CN106232020A - 抽吸装置 - Google Patents

抽吸装置 Download PDF

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CN106232020A
CN106232020A CN201580010780.0A CN201580010780A CN106232020A CN 106232020 A CN106232020 A CN 106232020A CN 201580010780 A CN201580010780 A CN 201580010780A CN 106232020 A CN106232020 A CN 106232020A
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aspirator
porous
valve
syringe
valve module
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CN106232020B (zh
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乔治·加拉赫
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Aspiration And Denitrogenation Co Ltd
Aspirate N Go Ltd
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Abstract

一种阀组件(50),包括三向连接器(51),该三向连接器操作地互连入口(58)、出口(56)和通气孔(66),在使用中入口(58)可操作地连接至抽吸管;在使用中出口(56)可操作地连接至注射器(82);以及通气孔(66)包括单向阀(70),在使用中单向阀允许流体流出三向连接器(51),其中,入口(58)包括具有多孔或穿孔元件(62)的容器(60),多孔或穿孔元件干燥时允许气体流入三向连接器(51),然而当多孔或穿孔元件由液体浸湿时,阻止或防止液体流入三向连接器(51)。

Description

抽吸装置
本发明涉及抽吸装置,具体但非限制性地,涉及适用于从人类或动物患者的体腔内抽吸流体的抽吸装置。
抽吸装置用于需要从体腔内抽吸流体以用于诊断、取样和/或治疗目的的医疗过程的范围。
泵浦抽吸装置一般包括真空泵,真空泵连接至可插入或馈送入体腔的管,从而使得当泵开启时,泵的真空通过提供的管从体腔抽吸流体,当然管的尖端位于待抽吸的流体内。通常在管与真空泵之间设置集液器以防止抽吸的液体被吸入泵,这会导致损坏和/或污染泵。当使用真空泵抽吸装置时,需要谨慎以确保真空不会过高并且抽吸的量和速率也被监控。监控和控制电路以及有经验的操作者的人工干预可常常用于促进上述监控操作。
如果仅有较少量流体需要被抽吸,从业人员的通常做法是使用基于注射器的抽吸装置而不是基于真空泵的抽吸装置。在这样的情况下,在注射器连接至抽吸管的末端之前清空注射器(即其活塞被压低)。当然,在这之前,抽吸管已通过已知的方式插入体腔,即通过馈送具有插入其中以保持硬度的导丝的管,在管的尖端位置位于期望位置时,撤回导丝以离开从本体延伸的管的末端。当抽吸管已正确插入时,其尖端潜入待抽吸的液体中。然后,进行相对简单的任务,即将泵或注射器连接至抽吸管的自由端以抽吸液体。在基于注射器的抽吸装置的情况下,这通过撤回注射器的活塞来实现,以在管中创建真空,该真空可用于抽吸液体。
一般而言,注射器是无菌的、廉价的、一次性的物品,所以将抽吸的流体吸引至注射器通常没有问题,因此,一般不需要对注射器防护和/或防止液体进入,即提供流体捕获或任何控制。实际上,在大多数情况下,通常需要的就是连接至挠性管的简单注射器以及熟练的操作者。
尽管已知的基于注射器的抽吸装置具有相对简单性和低成本,但它们也存在多个问题。
首先,如果医生尝试通过相对较长的管抽吸流体(特别是液体)、尤其是相对粘性流体,需要使用过大的注射器。这样做的原因在于,由于空气的体积与压力之间的关系性质,在等温膨胀过程中,注射器的体积需要远大于管的内积从而实现足够的真空来沿管吸引流体,特别是抵抗作用于待抽吸的流体上的气压和重力的效果。
第二,粘性液体施加流体动力阻力,除非抽吸管的内侧壁是疏水性的(这一般是指:疏抽吸液),否则抽吸流体粘于管的侧壁也导致阻力。这意味着由注射器提供的真空需要比用于非粘性流体的更大。
第三,管内的空气量以及流体本身需要被抽吸。在一定程度上,这可通过使用窄孔管来抵消,但窄管旨在更容易堵塞和夹断,并且增加了粘性抽吸液体的流体动力阻力:因此需要找到这方面的折衷方案。
实际上,上述结果在于,从业者倾向于需要体积比待抽吸流体体积大10倍至100倍的注射器(例如用于抽吸流体滴的50ml注射器,或用于几毫升的抽吸流体的100ml注射器)。然而,较大的注射器更不适合抓握并且更昂贵,对于储存和运输而言更笨重,在医学环境中相比于较小的注射器供应更短缺。
然而,在许多情况下,即使在第一次尝试(第一次撤回注射器活塞)中100x过大的注射器不足以抽吸流体(特别是液体),如果第一次尝试不成功,则使用注射器类型的抽吸装置的从业者有以下两个选择:
首先,从业者能够:1)夹止管(以维持管内的真空);2)将注射器从管断开;3)压下注射器活塞将注射器排空;4)重新将注射器连接至管;5)释放夹止;以及6)重新尝试抽吸。通常,这并不能认为是好的方式,因为从业者的一只手夹止管,所以他需要执行单手操作。因为断开装置的部件不再是无菌的,所以该方法还有可能引入有限的污染风险。
其次,从业者能够通过管“反吹”,通过压下注射器活塞来排空注射器并再次尝试。这也不能认为是好的方式,因为其具有在管的远端处对体部加压的风险,在任何情况下,将过程倒回至开始。
可以理解,上述解决方法都不是理想的,因此需要对基于注射器的抽吸装置类型的改进和/或替换类型。
本发明的第一方面提供了一种阀组件,包括操作互连的三向连接器:入口、出口和通气孔,在使用中入口可操作地连接至抽吸管;在使用中出口可操作地连接至注射器;以及通气孔包括单向阀,在使用中单向阀允许流体流出三向连接器,其中,入口包括具有多孔元件或穿孔元件的容器,多孔元件或穿孔元件干燥时允许气体流入三向连接器,然而当多孔元件或穿孔元件由液体浸湿时,阻止或防止液体流入三向连接器。
本发明的第二方面提供了一种抽吸装置,包括抽吸管,抽吸管操作连接至包括三向连接器的阀组件的入口,三向连接器还包括在使用中可操作连接至注射器的出口和包括在使用中允许流体流出三向连接器的单向阀的通气孔,其中,入口包括具有多孔元件或穿孔元件的容器,多孔元件或穿孔元件干燥时允许气体流入三向连接器,然而当多孔元件或穿孔元件由通过抽吸管吸引的液体浸湿时,阻止或防止液体流入三向连接器。
本发明的第三方面提供了一种抽吸装置,包括抽吸管,抽吸管操作连接至包括三向连接器的阀组件的入口,三向连接器还包括在使用中可操作连接至注射器的出口和包括在使用中允许流体流出三向连接器的单向阀的通气孔,其中,入口包括具有多孔元件或穿孔元件的容器,多孔元件或穿孔元件干燥时允许气体流入三向连接器,然而当多孔元件或穿孔元件由通过抽吸管吸引的液体浸湿时,阻止或防止液体流入三向连接器。
如下文所述的,本发明的配置能够使常规注射器用作泵,由此在升起活塞时,可从抽吸管中吸出流体(气体、空气或液体),但在压下注射器的活塞时,注射器和三向连接器内的流体通过通气孔排出。本发明与已知三向连接器的区别在于其具体配置。
有时在输液过程中使用的已知的、相似类型的双止回阀示例包括Borla SpA's(IT)“4166”、“4419”、“4687”和“4688”反重力和防虹吸止回阀,附图的图1中示出了示例。
在图1中,已知三向连接器10用作嵌入式装置,其包括主体部12,主体部12具有形成三向连接器的中空内部。连接器10包括入口14,在使用中从IV滴注引导的管连接至入口14。连接器10还包括设有鲁尔锁连接器的出口16,鲁尔锁连接器连接至IV供给线。因此,流体能够从IV滴注包流至供给线,然后流至患者。单向阀18并入出口16,这防止体液虹吸返回IV滴注包,例如,如果IV滴注包位于患者下方时,以及例如使IV滴注包能够断开而没有血液或其他体液流回至供给线并通过入口14排出。
侧入口20馈送入主体部12并设有第二单向止回阀22,第二单向止回阀22允许流体流入接头但不从接头回流。侧入口20还设有鲁尔连接器以允许注射器连接至该侧入口,从而使得液体药物可通过IV供给线注入患者。然而,当注射器(未示出)断开时,第二单向止回阀22防止流体从IV滴注包(连接至入口)通过侧入口20漏出。
入口14、出口16和侧入口20以及第一止回阀18和第二止回阀22的配置使得示出的接头仅能够用作嵌入式装置,其允许流体引入供给线。实际上,没有任何方式能够将注射器或管连接至已知装置从而使其从注射器转变为如本发明那样工作的泵。
本发明的容器适当地包括用于容纳一定量的抽吸出的流体和/或气体和/或空气的中空内部。
现在返回本发明,所提供的注射器适当地具有小于或等于100ml的容量,优选地具有小于或等于50ml、更优选地小于或等于10ml、5ml或1ml的容量。
在一个实施方式中,本发明提供了已知抽吸装置的简化版,其通过以下方式简化:
由于多孔或穿孔元件位于三向连接器的入口处,所以仅需要一个单向阀。这意味着,当注射器(或连接的注射器)上下泵送时,流体(即抽吸的气体和液体)通过注射器在上冲程创建的真空被吸引至抽吸管。然而,当注射器(或连接的注射器)压下时,注射器内的气体进入三向连接器,并具有两个可能的排出路径:通过多孔或穿孔元件返回(即返回抽吸管);根据本发明的通过单向阀的通气孔排出。然而,多孔或穿孔元件对流体流提供了有限阻力,该阻力大于装置的通气孔处单向阀的阻力,因此注射器内的气体优先通过通气孔排出而不是返回抽吸管,因为排出的气体遵循“最小阻力路径”。通过将多孔或穿孔元件放置在装置入口处,有利地,仅需要一个单向阀,这可简化结构、使部件数更合理并且还降低了成本和复杂程度。
通过将多孔或穿孔元件放置在装置入口处,在抽吸的液体能进入三向连接器之前,由于被多孔或穿孔元件阻挡所以不能进入三向连接器。因此,提供的容器可从装置的剩余部分拆卸,装置的剩余部分可重复使用。
本发明的容器包括多孔或穿孔元件,其允许空气或气体进入三向连接器,但阻止和/或防止液体进入三向连接器。
多孔或穿孔元件适当地包括空气渗透膜,其允许空气经过但阻止流体经过。多孔或穿孔元件适当地由例如纸的材料制造,当多孔或穿孔元件干燥时,包括允许空气或气体经过该材料的多孔或穿孔,但当多孔或穿孔元件浸湿时,例如由抽吸液体浸湿时,液体封闭多孔或穿孔,从而阻止流体(空气和/或气体和/或液体)经过。
这样的配置方便地提供了自闭阀,当自闭阀干燥时允许空气或气体进过,但当其浸湿时,其实现自密封以防止流体从其经过。
多孔或穿孔元件可浸有试剂或测试化学品,以在与目标物质接触时改变颜色。在这样的情况下,在没有容器的情况下多孔或穿孔元件例如通过观察窗口适当地可视或通过容器的透明部分适当地可视。适当地,测试化学品可测试目标物质的存在,例如包括以下的非穷尽列表中的任何一种或多种:酸、碱基(碱)、碳水化合物、葡萄糖、白糖、血液、铁、蛋白质、酮、胆红素、尿胆素原、硝酸盐、白血球等。
在本发明的某些实施方式中,多孔或穿孔元件可由石蕊试纸制造,其与酸或碱接触会改变颜色。使用石蕊试纸作为本发明的多孔或穿孔元件方便地使其能够用于测试胃酸的存在,例如当本发明用作肠内抽吸装置或NG管的一部分时。
本发明的容器可包括观察窗口,和/或该容器可至少部分由透明材料制造,以允许容器的内容可从其外部目测观察到。
提供的抽吸管适当地为挠性管,例如塑料或橡胶管。管适当地为杀菌的。管适当地为肠内抽吸管或NG管。
三向连接器的入口、出口和通气孔适当地包括用于可释放地连接物体的连接器,例如阳性或阴性的“鲁尔锁”连接器、卡口式管件、螺纹、压接式连接器。这样的配置适当地促进物体附接至三向连接器或从三向连接器断开。
适当地,入口包括用于将入口连接至肠内管或NG管的连接器的连接器,例如阴性鲁尔锁连接器。
适当地,出口包括适用于将出口连接至肠内注射器的连接器,例如阳性鲁尔或鲁尔锁连接器。
在本发明的一个实施方式中,阀组件有效地将任何标准的注射器转变为泵,允许活塞重复上下拉动以将流体从管泵出并泵入容器。这样的配置适当地避免了上文指出的使用过大的注射器抽吸流体和/或适当地避免了“断开污染”和“回流”问题。
本发明的其他可能优点是其有效地将注射器转变成泵而不需要专用电动泵单元本身。换言之,本发明可提供例如电动泵的低成本和/或一次性的替代物,电动泵在仅需要少量样品的情况下被消除。
现在将参照附图仅通过示例描述本发明的优选实施方式:
图1是穿过已知的三向中间连接器的局部侧面截面图;
图2至图5是示出根据本发明的阀组件的操作的示例系列图;
图6是本发明的实施方式的立体图;以及
图7是穿过图6所示的容器的截面图。
现在参照附图的图2至图5,根据本发明的阀组件50包括主体部52,主体部52包括直通管54和直角直管56,直角直管56从直通管54延伸以形成三向连接器51。直通管54的(在图中)左手端终止于阀组件的入口58,在使用中(尽管在图2至图5中未示出)入口连接至抽吸管。入口58具有中空、圆柱形容器60,其容纳由最初干燥的多孔或穿孔材料构成的盘62,盘62密封地安装在容器62内以防止流体绕过盘62。换言之,如箭头64所指示的通过入口58进入阀组件的流体必须经过多孔或穿孔盘2的多孔或穿孔。
直通管54的(在图中)右手端形成用于阀组件的通气孔66。单向阀68位于通气孔66处,并包括自由浮动盘70,自由浮动盘70能够在密封位置(如图2所示)与打开位置之间移动,在密封位置其外周与单向阀68的外周边缘72密封地接合,在打开位置其外周与单向阀68的外周边缘72断开。自由浮动盘72通过保持架或其他保留装置74保留在单向阀68内,保留装置74由小三角74在图中示意性地指出。
直角直管56与直通管54流体连通,并且直角直管的上端(在图中)形成出口76,出口76连接至包括室80和活塞82的注射器78。
阀组件50根据如下所述的图2至图5的顺序进行操作:
首先,如图2所示,注射器活塞82升起84,以在三向连接器51的管54、56内创建真空86。真空88使单向阀68关闭,使得流体被朝向入口58吸至抽吸管(未示出)直至活塞82到达其冲程顶部。
在图3中,活塞82下压90,从而迫使抽吸流体(气体/空气)回流至三向连接器51的管54、56,从而对其增压92。增压气体92可通过单向阀排出(其盘70移动至“打开”位置),如箭头94所示。增压气体92还可尝试通过入口58排出,但多孔或穿孔元件62的存在造成了对上述流的有限阻力,如由箭头96所指示的,从而增压气体92通过遵循“最小阻力路径”而通气孔66排出。换言之,由于多孔或穿孔元件62的阻力大于单向阀68的阻力,多孔或穿孔元件62出人意料地发现以与单向阀类似的方式运行,从而消除位于阀组件50的入口58处的额外单向阀。
注射器活塞82的升起84和下压90可以重复进行,阀组件50有效地将注射器转变成用于抽吸流体的泵。
最终,一些液体可被抽吸,如图4所示,当此情况发生时,多孔或穿孔元件62开始变湿,从而阻挡其多孔和/或穿孔(如图4和图5的黑色阴影所指示的那样)。这在阀组件的入口58处造成了堵塞,从而使得操作者难以继续升起84注射器活塞82。这有两个有用的和意想不到的用途:首先,向操作者提供了过程已完成的触觉反馈;第二,防止抽吸的液体(以及实有固体)进入阀组件的主体51,在那里会污染注射器、阻挡管54、56或阻挡(即保持打开或保持关闭)单向阀68。上述后者效果也意味着阀组件的主体和注射器可重复使用,仅替换容器60,这也减少了损耗。
如果操作者继续“泵送”注射器,如附图的图5所示,则多孔或穿孔元件62处的堵塞防止96增压空气92回吹至抽吸管(未示出),这意味着增压空气92仅能够通过通气孔66排出,如箭头94所示。
图6示出根据本发明的三向阀组件50的实施方式,其包括形成先前所述的T型接头的主体部51。阀组件50具有入口58,入口58包括阴性鲁尔锁连接器100,阴性鲁尔锁连接器连接至肠内或NG管(未示出)的阳性鲁尔锁连接器(未示出)。
容器60由透明的塑料材料形成,并设置在入口58与主体部51之间。通过使容器60由透明材料制成,位于其内的多孔或穿孔盘62对操作者可见。
此外,通气孔66包括鲁尔锁连接器101,虽然这不是绝对必需的,因为不太可能每次使用都需要收集抽吸的气体,但可能会存在必需收集的一些医学测试。
在图7中,可以看出,容器60由两个部件110、112形成,两个部件110、112卡扣在一起以形成中空内室114。两个部件110、112的外周边缘116均包括内唇部118,在内唇部之间形成一对相对的抵靠表面,当两个部件卡扣在一起时,密封地将盘62的边缘夹紧就位。
盘62通常由试纸形成,例如石蕊试纸。当干燥时,试纸的多孔或穿孔允许空气或其他气体经过,但是当由抽吸液体浸湿时,试纸的多孔和/或穿孔变得如前所述的封闭。
因此,多孔或穿孔元件62方便地提供自闭阀,其允许干燥的流体进入容器62,而浸湿时自动封闭。
此外,由于容器60的两个部件110、112中至少一个由透明的塑料材料制造,用户可容易地检查试纸盘62的颜色。因此,指示特定目标物质(例如胃酸)是否存在的试纸62的颜色变化可通过视觉检查容易地确定。
阀组件50的出口56包括阳性鲁尔锁连接器120,其与注射器的互补的阴性鲁尔连接器(未示出)接合。在出口56上还设置了内螺纹锁芯柱122,其与注射器尖端(未示出)的互补的外螺纹螺纹接合。注射器(未示出)通常包括活塞82,活塞密封地并滑动地以已知方式与注射器筒的内侧壁接合。
在使用中,肠内管(未示出)馈送至体腔,其连接器连接至阀组件50的入口54的连接器100。然后,注射器96使用前述锁芯柱连接至阀组件50的出口54。这形成了根据本发明的抽吸装置。
入口、出口和通气孔的布置对于本发明的操作不重要:显而易见的是,出口与入口以及通气孔可嵌入在T型接头的直腿上。
抽吸管(例如NG管)可插入患者,然后操作者重复地压下并撤回注射器活塞82以在抽吸装置内创建真空88和超压92,从而在上冲程将流体吸引通过肠内管,并在各个下冲程通过通气孔排出流体(初始气体)。最终,通过肠内管将液体从身体抽吸出,液体通过入口孔进入容器因此浸湿试纸62,从而提供液体的诊断测试(例如胃酸的检查),与此同时,通过浸湿试纸自动封闭入口孔并以前述方式封堵该入口孔。此处,入口被有效“封闭”,从而防止或阻止注射器活塞82的进一步升起,并自动指示操作者抽吸已完成。浸湿的多孔或穿孔元件的阻挡效果还提供了以下效果,抽吸的流体被阻止或不能被迫使返回肠内管或NG管,因此由于装置50的“自然方式”,其在使用时不是必须无菌,虽然在某些情况下灭菌是理想的。
因此,本发明提供了对抽吸流体的问题的方便的解决方案并解决了上述一个或多个问题。
本发明并不限于前述实施方式的细节,实施方式仅为本发明的示例。例如,任何形状、尺寸、相对尺寸等均为说明性的,并不是限制性的,如任何材料选择和/或设计选择(例如止回阀的类型)。

Claims (24)

1.一种阀组件,包括三向连接器,所述三向连接器操作地互连入口、出口和通气孔,在使用中所述入口可操作地连接至抽吸管;在使用中所述出口可操作地连接至注射器;以及所述通气孔包括单向阀,在使用中所述单向阀允许流体流出所述三向连接器,其中,所述入口包括具有多孔或穿孔元件的容器,所述多孔或穿孔元件干燥时允许气体流入所述三向连接器,然而当所述多孔或穿孔元件由液体浸湿时,阻止或防止液体流入所述三向连接器。
2.一种抽吸装置,包括:
操作地连接至所述入口的抽吸管;以及
操作地连接至权利要求1所述的阀组件的所述出口的注射器。
3.如前述任一权利要求所述的阀组件或抽吸装置,其中所述多孔或穿孔元件的阻力大于所述单向阀的阻力。
4.如权利要求1或权利要求2所述的阀组件或抽吸装置,其中所述容器包括用于容纳一定量的抽吸流体和/或气体和/或空气的中空内部。
5.如前述任一权利要求所述的阀组件或抽吸装置,其中所述容器包括观察窗口。
6.如前述任一权利要求所述的阀组件或抽吸装置,其中所述容器至少部分由透明材料制成。
7.如前述任一权利要求所述的阀组件或抽吸装置,其中所述容器包括两个部件,两个所述部件卡扣在一起以形成中空内室,所述两个部件的外周边缘均包括位于其间的相对抵靠表面,当两个所述部件卡扣在一起时,所述多孔或穿孔的元件被密封地夹紧。
8.如前述任一权利要求所述的阀组件或抽吸装置,其中所述容器能够从所述装置的剩余部分拆卸。
9.如前述任一权利要求所述的阀组件或抽吸装置,其中所述多孔或穿孔的元件由纸或卡片制造,当干燥时,所述多孔或穿孔的元件包括允许空气或气体经过材料的多孔或穿孔,当浸湿时,例如由抽吸的液体浸湿时,所述液体封闭所述多孔或穿孔,从而防止流体(空气和/或气体和/或液体)经过。
10.如前述任一权利要求所述的阀组件或抽吸装置,其中所述多孔或穿孔的元件浸有试剂或测试化学品。
11.如权利要求10所述的阀组件或抽吸装置,其中所述试剂或测试化学品在接触目标物质时会发生颜色改变。
12.如权利要求11所述的阀组件或抽吸装置,其中所述目标物质是以下任一种或多种:酸、碱基(碱)、碳水化合物、葡萄糖、白糖、血液、铁、蛋白质、酮、胆红素、尿胆素原、硝酸盐、以及白血球。
13.如权利要求11所述的阀组件或抽吸装置,其中所述多孔或穿孔元件由石蕊试纸制造,所述石蕊试纸在与酸或碱接触时改变颜色。
14.如前述任一权利要求所述的阀组件或抽吸装置,其中所述三向连接器的入口、出口和通气孔包括用于可释放地连接物体的连接器。
15.如权利要求14所述的阀组件或抽吸装置,其中所述连接器包括以下任一种或多种:鲁尔锁连接器、卡口型装置、螺纹、以及推合连接器。
16.如权利要求14或权利要求15所述的阀组件或抽吸装置,其中所述入口包括阴性鲁尔锁连接器。
17.如权利要求14或权利要求15所述的阀组件或抽吸装置,其中所述出口包括阳性鲁尔或鲁尔锁连接器。
18.如权利要求14或权利要求15所述的阀组件或抽吸装置,其中所述通气孔包括鲁尔锁连接器。
19.如前述任一权利要求所述的阀组件或抽吸装置,其中所述单向阀包括自由浮动盘,所述自由浮动盘能够在密封位置与打开位置之间移动,在所述密封位置所述自由浮动盘的外周密封地与所述单向阀的外周边缘接合,在所述打开位置所述自由浮动盘的外周与所述单向阀的外周边缘断开。
20.如权利要求1、2或3中任一项所述的阀组件或抽吸装置,其中所述注射器的容量基本等于或小于100ml。
21.如权利要求1、2或3中任一项所述的阀组件或抽吸装置,其中所述注射器的容量基本等于或小于50ml。
22.如权利要求1、2或3中任一项所述的阀组件或抽吸装置,其中所述注射器的容量基本等于或小于10ml。
23.如权利要求1、2或3中任一项所述的阀组件或抽吸装置,其中所述注射器的容量基本等于或小于5ml。
24.基本如本文参照附图的图2至图7所述并且在图2至图7中示出的阀组件。
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