CN111359078A - Prevent compressor of PICC catheterization internal jugular vein dystopy - Google Patents

Prevent compressor of PICC catheterization internal jugular vein dystopy Download PDF

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Publication number
CN111359078A
CN111359078A CN202010289176.9A CN202010289176A CN111359078A CN 111359078 A CN111359078 A CN 111359078A CN 202010289176 A CN202010289176 A CN 202010289176A CN 111359078 A CN111359078 A CN 111359078A
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China
Prior art keywords
compression column
iii
elastic band
column
diameter
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CN202010289176.9A
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Chinese (zh)
Inventor
段丽娟
王淑芹
张萌
胡晓科
赵路
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Beijing Chaoyang Hospital
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Beijing Chaoyang Hospital
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Priority to CN202010289176.9A priority Critical patent/CN111359078A/en
Publication of CN111359078A publication Critical patent/CN111359078A/en
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    • 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention relates to a compressor for preventing PICC (peripherally inserted central catheter) indwelling jugular vein from ectopic, which comprises: the first end of the No. I compression column is fixedly connected with the first end of the No. II compression column, the first end of the No. III compression column is fixedly connected with the second end of the No. II compression column, and the three are connected with each other to form an arc-shaped or elliptic arc-shaped structure; the elastic band comprises a first elastic band and a second elastic band, the first elastic band is fixedly connected with or detachably connected with the free end of the I-shaped pressing column, the second elastic band is fixedly connected with or detachably connected with the free end of the III-shaped pressing column, an elastic band hole is formed in the first elastic band, and a button is arranged on the second elastic band. When the device is used, another PICC special nurse or a nurse with ultrasonic capability is not needed, so that the waste of labor cost is avoided.

Description

Prevent compressor of PICC catheterization internal jugular vein dystopy
Technical Field
The invention relates to a compressor for preventing ectopic position of a PICC (peripherally inserted central catheter) catheterized internal jugular vein, belonging to the technical field of medical instruments.
Background
A Peripherally Inserted Central Catheter (PICC) is mainly used for patients who are infused with stimulation drugs and have long and medium periods, and is widely used for tumor chemotherapy patients, critical patients who need to be infused with stimulation drugs for a long time, neurology and surgery patients with poor venous conditions and relatively long treatment periods, and the like in clinic, and is one of the safest infusion tools at present. The American Infusion Society (Infusion Nurseng Society)2016 edition guidelines state that: the PICC catheter head position should be located superior vena cava-atrium junction (CAJ) or the superior vena cava hypomere that is close to CAJ at the superior vena cava junction of superior vena cava and right atrium, but because of differences such as patient's physique, state of an illness, self vascular condition, etc., pipe dystopy is a common complication in the PICC catheterization process, especially the internal jugular vein dystopy is common, and domestic literature reports that the incidence rate of internal jugular vein dystopy is 3.3% -12.3%. If the catheter is not timely or successfully reset after being ectopically inserted into the internal jugular vein, a series of complications such as phlebitis, catheter blockage, venous thrombosis and the like can be caused.
At present, the method for clinically reducing the ectopic position of the internal jugular vein is mainly a method for blocking the internal jugular vein, the traditional method for blocking the internal jugular vein is that when the tip of a catheter is sent to a shoulder joint position, the head of a patient is deviated to a puncture side, the lower jaw is close to the shoulder and then continues to send the catheter, the coordination of the patient has certain difficulty, particularly, the emotion of the patient in the catheter placement is tense, the chin is not easy to be close to the shoulder, even if the chin is close to the shoulder as far as possible, for the patient with a slimy body, the entrance of the internal jugular vein is still in a hollow. In addition, researchers try to reduce the dislocation of the internal jugular vein by using an ultrasonic probe to press the internal jugular vein, but another PICC special nurse or a nurse with ultrasonic capability is needed to cooperate, so that the waste of labor cost is caused. In view of the limitations of the above methods, there is a need for a compressor that prevents PICC placement of an ectopic jugular vein.
Disclosure of Invention
In view of the above problems, the invention aims to provide a compressor for preventing the PICC from placing the ectopic jugular vein, which comprises a main body structure comprising 3 sections of compression columns with different diameters and is matched with an elastic band with holes and buttons for fixing, so that when PICC is placed on patients with different body types, the compression columns suitable for the body types of the patients can be selected, and the problem of the ectopic jugular vein when PICC is placed on different patient groups can be effectively prevented.
In order to achieve the purpose, the invention adopts the following technical scheme:
the invention provides a compressor for preventing PICC (peripherally inserted central catheter) indwelling jugular vein from ectopic, which comprises:
the compression column comprises a compression column I1, a compression column II 2 and a compression column III 3, wherein a first end of the compression column I1 forms a free end, a second end of the compression column I1 is fixedly connected with a first end of the compression column II 2, a first end of the compression column III 3 is fixedly connected with a second end of the compression column II 2, a second end of the compression column III 3 forms a free end, and the compression column I1, the compression column II 2 and the compression column III 3 are connected with each other to form an arc-shaped or elliptic arc-shaped structure;
the elastic band 4 comprises a first elastic band 401 and a second elastic band 402, the first elastic band 401 is fixedly connected or detachably connected with the free end of the I-shaped pressing column 1, the second elastic band 402 is fixedly connected or detachably connected with the free end of the III-shaped pressing column 3, the first elastic band 401 is provided with an elastic band hole 6, and the second elastic band 402 is provided with a button 5.
The invention provides another compressor for preventing PICC catheterizing jugular vein dislocation in a second aspect, which comprises:
the compression column comprises a compression column I1, a compression column II 2 and a compression column III 3, wherein a first end of the compression column I1 forms a free end, a second end of the compression column I1 is fixedly connected with a first end of the compression column II 2, a first end of the compression column III 3 is fixedly connected with a second end of the compression column II 2, a second end of the compression column III 3 forms a free end, and the compression column I1, the compression column II 2 and the compression column III 3 are connected with each other to form an arc-shaped or elliptic arc-shaped structure;
the elastic band 4, the elastic band 4 includes elastic band 401 and No. two elastic bands 402, No. one elastic band 401 with the free end fixed connection or the detachable connection of I number oppression post 1, No. two elastic bands 402 with the free end fixed connection or the detachable connection of III number oppression post 3, be provided with the son on the elastic band 401 and detain, be provided with the box on No. two elastic bands 402.
Prevent that PICC from putting oppression ware of tub internal jugular vein dystopy, preferably, still include pressure sensor 8, its quantity is three, and is three pressure sensor 8 is located respectively the post 1 is oppressed to No. I the post 2 is oppressed to No. II with central point in the post 3 is oppressed to No. III puts. Through setting up pressure sensor 8 can show in real time that the patient is pressed intensity, and then guides the patient to adjust to suitable oppression intensity, avoids PICC to put the pipe dystopy.
The compressor for preventing the PICC from being implanted into the ectopic jugular vein preferably can effectively prevent the PICC from being implanted into the ectopic jugular vein when the pressure displayed by the pressure sensor 8 is 0.49-1.180 kPa.
The compressor for preventing PICC catheterization internal jugular vein ectopy, preferably, the diameter of II number oppression post 2 from central point to both ends dwindles gradually or enlarges, until with I number oppression post 1 or II number oppress the diameter of post 2 the same.
Prevent that PICC from putting compressor of tub internal jugular vein dystopy, preferably, II numbers oppress post 2 and be three sectional type structures, it includes No. one section 201, No. two sections 202 and No. three sections 203 of according to preface fixed connection, No. two sections (202) are the cylinder, No. one section 201 with No. three sections 203 are the round platform body.
Prevent that PICC from putting compressor of tub internal jugular vein dystopy, preferably, a section 201 with the diameter of No. I oppression post 1 link with the diameter of No. I oppression post 1 is the same, No. three section 203 with the diameter of No. III oppression post 3 link with the diameter of No. III oppression post 3 is the same.
Prevent that PICC puts oppressor of tub internal jugular vein dystopy, preferably, still include disposable protective clothing 7 for the cover is in the outside of oppressor avoids the cross infection between the patient.
The compressor for preventing the PICC from being ectopic in the ducted jugular vein is preferably characterized in that the diameter of the disposable protective outer sleeve 7 is 9cm, and the length of the disposable protective outer sleeve is 60 cm.
The compressor for preventing PICC catheterization internal jugular vein ectopic preferably, the circular arc structure is semicircular structure, semicircular structure's central diameter is 15 to 18 cm.
The compressor for preventing the PICC from being placed in the ectopic position of the internal jugular vein preferably comprises a compression column I1 which is a cylinder, the diameter of the compression column I is 5-6cm, and the length of the compression column I is 7-9 cm; more preferably, the diameter of the human body is 5.4cm, the length of the human body is 8cm, and the human body can meet the requirements of the crowd with thin body.
The compressor for preventing the PICC from being placed in the ectopic position of the internal jugular vein is preferably a cylinder 3 with the diameter of 5-7cm and the length of 7-9 cm; more preferably, the diameter of the human body is 6.1cm, the length of the human body is 8cm, and the human body can meet the requirements of people with fat body types.
The compressor for preventing the PICC from being placed in the ectopic position of the jugular vein preferably has the diameter of 5-6cm and the length of 7-9cm at the central position of the No. II compression column 2; more preferably, the diameter of the central position of the pillow is 5.8cm, the length of the pillow is 8cm, and the requirements of people with normal body types can be met.
The compressor for preventing PICC catheterization internal jugular vein ectopy preferably, the length of No. one elastic band 401 is 20cm, No. one elastic band 401 is last every 1cm evenly to be provided with the foraminiferous 6 of elasticity. The elastic belt holes 6 are uniformly formed in the first elastic belt 401, so that the buttons 5 and the elastic belt holes 6 in different positions can be used for fixing according to neck circumferences of different people.
The compressor for preventing the PICC indwelling jugular vein from ectopic is preferably that the total length of the elastic band 4 is 25 cm.
Prevent that PICC from putting compressor of tub internal jugular vein dystopy, preferably, the son is detained for the hair side, the box is for colluding the face.
Prevent that PICC from putting the compressor of tub internal jugular vein dystopy, preferably, I number oppress the post 1 II number oppresses the post 2 with the material of III number oppression post 3 is polyurethane, and polyurethane is pressed the non-deformable, but has certain elasticity.
Prevent that PICC from putting the oppression ware of tub internal jugular vein dystopy, preferably, I oppress the post 1 II oppress the post 2 with III oppress the post 3 and be solid cylinder structure.
Due to the adoption of the technical scheme, the invention has the following advantages:
1. according to the invention, by designing the main body structure comprising 3 sections of compression columns with different diameters and matching with the elastic band with the holes and the buttons for fixing, when PICC (peripherally inserted central catheter) catheterizing is carried out on patients with different body types, the compression column suitable for the body type of the patient can be selected, and the problem of ectopic jugular veins when PICC catheterizing is carried out on different patient groups can be effectively prevented;
2. according to the invention, the pressure sensors are respectively arranged in the compression columns with different sizes, so that the compression conditions of the necks of patients with different body types can be monitored in real time, the patients can be adjusted to proper compression strength, and the PICC catheter is prevented from being ectopic in the jugular vein;
3. according to the invention, the elastic band is uniformly provided with the elastic band holes and matched with the buttons which are matched with the elastic band holes, so that the compressor can be accurately fixed according to the body type of a patient;
4. the disposable protective outer sleeve is designed, so that the outer sleeve is sleeved outside the compressor when a PICC (peripherally inserted central catheter) is placed on a patient, and cross infection among the patients is avoided;
5. when the device is used, another PICC special nurse or a nurse with ultrasonic capability is not needed, so that the waste of labor cost is avoided.
Drawings
FIG. 1 is a schematic view of the overall structure of the apparatus of the present invention;
FIG. 2 is a schematic view of the construction of the disposable protective sheath of the device of the present invention;
FIG. 3 is a schematic view of another overall structure of the apparatus of the present invention;
the respective symbols in the figure are as follows:
no. 1-I compression column; no. 2-II compression column, No. 201-section I, No. 202-section II and No. 203-section III; no. 3-III compression column; 4-elastic band, 401-elastic band I, 402-elastic band II; 5-a button; 6-elastic belt holes; 7-disposable protective outer sleeve; 8-pressure sensor.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the technical solutions of the present invention are described clearly and completely below, and it is obvious that the described embodiments are some, not all embodiments of the present invention. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention.
Example 1
As shown in fig. 1, the present embodiment provides a compressor for preventing PICC placement of an ectopic jugular vein, comprising:
the compression column comprises a compression column I1, a compression column II 2 and a compression column III 3, wherein a first end of the compression column I1 forms a free end, a second end of the compression column I1 is fixedly connected with a first end of the compression column II 2, a first end of the compression column III 3 is fixedly connected with a second end of the compression column II 2, and a second end of the compression column III 3 forms a free end, so that the compression column I, the compression column II and the compression column III are connected with each other to form an arc-shaped structure;
the elastic band 4, the elastic band 4 includes No. one elastic band 401 and No. two elastic bands 402, No. one elastic band 401 with the free end fixed connection of No. I oppression post 1, No. two elastic bands 402 with the free end fixed connection of No. III oppression post 3, be provided with the elasticity on the elastic band 401 and take the hole 6, be provided with button 5 on No. two elastic bands 402.
In this embodiment, still include pressure sensor 8, its quantity is three, three pressure sensor 8 is located respectively No. I oppresses post 1 No. II oppresses post 2 with the central point in No. III oppresses the post 3. Through setting up pressure sensor 8 can show in real time that the patient is pressed intensity, and then guides the patient to adjust to suitable oppression intensity, avoids PICC to put the pipe dystopy.
In this embodiment, as shown in fig. 2, the compression apparatus further comprises a disposable protective outer sleeve 7 for covering the outer side of the compression apparatus to avoid cross infection between patients, wherein the disposable protective outer sleeve 7 has a diameter of 9cm and a length of 60 cm.
In this embodiment, the circular arc structure is a semicircular structure, and the center diameter of the circular arc structure is 13 cm; the diameter of the No. II pressing column 2 is gradually reduced or enlarged from the central position to two ends until the diameter is the same as that of the No. I pressing column 1 or the No. II pressing column 2. The No. I compression column 1 and the No. III compression column 3 are both solid cylinders.
In this embodiment, the length of the first elastic band 401 is 20cm, and the elastic band holes 6 are uniformly arranged on the first elastic band 401 every 1 cm.
In the embodiment, the diameter of the No. I compression column 1 is 5.4cm, the length of the No. I compression column is 8cm, and the requirements of people with thin body types can be met; the diameter of the No. III compression column 3 is 6.1cm, the length of the No. III compression column is 8cm, and the requirements of people with fat body types can be met; no. II oppresses 2 central point on the post and puts the diameter for 5.8cm, and length is 8cm, can satisfy the normal crowd's demand of size.
In this embodiment, the material of the No. I pressing column 1, the No. II pressing column 2, and the No. III pressing column 3 is polyurethane.
Example 2
As shown in fig. 3, the present embodiment provides a compressor for preventing PICC placement of an ectopic jugular vein, comprising:
the compression column comprises a compression column I1, a compression column II 2 and a compression column III 3, wherein a first end of the compression column I1 forms a free end, a second end of the compression column I1 is fixedly connected with a first end of the compression column II 2, a first end of the compression column III 3 is fixedly connected with a second end of the compression column II 2, and a second end of the compression column III 3 forms a free end, so that the compression column I, the compression column II and the compression column III are connected with each other to form an arc-shaped structure;
elastic band 4, elastic band 4 includes elastic band 401 and No. two elastic bands 402, an elastic band 401 with the connection can be dismantled to the free end of I oppression post 1, No. two elastic bands 402 with the connection can be dismantled to the free end of III oppression post 3, be provided with the son on an elastic band 401 and detain, be provided with the box on No. two elastic bands 402.
In this embodiment, still include pressure sensor 8, its quantity is three, three pressure sensor 8 is located respectively No. I oppresses post 1 No. II oppresses post 2 with the central point in No. III oppresses the post 3. Through setting up pressure sensor 8 can show in real time that the patient is pressed intensity, and then guides the patient to adjust to suitable oppression intensity, avoids PICC to put the pipe dystopy.
In this embodiment, the compression apparatus further comprises a disposable protective outer sleeve 7 which is used for being sleeved on the outer side of the compression apparatus to avoid cross infection among patients, wherein the diameter of the disposable protective outer sleeve 7 is 9cm, and the length of the disposable protective outer sleeve is 60 cm.
In this embodiment, the No. II compression column 2 is a three-section structure, and it includes a number one section 201, a number two section 202 and a number three section 203 that are fixedly connected in proper order, the number two section 202 is the cylinder, the number one section 201 with the number three section 203 is the round platform body. The diameter of the first section 201 and the connecting end of the No. I compression column 1 is the same as that of the No. I compression column 1, and the diameter of the third section 203 and the connecting end of the No. III compression column 3 is the same as that of the No. III compression column 3.
In this embodiment, the circular arc structure is a semicircular structure, and the center diameter of the circular arc structure is 14 cm; the No. I compression column 1 and the No. III compression column 3 are both solid cylinders.
In the embodiment, the diameter of the No. I compression column 1 is 5.4cm, the length of the No. I compression column is 8cm, and the requirements of people with thin body types can be met; the diameter of the No. III compression column 3 is 6.1cm, the length of the No. III compression column is 8cm, and the requirements of people with fat body types can be met; no. II oppresses 2 central point on the post and puts the diameter for 5.8cm, and length is 8cm, can satisfy the normal crowd's demand of size.
In this embodiment, the male button is a hair surface, and the female button is a hook surface; no. I oppresses post 1 No. II oppresses post 2 and No. III oppresses the material of post 3 and is polyurethane.
Example 3
The present embodiment provides an operation method of the apparatus of the present invention, which includes the following steps:
firstly, evaluating the body type of a patient needing PICC (peripherally inserted central catheter) catheterization, and selecting a proper compression column according to the body type; the neck circumference is then evaluated and the position of the engagement of the elastic band 4 and the button 5 is determined, which is in principle 2-4cm longer than the normal neck circumference, both to perform the anchoring function and to avoid discomfort to the patient due to over-tightening. The disposable protective outer sleeve 7 is sleeved on the whole compressor. And finally, the compressor is worn on the neck of the patient, and the selected compression column is ensured to be opposite to the position of the internal jugular vein. When PICC puts the pipe, put into pipe to 15cm departments, the order is instructed the patient and is turned round the head extrusion oppression post, and the oppression post is built-in pressure sensor can show oppression intensity to avoid the PICC pipe mistake to go into the internal jugular vein. After the tube is smoothly placed to the CAJ point, the tube placement is completed, the compressor is taken down from the neck of the patient, and the disposable protective outer sleeve 7 is placed into the yellow garbage bag.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.

Claims (10)

1. The utility model provides a prevent compressor of PICC catheterization internal jugular vein dystopy which characterized in that includes:
the compression column comprises a compression column I (1), a compression column II (2) and a compression column III (3), wherein a free end is formed at the first end of the compression column I (1), the second end of the compression column I (1) is fixedly connected with the first end of the compression column II (2), the first end of the compression column III (3) is fixedly connected with the second end of the compression column II (2), the second end of the compression column III (3) is formed into a free end, and the compression column I (1), the compression column II (2) and the compression column III (3) are connected with each other to form an arc-shaped or elliptic arc-shaped structure;
elastic band (4), elastic band (4) include elastic band (401) and No. two elastic bands (402), elastic band (401) with the free end fixed connection or the detachable connection of I number oppression post (1), No. two elastic bands (402) with the free end fixed connection or the detachable connection of III number oppression post (3), be provided with the foraminiferous (6) of elastic band or the son is buckled on elastic band (401), be provided with button (5) or box on No. two elastic bands (402).
2. The compressor according to claim 1, further comprising three pressure sensors (8), three of said pressure sensors (8) being located at central positions within said compression column No. I (1), said compression column No. II (2) and said compression column No. III (3), respectively.
3. The compressor according to claim 1 or 2, characterized in that the diameter of the No. II compression column (2) is gradually reduced or enlarged from the central position to both ends until the same as the diameter of the No. I compression column (1) or the No. II compression column (2).
4. The compressor according to claim 1 or 2, wherein the number II compression column (2) is a three-section structure, which comprises a first number section (201), a second number section (202) and a third number section (203) fixedly connected in sequence, the second number section (202) is a cylinder, and the first number section (201) and the third number section (203) are both circular truncated cones.
5. A compressor according to claim 4, characterized in that the diameter of the connection end of the first section (201) and the I compression column (1) is the same as that of the I compression column (1), and the diameter of the connection end of the third section (203) and the III compression column (3) is the same as that of the III compression column (3).
6. A compressor according to claim 1 or 2, further comprising a disposable protective outer sleeve (7) for fitting over the outside of the compressor to avoid cross-contamination between patients.
7. A compressor according to claim 1 or 2, wherein the circular arc-shaped formations are semi-circular formations having a diameter of 15-18 cm.
8. A compressor according to claim 1 or 2, characterised in that the compression column No. I (1) is a cylinder with a diameter of 5-6cm and a length of 7-9 cm; the No. III compression column (3) is a cylinder, the diameter of the No. III compression column is 5-7cm, and the length of the No. III compression column is 7-9 cm; the diameter of the central position of the No. II compression column (2) is 5-8cm, and the length is 7-9 cm.
9. A compressor according to claim 1 or 2, wherein the compression column No. I (1), the compression column No. II (2) and the compression column No. III (3) are all solid cylinders.
10. A compressor according to claim 1 or 2, wherein the length of the elastic band (401) is 20-25cm, and the elastic band holes (6) are uniformly arranged on the elastic band (401) every 1 cm.
CN202010289176.9A 2020-04-14 2020-04-14 Prevent compressor of PICC catheterization internal jugular vein dystopy Pending CN111359078A (en)

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CN202010289176.9A CN111359078A (en) 2020-04-14 2020-04-14 Prevent compressor of PICC catheterization internal jugular vein dystopy

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CN202010289176.9A CN111359078A (en) 2020-04-14 2020-04-14 Prevent compressor of PICC catheterization internal jugular vein dystopy

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114949543A (en) * 2022-05-17 2022-08-30 淮安市第二人民医院 Self-orienting laminar flow channel breathing follow-up stepping PICC catheter anti-dislocation device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114949543A (en) * 2022-05-17 2022-08-30 淮安市第二人民医院 Self-orienting laminar flow channel breathing follow-up stepping PICC catheter anti-dislocation device

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