CN110507871B - Turbine type bladder irrigation device - Google Patents

Turbine type bladder irrigation device Download PDF

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Publication number
CN110507871B
CN110507871B CN201910899786.8A CN201910899786A CN110507871B CN 110507871 B CN110507871 B CN 110507871B CN 201910899786 A CN201910899786 A CN 201910899786A CN 110507871 B CN110507871 B CN 110507871B
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catheter
bladder
automatic control
control system
turbine
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CN110507871A (en
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伍科
郑军华
刘志宏
李明清
姚智显
郑重
吴瀚韬
周文洁
郑心怡
刘语瞳
李伟
翟炜
穆星宇
孙丰
王田龙
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Shanghai First Peoples Hospital
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Shanghai First Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/20Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • A61B5/202Assessing bladder functions, e.g. incontinence assessment
    • A61B5/204Determining bladder volume
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/20Measuring for diagnostic purposes; Identification of persons for measuring urological functions restricted to the evaluation of the urinary system
    • A61B5/202Assessing bladder functions, e.g. incontinence assessment
    • A61B5/205Determining bladder or urethral pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0295Cannula; Nozzles; Tips; their connection means with inflatable balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1078Urinary tract
    • A61M2210/1085Bladder

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Urology & Nephrology (AREA)
  • Physiology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • External Artificial Organs (AREA)

Abstract

The invention relates to a turbine type bladder irrigation device which comprises an irrigation bag, a catheter A, a catheter B, a catheter C, a catheter D, an automatic control system, a bladder capacity monitoring system, a three-cavity catheter and a liquid collection bottle, wherein the irrigation bag is connected with the catheter A through the catheter B; a PLC controller, an MM440 frequency converter, a motor and a suction blade are arranged in the automatic control system; the PLC controller comprises seven modules of a central processing unit, a storage, a programmer, an external device interface, an input interface, an I/O expansion interface and an output interface; the bladder capacity monitoring system consists of a host, a cylinder and a pressure gauge; the head of the three-cavity catheter is provided with an expansion balloon, and the tail of the three-cavity catheter is provided with a water injection valve, an input valve and an output valve. Its advantages are: the suction function is performed on the patient with the blood clot in the bladder formed; the operation is simple, and the pain of the patient is relieved; the rotating wheel can play a role in mechanically removing blood clots, and the turbine of the rotating wheel cannot hurt the bladder; the design of the bladder capacity monitoring system can detect the capacity and the internal pressure of the bladder; increasing the safety factor.

Description

Turbine type bladder irrigation device
Technical Field
The invention relates to the technical field of medical appliances, in particular to a turbine type bladder irrigation device.
Background
Bladder cancer typically occurs in the urothelial cells and is the fifth most common cancer type in the world, with an estimated 15 million new bladder cancers per year and over 5 million deaths per year. The most common type of bladder cancer is urothelial cancer, which accounts for about 90%. After painless hematuria symptoms are found in most patients, early diagnosis can be achieved, the patients receive operation treatment in time, but the postoperative recurrence and the progression rate are high, and about 78% of patients relapse within 5 years. The survival rate of bladder cancer is related to the stage of the tumor, the type of pathology and the time of diagnosis. The 5-year survival rate for stage IV bladder cancer is only 15%.
Prostate hyperplasia is a common disease and a high incidence of diseases of the urinary system, and is also called benign prostate hyperplasia, namely prostatic hyperplasia, when a series of clinical symptoms are caused by the progress of the disease. The disease is well developed in the elderly, more than half of people over 50 years old suffer from benign prostatic hyperplasia, and more than 80 years old can reach 90%, and is mainly related to androgen hyposecretion of the elderly men. The clinical manifestations are frequent micturition, urgent micturition, nocturia, dysuria, etc., and the disease progression may also appear hematuria, urine retention, urinary tract infection, hydronephrosis, even affect the kidney function and cause renal failure, seriously affect the life quality of the patient. The disease brings certain difficulties for diagnosis and treatment due to complexity, variable symptoms and long course of disease.
For early stage bladder cancer and benign hyperplasia of prostate, the main current surgical approaches are transurethral bladder tumor, prostatic electrosurgery. After the electrostomy, bleeding or active bleeding may be caused by inaccurate hemostasis on the cut surface and the cut edge, if the operation is not done, blood is locally accumulated and coagulated into blood clots, and the bladder is filled after gradual increase and falling off, which causes acute urinary retention, bladder irritation and bladder spasm, and in severe cases, the kidney function is affected by the reverse transmission of pressure. A bladder wash is routinely required after surgery to remove blood and blood clots. Generally, during flushing, the coagulation condition of the bladder is evaluated through the color of output liquid of a bladder output tube, and if the color is darker, the flushing speed needs to be increased to prevent local stagnation of blood and blood clots; if the color is light or clear, the flushing speed can be reduced, even after observation for hours, the bladder flushing can be stopped. The above-mentioned adjustment of the irrigation speed requires frequent monitoring by doctors and nurses.
In addition, because some patients have formed blood clots in the bladder, clinically, the large syringe is directly used for powerful suction outside to remove the blood clots; the operation is complicated and the pain is brought to the patient.
Chinese patent documents: CN206151975U, published: 2017.05.10, discloses a special heater for bladder irrigation tube, comprising a solution bag, a buffer bag communicated with the solution bag through a liquid guide tube, a liquid outlet tube arranged at the lower end of the buffer bag, a three-way valve arranged at the outlet of the liquid outlet tube, an irrigation tube arranged on the first outlet of the three-way valve and a return tube arranged on the second outlet of the three-way valve, wherein the other end of the return tube is communicated with the solution bag; the outer wall of the liquid guide pipe is wrapped with a hollow cavity, the hollow cavity is provided with a water inlet, the water inlet is spirally connected with a cover, and the outer wall of the liquid outlet pipe is pasted with a temperature-sensing color-changing sheet.
Chinese patent documents: CN204543058U, published: 2015.08.12, discloses a bladder irrigation device, comprising: the flushing device comprises a liquid conveying pipeline, a flushing pipeline, a liquid discharging pipeline and a three-way control valve, wherein the liquid conveying pipeline, the flushing pipeline and the liquid discharging pipeline are respectively connected with the three-way control valve, and the liquid conveying pipeline is used for conveying flushing liquid to the flushing pipeline through the three-way control valve; the flushing pipeline is used for inputting flushing fluid from the fluid conveying pipeline into the human bladder to flush the human bladder, and conveying flushed waste fluid to the fluid drainage pipeline through the three-way control valve; the drain line is used for storing waste liquid from the flushing line.
However, the turbine bladder irrigation device of the invention has not been reported at present.
Disclosure of Invention
The invention aims to provide a turbine type bladder irrigation device.
In order to achieve the purpose, the invention adopts the technical scheme that:
a turbine bladder irrigation device comprises an irrigation bag (1), a catheter A (2), a catheter B (3), a catheter C (4), a catheter D (5), two automatic control systems (6) with the same structure, two bladder capacity monitoring systems (7) with the same structure, a three-cavity catheter (8) and a liquid collecting bottle (9);
a display screen (61) is arranged in front of the automatic control system (6), and an operation key (62) is arranged below the display screen (61); the left side of the automatic control system (6) is provided with a conduit connecting port (63), and the right side is provided with a threaded hole (64); a PLC (programmable logic controller) controller (65), an MM440 frequency converter (66), a motor (67) and a suction blade (68) are arranged in the automatic control system (6);
the PLC controller (65) comprises a seven-module central processing unit, a storage, a programmer, an external device interface, an input interface, an I/O expansion interface and an output interface; the suction blade (68) is arranged on the motor (67);
the threaded hole (64) is in threaded connection with a bladder capacity monitoring system (7); the bladder capacity monitoring system (7) consists of a host (71), a cylinder (72) and a pressure gauge (73); the upper end of the main machine (71) is provided with an air cylinder (72), the front of the main machine (71) is provided with a pressure gauge (73), and a bladder capacity display screen (74) is arranged above the pressure gauge (73); the left side of the main machine (71) is provided with a threaded joint (75), and the right side of the main machine is provided with a conduit interface (76);
the head part of the three-cavity catheter (8) is provided with an expansion saccule (81), and the tail part of the three-cavity catheter is provided with a water injection valve (82), an input valve (83) and an output valve (84);
the tube walls of the three-cavity catheter (8), the catheter A (2), the catheter B (3), the catheter C (4) and the catheter D (5) are embedded with a bracket (10);
the washing bag (1) is connected with a catheter A (2), and the lower end of the catheter A (2) is connected with a catheter connecting port (63) on the first automatic control system (6); the upper end of the catheter B (3) is connected with a catheter interface (76) on a first bladder capacity monitoring system (7), and the lower end of the catheter B is hermetically connected with an input valve (83) on a three-cavity catheter (8); the threaded hole (64) of the first automatic control system (6) is in threaded connection with the first bladder capacity detection system (7); an output valve (84) on the three-cavity catheter (8) is hermetically connected with a catheter C (4), and the lower end of the catheter C (4) is hermetically connected with another bladder capacity monitoring system (7); the upper end of the conduit D (5) is connected with another automatic control system (6), and the lower end is connected with a liquid collecting bottle (9); the threaded hole (64) of the other automatic control system (6) is in threaded connection with the other bladder capacity detection system (7).
The support (10) is in a metal grid shape.
The PLC (65) is used for controlling the MM440 frequency converter (66) so as to control the rotating speed and the forward and reverse rotation of the motor (67).
The threaded hole (64) is matched with the threaded joint (75).
The suction blade (68) can be used for mechanically removing blood clots.
The bladder capacity monitoring system (7) can detect the capacity and internal pressure of the bladder.
The turbine type bladder irrigation device can be selectively connected to the cystoscope; the automatic control system (6) can be matched with a cystoscope for controlling the irrigation speed in the operation; the display screen (61) can display the flow rate.
The invention has the advantages that:
1. the turbine type bladder irrigation device provided by the invention has a suction effect on a patient with formed blood clots in the bladder, and replaces the operation of powerful suction by a common large syringe. The operation is simple, and the pain of the patient is relieved.
2. According to the turbine type bladder irrigation device, the rotating wheel can play a role in mechanically removing blood clots, and the turbine of the turbine type bladder irrigation device cannot hurt the bladder; while the speed of bladder irrigation can be adjusted.
3. According to the turbine type bladder irrigation device, the design of the bladder capacity monitoring system can detect the capacity and the internal pressure of the bladder; increasing the safety factor.
Drawings
FIG. 1 is a schematic plan view of a turbine bladder irrigation device.
FIG. 2 is a schematic structural diagram of an automatic control system of the turbine type bladder irrigation device.
FIG. 3 is an internal schematic diagram of an automated control system for a turbine bladder irrigation device.
FIG. 4 is a schematic structural diagram of a bladder capacity monitoring system of the turbine type bladder irrigation device.
FIG. 5 is a schematic diagram of the combination of an automatic control system of the turbine bladder irrigation device and a bladder capacity monitoring system.
Figure 6 is a schematic plan view of a three-lumen catheter of a turbine bladder irrigation device.
Fig. 7 is an enlarged view of a portion a of fig. 6.
FIG. 8 is a hardware composition diagram of a PLC controller of the turbine bladder irrigation device.
Detailed Description
The invention is further described with reference to the following examples and with reference to the accompanying drawings.
The reference numerals and components referred to in the drawings are as follows:
1. washing bag
2. Catheter A
3. Catheter B
4. Catheter C
5. Catheter D
6. Automatic control system
61. Display screen
62. Operation key
63. Catheter connection
64. Threaded hole
65. PLC controller
66. MM440 frequency converter
67. Electric machine
68. Suction vane
7. Bladder capacity monitoring system
71. Main unit
72. Cylinder
73. Pressure gauge
74. Bladder capacity display screen
75. Threaded joint
76. Catheter hub
8. Three-cavity catheter
81. Dilatation saccule
82. Water injection valve
83. Input valve
84. Output valve
9. Liquid collecting bottle
10. Support frame
Example 1
Referring to fig. 1, fig. 1 is a schematic plan view of a turbine bladder irrigation device according to the present embodiment. The turbine type bladder irrigation device comprises an irrigation bag (1), a catheter A (2), a catheter B (3), a catheter C (4), a catheter D (5), an automatic control system (6), a bladder capacity monitoring system (7), a three-cavity catheter (8) and a liquid collecting bottle (9);
referring to fig. 2, fig. 2 is a schematic structural diagram of an automated control system of the turbine bladder irrigation device according to the embodiment. A display screen (61) is arranged in front of the automatic control system (6), and an operation key (62) is arranged below the display screen (61); the left side of the automatic control system (6) is provided with a conduit connecting port (63), and the right side is provided with a threaded hole (64);
referring to fig. 3, fig. 3 is an internal schematic diagram of an automated control system of the turbine bladder irrigation device according to the embodiment. A PLC (programmable logic controller) controller (65), an MM440 frequency converter (66), a motor (67) and a suction blade (68) are arranged in the automatic control system (6);
referring to fig. 8, fig. 8 is a hardware composition diagram of a PLC controller of the turbine bladder irrigation device according to the embodiment. The PLC controller (65) comprises a seven-module central processing unit, a storage, a programmer, an external device interface, an input interface, an I/O expansion interface and an output interface; the suction blade (68) is arranged on the motor (67);
referring to fig. 4 and 5, fig. 4 is a schematic structural diagram of a bladder capacity monitoring system of the turbine bladder irrigation device of the present embodiment, and fig. 5 is a schematic combined diagram of an automated control system and a bladder capacity monitoring system of the turbine bladder irrigation device of the present embodiment. The threaded hole (64) is in threaded connection with a bladder capacity monitoring system (7); the bladder capacity monitoring system (7) consists of a host (71), a cylinder (72) and a pressure gauge (73); the upper end of the main machine (71) is provided with an air cylinder (72), the front of the main machine (71) is provided with a pressure gauge (73), and a bladder capacity display screen (74) is arranged above the pressure gauge (73); the left side of the main machine (71) is provided with a threaded joint (75), and the right side of the main machine is provided with a conduit interface (76);
referring to fig. 6 and 7, fig. 6 is a schematic plan view of a three-cavity catheter of a turbine bladder irrigation device according to the present embodiment, and fig. 7 is an enlarged view of a portion a of fig. 6. The head part of the three-cavity catheter (8) is provided with an expansion saccule (81), and the tail part of the three-cavity catheter is provided with a water injection valve (82), an input valve (83) and an output valve (84); the tube walls of the three-cavity catheter (8), the catheter A (2), the catheter B (3), the catheter C (4) and the catheter D (5) are embedded with a bracket (10);
referring to fig. 1, fig. 1 is a schematic plan view of a turbine bladder irrigation device according to the present embodiment. The washing bag (1) is connected with a catheter A (2), and the lower end of the catheter A (2) is connected with a catheter connecting port (63) on the first automatic control system (6); the upper end of the catheter B (3) is connected with a catheter interface (76) on a first bladder capacity monitoring system (7), and the lower end of the catheter B is hermetically connected with an input valve (83) on a three-cavity catheter (8); the threaded hole (64) of the first automatic control system (6) is in threaded connection with the first bladder capacity detection system (7); an output valve (84) on the three-cavity catheter (8) is hermetically connected with a catheter C (4), and the lower end of the catheter C (4) is hermetically connected with another bladder capacity monitoring system (7); the upper end of the conduit D (5) is connected with another automatic control system (6), and the lower end is connected with a liquid collecting bottle (9); the threaded hole (64) of the other automatic control system (6) is in threaded connection with the other bladder capacity detection system (7).
The support (10) is in a metal grid shape.
The PLC (65) is used for controlling the MM440 frequency converter (66) so as to control the rotating speed and the forward and reverse rotation of the motor (67).
The threaded hole (64) is matched with the threaded joint (75).
The suction blade (68) can be used for mechanically removing blood clots.
The bladder capacity monitoring system (7) can detect the capacity and internal pressure of the bladder.
The turbine type bladder irrigation device can be selectively connected to the cystoscope; the automatic control system (6) can be matched with a cystoscope for controlling the irrigation speed in the operation; the display screen (61) can display the flow rate.
Example 2
It should be noted that: the automatic control system (6) of the invention realizes the positive and negative rotation control of the motor by utilizing the PLC and the frequency converter;
the PLC controls the frequency converter to realize the speed regulation control of the motor; the method mainly controls the variable frequency speed regulation of the motor through a program, thereby realizing automatic control.
Example 3
Referring to fig. 1, fig. 1 is a schematic plan view of a turbine bladder irrigation device according to the present embodiment.
The use process and the method of the turbine type bladder irrigation device are as follows:
firstly, a flushing bag (1) filled with flushing fluid inside is hermetically connected with a catheter A (2), then the head of a three-cavity catheter (7) is inserted into the bladder, and then water is injected into an expansion balloon (71) through a water injection valve (72); the three-cavity catheter (7) can be fixed in the bladder by expanding the balloon (71) in the filling state;
then the rotating speed and the frequency of the motor (67) are input into the automatic control system (6) through an operation key (62) according to the requirement; for example: setting forward rotation for 3 seconds, stopping rotation for 2 seconds, stopping rotation for 3 seconds, stopping rotation for two seconds, and circulating for 3 times; the process of flushing and aspirating helps in the fragmentation of blood clots. The bladder capacity monitoring system (7) can monitor the bladder capacity, and the pressure gauge (73) can observe the pressure inside the bladder at any time.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims (7)

1. A turbine bladder irrigation device is characterized by comprising an irrigation bag (1), a catheter A (2), a catheter B (3), a catheter C (4), a catheter D (5), two automatic control systems (6) with the same structure, two bladder capacity monitoring systems (7) with the same structure, a three-cavity catheter (8) and a liquid collecting bottle (9);
a display screen (61) is arranged in front of the automatic control system (6), and an operation key (62) is arranged below the display screen (61); the left side of the automatic control system (6) is provided with a conduit connecting port (63), and the right side is provided with a threaded hole (64); a PLC (programmable logic controller) controller (65), an MM440 frequency converter (66), a motor (67) and a suction blade (68) are arranged in the automatic control system (6);
the PLC controller (65) comprises a seven-module central processing unit, a storage, a programmer, an external device interface, an input interface, an I/O expansion interface and an output interface; the suction blade (68) is arranged on the motor (67);
the threaded hole (64) is in threaded connection with a bladder capacity monitoring system (7); the bladder capacity monitoring system (7) consists of a host (71), a cylinder (72) and a pressure gauge (73); the upper end of the main machine (71) is provided with an air cylinder (72), the front of the main machine (71) is provided with a pressure gauge (73), and a bladder capacity display screen (74) is arranged above the pressure gauge (73); the left side of the main machine (71) is provided with a threaded joint (75), and the right side of the main machine is provided with a conduit interface (76);
the head part of the three-cavity catheter (8) is provided with an expansion saccule (81), and the tail part of the three-cavity catheter is provided with a water injection valve (82), an input valve (83) and an output valve (84);
the tube walls of the three-cavity catheter (8), the catheter A (2), the catheter B (3), the catheter C (4) and the catheter D (5) are embedded with a bracket (10);
the washing bag (1) is connected with a catheter A (2), and the lower end of the catheter A (2) is connected with a catheter connecting port (63) on the first automatic control system (6); the upper end of the catheter B (3) is connected with a catheter interface (76) on a first bladder capacity monitoring system (7), and the lower end of the catheter B is hermetically connected with an input valve (83) on a three-cavity catheter (8); the threaded hole (64) of the first automatic control system (6) is in threaded connection with the first bladder capacity monitoring system (7); an output valve (84) on the three-cavity catheter (8) is hermetically connected with a catheter C (4), and the lower end of the catheter C (4) is hermetically connected with another bladder capacity monitoring system (7); the upper end of the conduit D (5) is connected with another automatic control system (6), and the lower end is connected with a liquid collecting bottle (9); the threaded hole (64) of the other automatic control system (6) is in threaded connection with the other bladder capacity monitoring system (7).
2. The turbine bladder irrigation device according to claim 1, wherein the frame (10) is a metal mesh.
3. The turbine-type bladder irrigation device as claimed in claim 1, wherein the PLC (65) is used for controlling the MM440 frequency converter (66) so as to control the rotation speed and the forward and reverse rotation of the motor (67).
4. The turbine bladder irrigation device according to claim 1, wherein the threaded hole (64) is in engagement with the threaded connector (75).
5. The turbine bladder irrigation device according to claim 1, wherein the suction blade (68) is configured to mechanically remove blood clots.
6. The turbo bladder irrigation apparatus according to claim 1, wherein the bladder capacity monitoring system (7) can detect the capacity and internal pressure of the bladder.
7. The turbine bladder irrigation device as claimed in claim 1, wherein the turbine bladder irrigation device is selectively attachable to a cystoscope; the automatic control system (6) can be matched with a cystoscope for controlling the irrigation speed in the operation; the display screen (61) can display the flow rate.
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CN111282136B (en) * 2020-02-27 2021-07-13 付强 Nephrology department catheter system

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CN201595838U (en) * 2010-01-07 2010-10-06 秦宏平 Pressure-functional evaluation training instrument of bladder capacity
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CN208905861U (en) * 2018-04-28 2019-05-28 百色市人民医院 A kind of electronic bladder irrigation device
CN209347714U (en) * 2018-07-02 2019-09-06 清镇市第一人民医院(清镇市120急救中心) A kind of bladder irrigation-drainage device
CN209204271U (en) * 2018-10-17 2019-08-06 重庆两江新区第一人民医院 A kind of bladder blood block flushing pipe device
CN109602968A (en) * 2018-12-07 2019-04-12 河南科技大学第附属医院 A kind of self-loopa bladder irrigator

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