CN206120834U - Wearable peritoneal dialysis portable equipment - Google Patents

Wearable peritoneal dialysis portable equipment Download PDF

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Publication number
CN206120834U
CN206120834U CN201620781846.8U CN201620781846U CN206120834U CN 206120834 U CN206120834 U CN 206120834U CN 201620781846 U CN201620781846 U CN 201620781846U CN 206120834 U CN206120834 U CN 206120834U
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peritoneal dialysis
pipeline
pinched valve
peristaltic pump
bag
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CN201620781846.8U
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刘文虎
李平
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Beijing Weijian Medical Network Clinical Medicine Research Co Ltd
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Beijing Weijian Medical Network Clinical Medicine Research Co Ltd
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Abstract

The utility model provides a wearable peritoneal dialysis portable equipment, the main part is the stripe structure, stripe structure both ends joinable forms the annular and restraints the binder structure, be provided with peritoneal dialysis device on the stripe structure, the user can dress this wearable peritoneal dialysis portable equipment to user's belly, but the HCO3 that this portable equipment automatic monitoring calculation dehydration volume and automatic calculation need supply the ion, go on accurately and convenient treatment, and convenient carrying, high durability and convenient use, the present peritoneal dialysis device of improvement that can be very big carries, awkward defect, accord with the user's request, and is suitable for popularization and use.

Description

A kind of wearable peritoneal dialysis portable unit
Technical field
This utility model is related to technical field of medical instrument, more particularly to a kind of wearable peritoneal dialysis portable unit.
Background technology
Due to renal failure, disorder may be produced in animal system.Such imbalance can not including system Draining various body toxin and system completely can not keep the homoiostasiss of water and required mineral.Dialysis treatment can be used to compensate Such renal failure.
Generally there is two kinds of dialysis therapy feasible, i.e. hemodialysis and peritoneal dialysis.Hemodialysis are generally sharp The haemodialysis control unit for being used as outside artificial kidney operation to be separated from blood body toxin.Can be by insertion conduit to disease Patient is connected to into haemodialysis control unit in the vein and tremulous pulse of people, so connects patient to machine so that the blood of patient is flowed into Haemodialysis control unit is simultaneously passed out.In haemodialysis control unit, contacting blood dialysis solution is simultaneously transferred to blood toxicity wherein.Two kinds The expense and curative effect of dialysis is essentially identical, but peritoneal dialysis in cost effectiveness, protect residual renal function, facilitate patient and Jie Save the aspects such as medical resource more excellent.
Peritoneal dialysis (Peritoneal dialysis, PD) are, by the use of the peritoneum of patient oneself as semipermeable membrane, to utilize The dialysis solution Jing conduits for preparing are poured into the peritoneal cavity of patient for action of gravity, so, there is the concentration of solute in peritoneum both sides Gradient difference, the solute of high concentration side is to the side shifting of low concentration one (dispersion);Moisture is then from hypotonic one lateral hypertonic side Mobile (osmosiss).Constantly changed by abdominal dialysis liquid, to reach interior metabolism product, toxicant and correction are removed The disorderly purpose of water, electrolyte balance.
Peritoneal dialysis are periodically injected into peritoneal dialysis liquid in peritoneal cavity, are expanded across peritoneum between solution and blood flow Dissipate and permeation-exchange, the normocrinic waste products of kidney, such as carbamide and kreatinin are removed in these exchanges.Peritoneal dialysis liquid is to pass through A kind of pipeline for inserting patient abdominal cavity, such as peritoneal dialysis catheter are inputted the abdominal cavity of patient, and in abdominal cavity, inner membrance dialysis solution is by disease Peritoneum in human body carries out mass exchange, removes a good appetite suddenly appearing in a serious disease, small molecule kidney toxin and moisture unnecessary in vivo, corrects soda acid and electrolysis Matter is disorderly, to reach the purpose of blood purification.
Current peritoneal dialysis device is a kind of automatic equipment, for the patients undergoing peritoneal dialysis grown up, for kidney disease The treatment in latter stage.As Chinese patent of the notification number for CN1593677B discloses a kind of renal failure fully-automatic intelligent peritoneal dialysis Instrument, is characterized in that, including PIC temperature weighing-up wave detection conditioning unit, PLC control devices, IC card system, peristaltic pump and Dialysis solution pipe-line system is connected with each other composition, and the PLC temperature weighing-up wave detection conditioning unit is connected to temperature sensing Device and LOAD CELLS, and be mutually electrically connected with PLC control devices, PLC control devices are connected to touch screen and intelligent IC Card system, and be connected with peristaltic pump by power driving circuit, peristaltic pump is connected with dialysis solution pipe-line system.Notification number is The Chinese patent of CN201453741U discloses a kind of peritoneal dialysis machine, including organic frame, dialysis control unit and is located at frame On heater, heater electrically connects with dialysis control unit, and the heater is provided with medicinal liquid supporting part, dialysis control Device is electrically connected with medicinal liquid valve and waist valve;The medicinal liquid valve and waist valve are located at the lower section of the medicinal liquid supporting part of the heater. Treatment of the above-mentioned existing peritoneal dialysis machine to disease is effective, but patient must adapt to the various complexity of dialysis treatment presentation Degree.For example, patient may have to go on a journey to dialysis treatment mechanism, and such as hospital or clinic is carrying out dialysis treatment.Due to dialysis Generally need to carry out on schedule, such as three times a week or four treatments, these access to dialysis treatment mechanism are for patient It is possibly time-consuming and be restricted.For example, dialysis treatment may limit freely going on a journey for patient.For example, select Capable patient may have to preset other mechanism.It is such to arrange to be probably difficult, so that dialysis patient Trip become complicated.
In some cases, dialysis treatment can be in execution.Although this situation about being in may be convenient, set It is standby to have sizable size and make troubles to patient.In addition additional equipment, such as water purification system be it may also be desirable to. Water purification system can further make process become complicated, and need additional space and further make home dialysis treatments become multiple It is miscellaneous.
It should be understood that typical dialysis machine may have the size for hindering to carry.For example, the size of some dialysis machines and refrigerator Almost, so that can not be easily carried with.Such dialysis machine may limit the life of dialysis patient due to a lack of portability It is living to select.For example, many dialysis patients, either using treatment or the dialysis treatment mechanism of being in, all because of required time and right They treat limited selection and have to limit trip and other chances.It should be noted that the time needed for hemodialysis can Can be different.For example, in some systems, peritoneal dialysis treatment may last about four hours.This section of considerable time And hinder trip of patient, etc. using the necessity for the treatment of mechanism or the non-portable unit of family.
In addition to the time needed for this dialysis treatment, dialysis cost to patient, treatment mechanism, health insurance companies, Medical care insurance etc. also brings additional complexity.For example, treatment mechanism needs the maintenance and staffing for treatment mechanism Pay larger expense.
Additionally, the cost of itself of dialysing is also likely to be expensive.In addition to the cost of dialysis machine, repeat being used for for generation The cost of dialysis solution and Environmental waste also causes cost to make us hanging back.For example, in conventional hemodialysis, in a blood During liquid dialysis treatment, there is substantial amounts of dialysis solution (for example, about 120 liters) to be used for blood of dialysing.Used dialysis solution and then quilt Abandon.Substantial amounts of used dialysis solution can increase the cost of dialysis.Additionally, cost also due to required substantial amounts of pure water and Increase.For example, cost is increased because of generation, storage and using the equipment of pure water.
Additionally, these dialysis solution, pin, and products of other medical treatment pollutions all must be abandoned suitably, and this can further increase Plus the cost related to dialysis treatment and time.
Utility model content
In order to overcome the disadvantages mentioned above of prior art, this utility model to provide a kind of portable dress of wearable peritoneal dialysis Put.
In order to solve above-mentioned technical problem, this utility model is addressed by following technical proposals:
A kind of wearable peritoneal dialysis portable unit, including main body 21, main body 21 is banded structure, and banded structure two ends can Connection forms annular staylace structure, and peritoneal dialysis unit is provided with banded structure, and user can be saturating by the wearable peritoneum Analysis portable unit is dressed to the abdominal part of user;The banded structure outside order of main body 21 is fixed with waste fluid bag 23, HCO3 -Liquid bag 24, First peristaltic pump 25, circuit board 26, the second peristaltic pump 27, regenerating tank 28, peritoneal dialysis liquid bag 29, battery 30.
In a preferred embodiment, the portable unit monitoring calculation dehydrating amount and automatic calculating can need to supplement automatically HCO3 -Ion.
Preferably, the top of main body 21 be connected with can take put be fixed on user's shoulder be linked with 22.
In one embodiment, waste fluid bag 23, HCO3 -Liquid bag 24, regenerating tank 28, peritoneal dialysis liquid bag 29 are laid respectively In fixing bag on the outside of banded structure.
In a preferred embodiment, the banded structure is made up of inside and outside two-layer fabrics, between inside and outside two-layer fabrics It is formed with multiple cavitys, waste fluid bag 23, HCO3 -Liquid bag 24, regenerating tank 28, peritoneal dialysis liquid bag 29 are respectively placed at the plurality of In cavity.
In a preferred embodiment, banded structure two ends are provided with thread gluing 31, and cyclization is adhesively fixed by thread gluing 31 Around the annular staylace structure of user's abdominal part.
In a preferred embodiment, the first pipeline 17, second is passed through between peritoneal dialysis liquid bag 29 and regenerating tank 28 Pipeline 18 connects respectively, and peritoneal dialysis liquid bag 29, regenerating tank 28 consist of the circulation of liquid the first pipeline 17, the second pipeline 18 Pipeline.Second peristaltic pump 27 is arranged on the first pipeline 17, is disposed between peritoneal dialysis liquid bag 29, the second peristaltic pump 27 Thermostat 11, the first pinched valve 10, waste fluid bag 23 passes through between the second pinched valve 8 and the first pinched valve 10, the second peristaltic pump 27 The first pipeline 17 connect, HCO3 -Liquid bag 24 passes through between the first peristaltic pump 25 and the first pinched valve 10, the second peristaltic pump 27 First pipeline 17 connects.The 3rd pinched valve 13 is provided with the second pipeline 18 between peritoneal dialysis liquid bag 29, regenerating tank 28, the Pressure transducer 14, the first pipe between the second peristaltic pump 27 and regenerating tank 28 are provided between three pinched valve 13 and regenerating tank 28 The 4th pinched valve 16 is provided with road 17.Liquid in-out water nozzle 1, ion concentration monitoring device 3, the order pipeline of the 5th pinched valve 4 connect Connect, the 5th pinched valve 4 is connected on the first pipeline 17 between the 4th pinched valve 16 and the second peristaltic pump 27, in liquid in-out water nozzle 1st, it is provided with pressure transducer 2 on the pipeline between ion concentration monitoring device 3;Circuit board 26 as wearable peritoneal dialysis just The control device of device is taken, is connected with each interior arrangement and control unit successively, circuit board 26 is powered using battery 30.
Further, the outside of circuit board 26 is provided with display screen.
Wearable peritoneal dialysis portable unit of the present utility model monitoring calculation dehydrating amount and automatic calculating can be needed automatically Supplementary HCO3 -Ion, carries out accurate and convenient treatment, is easy to carry, easy to use, can be extremely improved current peritoneum The carrying of dialysis apparatuss, awkward defect, meet user's request, are suitable to popularization and application.
Description of the drawings
Accompanying drawing described herein is used for providing further understanding to of the present utility model, constitutes the part of the application, Schematic description and description of the present utility model is used to explain this utility model, does not constitute to of the present utility model improper Limit.In the accompanying drawings:
Fig. 1 is contour structures schematic diagram of the present utility model;
Fig. 2 is body interior structural representation of the present utility model;
Fig. 3 is principle schematic of the present utility model.
Specific embodiment
It is new below in conjunction with this practicality to make purpose, technical scheme and the advantage of this utility model embodiment clearer The accompanying drawing of type embodiment, is clearly and completely described to the technical scheme of this utility model embodiment.Obviously, it is described Embodiment is a part of embodiment of the present utility model, rather than the embodiment of whole.Based on described of the present utility model Embodiment, the every other embodiment that those of ordinary skill in the art are obtained on the premise of without the need for creative work, all belongs to In the scope of this utility model protection.
As shown in figure 1, wearable peritoneal dialysis portable unit of the present utility model includes main body 21, main body 21 is banding knot Structure, banded structure two ends can connect to form annular staylace structure, and peritoneal dialysis unit is provided with banded structure.It is excellent in one kind In selecting embodiment, the top of main body 21 be connected with can take put be fixed on user's shoulder be linked with 22.By this structure, Yong Huke So that the wearable peritoneal dialysis portable unit is dressed to the abdominal part of user, and it is fixed using being linked with 22, so that the side of wearing Just and comfortably, user being operated, lie fallow etc. routine work/life while complete treatment and the behaviour of peritoneal dialysis Make, overcoming existing apparatus needs user to go the treatment of hospital (or at home) right place and then affect daily life Inconvenience, is easy to carry, easy to use, brings to user's routine work and life and greatly facilitates.
In one embodiment, as shown in Fig. 2 main body 21 banded structure outside order be fixed with waste fluid bag 23, HCO3 -Liquid bag 24, the first peristaltic pump 25, circuit board 26, the second peristaltic pump 27, regenerating tank 28, peritoneal dialysis liquid bag 29, battery 30, In one embodiment, waste fluid bag 23, HCO3 -Liquid bag 24, regenerating tank 28, peritoneal dialysis liquid bag 29 are respectively placed at banding knot In fixing bag on the outside of structure, in a preferred embodiment, the banded structure is made up of inside and outside two-layer fabrics, inside and outside two-layer Multiple cavitys, waste fluid bag 23, HCO are formed between fabric3 -Liquid bag 24, regenerating tank 28, peritoneal dialysis liquid bag 29 are respectively placed at In the plurality of cavity.Preferably, banded structure two ends are provided with thread gluing 31, and cyclization is adhesively fixed around user's abdomen by thread gluing 31 The annular staylace structure in portion.
As shown in Figure 2,3, distinguished by the first pipeline 17, the second pipeline 18 between peritoneal dialysis liquid bag 29 and regenerating tank 28 Connection, peritoneal dialysis liquid bag 29, regenerating tank 28 consist of the circulation line of liquid the first pipeline 17, the second pipeline 18.Second Peristaltic pump 27 is arranged on the first pipeline 17, be disposed between peritoneal dialysis liquid bag 29, the second peristaltic pump 27 thermostat 11, First pinched valve 10, waste fluid bag 23 is by the first pipeline between the second pinched valve 8 and the first pinched valve 10, the second peristaltic pump 27 17 connections, HCO3 -Liquid bag 24 is by the first pipeline 17 between the first peristaltic pump 25 and the first pinched valve 10, the second peristaltic pump 27 Connection.The 3rd pinched valve 13, the 3rd pinched valve 13 are provided with the second pipeline 18 between peritoneal dialysis liquid bag 29, regenerating tank 28 Pressure transducer 14 is provided between regenerating tank 28, is arranged on the first pipeline 17 between the second peristaltic pump 27 and regenerating tank 28 There is the 4th pinched valve 16.Liquid in-out water nozzle 1, ion concentration monitoring device 3, the connection of the order pipeline of the 5th pinched valve 4, the 5th clamps Valve 4 is connected on the first pipeline 17 between the 4th pinched valve 16 and the second peristaltic pump 27, in liquid in-out water nozzle 1, ion concentration Pressure transducer 2 is provided with pipeline between monitoring device 3.Control of the circuit board 26 as wearable peritoneal dialysis portable unit Device processed, is connected successively with each interior arrangement and control unit, and circuit board 26 is powered using battery 30.Further, exist The outside of circuit board 26 is provided with display screen.
In a preferred embodiment, the course of work of wearable peritoneal dialysis portable unit of the present utility model is such as Under:
1. liquid flow process is entered:
The 3rd pinched valve 13, the 4th pinched valve 16, the second pinched valve 8 are closed, the first peristaltic pump 25 is closed, first is opened and is pressed from both sides Tight valve 10, the 5th pinched valve 4, peritoneal dialysis solution is from the difference Jing thermostats 11 of peritoneal dialysis liquid bag 29, the second peristaltic pump 27, ion Concentration sensor 3, pressure transducer 2 enter human abdominal cavity.
2. discharge opeing flow process:
Pinched valve the first pinched valve 10, the 4th pinched valve 16, the 3rd pinched valve 13 are closed, the first peristaltic pump 25 is closed, is beaten The 5th pinched valve 4, the second pinched valve 8 are opened, the second peristaltic pump 27 is opened, waste liquid is dense from human body difference Jing pressure transducers 2, ion Degree sensor 3, the second peristaltic pump 27 enter waste fluid bag 23.
Circulation process:
1. dehydration is had
The first pinched valve 10, the 4th pinched valve 16, the 3rd pinched valve 13 are closed, the first peristaltic pump 25 is closed, the 5th is opened Pinched valve 4, the second pinched valve 8, open the second peristaltic pump 27, separate out liquid and pass from human body difference Jing pressure transducers 2, ion concentration Sensor 3, the second peristaltic pump 27 are into waste fluid bag 23 until dehydration is completed;The second pinched valve 8, the 4th clamping are closed after the completion of dehydration Valve 16, the 3rd pinched valve 13, open the 5th pinched valve 4, the first pinched valve 10, close the first peristaltic pump 25, need to be circulated Regenerated liquid enter respectively through pressure transducer 2, ion concentration sensor 3, the second peristaltic pump 27, thermostat 11 from human abdominal cavity Enter peritoneal dialysis liquid bag 29, after the liquid measure of default is extracted out pressure is detected, the liquid measure for separating out in patient body, phase are calculated automatically Between ion concentration sensor can detect that separate out liquid in HCO3 -Ion concentration, calculates the HCO for requiring supplementation with3 -Ionic weight;Afterwards Close the 5th pinched valve 4, the second pinched valve 8, open the first pinched valve 10, the 3rd pinched valve 13, the 4th pinched valve 16, close the One peristaltic pump 25, starts the second peristaltic pump 27, and regenerated liquid is started the cycle over;The 3rd pinched valve is closed after the completion of the circulation of default 13rd, the 4th pinched valve 16, opens the 5th pinched valve 4, opens the second peristaltic pump 27, allows circulation fluid to flow from peritoneal dialysis liquid bag 29 Go out, through thermostat 11, while opening the first peristaltic pump 25, the rotating speed of the first peristaltic pump 25 is controlled, by appropriate HCO3 -Ion adds In entering pipeline, two kinds of liquid mixing are allowed, then enter respectively through the second peristaltic pump 27, ion concentration sensor 3, pressure transducer 2 Enter human abdominal cavity.
2. without dehydration
The second pinched valve 8, the 3rd pinched valve 13, the 4th pinched valve 16 are closed, the 5th pinched valve 4, the first pinched valve is opened 10, it would be desirable to which the regenerated liquid being circulated is compacted respectively through pressure transducer 2, ion concentration sensor 3, second from human abdominal cavity Dynamic pump 27, thermostat 11 enter peritoneal dialysis liquid bag 29, and after the liquid measure of default is extracted out pressure is detected, calculate in patient body Liquid measure is separated out, period ion concentration sensor can detect that the HCO separated out in liquid3 -Ion concentration, calculates the HCO for requiring supplementation with3 - Ionic weight;The 5th pinched valve 4, the second pinched valve 8 are closed afterwards, are opened the first pinched valve 10, the 3rd pinched valve the 13, the 4th and are clamped Valve 16, closes the first peristaltic pump 25, starts the second peristaltic pump 27, and regenerated liquid is started the cycle over;Close after the completion of the circulation of default The 3rd pinched valve 13, the 4th pinched valve 16 are closed, the 5th pinched valve 4 is opened, the second peristaltic pump 27 is opened, makes circulation fluid saturating from peritoneum Flow out in analysis liquid bag 29, through thermostat 11, while opening the first peristaltic pump 25, control the rotating speed of the first peristaltic pump 25, will be appropriate HCO3 -Ion is added in pipeline, allows two kinds of liquid mixing, then respectively through the second peristaltic pump 27, ion concentration sensor 3, pressure Force transducer 2 enters human abdominal cavity.
Although it should be understood that with reference to its exemplary embodiment, this utility model is carried out it is particularly shown and Description, it should be understood by those skilled in the art that without departing substantially from by this utility model as defined in the claims Spirit and scope under conditions of, can wherein carry out the change of various forms and details, various embodiments can be carried out Combination in any.

Claims (7)

1. a kind of wearable peritoneal dialysis portable unit, it is characterised in that:Including main body, main body is banded structure, banded structure Two ends can connect to form annular staylace structure, and peritoneal dialysis unit is provided with banded structure, and user can be wearable by this Peritoneal dialysis portable unit is dressed to the abdominal part of user;The banded structure outside order of main body is fixed with waste fluid bag, HCO3 -Liquid bag, First peristaltic pump, circuit board, the second peristaltic pump, regenerating tank, peritoneal dialysis liquid bag, battery.
2. a kind of wearable peritoneal dialysis portable unit according to claim 1, it is characterised in that:Main body top is connected with Can take to put and be fixed on being linked with for user's shoulder.
3. a kind of wearable peritoneal dialysis portable unit according to claim 2, it is characterised in that:Waste fluid bag, HCO3 -Liquid Bag, regenerating tank, peritoneal dialysis liquid bag are respectively placed in the fixing bag on the outside of banded structure.
4. a kind of wearable peritoneal dialysis portable unit according to claim 2, it is characterised in that:The banded structure by Inside and outside two-layer fabrics are constituted, and multiple cavitys, waste fluid bag, HCO are formed between inside and outside two-layer fabrics3 -Liquid bag, regenerating tank, peritoneum are saturating Analysis liquid bag is respectively placed in the plurality of cavity.
5. a kind of wearable peritoneal dialysis portable unit according to claim 1, it is characterised in that:Banded structure two ends set Thread gluing is equipped with, annular staylace structure of the cyclization around user's abdominal part is adhesively fixed by thread gluing.
6. a kind of wearable peritoneal dialysis portable unit according to claim 1, it is characterised in that:Peritoneal dialysis liquid bag with Connected respectively by the first pipeline, the second pipeline between regenerating tank, peritoneal dialysis liquid bag, regenerating tank by the first pipeline, second Pipeline constitutes the circulation line of liquid;Second peristaltic pump is arranged on the first pipeline, between peritoneal dialysis liquid bag, the second peristaltic pump Thermostat, the first pinched valve are disposed with, waste fluid bag passes through between the second pinched valve and the first pinched valve, the second peristaltic pump First pipeline connects, HCO3 -Liquid bag is by the first pipeline connection between the first peristaltic pump and the first pinched valve, the second peristaltic pump; The 3rd pinched valve is provided with the second pipeline between peritoneal dialysis liquid bag, regenerating tank, is set between the 3rd pinched valve and regenerating tank Pressure transducer is equipped with, on the first pipeline between the second peristaltic pump and regenerating tank the 4th pinched valve is provided with;Liquid in-out water nozzle, Ion concentration monitoring device, the connection of the 5th pinched valve order pipeline, the 5th pinched valve is connected to the 4th pinched valve and wriggles with second On the first pipeline between pump, on the pipeline between liquid in-out water nozzle, ion concentration monitoring device pressure transducer is provided with; Circuit board is connected successively as the control device of wearable peritoneal dialysis portable unit with each interior arrangement and control unit, electricity Road plate is powered using battery.
7. a kind of wearable peritoneal dialysis portable unit according to claim 1, it is characterised in that:Set on the outside of circuit board It is equipped with display screen.
CN201620781846.8U 2016-07-25 2016-07-25 Wearable peritoneal dialysis portable equipment Active CN206120834U (en)

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Application Number Priority Date Filing Date Title
CN201620781846.8U CN206120834U (en) 2016-07-25 2016-07-25 Wearable peritoneal dialysis portable equipment

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106039446A (en) * 2016-07-25 2016-10-26 北京卫健医网临床医学研究有限公司 Wearable peritoneal analysis portable device
CN110237334A (en) * 2019-07-08 2019-09-17 重庆弘善医疗设备有限公司 A kind of peritoneal dialysis machine of dialyzate flowing
CN112023161A (en) * 2020-09-08 2020-12-04 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Peritoneal dialysis machine

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106039446A (en) * 2016-07-25 2016-10-26 北京卫健医网临床医学研究有限公司 Wearable peritoneal analysis portable device
CN110237334A (en) * 2019-07-08 2019-09-17 重庆弘善医疗设备有限公司 A kind of peritoneal dialysis machine of dialyzate flowing
CN112023161A (en) * 2020-09-08 2020-12-04 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 Peritoneal dialysis machine

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