CN113384468A - Head-end self-expanding jejunum nutrition catheter, cleaning assembly and using method thereof - Google Patents

Head-end self-expanding jejunum nutrition catheter, cleaning assembly and using method thereof Download PDF

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Publication number
CN113384468A
CN113384468A CN202110679131.7A CN202110679131A CN113384468A CN 113384468 A CN113384468 A CN 113384468A CN 202110679131 A CN202110679131 A CN 202110679131A CN 113384468 A CN113384468 A CN 113384468A
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CN
China
Prior art keywords
catheter
guide wire
head
wall
pipe
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
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CN202110679131.7A
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Chinese (zh)
Inventor
蔡少如
李辉
葛梅
徐永丽
钟克波
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Southern Medical University Zhujiang Hospital
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Southern Medical University Zhujiang Hospital
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Publication date
Application filed by Southern Medical University Zhujiang Hospital filed Critical Southern Medical University Zhujiang Hospital
Priority to CN202110679131.7A priority Critical patent/CN113384468A/en
Publication of CN113384468A publication Critical patent/CN113384468A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/0069Tubes feeding directly to the intestines, e.g. to the jejunum
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J15/00Feeding-tubes for therapeutic purposes
    • A61J15/0026Parts, details or accessories for feeding-tubes
    • A61J15/003Means for fixing the tube inside the body, e.g. balloons, retaining means
    • A61J15/0046Expandable retainers inside body lumens of the enteral tract, e.g. fixing by radially contacting a lumen wall
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B08CLEANING
    • B08BCLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B9/00Cleaning hollow articles by methods or apparatus specially adapted thereto 
    • B08B9/02Cleaning pipes or tubes or systems of pipes or tubes
    • B08B9/027Cleaning the internal surfaces; Removal of blockages
    • B08B9/04Cleaning the internal surfaces; Removal of blockages using cleaning devices introduced into and moved along the pipes
    • B08B9/043Cleaning the internal surfaces; Removal of blockages using cleaning devices introduced into and moved along the pipes moved by externally powered mechanical linkage, e.g. pushed or drawn through the pipes
    • B08B9/045Cleaning the internal surfaces; Removal of blockages using cleaning devices introduced into and moved along the pipes moved by externally powered mechanical linkage, e.g. pushed or drawn through the pipes the cleaning devices being rotated while moved, e.g. flexible rotating shaft or "snake"

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Mechanical Engineering (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses a head-end self-expanding jejunum nutrition catheter, a cleaning assembly and a use method thereof, and relates to the technical field of medical equipment, the head-end self-expanding jejunum nutrition catheter comprises a catheter body and a guide wire, the end part of the catheter is spherical, the interior of the end part of the catheter is hollow and is communicated with an inner hole of the catheter, a weeping hole is formed in the outer circumferential surface of the end part of the catheter so that the end part of the catheter is hollow, the end part of the catheter is made of a flexible material, the guide wire is configured to extrude the end part of the catheter so that the end part of the catheter deforms into a spindle shape, and the guide wire is detachably connected with the catheter; a plurality of helicla flutes have been seted up to circumference array on the pipe inner wall, place before under the pressure effect of seal wire, the pipe head end is fusiform, puts into the intestinal cavity in the art of being convenient for, after the intestinal cavity is put into to the accuracy, takes out the seal wire, and the pipe tip can resume the spherical outward appearance of fretwork form under the effect of non-pressure, can effectually avoid deviating from of pipe, and the head end of fretwork form can guarantee that the digestive juice more than the pipe passes through smoothly.

Description

Head-end self-expanding jejunum nutrition catheter, cleaning assembly and using method thereof
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to a head-end self-expanding jejunum nutrition catheter, a cleaning assembly and a using method of the cleaning assembly.
Background
Esophageal cancer is a common digestive tract tumor, the typical symptom of esophageal cancer is progressive dysphagia, firstly food which is difficult to swallow dry, then semifluid food, and finally water and saliva can not be swallowed, when a plurality of patients see a doctor, the esophagus is obviously obstructed and can not eat, and an jejunal nutrition path needs to be established for enteral nutrition support. In addition, in order to promote the recovery of patients, jejunal nutrient tubes are often left in patients who undergo esophageal cancer radical surgery during postoperative fasting, and are used for implementing early postoperative enteral nutrition of the patients. At present, no jejunum nutrient canal which is pertinently used for placing in an operation is clinically used, most units select a mushroom head or plum blossom-shaped silica gel-like catheter, the thickness of the catheter is thick, and even if the mushroom head is cut off during placement, the catheter is difficult to place in an intestinal cavity. In addition, after the catheter is placed, the catheter is easy to displace and fall out under the action of external force. In addition, the jejunum nutrient canal used clinically at present is easy to cause pipeline blockage, so a head-end self-expanding jejunum nutrient canal is provided.
The inner wall of the pipeline is changed into a long thread shape, which is similar to a rifling of a gun, so that the smoothness of the pipeline is improved, and the occurrence rate of pipe blockage after operation is reduced. We therefore envisage designing such a tube for the implementation of post-operative enteral nutrition.
Disclosure of Invention
In view of the deficiencies of the prior art, the present invention provides a head-end self-expandable jejunal feeding catheter, a cleaning assembly and a method for using the same, so as to solve the problems of the background art.
The purpose of the invention can be realized by the following technical scheme: a head-end self-expanding jejunal nutrition catheter comprises a catheter body and a catheter end, wherein the catheter end is spherical, the interior of the catheter end is hollow and is communicated with an inner hole of the catheter, a weeping hole is formed in the outer circumferential surface of the catheter end to enable the catheter end to be hollowed out, the catheter end is made of a flexible material, the guide wire can be contained in the inner hole of the catheter, the guide wire is configured to extrude the catheter end to enable the catheter end to be deformed into a spindle shape, and the guide wire is detachably connected with the catheter;
the inner wall of the conduit is circumferentially provided with a plurality of spiral grooves in an array manner.
As a further aspect of the present invention, the end of the inner wall of the end of the catheter is provided with a circular groove, and the circular groove is configured to limit the sliding of the guide wire.
As a further scheme of the invention, an internal thread is arranged on the inner wall of the end of the conduit far away from the conduit, a fixing part is fixedly connected with the conduit close to the internal thread, an external thread is arranged on the outer circumference of the fixing part, and the external thread is in threaded connection with the internal thread.
The utility model provides a head end is from washing subassembly of formula jejunum nutrition pipe that expands, includes the washing piece, the outer circumferencial side of washing piece is equipped with a plurality of spiral guide blocks, the spiral guide block with the helicla flute that the pipe inner wall was seted up matches and slides along the helicla flute, the external diameter of washing piece with the inner wall internal diameter of pipe is unanimous, a fixed brush that is equipped with of washing piece terminal surface side.
A use method of a head-end self-expanding jejunum nutrition catheter comprises the following steps: the guide wire is extended into the catheter to the end of the catheter end, so that the guide wire is inserted into the circular groove, the guide wire is further pushed and pressed, the end of the catheter is extruded by the guide wire and then deforms into a spindle shape, the fixing part is rotated to fix the fixing part and the guide wire, the spindle-shaped state of the end of the catheter is kept, the catheter is extended into the intestinal cavity of a patient, the catheter is extended into a designated position, the fixing part is rotated to separate the fixing part from the catheter, so that the guide wire is drawn out, the end of the catheter recovers into a spherical shape after being separated from the extrusion of the guide wire, the diameter of the end of the catheter recovers into a spherical shape and then is increased to abut against the inner wall of the intestinal cavity and is attached to the inner wall of the intestinal cavity;
when the cleaning brush is taken out, the guide wire is stretched into the circular groove at the end part of the catheter, the end part of the catheter is extruded to be in a spindle shape, then the guide wire is pulled out of the intestinal cavity of a patient, the guide wire in the catheter is pulled out, the cleaning block is inserted into the catheter, so that the spiral guide block is matched and attached with the spiral groove, the cleaning block is pushed to move along the axial line of the catheter, the spiral guide block slides along the internal thread to drive the cleaning block to rotate, and the inner wall of the catheter is cleaned by rotating the brush.
The invention has the beneficial effects that:
1. the pipe placing difficulty is reduced: when the guide wire is placed into the head end self-expanding catheter, the head end is supported by the guide wire and is in a spindle tube shape, so that the opening and the endoscopic tube placement are facilitated, and the tube placement efficiency is improved.
2. Improving the patency of the catheter: the inner wall of the conduit is changed into the long longitudinal spiral line, which is beneficial to reducing the blockage of the pipeline and improving the smoothness of the pipeline.
3. The tube-dropping rate is reduced: after the head end of the self-expanding catheter is placed into the intestinal cavity, the spherical contour is restored, and the chance of the catheter falling out can be reduced. When the pipe is pulled out, the pulling-out of the pipeline is not influenced due to the elasticity of the head end of the pipe.
Drawings
In order to more clearly illustrate the embodiments or technical solutions in the prior art of the present invention, the drawings used in the description of the embodiments or prior art will be briefly described below, and it is obvious for those skilled in the art that other drawings can be obtained based on these drawings without creative efforts.
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic structural view of the catheter of the present invention;
FIG. 3 is a sectional view of the present invention in another state;
FIG. 4 is a sectional view of the present invention in a cleaning state;
FIG. 5 is a schematic view of the construction of the cleaning block of the present invention;
in the figure: the device comprises a catheter-1, a guide wire-2, a fixing part-3, a catheter end-4, a cleaning block-5, a spiral groove-101, an internal thread-102, a liquid leakage hole-401, a circular groove-402, an external thread-301, a spiral guide block-501 and a brush-51.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1 to 5, in an embodiment of the present invention, a head-end self-expandable jejunal nutrition catheter includes a catheter 1 and a guide wire 2, the catheter 1 includes a catheter 1 body and a catheter end 4, the catheter end 4 is a sphere, the interior of the catheter end 4 is hollow and is communicated with an inner hole of the catheter 1, a weeping hole 401 is formed on an outer circumferential surface of the catheter end 4 to make the catheter end 4 hollow, the catheter end 4 is made of a flexible material, in this embodiment, a flexible deformable plastic is used, and silica gel is wrapped around the plastic to ensure flexibility of 04, in some embodiments, a memory metal stent with memory elasticity is disposed inside 04 to play a supporting role, the guide wire 2 can be received in the inner hole of the catheter 1, the guide wire 2 is configured to press the catheter end 4 to deform the catheter end 4 into a spindle shape, the guide wire 2 is detachably connected with the catheter 1; specifically, be fretwork form sphere under 4 natural state of catheter end of pipe 1, place before under the pressure effect of seal wire 2, the catheter head end is spindle cast, put into the intestinal intracavity in the art of being convenient for, after the intestinal chamber is put into to the accuracy, take out seal wire 2, catheter end 4 can resume the spherical outward appearance of fretwork form under the effect of non-pressure, one can effectually avoid deviating from of pipe, in addition, the head end of fretwork form can guarantee that the digestive juice more than the pipe passes through smoothly.
This pipe 1 not only can use when open operation, when the pipe is put in laparoscopic surgery, inserts seal wire 2 in the pipe 1, can be convenient for the art person centre gripping under the chamber mirror and the angle of adjustment pipe 1's direction and head end, the accurate intestinal cavity of putting into with pipe 1 in the art of being convenient for, reduces the degree of difficulty of putting the pipe, improves the speed of putting the pipe.
As shown in fig. 2, the inner wall of the catheter 1 is circumferentially provided with a plurality of spiral grooves 101 in an array, and specifically, the inner wall of the catheter 1 is provided with a spiral rifling-like inner wall, which facilitates the washing of the pipeline and reduces the occurrence of pipe blockage
Preferably, as shown in fig. 2 and 4, a circular groove 402 is provided at the end of the inner wall of the catheter end 4, and the circular groove 402 is configured to limit the sliding of the guide wire 2, so as to prevent the guide wire 2 from slipping when being squeezed and pricking the inner wall of the intestinal lumen, thereby causing accidental injury.
Preferably, as shown in fig. 2 and 3, the catheter 1 has been seted up internal thread 102 on keeping away from 4 end inner walls of catheter end, the catheter 1 is close to internal thread 102 end fixedly connected with fixed part 3, external screw thread 301 has been seted up on the outer circumference of fixed part 3, external screw thread 301 and internal thread 102 threaded connection, during the use, after stretching into the catheter 2, when extruding catheter end 4 into spindle shape, as shown in fig. 3, make fixed part 3 fixed with catheter 1 through threaded connection through rotatory fixed part 3, the medical personnel operation of being convenient for, after the adjustment is fixed, can stretch into patient's intestinal lumen with catheter 1, need not to fix the seal wire with another hand, improve the convenience of operation.
As shown in fig. 4 and 5, a cleaning assembly for a head-end self-expanding jejunum nutrition catheter comprises a cleaning block 5, wherein a plurality of spiral guide blocks 501 are arranged on the outer circumferential side of the cleaning block 5, the spiral guide blocks 501 are matched with the spiral grooves 101 formed in the inner wall of the catheter 1 and slide along the spiral grooves 101, the outer diameter of the cleaning block 5 is consistent with the inner diameter of the inner wall of the catheter 1, a brush 51 is fixedly arranged on one end face side of the cleaning block 5, the spiral guide blocks 501 are aligned with the internal threads 102 during use, the cleaning block 5 moves along the axial direction of the catheter 1 through 52, the brush 51 cleans the wall of the catheter 1, and meanwhile, the spiral guide blocks 501 slide along the spiral grooves 101 to drive the cleaning block 5 to rotate, so that the cleaning effect and the cleaning efficiency are improved.
A use method of a head-end self-expanding jejunum nutrition catheter comprises the following steps: the guide wire 2 is inserted into the catheter 1 to the end 4 of the catheter, the guide wire 2 is inserted into the circular groove 402, the guide wire 2 is further pressed, the end 4 of the catheter is extruded by the guide wire 2 and then deforms into a spindle shape, as shown in the state of figure 3, the fixing part 3 is rotated to fix the fixing part 3 and the guide wire 2, the spindle shape state of the end 4 of the catheter is kept, the catheter 1 is inserted into the intestinal cavity of a patient, after the catheter 1 is inserted into a designated position, the fixing part 3 is rotated to separate the fixing part 3 from the catheter 1, and then the guide wire 2 is drawn out, the end 4 of the catheter recovers into a spherical shape after being separated from the extrusion of the guide wire 2, as shown in the state of figure 1, the diameter of the end 4 of the catheter recovers into a spherical shape, and then the end of the catheter pushes against the inner wall of the intestinal cavity and is attached to the inner wall of the intestinal cavity;
when taking out, stretch into the pipe 1 with the seal wire 2 and insert in the circular slot 402 of pipe end 4 in the pipe 1, extrusion pipe end 4 is spindle-shaped, then take out the patient's intestinal intracavity with seal wire 2, take out the seal wire 2 in the pipe 1, insert the pipe 1 with cleaning block 5 in, make spiral guide block 501 and helicla flute 101 match the laminating, promote cleaning block 5 along pipe 1 axis motion, spiral guide block 501 slides along internal thread 102 and drives cleaning block 5 and rotate, and then make brush 51 rotate and clean the inner wall of pipe 1, as shown in fig. 4.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "left", "right", etc., indicating an orientation or positional relationship are based on the orientation or positional relationship shown in the drawings and are used merely for convenience in describing the present invention and for simplifying the description, but do not indicate or imply that the device or element referred to must have a specific orientation, be constructed in a specific orientation, or be operated, and thus, should not be construed as limiting the present invention.
Furthermore, the method is simple. The terms "first", "second" and "first" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implicitly indicating the number of technical features indicated. In the description of the present invention, "a plurality" means two or more unless specifically limited otherwise.
It will be appreciated by those skilled in the art that various changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the spirit and scope of the invention, and any equivalents thereto, such as those skilled in the art, are intended to be embraced therein.

Claims (5)

1. The head-end self-expanding jejunal nutrition catheter is characterized by comprising a catheter (1) and a guide wire (2), wherein the catheter (1) comprises a catheter (1) body and a catheter end (4), the catheter end (4) is spherical, the interior of the catheter end (4) is hollow and is communicated with an inner hole of the catheter (1), a liquid leakage hole (401) is formed in the outer circumferential surface of the catheter end (4) to enable the catheter end (4) to be hollow, the catheter end (4) is made of a flexible material, the guide wire (2) can be contained in the inner hole of the catheter (1), the guide wire (2) is configured to extrude the catheter end (4) to enable the catheter end (4) to deform into a spindle shape, and the guide wire (2) is detachably connected with the catheter (1);
the inner wall of the conduit (1) is circumferentially provided with a plurality of spiral grooves (101).
2. The head-end self-expandable jejunal feeding catheter as claimed in claim 1, wherein the catheter end (4) is provided with a circular groove (402) at the inner wall end, and the circular groove (402) is configured to limit the sliding of the guide wire (2).
3. The head-end self-expandable jejunal nutrition catheter as claimed in claim 1, wherein an inner wall of the catheter (1) far away from the catheter end (4) is provided with an internal thread (102), the catheter (1) close to the internal thread (102) is fixedly connected with a fixing part (3), an external thread (301) is provided on the outer circumference of the fixing part (3), and the external thread (301) is in threaded connection with the internal thread (102).
4. The cleaning assembly for the head-end self-expanding jejunal nutrition catheter as claimed in claim 1 comprises a cleaning block (5), wherein a plurality of spiral guide blocks (501) are arranged on the outer circumferential side of the cleaning block (5), the spiral guide blocks (501) are matched with a spiral groove (101) formed in the inner wall of the catheter (1) and slide along the spiral groove (101), the outer diameter of the cleaning block (5) is consistent with the inner diameter of the inner wall of the catheter (1), and a brush (51) is fixedly arranged on one end face side of the cleaning block (5).
5. A use method of a head-end self-expanding jejunum nutrition catheter is characterized by comprising the following steps: the guide wire (2) is inserted into the catheter (1) to the end of the catheter end (4), the guide wire (2) is inserted into the circular groove (402), the guide wire (2) is further pressed to enable the catheter end (4) to deform into a spindle shape after being extruded by the guide wire (2), the fixing part (3) is rotated to enable the fixing part (3) to be fixed with the guide wire (2), the spindle-shaped state of the catheter end (4) is kept, the catheter (1) is inserted into the intestinal cavity of a patient, the catheter (1) is inserted into a designated position, the fixing part (3) is rotated to enable the fixing part (3) to be separated from the catheter (1), the guide wire (2) is further drawn out, the catheter end (4) is recovered into a spherical shape after being separated from the extrusion of the guide wire (2), the diameter of the catheter end (4) is increased after being recovered into a spherical shape, and the catheter end abuts against the inner wall of the intestinal cavity and is attached to the inner wall of the intestinal cavity;
when the cleaning device is taken out, the guide wire (2) extends into the circular groove (402) of the end part (4) of the catheter (1) and is extruded to form a spindle shape, then the guide wire (2) is drawn out of the intestinal cavity of a patient, the guide wire (2) in the catheter (1) is drawn out, the cleaning block (5) is inserted into the catheter (1), the spiral guide block (501) is matched and attached with the spiral groove (101), the cleaning block (5) is pushed to move along the axis of the catheter (1), the spiral guide block (501) slides along the internal thread (102) to drive the cleaning block (5) to rotate, and then the brush (51) rotates to clean the inner wall of the catheter (1).
CN202110679131.7A 2021-06-18 2021-06-18 Head-end self-expanding jejunum nutrition catheter, cleaning assembly and using method thereof Pending CN113384468A (en)

Priority Applications (1)

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CN202110679131.7A CN113384468A (en) 2021-06-18 2021-06-18 Head-end self-expanding jejunum nutrition catheter, cleaning assembly and using method thereof

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202110679131.7A CN113384468A (en) 2021-06-18 2021-06-18 Head-end self-expanding jejunum nutrition catheter, cleaning assembly and using method thereof

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1431118A (en) * 1973-01-17 1976-04-07 Gilead Gideon Irrigation device
EP0175595A1 (en) * 1984-07-24 1986-03-26 Institut National De La Sante Et De La Recherche Medicale (Inserm) Autostatic visceral probe with a helicoidal cover
US20100185155A1 (en) * 2009-01-19 2010-07-22 Mcmichael Donald J Enteral Feeding Assembly With Obturator
CN108355177A (en) * 2017-12-27 2018-08-03 毕秀叶 A kind of novel stomach pressure reducer
CN108815678A (en) * 2018-04-26 2018-11-16 付金涛 A kind of nasointestinal tube cleaning plant

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB1431118A (en) * 1973-01-17 1976-04-07 Gilead Gideon Irrigation device
EP0175595A1 (en) * 1984-07-24 1986-03-26 Institut National De La Sante Et De La Recherche Medicale (Inserm) Autostatic visceral probe with a helicoidal cover
US20100185155A1 (en) * 2009-01-19 2010-07-22 Mcmichael Donald J Enteral Feeding Assembly With Obturator
CN108355177A (en) * 2017-12-27 2018-08-03 毕秀叶 A kind of novel stomach pressure reducer
CN108815678A (en) * 2018-04-26 2018-11-16 付金涛 A kind of nasointestinal tube cleaning plant

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