CN113243961A - Intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device - Google Patents

Intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device Download PDF

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Publication number
CN113243961A
CN113243961A CN202110702741.4A CN202110702741A CN113243961A CN 113243961 A CN113243961 A CN 113243961A CN 202110702741 A CN202110702741 A CN 202110702741A CN 113243961 A CN113243961 A CN 113243961A
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China
Prior art keywords
seat
hemostasis
movably connected
compression
swing joint
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CN202110702741.4A
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CN113243961B (en
Inventor
陈晓会
王金鹏
吴莉侠
吕秀坤
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Jilin University
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Jilin University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • 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
    • A61M35/00Devices for applying media, e.g. remedies, on the human body
    • A61M35/20Non-portable devices, e.g. spraying booths
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention relates to the technical field of medical treatment and discloses an intermittent compression hemostasis device for cardiology nursing, which comprises a hemostasis main body seat and a supporting mechanism, wherein an installation ring seat is fixedly connected inside the hemostasis main body seat, a rubber bullet frame is movably connected to the outer surface of the installation ring seat, a compression spring seat is movably connected inside the rubber bullet frame, a pressure rod is movably connected to the side surface of the compression spring seat, the supporting mechanism comprises a holding seat, a winding belt is movably connected to the outer surface of the holding seat, the hemostasis mechanism also comprises a connection disc, a first rotating rod is rotatably connected to the outer surface of the connection disc, and a moving rod is movably connected to the outer surface of the first rotating rod. Through under the indirect mutual oppression at first hemostasis by compression seat and the hemostasis by compression seat of second, can carry out intermittent type oppression to the wound and handle, carry out intermittent type nature buffer release to guarantee normal blood supply, brought the convenience for patient's treatment.

Description

Intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device
Technical Field
The invention relates to the technical field of medical treatment and discloses an intermittent compression hemostasis device for cardiology department nursing.
Background
The cardiology department, i.e. the cardiovascular department, is a clinical department set in the major internal medicine of all levels of hospitals for diagnosing and treating cardiovascular and cerebrovascular diseases, the treated diseases comprise angina pectoris, hypertension, sudden death, arrhythmia, heart failure, premature beat, arrhythmia, myocardial infarction, cardiomyopathy, myocarditis, myocardial infarction and other cardiovascular diseases, and compression hemostasis is often required when patients are treated.
At present, when hemostasis by compression is carried out on a patient, generally, medical personnel press manually, but when the medical personnel press, not only time is consumed, but also the degree of pressing pressure cannot be ensured, and meanwhile, intermittent compression treatment cannot be carried out, so that insufficient blood supply of a wound of the patient is caused, and the recovery of the patient is influenced.
Disclosure of Invention
In order to solve the technical problems, the invention provides an intermittent compression hemostasis device for cardiology department nursing, which is achieved by the following specific technical means:
the utility model provides an intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device, includes hemostasis main part seat, supporting mechanism, the inside fixedly connected with collar extension of hemostasis main part seat, the surface swing joint of collar extension has the rubber bullet frame, the inside swing joint of rubber bullet frame has compression spring seat, the side surface swing joint of compression spring seat has the pressure bar.
Furthermore, the supporting mechanism comprises a holding seat, and a winding belt is movably connected to the outer surface of the holding seat.
Further, still include hemostasis mechanism, hemostasis mechanism includes the connection pad, the surface rotation of connection pad is connected with first bull stick, the surface swing joint of first bull stick has the carriage release lever, the inside swing joint of carriage release lever has the compression spring, the surface swing joint of carriage release lever has meshing seat, the surface swing joint of meshing seat has the pressure column, the one end swing joint of pressure column has the arc to press the seat, the surface swing joint that the seat was pressed to the arc has first hemostasis by compression seat, the surface swing joint of carriage release lever has the second bull stick, the other end swing joint of second bull stick has the hemostasis by compression seat of second.
Further, still include medicine feeding mechanism, medicine feeding mechanism is including connecting the pulley, the surface swing joint who connects the pulley has the connection rope, the other end swing joint who connects the rope has the activity dish, the surface of activity dish rotates and is connected with the bearing rod, the other end swing joint of bearing rod has medicine storage bag, medicine storage bag's inside swing joint has the deformation spring, medicine storage bag's inside fixedly connected with goes out the medicine mouth.
Further, the shape of the rubber bullet rack is arc.
Further, supporting mechanism swing joint is in the inside of hemostasis main part seat, hemostasis mechanism swing joint is in the inside of hemostasis main part seat, it constructs the surface at hemostasis mechanism to go up medicine mechanism swing joint.
Compared with the prior art, the invention has the following beneficial effects:
1. this intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device, can drive first bull stick rotation through the pressure pole, and make first bull stick drive its surperficial carriage release, later the carriage release is when pressing compression spring and drive meshing seat and remove, make meshing seat drive pressure post remove, make the pressure post drive the arc of its other end press the seat to move to one side of wound, and make first hemostasis by compression seat to the wound processing, and when the rubber bullet frame is pulled, can indirectly make first hemostasis by compression seat keep away from the wound position, and have the second bull stick to rotate and connect on the surface of carriage release, so when the rubber bullet frame is pulled, can indirectly make the carriage release drive the rotation of second bull stick, and then the second bull stick can drive the second hemostasis by compression seat to the wound processing, thereby under the indirect mutual oppression of first hemostasis by compression seat and second hemostasis by compression seat, can carry out intermittent type oppression to the wound and handle, carry out intermittent type nature buffer release to guarantee normal blood supply, brought the convenience for patient's treatment.
2. This intermittent type hemostasis by compression device is used in intracardiac branch of academic or vocational study nursing, through the in-process at the carriage release removal, because the surperficial swing joint of carriage release has the connection rope, so certain pine takes off the phenomenon can appear simultaneously in the connection rope on carriage release surface, and then the effect through connecting the pulley, make the activity dish of connecting the rope other end take place the rotation of certain angle, and then the bearing bar on activity dish surface can take place to remove, make the bearing bar use and store up the certain power in anther sac surface, later the inside deformation spring of storage anther sac can change, and make the inside liquid medicine of storage anther sac extruded and go out, and flow to the surface of wound through going out the medicine mouth, carry out automatic medicine feeding to the wound and handle, beneficial effect has been brought for patient's recovery, medical personnel's use has been made things convenient for simultaneously.
Drawings
FIG. 1 is a front sectional view of the hemostatic body hub of the present invention;
FIG. 2 is a schematic illustration of the pressure stem portion of the present invention;
FIG. 3 is a schematic diagram of a land portion configuration of the present invention;
FIG. 4 is an enlarged view at A of FIG. 1;
FIG. 5 is a schematic view of a portion of the hemostatic mechanism of the present invention
FIG. 6 is a schematic view of a movable plate part of the present invention
Fig. 7 is a partial structure schematic diagram of the medicine feeding mechanism of the invention.
In the figure: 1. a hemostatic body seat; 2. a support mechanism; 3. installing a ring seat; 4. a rubber cartridge frame; 5. a compression spring seat; 6. a pressure lever; 7. a clamping seat; 8. a wrapping tape; 9. a hemostatic mechanism; 10. a connecting disc; 11. a first rotating lever; 12. a travel bar; 13. a compression spring; 14. an engagement seat; 15. a pressure column; 16. an arc-shaped pressing seat; 17. a first compression hemostasis seat; 18. a second rotating rod; 19. a second compression hemostasis seat; 20. a medicine feeding mechanism; 21. connecting a pulley; 22. connecting ropes; 23. a movable tray; 24. a bearing rod; 25. a medicine storage bag; 26. a deformation spring; 27. a medicine outlet.
Detailed Description
The invention is further described below with reference to the accompanying drawings:
the first embodiment is as follows:
as shown in figures 1 to 5:
the utility model provides an intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device, includes hemostasis main part seat 1, supporting mechanism 2, the inside fixedly connected with collar extension 3 of hemostasis main part seat 1, and the surface swing joint of collar extension 3 has rubber bullet frame 4, and the inside swing joint of rubber bullet frame 4 has compression spring seat 5, and the side surface swing joint of compression spring seat 5 has pressure bar 6.
The supporting mechanism 2 comprises a holding seat 7, and the outer surface of the holding seat 7 is movably connected with a winding belt 8.
Further, still include hemostasis mechanism 9, hemostasis mechanism 9 includes connection pad 10, the surface rotation of connection pad 10 is connected with first bull stick 11, the surface swing joint of first bull stick 11 has carriage release lever 12, the inside swing joint of carriage release lever 12 has compression spring 13, the surface swing joint of carriage release lever 12 has meshing seat 14, the surface swing joint of meshing seat 14 has pressure column 15, the one end swing joint of pressure column 15 has the arc to press seat 16, the surface swing joint that the seat 16 was pressed to the arc has first hemostasis by compression seat 17, the surface swing joint of carriage release lever 12 has second bull stick 18, the other end swing joint of second bull stick 18 has hemostasis by compression seat 19 of second.
The first rotating rod 11 is driven to rotate by the pressure rod 6, the first rotating rod 11 drives the moving rod 12 on the surface of the first rotating rod to move, then the moving rod 12 presses the compression spring 13 and drives the engaging seat 14 to move, the engaging seat 14 drives the pressure column 15 to move, the pressure column 15 drives the arc-shaped pressing seat 16 at the other end of the pressure column to move towards one side of the wound, the first compression hemostasis seat 17 is driven to compress the wound, when the rubber bullet frame 4 is pulled, the first compression hemostasis seat 17 is indirectly far away from the wound, the second rotating rod 18 is rotatably connected on the surface of the moving rod 12, when the rubber bullet frame 4 is pulled, the moving rod 12 is indirectly driven to rotate the second rotating rod 18, and the second rotating rod 18 drives the second compression hemostasis seat 19 to compress the wound, so that under indirect mutual compression of the first compression hemostasis seat 17 and the second compression hemostasis seat 19, can carry out intermittent type oppression to the wound and handle, carry out intermittent type nature buffer release to guarantee normal blood supply, brought the convenience for patient's treatment.
The second embodiment is as follows:
as shown in fig. 5 to 7:
the utility model provides an intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device, includes hemostasis main part seat 1, supporting mechanism 2, the inside fixedly connected with collar extension 3 of hemostasis main part seat 1, and the surface swing joint of collar extension 3 has rubber bullet frame 4, and the inside swing joint of rubber bullet frame 4 has compression spring seat 5, and the side surface swing joint of compression spring seat 5 has pressure bar 6.
Further, still include medicine feeding mechanism 20, medicine feeding mechanism 20 is including connecting pulley 21, and the surface swing joint who connects pulley 21 has connection rope 22, and the other end swing joint who connects rope 22 has activity dish 23, and the surface of activity dish 23 rotates and is connected with bearing rod 24, and the other end swing joint of bearing rod 24 has medicine storage bag 25, and medicine storage bag 25's inside swing joint has deformation spring 26, and medicine storage bag 25's inside fixedly connected with goes out medicine mouth 27.
Through the in-process that removes at carriage release lever 12, because the surperficial swing joint of carriage release lever 12 has connection rope 22, so certain pine phenomenon appears in the connection rope 22 on carriage release lever 12 surface simultaneously, and then through the effect of connecting pulley 21, make the activity dish 23 of connecting the rope 22 other end take place the rotation of certain angle, and then the bearing rod 24 on activity dish 23 surface can take place to remove, make bearing rod 24 use to store up the certain power in anther sac 25 surface, later the inside deformation spring 26 of medicine sac 25 can change, and make the inside liquid medicine of medicine sac 25 extruded and go out, and flow to the surface of wound through medicine outlet 27, carry out automatic medicine feeding to the wound and handle, beneficial effect has been brought for patient's recovery, medical personnel's use has been made things convenient for simultaneously.
The third concrete implementation mode:
as shown in figures 1 to 7:
the utility model provides an intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device, includes hemostasis main part seat 1, supporting mechanism 2, the inside fixedly connected with collar extension 3 of hemostasis main part seat 1, and the surface swing joint of collar extension 3 has rubber bullet frame 4, and the inside swing joint of rubber bullet frame 4 has compression spring seat 5, and the side surface swing joint of compression spring seat 5 has pressure bar 6.
Supporting mechanism 2 is including adding and holding seat 7, the surface swing joint that adds and hold seat 7 has winding area 8, hemostasis mechanism 9 includes connection pad 10, the surface rotation of connection pad 10 is connected with first bull stick 11, the surface swing joint of first bull stick 11 has carriage release lever 12, the inside swing joint of carriage release lever 12 has compression spring 13, the surface swing joint of carriage release lever 12 has meshing seat 14, the surface swing joint of meshing seat 14 has pressure column 15, the one end swing joint of pressure column 15 has the arc to press seat 16, the surface swing joint that the seat 16 was pressed to the arc has first hemostasis by compression seat 17, the surface swing joint of carriage release lever 12 has second bull stick 18, the other end swing joint of second bull stick 18 has hemostasis by compression seat 19 of second.
The first rotating rod 11 is driven to rotate by the pressure rod 6, the first rotating rod 11 drives the moving rod 12 on the surface of the first rotating rod to move, then the moving rod 12 presses the compression spring 13 and drives the engaging seat 14 to move, the engaging seat 14 drives the pressure column 15 to move, the pressure column 15 drives the arc-shaped pressing seat 16 at the other end of the pressure column to move towards one side of the wound, the first compression hemostasis seat 17 is driven to compress the wound, when the rubber bullet frame 4 is pulled, the first compression hemostasis seat 17 is indirectly far away from the wound, the second rotating rod 18 is rotatably connected on the surface of the moving rod 12, when the rubber bullet frame 4 is pulled, the moving rod 12 is indirectly driven to rotate the second rotating rod 18, and the second rotating rod 18 drives the second compression hemostasis seat 19 to compress the wound, so that under indirect mutual compression of the first compression hemostasis seat 17 and the second compression hemostasis seat 19, can carry out intermittent type oppression to the wound and handle, carry out intermittent type nature buffer release to guarantee normal blood supply, brought the convenience for patient's treatment.
Medicine feeding mechanism 20 is including connecting pulley 21, and the surface swing joint of connecting pulley 21 has connection rope 22, and the other end swing joint of connecting rope 22 has activity dish 23, and the surface of activity dish 23 rotates and is connected with bearing rod 24, and the other end swing joint of bearing rod 24 has medicine storage bag 25, and medicine storage bag 25's inside swing joint has out the medicine mouth 27, the inside fixedly connected with of medicine storage bag 25.
Through the in-process that removes at carriage release lever 12, because the surperficial swing joint of carriage release lever 12 has connection rope 22, so certain pine phenomenon appears in the connection rope 22 on carriage release lever 12 surface simultaneously, and then through the effect of connecting pulley 21, make the activity dish 23 of connecting the rope 22 other end take place the rotation of certain angle, and then the bearing rod 24 on activity dish 23 surface can take place to remove, make bearing rod 24 use to store up the certain power in anther sac 25 surface, later the inside deformation spring 26 of medicine sac 25 can change, and make the inside liquid medicine of medicine sac 25 extruded and go out, and flow to the surface of wound through medicine outlet 27, carry out automatic medicine feeding to the wound and handle, beneficial effect has been brought for patient's recovery, medical personnel's use has been made things convenient for simultaneously.
The specific use mode and function of the embodiment are as follows: when the device is used, the compression position is determined according to the injured situation of a patient, the device is arranged on the injured limb through the installation ring seat 3 and the winding belt 8, and the patient is guided to naturally stretch the limb, when the patient stretches the limb, the rubber elastic frame 4 on the surface of the patient is pressed, the rubber elastic frame 4 presses the compression spring seat 5 and the pressure rod 6 on the side surface of the rubber elastic frame, one end of the pressure rod 6 is movably connected to the outer surface of the first rotating rod 11, so that the pressure rod 6 drives the first rotating rod 11 to rotate, the first rotating rod 11 drives the moving rod 12 on the surface of the first rotating rod 11 to move, then the moving rod 12 drives the meshing seat 14 to move while pressing the compression spring 13, the meshing seat 14 drives the pressure column 15 to move, the pressure column 15 drives the arc-shaped pressing seat 16 on the other end of the pressure column 15 to move to one side of the wound, and the first compression hemostasis seat 17 is used for compressing the wound, and when rubber bullet frame 4 was promoted, can indirect messenger's first hemostasis by compression seat 17 keep away from the wound position, and there is second bull stick 18 to rotate the surface of connecting at carriage release lever 12, so when rubber bullet frame 4 was promoted, can indirect messenger's carriage release lever 12 drive second bull stick 18 and rotate, and then second bull stick 18 can drive second hemostasis by compression seat 19 and carry out the oppression to the wound and handle, thereby under the indirect mutual oppression of first hemostasis by compression seat 17 and second hemostasis by compression seat 19, can carry out intermittent type oppression to the wound and handle, carry out intermittent type buffer release, in order to guarantee normal blood supply, convenience has been brought for patient's treatment.
In-process at the removal of carriage release lever 12, because the surperficial swing joint of carriage release lever 12 has connection rope 22, so certain pine phenomenon appears in the connection rope 22 on carriage release lever 12 surface simultaneously, and then the effect through connecting pulley 21, make the activity dish 23 of connecting the rope 22 other end take place the rotation of certain angle, and then the bearing rod 24 on activity dish 23 surface can take place to remove, make bearing rod 24 use the certain power in storage anther sac 25 surface, later the inside deformation spring 26 of storage anther sac 25 can change, and make the inside liquid medicine of storage anther sac 25 extruded and go out, and flow to the surface of wound through medicine outlet 27, carry out automatic medicine feeding to the wound and handle, beneficial effect has been brought for patient's recovery, medical personnel's use has been made things convenient for simultaneously.
The technical solutions of the present invention or similar technical solutions designed by those skilled in the art based on the teachings of the technical solutions of the present invention are all within the scope of the present invention to achieve the above technical effects.

Claims (6)

1. The utility model provides a intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device which characterized in that: the hemostatic device comprises a hemostatic main body seat (1) and a supporting mechanism (2), wherein a mounting ring seat (3) is fixedly connected inside the hemostatic main body seat (1), a rubber spring frame (4) is movably connected to the outer surface of the mounting ring seat (3), a compression spring seat (5) is movably connected inside the rubber spring frame (4), and a pressure rod (6) is movably connected to the side surface of the compression spring seat (5).
2. The intermittent compression hemostasis device for cardiology department care according to claim 1, wherein: the supporting mechanism (2) comprises a holding seat (7), and the outer surface of the holding seat (7) is movably connected with a winding belt (8).
3. The intermittent compression hemostasis device for cardiology department care according to claim 1, wherein: also comprises a hemostasis mechanism (9), the hemostasis mechanism (9) comprises a connecting disc (10), the outer surface of the connecting disc (10) is rotatably connected with a first rotating rod (11), the outer surface of the first rotating rod (11) is movably connected with a moving rod (12), a compression spring (13) is movably connected inside the movable rod (12), an engaging seat (14) is movably connected on the outer surface of the movable rod (12), the outer surface of the engaging seat (14) is movably connected with a pressure column (15), one end of the pressure column (15) is movably connected with an arc-shaped pressing seat (16), the outer surface of the arc-shaped pressing seat (16) is movably connected with a first compression hemostasis seat (17), the outer surface of the moving rod (12) is movably connected with a second rotating rod (18), the other end of the second rotating rod (18) is movably connected with a second compression hemostasis seat (19).
4. The intermittent compression hemostasis device for cardiology department care according to claim 1, wherein: still include medicine feeding mechanism (20), medicine feeding mechanism (20) is including connecting pulley (21), the surface swing joint of connecting pulley (21) has connection rope (22), the other end swing joint of connection rope (22) has activity dish (23), the surface of activity dish (23) rotates and is connected with bearing rod (24), the other end swing joint of bearing rod (24) has medicine storage bag (25), the inside swing joint of medicine storage bag (25) has deformation spring (26), the inside fixedly connected with of medicine storage bag (25) goes out medicine mouth (27).
5. The intermittent compression hemostasis device for cardiology department care according to claim 1, wherein: the rubber bullet frame (4) is arc-shaped.
6. The intermittent compression hemostasis device for cardiology department care according to claim 1, wherein: supporting mechanism (2) swing joint is in the inside of hemostasis main part seat (1), hemostasis mechanism (9) swing joint is in the inside of hemostasis main part seat (1), it constructs (20) swing joint on the surface of hemostasis mechanism (9) to go up medicine.
CN202110702741.4A 2021-06-24 2021-06-24 Intracardiac branch of academic or vocational study nursing is with intermittent type hemostasis by compression device Active CN113243961B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4256251A (en) * 1978-04-24 1981-03-17 Lawrence M. Smith Surgical staplers and staple
CN109106418A (en) * 2018-08-30 2019-01-01 无锡市人民医院 Cardiological hemostasis compressorium
CN112155631A (en) * 2020-10-15 2021-01-01 罗文� Intracardiac postoperative femoral artery hemostasis compressor for branch of academic or vocational study
CN112168274A (en) * 2020-10-16 2021-01-05 罗文� Automatic hemostasis compressor for cardiology department operation
CN112587193A (en) * 2020-12-28 2021-04-02 丽水市人民医院 Emergency call wound surgery wound hemostasis is with oppression device

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4256251A (en) * 1978-04-24 1981-03-17 Lawrence M. Smith Surgical staplers and staple
CN109106418A (en) * 2018-08-30 2019-01-01 无锡市人民医院 Cardiological hemostasis compressorium
CN112155631A (en) * 2020-10-15 2021-01-01 罗文� Intracardiac postoperative femoral artery hemostasis compressor for branch of academic or vocational study
CN112168274A (en) * 2020-10-16 2021-01-05 罗文� Automatic hemostasis compressor for cardiology department operation
CN112587193A (en) * 2020-12-28 2021-04-02 丽水市人民医院 Emergency call wound surgery wound hemostasis is with oppression device

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