CN209437841U - An oxygen-absorbing oropharyngeal airway for digestive endoscopy - Google Patents
An oxygen-absorbing oropharyngeal airway for digestive endoscopy Download PDFInfo
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Abstract
本实用新型提供了一种消化内镜用吸氧型口咽通气道,包括防咬型口圈,顶端固定设置有嘴唇保护垫,内部分别形成有口咽通气道穿过通道和消化内镜操作通道;口咽通气道组件,包括尾端穿过口咽通气道穿过通道且上端固定设置在口咽通气道穿过通道内的口咽通气道主体,以及与口咽通气道主体一体成型并且从口咽通气道穿过通道中伸出的通气道外口;氧气通道组件,包括内嵌设置在口咽通气道主体内的氧气通道以及一端与氧气通道相连通,另一端从口咽通气道主体中伸出的连接管。其中,氧气通道的尾端设置有氧气主通气孔,口咽通气道主体与氧气通道的形状相同,均呈中空S型。
The utility model provides an oxygen-absorbing oropharyngeal airway for digestive endoscope, which includes an anti-bite mouth ring, a lip protection pad is fixedly arranged on the top, and an oropharyngeal airway is formed inside to pass through the channel and for digestive endoscope operation. Channel; oropharyngeal airway assembly, including the oropharyngeal airway main body whose tail end passes through the oropharyngeal airway passage and the upper end is fixedly arranged in the oropharyngeal airway passageway, and is integrally formed with the oropharyngeal airway main body and The outer mouth of the airway protruding from the oropharyngeal airway through the passage; the oxygen channel assembly includes an oxygen channel embedded in the main body of the oropharyngeal airway and one end communicates with the oxygen channel, and the other end connects with the main body of the oropharyngeal airway The connecting pipe protruding from the Wherein, the tail end of the oxygen channel is provided with an oxygen main ventilation hole, and the shape of the main body of the oropharyngeal airway is the same as that of the oxygen channel, both of which are hollow S-shaped.
Description
技术领域technical field
本实用新型属于消化内镜检测辅助用医疗器械技术领域,具体涉及一种消化内镜用吸氧型口咽通气道。The utility model belongs to the technical field of medical devices for auxiliary detection of digestive endoscope, in particular to an oxygen-absorbing oropharyngeal airway for digestive endoscope.
背景技术Background technique
无痛消化内镜检查越来越广泛地应用于消化器官的检查。目前,大量无痛经口消化内镜检查或操作是在经鼻导管吸氧条件下非气管插管全身麻醉实现的,这是由于短时间消化内镜操作时所需要的麻醉深度不高,仅凭静脉麻醉而非气管插管即可完成。Painless digestive endoscopy is more and more widely used in the examination of digestive organs. At present, a large number of painless oral digestive endoscopic examinations or operations are performed under general anesthesia without endotracheal intubation under the condition of nasal catheter oxygen inhalation. Intravenous anesthesia can be used instead of endotracheal intubation.
然而,在消化内镜检查过程中经鼻导管吸氧效率低、效果差,致使患者极易出现低氧血症危及生命安全。同时,在没有气管插管的静脉麻醉状态下,患者容易舌后坠导致气道梗阻,从而发生呼吸衰竭、心跳呼吸骤停等致命性意外事件。However, in the process of digestive endoscopy, oxygen inhalation through nasal cannula is inefficient and ineffective, which makes patients prone to hypoxemia and endangers their lives. At the same time, in the state of intravenous anesthesia without endotracheal intubation, the patient is prone to fall back of the tongue and cause airway obstruction, resulting in fatal accidents such as respiratory failure and cardiac arrest.
防治舌后坠的有效措施在于口咽通气道或者鼻咽通气道的应用,但目前进行消化内镜操作时现有的口咽通气道因为口径过细,无法通过消化内镜并且不能提供稳定可靠的吸氧条件,难以适用于消化内镜。The effective measure to prevent and treat tongue relapse lies in the application of oropharyngeal airway or nasopharyngeal airway. However, the existing oropharyngeal airway cannot pass through the digestive endoscope because of its too small caliber and cannot provide stable and reliable airway during digestive endoscopy. Oxygen inhalation conditions are difficult to apply to digestive endoscopy.
为了解决上述技术问题,专利号为CN 205460272U的中国实用新型专利提供了一种消化内镜用弱刺激口咽通气道,其通气道本体的颚面和舌面分别为悬雍垂凹和舌中央凹,以减轻对悬雍垂的刺激,同时将舌中央沟架空,通气道本体一侧端为半圆形的通气凹槽,另一侧端为圆形的内镜通道,末端设置牙垫,牙垫上设置唇保护片,通气凹槽和内镜通道均穿过牙垫和唇保护片。In order to solve the above technical problems, the Chinese Utility Model Patent No. CN 205460272U provides a weakly stimulating oropharyngeal airway for digestive endoscopy. In order to reduce the irritation to the uvula, the central sulcus of the tongue is elevated at the same time. One side of the airway body is a semicircular ventilation groove, and the other side is a circular endoscopic channel. The lip protection sheet is set, and the ventilation groove and the endoscopic channel pass through the dental pad and the lip protection sheet.
然而,该专利的通气道形状近似传统弧形口咽通气道,放置后会使舌头尖端前移或者往另一侧移动,从而阻挡消化内镜置入和操作,如暴力操作会损伤舌体。此外,该专利中的通气凹槽为半圆型开放通道,如果要吸氧,需要额外放置氧气管道,而目前临床应用的氧气通道大多为鼻导管,放置入后口腔容易堵塞,不宜用于口腔内吸氧,同时半圆型开放通道容易氧气外泄,吸氧效率低,当发生患者呼吸抑制时,不能直接连接呼吸球囊进行正压通气。However, the shape of the patented airway is similar to the traditional arc-shaped oropharyngeal airway. After placement, the tip of the tongue will move forward or to the other side, thereby blocking the insertion and operation of the digestive endoscope. For example, violent operation will damage the tongue. In addition, the ventilation groove in this patent is a semicircular open channel. If you want to inhale oxygen, you need to place an additional oxygen pipeline. However, most of the oxygen channels currently used in clinical practice are nasal catheters, which are easy to block the mouth after being placed, and are not suitable for use in the mouth. Oxygen inhalation, at the same time, the semicircular open channel is easy to leak oxygen, and the oxygen inhalation efficiency is low. When the patient's respiratory depression occurs, it cannot be directly connected to the breathing balloon for positive pressure ventilation.
实用新型内容Utility model content
本实用新型是为解决上述问题而进行的,提供了一种既方便消化内镜置入操作,又方便随时通氧的消化内镜用吸氧型口咽通气道。为了实现上述目的,本实用新型采用了如下技术方案:The utility model is developed to solve the above-mentioned problems, and provides an oxygen-absorbing oropharyngeal airway for digestive endoscopes, which is convenient for the insertion operation of the digestive endoscope and convenient for ventilating oxygen at any time. In order to achieve the above object, the utility model adopts the following technical solutions:
本实用新型提供的消化内镜用吸氧型口咽通气道,具有这样的技术特征:包括防咬型口圈,顶端固定设置有嘴唇保护垫,内部分别形成有口咽通气道穿过通道和消化内镜操作通道;口咽通气道组件,包括尾端穿过口咽通气道穿过通道且上端固定设置在口咽通气道穿过通道内的口咽通气道主体,以及与口咽通气道主体一体成型并且从口咽通气道穿过通道中伸出的通气道外口;氧气通道组件,包括内嵌设置在口咽通气道主体内的氧气通道以及一端与氧气通道相连通,另一端从口咽通气道主体中伸出的连接管。其中,氧气通道的尾端设置有氧气主通气孔,口咽通气道主体与氧气通道的形状相同,均呈中空S型。The oxygen-absorbing oropharyngeal airway for digestive endoscope provided by the utility model has the following technical features: it includes an anti-bite mouth ring, the top is fixed with a lip protection pad, and the oropharyngeal airway is respectively formed inside the passageway and Digestive endoscope operating channel; oropharyngeal airway assembly, including the oropharyngeal airway main body whose tail end passes through the oropharyngeal airway passage and the upper end is fixedly arranged in the oropharyngeal airway passageway, and the oropharyngeal airway The main body is integrally formed and extends from the oropharyngeal airway through the outer mouth of the airway; the oxygen channel assembly includes an oxygen channel embedded in the main body of the oropharyngeal airway and communicates with the oxygen channel at one end, and the other end connects with the oxygen channel through the mouth. A connecting tube that protrudes from the body of the pharyngeal airway. Wherein, the tail end of the oxygen channel is provided with an oxygen main ventilation hole, and the shape of the main body of the oropharyngeal airway is the same as that of the oxygen channel, both of which are hollow S-shaped.
优选的,在本实用新型提供的消化内镜用吸氧型口咽通气道中,口咽通气道穿过通道内设置有将口咽通气道主体卡住的卡槽,方便根据患者调节插入深浅,将舌体固定于S下方,从而避免舌后坠。Preferably, in the oxygen-absorbing oropharyngeal airway for digestive endoscope provided by the utility model, the oropharyngeal airway passes through a channel and is provided with a card slot for clamping the main body of the oropharyngeal airway, so as to facilitate the adjustment of the insertion depth according to the patient. Fix the tongue below the S to prevent the tongue from falling backwards.
优选的,在本实用新型提供的消化内镜用吸氧型口咽通气道中,嘴唇保护垫由医用硅胶制成。Preferably, in the oxygen-absorbing oropharyngeal airway for digestive endoscope provided by the utility model, the lip protection pad is made of medical silica gel.
医用硅胶质地较软,既不会对患者舌头造成过大压力,又能够和舌头紧密贴合,对舌头进行保护。The texture of medical silicone is relatively soft, which will not cause excessive pressure on the patient's tongue, and can fit tightly with the tongue to protect the tongue.
优选的,在本实用新型提供的消化内镜用吸氧型口咽通气道中,氧气通道下端部分的侧壁上设置有多个上下排列的侧通气孔。Preferably, in the oxygen-absorbing oropharyngeal airway for digestive endoscope provided by the utility model, a plurality of side ventilation holes arranged up and down are arranged on the side wall of the lower end part of the oxygen channel.
在本实用新型中,氧气通道尾端的氧气主通气孔开口直接对准声门口,有利于氧气吸入,提高吸氧效率,而内侧壁氧气侧通气孔不容易被口腔内组织堵塞,当尾端氧气主通气孔开口堵塞时,氧气侧通气孔亦可供氧,保障患者安全。In the utility model, the opening of the main oxygen vent hole at the tail end of the oxygen channel is directly aligned with the glottis, which is conducive to oxygen inhalation and improves the efficiency of oxygen inhalation, and the oxygen side vent hole on the inner side wall is not easily blocked by the tissue in the oral cavity. When the opening of the main vent is blocked, the vent on the oxygen side can also supply oxygen to ensure patient safety.
优选的,在本实用新型提供的消化内镜用吸氧型口咽通气道中,通气道外口为医用呼吸球囊标准接口,当患者呼吸抑制或血氧饱和度下降时,可以连接呼吸球囊进行正压通气,维持患者血氧饱和度,保障患者生命安全。Preferably, in the oxygen-absorbing oropharyngeal airway for digestive endoscopy provided by the utility model, the outer mouth of the airway is a standard interface of a medical breathing balloon, and when the patient's respiratory depression or blood oxygen saturation drops, the breathing balloon can be connected Positive pressure ventilation to maintain the patient's blood oxygen saturation and ensure the safety of the patient's life.
实用新型的作用与效果Function and effect of utility model
本实用新型提供的消化内镜用吸氧型口咽通气道具有如下技术效果:The oxygen-absorbing oropharyngeal airway for digestive endoscopy provided by the utility model has the following technical effects:
首先,由于氧气通道内嵌设置在口咽通气道主体内,口咽通气道主体与氧气通道的形状相同,均呈中空S型,该S型口咽通气道能够有效固定舌尖部和舌体,不仅有利于内镜操作,也能有效防止舌后坠,避免堵塞通气道造成患者低氧血症。同时也解决了传统弧形口咽通气道放置后会使舌头尖端前移或者往另一侧移动,从而阻挡消化内镜置入和操作的问题。First of all, because the oxygen channel is embedded in the main body of the oropharyngeal airway, the main body of the oropharyngeal airway and the oxygen channel have the same shape, both of which are hollow S-shaped. This S-shaped oropharyngeal airway can effectively fix the tip of the tongue and the tongue body, Not only is it beneficial to endoscopic operation, but it can also effectively prevent the tongue from falling backwards and avoid hypoxemia caused by blocking the airway. At the same time, it also solves the problem that the tip of the tongue will move forward or move to the other side after the traditional arc-shaped oropharyngeal airway is placed, thereby blocking the insertion and operation of the digestive endoscope.
其次,由于氧气通道外部连通设置有连接管,该连接管可以直接连接氧气,使得氧气通过氧气通道直接为患者通气,使用快速方便;也可连接二氧化碳监护仪等设备,实时监测患者呼吸情况,及时发现呼吸变化,保障患者生命安全。Secondly, since the external connection of the oxygen channel is provided with a connecting tube, the connecting tube can be directly connected to oxygen, so that the oxygen can directly ventilate the patient through the oxygen channel, which is fast and convenient to use; it can also be connected to equipment such as a carbon dioxide monitor to monitor the patient's breathing in real time, and timely Detect breathing changes to ensure the safety of patients.
因此,在实施静脉全身麻醉下消化内镜检查或操作时,本使用新型的口咽通气道能将舌体固定于通气道下方,同时可经氧气通道进行吸氧或者进行呼吸监测,保障了患者的通气安全,进而保证了患者生命安全。Therefore, when carrying out digestive endoscopy or operation under intravenous general anesthesia, the new oropharyngeal airway can fix the tongue under the airway, and at the same time, oxygen inhalation or respiratory monitoring can be carried out through the oxygen channel, which ensures the safety of patients. Ventilation safety, thereby ensuring the safety of patients.
附图说明Description of drawings
图1是本实用新型实施例中的消化内镜用吸氧型口咽通气道的剖面结构示意图。Fig. 1 is a schematic cross-sectional structure diagram of an oxygen-absorbing oropharyngeal airway for digestive endoscopy in an embodiment of the present invention.
具体实施方式Detailed ways
下面结合实施例和附图对本实用新型进行详细描述。但下列实施例不应看作对本实用新型范围的限制。Below in conjunction with embodiment and accompanying drawing, the utility model is described in detail. However, the following examples should not be considered as limiting the scope of the present utility model.
在本实用新型的描述中,需要说明的是,术语“尾端”、“顶端”、“左”、“右”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。In the description of the present utility model, it should be noted that the orientations or positional relationships indicated by the terms "tail", "top", "left", "right" etc. are based on the orientations or positional relationships shown in the accompanying drawings, only It is for the convenience of describing the utility model and simplifying the description, but does not indicate or imply that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a limitation of the utility model.
图1是本实用新型实施例中的消化内镜用吸氧型口咽通气道的侧面结构示意图。Fig. 1 is a schematic side view of the oxygen-absorbing oropharyngeal airway for digestive endoscopy in an embodiment of the present invention.
如图1所示,消化内镜用吸氧型口咽通气道100包括防咬型口圈1、嘴唇保护垫2、口咽通气道组件3以及氧气通道组件4。As shown in FIG. 1 , an oxygen-absorbing oropharyngeal airway 100 for digestive endoscope includes an anti-bite collar 1 , a lip protection pad 2 , an oropharyngeal airway component 3 and an oxygen channel component 4 .
防咬型口圈1内部分别形成有口咽通气道穿过通道和消化内镜操作通道11。口咽通气道穿过通道位于左侧,内部设置有卡槽;消化内镜操作通道11位于右侧,用于消化内镜穿过和操作。消化内镜操作通道1由防咬型口圈内壁与口咽通气道组件3的外壁组成,消化内镜从操作通道进入,操作通道大小根据内镜粗细进行选择,并可随防咬型口圈大小而改变。An oropharyngeal airway passing channel and a digestive endoscope operation channel 11 are respectively formed inside the anti-bite mouth ring 1 . The oropharyngeal airway passing channel is located on the left side, and a card slot is arranged inside; the digestive endoscope operation channel 11 is located on the right side, and is used for the passage and operation of the digestive endoscope. The operation channel 1 of the digestive endoscope is composed of the inner wall of the anti-bite mouth ring and the outer wall of the oropharyngeal airway assembly 3. The digestive endoscope enters through the operation channel. change in size.
嘴唇保护垫2由医用硅胶制成,固定设置在防咬型口圈1的顶端周边。医用硅胶质地较软,既不会对患者舌头造成过大压力,又能够和舌头紧密贴合,对舌头起到很好的保护作用。The lip protection pad 2 is made of medical silica gel, and is fixedly arranged on the top periphery of the anti-bite mouth ring 1 . The texture of medical silicone is relatively soft, which will not cause too much pressure on the patient's tongue, and can closely fit the tongue, which plays a good role in protecting the tongue.
口咽通气道组件3包括口咽通气道主体31以及通气道外口32。口咽通气道主体31呈S形,尾端穿过口咽通气道穿过通道,顶端固定设置在口咽通气道穿过通道的卡槽内。在实际操作时,可根据患者调节插入深浅,将舌体固定于S下方,从而避免舌后坠;通气道外口32与口咽通气道主体31一体成型并且从口咽通气道穿过通道中伸出,在本实施例中,通气道外口优选为医用呼吸球囊标准接口,当患者呼吸抑制或血氧饱和度下降时,可以连接呼吸球囊进行正压通气,维持患者血氧饱和度,保障患者生命安全。The oropharyngeal airway assembly 3 includes an oropharyngeal airway main body 31 and an airway outer opening 32 . The main body 31 of the oropharyngeal airway is S-shaped, the tail end passes through the oropharyngeal airway passage, and the top end is fixedly arranged in the slot of the oropharyngeal airway passage. In actual operation, the depth of insertion can be adjusted according to the patient, and the tongue body can be fixed below the S, so as to prevent the tongue from falling backward; It is noted that in this embodiment, the outer port of the airway is preferably a standard interface of a medical breathing balloon. When the patient's respiratory depression or blood oxygen saturation drops, the breathing balloon can be connected to perform positive pressure ventilation to maintain the patient's blood oxygen saturation and ensure Patient life safety.
氧气通道组件4包括氧气通道41以及连接管42。氧气通道41内嵌设置在口咽通气道主体31内,其形状与口咽通气道主体31相同,也呈S形。此外,该氧气通道41的尾端设置有氧气主通气孔411,下端部分的侧壁上设置有多个上下排列的侧通气孔412,氧气主通气孔411位于氧气通道41近心端末端内壁上,侧通气孔412位于氧气通道41近心端内壁上。The oxygen channel assembly 4 includes an oxygen channel 41 and a connecting pipe 42 . The oxygen channel 41 is embedded in the main body 31 of the oropharyngeal airway, and its shape is the same as that of the main body 31 of the oropharyngeal airway, which is also S-shaped. In addition, the tail end of the oxygen channel 41 is provided with an oxygen main vent hole 411, and the side wall of the lower end part is provided with a plurality of side vent holes 412 arranged up and down, and the oxygen main vent hole 411 is located on the inner wall of the proximal end of the oxygen channel 41 , the side vent hole 412 is located on the inner wall of the proximal end of the oxygen channel 41 .
在本实施例中,氧气主通气孔口411直接对准声门口,有利于氧气吸入,提高吸氧效率,而内侧壁侧通气孔不容易被口腔内组织堵塞,当尾端氧气主通气孔口堵塞时,氧气侧通气孔亦可供氧,保障患者安全。In this embodiment, the main oxygen vent hole 411 is directly aligned with the glottis, which is conducive to oxygen inhalation and improves the efficiency of oxygen inhalation, and the vent hole on the inner side wall is not easily blocked by the tissue in the oral cavity. When the main oxygen vent hole at the tail end When blocked, the vent hole on the oxygen side can also supply oxygen to ensure the safety of patients.
连接管42设置在氧气通道41远心端,由软性导管制成,一端连接氧气通道,另一端开口可连接氧气源,使得氧气通过氧气通道直接为患者通气,使用快速方便,也可连接监护仪器,监测患者呼吸频率和呼气末二氧化碳等,实时监测患者呼吸情况,及时发现呼吸变化,保障患者生命安全。The connecting tube 42 is set at the distal end of the oxygen channel 41 and is made of a flexible catheter. One end is connected to the oxygen channel, and the other end is open to connect to the oxygen source, so that the oxygen can directly ventilate the patient through the oxygen channel. It is fast and convenient to use, and can also be connected to a monitoring The instrument monitors the patient's respiratory rate and end-tidal carbon dioxide, etc., monitors the patient's breathing situation in real time, detects breathing changes in time, and ensures the safety of the patient's life.
本实施的消化内镜用吸氧型口咽通气道在使用时,先将防咬型口圈放入患者口中,然后将口咽通气道组件穿过防咬型口圈内,并固定于口咽通气道穿过通道内的卡槽内,然后根据患者调节插入深浅,将舌体固定于口咽通气道主体S形的下方,避免舌后坠。而后,将消化内镜通过消化内镜操作通道11进入患者待检查消化器官内进行操作检查。When using the oxygen-absorbing oropharyngeal airway for digestive endoscopy, the anti-bite collar is put into the mouth of the patient first, and then the oropharyngeal airway assembly is passed through the anti-bite collar and fixed in the mouth. The pharyngeal airway passes through the card slot in the channel, and then adjusts the depth of insertion according to the patient, and fixes the tongue under the S-shape of the main body of the oropharyngeal airway to prevent the tongue from falling backward. Then, enter the digestive endoscope into the patient's digestive organ to be inspected through the digestive endoscope operation channel 11 for operation inspection.
在实施静脉全身麻醉下消化内镜检查或操作时,本实施例的口咽通气道能将舌体固定于通气道下方,同时可经氧气通道进行吸氧或者进行呼吸监测,保障了患者的通气安全,进而保证了患者生命安全。When performing digestive endoscopy or operation under intravenous general anesthesia, the oropharyngeal airway of this embodiment can fix the tongue under the airway, and at the same time, oxygen inhalation or respiratory monitoring can be performed through the oxygen channel, ensuring the ventilation of the patient Safety, thereby ensuring the safety of patients' lives.
以上显示和描述了本实用新型的基本原理、主要特征和本实用新型的优点。本行业的技术人员应该了解,本实用新型不受上述实施例的限制,上述实施例和说明书中描述的只是说明本实用新型的原理,在不脱离本实用新型精神和范围的前提下本实用新型还会有各种变化和改进,这些变化和改进都落入要求保护的本实用新型范围内。本实用新型要求保护范围由所附的权利要求书及其等同物界定。The basic principles, main features and advantages of the present utility model have been shown and described above. Those skilled in the industry should understand that the utility model is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the utility model. The utility model does not depart from the spirit and scope of the utility model There will also be various changes and improvements, and these changes and improvements all fall within the scope of the claimed utility model. The scope of protection required by the utility model is defined by the appended claims and their equivalents.
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110711038A (en) * | 2019-11-19 | 2020-01-21 | 河南省人民医院 | Painless gastroscopy airway management system |
| CN112089939A (en) * | 2020-09-23 | 2020-12-18 | 河南亚太医疗用品有限公司 | Orolabial anastomosis type oropharynx air duct and use method thereof |
| CN117244146A (en) * | 2023-11-20 | 2023-12-19 | 上海埃立孚医疗科技有限公司 | Oxygen inhalation device for laryngeal operation |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110711038A (en) * | 2019-11-19 | 2020-01-21 | 河南省人民医院 | Painless gastroscopy airway management system |
| CN112089939A (en) * | 2020-09-23 | 2020-12-18 | 河南亚太医疗用品有限公司 | Orolabial anastomosis type oropharynx air duct and use method thereof |
| CN117244146A (en) * | 2023-11-20 | 2023-12-19 | 上海埃立孚医疗科技有限公司 | Oxygen inhalation device for laryngeal operation |
| CN117244146B (en) * | 2023-11-20 | 2024-02-09 | 上海埃立孚医疗科技有限公司 | Oxygen inhalation device for laryngeal operation |
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