CN207694046U - A kind of airway - Google Patents
A kind of airway Download PDFInfo
- Publication number
- CN207694046U CN207694046U CN201720519976.9U CN201720519976U CN207694046U CN 207694046 U CN207694046 U CN 207694046U CN 201720519976 U CN201720519976 U CN 201720519976U CN 207694046 U CN207694046 U CN 207694046U
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- CN
- China
- Prior art keywords
- utricule
- airway
- region
- tracheae
- opening
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Classifications
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- 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
- A61M16/04—Tracheal tubes
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
-
- 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
- A61M16/04—Tracheal tubes
- A61M16/0461—Nasoendotracheal tubes
-
- 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
- A61M16/04—Tracheal tubes
- A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
-
- 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
- A61M16/04—Tracheal tubes
- A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
-
- 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
- A61M16/04—Tracheal tubes
- A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
- A61M16/047—Masks, filters, surgical pads, devices for absorbing secretions, specially adapted therefor
-
- 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
- A61M16/04—Tracheal tubes
- A61M16/0486—Multi-lumen tracheal tubes
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1025—Respiratory system
- A61M2210/1032—Trachea
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Abstract
The utility model technical issues that need to address are to provide a kind of airway, including hollow tube body, a tube body part is located at tracheal strips, a part is located at outside tracheae, tube body it is hollow there are two opening, tracheae outward opening and tracheae inner opening, inner opening side is equipped with the expandable utricule of film-form flexible, a part for utricule does not change correspondingly and forms the sunk part at least one utricule region during expansion, sunk part in utricule region is opened to airway tracheae outward opening side, and it is one side closed to airway tracheae inner opening, secretion on utricule is allow to enter the sunk part in utricule region in airway use state, the tracheae inner opening of secretion negative pressure catheter is located in the sunk part in utricule region on utricule.Since the attraction tube opening of secretion on utricule is located in utricule region, secretion on utricule can be thoroughly sucked out, lead to the risk of pulmonary infection to avoid secretion tenesmus to the full extent.
Description
Technical field
The utility model is related to a kind of airways, belong to medical instrument manufacture technology field.
Background technology
The foundation of artificial airway is the most commonly used one of the rescue means of clinical medicine, and document shows：Use artificial airway
The patient breathed, lower respiratory tract infection incidence 10%-65% in institute, case fatality rate are more than 20%, and various airways
The casing either used after trachea cannula or tracheotomy, being fixed on endotracheal utricule can not compared with atmospheric pressure because being filled with
The meeting avoided causes secondary mucosa injury, and it includes stream that intermittent reduction pressure potential, which must lead to the secretion gathered on utricule also,
The tenesmus of the saliva entered or gastric juice etc., into bronchus, and such secretion usually contains a large amount of pathogenic bacteria, airway capsule
Pulmonary infection is the clinical problem for being currently difficult to thoroughly solve caused by secretion tenesmus on body.Current scheme is on utricule
The lasting or interval of secretion attracts, and tube opening is attracted to be located on utricule region, has a spacing with the upper limb of full rear utricule
From, cause secretion that can not attract thoroughly, although tenesmus amount reduced any source of infection for trouble lower for the resistance
Person is fatal, and it is presently most intractable difficulty that secretion, which cannot attract thoroughly, on utricule.
Utility model content
The utility model technical issues that need to address are to provide a kind of airway, the suction tube of secretion on utricule
Opening is located in utricule region, and secretion on utricule thoroughly can be sucked out.
The utility model is realized in this way：A kind of airway, including hollow tube body, a tube body part are located at tracheae
Interior, a part is located at outside tracheae, hollow there are two opening, tracheae outward opening and the tracheae inner opening of tube body, to fit type with human body,
For tube body typically somewhat to cartilago epiglottica curving and back to esophagus side, what tracheae inner opening side was equipped with film-form flexible can
The utricule of expansion, utricule are in hollow columnar, there is two openings up and down, and be open neighbouring airway tracheae outward opening one on utricule
Side, utricule under shed is adjacent to airway tracheae inner opening side, part utricule medial surface and the ventilation of utricule upper and lower opening side
Catheter tube lateral surface is tightly connected, and gap therein is empty in utricule, and sky is filled with stream in utricule when airway use state
Body expands, and it is utricule region to limit a region between airway lateral surface and intima of the trachea, and utricule region is
The three-dimensional function space formed after balloon inflation, occupies the gap between tunica mucosa tracheae and airway tube body, and hinder
Only tunica mucosa tracheae and the contact of airway tube body, utricule region contains the sunk part being likely located in it；It further include utricule
Upper secretion negative pressure catheter, at least one tracheae outward opening of negative pressure catheter and a tracheae inner opening, which is characterized in that utricule
A part do not change correspondingly during expansion and form the sunk part at least one utricule region, the recess in utricule region
Part is opened to airway tracheae outward opening side, and one side closed to airway tracheae inner opening so that is divided on utricule
Secretion can enter the sunk part in utricule region in airway use state, the gas of secretion negative pressure catheter on utricule
Pipe inner opening is located in the sunk part in utricule region.
Secretion negative pressure catheter is the channel inside tube body wall on utricule, and at least one opening is located at recessed in utricule region
In concave portion point.
Secretion negative pressure catheter is the pipeline close to tube wall on utricule, and at least one opening is located in utricule region
In sunk part.
Sunk part in utricule region is arranged in the esophagus side of airway.
The intersection in the cartilago epiglottica side and esophagus side of airway is arranged in sunk part in utricule region.
Further include air induction conduit, air inlet in order to avoid the generation of negative pressure during attraction and the sucking of oral secretion
It is connected to outside conduit and human body, there are one one gas outlet of air inlet, gas outlet is arranged in tracheal catheter tracheae outward opening and utricule
Sunk part between region or in utricule region.
When airway through mouth and nose in use, air induction conduit gas outlet setting it is corresponding infraglottic in tracheal catheter
In region.
When airway transtracheal cutting section in use, the gas outlet of air induction conduit is arranged in tracheal catheter endotracheal
Part.
The air inlet of air induction conduit connects air filter.
The air inlet of air induction conduit connects air humidifier.
Due to a kind of airway of the offer of the utility model, the attraction tube opening of secretion is located at utricule region on utricule
It is interior, secretion on utricule can be thoroughly sucked out, lead to the risk of pulmonary infection to avoid secretion tenesmus to the full extent.
Description of the drawings
Fig. 1 is the structural schematic diagram of existing airway
Fig. 2 a are the utricule structural schematic diagram of existing airway
Fig. 2 b are the utricule structural schematic diagram after the expansion of existing airway
Fig. 2 c are the utricule structural schematic diagram of existing airway
Fig. 3 is glottis structure level diagrammatic cross-section
Fig. 4 a are the structural schematic diagram of the utility model
Fig. 4 b are the utricule regional structure schematic diagram of the utility model
Fig. 5 is the utricule structural schematic diagram of one embodiment of the utility model
Fig. 6 is the utricule structural schematic diagram of second embodiment of the utility model
Fig. 7 is the structural schematic diagram of the third embodiment of the utility model
Fig. 8 is the structural schematic diagram of the 4th embodiment of the utility model
In figure：0. tracheae, 01. intima of the trachea, 00 utricule conduction pipe, 001. utricule conduction pipe outward opening, 002. utricule are led
Siphunculus utricule inner opening, 1. airway tube bodies, sky in 10. airway tube bodies, 101. airway tube body tracheae outward openings,
102. empty, 201. utricules in airway tube body tracheae inner opening, 12. airway tube body lateral surfaces, 2. utricules, 20. utricules
Upper opening, 202. utricule under sheds, 23. utricules and airway wall lateral surface are tightly connected defect portion partly, on 24. utricules
Point, the medial surface of 231. utricules and airway wall lateral surface sealed connection part, 232. utricules and airway lateral surface it is close
Seal the lateral surface of coupling part, the non-bloating region of 233. utricules, 21. utricule regions, the sunk part in 211. utricule regions,
3. secretion, 4. negative pressure catheters, 41. negative pressure catheter tracheae outward openings, 42. negative pressure catheter tracheae inner openings, 421. negative pressure catheters
Tracheae inner opening be located at sunk part in utricule region, 43. negative pressure catheters independently of the situation of airway wall, 5. into conductance
Pipe, 51. air induction conduit air inlets, 52. air induction conduit gas outlets, 6. cartilago epiglotticas, 7. esophaguses, 8. glottises.
Specific embodiment
Embodiment 1：
With reference to attached drawing 4a, 4b, the utility model is the state being placed in tracheae 0, and the expansion of utricule 2 forms utricule region 21,
Utricule region 21 is the three-dimensional function space formed after utricule 2 expands, occupies intima of the trachea 01 and airway tube body 1
Between gap, and intima of the trachea 01 and airway tube body 1 is prevented to contact, as shown in figure 5, a part 233 for utricule 2 exists
It is not changed correspondingly when expansion and forms the sunk part 211 at least one utricule region 21, the recessed portion in utricule region 21
211 are divided to be opened to 101 side of airway tracheae outward opening, and it is one side closed to airway tracheae inner opening 102 so that capsule
Secretion 3 can enter the sunk part 211 in utricule region 21 in airway use state on body, utricule region, and 21
Contain the sunk part 211 of position in the inner；Further include 3 negative pressure catheter 4 of secretion on utricule, negative pressure catheter 4 at least one
Tracheae outward opening 41 and a tracheae inner opening 42, the tracheae inner opening 421 of 3 negative pressure catheter 4 of secretion is located at utricule on utricule
In sunk part 211 in region 21；Secretion on utricule 3 can be attracted thoroughly.
And existing airway shown in FIG. 1, utricule 2 expand when negative pressure catheter 4 opening 42 be located at utricule region 21 it
Outside, there is certain distance in the coboundary with utricule region 21, this distance is at least utricule 2 and is sealed with airway wall lateral surface
The width of coupling part 23 so that secretion 3 can not attract thoroughly.
Such as Fig. 2 a, 2c, 2 structure of utricule of existing airway, utricule 2 is hollow columnar, and be open 201, utricule on utricule
Under shed 202 and 1 lateral surface of airway tube body are tightly connected, between in utricule outside sky 20, utricules and airway wall
Side is tightly connected the medial surface 231 of part 23 and 1 lateral surface 12 of tube body is tightly connected, utricules and airway outside
12 lateral surfaces 232 for being tightly connected part are not expanded with utricule other parts；Fig. 2 b show the utricule 2 of existing airway 1
The utricule region 21 formed after expansion, thereon without any sunk structure.
As shown in figure 3, airway tube body 1 would generally be bent to 6 one side direction of cartilago epiglottica, and it is convex to 7 side of esophagus.
Embodiment 2：
With reference to attached drawing 6, airway other parts are identical with the first embodiment, utricule 2 and 1 outside of airway tube body
There are one downward arc defects 24 for the part 23 that face 12 is tightly connected, namely compared with 2 segmental defect 24 of first embodiment utricule, capsule
Body 2 expand after this 24 3 face ring of segmental defect around expansion utricule and the recess 211 in self-assembling formation utricule region 21.
Embodiment 3：
With reference to attached drawing 7, the utility model is the state being placed in tracheae 0, and the expansion of utricule 2 forms utricule region 21, utricule
Sunk part 211 in region 21 is located at 7 side of airway esophagus, and the tracheae inner opening 42 of negative pressure catheter 4 is located at utricule area
In sunk part 211 in domain 21, when dorsal position, especially general anesthesia or comatose patient is conducive to thoroughly attract and be secreted on utricule
Object 3, and air filter is equipped at the air inlet of air induction conduit 5.
Embodiment 4：
With reference to attached drawing 8, the utility model is the state being placed in tracheae 0, and the expansion of utricule 2 forms utricule region 21, utricule
Sunk part 211 in region 21 is located at the intersection of 7 side of airway esophagus and 6 side of cartilago epiglottica, one or left and right each one,
The tracheae inner opening 42 of negative pressure catheter 4 is located in the sunk part 211 in utricule region 21, when dorsal position or lateral position,
Be conducive to thoroughly attract secretion 3 on utricule, and be equipped with air wetting and/or heating apparatus at the air inlet of air induction conduit 5..
Claims (10)
1. a kind of airway, for establishing artificial airway, configuration can be simultaneously relatively fixed in trachea area, including hollow pipe
Body (1), tube body (1) part are located in tracheae (0), and a part is located at tracheae (0) outside, and there are two open for hollow (10) of tube body
Mouthful, tracheae outward opening (101) and tracheae inner opening (102), to fit type with human body, tube body (1) is typically somewhat to cartilago epiglottica side
It is bent back to esophagus side, tracheae inner opening (102) side is equipped with the expandable utricule (2) of film-form flexible, utricule
(2) it is in hollow columnar, there are two openings up and down, be open (201) neighbouring airway tracheae outward opening (101) side on utricule,
Neighbouring airway tracheae inner opening (102) side of utricule under shed (202), the part utricule of utricule (2) upper and lower opening side
(23) medial surface (231) is tightly connected with airway tube body (1) lateral surface (12), and gap therein is (20) empty in utricule,
Empty (20) are filled with fluid expansion in utricule when airway use state, limit one be located at airway lateral surface (12) with
Region between intima of the trachea (01) is utricule region (21), further includes secretion on utricule (3) negative pressure catheter (4), attraction is led
Manage (4) at least one tracheae outward opening (41) and a tracheae inner opening (42), which is characterized in that a part for utricule (2)
It does not change correspondingly during expansion and forms the sunk part (211) at least one utricule region (21), in utricule region (21)
Sunk part (211) opened to airway tracheae outward opening (101) side, and to airway tracheae inner opening (102)
It is one side closed so that secretion (3) can enter the recess in utricule region (21) in airway use state on utricule
Partly (211), the tracheae inner opening (421) of secretion (3) negative pressure catheter (4) is located at the recess in utricule region (21) on utricule
Partly in (211).
2. airway according to claim 1, which is characterized in that secretion (3) negative pressure catheter (4) is tube body on utricule
The channel of pars intramuralis, at least one opening are located at the sunk part (211) in utricule region (21) Nei.
3. airway according to claim 1, which is characterized in that on utricule secretion (3) negative pressure catheter (4) be close to
The pipeline of tube body lateral surface, at least one opening are located at the sunk part (211) in utricule region (21) Nei.
4. airway according to claim 1, which is characterized in that the sunk part (211) in utricule region (21) is set
It sets in esophagus (7) side of airway.
5. airway according to claim 1, which is characterized in that the sunk part (211) in utricule region (21) is set
Set the intersection in cartilago epiglottica (6) side of airway and esophagus (7) side.
6. airway according to claim 1, which is characterized in that further include air induction conduit (5), air induction conduit (5) with
It is connected to outside human body, there are one (51) gas outlets (52) of air inlet, gas outlet (52) are arranged in tracheal catheter tracheae outward opening
(101) sunk part (211) between utricule region (21) or in utricule region (21).
7. airway according to claim 6, which is characterized in that when airway through mouth and nose in use, air induction conduit
(5) in the region that gas outlet (52) is arranged under the corresponding glottis of tracheal catheter (8).
8. airway according to claim 6, which is characterized in that when airway transtracheal cutting section in use, into
The gas outlet (52) of airway (5) is arranged in tracheal catheter in endotracheal part.
9. airway according to claim 6, which is characterized in that the air inlet (52) of air induction conduit (5) connects air
Filter device.
10. airway according to claim 6, which is characterized in that the air inlet (52) of air induction conduit (5) connects air
Humidifying and/or heating apparatus.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610305067 | 2016-05-11 | ||
| CN2016103050675 | 2016-05-11 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207694046U true CN207694046U (en) | 2018-08-07 |
Family
ID=60304364
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710319394.0A Active CN107362428B (en) | 2016-05-11 | 2017-05-10 | Ventilation catheter |
| CN201720519976.9U Active CN207694046U (en) | 2016-05-11 | 2017-05-10 | A kind of airway |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710319394.0A Active CN107362428B (en) | 2016-05-11 | 2017-05-10 | Ventilation catheter |
Country Status (1)
| Country | Link |
|---|---|
| CN (2) | CN107362428B (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107362428A (en) * | 2016-05-11 | 2017-11-21 | 北京仰生恒泰科技有限责任公司 | A kind of airway |
| CN111672004A (en) * | 2020-06-10 | 2020-09-18 | 李霞 | Secretion removing catheter and airway nursing method |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018205675A1 (en) * | 2017-05-10 | 2018-11-15 | 威海吉威重症医疗制品有限公司 | Ventilation catheter |
Family Cites Families (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7654997B2 (en) * | 2004-04-21 | 2010-02-02 | Acclarent, Inc. | Devices, systems and methods for diagnosing and treating sinusitus and other disorders of the ears, nose and/or throat |
| US7654264B2 (en) * | 2006-07-18 | 2010-02-02 | Nellcor Puritan Bennett Llc | Medical tube including an inflatable cuff having a notched collar |
| WO2012087837A1 (en) * | 2010-12-21 | 2012-06-28 | C. R. Bard, Inc. | Endotracheal tube having a recessed cuff, one or more suction apertures arranged therein, and/or a cuff having stiffeners and method of making and/or using the same |
| CN202459720U (en) * | 2012-02-28 | 2012-10-03 | 谢红英 | Humidifying tracheotomy catheter |
| CN202605480U (en) * | 2012-06-11 | 2012-12-19 | 旭邦工业有限公司 | Tracheostomy tube |
| CN204655722U (en) * | 2015-05-13 | 2015-09-23 | 邹德伟 | Two capsule tracheal intubatioies that band attracts |
| CN104874079A (en) * | 2015-05-29 | 2015-09-02 | 四川大学华西医院 | Subglottic secretion drainage tracheal catheter |
| CN105031794B (en) * | 2015-08-10 | 2017-07-28 | 关开泮 | Tracheal catheter with pharyngeal suction tube |
| CN107362428B (en) * | 2016-05-11 | 2023-07-28 | 山东柏新医疗制品有限公司 | Ventilation catheter |
-
2017
- 2017-05-10 CN CN201710319394.0A patent/CN107362428B/en active Active
- 2017-05-10 CN CN201720519976.9U patent/CN207694046U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107362428A (en) * | 2016-05-11 | 2017-11-21 | 北京仰生恒泰科技有限责任公司 | A kind of airway |
| CN111672004A (en) * | 2020-06-10 | 2020-09-18 | 李霞 | Secretion removing catheter and airway nursing method |
Also Published As
| Publication number | Publication date |
|---|---|
| CN107362428B (en) | 2023-07-28 |
| CN107362428A (en) | 2017-11-21 |
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| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CP03 | Change of name, title or address | ||
| CP03 | Change of name, title or address |
Address after: 264209 288-7 Shanhai Road, torch hi tech Industrial Development Zone, Weihai City, Shandong Province Patentee after: Shandong Baixin Medical Products Co.,Ltd. Address before: No.68 Dalian Road Weihai Shandong 264200 Patentee before: JW ICU MEDICAL Ltd. |