CN114424958B - Compression hemostasis device - Google Patents

Compression hemostasis device Download PDF

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Publication number
CN114424958B
CN114424958B CN202210224454.1A CN202210224454A CN114424958B CN 114424958 B CN114424958 B CN 114424958B CN 202210224454 A CN202210224454 A CN 202210224454A CN 114424958 B CN114424958 B CN 114424958B
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Prior art keywords
hemostatic
compression
hemostasis
plate
telescopic rod
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CN202210224454.1A
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CN114424958A (en
Inventor
王彬
李妍
白宝宝
党晶艺
纪兆乐
郝启萌
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Air Force Medical University of PLA
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Air Force Medical University of PLA
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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
    • 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
    • A61B90/06Measuring instruments 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
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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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)
  • Surgical Instruments (AREA)

Abstract

The invention provides a compression hemostasis device, which comprises a compression assembly and a fixing piece, wherein the compression assembly is used for being attached to a to-be-hemostasis place to perform compression hemostasis, and the fixing piece is used for fixing the compression assembly to the to-be-hemostasis place; the compression assembly includes: the first plate body consists of a plurality of short plates hinged with each other, and each plate is provided with a hemostatic surface and a non-hemostatic surface, wherein the hemostatic surface is used for being attached to the skin at the periphery of a place to be hemostatic; a second plate body having a front end face and a rear end face; the front end of each telescopic rod is articulated with the non-hemostatic surface of one short plate in a universal way, and the rear end of each telescopic rod is articulated with the front end face in a universal way; the inner wall surface of the cylinder body is in interference fit with the outer peripheral surface of the second plate body; and the pushing rod is arranged in the cylinder body so as to ensure that the skin at the periphery of the puncture part is uniformly pressed, shorten the recovery period and reduce the complications.

Description

Compression hemostasis device
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to a compression hemostasis device.
Background
At present, compression type equipment for cardiology is commonly used for postoperative recovery of a buried type automatic heart defibrillator and hemostasis after femoral artery, radial artery and subclavian vein interventional operation.
The implantation site and the intervention site involved in the above-mentioned operation are located near the chest, the thigh root, the arm and the collarbone of the patient, respectively, and after the operation is completed, the implantation site and the intervention site need to be pressed in time, usually the pressing time is long, and the pressing force needs to be controlled.
At present, various pressing devices exist, but the existing pressing devices cannot ensure that the skin at the periphery of the puncture part is uniformly and effectively pressed, so that the skin recovery effect at the periphery of the puncture part is not uniform, and the recovery period is prolonged.
Disclosure of Invention
The invention aims to provide a compression hemostasis device, which is used for enabling skin at a to-be-compression hemostasis place to be uniformly compressed and shortening recovery period.
The invention adopts the following technical scheme: a compression hemostasis device, comprising a compression assembly for attaching to a to-be-hemostasis site to perform compression hemostasis and a fixing piece for fixing the compression assembly to the to-be-hemostasis site; the compression assembly includes: the first plate body consists of a plurality of short plates hinged with each other, each short plate is provided with a hemostatic surface and a non-hemostatic surface, and the hemostatic surfaces are used for being attached to the skin at the periphery of a hemostatic position; a second plate body having a front end face and a rear end face; the front end of each telescopic rod is universally hinged to the non-hemostatic surface of one short plate, and the rear end of each telescopic rod is universally hinged to the front end surface; the inner wall surface of the cylinder body is in interference fit with the outer peripheral surface of the second plate body; and the pushing rod is arranged in the cylinder body and is used for applying/releasing pressure to the second plate body when the pushing rod moves forwards and backwards along the cylinder body so that the plurality of short plates apply the same/similar pressure to the skin at the periphery of the to-be-hemostatic position to perform hemostasis.
Further, a plurality of sensing pieces are arranged on each hemostatic surface; the locking mechanisms are arranged in the telescopic rod, and each locking mechanism is connected with one induction piece in a signal mode.
Further, the telescopic link includes: the inner wall of the inner sleeve is provided with an annular groove for installing the locking mechanism; an outer sleeve.
Further, the locking mechanism includes: the miniature rotating motor is fixedly arranged in the inner sleeve, and the output shaft is positioned at the rear end of the inner sleeve and is in signal connection with the corresponding induction piece; the rotary disc is positioned inside the outer sleeve and fixedly connected with the output shaft of the miniature rotating motor; the protruding piece is fixedly connected with the periphery of the turntable; the plurality of openings are formed in the pipe wall of the outer sleeve along the axial direction of the outer sleeve and correspond to the positions of the protruding sheets.
Further, the power supply sheet is arranged on the rear end face and is respectively and electrically connected with the induction sheet and the miniature rotating motor.
Further, a first spherical groove is formed on the non-hemostatic surface; the first hemisphere is arranged at the front end of the inner sleeve and is arranged in the first spherical groove; the second spherical groove is formed on the front end face; and the second hemispheroids are arranged at the rear end of the outer sleeve and are arranged in the second spherical grooves.
Further, the circular plate is fixed on the end surfaces of the first hemispheroids and the second hemispheroids and is in interference fit with the inner surfaces of the first spherical grooves and the second spherical grooves.
Further, an annular groove is formed in the outer portion of the inner sleeve; and the limiting ring is fixedly connected with the rotary disc and is positioned in the annular groove.
Further, the pushing rod is in threaded connection with the cylinder body.
Further, the fixing piece is an L-shaped rod or a restraint strap.
The beneficial effects of the invention are as follows: through setting up a plurality of articulated short boards each other in the oppression subassembly, can make each short board closely attach on the skin of waiting to stanch department peripheral, and then make the skin of waiting to stanch department peripheral receive the same/similar pressure to make the skin of waiting to stanch department peripheral resume progress the same/similar, shorten recovery cycle, reduce the emergence of complication.
Drawings
Fig. 1 is a schematic view of a compression hemostasis device in accordance with an embodiment of the present invention;
FIG. 2 is a schematic view of the internal components of the cylinder according to an embodiment of the present invention;
FIG. 3 is a schematic view of a telescopic rod according to an embodiment of the present invention;
FIG. 4 is a schematic cross-sectional view of a telescopic rod according to an embodiment of the present invention;
fig. 5 is a schematic partial structure of a telescopic rod according to an embodiment of the present invention.
1, a first plate body; 2. a telescopic rod; 3. a second plate body; 4. a cylinder; 5. a propulsion rod; 101. an induction piece; 102. a short plate; 301. a power supply sheet; 302. a front end face; 303. a rear end face; 202. an electrical connection line; 203. an outer sleeve; 204. an inner sleeve; 205. a first hemisphere; 206. a circular plate; 207. a miniature rotating electric machine; 103. a first spherical recess; 304. a second spherical recess; 208. a second hemisphere; 209. a protruding piece; 210. a spring; 211. a turntable; 212. a limiting ring; 20401. an annular groove; 20301. and (5) a notch.
Detailed Description
The invention will be described in detail below with reference to the drawings and the detailed description.
The invention provides a pressing hemostasis device for cardiology, which is shown in fig. 1-2, and comprises a compression assembly and a fixing piece, wherein the compression assembly is used for being attached to a to-be-hemostasis place to perform compression hemostasis, and the fixing piece is used for fixing the compression assembly to the to-be-hemostasis place; the compression assembly includes: the first plate body 1 is composed of a plurality of mutually hinged short plates 102, and each short plate 102 is provided with a hemostatic surface and a non-hemostatic surface, wherein the hemostatic surface is used for being attached to the skin at the periphery of a to-be-hemostatic position; a second plate body 3 having a front end face 302 and a rear end face 303; the front end of each telescopic rod 2 is hinged to the non-hemostatic surface of one short plate 102 in a universal manner, and the rear end of each telescopic rod 2 is hinged to the front end surface 302 in a universal manner; a cylinder 4 having an inner wall surface in interference fit with the outer peripheral surface of the second plate 3; a pushing rod 5 installed inside the cylinder 4 for applying/releasing pressure to the second plate 3 when moving back and forth along the cylinder 4, so that the plurality of short plates 102 apply the same/similar pressure to the skin at the periphery of the site to be haemostatic for haemostatic.
Meanwhile, since the first plate body 1 is composed of a plurality of short plates 102, the hemostatic surfaces of the short plates 102 hinged with each other may not be located on the same plane, so that the first plate body 1 may be in an irregular shape, and thus, the hemostatic plate is suitable for skin surfaces of to-be-hemostatic positions in different shapes and non-planes.
The pushing force of the pushing rod 5 to the second plate body 3 is dispersed to each telescopic rod 2, and meanwhile, as the other end of each telescopic rod 2 is connected with each short plate 102, the pushing force of the pushing rod 5 is dispersed to each short plate 102 under the moment action of the telescopic rod 2, so that each short plate 102 is attached to the skin surface at the periphery of the to-be-hemostatic position, and the same/similar pressure is provided.
The present invention also includes a plurality of sensing pads 101, one disposed on each hemostatic surface. And a plurality of locking mechanisms are arranged in the telescopic rod 2, and each locking mechanism is respectively connected with one induction piece 101 in a signal manner. The sensing piece 101 is attached to the skin around the periphery of the hemostatic position, and the locking mechanism is started by receiving a signal sent by the sensing piece 101, so that the length of the telescopic rod 2 is fixed. In addition, a cushion layer can be added on the surface of the sensing piece 101, which is in contact with the skin, so that the sensing piece 101 is protected, and the comfort of a patient can be improved, and pressure sores can be avoided being formed by long-time compression.
The sensing piece 101 is one of pressure sensors, the sensitivity is high, the volume is small, the sensing piece 101 on each short plate 102 and the locking mechanism of each telescopic rod 2 form a set of independent signal feedback operation system, when the short plates 102 are contacted with the skin (or pressure is sensed) at the periphery of the to-be-hemostatic position, the sensing piece 101 on the short plates 102 can monitor the information in real time, and signal feedback to the locking mechanism is formed quickly, so that the length of the telescopic rod 2 on each short plate 102 is controlled quickly.
As shown in fig. 4 and 5, the telescopic rod 2 according to the embodiment of the present invention includes an inner sleeve 204, and an annular groove for installing a locking mechanism is formed in the inner wall thereof; an outer sleeve 203 sleeved outside the inner sleeve 204. The locking mechanism comprises a turntable 211, a micro rotating motor 207 and a protruding piece 209.
The miniature rotary motor 207 is fixedly arranged inside the inner sleeve 204, the output shaft is positioned at the rear end of the inner sleeve 204, and the miniature rotary motor 207 is in signal connection with the corresponding induction piece 101; the turntable 211 is positioned inside the outer sleeve 203 and fixedly connected with the output shaft of the micro rotary motor 207. The tab 209 is fixedly attached to the periphery of the turntable 211. A plurality of notches 20301 are formed on the wall of the outer sleeve 203 along the axial direction of the outer sleeve 203 and correspond to the positions of the protruding pieces 209.
The micro rotary motor 207 drives the disc to rotate, so that the convex sheets 209 are respectively inserted into different openings 20301, thereby realizing the instant fixing of the relative distance between the two hollow cylinders.
The protruding piece 209 sets up to the arc piece that has spring 210, sets up the arc piece at the carousel 211 periphery during the preparation to set up spring 210 along the radial of carousel 211 between arc piece and carousel 211, through increasing inflammatory 210, can make the elasticity on arc limit more lasting, and then promote whole locking mechanism's life cycle.
As shown in fig. 2 and 3, the present invention further includes a power feeding sheet 301 disposed on a rear end surface 303 of the second plate body 3 and electrically connected to the induction sheet 101 and the micro rotary electric machine 207, respectively. The power feeding piece 301 may be provided in a ring shape such that the front end surface of the push rod 5 is located in the inner ring thereof, without affecting the application of pressure by the push rod 5 to the second plate body 3.
As shown in fig. 4, the present invention further includes a first spherical groove 103 formed on the non-hemostatic surface; a first hemisphere 205 is disposed at the front end of the inner sleeve 204 and is mounted in the first spherical recess 103; a second spherical groove 304 is formed on the front end face 302; the second hemisphere 208 is disposed at the rear end of the outer sleeve 203 and is mounted within the second spherical recess 304.
The circular plate 206 is fixed to the end surfaces of the first hemisphere 205 and the second hemisphere 208 and is interference fit with the inner surfaces of the first spherical recess 103 and the second spherical recess 304.
Because the hemispheroids are articulated with the spherical grooves in a universal way, the hemispheroids rotate in the spherical grooves under the stress condition, the rotation can cause the continuous change of the articulation angles at the two ends of the telescopic rod 2 under the stress condition, so that the pressure of the second plate body 3 dispersed on the telescopic rod 2 changes along with the change, and the phenomenon that the stress of each short plate 102 is unstable is caused, and therefore, a circular plate 206 is arranged on the hemispheroids, and the circular plate 206 is larger than the diameter of the hemispheroids; after the hemispheroids rotate, the circular plates 206 are clamped with the inner walls of the spherical grooves, so that the hemispheroids are prevented from being excessively large in rotation angle after being stressed.
As shown in fig. 5, the annular groove 20401 may also be provided on the exterior of the inner sleeve 204; the limiting ring 212 is fixedly connected with the turntable 211 and is positioned in the annular groove 20401.
Illustratively, the thrust rod 5 is threadably coupled to the barrel 4. The periphery of the pushing rod 5 is provided with external threads, the inner wall of the cylinder 4 is provided with internal threads meshed with the external threads, and one end of the pushing rod 5 is provided with a handle so as to facilitate the rotation of the pushing rod 5.
When the device is used, the handle on the pushing rod 5 is rotated, the axial movement of the pushing rod 5 is realized by utilizing the threaded engagement of the cylinder 4 and the pushing rod 5, so that the pressure of the pushing rod 5 to the second plate body 3 is formed, the second plate body 3 transfers the pressure to each short plate 102 through a plurality of telescopic rods 2, the close contact of each short plate 102 to the skin is realized and a certain pressure is generated by combining the hinging of the adjacent short plates 102 and the retractility of the telescopic rods 2, the same pressure is further ensured to be generated on the skin at the hemostatic position, and the technical effect of the device is achieved.
Specifically, the cylinder 4 can be arranged in different application scenes according to the compression requirements of different parts of a patient, for example, the cylinder 4 can be arranged at one end of an L-shaped rod, and the L-shaped rod is used for radial artery puncture or femoral artery puncture; the barrel 4 may be disposed on and extend through both sides of a constraining tape for subclavian venipuncture.

Claims (7)

1. The compression hemostasis device is characterized by comprising a compression assembly and a fixing piece, wherein the compression assembly is used for being attached to a to-be-hemostasis place to perform compression hemostasis, and the fixing piece is used for fixing the compression assembly to the to-be-hemostasis place;
the compression assembly includes:
a first plate body (1) composed of a plurality of mutually hinged short plates (102), wherein each short plate (102) is provided with a hemostatic surface and a non-hemostatic surface, and the hemostatic surface is used for being attached to the skin at the periphery of a to-be-hemostatic position;
a second plate body (3) having a front end surface (302) and a rear end surface (303);
the front end of each telescopic rod (2) is hinged to the non-hemostatic surface of one short plate (102) in a universal mode, and the rear end of each telescopic rod (2) is hinged to the front end surface (302) in a universal mode;
a cylinder (4) having an inner wall surface that is in interference fit with the outer peripheral surface of the second plate (3); and
the pushing rod (5) is arranged inside the cylinder body (4) and is used for applying/releasing pressure to the second plate body (3) when the pushing rod moves forwards and backwards along the cylinder body (4) so that the plurality of short plates (102) apply the same/similar pressure to the skin at the periphery of the to-be-hemostatic position to perform hemostasis;
further comprises:
a plurality of sensing pads (101) each disposed on each of the hemostatic surfaces;
the locking mechanisms are arranged in the telescopic rod (2), and each locking mechanism is respectively connected with one induction piece (101) in a signal manner;
the telescopic rod (2) comprises:
an inner sleeve (204) the inner wall of which is provided with an annular groove for installing the locking mechanism;
an outer sleeve (203);
the locking mechanism includes:
the miniature rotating motor (207) is fixedly arranged inside the inner sleeve (204), and an output shaft is positioned at the rear end of the inner sleeve (204) and is in signal connection with the corresponding induction piece (101);
the turntable (211) is positioned in the outer sleeve (203) and fixedly connected with the output shaft of the miniature rotating motor (207);
a protruding piece (209) fixedly connected with the periphery of the turntable (211);
the plurality of notches (20301) are formed in the pipe wall of the outer sleeve (203) along the axial direction of the outer sleeve (203) and correspond to the positions of the protruding pieces (209).
2. A compression hemostasis apparatus as recited in claim 1, further comprising:
and the power supply sheet (301) is arranged on the rear end surface (303) and is electrically connected with the induction sheet (101) and the miniature rotating motor (207) respectively.
3. A compression hemostasis apparatus as recited in claim 1, further comprising:
a first spherical groove (103) provided on the non-hemostatic surface;
a first hemisphere (205) arranged at the front end of the inner sleeve (204) and installed in the first spherical groove (103);
a second spherical groove (304) formed in the front end surface (302);
a second hemisphere (208) is arranged at the rear end of the outer sleeve (203) and is arranged in the second spherical groove (304).
4. A compression hemostasis device as defined in claim 3, and further comprising:
and the circular plate (206) is fixed on the end surfaces of the first hemisphere (205) and the second hemisphere (208) and is in interference fit with the inner surfaces of the first spherical groove (103) and the second spherical groove (304).
5. A compression hemostasis device as recited in any one of claims 2-4, further comprising:
an annular groove (20401) which is arranged outside the inner sleeve (204);
and the limiting ring (212) is fixedly connected with the rotary table (211) and is positioned in the annular groove (20401).
6. A hemostasis by compression device according to claim 5, characterized in that the pushing rod (5) is threaded with the cylinder (4).
7. A compression hemostasis apparatus as defined in claim 1 or claim 6 wherein the securing member is an L-shaped rod or a restraining strap.
CN202210224454.1A 2022-03-09 2022-03-09 Compression hemostasis device Active CN114424958B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202210224454.1A CN114424958B (en) 2022-03-09 2022-03-09 Compression hemostasis device

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CN114424958B true CN114424958B (en) 2023-05-16

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Citations (3)

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Publication number Priority date Publication date Assignee Title
CN109730738A (en) * 2019-03-11 2019-05-10 许宗磊 A kind of Cardiological clinic compressing fast hemostasis device
JP2020065625A (en) * 2018-10-23 2020-04-30 武彦 國枝 Medical pressure device
CN112842438A (en) * 2021-02-01 2021-05-28 郑州大学第一附属医院 Portable hemostasis compression device for cardiology department and using method thereof

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JP2009022491A (en) * 2007-07-19 2009-02-05 Jms Co Ltd Hemostatic device
CN201987750U (en) * 2011-03-03 2011-09-28 李妍 Binding strap used after perianal operation
CN104586458B (en) * 2015-01-30 2016-09-07 窦志刚 Femoral artery bilateral compression hemostasis device
US10595840B2 (en) * 2015-02-27 2020-03-24 Surgical Innovations Llc Wound closure apparatus and method
CN211355697U (en) * 2019-12-12 2020-08-28 河南君安康医疗设备销售有限公司 Femoral artery intelligence hemostasis by compression device
CN112057218A (en) * 2020-10-13 2020-12-11 河南省中医院(河南中医药大学第二附属医院) Hemostasis device for hepatobiliary surgery
CN213722232U (en) * 2020-10-16 2021-07-20 无锡康莱医疗科技有限公司 Embedded radial artery tourniquet device

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2020065625A (en) * 2018-10-23 2020-04-30 武彦 國枝 Medical pressure device
CN109730738A (en) * 2019-03-11 2019-05-10 许宗磊 A kind of Cardiological clinic compressing fast hemostasis device
CN112842438A (en) * 2021-02-01 2021-05-28 郑州大学第一附属医院 Portable hemostasis compression device for cardiology department and using method thereof

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