CN109731149A - A kind of negative pressure suction sputum instrument - Google Patents

A kind of negative pressure suction sputum instrument Download PDF

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Publication number
CN109731149A
CN109731149A CN201811633712.1A CN201811633712A CN109731149A CN 109731149 A CN109731149 A CN 109731149A CN 201811633712 A CN201811633712 A CN 201811633712A CN 109731149 A CN109731149 A CN 109731149A
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CN
China
Prior art keywords
negative pressure
suction sputum
fixedly connected
adsorption tube
pressure suction
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201811633712.1A
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Chinese (zh)
Inventor
舒成梅
宋庆霞
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Chongqing Bishan Peoples Hospital
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Chongqing Bishan Peoples Hospital
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chongqing Bishan Peoples Hospital filed Critical Chongqing Bishan Peoples Hospital
Priority to CN201811633712.1A priority Critical patent/CN109731149A/en
Publication of CN109731149A publication Critical patent/CN109731149A/en
Withdrawn legal-status Critical Current

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Abstract

The invention discloses a kind of negative pressure suction sputum instruments, one end of the connecting tube is fixedly connected with the Negative pressure machine, the other end of the connecting tube and the adsorption tube are rotatablely connected, the collecting pipe is fixedly connected by the conduit with the connecting tube, two struts are fixedly connected with the adsorption tube respectively, the both ends of the connecting rod are rotatablely connected with two struts respectively, the brush body and the connecting rod are rotatablely connected, the brush head is fixedly connected with the brush body, the scraper plate is fixedly connected on the lateral wall of the adsorption tube, and the scraper plate and end thereof contacts of the brush head far from the brush body, reach adsorption tube can suction sputum while, the phlegm scab of inner wall of the pipe attachment can be removed, avoid blocking pipeline, influence the purpose of patient respiration.

Description

A kind of negative pressure suction sputum instrument
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of negative pressure suction sputum instruments.
Background technique
Phlegm is the following respiratory tract pathology of larynx or physiological secretions.Suction sputum art is an important emergency care technology, is referred to Orally, the secretion of respiratory tract is sucked out by nose, artificial airway, to keep respiratory passage unblocked, prevention aspiration pneumonia, atelectasis, A kind of method of the complication such as asphyxia.For the critically ill patient of long-term bed, most patients require to insert in tracheae Enter pipeline, when patient's throat have phlegm can not expectoration when, can be used with negative pressure suction sputum instrument adsorption tube insertion pipeline in, carry out Suction sputum, to keep breathing smooth.
But the adsorption tube with negative pressure suction sputum instrument is merely able to the phlegm in draw line at present, and can not remove in pipeline The phlegm scab of wall attachment, and the long-time of phlegm scab is accumulated, and blocking pipeline is easy, and influences patient respiration.
Summary of the invention
The purpose of the present invention is to provide a kind of negative pressure suction sputum instruments, it is intended to solve negative pressure suction sputum instrument in the prior art Adsorption tube can not remove inner wall of the pipe attachment phlegm scab, and the long-time of phlegm scab accumulate, be easy blocking pipeline, influence patient and exhale The technical issues of suction.
To achieve the above object, a kind of negative pressure suction sputum instrument that the present invention uses, the negative pressure suction sputum instrument include connection Pipe, Negative pressure machine, adsorption tube, conduit, receiving flask and remove device, one end of the connecting tube are fixedly connected with the Negative pressure machine, The other end of the connecting tube and the adsorption tube are rotatablely connected, and the adsorption tube has suction sputum far from one end of the connecting tube Mouthful, there is through-hole, the inside of the lateral wall of the adsorption tube has humidifying slot, the conduit on the lateral wall of the adsorption tube One end is fixedly connected with the connecting tube, and the other end of the conduit is fixedly connected with the receiving flask, the remove device with The adsorption tube is fixedly connected, and is located at the lateral wall of the adsorption tube,
The remove device includes strut, connecting rod, brush body, brush head and scraper plate, and the quantity of the strut is two, two The strut is fixedly connected with the adsorption tube respectively, and is located at the lateral wall of the adsorption tube, the both ends point of the connecting rod It is not rotatablely connected, and is located between two struts with two struts, the brush body and connecting rod rotation connect It connecing, the brush head is fixedly connected with the brush body, and is located at the appearance wall of the brush body, the arc-shaped structure setting of scraper plate, The scraper plate is fixedly connected with the adsorption tube, and is located at the lateral wall of the adsorption tube, and the scraper plate is remote with the brush head End thereof contacts from the brush body, the scraper plate are located at the lower section of the through-hole far from one end of the brush head.
Wherein, the brush head and the inclined angle of the brush body are arranged, and the tilt angle of the brush head and the brush body Less than 90 °.
Wherein, the negative pressure suction sputum instrument further includes humidification device, and the humidification device includes syringe, connector and branch Pipe, the syringe is fixedly connected by the connector with one end of the branch pipe, the other end of the branch pipe with it is described wet Change one end connection of slot, the other end of the humidifying slot is connected to the suction sputum mouth.
Wherein, the syringe is threadedly coupled with the connector, and is located at one of the connector far from the branch pipe End.
Wherein, the junction of the syringe and the connector has sealing ring.
Wherein, the negative pressure suction sputum instrument further includes shield, and the shield is fixedly connected with the adsorption tube, and position In the lateral wall of the adsorption tube, and it is located at the front end of the syringe.
Wherein, the negative pressure suction sputum instrument further includes fixed ring, one end of the fixed ring and the fixed company of the connecting tube It connects, the other end of the fixed ring is fixedly connected with the Negative pressure machine.
Wherein, the negative pressure suction sputum instrument further includes valve, and the valve is fixedly connected with the fixed ring, and is located at institute State the appearance wall of fixed ring.
Wherein, there is graduation mark on the receiving flask.
A kind of negative pressure suction sputum instrument of the invention, is fixedly connected by one end of the connecting tube with the Negative pressure machine, institute The other end and the adsorption tube for stating connecting tube are rotatablely connected, and the adsorption tube has suction sputum far from one end of the connecting tube Mouthful, there is through-hole, the inside of the lateral wall of the adsorption tube has humidifying slot, the collecting pipe on the lateral wall of the adsorption tube It is fixedly connected by the conduit with the connecting tube, two struts are fixedly connected with the adsorption tube respectively, and are located at The lateral wall of the adsorption tube, the both ends of the connecting rod are rotatablely connected with two struts respectively, and are located at described in two Between strut, the brush body and the connecting rod are rotatablely connected, and the brush head is fixedly connected with the brush body, and the scraper plate is in Arcuate structure setting, the scraper plate is fixedly connected on the lateral wall of the adsorption tube, and the scraper plate and the brush head are far from institute The end thereof contacts of brush body are stated, the scraper plate is located at the lower section of the through-hole far from one end of the brush head.The adsorption tube is had There is one end of the suction sputum mouth to protrude into the pipeline of insertion patient airway, the phlegm in pipeline is adsorbed by the Negative pressure machine, and The adsorption tube is rotated simultaneously, so that the bristle on the brush body is contacted with the inner wall of pipeline and rotated, and then is struck off in pipeline The phlegm scab of wall attachment, and phlegm scab is entered in the adsorption tube by the through-hole and is sucked out, it obtains adsorption tube and is capable of the same of suction sputum When, the phlegm scab of inner wall of the pipe attachment can be removed, blocking pipeline is avoided, influences the effect of patient respiration.
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this Some embodiments of invention for those of ordinary skill in the art without creative efforts, can be with It obtains other drawings based on these drawings.
Fig. 1 is the cross-sectional view of negative pressure suction sputum instrument of the invention.
Fig. 2 is the structural schematic diagram of negative pressure suction sputum instrument of the invention.
Fig. 3 is the side view of negative pressure suction sputum instrument of the invention.
Fig. 4 is the front view of negative pressure suction sputum instrument of the invention.
Fig. 5 is the enlarged drawing of remove device of the invention.
Fig. 6 is the enlarged drawing of humidification device of the invention.
100- negative pressure suction sputum instrument, 10- connecting tube, 11- Negative pressure machine, 12- adsorption tube, 121- suction sputum mouth, 122- through-hole, 123- humidifying slot, 13- conduit, 14- receiving flask, 20- remove device, 21- strut, 22- connecting rod, 23- brush body, 24- brush head, 25- scraper plate, 30- humidification device, 31- syringe, 32- connector, 33- branch pipe, 34- sealing ring, 35- shield, 36- are fixed Ring, 37- valve, 38- graduation mark.
Specific embodiment
The embodiment of the present invention is described below in detail, examples of the embodiments are shown in the accompanying drawings, wherein from beginning to end Same or similar label indicates same or similar element or element with the same or similar functions.Below with reference to attached The embodiment of figure description is exemplary, it is intended to is used to explain the present invention, and is not considered as limiting the invention.
In the description of the present invention, it is to be understood that, term " length ", " width ", "upper", "lower", "front", "rear", The orientation or positional relationship of the instructions such as "left", "right", "vertical", "horizontal", "top", "bottom" "inner", "outside" is based on attached drawing institute The orientation or positional relationship shown, is merely for convenience of description of the present invention and simplification of the description, rather than the dress of indication or suggestion meaning It sets or element must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as to limit of the invention System.In addition, in the description of the present invention, the meaning of " plurality " is two or more, unless otherwise specifically defined.
Fig. 1 to Fig. 6 is please referred to, the present invention provides a kind of negative pressure suction sputum instrument 100, the negative pressure suction sputum instrument 100 is wrapped Include connecting tube 10, Negative pressure machine 11, adsorption tube 12, conduit 13, receiving flask 14 and remove device 20, one end of the connecting tube 10 with The Negative pressure machine 11 is fixedly connected, and the other end of the connecting tube 10 and the adsorption tube 12 are rotatablely connected, the adsorption tube 12 One end far from the connecting tube 10 has suction sputum mouth 121, has through-hole 122, the suction on the lateral wall of the adsorption tube 12 The inside of the lateral wall of attached pipe 12 has humidifying slot 123, and one end of the conduit 13 is fixedly connected with the connecting tube 10, described The other end of conduit 13 is fixedly connected with the receiving flask 14, and the remove device 20 is fixedly connected with the adsorption tube 12, and Positioned at the lateral wall of the adsorption tube 12;
The remove device 20 includes strut 21, connecting rod 22, brush body 23, brush head 24 and scraper plate 25, the strut 21 Quantity is two, and two struts 21 are fixedly connected with the adsorption tube 12 respectively, and is located at the outside of the adsorption tube 12 Wall, the both ends of the connecting rod 22 are rotatablely connected with two struts 21 respectively, and are located between two struts 21, The brush body 23 is rotatablely connected with the connecting rod 22, and the brush head 24 is fixedly connected with the brush body 23, and is located at the brush The appearance wall of body 23, the arc-shaped structure setting of the scraper plate 25, the scraper plate 25 is fixedly connected with the adsorption tube 12, and is located at The lateral wall of the adsorption tube 12, and the scraper plate 25 and end thereof contacts of the brush head 24 far from the brush body 23, it is described to scrape Plate 25 is located at the lower section of the through-hole 122 far from one end of the brush head 24.
In the present embodiment, the Negative pressure machine 11 connect electric connection, one end of the connecting tube 10 with external power supply It is fixedly connected with the Negative pressure machine 11, the other end and institute's adsorption tube 12 of the connecting tube 10 are rotatablely connected, the adsorption tube 12 There is the suction sputum mouth 121 on the one end contacted with the inner wall that patient is inserted into the pipeline of tracheae, the quantity of the suction sputum mouth 121 is It is multiple, there is through-hole 122, and the quantity of the through-hole 122 is multiple, multiple through-holes on the lateral wall of the adsorption tube 12 122 equally can suction sputum, the inside of the lateral wall of the adsorption tube 12 has the humidifying slot 123, and the remove device 20 is set It sets in the one end being oppositely arranged with the humidifying slot 123, and is located at the lateral wall of the adsorption tube 12, two struts 21 are solid Surely it is connected to the lateral wall of the adsorption tube 12, and is rotatablely connected the connecting rod 22, the company between two struts 21 It is rotatably connected to multiple brush bodies 23 on extension bar 22, multiple brush heads 24 are provided on each brush body 23, it is described One end of scraper plate 25 is fixedly connected on the lateral wall of the adsorption tube 12, and is located at the lower section of multiple through-holes 122, described to scrape The other end of plate 25 comes into full contact with the brush head 24 on multiple brush bodies 23, and the arc-shaped structure of the scraper plate 25, works as patient Can not expectoration phlegm when, medical staff protrudes into the adsorption tube 12 in the endotracheal pipeline of patient at this time, and will be described negative Press 11 is powered, so that the adsorption tube 12 generates suction after the Negative pressure machine 11 acts, and then the Negative pressure machine 11 acts, The phlegm in patient's throat can be sucked out by the suction sputum mouth 121 on the adsorption tube 12 at this time, to keep patient respiratory unimpeded, The phlegm of suction enters the receiving flask 14 by the conduit 13 and collects phlegm, avoids pollution environment, while in the absorption During 12 suction sputum of pipe, the adsorption tube 12 is rotated, so that rotation of the adsorption tube 12 in pipeline, the brush body at this time The brush head 24 on 23 is contacted with pipeline inner surface wall, under the interaction of power and then drives the brush body 23 and the connection Bar 22 rotates simultaneously, and the brush body 23 is rotated around the connecting rod 22 in 360 °, multiple brush heads 24 on the brush body 23 The phlegm scab for striking off the aggregation in pipeline, after scraping eliminating phlegm scab, a part of phlegm scab can be along the inner surface wall slide downward of pipeline, and passes through Multiple suction sputum mouths 121 draw phlegm scab and finally enter the receiving flask 14 into the inside of the adsorption tube 12, a part Phlegm scab can be attached on the brush head 24, and multiple brush heads 24 connect with the scraper plate 25 in 23 rotation process of brush body Touching, the scraper plate 25 generates frictional force with multiple brush heads 24, and then strikes off remaining phlegm scab on multiple brush heads 24, protects The clean of multiple brush heads 24 is held, while multiple brush heads 24 after scraped clean can remove the phlegm scab of inner wall of the pipe Must be cleaner, due to the arc-shaped structure setting of the scraper plate 25, the phlegm scab of removing can flow into multiple institutes along the scraper plate 25 Through-hole 122 is stated, and is adsorbed into the inside of the adsorption tube 12, the receiving flask 14 is eventually entered into, finally by the adsorption tube 12 take out, and close the Negative pressure machine 11, and the negative pressure suction sputum instrument 100 can not only draw the pipeline that patient is inserted into tracheae Internal phlegm, while the phlegm scab in pipeline can be struck off, it avoids phlegm scab from blocking pipeline, guarantees that the breathing of patient is smooth.
Further, the brush head 24 is arranged with the inclined angle of the brush body 23, and the brush head 24 and the brush body 23 tilt angle is less than 90 °.
In the present embodiment, the brush head 24 is arranged with the inclined angle of the brush body 23, and tilt angle is less than 90 °, when medical staff needs the inside by the pipeline of the adsorption tube 12 insertion tracheae, the brush head 24 is in bend backward receipts Hold together state, medical staff is easily inserted.
Further, the negative pressure suction sputum instrument 100 further includes humidification device 30, and the humidification device 30 includes syringe 31, connector 32 and branch pipe 33, the syringe 31 are fixedly connected by the connector 32 with one end of the branch pipe 33, institute The other end for stating branch pipe 33 is connected to one end of the humidifying slot 123, the other end of the humidifying slot 123 and the suction sputum mouth 121 connections.
In the present embodiment, the humidification device 30 is connected to the humidifying slot 123, by one end of the branch pipe 33 with The humidifying slot 123 is connected to, and the other end of the branch pipe 33 is connected to the connector 32, and the syringe 31 is described in Connector 32 is connected to the branch pipe 33, when patient is in suction sputum, the syringe 31 is pressed, so that inside the syringe 31 Humidification fluid enter the humidifying slot 123, since the humidifying slot 123 is connected to the suction sputum mouth 121, the humidifying slot 123 Internal humidification fluid can be discharged from suction sputum mouth 121 described in one of them, and then humidification fluid enters the tracheae of patient, then to phlegm Liquid and patient airway carry out abundant humidifying, improve the suction sputum efficiency of the adsorption tube 12, while avoiding damaging gas when negative pressure suction sputum Road causes bleeding, improves safety and the comfort of patient.
Further, the syringe 31 is threadedly coupled with the connector 32, and is located at the connector 32 far from institute State one end of branch pipe 33.
In the present embodiment, the syringe 31 is arranged with 32 screw thread of connector, so that medical staff's needs pair When patient's suction sputum humidifying, humidification fluid is added in the convenient inside to the syringe 31, while can be realized the branch pipe 33 and institute The Fast Installation and disassembly of syringe 31 are stated, working efficiency is improved.
Further, the junction of the syringe 31 and the connector 32 has sealing ring 34.
In the present embodiment, the sealing ring 34 is made of elastic material, and the setting of the sealing ring 34 can increase Add the leakproofness between the connector 32 and the syringe 31, avoids the syringe 31 from injecting into the branch pipe 33 wet When changing liquid, humidification fluid is oozed out from the junction between the syringe 31 and the connector 32.
Further, the negative pressure suction sputum instrument 100 further includes shield 35, the shield 35 and the adsorption tube 12 It is fixedly connected, and is located at the lateral wall of the adsorption tube 12, and be located at the front end of the syringe 31.
In the present embodiment, the setting of the shield 35 can prevent the adsorption tube 12 in pipeline when suction sputum, Sputum is splashed out out of described pipeline, is splashed with medical staff, and hospital-acquired infection is caused.
Further, the negative pressure suction sputum instrument 100 further includes fixed ring 36, one end of the fixed ring 36 and the company Adapter tube 10 is fixedly connected, and the other end of the fixed ring 36 is fixedly connected with the Negative pressure machine 11.
In the present embodiment, the Negative pressure machine 11 can be connect more firm by the fixed ring 36 with the connecting tube 10 Gu improving the leakproofness between the Negative pressure machine 11 and the connecting tube 10, the Negative pressure machine 11 and the connecting tube are avoided 10 connection causes pressure release because of poor sealing.
Further, the negative pressure suction sputum instrument 100 further includes valve 37, and the valve 37 and the fixed ring 36 are fixed Connection, and it is located at the appearance wall of the fixed ring 36.
In the present embodiment, the air pressure that the valve 37 can control the Negative pressure machine 11 to the connecting tube 10 is big It is small, facilitate medical staff by air pressure adjustment to the air pressure that the phlegm in patient airway can be sucked out, to the work belt of medical staff Convenience.
Further, there is graduation mark 38 on the receiving flask 14.
In the present embodiment, the setting of the graduation mark 38 can facilitate medical staff intuitively to observe the absorption The capacity of the sputum in patient airway is sucked out in pipe 12, while facilitating medical staff that can reach to the sputum in the receiving flask 14 It is replaced after predetermined amount.
Above disclosed is only a preferred embodiment of the present invention, cannot limit the power of the present invention with this certainly Sharp range, those skilled in the art can understand all or part of the processes for realizing the above embodiment, and weighs according to the present invention Benefit requires made equivalent variations, still belongs to the scope covered by the invention.

Claims (9)

1. a kind of negative pressure suction sputum instrument, which is characterized in that
The negative pressure suction sputum instrument includes connecting tube, Negative pressure machine, adsorption tube, conduit, receiving flask and remove device, the connecting tube One end be fixedly connected with the Negative pressure machine, the other end of the connecting tube and the adsorption tube are rotatablely connected, the adsorption tube One end far from the connecting tube has suction sputum mouth, has through-hole, the outside of the adsorption tube on the lateral wall of the adsorption tube The inside of wall has humidifying slot, and one end of the conduit is fixedly connected with the connecting tube, the other end of the conduit with it is described Receiving flask is fixedly connected, and the remove device is fixedly connected with the adsorption tube, and is located at the lateral wall of the adsorption tube;
The remove device includes strut, connecting rod, brush body, brush head and scraper plate, and the quantity of the strut is two, described in two Strut is fixedly connected with the adsorption tube respectively, and be located at the adsorption tube lateral wall, the both ends of the connecting rod respectively with Two strut rotation connections, and be located between two struts, the brush body and the connecting rod are rotatablely connected, institute It states brush head to be fixedly connected with the brush body, and is located at the appearance wall of the brush body, the arc-shaped structure setting of scraper plate is described to scrape Plate is fixedly connected with the adsorption tube, and is located at the lateral wall of the adsorption tube, and the scraper plate and the brush head are far from described The end thereof contacts of brush body, the scraper plate are located at the lower section of the through-hole far from one end of the brush head.
2. negative pressure suction sputum instrument as described in claim 1, which is characterized in that
The brush head and the inclined angle of the brush body are arranged, and the tilt angle of the brush head and the brush body is less than 90 °.
3. negative pressure suction sputum instrument as claimed in claim 2, which is characterized in that
The negative pressure suction sputum instrument further includes humidification device, and the humidification device includes syringe, connector and branch pipe, the note Emitter is fixedly connected by the connector with one end of the branch pipe, one end of the other end of the branch pipe and the humidifying slot Connection, the other end of the humidifying slot are connected to the suction sputum mouth.
4. negative pressure suction sputum instrument as claimed in claim 3, which is characterized in that
The syringe is threadedly coupled with the connector, and is located at the one end of the connector far from the branch pipe.
5. negative pressure suction sputum instrument as claimed in claim 4, which is characterized in that
The junction of the syringe and the connector has sealing ring.
6. negative pressure suction sputum instrument as claimed in claim 5, which is characterized in that
The negative pressure suction sputum instrument further includes shield, and the shield is fixedly connected with the adsorption tube, and is located at the suction The lateral wall of attached pipe, and it is located at the front end of the syringe.
7. negative pressure suction sputum instrument as described in claim 1, which is characterized in that
The negative pressure suction sputum instrument further includes fixed ring, and one end of the fixed ring is fixedly connected with the connecting tube, described solid The other end for determining ring is fixedly connected with the Negative pressure machine.
8. negative pressure suction sputum instrument as claimed in claim 7, which is characterized in that
The negative pressure suction sputum instrument further includes valve, and the valve is fixedly connected with the fixed ring, and is located at the fixed ring Appearance wall.
9. negative pressure suction sputum instrument as claimed in claim 8, which is characterized in that
There is graduation mark on the receiving flask.
CN201811633712.1A 2018-12-29 2018-12-29 A kind of negative pressure suction sputum instrument Withdrawn CN109731149A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811633712.1A CN109731149A (en) 2018-12-29 2018-12-29 A kind of negative pressure suction sputum instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201811633712.1A CN109731149A (en) 2018-12-29 2018-12-29 A kind of negative pressure suction sputum instrument

Publications (1)

Publication Number Publication Date
CN109731149A true CN109731149A (en) 2019-05-10

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Application Number Title Priority Date Filing Date
CN201811633712.1A Withdrawn CN109731149A (en) 2018-12-29 2018-12-29 A kind of negative pressure suction sputum instrument

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112245750A (en) * 2020-09-24 2021-01-22 中国人民解放军陆军军医大学第二附属医院 Multifunctional trachea cannula
CN112245783A (en) * 2020-11-03 2021-01-22 淄博市临淄区中医医院 Clinical medicine device that spouts of otolaryngology branch of academic or vocational study

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112245750A (en) * 2020-09-24 2021-01-22 中国人民解放军陆军军医大学第二附属医院 Multifunctional trachea cannula
CN112245750B (en) * 2020-09-24 2023-08-15 中国人民解放军陆军军医大学第二附属医院 Multifunctional trachea cannula
CN112245783A (en) * 2020-11-03 2021-01-22 淄博市临淄区中医医院 Clinical medicine device that spouts of otolaryngology branch of academic or vocational study

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Application publication date: 20190510