CN113475999A - Soft endoscope nursing monitor, monitoring method and nursing method - Google Patents

Soft endoscope nursing monitor, monitoring method and nursing method Download PDF

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Publication number
CN113475999A
CN113475999A CN202110826172.4A CN202110826172A CN113475999A CN 113475999 A CN113475999 A CN 113475999A CN 202110826172 A CN202110826172 A CN 202110826172A CN 113475999 A CN113475999 A CN 113475999A
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CN
China
Prior art keywords
controller
nursing
camera
endoscope
image
Prior art date
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
Application number
CN202110826172.4A
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Chinese (zh)
Inventor
李琼
贺晓春
温月英
张安平
汤兰
李静
何健
何丽
孙敏
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Sichuan Provincial Hospital for Women and Children
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Sichuan Provincial Hospital for Women and Children
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Sichuan Provincial Hospital for Women and Children filed Critical Sichuan Provincial Hospital for Women and Children
Priority to CN202110826172.4A priority Critical patent/CN113475999A/en
Publication of CN113475999A publication Critical patent/CN113475999A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/045Control thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A61B1/0661Endoscope light sources
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/12Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements
    • A61B1/126Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with cooling or rinsing arrangements provided with means for cleaning in-use

Abstract

The invention discloses a soft endoscope nursing monitor, a monitoring method and a nursing method, wherein the monitor comprises a fixing device, a miniature camera, a controller and a display, the fixing device comprises a handle and a flexible strip connected with the handle, the miniature camera is connected with the flexible strip, the controller and the display are both connected with the miniature camera, the controller is used for receiving and processing images transmitted by the miniature camera, and the display is used for displaying the images processed by the controller. According to the invention, the miniature camera is additionally arranged on the flexible strip of the fixing device, the image of the inner wall of the lumen of the flexible endoscope is shot, the image is received and processed through the controller, and the processed image is displayed by the display, so that a nursing staff can clearly know the nursing condition of the inner wall of the lumen, the cleaning effect is obviously improved, and the efficiency is better.

Description

Soft endoscope nursing monitor, monitoring method and nursing method
Technical Field
The invention relates to the technical field of cleaning of soft endoscopes, in particular to a soft endoscope nursing monitor, a monitoring method and a nursing method.
Background
The flexible endoscopes can be classified into gastroscopes, enteroscopes, duodenoscopes, bronchoscopes, etc. according to the positions where the endoscopes reach. Previously, soft endoscopes have only been used for diagnosis, and nowadays, endoscopes can be widely used for minimally invasive surgery, and therefore, cleaning of the endoscope must be kept sterile as well as surgical instruments. Incomplete cleaning, contaminants can block penetration of a disinfection (or sterilization) medium, resulting in failure of disinfection (or sterilization), thereby causing cross infection, unsmooth air and water supply, difficult endoscope insertion caused by yellow spots, delayed work and increased comprehensive cost, and further shortening the service life of the mirror. At present, in the cleaning of the soft endoscope, the real cleaning condition of the inner wall of the tube cavity cannot be detected, the pertinence is not achieved, the cleaning effect is not good, and the efficiency is low.
Disclosure of Invention
In order to solve the problems, the invention provides a soft endoscope nursing monitor, a monitoring method and a nursing method, which can intuitively monitor nursing conditions and have excellent and high nursing effect.
The technical scheme of the invention is as follows:
the utility model provides a soft scope nursing monitor, includes fixing device, miniature camera, controller and display, fixing device include the handle and with the flexible strip that the handle is connected, miniature camera with the flexible strip is connected, controller and display all with miniature camera is connected, the controller constitutes to be used for receiving and handling the image of miniature camera transmission, the display constitutes to be used for showing the image after the controller is handled.
The working principle of the technical scheme is as follows: when the flexible endoscope works, the flexible strip with the miniature camera is inserted into a lumen of the flexible endoscope, and the miniature camera shoots images of the inner wall of the lumen and transmits the shot images to the controller in real time through electric signals; the controller receives and processes the image, transmits the image to the display after the processing is finished, and then the nursing staff can determine whether the nursing place is not in place through the image displayed in the display, and can wash the nursing place again if the nursing place is not in place, or the nursing staff is directly connected with the monitor for washing, so that the washing is more visual, the washing effect is excellent, and the efficiency is high.
Compared with the prior art, the flexible strip of the fixing device is additionally provided with the miniature camera, the image of the inner wall of the lumen of the flexible endoscope is shot, the image is received and processed through the controller, and the processed image is displayed by the display, so that nursing staff can clearly know the nursing condition of the inner wall of the lumen, the cleaning effect is obviously improved, and the efficiency is better.
In a further technical scheme, the miniature camera is arranged on the periphery of the flexible strip.
Through setting up miniature camera head on the periphery of flexible strip, can aim at the inner wall of lumen with the camera lens, the image of obtaining is more clear.
In a further technical scheme, a light source is arranged in a limited area of the miniature camera.
The light source is arranged in the limited area of the micro camera and is matched with the micro camera, so that the definition and the reality of the image are further improved.
In a further technical scheme, the light source is connected with a controller, and the brightness of the light source is adaptively adjusted according to the acquired image of the miniature camera.
The light source is set to be capable of self-adaptive adjustment according to the received image, and monitoring is prevented from being influenced by overexposure.
In a further technical scheme, a brush is connected to the flexible strip, and the micro camera is arranged in a limited area of the brush.
Through set up the brush on flexible strip for at the in-process of nursing, the inner wall of monitoring the lumen has the place of filth, can wash key, and the pertinence is stronger, further promotes nursing effect and nursing efficiency.
In a further technical scheme, the miniature camera is an automatic focusing lens.
Through setting up miniature camera to automatic focusing lens, further promote the definition of the image of shooing.
In a further technical scheme, the miniature camera comprises an electric focusing lens, and the electric focusing lens is electrically connected with the controller.
Through the camera lens with miniature camera set up to electronic focusing lens, can promote artificial operability through controller automatic control.
Another aspect of the present invention provides a monitoring method of the soft endoscope nursing monitor, including the following steps:
inserting a flexible strip with a miniature camera into a tube cavity of a soft endoscope;
the miniature camera transmits the shot image to the controller through an electric signal;
the controller receives and processes the image, and transmits the image to the display after the processing is finished.
In another aspect of the present invention, a method for nursing a soft endoscope is provided, including the steps of:
s1, preprocessing;
s2, leakage detection;
s3, cleaning, wherein in the step, the soft endoscope nursing monitor is adopted, and a hairbrush is arranged in a limited area of a miniature camera of the soft endoscope nursing monitor, so that the inner wall of a tube cavity with obvious dirt is intensively scrubbed;
s4, rinsing;
s5, sterilizing;
s6, final rinsing;
and S7, drying.
The invention has the beneficial effects that:
1. compared with the prior art, the flexible strip of the fixing device is additionally provided with the miniature camera, the image of the inner wall of the lumen of the flexible endoscope is shot, the image is received and processed through the controller, and the processed image is displayed by the display, so that a nursing staff can clearly know the nursing condition of the inner wall of the lumen, the cleaning effect is obviously improved, and the efficiency is better;
2. the micro camera is arranged on the periphery of the flexible strip, so that the lens can be aligned to the inner wall of the tube cavity, and the obtained image is clearer;
3. the definition and the reality of the image are further improved by arranging the light source in the limited area of the micro camera and matching the micro camera;
4. the light source is set to be capable of self-adaptive adjustment according to the received image, and monitoring is prevented from being influenced by overexposure;
5. the brush is arranged on the flexible strip, so that the inner wall of the tube cavity is monitored in the nursing process, the tube cavity can be mainly cleaned, the pertinence is stronger, and the nursing effect and the nursing efficiency are further improved;
6. the micro camera is set as an automatic focusing lens, so that the definition of a shot image is further improved;
7. through the camera lens with miniature camera set up to electronic focusing lens, can promote artificial operability through controller automatic control.
Drawings
FIG. 1 is a schematic view of the internal structure of a conventional soft endoscope;
fig. 2 is a schematic view of the overall structure of a soft endoscope care monitor according to an embodiment of the present invention.
Reference numerals:
11-a handle; 12-a flexible strip; 13-a wire; 20-a miniature camera; 30-a controller; 40-display.
Detailed Description
The embodiments of the present invention will be further described with reference to the accompanying drawings.
Example (b):
the internal structure of a common soft endoscope is shown in fig. 1. A soft endoscope nursing monitor is shown in figure 2 and comprises a fixing device, a micro camera 20, a controller 30 and a display 40. Here, the size of the micro camera 20 is related to the endoscope size of the lumen of the soft endoscope, and is generally less than 10 mm. The miniature camera head 20 herein may be, for example, an endoscope or the like, as is conventional in the art. For example, the miniature camera head can be 1.42mm and 2mm endoscopes developed by the U.S. OV6946, and is mainly characterized in that: the core chip adopts a sensor with the thickness of 0.96 multiplied by 0.96 mm; diameter 1.42(2 mm). times.6.0 mm-10.0 mm; 16 ten thousand pixels; viewing angle 0 °; field angle 25 °; 100 ° -120 ° (optional); the depth of field is 3-70 mm; 25-100 mm (optional); the diameter of the tape light source is 2.0 mm. For example, the outer periphery of the micro camera 20 may be covered with a protective layer. The fixing means comprise a handle 11 and a flexible strip 12 connected to the handle 11. For example, the flexible strip 12 may be a metal wound tube. The micro-camera 20 is connected to the flexible strip 12, the controller 30 and the display 40 are both connected to the micro-camera 10, the controller 30 is configured to receive and process the image transmitted by the micro-camera 10, and the display 40 is configured to display the image processed by the controller 30. For example, the micro-camera 10 may be electrically connected to the controller 30 and the display 40, or may be wirelessly transmitted, which is not limited to the present invention. For example, the controller 30 and the display 40 are connected to the micro camera 10 through a wire 13.
The working principle of the technical scheme is as follows: as shown in fig. 2, in operation, the flexible strip 12 with the micro-camera 20 is inserted into the lumen of the soft endoscope, and the micro-camera 20 takes images of the inner wall of the lumen and transmits the taken images to the controller 30 in real time through electric signals; the controller 30 receives and processes the image, transmits the image to the display 40 after the processing is finished, and then the nursing staff can determine whether a place which is not nursed is available through the image displayed in the display 40, if so, the nursing staff can clean the place again or directly connect the monitor of the invention for cleaning, so that the cleaning is more visual, the cleaning effect is excellent and the efficiency is high.
Compared with the prior art, the miniature camera 20 is additionally arranged on the flexible strip 12 of the fixing device, images of the inner wall of the lumen of the flexible endoscope are shot, the images are received and processed through the controller 30, and the processed images are displayed on the display 40, so that nursing staff can clearly know the nursing condition of the inner wall of the lumen, the cleaning effect is obviously improved, and the efficiency is better.
In further embodiments, the miniature cameras 20 are disposed on the outer periphery of the flexible strip 12. By arranging the micro-cameras 20 on the outer periphery of the flexible strip 12, the lens can be aligned to the inner wall of the lumen, and the obtained image is clearer.
In other embodiments, a light source is disposed within a defined area of the miniature camera head 20. The definition and the reality of the image are further improved by arranging the light source in the limited area of the micro camera 20 and matching with the micro camera 20.
In a further embodiment, the light source is connected to a controller 30, and the brightness of the light source is adaptively adjusted according to the acquired image of the miniature camera 20. The light source is set to be capable of self-adaptive adjustment according to the received image, and monitoring is prevented from being influenced by overexposure. Here, the defined area refers to the vicinity of the micro camera 20, for example, within 20mm of the micro camera as a center, as long as the light source can illuminate the photographing area of the micro camera 20.
In another embodiment, a brush is attached to the flexible strip 12, and the micro-cameras 20 are disposed within a defined area of the brush. Through set up the brush on flexible strip 12 for at the in-process of nursing, the inner wall of monitoring the lumen has the place of filth, can focus the washing, and the pertinence is stronger, further promotes nursing effect and nursing efficiency. Here, the limited area means the vicinity of the micro camera 20, for example, within 20mm, as long as brushing is facilitated from the captured image.
In another embodiment, the micro-camera 20 is an auto-focus lens. By setting the micro camera 20 as an auto focus lens, the sharpness of the photographed image is further improved.
In another embodiment, the micro camera 20 includes an electric focus lens, and the electric focus lens is electrically connected to the controller 30. Through setting up miniature camera lens 20 into electronic focusing lens, can promote artificial operability through controller automatic control.
Another aspect of the present invention provides a monitoring method of the soft endoscope nursing monitor, including the following steps: inserting the flexible strip 121 with the miniature camera 20 into the lumen of the soft endoscope; the micro camera 20 transmits the shot image to the controller 30 through an electric signal; the controller 30 receives and processes the image and transmits the image to the display 40 after processing is complete.
In another aspect of the present invention, a method for nursing a soft endoscope is provided, including the steps of:
and (4) preprocessing. After the endoscope is taken out of the body of a patient and before the endoscope is detached from a light source and a video processor, the dirt on the outer surface of the endoscope is wiped off by wet tissues or wet gauze containing cleaning liquid, and the wiping article is disposable; repeatedly supplying air and water for at least 10 s; putting the front end of the endoscope into a container filled with cleaning fluid, starting a suction function, and sucking the cleaning fluid until the cleaning fluid flows into a suction tube; covering a waterproof endoscope cover; put into a transport container and sent to a cleaning and disinfecting chamber.
And (6) leakage detection. Taking down various buttons and valves; connecting a leakage detection device, and injecting pressure; immersing the endoscope in water, and injecting water into each pipeline by using an injector to discharge gas in the pipeline; firstly, the front end of the endoscope is bent towards all directions, and whether bubbles emerge is observed; observing whether bubbles emerge from the parts of the insertion part, the operation part, the connecting part and the like; if leakage is found, the leakage is timely guaranteed to be checked; recording leakage detection conditions; other effective leak detection methods may also be employed.
And (5) cleaning. And preparing a cleaning solution in the cleaning tank, and completely immersing the endoscope, the button and the valve in the cleaning solution. The cleaning cloth is used for repeatedly cleaning the mirror body, and the inserting part and the operating part should be cleaned intensively. The wipes should be replaced as needed. Brushing all pipelines of the soft endoscope, wherein the soft endoscope nursing monitor is adopted, and the hairbrush is arranged in the limited area of the miniature camera head 20 of the soft endoscope nursing monitor, so that the inner wall of the lumen with obvious dirt is intensively brushed, and the brush heads are seen at two ends during brushing and the dirt on the brush heads is cleaned; repeated brushing was carried out until no visible contamination was observed. Connecting the full-pipeline perfusion device, filling the cleaning solution in each pipeline by using a power pump or an injector, wherein the soaking time is in accordance with the product specification. The buttons and valves are cleaned by brushing, and the buttons and valves suitable for ultrasonic cleaning are subjected to ultrasonic cleaning according to the use instructions of manufacturers. The cleaning solution should be changed after cleaning every 1 endoscope. Cleaning the cleaning brush, and disinfecting at a high level for later use.
And (6) rinsing. Moving the cleaned endoscope, the full-pipeline perfusion device, the button and the valve into a rinsing tank; fully washing each pipeline of the endoscope by using a power pump or a pressure water gun until no cleaning solution is left; flushing the outer surface, the button and the valve of the endoscope with running water; filling air into each pipeline for at least 30s by using a power pump or a pressure air gun to remove water in the pipeline; the outer surface of the endoscope, the button and the valve are wiped dry by wiping cloth, and the wiping cloth is replaced by one. And (6) sterilizing. Moving the endoscope, the full-pipeline perfusion device, the button and the valve into a disinfection tank, and completely immersing the endoscope, the button and the valve into disinfectant; filling the disinfection solution into each pipeline by using a power pump or an injector, wherein the disinfection mode and time are in accordance with the product specification; replacing gloves, and inflating each pipeline for at least 30s to remove disinfectant in the pipeline; when the sterilization equipment is used for sterilizing the soft endoscope, the instruction for using the equipment is followed.
And finally rinsing. Moving the endoscope, the full-pipeline perfusion device, the button and the valve into a final rinsing tank; washing each pipeline of the endoscope with purified water or sterile water for at least 2min by using a power pump or a pressure water gun until no disinfectant residue exists; washing the outer surface of the endoscope, the button and the valve with purified water or sterile water; carrying out terminal rinsing by using sterile water in a special terminal rinsing tank by adopting a soaking sterilized endoscope; and taking down the full-pipeline perfusion device. Purified water meets the regulation of GB5749, and the total number of bacteria is less than or equal to 10CFU/100 ml; the aperture of the filter membrane used for producing the purified water is less than or equal to 0.2 mu m and is replaced periodically.
And (5) drying. The endoscope, the button and the valve are arranged on a special drying table for laying sterile towels. The sterile towel should be replaced 1 time every 4 h. All lines were filled with 75% -95% ethanol or isopropanol. All tubes were aerated with clean compressed air using a pressure air gun for at least 30s until they were completely dry. The endoscope outer surface, buttons and valves were dried with sterile wipes, a pressure air gun. And installing a button and a valve.
The above-mentioned embodiments only express the specific embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention.

Claims (9)

1. The utility model provides a soft scope nursing monitor, its characterized in that, includes fixing device, miniature camera, controller and display, fixing device include the handle and with the flexible strip that the handle is connected, miniature camera with the flexible strip is connected, controller and display all with miniature camera is connected, the controller constitutes to be used for receiving and handling the image of miniature camera transmission, the display constitutes to be used for showing the image after the controller is handled.
2. The soft endoscopic care monitor according to claim 1, wherein said micro-cameras are disposed on the outer periphery of said flexible strip.
3. The soft endoscope care monitor according to claim 1, wherein a light source is disposed within a defined area of the micro-camera.
4. The soft endoscope care monitor according to claim 3, wherein the light source is connected to a controller, and the brightness of the light source is adaptively adjusted according to the acquired image of the micro-camera.
5. The flexible endoscope care monitor according to claim 1, wherein the flexible strip is connected with a brush, and the micro-camera is disposed in a limited area of the brush.
6. The soft endoscope care monitor according to claim 1, wherein the micro-camera is an auto focus lens.
7. The soft endoscope care monitor according to claim 1, wherein the micro camera comprises an electric focus lens, and the electric focus lens is electrically connected with the controller.
8. A monitoring method using the soft endoscope care monitor according to any one of claims 1-7, characterized by comprising the steps of:
inserting a flexible strip with a miniature camera into a tube cavity of a soft endoscope;
the miniature camera transmits the shot image to the controller through an electric signal;
the controller receives and processes the image, and transmits the image to the display after the processing is finished.
9. A nursing method of a soft endoscope is characterized by comprising the following steps:
s1, preprocessing;
s2, leakage detection;
s3, cleaning, wherein in the cleaning step, the soft endoscope nursing monitor of any one of claims 1-7 is adopted, and a hairbrush is arranged in a limited area of a miniature camera of the soft endoscope nursing monitor, so that the inner wall of a tube cavity with obvious dirt is intensively brushed;
s4, rinsing;
s5, sterilizing;
s6, final rinsing;
and S7, drying.
CN202110826172.4A 2021-07-21 2021-07-21 Soft endoscope nursing monitor, monitoring method and nursing method Pending CN113475999A (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114494702A (en) * 2022-04-15 2022-05-13 武汉楚精灵医疗科技有限公司 Method and device for monitoring cleaning of endoscope equipment

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CN112274092A (en) * 2020-11-05 2021-01-29 丽水市中心医院 Automatic cleaning device for thoracoscope
CN112690752A (en) * 2020-12-24 2021-04-23 淄博金箭医疗器械有限公司 Manual pretreatment cleaning device for soft endoscope and using method thereof
CN215348820U (en) * 2021-07-21 2021-12-31 四川省妇幼保健院 Soft scope nursing monitor

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Publication number Priority date Publication date Assignee Title
JPH11197092A (en) * 1998-01-09 1999-07-27 Asahi Optical Co Ltd Utensil and method for washing endoscope duct
CN1313738A (en) * 1998-08-20 2001-09-19 新药研究(澳大利亚)有限公司 Endoscope cleaning device
US20120238816A1 (en) * 2011-03-01 2012-09-20 Gunday Erhan H Cleaning System for Medical Imaging Device
CN108904009A (en) * 2018-07-03 2018-11-30 桂林恒正科技有限公司 A kind of ENT dept.'s nasal nursing instrument
CN211299874U (en) * 2019-09-25 2020-08-21 安徽省立医院 Soft hose cleaning device for scope
CN211839403U (en) * 2020-03-16 2020-11-03 中国人民解放军陆军军医大学第二附属医院 Scope washs and takes photograph record brush
CN112155503A (en) * 2020-10-14 2021-01-01 翟薇 Clear away abluent multi-functional intestines and stomach mirror
CN112274092A (en) * 2020-11-05 2021-01-29 丽水市中心医院 Automatic cleaning device for thoracoscope
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114494702A (en) * 2022-04-15 2022-05-13 武汉楚精灵医疗科技有限公司 Method and device for monitoring cleaning of endoscope equipment

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