CN117323098A - Intestinal stoma connector - Google Patents

Intestinal stoma connector Download PDF

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Publication number
CN117323098A
CN117323098A CN202311333800.0A CN202311333800A CN117323098A CN 117323098 A CN117323098 A CN 117323098A CN 202311333800 A CN202311333800 A CN 202311333800A CN 117323098 A CN117323098 A CN 117323098A
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CN
China
Prior art keywords
stoma
ball
fixedly connected
enterostomy
intestinal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN202311333800.0A
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Chinese (zh)
Inventor
张�杰
李薇
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Nanjing Childrens Hospital of Nanjing Medical University
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Nanjing Childrens Hospital of Nanjing Medical University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Nanjing Childrens Hospital of Nanjing Medical University filed Critical Nanjing Childrens Hospital of Nanjing Medical University
Priority to CN202311333800.0A priority Critical patent/CN117323098A/en
Publication of CN117323098A publication Critical patent/CN117323098A/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445Colostomy, ileostomy or urethrostomy devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/22Valves or arrangement of valves

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

The invention belongs to the technical field of medical appliances, and discloses an enterostomy connector which comprises a connecting ball, wherein the inner side of the connecting ball is of a spherical hollow structure, connecting pipes are symmetrically and fixedly connected to the two sides of the connecting ball, and connecting ports are formed in the side surfaces of the connecting ball; the three-way ball valve is rotationally connected to the inner side of the connecting ball; the annular air bag is sleeved at one end, far away from the connecting ball, of the connecting pipe, and the side face of the annular air bag is fixedly connected with a vent pipe. The intestinal condition after the intestinal ostomy and the retrieval operation can be effectively simulated, excrement can normally enter the far-end intestinal canal of the stoma, tolerance of the far-end intestinal canal of the stoma to the excrement is evaluated after retrieval, the time for controlling the retrieval of the stoma is convenient, the related complications after the retrieval of a patient are reduced, the intestinal condition after the intestinal ostomy and the retrieval operation can be simulated on time through the communication device for the patient incapable of performing the ostomy and the retrieval operation on time, and the disuse atrophy of the far-end intestinal canal of the stoma is slowed down.

Description

Intestinal stoma connector
Technical Field
The invention belongs to the technical field of medical appliances, and particularly relates to an enterostomy connector.
Background
In recent years, the incidence of rectal cancer and bladder cancer has been increasing. At present, the malignant tumors are treated by adopting a mode of combined operation of radiotherapy and chemotherapy, but the incidence rate of complications such as anastomotic stoma leakage, rectovaginal fistula or radioactive inflammation after treatment is high, and in order to treat the complications, surgeons mostly adopt temporary double-cavity stomas to divert excrement so as to achieve the purposes of keeping the far-end intestinal tract away from excrement pollution, thereby relieving the symptoms of the complications and promoting the healing of the complications. In addition, some young infants just born have intestinal necrosis and intestinal perforation due to premature birth, hypoxia, infection and the like, and surgeons also adopt temporary double-cavity fistulization for saving the lives of the infants. The faeces of such patients are involuntarily discharged outside the body through the stoma, and after discharge a bag needs to be placed at the stoma for receiving the faeces. Such patients are known as "ostomates" in medicine.
The physician may surgically remove the lesion and then open an opening on the left or right side of the patient's abdomen, which is known as a stoma. The stoma may be divided into a temporary stoma and a permanent stoma, wherein the temporary stoma is a multi-purpose double-cavity stoma, and the permanent stoma is a multi-purpose single-cavity stoma. For temporary stomas, ostomy closure is a secondary operation that a physician needs to take to close the stoma, which is the final stage in the course of the treatment of the disease.
The patient receives a second ostomy back surgery within 3-6 months after the protective ileostomy, and the preoperative patient needs to receive a series of examinations such as enteroscopy, barium enema radiography, faecal radiography, anorectal manometry and the like, all of which are aimed at evaluating the patency of the distal intestinal canal and the anal function, i.e. whether the patient can normally defecate after the stoma is closed. However, these tests have an insurmountable obstacle: these tests are only indirect evaluations and do not reflect the actual condition of the distal intestinal or anal function of the patient, especially for patients with pre-operative radiotherapy or with recto-vaginal fistulae or anastomotic stoma leakage, the results of the above tests are normal, but intestinal obstruction occurs after closure of the stoma, or the anastomotic stoma leakage recurs, causing serious infection of the abdominal cavity and even endangering life. Once these conditions occur, the patient has to undergo ostomy again.
To address this problem, some clinicians use transoral distal porridge or banana puree to observe whether the patient is experiencing an abnormality, such as ileus or pelvic infection. However, porridge or banana puree is essentially different from feces because feces contain a large amount of bacteria, which are the main factors causing infection of abdomen and pelvis.
Disclosure of Invention
Aiming at the defects of the prior art, the invention aims to provide the enterostomy connector which can effectively simulate the intestinal condition after the enterostomy retraction operation, allows excrement to normally enter the far-end intestinal canal of the stoma, evaluates the tolerance condition of the far-end intestinal canal of the stoma to the excrement after retraction, is convenient for controlling the time of the retraction of the stoma, reduces the related complications of patients after retraction and even pain of the secondary operation, and can simulate the intestinal condition after the enterostomy retraction operation on time for the patients incapable of carrying out the ostomy retraction on time by the communication device so as to slow down the disuse atrophy of the far-end intestinal canal of the stoma.
The aim of the invention can be achieved by the following technical scheme:
an enterostomy connector comprising:
the connecting ball is of a spherical hollow structure, connecting pipes are symmetrically and fixedly connected to the two sides of the connecting ball, the inner sides of the connecting pipes are communicated with the inner sides of the connecting ball, connecting ports are formed in the side faces of the connecting ball, and the connecting ports are communicated with the inner sides of the connecting ball;
the three-way ball valve is rotationally connected to the inner side of the connecting ball, a connecting rod is fixedly connected to the side face of the three-way ball valve, and the connecting rod penetrates through the connecting ball and extends outwards;
the annular air bag is sleeved at one end, far away from the connecting ball, of the connecting pipe, the annular air bag is fixedly connected with the connecting pipe, and the side face of the annular air bag is fixedly connected with a vent pipe.
The technical scheme has the principle and technical effects that:
the two connecting pipes are respectively inserted into the corresponding stomas, the air pump or the air cylinder is utilized to ventilate the vent pipe, so that the two annular air bags are expanded, the stomas are clamped by the expanded annular air bags, the two connecting pipes are fixed and can not be separated from the stomas, the three-way ball valve is rotated by rotating the connecting rod, three holes formed in the three-way ball valve are communicated, three conditions can be met by rotating the three-way ball valve, the first condition is that the proximal end of the communicated stomas is closed with the connecting port, and the distal end of the stomas is closed, so that faeces are discharged from the connecting port and enter the stomas; the second is to communicate the proximal end of the stoma, the connection port and the distal end of the stoma, one part of the excrement can enter the ostomy bag through the connection port, and the other part can enter the intestinal tract of the distal end of the stoma; the third is that the proximal end of the stoma is communicated with the distal end of the stoma, the connection port is closed, and the feces enter the intestinal canal at the distal end of the stoma from the proximal end of the stoma. The intestinal condition after the intestinal ostomy and the retrieval operation can be effectively simulated, excrement can normally enter the intestinal tract at the far end of the stoma, the tolerance condition of the intestinal tract at the far end of the stoma to the excrement after retrieval is evaluated, the time for controlling the retrieval of the stoma is facilitated, the related complications after the retrieval of a patient are reduced, even the pain of the operation is relieved again, the intestinal condition after the retrieval operation of the stoma can be simulated on time through the communication device for the patient incapable of performing the retrieval operation of the stoma on time, and the disuse atrophy of the intestinal tract at the far end of the stoma is slowed down.
Further, the circumference side of the connecting pipe is provided with an annular groove along the circumference direction, and the annular air bag is fixedly connected in the annular groove.
Further, a positioning groove is formed in the side face of the connecting pipe, and the vent pipe is fixedly connected in the positioning groove.
Further, one end of the positioning groove, which is close to the connecting ball, is fixedly connected with a fixing sleeve, and the fixing sleeve is sleeved on the periphery of the vent pipe.
Further, the tail end of the vent pipe is provided with a gas injection port.
Further, the end of the connecting rod is fixedly connected with a knob.
Further, the connecting pipe is a soft medical silica gel pipeline.
Further, a sleeve interface is fixedly connected to the connecting ball at the connecting port.
The noun, conjunctive or adjective parts related to the above technical solution are explained as follows:
by fixed connection is meant a connection without any relative movement after the parts or components are fixed. The device is divided into a detachable connection type and a non-detachable type.
(1) The detachable connection is to fix the parts together by using screws, splines, wedge pins and the like. The connection mode can be disassembled during maintenance, and parts cannot be damaged. The connector used must be of the correct size (e.g. length of bolt, key) and tightened properly.
(2) The non-detachable connection mainly refers to welding, riveting, tenon passing matching and the like. Because the parts can be disassembled only by forging, sawing or oxygen cutting during maintenance or replacement, the parts cannot be used for a second time generally. Also, during connection, attention should be paid to process quality, technical inspection and remedial measures (e.g., correction, polishing, etc.).
Threaded connection refers to a detachable connection in which a threaded member (or threaded portion of a connected member) is used to connect the connected member into one body.
Sliding connection means that two objects are in contact but not fixed, and the two objects can slide relatively.
Rotational coupling means that the coupling between the parts causes the parts to rotate relative to each other.
The invention has the beneficial effects that:
the intestinal condition after the intestinal ostomy and the retrieval operation can be effectively simulated, excrement can normally enter the intestinal tract at the far end of the stoma, the tolerance condition of the intestinal tract at the far end of the stoma to the excrement after retrieval is evaluated, the time for controlling the retrieval of the stoma is facilitated, the related complications after the retrieval of a patient are reduced, even the pain of the operation is relieved again, the intestinal condition after the retrieval operation of the stoma can be simulated on time through the communication device for the patient incapable of performing the retrieval operation of the stoma on time, and the disuse atrophy of the intestinal tract at the far end of the stoma is slowed down.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described, and it will be obvious to those skilled in the art that other drawings can be obtained according to these drawings without inventive effort.
FIG. 1 is a schematic overall structure of an embodiment of the present invention;
FIG. 2 is a schematic view of a connecting pipe according to an embodiment of the present invention;
FIG. 3 is a schematic view of a three-way ball valve according to an embodiment of the present invention.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
In the description of the present invention, it should be understood that the terms "open," "upper," "lower," "thickness," "top," "middle," "length," "inner," "peripheral," and the like indicate orientation or positional relationships, merely for convenience in describing the present invention and to simplify the description, and do not indicate or imply that the components or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus should not be construed as limiting the present invention.
An embodiment of an enterostomy connector is described herein in connection with fig. 1-3, according to the concepts of the present application. Specifically, the enterostomy connector is constructed as a split structure having a connection ball 1, a connection tube 2, an annular balloon 4, and the like. Through the mutual matching of the structures of the three-way ball valve 3, the connecting rod 31, the connecting port 11, the vent pipe 41 and the like, the two connecting pipes 2 are respectively inserted into the corresponding stomas, the vent pipe 41 is ventilated by an air pump or an air cylinder or an injector, the two annular air bags 4 are inflated, the stomas are blocked by the inflated annular air bags 4, the two connecting pipes 2 are fixed and cannot be separated from the stomas, the three holes formed in the three-way ball valve 3 are communicated by rotating the connecting rod 31, three conditions can be met by rotating the three-way ball valve 3, the first condition is that the near end of the communicated stomas is closed with the connecting port 11, and the far end of the stomas is discharged from the connecting port 11 into the stomas; the second is to communicate the proximal end of the stoma, the connection port 11 and the distal end of the stoma, one part of the excrement can enter the ostomy bag through the connection port 11, and the other part can enter the intestinal tract of the distal end of the stoma; the third is that the proximal end of the stoma communicates with the distal end of the stoma, the connection port 11 is closed and faeces pass from the proximal end of the stoma into the intestinal tract at the distal end of the stoma. The intestinal condition after the intestinal ostomy and the retrieval operation can be effectively simulated, excrement can normally enter the intestinal tract at the far end of the stoma, the tolerance condition of the intestinal tract at the far end of the stoma to the excrement after retrieval is evaluated, the time for controlling the retrieval of the stoma is facilitated, the related complications after the retrieval of a patient are reduced, even the pain of the operation is relieved again, the intestinal condition after the retrieval operation of the stoma can be simulated on time through the communication device for the patient incapable of performing the retrieval operation of the stoma on time, and the disuse atrophy of the intestinal tract at the far end of the stoma is slowed down.
The enterostomy connector according to the embodiment of the present invention is described in detail below with reference to the accompanying drawings.
As shown in fig. 1 to 3, an enterostomy connector according to an embodiment of the present invention is provided, comprising:
the connecting ball 1, the inboard of connecting ball 1 is spherical hollow structure, the both sides of connecting ball 1 are symmetrically fixedly connected with connecting pipe 2, the inboard of connecting pipe 2 communicates with inboard of connecting ball 1, the side of connecting ball 1 has offered the interface 11, interface 11 communicates with inboard of connecting ball 1;
the three-way ball valve 3 is rotationally connected to the inner side of the connecting ball 1, the side surface of the three-way ball valve 3 is fixedly connected with a connecting rod 31, and the connecting rod 31 penetrates through the connecting ball 1 and extends outwards;
the annular air bag 4, the annular air bag 4 cover is established and is kept away from the one end of connecting ball 1 on connecting pipe 2, annular air bag 4 and connecting pipe 2 fixed connection, the side fixedly connected with breather pipe 41 of annular air bag 4.
When the three-way ball valve is used, two connecting pipes 2 are respectively inserted into corresponding stomas, the vent pipe 41 is ventilated by the air pump or the air cylinder, so that the two annular air bags 4 are inflated, the stomas are blocked by the inflated annular air bags 4, the two connecting pipes 2 are fixed and cannot be separated from the stomas, the three-way ball valve 3 is rotated by rotating the connecting rod 31, three holes formed in the three-way ball valve 3 are communicated, three conditions can be met by rotating the three-way ball valve 3, the first condition is that the proximal end of the stomas are communicated with the connecting port 11, the distal end of the stomas are closed, and excrement is discharged from the connecting port 11 into the stomas; the second is to communicate the proximal end of the stoma, the connection port 11 and the distal end of the stoma, one part of the excrement can enter the ostomy bag through the connection port 11, and the other part can enter the intestinal tract of the distal end of the stoma; the third is that the proximal end of the stoma communicates with the distal end of the stoma, the connection port 11 is closed and faeces pass from the proximal end of the stoma into the intestinal tract at the distal end of the stoma. The intestinal condition after the intestinal ostomy and the retrieval operation can be effectively simulated, excrement can normally enter the intestinal tract at the far end of the stoma, the tolerance condition of the intestinal tract at the far end of the stoma to the excrement after retrieval is evaluated, the time for controlling the retrieval of the stoma is facilitated, the related complications after the retrieval of a patient are reduced, even the pain of the operation is relieved again, the intestinal condition after the retrieval operation of the stoma can be simulated on time through the communication device for the patient incapable of performing the retrieval operation of the stoma on time, and the disuse atrophy of the intestinal tract at the far end of the stoma is slowed down.
The connecting tube 2 is a soft medical silica gel tube, and the soft medical silica gel tube is not easy to damage intestinal mucosa.
In one embodiment of the invention, the circumferential side of the connecting tube 2 is provided with an annular groove 21 along the circumferential direction thereof, and the annular air bag 4 is fixedly connected in the annular groove 21. By adopting the design, the diameter of the annular air bag 4 is kept as much as possible with the diameter of the connecting pipe 2 in the non-inflated state, so that the difficulty of connecting excessive protrusions with the stoma is avoided.
In one embodiment of the present invention, the side surface of the connection pipe 2 is provided with a positioning groove 22, and the ventilation pipe 41 is fixedly connected in the positioning groove 22. The contact area between the connecting pipe 2 and the vent pipe 41 is increased, so that the vent pipe 41 is conveniently and fixedly connected with the surface of the connecting pipe 2.
In one embodiment of the present invention, a fixing sleeve 23 is fixedly connected to one end of the positioning groove 22 near the connecting ball 1, and the fixing sleeve 23 is sleeved on the circumference of the ventilation pipe 41. The fixing sleeve 23 can fix the vent pipe 41, and the vent pipe 41 is prevented from being torn away from the positioning groove 22 by pulling the gas injection port 42.
In one embodiment of the present invention, the end of the vent pipe 41 is provided with a gas-injection port 42. The air outlet of the air pump or the air cylinder is connected with the air injection port 42, and air is injected into the annular air bag 4, so that the annular air bag 4 is inflated, and it is noted that the air injection port 42 can be blocked after the air is injected, so that the air leakage is prevented.
In one embodiment of the present invention, a knob 32 is fixedly connected to the end of the connection rod 31. The connecting rod 31 can be rotated by rotating the knob 32, and the three-way ball valve 3 can be rotated.
In one embodiment of the invention, a sleeve interface 12 is fixedly connected to the connection ball 1 at the connection port 11. The cannula interface 12 is adapted to be inserted through a hole in the side of the ostomy bag and connected to the ostomy bag.
In the description of the present specification, the descriptions of the terms "one embodiment," "example," "specific example," and the like, mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the present invention. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiments or examples. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The foregoing has shown and described the basic principles, principal features and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the foregoing embodiments, which have been described in the foregoing description merely illustrates the principles of the invention, and that various changes and modifications may be made therein without departing from the spirit and scope of the invention, which is defined in the appended claims.

Claims (8)

1. An enterostomy connector, comprising:
the connecting ball comprises a connecting ball (1), wherein the inner side of the connecting ball (1) is of a spherical hollow structure, connecting pipes (2) are symmetrically and fixedly connected to the two sides of the connecting ball (1), the inner side of the connecting pipe (2) is communicated with the inner side of the connecting ball (1), a connecting port (11) is formed in the side surface of the connecting ball (1), and the connecting port (11) is communicated with the inner side of the connecting ball (1);
the three-way ball valve (3), the three-way ball valve (3) is rotationally connected to the inner side of the connecting ball (1), a connecting rod (31) is fixedly connected to the side face of the three-way ball valve (3), and the connecting rod (31) penetrates through the connecting ball (1) to extend outwards;
the annular air bag (4), annular air bag (4) cover is established keep away from on connecting pipe (2) the one end of connecting ball (1), annular air bag (4) with connecting pipe (2) fixed connection, the side fixedly connected with breather pipe (41) of annular air bag (4).
2. An enterostomy connector according to claim 1, characterized in that the circumferential side of the connecting tube (2) is provided with an annular groove (21) along its circumference, the annular balloon (4) being fixedly connected in the annular groove (21).
3. An enterostomy connector according to claim 2, characterized in that the side of the connecting tube (2) is provided with a positioning slot (22), and the vent tube (41) is fixedly connected in the positioning slot (22).
4. A enterostomy connector according to claim 3, characterized in that one end of the positioning groove (22) close to the connecting ball (1) is fixedly connected with a fixing sleeve (23), and the fixing sleeve (23) is sleeved on the circumference side of the vent pipe (41).
5. An enterostomy connector according to claim 4, characterized in that the end of the vent tube (41) is provided with a gas-filling port (42).
6. An enterostomy connector according to claim 1, characterized in that the end of the connecting rod (31) is fixedly connected with a knob (32).
7. An enterostomy connector according to claim 1, characterized in that the connection tube (2) is a soft medical silicone tube.
8. An enterostomy connector according to claim 1, characterized in that a cannula interface (12) is fixedly connected to the connection ball (1) at the connection port (11).
CN202311333800.0A 2023-10-16 2023-10-16 Intestinal stoma connector Withdrawn CN117323098A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202311333800.0A CN117323098A (en) 2023-10-16 2023-10-16 Intestinal stoma connector

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202311333800.0A CN117323098A (en) 2023-10-16 2023-10-16 Intestinal stoma connector

Publications (1)

Publication Number Publication Date
CN117323098A true CN117323098A (en) 2024-01-02

Family

ID=89278862

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202311333800.0A Withdrawn CN117323098A (en) 2023-10-16 2023-10-16 Intestinal stoma connector

Country Status (1)

Country Link
CN (1) CN117323098A (en)

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Application publication date: 20240102