CN113907805B - Controllable operative field blowing and flushing device in heart operation - Google Patents

Controllable operative field blowing and flushing device in heart operation Download PDF

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Publication number
CN113907805B
CN113907805B CN202111157980.2A CN202111157980A CN113907805B CN 113907805 B CN113907805 B CN 113907805B CN 202111157980 A CN202111157980 A CN 202111157980A CN 113907805 B CN113907805 B CN 113907805B
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liquid
inlet pipe
pipe
blowing
air
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CN113907805A (en
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杨宁
任章霞
董斌
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Guangan Peoples Hospital
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Guangan Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance
    • A61B2217/007Auxiliary appliance with irrigation system

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

Abstract

The invention discloses a surgical field blowing liquid flushing device in a controllable heart surgery, which comprises a pressure supply and air supply assembly, a liquid blowing assembly and a change-over switch, wherein the liquid supply assembly is used for supplying flushing liquid to the liquid blowing assembly, the pressure supply and air supply assembly is used for supplying gas to the liquid blowing assembly and supplying pressure to the liquid supply assembly, the liquid blowing assembly comprises a liquid inlet pipe, an air inlet pipe, a handle and a blowing nozzle, the liquid inlet pipe and the air inlet pipe are arranged in the handle, one end of the blowing nozzle is connected with one end of the handle, a conduit which is thinned by thickness is arranged in the blowing nozzle and is used for enabling liquid under the action of pressure to enter through the thick opening end, the thin opening end of the conduit is connected with one ends of the liquid inlet pipe and the air inlet pipe close to the blowing nozzle, and the change-over switch is arranged on the handle and is used for controlling the opening and closing of the liquid inlet pipe and the air inlet pipe so that the liquid or the gas enters the conduit.

Description

Controllable operative field blowing and flushing device in heart operation
Technical Field
The invention relates to the field of medical operation tools, in particular to a controllable surgical field blowing and flushing device in heart operation.
Background
The difficulty of operation in open heart surgery is that the operation field is poor due to the fact that blood flowing back or blood circulating from side branches is more in the operation field, especially in the case of continuous heart surgery or vascular anastomosis in coronary artery bypass surgery, valve suturing and forming in valve surgery, complicated congenital heart disease deformity correction (especially for infants) and the like, the operation is very difficult and time-consuming due to the more blood, and the operation failure or poor effect is caused by a little carelessness. The current conventional method is to use an aspirator to suck blood in contact in an operation area, but the operation is affected, the heart structure is damaged by adsorption, a large amount of water is uncontrollably flushed, and the large amount of water is sucked back to an external circulation machine pipeline system, so that the blood is excessively diluted.
Disclosure of Invention
Aims to provide a controllable blowing and flushing device for operative fields in cardiac surgery, which solves the technical problems that the suction device is used for sucking blood in contact in an operation area in the direct-vision cardiac surgery, which can cause adsorption damage to a cardiac structure and cause excessive dilution of the blood due to a large amount of flushing.
The invention is realized by the following technical scheme:
the utility model provides a wild irrigation device that blows of art in controllable cardiac surgery, its characterized in that, including supplying pressure air feed subassembly, confession liquid subassembly, dashing liquid and blowing subassembly and change over switch, the confession liquid subassembly is used for providing the flushing liquid subassembly that blows, the confession pressure air feed subassembly is used for providing gas and providing pressure for the confession liquid subassembly for dashing liquid subassembly that blows, the confession liquid subassembly that blows includes feed liquor pipe, intake pipe, handle and blow nozzle, feed liquor pipe and intake pipe set up in the handle, the one end and the handle one end of blow nozzle are connected, be equipped with in the blow nozzle by thick slim pipe for make the liquid under the pressure get into through thick mouth end, follow thin mouthful end outflow that forms strong impulsive force, the thick port and feed liquor pipe and intake pipe connection of pipe, change over switch sets up on the handle for control feed liquor pipe and intake pipe open and close so that liquid or gas get into in the pipe.
Further, one end of the liquid inlet pipe and one end of the air inlet pipe extend out of the handle, and external threads are arranged on the air inlet pipe and the part, extending out of the handle, of the liquid inlet pipe.
The liquid supply assembly comprises a liquid supply pipe and a liquid storage bottle with a rubber cover, wherein one end of the liquid supply pipe is provided with a spike part for being inserted into the rubber cover, the other end of the liquid supply pipe is provided with internal threads, and the external thread end of the liquid inlet pipe is connected with the internal threads of the liquid supply pipe in a matched mode.
The liquid storage bottle is further provided with a bottle cover capable of automatically tightening, and a hook for hanging the liquid storage bottle is arranged at the bottom of the bottle cover.
Further the liquid inlet pipe, the air inlet pipe and the guide pipe are hoses made of silica gel.
The pressure supply and air supply assembly further comprises a first conveying pipe, a second conveying pipe, a third conveying pipe and a three-way connecting pipe; one end of the first conveying pipe is connected with the tee joint pipe, and the other end of the first conveying pipe is connected with the central oxygen supply system; one end of the second conveying pipe is connected with the three-way connecting pipe, and the other end of the second conveying pipe is provided with a spike part which is inserted into the rubber cover and is used for inflating the liquid storage bottle so as to improve the air pressure in the bottle; one end of the third conveying pipe is connected with the three-way connecting pipe, the other end of the third conveying pipe is provided with an internal thread, and the internal thread end is connected with the external thread end of the air inlet pipe in a matched mode.
Further, the liquid storage bottle is provided with scale marks for judging the liquid capacity in the bottle.
The change-over switch comprises a spring, a U-shaped limiting rod, a button and an I-shaped sliding block, wherein a U-shaped limiting rod accommodating cavity is formed in the side face of the I-shaped sliding block, the U-shaped limiting rod is arranged in the U-shaped limiting rod accommodating cavity, the spring is sleeved on the U-shaped limiting rod, the button is connected to one end of the U-shaped limiting rod, the other end of the button extends out of the side face of the I-shaped sliding block, and the U-shaped limiting rod extends out of one end and is retracted into the U-shaped limiting rod accommodating cavity.
The change-over switch further comprises a limiting plate, a sliding groove is formed in the middle of the limiting plate, the I-shaped sliding block is arranged in the middle of the limiting plate and can move in the sliding groove, and one end of the I-shaped sliding block is used for pressing the liquid inlet pipe or the air inlet pipe to enable the liquid inlet pipe or the air inlet pipe to be closed.
The handle is further provided with a change-over switch accommodating cavity, and a limiting hole is formed in the inner side wall of the change-over switch accommodating cavity and used for enabling one end of the U-shaped limiting rod to enter to limit movement of the I-shaped sliding block.
Compared with the prior art, the invention has the following advantages and beneficial effects:
the liquid inlet pipe, the air inlet pipe and the change-over switch are arranged on the handle, so that a user can clean blood by adopting liquid or gas through the change-over switch according to actual conditions, and the operation visual field is clearer; the blowing nozzle is internally provided with a conduit which is thinned, so that high-pressure thin flow can be formed to clean blood, and little liquid is used during flushing.
Drawings
In order to more clearly illustrate the technical solutions of the exemplary embodiments of the present invention, the drawings that are needed in the examples will be briefly described below, it being understood that the following drawings only illustrate some examples of the present invention and therefore should not be considered as limiting the scope, and that other related drawings may be obtained from these drawings without inventive effort for a person skilled in the art. In the drawings:
FIG. 1 is a connection diagram of a liquid supply assembly and a pressurized air supply assembly of the present invention;
FIG. 2 is a front view of the air and liquid flushing assembly of the present invention;
FIG. 3 is a top view of the transfer switch of the present invention;
FIG. 4 is a diagram illustrating the internal structure of the transfer switch of the present invention;
FIG. 5 is a diagram illustrating the internal structure of the transfer switch of the present invention;
FIG. 6 is a left side view of the transfer switch of the present invention;
fig. 7 is a top view of the transfer switch of the present invention.
In the drawings, the reference numerals and corresponding part names:
1-hooking; 2-a liquid storage bottle; 3-bottle cover; 4-a rubber cap; 5-a liquid supply pipe; 6-a second delivery tube; 7-a liquid inlet pipe; 8-an air inlet pipe; 9-a first delivery tube; 10-three-way connecting pipe; 11-a third delivery tube; 12-handle; 13-a change-over switch; 14-a mouthpiece; 15-I-shaped sliding blocks; 16-U-shaped limit rods; 17-a spring; 18-limiting plates; 19-a button; 20-a transfer switch accommodation chamber; 21-a limiting hole; 22-conduit; 23-sliding grooves; 24-U type gag lever post holds chamber.
Detailed Description
For the purpose of making apparent the objects, technical solutions and advantages of the present invention, the present invention will be further described in detail with reference to the following examples and the accompanying drawings, wherein the exemplary embodiments of the present invention and the descriptions thereof are for illustrating the present invention only and are not to be construed as limiting the present invention.
The invention provides a controllable operative field blowing and flushing device in cardiac surgery, which comprises a pressure supply and air supply assembly, a liquid blowing and flushing assembly and a change-over switch 13, wherein the liquid supply assembly is used for supplying flushing liquid to the liquid blowing and flushing assembly, the pressure supply and air supply assembly is used for supplying air to the liquid blowing and flushing assembly and supplying pressure to the liquid supply assembly, the liquid blowing and flushing assembly comprises a liquid inlet pipe 7, an air inlet pipe 8, a handle 12 and a blowing nozzle 14, the liquid inlet pipe 7 and the air inlet pipe 8 are arranged in the handle 12, one end of the blowing nozzle 14 is connected with one end of the handle 12, the shape of the blowing nozzle 14 can be a cone with a certain radian at the tip, or a pyramid with a certain radian at the tip is arranged in the blowing nozzle 14, a conduit 22 which is formed by thick and is used for enabling liquid under the pressure to enter from the thick mouth end and flow out from the thin mouth end to form thin stream with strong flushing force, the thick mouth of the conduit 22 is connected with the liquid inlet pipe 7 and the air inlet pipe 8, the change-over switch 13 is arranged on the handle 12 and is used for controlling the opening and closing of the liquid inlet pipe 7 and the air inlet pipe 8 so that liquid or gas enters the guide pipe 22, one end of the liquid inlet pipe 7 and one end of the air inlet pipe 8 extend out of the handle 12, external threads are arranged on the parts, extending out of the handle 12, of the air inlet pipe 8 and the liquid inlet pipe 7, of the liquid supply assembly, the liquid supply assembly comprises a liquid supply pipe 5 and a liquid storage bottle 2 with a rubber cover 4, one end of the liquid supply pipe 5 is provided with a spike part for inserting the rubber cover 4, the other end is provided with an internal thread, the external thread end of the liquid inlet pipe 7 and the internal thread of the liquid supply pipe 5 form matched connection, the liquid storage bottle 2 is provided with a bottle cover 3 capable of automatically tightening, the bottle cover 3 is made of transparent polyurethane, the opening edge of the bottle cover 3 is connected with an elastic ring made of strong elastic material, the diameter of the elastic ring is smaller than the diameter of the bottom of the liquid storage bottle 2, when in use, the elastic ring is spread and sleeved at the bottleneck, so that the bottle body can be automatically tightened to avoid falling off during reverse hanging, the bottom of the bottle cover 3 is provided with a hook 1 for hanging the liquid storage bottle 2, the liquid inlet pipe 7, the air inlet pipe 8 and the guide pipe 22 are hoses made of silica gel, and the pressure supply and air supply assembly comprises a first conveying pipe 9, a second conveying pipe 6, a third conveying pipe 11 and a three-way connecting pipe 10; one end of the first conveying pipe 9 is connected with the three-way connecting pipe 10, and the other end is connected with the central oxygen supply system; one end of the second conveying pipe 6 is connected with the three-way connecting pipe 10, and the other end of the second conveying pipe is provided with a spike part which is inserted into the rubber cover 4 and is used for inflating the liquid storage bottle 2 to improve the air pressure in the bottle; the third conveying pipe 11 is connected with the three-way connecting pipe 10 at one end, the other end is provided with an internal thread, the internal thread end is connected with the external thread end of the air inlet pipe 8 in a matched mode, the liquid storage bottle 2 is provided with scale marks for judging the liquid capacity in the bottle, the change-over switch 13 comprises a spring 17, a U-shaped limiting rod 16, a button 19 and an I-shaped sliding block 15, a U-shaped limiting rod accommodating cavity 24 is arranged on the side face of the I-shaped sliding block 15, the U-shaped limiting rod 16 is arranged in the U-shaped limiting rod accommodating cavity 24, the spring 17 is sleeved on the U-shaped limiting rod 16, the button 19 is connected with one end of the U-shaped limiting rod 16, the other end extends out of the side face of the I-shaped sliding block 15 and is used for enabling one end of the U-shaped limiting rod 16 to extend into the U-shaped limiting rod accommodating cavity 24, the change-over switch 13 further comprises a limiting plate 18, a sliding groove 23 is formed in the middle of the limiting plate 18, the I-shaped sliding block 15 is arranged in the middle of the limiting plate 18, one end of the I-shaped sliding block 15 is used for pressing the liquid inlet pipe 7 or the air inlet pipe 8 to be closed, the I-shaped sliding block 15 is arranged on the handle 12, the change-over switch accommodating cavity 20 is arranged on the inner side wall 20, and one end 21 of the change-over switch accommodating cavity is used for limiting one end of the I-shaped limiting rod 21 to move into the limiting rod 16.
When the operation room is used for carrying out the operation of the patient with more blood of the backflow blood or the collateral circulation, the first conveying pipe 9 is connected with the central oxygen supply system, the liquid storage bottle 2 is arranged in the bottle cover 3, the liquid storage bottle is hung in a designated position through the hook 1 at the bottom of the bottle cover 3, then the tip end part of the second conveying pipe 6 for providing pressure for the liquid storage bottle 2 is inserted into the rubber bottle cover, one end with the tip end of the liquid supply pipe 5 is inserted into the rubber bottle cover, the other end is connected with the liquid inlet pipe 7, the third conveying pipe 11 for providing gas is connected with the air inlet pipe 8 on the handle 12, when in use, the button 19 of the I-shaped sliding block 15 on the handle 12 is pressed to enable the extending end of the U-shaped sliding block 15 to be contained in the cavity of the limiting rod, then the I-shaped sliding block 15 is moved along the sliding groove 23 in the limiting plate 18 to be hung in the designated position, finally the button 19 is loosened, the extending end of the U-shaped sliding block 15 enters the limiting hole 21 to realize the cleaning of the liquid or gas, the blood is enabled to be more clearly stored in the operation, in the process of the liquid storage bottle, the operation liquid storage bottle is enabled to be in the process, the operation bottle can be cooled down in advance, if the cooling liquid storage bottle 2 is not affected by the refrigerator is placed in the refrigerator, and the cooling line is required to be replaced by the refrigerator, and the nurse is not in the cooling liquid 2.
The foregoing description of the embodiments has been provided for the purpose of illustrating the general principles of the invention, and is not meant to limit the scope of the invention, but to limit the invention to the particular embodiments, and any modifications, equivalents, improvements, etc. that fall within the spirit and principles of the invention are intended to be included within the scope of the invention.

Claims (6)

1. The surgical field blowing and flushing device in the controllable heart surgery is characterized by comprising a pressure supply and air supply assembly, a liquid supply assembly, a flushing and air blowing assembly and a change-over switch (13);
the liquid supply assembly is used for supplying flushing liquid to the flushing liquid blowing assembly;
the pressure supply and air supply assembly is used for supplying air to the flushing and blowing assembly and supplying pressure to the liquid supply assembly;
the liquid flushing and blowing assembly comprises a liquid inlet pipe (7), an air inlet pipe (8), a handle (12) and a blowing nozzle (14), wherein the liquid inlet pipe (7) and the air inlet pipe (8) are arranged in the handle (12), one end of the blowing nozzle (14) is connected with one end of the handle (12), a thick and thin guide pipe (22) is arranged in the blowing nozzle (14) and used for enabling liquid under the action of pressure to enter from the thick opening end and flow out from the thin opening end, the thick opening of the guide pipe (22) is connected with the liquid inlet pipe (7) and one end, close to the blowing nozzle (14), of the air inlet pipe (8), and the change-over switch (13) is arranged on the handle (12) and used for controlling the opening and closing of the liquid inlet pipe (7) and the air inlet pipe (8) so that the liquid or the gas enters the guide pipe (22);
the pressure and air supply assembly comprises a first conveying pipe (9), a second conveying pipe (6), a third conveying pipe (11) and a three-way connecting pipe (10); one end of the first conveying pipe (9) is connected with the three-way connecting pipe (10), and the other end is connected with the central oxygen supply system; one end of the second conveying pipe (6) is connected with the three-way connecting pipe (10), and the other end of the second conveying pipe is provided with a spike part which is inserted into the rubber cover (4) and is used for inflating the liquid storage bottle (2) so as to improve the air pressure in the bottle; one end of the third conveying pipe (11) is connected with the three-way connecting pipe (10), the other end of the third conveying pipe is provided with internal threads, and the internal thread end is connected with the external thread end of the air inlet pipe (8) in a matched manner;
the change-over switch comprises a spring (17), a U-shaped limiting rod (16), a button (19) and an I-shaped sliding block (15), wherein a U-shaped limiting rod accommodating cavity (24) is formed in the side face of the I-shaped sliding block (15), the U-shaped limiting rod (16) is arranged in the U-shaped limiting rod accommodating cavity (24), the spring (17) is sleeved on the U-shaped limiting rod (16), the button (19) is connected to one end of the U-shaped limiting rod (16), the other end of the button extends out of the side face of the I-shaped sliding block (15) and is used for enabling one end of the U-shaped limiting rod (16) extending out of the U-shaped limiting rod accommodating cavity (24) to be received; the change-over switch (13) further comprises a limiting plate (18), a sliding groove (23) is formed in the middle of the limiting plate (18), the I-shaped sliding block (15) is arranged in the middle of the limiting plate (18), the I-shaped sliding block (15) can move in the sliding groove (23) and is used for enabling one end of the I-shaped sliding block (15) to press the liquid inlet pipe (7) or the air inlet pipe (8) so as to enable the liquid inlet pipe (7) or the air inlet pipe (8) to be closed;
the handle (12) is provided with a change-over switch accommodating cavity (20), and the inner side wall of the change-over switch accommodating cavity (20) is provided with a limiting hole (21) for enabling one end of a U-shaped limiting rod (16) to enter to limit the movement of the I-shaped sliding block (15).
2. The device for flushing liquid by blowing air in operative field in controllable cardiac surgery according to claim 1, wherein one end of the liquid inlet pipe (7) and one end of the air inlet pipe (8) are both extended out of the handle, and the air inlet pipe (8) and the part of the liquid inlet pipe (7) extending out of the handle (12) are both provided with external threads.
3. The surgical field blowing and flushing device in the controllable cardiac surgery according to claim 1, wherein the liquid supply assembly comprises a liquid supply pipe (5) and a liquid storage bottle (2) with a rubber cover (4), one end of the liquid supply pipe (5) is provided with a spike part for inserting the rubber cover (4), the other end is provided with an internal thread, and an external thread end of the liquid inlet pipe (7) is in matched connection with the internal thread of the liquid supply pipe.
4. A controllable blowing irrigation device for heart surgery as claimed in claim 3, wherein the liquid storage bottle (2) is provided with a bottle cover (3) capable of automatically tightening, and a hook (1) for hanging the liquid storage bottle is arranged at the bottom of the bottle cover (3).
5. A device for flushing air in operative field in a controllable heart operation according to claim 3, wherein the liquid inlet tube (7), the air inlet tube (8) and the conduit (22) are hoses made of silica gel.
6. A device for flushing air in operative field in a controllable heart operation according to claim 3, wherein the liquid storage bottle (2) is provided with graduation marks for judging the liquid volume in the bottle.
CN202111157980.2A 2021-09-30 2021-09-30 Controllable operative field blowing and flushing device in heart operation Active CN113907805B (en)

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CN202111157980.2A CN113907805B (en) 2021-09-30 2021-09-30 Controllable operative field blowing and flushing device in heart operation

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Application Number Priority Date Filing Date Title
CN202111157980.2A CN113907805B (en) 2021-09-30 2021-09-30 Controllable operative field blowing and flushing device in heart operation

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CN113907805B true CN113907805B (en) 2023-10-20

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CN2576242Y (en) * 2002-11-08 2003-10-01 陈福捷 Medical flushing device
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CN112354035A (en) * 2020-11-13 2021-02-12 武汉盛大康成医药科技有限公司 Cleaning bed
CN212847175U (en) * 2020-07-12 2021-03-30 济南平祥电子科技有限公司 Parking stall indicating device based on thing networking
CN112675409A (en) * 2021-01-28 2021-04-20 盐城市第三人民医院 Catheter connecting device
CN213789248U (en) * 2020-10-23 2021-07-27 烟台毓璜顶医院 Flushing device for general surgery department

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US4850387A (en) * 1987-12-15 1989-07-25 Nicholas Bassill Liquid dispensing valve
CN2576242Y (en) * 2002-11-08 2003-10-01 陈福捷 Medical flushing device
CN201356610Y (en) * 2009-03-09 2009-12-09 闫永友 Flushing stopper used for operation in nasal cavity
CN204815071U (en) * 2015-07-28 2015-12-02 宁一娟 Bladder irrigator
CN205913577U (en) * 2016-06-23 2017-02-01 新疆医科大学附属肿瘤医院 Ambition surgery is with operation spray tube
CN208693889U (en) * 2017-12-28 2019-04-05 北京新科以仁科技发展有限公司 A kind of self blood blood sampling refluxing device of three oxygen
CN210121265U (en) * 2019-01-25 2020-03-03 兰州大学 Continuous flushing device used in chronic subdural hematoma drilling operation
CN209199819U (en) * 2019-01-31 2019-08-02 温州明衡电子科技有限公司 A kind of key switch with adjustable limiting
CN210750692U (en) * 2019-04-28 2020-06-16 江苏省苏北人民医院 Oxygen and atomization inhalation combined tube
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CN111388048A (en) * 2020-04-13 2020-07-10 河南省中医院(河南中医药大学第二附属医院) Portable hemostat for peripheral blood vessel
CN212847175U (en) * 2020-07-12 2021-03-30 济南平祥电子科技有限公司 Parking stall indicating device based on thing networking
CN213789248U (en) * 2020-10-23 2021-07-27 烟台毓璜顶医院 Flushing device for general surgery department
CN112354035A (en) * 2020-11-13 2021-02-12 武汉盛大康成医药科技有限公司 Cleaning bed
CN112675409A (en) * 2021-01-28 2021-04-20 盐城市第三人民医院 Catheter connecting device

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