CN115568810A - Gastrointestinal endoscope bite device with nasopharynx air duct - Google Patents

Gastrointestinal endoscope bite device with nasopharynx air duct Download PDF

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Publication number
CN115568810A
CN115568810A CN202211307174.3A CN202211307174A CN115568810A CN 115568810 A CN115568810 A CN 115568810A CN 202211307174 A CN202211307174 A CN 202211307174A CN 115568810 A CN115568810 A CN 115568810A
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CN
China
Prior art keywords
shell
pipe
occlusion
bite
fixed elastic
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Pending
Application number
CN202211307174.3A
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Chinese (zh)
Inventor
邓利兵
蒋晖
沙勤
周海洲
胡晓清
王静
陈鹏
童兴瑜
程金前
季云晶
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Qingpu Branch Of Zhongshan Hospital Affiliated To Fudan University Shanghai Qingpu District Central Hospital
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Qingpu Branch Of Zhongshan Hospital Affiliated To Fudan University Shanghai Qingpu District Central Hospital
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Application filed by Qingpu Branch Of Zhongshan Hospital Affiliated To Fudan University Shanghai Qingpu District Central Hospital filed Critical Qingpu Branch Of Zhongshan Hospital Affiliated To Fudan University Shanghai Qingpu District Central Hospital
Priority to CN202211307174.3A priority Critical patent/CN115568810A/en
Publication of CN115568810A publication Critical patent/CN115568810A/en
Pending legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/24—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/273—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • 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
    • A61M25/02—Holding devices, e.g. on the body
    • 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
    • A61M25/02—Holding devices, e.g. on the body
    • A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/022—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the mouth

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Hematology (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Dentistry (AREA)
  • Emergency Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Endoscopes (AREA)
  • Oral & Maxillofacial Surgery (AREA)

Abstract

The invention relates to a gastrointestinal endoscope bite block with a nasopharynx air duct, which is provided with a bite block main body, wherein the bite block main body is formed by integrally connecting a bite block shell and an outer shell; the occlusion shell is an oval cylinder, occlusion grooves are respectively arranged on the upper side and the lower side of the occlusion shell, a tongue depressor is arranged below the occlusion shell, a valve is arranged in the hollow part of the middle of the occlusion shell, and a gastroscope channel is arranged in the valve; the side surface of the valve is provided with a fixed elastic piece, the fixed elastic piece is provided with two pieces which are oppositely inserted into the outer shell, a circular gap is arranged in the middle after the two pieces of fixed elastic pieces are combined together, and the circular gap forms a nasopharynx channel after the fixed elastic pieces are opened and can accommodate a ventilation pipe to pass through; the vent pipe consists of a thick pipe and a thin pipe; the shell body is provided with a suction pipe through hole. The invention can not only provide oxygen for patients with respiratory tract obstruction caused by tongue tenesmus or respiratory depression and the like, reduce oxygen leakage, but also conveniently implement a high-flow asphyxia oxygenation technology, improve oxygenation of the patients and is suitable for clinical popularization and use.

Description

Gastrointestinal endoscope bite device with nasopharynx air duct
[ technical field ] A method for producing a semiconductor device
The invention relates to the technical field of medical instruments, in particular to a gastrointestinal endoscope bite piece with a nasopharynx air duct.
[ background ] A method for producing a semiconductor device
In the examination of painless gastrointestinal endoscopy, patients are generally required to be subjected to intravenous anesthesia, but outpatient intravenous anesthesia easily causes the throat muscles of the patients to be relaxed, and the patients often suffer from tongue tenesmus and insufficient ventilation, so that the oxygen saturation of the patients is reduced. Especially for obese patients, on one hand, the oxygen storage function of the patients is reduced due to limited ventilation in the examination, on the other hand, the obese patients are more prone to respiratory obstruction conditions such as glossoptosis, and the oxygen saturation is often obviously reduced. At present, the common mouthpiece does not have an oxygen inhalation passage and is only used for preventing a patient from biting an endoscope; painless gastrointestinal endoscope oxygen inhalation usually uses a mask or a nasal catheter to inhale oxygen, and the oxygen inhalation effect is not good due to tongue tenesmus, narrow nasal cavity and even bleeding of the nasal cavity caused by being placed into a nasopharyngeal airway, so that a high-flow asphyxia oxygenation technology cannot be fully used. No special gastrointestinal endoscope mouth gag with nasopharyngeal airway exists clinically.
The Chinese patent application: CN210300937U, announcement date: 2020.04.14 discloses an oropharynx leads to type intestines and stomach mirror seaming ware, including oropharynx breather pipe and seaming portion, oropharynx breather pipe semicircular in shape or semielliptical slice circular arc crooked, its tip is semi-closed semi-circular or semielliptical, the up end of oropharynx breather pipe is provided with an oxygen passageway along the bottom direction, the last even outside that is provided with a plurality of oxygen outlet holes and a plurality of oxygen outlet hole and oropharynx breather pipe's side communicates each other of oxygen passageway, the upper end surface of oropharynx breather pipe on be provided with the oxygen interface, the oxygen interface with oropharynx breather pipe's upper end surface integrated into one piece and with the oxygen passageway communicate each other, seaming portion cover establish oropharynx breather pipe on and can dismantle with oropharynx breather pipe and be connected. The advantages are that: practical convenient nimble, can solve the patient and appear the problem of oxygen deficiency under the respiratory tract obstruction condition such as tenesmus or respiratory inhibition. Although the device can provide oxygen for patients with respiratory tract obstruction such as glossoptosis, the oropharyngeal airway occupies too large a position in the oral cavity of the patients, and the patients are easy to feel pain.
The Chinese patent application: CN214906658U, announce date: 2021.11.30 discloses a gastroscope mouth piece with an air duct, which comprises a mouth piece main body plate and a mouth piece main body arranged on the mouth piece main body plate, wherein two ends of the mouth piece main body are communicated, a gastroscope pipeline inserting hole communicated with the mouth piece main body is arranged on the mouth piece main body plate, and a tongue pressing plate is arranged at the tail end of the mouth piece main body. The advantages are that: set up oropharynx air duct connector through the below at gastroscope pipeline inserted hole, oropharynx air duct connector threaded connection oropharynx air duct, oropharynx air duct runs through the seaming ware main part and extends towards patient's trachea direction, oropharynx air duct connector connection oxygen supply tube, insert the in-process that the gastroscope pipe carried out the gastroscope and detected in the gastroscope pipeline inserted hole, oropharynx air duct supplies with the oxygen air supply to the patient simultaneously, guarantee obese patient's normal breathing, prevent that obese patient from appearing the problem that snores suffocates because the oral cavity blocks up. Although this device also provides oxygen to obese patients, the oropharyngeal airway designed for this device also occupies too much of the patient's mouth, and is thus subject to pain.
In view of the above, there is a need for a gastrointestinal endoscope bite-block device with nasopharyngeal airway, which can not only provide oxygen for patients with respiratory obstruction due to tongue tenesmus or respiratory depression, but also facilitate the implementation of high flow asphyxia oxygenation technology and improve oxygenation of patients.
[ summary of the invention ]
The invention aims to provide a gastrointestinal endoscope mouthpiece with a nasopharynx air duct, which can not only provide oxygen for patients with respiratory obstruction caused by tongue tenesmus or respiratory depression and the like, but also conveniently implement a high-flow asphyxia oxygenation technology and improve oxygenation of the patients.
In order to realize the purpose, the invention adopts the technical scheme that:
a gastrointestinal endoscope bite device with a nasopharynx air duct is provided with a bite device main body, wherein the bite device main body is formed by integrally connecting a bite shell and an outer shell; the occlusion shell is an oval cylinder, and the upper side and the lower side of the occlusion shell are respectively provided with an occlusion groove; a tongue depressor is arranged below the occlusion shell; a valve is arranged in the hollow part in the middle of the occlusion shell, and a gastroscope channel is arranged in the valve; the side surface of the valve is provided with two fixed elastic pieces which are oppositely inserted into the outer shell, the bottom of each fixed elastic piece is provided with a spring, a circular gap is formed in the middle of the two fixed elastic pieces after the two fixed elastic pieces are combined together, and the circular gap forms a nasopharynx channel after the fixed elastic pieces are opened and can accommodate a vent pipe to pass through; the air pipe consists of a thick pipe and a thin pipe, the thin pipe is a bypass of the thick pipe, and one end of the thin pipe is communicated with the thick pipe at the side surface of the thick pipe; the shell body is provided with a suction pipe through hole.
As a preferred example of the present invention, the other end of the thick tube is closed, the port is blunt, and the tube near the port is provided with two side holes; the outer side of the side hole is provided with a mark which is a colored dot; the end of the thin tube is provided with a joint.
In another preferred embodiment of the present invention, the occlusal groove is semicircular, a cotton pad is laid inside the occlusal groove, a protrusion is provided on the surface of the groove body near the inner side of the patient's teeth, and the surface of the groove body near the outer side of the patient's teeth is smooth.
As another preferred example of the invention, the tongue depressor is integrally connected with the outer shell, and the lower surface of the tongue depressor is provided with a cotton piece in an attaching manner, and the shape of the tongue depressor is attached to the shape radian of the tongue.
As another preferable example of the present invention, a plastic plug is disposed at a port where the thick tube and the thin tube communicate with each other, and the plastic plug is suitable for the thick tube.
As another preferable example of the present invention, two sides of the outer shell are provided with connecting rods, the connecting rods are connected with fixing straps, and the fixing straps are elastic straps.
The invention has the advantages that:
1. the invention combines the biting function of the endoscope and the nasopharynx air duct, not only can prevent the endoscope from being bitten, but also can help solve the problem of oxygen deficiency of patients under the condition of respiratory tract obstruction caused by tongue tenesmus or respiratory depression and the like through the added nasopharynx air duct, and simultaneously can communicate high-flow oxygen to implement asphyxia oxygenation technology, improve oxygenation of the patients and avoid oxygen deficiency of the patients.
2. The flap valve can not only not influence the in-and-out operation of the gastroscope, but also reduce oxygen leakage and further increase the oxygen concentration in the patient body.
3. The invention has simple operation, convenient use and firm fixation of the vent pipe, and simultaneously the mouthpiece main body is not easy to be separated from the unconscious mouth of the patient after anesthesia, thereby reducing the workload of a clinical anesthesia doctor, being capable of carrying out real-time monitoring and being suitable for clinical popularization and use.
[ description of the drawings ]
FIG. 1 is a schematic structural diagram of a gastrointestinal endoscope bite-block device with a nasopharyngeal airway.
FIG. 2 is a side view of the main body of the gastrointestinal endoscope mouthpiece with nasopharyngeal airway in accordance with the present invention.
FIG. 3 is a schematic view of the structure of a vent pipe of the gastrointestinal endoscope bite-block with nasopharyngeal airway.
[ detailed description ] embodiments
The invention is further described with reference to the following examples and figures.
Reference numerals and components referred to in the drawings are as follows:
1. seaming device main body 101. Occlusion shell 102. Outer casing
2. Occlusion groove 3. Tongue depressor 4. Fixing strap
5. Valve flap 6. Fixed elastic piece 7. Vent tube
8. Side hole 9. Suction tube through hole
Example 1
Referring to fig. 1-2, fig. 1 is a schematic structural view of a gastrointestinal endoscope mouthpiece with nasopharyngeal airway in the present invention, and fig. 2 is a side view of a main body of the gastrointestinal endoscope mouthpiece with nasopharyngeal airway in the present invention. In this embodiment, the gastrointestinal endoscope mouthpiece with nasopharyngeal airway preferably comprises a mouthpiece body 1, and the mouthpiece body 1 is formed by integrally connecting a mouthpiece shell 101 and an outer shell 102.
In this embodiment, the occlusion shell 101 is preferably an oval cylinder, and the upper and lower sides of the occlusion shell are respectively provided with an occlusion groove 2; the occlusion groove 2 is semicircular, a cotton pad is laid inside the occlusion groove, a protrusion is arranged on the surface of the groove body close to the inner side of the teeth of the patient, the surface of the groove body close to the outer side of the teeth of the patient is smooth, the frictional force of the teeth of the patient during occlusion can be increased by the occlusion groove 2, and the mouthpiece main body 1 is not easy to be separated from the mouth of the patient after anesthesia.
In this embodiment, it is preferable that the tongue depressor 3 is integrally disposed on the outer shell 102, the tongue depressor 3 is disposed below the occlusion shell 101 and fits the shape and curvature of the tongue, and a cotton piece is disposed on the lower surface of the tongue depressor 3 and can help to absorb saliva of the patient. Preferably, connecting rods are arranged on two sides of the outer shell 102, the connecting rods are connected with fixing bands 4, and the fixing bands 4 are elastic bands and are suitable for different patients.
In this embodiment, preferably, a hollow part in the middle of the occlusion shell 101 is provided with a flap 5, the middle of the flap 5 is a gastroscope channel, the hollow diameter in the middle of the occlusion shell 101 is larger, and the flap 5 can reduce oxygen leakage and further improve oxygen concentration.
In this embodiment, it is preferable that the side of the valve 5 is provided with a fixed elastic member 6, the fixed elastic member 6 is provided with two pieces, the two pieces are oppositely inserted into the outer shell 102, the bottom of the fixed elastic member is provided with a spring, the middle of the two pieces of fixed elastic member 6 are provided with a circular gap after being opened, and the circular gap forms a nasopharynx channel after the fixed elastic member 6 is opened, and can accommodate the vent pipe 7 to pass through.
Referring to fig. 3, fig. 3 is a schematic view of a ventilation tube structure of a gastrointestinal endoscope mouthpiece with a nasopharynx air duct of the present invention. In this embodiment, it is preferable that the vent pipe 7 is composed of a thick pipe and a thin pipe, the thin pipe is a bypass of the thick pipe, one end of the thin pipe is communicated with the thick pipe at the side of the thick pipe, a plastic plug is arranged at the port of the thick pipe communicated with the thin pipe, and the plastic plug is suitable for the thick pipe; the other end of the thick tube is closed, the port is in a round blunt shape, two side holes 8 are formed in the pipeline close to the port and used for conveying oxygen to a patient, marks are arranged on the outer sides of the side holes 8, and the marks are colored dots and used for prompting the directions of the side holes 8; the end of the thin tube is provided with a joint which is used for connecting a monitoring instrument. Can send into patient's oral cavity from the nasopharynx passageway with the thick pipe during the use, can prevent to arouse when inserting patient's oral cavity and bleed, the tubule can connect carbon dioxide monitoring instrument as the bypass, realizes real time monitoring.
In this embodiment, it is preferable that the outer shell 102 further has a suction tube through hole 9, the suction tube through hole 9 is used for accommodating a suction tube, a patient is in a lateral position, and the suction tube can be used for sucking sputum or sucking redundant saliva for the patient after extending from the suction tube through hole 9.
The using method and the principle of the invention are as follows: the patient is monitored by conventional ECG, SPO2 and NBP before entering a room, and medical personnel help the patient to open a venous access and inhale oxygen for the patient through a nasal catheter. Then the mouth piece main body 1 is placed in the mouth of a patient, the patient bites the occlusion groove 2 by teeth, the medical staff fixes the mouth piece main body 1 on the head of the patient by the fixing belt 4, and the length of the fixing belt 4 is adjusted by the adjusting buckle 5. After the patient falls asleep, the distance from the mouth corner to the temple of the patient is estimated to be used as the body surface reference distance of the nasopharynx air duct placed in the oral cavity, a thick tube in a matched air duct 7 is inserted from a fixed elastic piece 6, the thick tube needs to bypass the back of the tongue when being inserted to the root of the tongue of the patient, a plastic plug is pulled out after the thick tube is placed, and high-flow oxygen is inserted into the thick tube to finish anesthesia induction. When the patient is subjected to the subsequent gastroscopy, the gastroscope is extended from the valve 5 to perform the examination on the patient, and the thin tube in the vent tube 7 can be connected with a carbon dioxide monitoring instrument in the examination process to monitor the oxygenation of the patient in real time. When needed, the suction tube can be sent into the mouth of the patient from the suction tube through hole 9 to suck sputum or suck redundant saliva for the patient. The invention has good effect in clinical preliminary experiments and can reduce the occurrence of hypoxia events.
It should be noted that the invention combines the biting function of the endoscope and the nasopharyngeal airway, not only can prevent the endoscope from being bitten, but also can help solve the problem of oxygen deficiency of the patient under the condition of respiratory tract obstruction such as glossoptosis or respiratory depression by adding the nasopharyngeal airway, and can also communicate high-flow oxygen to implement asphyxia oxygenation technology, improve oxygenation of the patient and avoid oxygen deficiency of the patient. The valve 5 can not only not influence the in-and-out operation of the gastroscope, but also reduce oxygen leakage and further increase the oxygen concentration in the patient body. The invention has simple operation, convenient use and firm fixation of the vent pipe, and simultaneously the main body of the mouth piece is not easy to be separated from the mouth of an unconscious patient after anesthesia, thereby reducing the workload of a clinical anesthesia doctor and being suitable for clinical popularization and use.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims (6)

1. A gastrointestinal endoscope bite block with a nasopharynx air duct is characterized by being provided with a bite block main body, wherein the bite block main body is formed by integrally connecting a bite block shell and an outer shell; the occlusion shell is an oval cylinder, and the upper side and the lower side of the occlusion shell are respectively provided with an occlusion groove; a tongue depressor is arranged below the occlusion shell; a valve is arranged at the hollow part in the middle of the occlusion shell, and a gastroscope channel is arranged in the valve; the side surface of the valve is provided with two fixed elastic pieces which are oppositely inserted into the outer shell, the bottom of each fixed elastic piece is provided with a spring, a circular gap is formed in the middle of the two fixed elastic pieces after the two fixed elastic pieces are combined together, and the circular gap forms a nasopharynx channel after the fixed elastic pieces are opened and can accommodate a vent pipe to pass through; the air pipe consists of a thick pipe and a thin pipe, the thin pipe is a bypass of the thick pipe, and one end of the thin pipe is communicated with the thick pipe at the side surface of the thick pipe; the shell body is provided with a suction pipe through hole.
2. The gastrointestinal endoscope bite apparatus with nasopharyngeal airway as in claim 1, wherein the other end of the thick tube is closed, the port is blunt, and the tube at the proximal port is provided with two side holes; the outer side of the side hole is provided with a mark which is a colored dot; the end of the thin tube is provided with a joint.
3. The gastrointestinal endoscope bite apparatus with the nasopharyngeal airway as in claim 1, wherein the bite groove is semicircular, cotton pads are laid inside, a surface of the groove body close to the inner side of the patient's teeth is provided with a protrusion, and a surface of the groove body close to the outer side of the patient's teeth is smooth.
4. The gastrointestinal endoscope bite block with the nasopharyngeal airway as in claim 1, wherein the tongue depressor is integrally connected with the outer shell, and the lower surface is provided with a cotton piece in a fitting manner, and the shape of the cotton piece fits the shape radian of the tongue.
5. The gastrointestinal endoscope bite apparatus with nasopharyngeal airway as in claim 1, wherein the port of the thick tube communicating with the thin tube is provided with a plastic plug, and the plastic plug is suitable for the thick tube.
6. The gastrointestinal endoscope bite device with the nasopharyngeal airway as in claim 1, wherein connecting rods are arranged on two sides of the outer shell, and fixing bands are connected to the connecting rods and are elastic bands.
CN202211307174.3A 2022-10-24 2022-10-24 Gastrointestinal endoscope bite device with nasopharynx air duct Pending CN115568810A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202211307174.3A CN115568810A (en) 2022-10-24 2022-10-24 Gastrointestinal endoscope bite device with nasopharynx air duct

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202211307174.3A CN115568810A (en) 2022-10-24 2022-10-24 Gastrointestinal endoscope bite device with nasopharynx air duct

Publications (1)

Publication Number Publication Date
CN115568810A true CN115568810A (en) 2023-01-06

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Family Applications (1)

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CN202211307174.3A Pending CN115568810A (en) 2022-10-24 2022-10-24 Gastrointestinal endoscope bite device with nasopharynx air duct

Country Status (1)

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