CN114917456A - Special urine of urethra meeting teacher expands stick - Google Patents
Special urine of urethra meeting teacher expands stick Download PDFInfo
- Publication number
- CN114917456A CN114917456A CN202210312086.6A CN202210312086A CN114917456A CN 114917456 A CN114917456 A CN 114917456A CN 202210312086 A CN202210312086 A CN 202210312086A CN 114917456 A CN114917456 A CN 114917456A
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- head
- rod
- urethral
- stick
- special
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- 210000002700 urine Anatomy 0.000 title claims description 21
- 210000003708 urethra Anatomy 0.000 title description 9
- 230000007246 mechanism Effects 0.000 claims abstract description 48
- 239000012780 transparent material Substances 0.000 claims description 5
- 230000008878 coupling Effects 0.000 claims description 3
- 238000010168 coupling process Methods 0.000 claims description 3
- 238000005859 coupling reaction Methods 0.000 claims description 3
- 230000010339 dilation Effects 0.000 claims 3
- 230000002485 urinary effect Effects 0.000 claims 2
- 239000011324 bead Substances 0.000 description 8
- 238000000034 method Methods 0.000 description 4
- 230000009471 action Effects 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 206010002091 Anaesthesia Diseases 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 230000000916 dilatatory effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 206010018852 Haematoma Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010046454 Urethral injury Diseases 0.000 description 1
- 230000004075 alteration Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000001125 extrusion Methods 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/09—Guide wires
- A61M25/09041—Mechanisms for insertion of guide wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M29/00—Dilators with or without means for introducing media, e.g. remedies
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/587—Lighting arrangements
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention discloses a special urethral dilator for a urethral reunion teacher, which comprises a rod body, wherein a rod head is integrally formed at one end of the rod body, a guide head is integrally formed at one end of the rod body, which is far away from the rod head, a positioning mechanism is arranged at one side of the guide head and the rod body, and a channel is arranged among the rod body, the rod head and the guide head; the clamping mechanism is movably arranged outside the rod head, and a connecting mechanism is arranged at one end of the clamping mechanism, which is far away from the rod head; the outer ring is connected to the outer wall of the rod body on one side close to the rod head. The clamping mechanism is arranged, when the guide wire needs to be clamped, the knob is firstly twisted, the knob drives the sleeve to move through the connecting mechanism, the sleeve is sleeved outside the rod head, the second convex block on the inner wall of the sleeve can extrude the first convex block out of the outer part of the rod head, the rod head moves towards the middle part together with the rubber sheet after being extruded by the first convex block, and the guide wire is clamped inside the clamping cavity through the rubber sheet, so that the purpose of facilitating clamping is achieved.
Description
Technical Field
The invention relates to the field of medical appliances, in particular to a special urine expanding rod for a urethral reunion teacher.
Background
The urethra is damaged and is generally treated by adopting an indwelling urethral catheterization mode, if the urethral catheterization fails, the operation treatment mode is considered, a guide wire is firstly placed into a bladder along the urethra under a ureteroscope in general, and then the urethral catheter is placed along the guide wire, but partial patients with the urethral injury cannot smoothly place the guide wire due to hematoma, bleeding or complete urethral fracture and the like, the urethral catheterization is needed, the guide wire is still placed at the core of the urethral catheterization, and then the urethral catheter is indwelling.
How to effectively and smoothly put the guide wire into the broken urethra always troubles uropoiesis surgeons, even if the two ends of the existing urine expanding rod are respectively and smoothly put into the urine expanding rod, how to smoothly put the guide wire into the two sections of the urethra is a troublesome problem, and therefore, the special urine expanding rod for the urethra conference teacher needs to be designed.
Disclosure of Invention
The invention aims to provide a special urine expanding rod for a urethral reunion technician, which solves the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a special urine expanding rod for a urethral reunion teacher comprises
The guide head is integrally formed at one end of the rod body, which is far away from the rod head, a positioning mechanism is arranged on one side of the guide head and the rod body, and a channel is arranged among the rod body, the rod head and the guide head;
the clamping mechanism is movably arranged outside the rod head, and a connecting mechanism is arranged at one end of the clamping mechanism, which is far away from the rod head;
the outer ring is connected to the outer wall of one side of the rod body close to the rod head, and the two ends of the outer ring far away from the rod body are provided with handheld mechanisms.
Furthermore, the clamping mechanism comprises a first lug, a second lug and a rubber sheet, a clamping cavity is arranged inside the rod head, both ends of the clamping cavity are connected with the channels, both ends of the inner wall of the clamping cavity are connected with the rubber sheets, the outer part of the rod head is sleeved with a sleeve, the inner wall of the sleeve is provided with a second convex block, the outer wall of the rod head is provided with a first convex block, the first convex block and the second convex block are movably connected, through arranging a clamping mechanism, when the guide wire needs to be clamped, the knob is firstly twisted, the knob drives the sleeve to move through the connecting mechanism, the sleeve is sleeved outside the rod head, at this moment, the second convex block on the inner wall of the sleeve can extrude the first convex block outside the rod head, and the rod head moves towards the middle part together with the rubber sheet after being extruded because of the first convex block, so that the guide wire is clamped in the clamping cavity through the rubber sheet, and the purpose of facilitating clamping is achieved.
Further, coupling mechanism is including interior tube head, internal thread and external screw thread, the one end that the barred body was kept away from to the barred head is connected interior tube head, the external screw thread is seted up in the outer wall department of interior tube head, the sleeve is close to the one end of interior tube head and is connected with the retainer plate, the internal thread is seted up in the inner wall department of retainer plate, external screw thread threaded connection internal thread is through setting up coupling mechanism, and when the knob of wrench movement, the internal thread of the retainer plate inside of knob one end can with the external screw thread threaded connection that the interior tube head is outside goes out, rotatory back retainer plate can remove to the one end of barred head along interior tube head to it establishes the outside at the barred head to drive the sleeve cover.
Further, handheld mechanism is including block rubber, fixed block and inside groove, the block rubber is all connected at the both ends that the barred body was kept away from to the outer loop, two the fixed block is all connected at the top of block rubber, the inside groove is seted up to the inside of fixed block and block rubber, through setting up handheld mechanism, when handheld, can go deep into the inside groove of block rubber and fixed block with two fingers, then exert oneself to one side of outer loop to be convenient for handheld this device, when the operation, also more stable.
Further, positioning mechanism is including wire casing, electric wire and LED lamp pearl, the wire casing is seted up to one side of barred body and guide head, the inside of wire casing sets up the electric wire, the electric wire is located the one end of guide head and connects LED lamp pearl, the one end that the electric wire is close to the outer loop is connected with the electrical connection end, through setting up LED lamp pearl, puts into from the urethral orifice with the help of this device earlier, then confirms the guide head position from the outside through the LED lamp pearl of leading overhead installation for this device is drawn forth smoothly from the broken end, thereby reaches the purpose of being convenient for the location.
Furthermore, the one end that interior tube head was kept away from to the retainer plate is connected with the knob, the one end that the retainer plate was kept away from to the knob is connected with the ring gear, and through setting up the knob, the outside of knob is provided with a plurality of ring gears, and the ring gear can improve the frictional force of hand to reach the purpose of the wrench movement of being convenient for.
Furthermore, an inlet is formed in the axis of the gear ring and communicated with the channel, and one end of the guide wire can penetrate into the inlet from the position of the inlet when the guide wire is installed through the inlet.
Further, an outlet is formed in the axis of the guide head and communicated with the channel, and when the guide wire penetrates from the inlet, the guide wire passes through the channel and finally penetrates out from the outlet.
Further, the inner wall department of inside groove is provided with the skid resistant course, the one end that the inside groove is located the block rubber is sunken to inside, and through setting up the inside groove, the inside groove is sunken to inside, can be convenient for the finger point end be absorbed in the inside groove, improves the effect of centre gripping.
Furthermore, the rod body, the rod head and the guide head are made of transparent materials, and the transparent materials are convenient to observe during operation.
Compared with the prior art, the invention has the beneficial effects that:
1. according to the invention, by arranging the clamping mechanism, when the guide wire needs to be clamped, the knob is firstly twisted, the knob drives the sleeve to move through the connecting mechanism, the sleeve is sleeved outside the rod head, at the moment, the second bump at the inner wall of the sleeve can extrude the first bump out of the outer part of the rod head, the rod head moves to the middle part together with the rubber sheet after being extruded due to the extrusion of the first bump, and the guide wire is clamped inside the clamping cavity through the rubber sheet, so that the purpose of facilitating clamping is achieved;
2. according to the invention, the LED lamp beads are arranged, the device is firstly placed in from the urethral orifice, and then the position of the guide head is confirmed from the outside through the LED lamp beads arranged on the guide head, so that the device is smoothly LED out from the broken end, and thus the purpose of facilitating positioning is achieved;
3. the hand-held device is provided with the hand-held mechanism, so that two fingers can be deeply inserted into the inner grooves in the rubber block and the fixed block when the hand-held device is held by a hand, and then force is applied to one side of the outer ring, so that the hand-held device is convenient to hold, the operation is more stable, the inner grooves are inwards sunken by the arrangement of the inner grooves, the tips of the fingers can be conveniently sunk into the inner grooves, and the clamping effect is improved.
Drawings
FIG. 1 is a schematic view of the whole structure of a special urine expanding rod for a urethral reunion engineer;
FIG. 2 is an enlarged schematic view of a special urethral reuptake urine dilator of FIG. 1 at A;
FIG. 3 is an enlarged schematic view of a urethral counselor specialized urine dilator of the present invention at B in FIG. 1;
FIG. 4 is an enlarged view of the urethral dilator specially adapted for the urethral reunion, shown in FIG. 1 at C;
fig. 5 is an enlarged schematic view of the urethral reuptake specific urine dilator of fig. 1 at D.
In the figure: 1. a rod body; 2. a rod head; 3. guiding the head; 4. a clamping mechanism; 5. a connecting mechanism; 6. an outer ring; 7. a hand-held mechanism; 8. a positioning mechanism; 9. a channel; 10. a first bump; 11. a second bump; 12. a rubber sheet; 13. a clamping cavity; 14. a sleeve; 15. an inner tube head; 16. an internal thread; 17. an external thread; 18. a fixed ring; 19. a rubber block; 20. a fixed block; 21. an inner tank; 22. a wire slot; 23. an electric wire; 24. LED lamp beads; 25. connecting the electric terminal; 26. a knob; 27. a ring gear; 28. an inlet; 29. and (7) an outlet.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-5, the present invention provides a technical solution: a special urine expanding rod for a urethral reunion teacher comprises
The bar comprises a bar body 1, a bar head 2 is integrally formed at one end of the bar body 1, a guide head 3 is integrally formed at one end of the bar body 1 far away from the bar head 2, a positioning mechanism 8 is arranged at one side of the guide head 3 and the bar body 1, and a channel 9 is arranged among the bar body 1, the bar head 2 and the guide head 3;
the clamping mechanism 4 is movably arranged outside the rod head 2, and one end of the clamping mechanism 4, which is far away from the rod head 2, is provided with a connecting mechanism 5;
In the invention, a clamping mechanism 4 comprises a first lug 10, a second lug 11 and a rubber sheet 12, a clamping cavity 13 is arranged inside a rod head 2, two ends of the clamping cavity 13 are both connected with a channel 9, two ends of the inner wall of the clamping cavity 13 are both connected with the rubber sheet 12, a sleeve 14 is sleeved outside the rod head 2, the inner wall of the sleeve 14 is provided with the second lug 11, the outer wall of the rod head 2 is provided with the first lug 10, the first lug 10 is movably connected with the second lug 11, through the arrangement of the clamping mechanism 4, when the guide wire needs to be clamped, firstly, a knob 26 is twisted, the knob 26 drives the sleeve 14 to move through a connecting mechanism 5, the sleeve 14 is sleeved outside the rod head 2, at the moment, the second lug 11 at the inner wall of the sleeve 14 can extrude the first lug 10 out of the rod head 2, the rod head 2 moves towards the middle part together with the rubber sheet 12 after being extruded by the first lug 10, and the guide wire is clamped inside the clamping cavity 13 through the rubber sheet 12, thereby achieving the purpose of convenient clamping;
according to the invention, the connecting mechanism 5 comprises an inner tube head 15, an internal thread 16 and an external thread 17, one end of the rod head 2, which is far away from the rod body 1, is connected with the inner tube head 15, the external thread 17 is arranged on the outer wall of the inner tube head 15, one end of the sleeve 14, which is close to the inner tube head 15, is connected with the fixing ring 18, the internal thread 16 is arranged on the inner wall of the fixing ring 18, the external thread 17 is in threaded connection with the internal thread 16, by arranging the connecting mechanism 5, when the knob 26 is twisted, the internal thread 16 inside the fixing ring 18 at one end of the knob 26 can be in threaded connection with the external thread 17 outside the inner tube head 15, and the fixing ring 18 can move towards one end of the rod head 2 along the inner tube head 15 after being rotated, so that the sleeve 14 is driven to be sleeved outside the rod head 2;
the hand-held mechanism 7 comprises rubber blocks 19, fixed blocks 20 and inner grooves 21, the two ends of the outer ring 6, which are far away from the rod body 1, are connected with the rubber blocks 19, the tops of the two rubber blocks 19 are connected with the fixed blocks 20, the inner grooves 21 are formed in the fixed blocks 20 and the rubber blocks 19, and by arranging the hand-held mechanism 7, two fingers can be deeply inserted into the inner grooves 21 in the rubber blocks 19 and the fixed blocks 20 when the hand-held mechanism is held by hands and then exert force to one side of the outer ring 6, so that the hand-held device is convenient to hold by hands and is more stable when in operation;
according to the invention, the positioning mechanism 8 comprises a wire groove 22, an electric wire 23 and LED lamp beads 24, the wire groove 22 is formed in one side of the rod body 1 and the guide head 3, the electric wire 23 is arranged in the wire groove 22, one end of the electric wire 23, which is positioned at the guide head 3, is connected with the LED lamp beads 24, one end of the electric wire 23, which is close to the outer ring 6, is connected with the electric connection end 25, the LED lamp beads 24 are arranged, the device is firstly put in from a urethral orifice, and then the position of the guide head 3 is confirmed from the outside through the LED lamp beads 24 arranged on the guide head 3, so that the device is smoothly LED out from a broken end, and the purpose of facilitating positioning is achieved;
according to the invention, one end of the fixing ring 18, which is far away from the inner tube head 15, is connected with the knob 26, one end of the knob 26, which is far away from the fixing ring 18, is connected with the gear ring 27, and through the arrangement of the knob 26, a plurality of gear rings 27 are arranged outside the knob 26, and the gear rings 27 can improve the friction force of a hand, so that the purpose of facilitating twisting is achieved;
in the invention, the axle center of the gear ring 27 is provided with an inlet 28, the inlet 28 is communicated with the channel 9, and one end of a guide wire can penetrate through the inlet 28 when the guide wire is installed through the inlet 28;
in the invention, the axis of the guide head 3 is provided with an outlet 29, the outlet 29 is communicated with the channel 9, and by arranging the outlet 29, after a guide wire penetrates from the position of the inlet 28, the guide wire passes through the channel 9 and finally penetrates out from the position of the outlet 29;
the inner wall of the inner groove 21 is provided with the anti-skid layer, one end of the inner groove 21, which is positioned at the rubber block 19, is sunken towards the inside, and the inner groove 21 is sunken towards the inside by arranging the inner groove 21, so that the tip of a finger can be conveniently sunk into the inner groove 21, and the clamping effect is improved;
the rod body 1, the rod head 2 and the guide head 3 are made of transparent materials, and the transparent materials are used, so that the observation is convenient during the operation.
The working principle is as follows: when the anterior urethra of a patient is fractured, anesthesia is firstly carried out, after anesthesia, the device is firstly put in from the urethral orifice, then the position of the guide head 3 is confirmed from the outside through an LED lamp bead 24 arranged on the guide head 3, so that the device is smoothly LED out from the fractured end, a guide wire can penetrate through the position of an inlet 28 at the moment, then the guide wire penetrates out from the position of an outlet 29 along a channel 9, a knob 26 is twisted, a fixing ring 18 moves to the position of a rod head 2 along an inner tube head 15 after the knob 26 is twisted, a sleeve 14 is sleeved outside the rod head 2, at the moment, a first lug 10 is extruded by a second lug 11, rubber sheets 12 at two ends inside a clamping cavity 13 are driven to contract inwards after the first lug 10 is extruded, so that the guide wire is fixed, then a new urine expansion rod is put in from the fractured end of the urethra and is smoothly put in a bladder, then the knob 26 is twisted again, and the two rubber sheets 12 are separated from the guide wire, at the moment, the guide wire which is just fixed is placed into the bladder from the channel 9 in the second urine dilating rod, then the urine dilating rod is taken out, and the catheter is placed into the bladder along the guide wire.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. A special urine expanding rod for a urethral reunion engineer is characterized in that: the special urine expanding rod for the urethral reunion comprises
The bar comprises a bar body (1), wherein a bar head (2) is integrally formed at one end of the bar body (1), a guide head (3) is integrally formed at one end, away from the bar head (2), of the bar body (1), a positioning mechanism (8) is arranged on one side of the guide head (3) and one side of the bar body (1), and a channel (9) is arranged among the bar body (1), the bar head (2) and the guide head (3);
the clamping mechanism (4) is movably arranged outside the rod head (2), and a connecting mechanism (5) is arranged at one end, far away from the rod head (2), of the clamping mechanism (4);
outer loop (6), outer loop (6) are connected in stick body (1) and are close to one side outer wall department of stick head (2), the both ends that stick body (1) were kept away from in outer loop (6) all are provided with handheld mechanism (7).
2. The special urethral dilator stick for the urethral reunion technician, according to claim 1, wherein: fixture (4) are including first lug (10), second lug (11) and sheet rubber (12), centre gripping chamber (13) have been seted up to the inside of stick head (2), equal interface channel (9) in both ends in centre gripping chamber (13), sheet rubber (12) are all connected at the inner wall department both ends in centre gripping chamber (13), the outside cover of stick head (2) is equipped with sleeve (14), the inner wall department of sleeve (14) sets up second lug (11), the outer wall department of stick head (2) sets up first lug (10), swing joint between first lug (10) and second lug (11).
3. The special urethral dilator stick for the urethral reunion technician, according to claim 1, wherein: coupling mechanism (5) are including interior tube head (15), internal thread (16) and external screw thread (17), tube head (15) in the one end of barred body (1) is kept away from in barred head (2), external screw thread (17) are located to set up in the outer wall of interior tube head (15), the one end that sleeve (14) are close to interior tube head (15) is connected with retainer plate (18), internal thread (16) are located to set up in the inner wall of retainer plate (18), external screw thread (17) threaded connection internal thread (16).
4. The special urethral dilator stick for the urethral reunion technician, according to claim 1, wherein: the handheld mechanism (7) comprises rubber blocks (19), fixed blocks (20) and inner grooves (21), the two ends, far away from the rod body (1), of the outer ring (6) are connected with the rubber blocks (19), the two ends of the rubber blocks (19) are connected with the fixed blocks (20), and the inner grooves (21) are formed in the fixed blocks (20) and the rubber blocks (19).
5. The special urethral dilator stick for the urethral reunion technician, according to claim 1, wherein: positioning mechanism (8) are including wire casing (22), electric wire (23) and LED lamp pearl (24), wire casing (22) are seted up to one side of barred body (1) and lead (3), the inside of wire casing (22) sets up electric wire (23), LED lamp pearl (24) are connected to the one end that electric wire (23) are located lead (3), the one end that electric wire (23) are close to outer loop (6) is connected with electrical connection end (25).
6. The special urine dilation bar for a urinary conference teacher, according to claim 3, wherein: the one end that interior tube head (15) were kept away from in retainer plate (18) is connected with knob (26), the one end that retainer plate (18) were kept away from in knob (26) is connected with ring gear (27).
7. The special urine dilation bar for a urinary conference teacher, according to claim 6, wherein: an inlet (28) is arranged at the axis of the gear ring (27), and the inlet (28) is communicated with the channel (9).
8. The special urine dilation bar for a urethral reunion teacher, according to claim 1, wherein: an outlet (29) is formed in the axis of the guide head (3), and the outlet (29) is communicated with the channel (9).
9. The special urethral dilator stick for the urethral reunion technician according to claim 4, wherein: the inner wall of the inner groove (21) is provided with an anti-skid layer, and one end of the inner groove (21) located on the rubber block (19) is recessed inwards.
10. The special urethral dilator stick for the urethral reunion technician, according to claim 1, wherein: the rod body (1), the rod head (2) and the guide head (3) are made of transparent materials.
Priority Applications (1)
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CN202210312086.6A CN114917456A (en) | 2022-03-28 | 2022-03-28 | Special urine of urethra meeting teacher expands stick |
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CN202210312086.6A CN114917456A (en) | 2022-03-28 | 2022-03-28 | Special urine of urethra meeting teacher expands stick |
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Application publication date: 20220819 |