anesthesia, also achieves satisfied clinical effectiveness.Other purposes include out operating-room emergency first-aid oxygen supply, comatose patient glossoptosis Oxygen supply etc..
The lower jaw mask synchronization fixed mount of the present invention, mainly solve artificial hold up lower jaw close mask waste time and energy it is impossible to The technical barrier adhered to for a long time, can be widely used for anesthesia induction, emergency first-aid, Balance anesthesia or comatose patient glossoptosis etc.;Its Dexterously instead of the both hands of people, have synchronous hold up the function that lower jaw closes mask, and Anesthesia machine supporting unlatching mechanical respiration, Total effective rate reaches 97%, and wherein acceptance rate reaches 94%;Its structure is simple, easy and simple to handle, and both hands are liberated, and are conducive to doctor Observe and process change of illness state, maintain patient breathing cycle's function-stable, create good Tracheal intubation condition.Holding up lower jaw lift After the high root of the tongue, pharyngeal cavity increases resistance and reduces, and is more beneficial for one and carries out direct laryngeal mask intubation, Bronchofiberscope intubation so that anesthesia lures Lead mechanization, automation, easy.
The invention is not limited in aforesaid specific embodiment.The present invention expands to and any discloses in this manual New feature or any new combination, and the arbitrary new method of disclosure or the step of process or any new combination.

Claims (6)

1. lower jaw mask synchronization fixed mount it is characterised in that:Bracing frame including " U "-shaped structure(1), support frame as described above(1) Two ends on be respectively equipped with relatively-movable lower jaw trailing arm(6), two lower jaw trailing arms(6)On be connected to Contiuum type and fix Band(7), described Contiuum type fixing band(7)On offer can be with Ventilation mask(10)The connector connecting;Described lower jaw trailing arm (6)It is in " ten " font, described lower jaw trailing arm(6)Lower end be provided with lower jaw pad(4), described lower jaw trailing arm(6)Transverse arm on embedded Contiuum type fixing band(7), described lower jaw trailing arm(6)Upper end be provided with limited block.
2. lower jaw mask as claimed in claim 1 synchronization fixed mount it is characterised in that:Support frame as described above(1)Two ends on point It is not connected with the joint groove of swingable certain angle(3), described lower jaw trailing arm(6)It is sheathed on this joint groove(3)Interior and can relatively Mobile.
3. lower jaw mask as claimed in claim 1 or 2 synchronization fixed mount it is characterised in that:Support frame as described above(1)Middle part set There is sliding tray(5), described sliding tray(5)Be respectively arranged at two ends with " L " shape help jacking(2), described help jacking(2)Horizontal edge exist Sliding tray(5)Interior can relatively slide, described help jacking(2)Vertical edge top be provided with hang plate structure, during use, described help jacking (2)The hang plate on top can fit in lower jaw trailing arm(6)Bottom surface, and inclined shore plays lower jaw trailing arm(6).
4. lower jaw mask as claimed in claim 3 synchronization fixed mount it is characterised in that:Support frame as described above(1)Both sides are provided with and help Push away notch(8), support frame as described above(1)It is spliced for monolithic construction or by multiple support blocks.
5. as described in claim 1 or 2 or 4 lower jaw mask synchronization fixed mount it is characterised in that:Described Contiuum type fixing band (7)On offer can be with Ventilation mask(10)The hanging hole of mounting;Described Contiuum type fixing band(7)Top be provided with arc disjunctor Part, end is provided with convenient embedded connector.
6. as described in claim 1 or 2 or 4 lower jaw mask synchronization fixed mount it is characterised in that:Support frame as described above(1)In Radical is provided with rear bolster(9), described rear bolster(9)Upper surface be set to the groove of arc, described rear bolster(9)Base plate with Support(1)Middle part connect.
CN201410769791.4A 2014-12-15 2014-12-15 Synchronous fixing rack for mandible mask Expired - Fee Related CN104474622B (en)

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CN109259975B (en) * 2018-10-26 2024-03-26 冷晓冬 Mandibular fixator
CN109646774B (en) * 2018-12-27 2021-10-22 常州唯精医疗机器人有限公司 Air flue management manipulator assisting positive pressure ventilation of mask
ES1234714Y (en) * 2019-07-15 2019-12-11 Diseno Y Produccion De Sist Rcp S L DEVICE FOR CARDIO-PULMONARY RESUSCIATION OF A PATIENT
CN111905215A (en) * 2020-07-24 2020-11-10 泸州市中医医院(泸州市中西医结合医院、泸州市江阳区中医医院) Non-intubation general anesthesia device
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