CN113456155B - Novel visual bronchus plugging device - Google Patents

Novel visual bronchus plugging device Download PDF

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Publication number
CN113456155B
CN113456155B CN202110819269.2A CN202110819269A CN113456155B CN 113456155 B CN113456155 B CN 113456155B CN 202110819269 A CN202110819269 A CN 202110819269A CN 113456155 B CN113456155 B CN 113456155B
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pipe
silica gel
shutoff
gel head
handle
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CN113456155A (en
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刘梅
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First Affiliated Hospital of Nanchang University
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First Affiliated Hospital of Nanchang 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/12031Type of occlusion complete occlusion
    • 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027Type of occlusion
    • A61B17/1204Type of occlusion temporary occlusion
    • 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12104Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
    • 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
    • A61B17/12022Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136Balloons
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems

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

Abstract

The invention provides a novel visual bronchus stopper, and relates to the field of medical instruments. This novel visual bronchus plugging device, including the shutoff pipe, the one end fixedly connected with silica gel head of shutoff pipe, the other end fixedly connected with handle of shutoff pipe, the lower part is provided with inhales the phlegm pipeline in the shutoff pipe, the lower part of inhaling in the phlegm pipeline is provided with the driving tube, the one end of inhaling the phlegm pipeline extends to silica gel head one side, the other end of inhaling the phlegm pipeline runs through the lateral wall that the shutoff pipe is close to handle one end and extends, the one end fixedly connected with sputum aspirator connector that the silica gel head was kept away from to the phlegm pipeline of inhaling. The bronchus occluder can be conveniently placed into through the visual setting of the bronchus occluder, and the foreign matter in the lung part can be conveniently cleaned, so that the plugging catheter can be fixed and does not move through the clamping blocks and the clips, the patient bronchus is protected through the silica gel head, and the bronchus occluder is worthy of being widely popularized.

Description

Novel visual bronchus plugging device
Technical Field
The invention relates to the technical field of medical instruments, in particular to a novel visual bronchus stopper.
Background
The bronchus plugging device is mainly suitable for upper and lower airway abnormalities, patients need to carry out operations of lung isolation and thoracoscopy, particularly bronchiectasis, hemorrhage, pulmonary abscess and bronchofistula which need to block bronchus, and patients who need to keep a tracheal catheter after operations can avoid repeated intubation and patients with difficult airway and infant single lung ventilation.
When a bronchus stopper on the market is placed into a body of a patient, firstly, the bronchus stopper often cannot be placed into the body of the patient due to the fact that the bronchus stopper cannot be seen visually, the difficulty of placing operation is high, meanwhile, when the bronchus stopper is placed into the body of the patient, if airway secretions exist in a trachea, on one hand, the placement of the bronchus stopper can be affected, accurate placement cannot be achieved through visual operation, on the other hand, surgical risks can be increased if foreign matters are not cleared well, and when the bronchus stopper is used in the market at present, the trachea tissue of the patient can be scratched due to the placement, airway damage is caused to be unfavorable for recovery of the patient, and finally when the bronchus stopper is used, the bronchus stopper cannot achieve an ideal effect due to the fact that the bronchus stopper is displaced due to life activities or movement of the patient possibly after a period of time.
Disclosure of Invention
Technical problem to be solved
Aiming at the defects of the prior art, the invention provides a novel visual bronchial occluder, which solves the problems that visual operation cannot be carried out, and tracheal tissue can be scratched and displaced, so that the tracheal occluder cannot be used well.
(II) technical scheme
In order to realize the purpose, the invention is realized by the following technical scheme: the utility model provides a novel visual bronchus plugging device, includes the shutoff pipe, the one end fixedly connected with silica gel head of shutoff pipe, the other end fixedly connected with handle of shutoff pipe, the lower part is provided with inhales the phlegm pipeline in the shutoff pipe, the lower part of inhaling in the phlegm pipeline is provided with the driving tube, the one end of inhaling the phlegm pipeline extends to silica gel head one side, the other end of inhaling the phlegm pipeline runs through the lateral wall that the shutoff pipe is close to handle one end and extends, the one end fixedly connected with sputum aspirator connector that the silica gel head was kept away from to the phlegm pipeline, the one end that the driving tube is close to the silica gel head is provided with porous pipeline section, the other end of driving tube runs through the lateral wall that the phlegm pipeline is close to sputum aspirator connector one end and extends, porous pipeline section is provided with the clearance claw, clearance claw fixed connection slides and sets up in the driving tube at the one end of transmission stranded wire, the transmission stranded wire is kept away from clearance claw one end and is run through driving tube and fixedly connected with the handle, the periphery fixedly connected with dog that the driving tube is close to handle one end, be provided with the spring between handle periphery and handle and the dog, evenly distributed has the gas pocket in the silica gel head.
Preferably, the periphery that the shutoff pipe is close to silica gel head one end is provided with the shutoff gasbag, upper portion is provided with the gas filled connection pipe in the shutoff pipe, the one end and the shutoff gasbag intercommunication of gas filled connection pipe, the one end that the gas filled connection pipe kept away from the shutoff gasbag runs through the lateral wall that the shutoff pipe is close to handle one side and extends, the one end that the gas filled connection pipe kept away from the shutoff gasbag is connected with the gas filled gasbag.
Preferably, the middle part of one end of the silica gel head far away from the plugging conduit is provided with a miniature camera, the miniature camera is connected with a transmission line, and one end of the transmission line far away from the miniature camera penetrates through the side wall of one end of the plugging conduit far away from the silica gel head and is connected with a display.
Preferably, the periphery of shutoff pipe is provided with the grip block, be provided with the arc in the grip block, one side of arc is rotated and is connected with the screw thread post, screw thread post threaded connection is on the grip block, the grip block is connected with the clip through the rope.
(III) advantageous effects
The invention provides a novel visual bronchus stopper. The method has the following beneficial effects:
1. according to the invention, the miniature camera is arranged at one end of the plugging catheter, so that the embedded condition can be clearly seen when the plugging catheter is embedded, the operation difficulty of the bronchial plug is reduced through visual operation, meanwhile, the lung secretion in the trachea of a patient can be seen through the miniature camera, the lung secretion is adsorbed into the silica gel head by the sputum aspirator connected with the connector of the sputum aspirator, the stubborn secretion in the silica gel head is grabbed by the cleaning claw through the handle and the transmission stranded wire and is taken into the porous pipe section, and then the lung secretion of the patient is aspirated by the sputum aspirator through the sputum aspiration pipeline, so that the bronchial plug can be well embedded into the lung of the patient, foreign matters are visually embedded and removed, and the normal use of the bronchial plug is ensured.
2. According to the invention, the inflatable air bag is pressed, the inflatable air bag enables the plugging air bag to plug the bronchus of the patient through the inflatable connecting pipe, the clamping block is moved to a proper position on the surface of the plugging catheter after plugging, the threaded column is screwed to enable the arc-shaped plate to clamp the plugging catheter, so that the plugging catheter is clamped, the clamp is clamped at a bed or a fixable part of the patient, the plugging catheter is positioned by the clamping block, meanwhile, the miniature camera can observe whether the plugging catheter is displaced from the bronchus of the patient and simultaneously display on the display, and timely observation and adjustment can also be realized.
3. According to the invention, through the arrangement of the silica gel head at the top end of the plugging catheter, the situation that tracheal tissues of a patient are scratched when the plugging catheter is placed in the body of the patient is avoided, the postoperative recovery of the patient is facilitated, and the method is worth popularizing.
Drawings
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a cross-sectional structural view of the present invention;
FIG. 3 is an enlarged view taken at A in FIG. 2;
FIG. 4 is an enlarged view of FIG. 2 at B;
fig. 5 is a plan view of the clamping block and its attachment clip of the present invention.
Wherein, 1, transmission line; 2. an inflatable air bag; 3. an inflation connecting pipe; 4. a clamping block; 5. plugging the catheter; 6. plugging the air bag; 7. air holes; 8. a miniature camera; 9. a silica gel head; 10. a drive tube; 11. a handle; 12. a spring; 13. a sputum aspirator connector; 14. a sputum aspiration conduit; 15. a handle; 16. a display; 17. driving a stranded wire; 18. a stopper; 19. a porous tube section; 20. cleaning the claws; 21. an arc-shaped plate; 22. a threaded post; 23. and (4) a clamp.
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.
Example (b):
as shown in fig. 1-5, an embodiment of the present invention provides a novel visual bronchial occluder, which comprises an occluding catheter 5, one end of the occluding catheter 5 is fixedly connected with a silica gel head 9, the silica gel head 9 can prevent a tracheal tube of a patient from being scratched when the occluding catheter 5 is placed in a patient, so as to ensure normal recovery of the patient after surgery, and avoid increasing recovery burden of the patient after surgery, meanwhile, the arrangement of the silica gel head 9 with uniformly distributed air holes 7 enables the silica gel head 9 to ventilate well on one hand, and on the other hand, the silica gel head 7 can adsorb lung secretions inside the trachea of the patient, so as to ensure normal use of the patient after tracheal occlusion, the other end of the occluding catheter 5 is fixedly connected with a handle 15, the handle 15 can facilitate implantation of the occluding catheter 5 into the patient, and also can achieve occlusion guarantee use when other measures are operated, the lower portion inside the occluding catheter 5 is provided with a sputum suction tube 14, the sputum suction pipeline 14 can be connected with a sputum aspirator to enable pulmonary secretions in a patient to be well cleared, the lower portion in the sputum suction pipeline 14 is provided with a driving pipe 10, the driving pipe 10 is internally provided with a transmission stranded wire 17 which can ensure that the purpose that the transmission stranded wire 17 drives a clearing claw 20 to enter the silica gel head 9 to grab pulmonary fixings can be achieved through a handle 11, one end of the sputum suction pipeline 14 extends to one side of the silica gel head 9, the other end of the sputum suction pipeline 14 penetrates through the side wall of one end, close to the handle 15, of the plugging catheter 5 and extends, the sputum suction pipeline 14 penetrates through the side wall of one end of the plugging catheter 5 to facilitate good use of the plugging catheter 5, one end, far away from the silica gel head 9, of the sputum suction pipeline 14 is fixedly connected with a sputum aspirator connector 13, the outer diameter of the plugging catheter 5 can be produced according to the actual situation of the patient, the outer diameter of the plugging catheter 5 can be set to be between 2-10 mm according to the actual use situation, meanwhile, the size of 2-10 mm is the optimal choice, the blocking catheter 5 can also be set to be 3-4 mm thick, when the sputum suction pipeline 14 and the blocking catheter 5 are set, the outer diameter of the sputum suction pipeline 14 is one half to one third of the inner diameter of the blocking catheter 5, the use can be well met, one end of the driving pipe 10 close to the silica gel head 9 is provided with a porous pipe section 19, the other end of the driving pipe 10 penetrates through the side wall of the sputum suction pipeline 14 close to one end of the sputum aspirator connector 13 and extends, a cleaning claw 20 is arranged in the porous pipe section 19, the cleaning claw 20 is fixedly connected to one end of the transmission stranded wire 17, the transmission stranded wire 17 is arranged in the driving pipe 10 in a sliding manner, the sputum aspirator enables secretions in the trachea of a patient to be adsorbed into the silica gel head 9 through the sputum aspirator connector 13 and the sputum suction pipeline 14, and secretions which are not easy to adhere to are adsorbed into the sputum suction pipeline 14 through the porous pipe section 19, one end, far away from the cleaning claw 20, of the transmission stranded wire 17 penetrates through the driving pipe 10 and is fixedly connected with the handle 11, the periphery, close to one end of the handle 11, of the driving pipe 10 is fixedly connected with the stop block 18, the spring 12 is arranged on the periphery of the handle 11 and between the handle 11 and the stop block 18, secretion adhered inside the silica gel head 9 is difficult to clean, at the moment, the handle 11 is pressed through the stop block 18, the spring 12 is compressed, the handle 11 enables the cleaning claw 20 to be separated from the porous pipe section 19 through the transmission stranded wire 17, the handle 11 is loosened, the spring 12 enables the transmission stranded wire 17 to drive the cleaning claw 20 to rebound, the cleaning claw 20 can grab the adhered secretion in the silica gel head 9, the secretion is well processed, the cleaning claw 20 is a shifting claw made of four pieces of steel, when the cleaning claw 20 enters the porous pipe section 19, the four pieces of the cleaning claw 20 are compressed and are well stored after being compressed, and when the secretion in the lung needs to be grabbed, drive strand wires 17 makes clearance claw 20 stretch out from porous pipe section 19, clearance claw 20 is because elasticity opens the card, draw transmission strand wires 17 after opening, because the effect shrink of porous pipe section 19 realizes snatching of the inside lung secretion of silica gel head 9, avoid blockking up silica gel head 9, evenly distributed has gas pocket 7 in the silica gel head 9, gas pocket 7 can realize patient's oxygen supply through shutoff pipe 5 on the one hand, on the other hand also can be fine when clearance patient lung secretion realize that patient lung is clean through lung secretion, guarantee that the patient can be safe smooth when using bronchus plugging device.
The periphery that shutoff pipe 5 is close to 9 one end of silica gel head is provided with shutoff gasbag 6, upper portion is provided with gas filled connection pipe 3 in the shutoff pipe 5, gas filled connection pipe 3's one end and shutoff gasbag 6 intercommunication, gas filled connection pipe 3 keeps away from the one end of shutoff gasbag 6 and runs through the lateral wall that shutoff pipe 5 is close to handle 15 one side and extend, the one end that gas filled connection pipe 3 keeps away from shutoff gasbag 6 is connected with gas filled gasbag 2, in the time of the use, through pressing gas filled gasbag 2, gas filled gasbag 2 makes shutoff gasbag 6 swell through gas filled connection pipe 3, shutoff gasbag 6 can make shutoff pipe 5 fix in the position department that the patient needs to fix after the swell, realize the shutoff at patient's trachea position like this, realize the normal use of bronchus plugging device.
The one end middle part that shutoff pipe 5 was kept away from to silica gel head 9 is provided with miniature camera 8, miniature camera 8 is connected with transmission line 1, the one end that miniature camera 8 was kept away from to transmission line 1 runs through the one end lateral wall that shutoff pipe 5 kept away from silica gel head 9 and is connected with display 16, when putting into the bronchus occluder, the actual conditions of shutoff pipe 5 can audio-visually be put into through miniature camera 8 observation, whether there is the secretion in miniature camera 8 can audio-visually seeing patient's bronchus simultaneously, if there can be timely through inhaling clear away of components such as phlegm pipeline 14 realization trachea incretion, the inside cleanness of tracheal tube has been guaranteed, guarantee the inside fine clearance of patient.
The periphery of shutoff pipe 5 is provided with grip block 4, be provided with arc 21 in the grip block 4, one side of arc 21 is rotated and is connected with screw thread post 22, screw thread post 22 threaded connection is on grip block 4, grip block 4 is connected with clip 23 through the rope, after shutoff pipe 5 puts into, after the position was placed, make grip block 4 remove suitable position on shutoff pipe 5, twist this moment and move screw thread post 22 and make arc 21 carry out the centre gripping with grip block 4 and shutoff pipe 5, can keep fixed position when guaranteeing shutoff pipe 5 to use with clip 23 centre gripping to suitable sick bed or other positions after the centre gripping, avoid the displacement to lead to trachea plugging device result of use variation or failure.
A novel visual bronchial occlusion device using method comprises the following steps:
the method comprises the following steps: is put into
The plugging handle 15 is held to enable the plugging catheter 5 to be implanted into one side of the lung of the patient through the tracheal catheter implanted into the lung of the patient, the silica gel head 9 cannot scratch the tracheal wall of the patient when the plugging catheter is placed into the lung of the patient, the micro camera 8 displays the placement condition through the display 16, can also display whether secretions exist in the trachea of the patient or in the tracheal catheter, and observes the placement condition of the patient to ensure accurate placement;
if secretions exist in the trachea of a patient or in a tracheal catheter, the connector 13 of the sputum aspirator is connected with the sputum aspirator, lung secretions enter the silica gel head 9 through the air hole 7, the handle 11 is pressed to enable the transmission stranded wire 17 to slide in the driving tube 10, the transmission stranded wire 17 enables the cleaning claw 20 to extend into the silica gel head 9, the cleaning claw 20 grabs the tracheal secretions in the silica gel head 9 into the porous tube section 19, and then the sputum aspirator sucks the tracheal secretions out through the tracheal catheter 14;
step two: positioning
After the plugging catheter 5 is successfully placed, the inflatable airbag 2 is pressed, the inflatable airbag 2 enables the plugging airbag 6 to expand through the inflatable connecting pipe 3, the trachea of a patient is plugged, then the threaded column 22 is screwed to enable the arc-shaped plate 21 to clamp the main plugging catheter 5, meanwhile, the clamp 23 is clamped on clothes of the patient or a position convenient to clamp, the situation that the plugging catheter 5 does not displace after being placed is kept, the miniature camera 8 can also observe whether the silica gel head 9 displaces from the trachea of the patient through the branch pipe, and the plugging catheter 5 is timely adjusted after the displacement of the plugging catheter 5 is observed through the display 16;
step three: normal operation
With sputum aspirator connector 13 and sputum aspirator disconnection simultaneously with its shutoff, handle 15 is opened and is connected on the breathing machine, realizes visual shutoff pipe 5's normal work.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (4)

1. A novel visual bronchus plugging device comprises a plugging catheter (5), and is characterized in that: the sputum aspirator is characterized in that one end of the plugging catheter (5) is fixedly connected with a silica gel head (9), the other end of the plugging catheter (5) is fixedly connected with a handle (15), the lower part in the plugging catheter (5) is provided with a sputum aspirating pipeline (14), the lower part in the sputum aspirating pipeline (14) is provided with a driving pipe (10), one end of the sputum aspirating pipeline (14) extends to one side of the silica gel head (9), the other end of the sputum aspirating pipeline (14) penetrates through the side wall of the plugging catheter (5) close to one end of the handle (15) and extends, one end of the sputum aspirator connector (13) far away from the silica gel head (9) is fixedly connected with a sputum aspirator connector (13), one end of the driving pipe (10) close to the silica gel head (9) is provided with a porous pipe section (19), the other end of the driving pipe (10) penetrates through the side wall of the sputum aspirator connector (13) and extends, a cleaning claw (20) is arranged in the porous pipe section (19), the one end of the cleaning claw (20) is fixedly connected with one end of the transmission rope (17), one end of the driving pipe (17) is slidably arranged in the transmission rope (17), and one end of the driving pipe (10) close to one end of the driving pipe (11) is connected with a twisted rope handle (11), and one end of the driving pipe (10) is connected with a handle (11), the handle (11) periphery and be provided with spring (12) between handle (11) and dog (18), evenly distributed has gas pocket (7) in silica gel head (9).
2. The novel visualized bronchial stopper as claimed in claim 1, wherein: the periphery that shutoff pipe (5) are close to silica gel head (9) one end is provided with shutoff gasbag (6), upper portion is provided with inflatable connection pipe (3) in shutoff pipe (5), the one end and the shutoff gasbag (6) intercommunication of inflatable connection pipe (3), the one end that inflatable connection pipe (3) was kept away from shutoff gasbag (6) runs through the lateral wall that shutoff pipe (5) were close to handle (15) one side and extends, the one end that inflatable connection pipe (3) was kept away from shutoff gasbag (6) is connected with inflatable airbag (2).
3. A novel visualized bronchial occlusion device as claimed in claim 1, characterized in that: one end middle part that shutoff pipe (5) were kept away from in silica gel head (9) is provided with miniature camera (8), miniature camera (8) are connected with transmission line (1), the one end that miniature camera (8) were kept away from in transmission line (1) runs through the one end lateral wall that the silica gel head (9) was kept away from in shutoff pipe (5) and is connected with display (16).
4. A novel visualized bronchial occlusion device as claimed in claim 1, characterized in that: the periphery of shutoff pipe (5) is provided with grip block (4), be provided with arc (21) in grip block (4), one side of arc (21) is rotated and is connected with screw thread post (22), screw thread post (22) threaded connection is on grip block (4), grip block (4) are connected with clip (23) through the rope.
CN202110819269.2A 2021-07-20 2021-07-20 Novel visual bronchus plugging device Active CN113456155B (en)

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CN112618811A (en) * 2020-12-30 2021-04-09 武汉佑康科技有限公司 Portable visual sputum aspirator structure

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