CN109864765A - Pneumoperitoneum apparatus device is used in a kind of laparoscopy - Google Patents
Pneumoperitoneum apparatus device is used in a kind of laparoscopy Download PDFInfo
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- CN109864765A CN109864765A CN201910073578.2A CN201910073578A CN109864765A CN 109864765 A CN109864765 A CN 109864765A CN 201910073578 A CN201910073578 A CN 201910073578A CN 109864765 A CN109864765 A CN 109864765A
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- pneumoperitoneum apparatus
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Abstract
The invention discloses pneumoperitoneum apparatus device is used in a kind of laparoscopy, including carbon dioxide cylinder, steam generator and pneumoperitoneum owner's body, carbon dioxide cylinder memory is placed with carbon dioxide, and carbon dioxide outlet is provided on carbon dioxide cylinder, is provided with switch and pressure regulator valve at carbon dioxide outlet；Steam port is set on steam generator, steam regulation button is provided on steam generator；Pneumoperitoneum apparatus main body is pair of lamina shell, including inner casing and shell, shell is set on inner casing, the both ends of shell are connected with inner casing, and accommodating chamber is formed between shell and inner casing, and outwardly extending carbon dioxide pipe is provided on inner casing, steam jet is provided on the side wall of inner casing, mixed gas outlet is offered on inner casing, steam connection tube is provided on the side wall of shell, and the end of steam connection tube is connected to the steam port of steam generator.A kind of carbon dioxide gas with temperature and humidity can be provided for abdominal operation with pneumoperitoneum apparatus device in such laparoscopy.
Description
Technical field
The present invention relates to medical instruments fields, and in particular to pneumoperitoneum apparatus device is used in a kind of laparoscopy.
Background technique
Laparoscope is similar with electronic gastroscope, is a kind of instrument with miniature webcam, and laparoscopic surgery is exactly to utilize abdomen
The operation that hysteroscope and its related equipment carry out.To make laparoscopic surgery possess sufficient space operation, Continuous Perfusion abdominal cavity is needed to give two
Carbon oxide gas establishes artificial pneumoperitoneum, and artificial pneumoperitoneum is the necessary condition of laparoscopic surgery.Carbon dioxide because colorless and odorless, it is non-easily
Combustion property, the advantages that solubility is high in blood, have become the calibrating gas that laparoscope uses.
But since the temperature of the carbon dioxide gas of pneumoperitoneum apparatus conveying is usually less than human body temperature, when the dioxy of big flow
The heat that human body can be largely absorbed when changing carbon gas input abdominal cavity of patients, causes the discomfort of patient with operation in the course of surgery
Sense, and increase the probability for inducing shiver with cold, surgery cut infection, cause patient postoperative rehabilitation process longer, increases patient suffering.It is low
In human body temperature carbon dioxide gas enter abdominal cavity when, also will cause vapor liquefaction condense on the camera lens of laparoscope,
The surgical field of view of operator doctor is influenced, so that operator doctor has to that the camera lens is extracted removal water mist often, causes to perform the operation
Time extends.
Meanwhile the carbon dioxide of input also results in abdominal cavity low temperature if it is dry carbon dioxide, influences patient's body
Immune and coagulation function, the lasting carbon dioxide dry to intraperitoneal injection easily lead to intraperitoneal liquid and largely evaporate, and cause group
Fill drying property damage.Dry carbon dioxide also will cause peritonaeum and see chrotoplast villus shedding, Dilated intercellular space, inflammatory mediator
Release, basilar memebrane exposure, and then influence function of intestinal canal and restore, increase postoperative intestinal adhesion and intestinal obstruction point danger.
Summary of the invention
In view of the above-mentioned problems, the present invention is provided in a kind of laparoscopy with pneumoperitoneum apparatus device, gas is used in such laparoscopy
Abdomen machine device can provide a kind of carbon dioxide gas with temperature and humidity for abdominal operation.
To achieve the goals above, the present invention is to realize by the following technical solutions: using gas in a kind of laparoscopy
Abdomen machine device, including carbon dioxide cylinder, steam generator and pneumoperitoneum owner's body；
The carbon dioxide cylinder memory is placed with carbon dioxide, is provided with carbon dioxide on the carbon dioxide cylinder and goes out
Mouthful, switch and pressure regulator valve are provided at the carbon dioxide outlet；
Steam port is set on the steam generator, steam regulation button is provided on the steam generator；
The pneumoperitoneum apparatus main body is pair of lamina shell, including inner casing and shell, the shell are set on inner casing, described outer
The both ends of shell are connected with the inner casing, and accommodating chamber is formed between the shell and the inner casing, are provided on the inner casing outward
The titanium dioxide on the carbon dioxide pipe of extension, the end of the carbon dioxide pipe and the carbon dioxide cylinder
Carbon outlet is connected, and is provided with steam jet on the side wall of the inner casing, and the steam jet is by the inner cavity of the inner casing and institute
State accommodating chamber connection, offer mixed gas outlet on the inner casing, and the mixed gas outlet and the carbon dioxide into
Port pipe is oppositely arranged, and steam connection tube, the end of the steam connection tube and the steaming are provided on the side wall of the shell
The steam port of vapour generator is connected to.
Further, it is provided with steam on the steam connection tube and enters assistor, the steam enters assistor and includes
Shell, shaft, rotating power source, eccentric wheel, outer ring and cylinder, the shell are supported on ground by bracket, and the shell is
Circular ring shape, opposite on the two sides of the shell to offer air inlet and air outlet, the air inlet passes through pipeline and the steam
The steam port of generator is connected to, and the gas outlet is connected to the steam connection tube, the air inlet and the gas outlet
Between be provided with the evacuation protrusion to raise upward, the shaft is located on the central axis of the shell, and described shaft one end is located at
Outside the shell, other end is interspersed in the shell, and the rotating power source is arranged outside the shell by support, institute
The power output end for stating rotating power source is connected with the shaft, and the eccentric wheel is located in the shell, and is set in described
In shaft, the outer ring is set on the eccentric wheel, and can be rotated on the eccentric wheel, the outer wall of the outer ring with it is described
The inner wall linear contact of shell, the cylinder are horizontally installed in evacuation protrusion, and with the housing parallel, the evacuation
There are two limit holes for the opposite setting of the side wall of protrusion, and the exterior sidewall portions of the cylinder are fastened in the limit hole, described
Cylinder is provided with slide bar along perforation has been arranged radially on the outer ring, the slide bar is interspersed in the perforation, and can be in institute
It states and is slided up and down in perforation.
Further, blender is provided in the inner casing, the blender includes strut, impeller and blade, the branch
The side wall of the inner casing is arranged in bar and center extends, and the end of the strut is arranged in the impeller, and can be in the strut
Upper rotation, the blade are arranged on the impeller.
Further, the blender has multiple, multiple blender interval settings.
Further, the strut height of multiple blenders is different.
Further, the steam jet has multiple, and multiple steam jets are spaced apart on the interior shell side wall.
Further, guide pipe is provided at the steam jet, the guide pipe is obliquely installed, and inclined direction is close
The mixed gas outlet direction of the pneumoperitoneum apparatus main body.
It further, further include air exhauster, the air exhauster is arranged at the mixed gas outlet, the air exhauster
Startup power supply is exposed with the pneumoperitoneum apparatus main body.
Further, temperature inductor and humidity sensor are provided at the mixed gas outlet.
Following advantages is included at least with pneumoperitoneum apparatus device in above-mentioned laparoscopy:
Pneumoperitoneum apparatus device is used in above-mentioned laparoscopy, including takes carbon dioxide cylinder, steam generator and pneumoperitoneum owner's body.
Carbon dioxide cylinder is for providing carbon dioxide gas into pneumoperitoneum apparatus main body, and steam generator into pneumoperitoneum apparatus main body for mentioning
The steam with certain temperature and humidity is taken, pneumoperitoneum apparatus main body is used to generate the carbon dioxide mix gas with temperature and humidity
Body.It is also economic and practical while the present apparatus is easy to operate, mitigate patient suffering while reducing trouble for operator.
Detailed description of the invention
Fig. 1 is the schematic diagram that pneumoperitoneum apparatus device is used in an embodiment laparoscopy；
Fig. 2 is that steam enters the schematic diagram that eccentric wheel in assistor turns an angle in Fig. 1；
Appended drawing reference: in 10- laparoscopy with pneumoperitoneum apparatus device, 100- carbon dioxide cylinder, 110- carbon dioxide outlet,
120- switch, 130- pressure regulator valve, 200- steam generator, 210- steam port, 220- steam flow rate control button, 300- pneumoperitoneum apparatus
Main body, 310- shell, 311- carbon dioxide inlet pipe, 312- steam jet, 313- mixed gas outlet, 314- guide pipe,
315- temperature inductor, 316- humidity sensor, 320- steam connector, 330- accommodating chamber, 400- steam enter assistor,
410- shell, 411- enter mouth, the gas outlet 412-, 413- evacuation protrusion, 414- limit hole, 420- shaft, 440- eccentric wheel,
450- outer ring, 451- slide bar, 460- cylinder, 461- perforation, 500- blender, 510- strut, 520- impeller, 530- blade,
600- exhaust fan.
Specific embodiment
It is described in detail below in conjunction with embodiment of the attached drawing to technical solution of the present invention.Following embodiment is only used for
Clearly illustrate technical solution of the present invention, therefore be only used as example, and cannot be used as a limitation and limit protection model of the invention
It encloses.
It please refers to Fig. 1 to Fig. 2, uses pneumoperitoneum apparatus device 10 in a kind of laparoscopy, including take carbon dioxide cylinder 100, steam
Vapour generator 200 and pneumoperitoneum owner body 300.Carbon dioxide cylinder 100 is for providing carbon dioxide gas into pneumoperitoneum apparatus main body 300
Body, steam generator 200, which is used to extract into pneumoperitoneum apparatus main body 300, has temperature and humidity steam, and pneumoperitoneum apparatus main body 300 is used for
Generate the carbon dioxide gas with certain temperature and humidity.
Specifically, 100 memory of carbon dioxide cylinder is placed with carbon dioxide.Titanium dioxide is provided on carbon dioxide cylinder 100
Carbon outlet 110.Switch 120 and pressure regulator valve 300 are provided at carbon dioxide outlet 110.Steam port is set on steam generator 200
210, steam regulation button 220 is provided on steam generator 200.Pneumoperitoneum apparatus main body 300 is pair of lamina shell, including inner casing
310 and shell 320.Shell 320 is set on inner casing 310.The both ends of shell 320 are connected with inner casing 310.Shell 320 and inner casing
Accommodating chamber 330 is formed between 310.Outwardly extending carbon dioxide pipe 311 is provided on inner casing 310.Carbon dioxide
The end of pipe 311 is connected with the carbon dioxide outlet 110 on carbon dioxide cylinder 100.Steaming is provided on the side wall of inner casing 310
The inner cavity of inner casing 310 is connected to by vapour nozzle 312, steam jet 312 with accommodating chamber 330.Mixed gas outlet can be offered on shell
313.Mixed gas outlet 313 is oppositely arranged with carbon dioxide pipe 311, and steam connection is provided on the side wall of shell 320
Pipe 321.The end of steam connection tube 321 is connected to the steam port 210 of steam generator 200.Go out in use, opening carbon dioxide
Switch 120 at mouth 110, the speed that carbon dioxide enters can be controlled by pressure regulator valve 130.Carbon dioxide gas passes through two
Carbonoxide air inlet pipe 311 enters inside pneumoperitoneum apparatus main body 300.Start steam generator 200 simultaneously, the speed of steam generation and
Temperature can be controlled by steam regulation button 220.The steam of production is entered in accommodating chamber 330 by steam connection tube 321,
Then entered inside pneumoperitoneum apparatus main body 300 by the steam jet 312 on inner casing 310.And with two inside pneumoperitoneum apparatus main body 300
Carbon oxide gas is mixed into carbon dioxide gas mixture, finally by mixed gas outlet 313, carbon dioxide gas mixture
Into human abdominal cavity, it is operated.
In the present embodiment, steam jet 312 has multiple, between axial direction of multiple steam connection tubes 321 along shell 320
Every distribution.The steam jet 312 at multiple intervals can be from different positions to the interior penetrating steam of the inner casing 310 of inner casing 310, both
It can accelerate the flow velocity of steam, and can increase the uniformity that steam is mixed with carbon dioxide gas.
It is provided with steam on steam connection tube 321 and enters assistor 400.Steam enter assistor 400 include shell 320,
Shaft 420, rotating power source, eccentric wheel 440, outer ring 450 and cylinder 460.Shell 320 is supported on ground, shell by bracket
320 be circular ring shape, offers air inlet 411 and gas outlet 412 relatively on the two sides of shell 320.Air inlet 411 by pipeline with
The steam port 210 of steam generator 200 is connected to.Gas outlet 412 is connected to steam connection tube 321.Air inlet 411 and gas outlet
The evacuation protrusion 413 to raise upward is provided between 412.Shaft 420 is located on the central axis of shell 320,420 one end of shaft position
In outside shell 320, other end is interspersed in shell 320.Rotating power source is arranged outside shell 320 by support.Rotation is dynamic
The power output end in power source is connected with shaft 420, and eccentric wheel 440 is located in shell 320, and is arranged in shaft 420.Outer ring
450 are set on eccentric wheel 440, and can rotate on eccentric wheel 440.The outer wall of outer ring 450 and the inner wall of shell 320 linearly connect
Touching.Cylinder 460 is horizontally installed in evacuation protrusion 413, and parallel with shell 320.The opposite setting of the side wall of evacuation protrusion 413
There are two limit hole 414, the exterior sidewall portions of cylinder 460 are fastened in limit hole 414.Cylinder 460 is worn along being arranged radially
Hole 461 is provided with slide bar 451 on outer ring 450, and slide bar 451 is interspersed in perforation 461, and can slide up and down in perforation 461.
When in use, start rotating power source, rotating power source band movable eccentric wheel 440 and outer ring 450 turn round in shell 320, eccentric
Wheel 440 and outer ring 450 will be pumped out from the steam that air inlet 411 enters from gas outlet 412.Smoothly, quickly so as to auxiliary steam
Enter pneumoperitoneum apparatus main body 300 in.
The uniformity of carbon dioxide gas mixing in order to further increase.Blender 500 is provided in inner casing 310.Stirring
Device 500 includes strut 510, impeller 520 and blade 530.Strut 510 is arranged in the side wall of inner casing 310 and extends to center, impeller
520 are arranged in the end of strut 510, and can rotate on strut 510.Blade 530 is arranged on impeller 520.Work as carbon dioxide
When the inner cavity for pouring inner casing 310 of air-flow and vapor stream, carbon dioxide gas stream and vapor stream act on blender 500
On blade 530, blade 530 generates rotation, then can further mix carbon dioxide gas stream and vapor stream.In present embodiment
In, in order to increase mixing effect, blender has multiple, multiple blender interval setting settings.Meanwhile the strut of multiple blenders
Height it is inconsistent, the mixed gas of different parts can be stirred.
In the present embodiment, in order to increase the speed that blade 530 rotates, guide pipe is provided at steam jet 312
314.Guide pipe 314 is obliquely installed, and inclined direction is close to 313 direction of mixed gas outlet of pneumoperitoneum apparatus main body 300.It is inclined
The steam that the guidance of guide pipe 314 sprays has certain angle, and angle is towards the direction of mixed gas outlet 313, Ji Nengzeng
It beats steam stream and is punched in the impulse force of blade 530, to accelerate the revolving speed of blade 530, more evenly by mixed gas stirring, moreover it is possible to add
The flow velocity of big mixed gas outlet 313.
In present embodiment, in order to increase the speed of mixed airflow outflow, the present apparatus further includes air exhauster 600.Air exhauster
600 are arranged at mixed gas outlet 313.The startup power supply of air exhauster 600 is exposed with pneumoperitoneum apparatus main body 300.600 energy of air exhauster
Mixed gas in pneumoperitoneum apparatus main body 300 is extracted out into mixed gas outlet 313.Meanwhile going out to set in mixed gas outlet 313
It is equipped with temperature inductor 315 and humidity sensor 316.In use, pass through observation temperature inductor 315 and humidity inductive
Device 316 can grasp the temperature and humidity of mixed gas, enter the speed of inner casing 310 so as to adjust carbon dioxide and adjustment is steamed
Vapour generator 200 generates the speed of steam, to provide optimal carbon dioxide gas mixture for operation.
The application method of pneumoperitoneum apparatus device 10 is used in above-mentioned laparoscopy:
Need to it is intraperitoneal be passed through gas when, start steam generator 200, make steam generator 200 generate have one
Determine the steam of temperature.Then, it opens simultaneously 100 switch 120 of carbon dioxide cylinder and starting steam enters on assistor 400.Two
Carbon oxide gas enters the interior intracavitary of pneumoperitoneum apparatus main body 300 by carbon dioxide pipe 311.Steam enters auxiliary by steam
Device 400 is pumped into the accommodating chamber 330 of pneumoperitoneum apparatus main body 300, and is sprayed into inner casing 310 by the steam jet 312 on inner casing 310
Chamber.Blender 500 can be by carbon dioxide and steam-stirring at uniformly mixed mixed gas.Air exhauster 600 can be by pneumoperitoneum owner
Mixed gas is retracted to mixed gas outlet 313 in body 300, finally injects the intraperitoneal of patient.In use, may be used
With by observation humidity sensor 316 and temperature inductor 315, adjust as needed carbon dioxide enter 310 speed of inner casing and
The humidity that steam generator 200 generates steam is adjusted, provides optimal carbon dioxide gas mixture for operation.
Pneumoperitoneum apparatus device 10, including carbon dioxide cylinder 100, steam generator 200 and pneumoperitoneum are used in above-mentioned laparoscopy
Owner's body 300.Carbon dioxide cylinder 100 is for providing carbon dioxide gas, steam generator 200 into pneumoperitoneum apparatus main body 300
There is temperature and humidity steam for extracting into pneumoperitoneum apparatus main body 300, pneumoperitoneum apparatus main body 300 can be by carbon dioxide gas and steaming
After vapour mixing, the carbon dioxide gas mixture with temperature and humidity is generated.It is suitable that steam enters 400 energy auxiliary steam of assistor
Benefit quickly enters in pneumoperitoneum apparatus main body 300.The steam jet 312 at multiple intervals can be from different positions to inner casing 310
Interior intracavitary penetrating steam.The uniformity that the flow velocity and steam that can accelerate steam are mixed with carbon dioxide gas.In gas
Under the impulse force of stream, the carbon dioxide entered in inner casing 310 and steam can be stirred by blender 500.And then it is mixed to increase gas
The uniformity of conjunction.The steam that the inclined guidance of guide pipe 314 sprays has certain angle, can speed the revolving speed of blade 530, will
Mixed gas stirs more evenly, moreover it is possible to increase the flow velocity of mixed gas outlet 313.Air exhauster 600 can improve mixed gas stream
Enter the flow velocity in abdominal cavity.
Finally, it should be noted that basic principles and main features of the invention and of the invention excellent have been shown and described above
Point, it is obvious to a person skilled in the art that invention is not limited to the details of the above exemplary embodiments, and without departing substantially from
In the case where spirit or essential attributes of the invention, the present invention can be realized in other specific forms.Therefore, no matter from which
From the point of view of point, the present embodiments are to be considered as illustrative and not restrictive, and the scope of the present invention is by appended claims
Rather than above description limits, it is intended that by all changes that come within the meaning and range of equivalency of the claims capsule
It includes in the present invention.Any reference signs in the claims should not be construed as limiting the involved claims.
In addition, it should be understood that although this specification is described in terms of embodiments, but not each embodiment is only wrapped
Containing an independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should
It considers the specification as a whole, the technical solutions in the various embodiments may also be suitably combined, forms those skilled in the art
The other embodiments being understood that.
Claims (9)
1. pneumoperitoneum apparatus device, including carbon dioxide cylinder, steam generator and pneumoperitoneum owner's body are used in a kind of laparoscopy, it is special
Sign is:
The carbon dioxide cylinder memory is placed with carbon dioxide, is provided with carbon dioxide outlet on the carbon dioxide cylinder, institute
It states and is provided with switch and pressure regulator valve at carbon dioxide outlet；
Steam port is set on the steam generator, steam regulation button is provided on the steam generator；
The pneumoperitoneum apparatus main body is pair of lamina shell, including inner casing and shell, the shell are set on inner casing, the shell
Both ends are connected with the inner casing, form accommodating chamber between the shell and the inner casing, are provided with and extend outwardly on the inner casing
Carbon dioxide pipe, the end of the carbon dioxide pipe goes out with the carbon dioxide on the carbon dioxide cylinder
Mouthful it is connected, is provided with steam jet on the side wall of the inner casing, the steam jet is by the inner cavity of the inner casing and the appearance
Chamber of receiving is connected to, and mixed gas outlet, and the mixed gas outlet and the carbon dioxide mouth are offered on the inner casing
Pipe is oppositely arranged, and steam connection tube is provided on the side wall of the shell, and the end of the steam connection tube and the steam are sent out
The steam port connection of raw device.
2. using pneumoperitoneum apparatus device in laparoscopy according to claim 1, which is characterized in that set on the steam connection tube
It is equipped with steam and enters assistor, it includes shell, shaft, rotating power source, eccentric wheel, outer ring and circle that the steam, which enters assistor,
Column, the shell are supported on ground by bracket, and the shell is circular ring shape, offer air inlet relatively on the two sides of the shell
Mouth and gas outlet, the air inlet are connected to by pipeline with the steam port of the steam generator, the gas outlet and institute
Steam connection tube connection is stated, the evacuation protrusion to raise upward, the shaft are provided between the air inlet and the gas outlet
On the central axis of the shell, described shaft one end is located at outside the shell, and other end is interspersed in the shell, institute
It states rotating power source to be arranged outside the shell by support, the power output end of the rotating power source and the shaft phase
Even, the eccentric wheel is located in the shell, and is set in the shaft, and the outer ring is set on the eccentric wheel, and
It can be rotated on the eccentric wheel, the inner wall linear contact of the outer wall of the outer ring and the shell, the cylinder is laterally arranged
In evacuation protrusion, and with the housing parallel, there are two limit hole, institutes for the opposite setting of the side wall of the evacuation protrusion
The exterior sidewall portions for stating cylinder are fastened in the limit hole, and the cylinder is set on the outer ring along perforation has been arranged radially
It is equipped with slide bar, the slide bar is interspersed in the perforation, and can be slided up and down in the perforation.
3. using pneumoperitoneum apparatus device in laparoscopy according to claim 1, which is characterized in that be provided with and stir in the inner casing
Device is mixed, the blender includes strut, impeller and blade, and the side wall of the inner casing is arranged in for the strut and center extends, institute
The end that the strut is arranged in impeller is stated, and can be rotated on the strut, the blade is arranged on the impeller.
4. in laparoscopy according to claim 3 use pneumoperitoneum apparatus device, which is characterized in that the blender have it is multiple,
Multiple blender interval settings.
5. using pneumoperitoneum apparatus device in laparoscopy according to claim 4, which is characterized in that the institute of multiple blenders
It is inconsistent to state strut height.
6. using pneumoperitoneum apparatus device in laparoscopy according to claim 1, which is characterized in that the steam jet has more
A, multiple steam jets are spaced apart on the interior shell side wall.
7. using pneumoperitoneum apparatus device in laparoscopy according to claim 1 or 6, which is characterized in that at the steam jet
It is provided with guide pipe, the guide pipe is obliquely installed, and inclined direction goes out close to the mixed gas of the pneumoperitoneum apparatus main body
Mouth direction.
8. using pneumoperitoneum apparatus device in laparoscopy according to claim 1, which is characterized in that it further include air exhauster, it is described
Air exhauster is arranged at the mixed gas outlet, and the startup power supply of the air exhauster is exposed with the pneumoperitoneum apparatus main body.
9. using pneumoperitoneum apparatus device in laparoscopy according to claim 1, which is characterized in that at the mixed gas outlet
It is provided with temperature inductor and humidity sensor.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910073578.2A CN109864765A (en) | 2019-01-25 | 2019-01-25 | Pneumoperitoneum apparatus device is used in a kind of laparoscopy |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910073578.2A CN109864765A (en) | 2019-01-25 | 2019-01-25 | Pneumoperitoneum apparatus device is used in a kind of laparoscopy |
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| CN201910073578.2A Pending CN109864765A (en) | 2019-01-25 | 2019-01-25 | Pneumoperitoneum apparatus device is used in a kind of laparoscopy |
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| CN1036756A (en) * | 1988-03-17 | 1989-11-01 | 阿莫科公司 | Be oxidized in the aromatic carboxylic acid at aromatic alkyl and improve the method and apparatus that yield and quality product cut down the consumption of energy simultaneously |
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