CN113476101B - Hepatic portal blood flow blocking device for military training and emergency treatment - Google Patents

Hepatic portal blood flow blocking device for military training and emergency treatment Download PDF

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Publication number
CN113476101B
CN113476101B CN202110935723.0A CN202110935723A CN113476101B CN 113476101 B CN113476101 B CN 113476101B CN 202110935723 A CN202110935723 A CN 202110935723A CN 113476101 B CN113476101 B CN 113476101B
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China
Prior art keywords
block
blocking
blood flow
hepatic portal
handle
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CN113476101A (en
Inventor
郭闻渊
毛家玺
滕飞
赵渊宇
刘聪
季峻松
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Shanghai Changzheng Hospital
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Shanghai Changzheng Hospital
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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
    • A61B17/132Tourniquets
    • A61B17/1322Tourniquets comprising a flexible encircling member
    • A61B17/1325Tourniquets comprising a flexible encircling member with means for applying local pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

The invention discloses a hepatic portal blood flow blocker for military training and emergency treatment, which comprises a cushion block and a blocking belt, wherein a supporting rod is positioned at one end of the supporting rod, one end of the blocking belt is detachably connected with the cushion block, the other end of the blocking belt penetrates through the cushion block and extends into the supporting rod, a blocking ring for blocking hepatic portal blood flow is formed between the blocking belt and the cushion block, and one end of the blocking belt extending into the supporting rod is connected with an adjusting device capable of limiting the maximum pressure generated by the blocking ring on a hepatic portal. The hepatic portal blood flow blocker for military training and emergency treatment provided by the invention can effectively limit the maximum pressure on hepatic portal tissues when in use, prevent the hepatic portal tissues from being damaged and effectively improve the service performance of the hepatic portal blood flow blocker.

Description

Hepatic portal blood flow blocking device for military training and emergency treatment
Technical Field
The invention relates to the technical field of operation auxiliary instruments, in particular to a hepatic portal blood flow blocking device for military training and emergency treatment.
Background
In military training, accidents often happen, and abdominal trauma is the trauma generated in the more common military training. Liver trauma accounts for about 20% of abdominal trauma. The treatment of liver trauma is usually surgery to remove the damaged liver segment or lobe, and a very important part of the liver resection is the control of liver blood flow.
In the liver operation process, the silicone tube is wound outside the hepatic portal generally, then the silicone tube is manually tensioned and clamped to control the blood flow of the hepatic portal, and the manually tensioned force is totally based on subjective feeling and cannot be controlled, so that the hepatic portal is easily physically injured and hepatic portal tissues are damaged in the operation process.
Disclosure of Invention
In order to solve the problems, the invention provides a hepatic portal blood flow blocking device for military training and emergency treatment, which can effectively control the strength of hepatic portal blood flow blocking and avoid physical injury to the hepatic portal.
The invention specifically adopts the following technical scheme for realizing the purpose:
the utility model provides a military training is liver portal blood flow blocker for urgent treatment, includes that the bracing piece is located the cushion and the one end of bracing piece one end and can dismantle the area of blocking of being connected with the cushion, block to take the other end to pass in the cushion extends to the bracing piece, block to form between area and the cushion and block the ring of blocking the liver portal blood flow, block that the area extends to in the bracing piece one end be connected with one can restrict and block the adjusting device that the ring produced the maximum pressure to the liver portal.
Furthermore, the supporting rod is provided with a handle at one end far away from the cushion block, the adjusting device comprises a rotating shaft with an installation cavity formed in the hollow interior, a transmission shaft sleeved in the rotating shaft and a pressure adjusting mechanism, the blocking belt is wound on the rotating shaft, the rotating shaft is located in the handle and is rotationally connected with the handle, one end of the transmission shaft extends out of the handle, the other end of the transmission shaft is provided with an installation hole, the pressure adjusting mechanism comprises a pressing block and a pushing block which are located in the installation hole and a positioning spring located between the pressing block and the pushing block, the pushing block is provided with a first slope at one end far away from the pressing block, one side, far away from the pressing block, of the pushing block is provided with a connecting block, one end, close to the pushing block, of the connecting block is provided with a second slope which is abutted against the first slope, a connecting hole through which the connecting block passes is arranged on the installation hole, a positioning groove through which the connecting block is clamped in is arranged on the wall of the installation hole, the connecting block passes through the connecting hole and is clamped in the positioning groove, and the height of the connecting block is less than or equal to the sum of the diameter of the installation hole and the height of the connecting hole.
Furthermore, a sealing plate detachably connected with the transmission shaft is arranged at the end part of the mounting hole.
Furthermore, the two ends of the transmission shaft are sleeved with clamping rings positioned outside the handles, and the clamping rings are detachably connected with the transmission shaft.
Furthermore, a ratchet wheel coaxial with the rotating shaft is sleeved outside the rotating shaft, a pawl for limiting the rotating direction of the ratchet wheel is arranged in the handle, and an elastic sheet for pressing the pawl to be clamped with the ratchet wheel is arranged on one side, far away from the ratchet wheel, of the pawl.
Furthermore, a mounting seat is arranged in the handle, the elastic sheet is fixed on the mounting seat, the pawl is rotatably connected with the mounting seat, a mounting groove is formed in the handle, the mounting seat is slidably connected with the mounting groove, a reset spring is arranged between the mounting groove and the mounting seat, and the mounting seat is connected with an adjusting rod extending out of the handle.
Furthermore, the rotating shaft is sleeved with a wire spool, and the blocking tape is wound on the wire spool.
Furthermore, the inside of the supporting rod is provided with positioning wheels positioned at two sides of the blocking belt.
The invention has the following beneficial effects:
1. the porta hepatis blood flow blocker for military training and emergency treatment provided by the invention can limit the maximum pressure of the blocking ring on porta hepatis tissues through the adjusting device when in use, prevent the porta hepatis tissues from being physically damaged due to excessive pressure tightening, and avoid secondary damage to treated personnel in the hemostasis process;
2. need not to set up the part that needs electric drive such as motor, whole journey leans on doctor simple operation to realize the porta hepatis blood flow and blocks or make blood short duration circulate, keeps the function of liver organ, and it is not only convenient to use, can not have danger such as electric leakage yet, and is very safe.
Drawings
FIG. 1 is a schematic view of a blood flow occluder;
FIG. 2 is an enlarged view of circle A in FIG. 1;
FIG. 3 is a schematic view of the adjustment device;
reference numerals: 1-support rod, 2-cushion block, 3-blocking belt, 4-handle, 5-rotating shaft, 6-transmission shaft, 7-pressing block, 8-pushing block, 9-positioning spring, 10-first slope, 11-connecting block, 12-snap ring, 13-ratchet wheel, 14-pawl, 15-elastic sheet, 16-mounting seat, 17-mounting groove, 18-reset spring, 19-adjusting rod, 20-wire reel and 21-positioning wheel.
Detailed Description
In the description of the present invention, unless otherwise expressly specified or limited, the terms "disposed" and "in communication" are to be construed broadly, e.g., as meaning in fixed communication, in removable communication, or in integral communication; either mechanically or electrically; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood in a specific case to those of ordinary skill in the art.
Examples
The embodiment provides a hepatic portal blood flow blocking device for military training and emergency treatment, please refer to fig. 1 and fig. 2, which includes a cushion block 2 at one end of a support rod 1 and a blocking belt 3 with one end detachably connected with the cushion block 2, the support rod 1 may be a plastic part and mainly plays a supporting role, the blocking belt 3 may be a strip-shaped flat object made of a flexible medical material, the cushion block 2 may also be a block made of a medical flexible material, such as a medical rubber pad, the other end of the blocking belt 3 passes through the cushion block 2 and extends into the support rod 1, a blocking ring for blocking hepatic portal blood flow is formed between the blocking belt 3 and the cushion block 2, one end of the blocking belt 3 extending into the support rod 1 is connected with an adjusting device capable of limiting the maximum pressure of the blocking ring on the hepatic portal, that the blocking belt 3 may be pulled by the adjusting device, so as to adjust the size of the blocking ring, and when hemostasis is performed, the pressure on the hepatic portal tissue in the blocking ring is changed, so as to control the maximum pressure on the hepatic portal tissue, and protect the hepatic portal tissue from being damaged.
As a specific embodiment of the adjusting device, please refer to fig. 3, one end of the support rod 1 away from the cushion block 2 is provided with a handle 4, the handle 4 is slightly larger in size for holding, the adjusting device comprises a rotating shaft 5 with a hollow interior forming an installation cavity, a transmission shaft 6 sleeved in the rotating shaft 5 and a pressure adjusting mechanism, the blocking belt 3 is wound on the rotating shaft 5, the rotating shaft 5 is located in the handle 4 and rotatably connected with the handle 4, i.e. the handle 4 is hollow, one end of the blocking belt 3 passes through the support rod 1 and extends into the handle 4 and is wound on the rotating shaft 5, the retraction of the blocking belt 3 is controlled through the rotating shaft 5, one end of the transmission shaft 6 extends out of the handle 4 for holding, thereby driving the transmission shaft 6 to rotate, the 6 other ends of transmission shaft are provided with the mounting hole, pressure adjustment mechanism is including being located the supporting piece 7 of mounting hole, ejector pad 8 and being located the positioning spring 9 between supporting piece 7 and the ejector pad 8, ejector pad 8 is kept away from supporting piece 7 one end and is provided with first slope 10, ejector pad 8 is kept away from supporting piece 7 one side and is provided with a connecting block 11, connecting block 11 is close to 8 one end of ejector pad and is provided with the second slope that offsets with first slope 10, be provided with the connecting hole that supplies connecting block 11 to pass on the mounting hole one, be provided with the constant head tank that supplies connecting block 11 card to go into on the installation cavity wall, connecting block 11 passes in the constant head tank is gone into to the connecting hole card, and the diameter that connecting block 11 highly is less than or equal to the mounting hole and the sum of the height of connecting hole. That is, the connecting block 11 is lifted through the first slope 10, so that a part of the connecting block 11 is located in the mounting hole, a part of the connecting block is located in the positioning groove, when the transmission shaft 6 rotates, because of the existence of the connecting block 11, so that the connecting block 11 can drive the rotating shaft 5 to synchronously rotate along with the connecting shaft, so that the rotating shaft 5 can pull back or release the blocking belt 3, namely, blood flow is blocked or blood flow is recovered, and when the pressure of the blocking belt 3 on the hepatic portal tissue reaches the maximum, the connecting block 11 can receive great reverse thrust when the rotating shaft 5 is driven to rotate, the reverse thrust at the moment is large enough to enable the connecting block 11 to push the pushing block 8 to move backwards to compress the positioning spring 9, so that the connecting block 11 completely falls into the mounting hole, at the moment, the connection of the transmission shaft 6 and the rotating shaft 5 cannot rotate together with the connecting shaft, namely, the pressure of the blocking belt 3 on the hepatic portal tissue cannot be increased any more, when the blocking belt 3 is played back, when the connecting block 11 moves to the side to the positioning groove, the first slope 10 is pushed under the pushing of the positioning spring 9, so that the connecting shaft 6 and the rotating shaft 5 can be easily driven by the synchronous pushing back, at the rotating shaft 5, at the synchronous pushing back, at the connecting shaft 5, at the synchronous pushing groove.
In a possible embodiment, the end of the mounting hole is provided with a sealing plate detachably connected with the transmission shaft 6, that is, the pressing block 7 and the pushing block 8 are both slidably connected with the mounting hole, the two ends of the positioning spring 9 can be respectively fixedly connected with the pressing block 7 and the pushing block 8, the sealing plate can be connected with the transmission shaft 6 through bolts, so as to prevent the pressing block 7 and the pushing block 8 from being separated from the mounting hole, and certainly, the maximum pressure can also be adjusted by adding a base plate in the mounting hole.
In a possible embodiment, the two ends of the transmission shaft 6 are sleeved with clamping rings 12 located outside the handle 4, and the clamping rings 12 are detachably connected with the transmission shaft 6, for example, by bolts, so that the relative positions of the transmission shaft 6 and the handle 4 can be effectively fixed, and the relative rotation of the transmission shaft 6 and the handle 4 cannot be affected.
In a possible implementation manner, a ratchet wheel 13 is sleeved outside the rotating shaft 5 and is coaxially arranged with the rotating shaft 5, that is, the ratchet wheel 13 is fixedly connected with the rotating shaft 5, the ratchet wheel 13 and the rotating shaft 5 rotate in the same step, a pawl 14 for limiting the rotating direction of the ratchet wheel 13 is arranged in the handle 4, an elastic sheet 15 for pressing the pawl 14 to be clamped with the ratchet wheel 13 is arranged on one side of the pawl 14 away from the ratchet wheel 13, that is, when the blocking belt 3 is tightened and the compression ring is reduced, the pawl 14 does not influence the rotation of the ratchet wheel 13, and the elastic sheet 15 can push the pawl 14 to clamp the ratchet wheel 13, so that the ratchet wheel 13 cannot rotate reversely, the rotating shaft 5 cannot rotate reversely, the blocking belt 3 can be automatically positioned, and the blocking belt 3 is prevented from loosening in the hemostasis process.
In a possible embodiment, an installation seat 16 is arranged in the handle 4, the elastic sheet 15 is fixed on the installation seat 16, the pawl 14 is rotatably connected with the installation seat 16, an installation groove 17 is formed in the handle 4, the installation seat 16 is slidably connected with the installation groove 17, a return spring 18 is arranged between the installation groove 17 and the installation seat 16, the installation seat 16 is connected with an adjusting rod 19 extending out of the handle 4, the adjusting rod 19 can be connected with the bottom of the installation seat 16 and extends out of the handle 4 through the bottom wall of the installation groove 17, when the blocking belt 3 needs to be discharged by reversely rotating the rotating shaft 5, the adjusting rod 19 can be pulled towards the outside, so that the installation seat 16 retracts towards the inside of the installation groove 17, the pawl 14 is separated from the ratchet 13, the rotating shaft 5 is driven to synchronously rotate through the transmission shaft 6, and the blocking belt 3 is discharged.
In a possible embodiment, the rotating shaft 5 is sleeved with a wire spool 20, the blocking tape 3 is wound on the wire spool 20, the wire spool 20 rotates along with the rotating shaft 5 synchronously, and the position of the blocking tape 3 is limited by the wire spool 20.
In a possible implementation mode, the inside locating wheel 21 that is located the area 3 both sides of blocking that is provided with of bracing piece 1 utilizes locating wheel 21 to guide the area 3 of blocking, avoids blocking 3 squints in the area, can all set up the through-hole tip that supplies to block area 3 and pass on the cushion 2 to the fillet simultaneously, avoids causing the injury to the area 3 of blocking.
The above description is only a preferred embodiment of the present invention, and not intended to limit the present invention, the scope of the present invention is defined by the appended claims, and all structural changes that can be made by using the contents of the description and the drawings of the present invention are intended to be embraced therein.

Claims (7)

1. A hepatic portal blood flow blocker for military training and emergency treatment is characterized by comprising a supporting rod (1), a cushion block (2) and a blocking belt (3), wherein the cushion block (2) is positioned at one end of the supporting rod (1), one end of the blocking belt (3) is detachably connected with the cushion block (2), the other end of the blocking belt (3) penetrates through the cushion block (2) and extends into the supporting rod (1), a blocking ring for blocking hepatic portal blood flow is formed between the blocking belt (3) and the cushion block (2), and one end of the blocking belt (3) extending into the supporting rod (1) is connected with an adjusting device capable of limiting the maximum pressure generated by the blocking ring on a hepatic portal;
a handle (4) is arranged at one end of the support rod (1) far away from the cushion block (2), the adjusting device comprises a rotating shaft (5) with a hollow inner part to form an installation cavity, a transmission shaft (6) sleeved in the rotating shaft (5) and a pressure adjusting mechanism, the blocking belt (3) is wound on the rotating shaft (5), the rotating shaft (5) is positioned in the handle (4), and is rotationally connected with the handle (4), one end of the transmission shaft (6) extends out of the handle (4), the other end of the transmission shaft (6) is provided with a mounting hole, the pressure adjusting mechanism comprises a pressing block (7) and a pushing block (8) which are positioned in the mounting hole, and a positioning spring (9) which is positioned between the pressing block (7) and the pushing block (8), one end of the push block (8) far away from the press block (7) is provided with a first slope (10), a connecting block (11) is arranged on one side of the push block (8) far away from the press block (7), one end of the connecting block (11) close to the pushing block (8) is provided with a second slope which is propped against the first slope (10), a connecting hole for the connecting block (11) to pass through is arranged on one side wall of the mounting hole, the mounting cavity wall is provided with a positioning groove for the connecting block (11) to be clamped in, the connecting block (11) passes through the connecting hole to be clamped in the positioning groove, and the height of the connecting block (11) is less than or equal to the sum of the diameter of the mounting hole and the height of the connecting hole.
2. The hepatic portal blood flow blocking device for military training and emergency treatment according to claim 1, wherein the end of the mounting hole is provided with a sealing plate detachably connected with the transmission shaft (6).
3. The hepatic portal blood flow blocking device for military training and emergency treatment according to claim 2, wherein the two ends of the transmission shaft (6) are sleeved with clamping rings (12) positioned outside the handles (4), and the clamping rings (12) are detachably connected with the transmission shaft (6).
4. The hepatic portal blood flow blocking device for military training and emergency treatment according to claim 1, wherein a ratchet wheel (13) coaxially arranged with the rotating shaft (5) is sleeved outside the rotating shaft (5), a pawl (14) for limiting the rotating direction of the ratchet wheel (13) is arranged in the handle (4), and a spring sheet (15) for pressing the pawl (14) to be clamped with the ratchet wheel (13) is arranged on one side of the pawl (14) far away from the ratchet wheel (13).
5. The porta hepatis blood flow blocking device for military training and emergency treatment of claim 4, wherein a mounting seat (16) is arranged in the handle (4), the elastic sheet (15) is fixed on the mounting seat (16), the pawl (14) is rotatably connected with the mounting seat (16), a mounting groove (17) is formed in the handle (4), the mounting seat (16) is slidably connected with the mounting groove (17), a return spring (18) is arranged between the mounting groove (17) and the mounting seat (16), and the mounting seat (16) is connected with an adjusting rod (19) extending out of the handle (4).
6. The hepatic portal blood flow blocking device for military training and emergency treatment of claim 5, wherein the rotating shaft (5) is externally sleeved with a wire spool (20), and the blocking belt (3) is wound on the wire spool (20).
7. The hepatic portal blood flow blocking device for military training and emergency treatment according to claim 6, wherein the supporting rod (1) is internally provided with positioning wheels (21) at both sides of the blocking belt (3).
CN202110935723.0A 2021-08-16 2021-08-16 Hepatic portal blood flow blocking device for military training and emergency treatment Active CN113476101B (en)

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CN113476101B true CN113476101B (en) 2023-02-21

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CN208551916U (en) * 2017-09-01 2019-03-01 沈超 A kind of trauma hemostasis device
CN208790962U (en) * 2018-08-03 2019-04-26 武汉瑞航科技有限公司 A kind of easy broken rod tilting device
CN209916106U (en) * 2018-12-18 2020-01-10 广西医科大学第一附属医院 Blood flow blocking device for blocking blood flow of large blood vessel in abdominal cavity under laparoscope
CN210249967U (en) * 2019-05-29 2020-04-07 梁霄 Finger pressure support for cardiovascular internal medicine
CN213606648U (en) * 2020-02-19 2021-07-06 绍兴市人民医院 Hepatic portal blocking bleeding device
CN213758927U (en) * 2020-11-16 2021-07-23 李青梅 Nerve intervention operation artery compression nursing device

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US10363046B2 (en) * 2012-12-04 2019-07-30 The Seaberg Company, Inc. Extremity tourniquet with locking buckle
US10610290B2 (en) * 2014-12-16 2020-04-07 Lina Medical International Operations Ag Surgical instrument
CN111265367A (en) * 2020-03-27 2020-06-12 淳安县环程医疗器械有限公司 Stretcher convenient to slope transport
CN111759366B (en) * 2020-07-03 2022-05-20 河南省肿瘤医院 Gripping device for colorectal cancer laparoscope and using method thereof
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN208551916U (en) * 2017-09-01 2019-03-01 沈超 A kind of trauma hemostasis device
CN208790962U (en) * 2018-08-03 2019-04-26 武汉瑞航科技有限公司 A kind of easy broken rod tilting device
CN209916106U (en) * 2018-12-18 2020-01-10 广西医科大学第一附属医院 Blood flow blocking device for blocking blood flow of large blood vessel in abdominal cavity under laparoscope
CN210249967U (en) * 2019-05-29 2020-04-07 梁霄 Finger pressure support for cardiovascular internal medicine
CN213606648U (en) * 2020-02-19 2021-07-06 绍兴市人民医院 Hepatic portal blocking bleeding device
CN213758927U (en) * 2020-11-16 2021-07-23 李青梅 Nerve intervention operation artery compression nursing device

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