CN209826981U - Operation auxiliary device suitable for gastrointestinal surgery - Google Patents
Operation auxiliary device suitable for gastrointestinal surgery Download PDFInfo
- Publication number
- CN209826981U CN209826981U CN201820902514.XU CN201820902514U CN209826981U CN 209826981 U CN209826981 U CN 209826981U CN 201820902514 U CN201820902514 U CN 201820902514U CN 209826981 U CN209826981 U CN 209826981U
- Authority
- CN
- China
- Prior art keywords
- plate
- placing box
- negative pressure
- communicated
- gastrointestinal surgery
- 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.)
- Expired - Fee Related
Links
- 238000011902 gastrointestinal surgery Methods 0.000 title claims abstract description 19
- 239000007788 liquid Substances 0.000 claims abstract description 45
- 239000010865 sewage Substances 0.000 claims abstract description 19
- 238000001035 drying Methods 0.000 claims abstract description 9
- 238000005192 partition Methods 0.000 claims description 12
- 239000007921 spray Substances 0.000 claims description 9
- 238000005096 rolling process Methods 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 3
- 238000004659 sterilization and disinfection Methods 0.000 abstract description 13
- 230000002496 gastric effect Effects 0.000 abstract description 7
- 238000004140 cleaning Methods 0.000 abstract description 3
- 238000005507 spraying Methods 0.000 abstract description 3
- 210000002784 stomach Anatomy 0.000 description 5
- 230000006837 decompression Effects 0.000 description 4
- 239000002699 waste material Substances 0.000 description 3
- 206010018001 Gastrointestinal perforation Diseases 0.000 description 2
- 239000012141 concentrate Substances 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 208000003243 intestinal obstruction Diseases 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 206010003011 Appendicitis Diseases 0.000 description 1
- 208000001762 Gastric Dilatation Diseases 0.000 description 1
- 206010017815 Gastric perforation Diseases 0.000 description 1
- 206010061974 Gastrointestinal obstruction Diseases 0.000 description 1
- 241000521257 Hydrops Species 0.000 description 1
- 206010030113 Oedema Diseases 0.000 description 1
- 208000005718 Stomach Neoplasms Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000003872 anastomosis Effects 0.000 description 1
- 230000002421 anti-septic effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 206010017758 gastric cancer Diseases 0.000 description 1
- 210000003736 gastrointestinal content Anatomy 0.000 description 1
- 238000002682 general surgery Methods 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 201000011549 stomach cancer Diseases 0.000 description 1
- 230000001502 supplementing effect Effects 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
Landscapes
- External Artificial Organs (AREA)
Abstract
The utility model discloses an operation auxiliary device suitable for gastrointestinal surgery, which comprises a bottom plate, a bearing plate, a top plate and a placing box, when the utility model works, medical staff can suck the effusion in the gastric cavity of a patient into the negative pressure tank by a suction tube and the negative pressure tank during operation, the medical appliance to be used is placed on the left half side of the placing box firstly, after the medical appliance is used, the placing box is rotated by one hundred eighty degrees under the action of a slide rail and an auxiliary guide wheel by pulling a handle, the medical appliance used is placed in the cavity on the right side of the placing box, the placing box is reset, a cylinder is started to drive a cover plate to seal the right half side of the placing box, a liquid pump is started to extract disinfection cleaning liquid to disinfect the medical appliance by spraying of a nozzle, and the effusion in the gastric cavity and the effusion can be simultaneously guided into a sewage collecting box for centralized collection, a drying device can dry the medical appliance, so that the medical appliance for operation can be disinfected, dried, the workload of medical staff is reduced.
Description
Technical Field
The utility model relates to a medical equipment, in particular to an operation auxiliary device suitable for gastrointestinal surgery.
Background
Gastrointestinal surgery is a branch of general surgery and mainly performs abdominal operations, such as appendicitis, intestinal obstruction, gastric perforation, gastric cancer and the like.
The gastrointestinal decompression operation is to utilize the principle of negative pressure suction and siphon to suck out the gas and liquid accumulated in the gastrointestinal tract through a stomach tube, so that the pressure and the expansion degree in the gastrointestinal tract can be reduced for patients suffering from gastrointestinal obstruction, gastrointestinal perforation patients can be prevented from continuously leaking gastrointestinal contents into the abdominal cavity through a lacerated port, and the gastrointestinal decompression operation is favorable for healing after gastrointestinal anastomosis. Is often used for treating acute gastric dilatation, intestinal obstruction, gastrointestinal perforation repair or partial resection, and treatment and care after biliary or pancreatic surgery.
The existing gastrointestinal surgery auxiliary device has single function, and gastrointestinal decompression can be realized only by using a separate gastrointestinal decompression device, which is very troublesome; and medical instruments are generally placed in the storage box, when the medical instruments are used up for reuse for a long time in the operation, medical workers are required to manually transfer the disinfection drying rod and then can put into use, the workload of the medical workers is greatly increased, and the operation efficiency is reduced.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide an operation auxiliary device suitable for stomach and intestine surgery to solve the problem that proposes among the above-mentioned background art.
In order to achieve the above object, the utility model provides a following technical scheme:
an operation auxiliary device suitable for gastrointestinal surgery comprises a bottom plate, a supporting plate, a top plate and a placing box, wherein a plurality of universal wheels are arranged at the bottom of the bottom plate, the supporting plate is arranged on the left side of the top of the bottom plate, the top plate is fixedly connected to the top of the supporting plate, and a limiting lantern ring is arranged on the left end face of the top plate; a negative pressure tank and a sewage collection tank are arranged at the top of the bottom plate, a suction tube is communicated with the top of the negative pressure tank, and the top end of the suction tube penetrates through the limiting lantern ring; a liquid pump is arranged between the negative pressure tank and the sewage collection tank, and the negative pressure tank, the sewage collection tank and the liquid pump are communicated through a first conduit; a sewage discharge pipe is communicated with the side wall of the sewage collection box;
a slide rail is arranged on the left side of the top plate, a plurality of auxiliary guide wheels are connected in the slide rail in a rolling manner, a placing box is arranged above the slide rail, a plurality of L-shaped connecting rods are fixedly connected to the bottom of the placing box, and the tail ends of the L-shaped connecting rods are rotatably connected with the auxiliary guide wheels; the side surface of the placing box is provided with a handle, and the center of the placing box is provided with a partition plate; a rotary pipe joint is arranged below the top plate, the top of the rotary pipe joint is rotatably connected with a Y-shaped guide pipe, the left end and the right end of the top of the Y-shaped guide pipe are both communicated with the bottom of the placing box, and the left end and the right end of the top of the Y-shaped guide pipe are symmetrically distributed on two sides of the partition plate; the rotary pipe joint is fixedly connected with the bottom of the top plate through a connecting piece; the bottom of the rotary pipe joint is communicated with a sewage collection tank through a second conduit;
the top of the top plate is provided with an air cylinder, the top of a piston rod of the air cylinder is fixedly connected with an L-shaped moving arm, the bottom of the left end of the moving arm is provided with a cover plate, and the bottom of the cover plate is provided with a drying device and a spray head; a liquid storage tank is arranged at the right end of the top plate, a liquid pump is arranged in the liquid storage tank, and a water outlet of the liquid pump is connected with a flexible hose; the telescopic hose is communicated with the spray head through a third conduit; the top of the top plate is fixedly connected with a telescopic rod, the telescopic rod is located between the sliding rail and the liquid storage tank, and the top end of the telescopic rod is fixedly connected with the bottom of the left end of the L-shaped moving arm.
As a further aspect of the present invention: and a liquid supplementing pipe is communicated with the top of the liquid storage tank.
As a further aspect of the present invention: the partition plate uniformly and symmetrically divides the inner cavity of the placing box into two identical parts.
As a further aspect of the present invention: the cover plate is semicircular, and the area of the cover plate is the same as the semicircular area of the partition plate and the inner wall of the placing box enclosing city.
As a further aspect of the present invention: a through groove is communicated with the left side of the top plate and is matched with the Y-shaped guide pipe.
As a further aspect of the present invention: the drain pipe is provided with a one-way valve.
Compared with the prior art, the beneficial effects of the utility model are that:
the utility model has simple and reasonable structure design, convenient and rapid operation when in use, high practicability, and during work, medical staff can suck the effusion of the stomach cavity of a patient into a negative pressure tank by a suction tube and the negative pressure tank during operation, medical instruments can be placed in the placing box, the medical instruments to be used are placed on the left half side of the placing box firstly, after the medical instruments are used, the placing box is rotated by one hundred eighty degrees under the action of a slide rail and an auxiliary guide wheel by pulling a handle, the medical instruments used are placed in the original right cavity of the placing box, and the placing box is reset, a starting air cylinder drives an L-shaped moving arm to descend to enable a cover plate to seal the right half side of the placing box, a liquid pump is started to draw out disinfection cleaning liquid to disinfect the medical instruments by spraying of a spray head, and disinfection liquid after disinfection flows into a dirt collecting box by sequentially passing through a Y-shaped conduit, a rotary, waste liquid in the negative pressure jar also can concentrate in the dirty incasement of drawing liquid pump suction collection and collect, starts drying device and dries to medical instrument after the disinfection is accomplished for medical instrument for the operation can in time disinfect the stoving and immediately put into use, has alleviateed medical personnel's work burden greatly and has improved operation efficiency.
Drawings
Fig. 1 is a schematic structural view of a surgical aid suitable for gastrointestinal surgery.
Fig. 2 is an enlarged view of a portion of a surgical aid suitable for gastrointestinal surgery at a.
Fig. 3 is a top view of a placement cassette in a surgical aid suitable for gastrointestinal surgery.
Fig. 4 is a schematic structural diagram of a cover plate in an operation assisting device suitable for gastrointestinal surgery.
In the figure: 1-bottom plate, 2-universal wheel, 3-bearing plate, 4-top plate, 5-limit lantern ring, 6-negative pressure tank, 7-suction pipe, 8-dirt collection box, 9-liquid pump, 10-first conduit, 11-second conduit, 12-slide rail, 13-auxiliary guide wheel, 14-placing box, 15-L-shaped connecting rod, 16-handle, 17-partition plate, 18-rotary pipe joint, 19-Y-shaped conduit, 20-cylinder, 21-L-shaped moving arm, 22-telescopic rod, 23-cover plate, 24-drying device, 25-spray head, 26-third conduit, 27-liquid storage box, 28-liquid pump, 29-telescopic hose and 30-blow-off pipe.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Referring to fig. 1 to 4, in an embodiment of the present invention, an operation assisting device suitable for gastrointestinal surgery includes a bottom plate 1, a supporting plate 3, a top plate 4 and a placing box 14, wherein a plurality of universal wheels 2 are arranged at the bottom of the bottom plate 1, the supporting plate 3 is arranged on the left side of the top of the bottom plate 1, the top of the supporting plate 3 is fixedly connected with the top plate 4, and a limiting lantern ring 5 is arranged on the left end surface of the top plate 4; the top of the bottom plate 1 is provided with a negative pressure tank 6 and a sewage collection tank 8, the top of the negative pressure tank 6 is communicated with a suction tube 7, and the top end of the suction tube 7 penetrates through the limiting lantern ring 5; a liquid pump 28 is arranged between the negative pressure tank 6 and the sewage collection tank 8, and the negative pressure tank 6, the sewage collection tank 8 and the liquid pump 28 are communicated through a first conduit 10; a sewage discharge pipe 30 is communicated with the side wall of the sewage collection tank 8;
a slide rail 12 is arranged on the left side of the top plate 4, a plurality of auxiliary guide wheels 13 are connected in the slide rail 12 in a rolling manner, a placing box 14 is arranged above the slide rail 12, a plurality of L-shaped connecting rods 15 are fixedly connected to the bottom of the placing box 14, and the tail ends of the L-shaped connecting rods 15 are rotatably connected with the auxiliary guide wheels 13; a handle 16 is arranged on the side surface of the placing box 14, and a partition plate 17 is arranged in the center of the placing box 14; a rotary pipe joint 18 is arranged below the top plate 4, the top of the rotary pipe joint 18 is rotatably connected with a Y-shaped conduit 19, the left end and the right end of the top of the Y-shaped conduit 19 are communicated with the bottom of the placing box 14, and the left end and the right end of the top of the Y-shaped conduit 19 are symmetrically distributed on two sides of the partition plate 17; the rotary pipe joint 18 is fixedly connected with the bottom of the top plate 4 through a connecting piece; the bottom of the rotary pipe joint 18 is communicated with the sewage collection tank 8 through a second conduit 11;
the top of the top plate 4 is provided with an air cylinder 20, the top of a piston rod of the air cylinder 20 is fixedly connected with an L-shaped moving arm 21, the bottom of the left end of the moving arm 21 is provided with a cover plate 23, and the bottom of the cover plate 23 is provided with a drying device 24 and a spray nozzle 25; a liquid storage tank 27 is arranged at the right end of the top plate 4, a liquid pump 28 is arranged in the liquid storage tank 27, and a water outlet of the liquid pump 28 is connected with a telescopic hose 29; the telescopic hose 29 and the spray head 25 are communicated through a third conduit 26; the top of the top plate 4 is fixedly connected with a telescopic rod 22, the telescopic rod 22 is positioned between the slide rail 12 and the liquid storage tank 27, and the top end of the telescopic rod 22 is fixedly connected with the bottom of the left end of the L-shaped moving arm 21.
A liquid replenishing pipe is communicated with the top of the liquid storage tank 27.
The partition board 17 divides the inner cavity of the placing box 14 into two identical parts uniformly and symmetrically.
The cover plate 23 is semicircular, and the area of the cover plate 23 is the same as the semicircular area of the partition plate 17 and the inner wall of the placing box 14.
A through groove is formed in the left side of the top plate 4 and is matched with the Y-shaped guide pipe 19.
The drain pipe 30 is provided with a check valve.
The utility model discloses a theory of operation is:
the utility model relates to an operation auxiliary device suitable for gastrointestinal surgery, in operation, medical personnel can inhale patient's stomach cavity hydrops into negative pressure tank 9 with suction tube 7 and negative pressure tank 6 during operation, can place medical instrument in placing box 14, the medical instrument that will use is placed at placing box 14 left half side earlier, after medical instrument uses and accomplishes, pulling handle 16 will place box 14 under the effect of slide rail 12 and supplementary guide pulley 13 and rotate one hundred eighty degrees, place the medical instrument that finishes using in the former right side cavity of placing box 14, and reset placing box 14, actuating cylinder 20 drives L-shaped movable arm 21 and descends and make apron 23 seal placing box 14 side, start liquid pump 28 and take out the disinfection washing liquid and disinfect the medical instrument by shower nozzle 25 blowout, the antiseptic solution after the disinfection loops through Y-shaped pipe 19, rotary joint 18 and second pipe 11 flow into collection dirt case 8 and collect, waste liquid in the negative pressure jar 6 also can be concentrated in the dirty case 8 of sucking collection through drawing liquid pump 28 and collected, and the disinfection is accomplished the back and is started drying device 24 and dry to medical instrument for the operation can in time disinfect the stoving and immediately put into use, has alleviateed medical personnel's work burden greatly and has improved operation efficiency.
The utility model has simple and reasonable structure design, convenient and rapid operation when in use, high practicability, and during work, medical staff can suck the effusion of the stomach cavity of a patient into a negative pressure tank by a suction tube and the negative pressure tank during operation, medical instruments can be placed in the placing box, the medical instruments to be used are placed on the left half side of the placing box firstly, after the medical instruments are used, the placing box is rotated by one hundred eighty degrees under the action of a slide rail and an auxiliary guide wheel by pulling a handle, the medical instruments used are placed in the original right cavity of the placing box, and the placing box is reset, a starting air cylinder drives an L-shaped moving arm to descend to enable a cover plate to seal the right half side of the placing box, a liquid pump is started to draw out disinfection cleaning liquid to disinfect the medical instruments by spraying of a spray head, and disinfection liquid after disinfection flows into a dirt collecting box by sequentially passing through a Y-shaped conduit, a rotary, waste liquid in the negative pressure jar also can concentrate in the dirty incasement of drawing liquid pump suction collection and collect, starts drying device and dries to medical instrument after the disinfection is accomplished for medical instrument for the operation can in time disinfect the stoving and immediately put into use, has alleviateed medical personnel's work burden greatly and has improved operation efficiency.
It is obvious to a person skilled in the art that the invention is not restricted to details of the above-described exemplary embodiments, but that it can be implemented in other specific forms without departing from the spirit or essential characteristics of the invention. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Furthermore, it should be understood that although the present description refers to embodiments, not every embodiment may contain only a single embodiment, and such description is for clarity only, and those skilled in the art should integrate the description, and the embodiments may be combined as appropriate to form other embodiments understood by those skilled in the art.
Claims (6)
1. An operation auxiliary device suitable for gastrointestinal surgery comprises a bottom plate (1), a supporting plate (3), a top plate (4) and a placing box (14), and is characterized in that a plurality of universal wheels (2) are arranged at the bottom of the bottom plate (1), the supporting plate (3) is arranged on the left side of the top of the bottom plate (1), the top plate (4) is fixedly connected to the top of the supporting plate (3), and a limiting lantern ring (5) is arranged on the left end face of the top plate (4); a negative pressure tank (6) and a sewage collection tank (8) are arranged at the top of the bottom plate (1), a suction tube (7) is communicated with the top of the negative pressure tank (6), and the top end of the suction tube (7) penetrates through the limiting sleeve ring (5); a liquid pump (28) is arranged between the negative pressure tank (6) and the sewage collection tank (8), and the negative pressure tank (6), the sewage collection tank (8) and the liquid pump (28) are communicated through a first conduit (10); a sewage discharge pipe (30) is communicated with the side wall of the sewage collection box (8);
a sliding rail (12) is arranged on the left side of the top plate (4), a plurality of auxiliary guide wheels (13) are connected in the sliding rail (12) in a rolling mode, a placing box (14) is arranged above the sliding rail (12), a plurality of L-shaped connecting rods (15) are fixedly connected to the bottom of the placing box (14), and the tail ends of the L-shaped connecting rods (15) are rotatably connected with the auxiliary guide wheels (13); a handle (16) is arranged on the side surface of the placing box (14), and a partition plate (17) is arranged in the center of the placing box (14); a rotary pipe joint (18) is arranged below the top plate (4), the top of the rotary pipe joint (18) is rotatably connected with a Y-shaped conduit (19), the left end and the right end of the top of the Y-shaped conduit (19) are communicated with the bottom of the placing box (14), and the left end and the right end of the top of the Y-shaped conduit (19) are symmetrically distributed on two sides of the partition plate (17); the rotary pipe joint (18) is fixedly connected with the bottom of the top plate (4) through a connecting piece; the bottom of the rotary pipe joint (18) is communicated with the sewage collection tank (8) through a second conduit (11);
the top of the top plate (4) is provided with an air cylinder (20), the top of a piston rod of the air cylinder (20) is fixedly connected with an L-shaped moving arm (21), the bottom of the left end of the moving arm (21) is provided with a cover plate (23), and the bottom of the cover plate (23) is provided with a drying device (24) and a spray head (25); a liquid storage tank (27) is arranged at the right end of the top plate (4), a liquid pump (28) is arranged in the liquid storage tank (27), and a water outlet of the liquid pump (28) is connected with a flexible hose (29); the telescopic hose (29) is communicated with the spray head (25) through a third conduit (26); roof (4) top fixedly connected with telescopic link (22), telescopic link (22) are located between slide rail (12) and liquid reserve tank (27) and telescopic link (22) top and L shape moving arm (21) left end bottom fixed connection.
2. A surgical aid adapted for gastrointestinal surgery according to claim 1 wherein the reservoir (27) is topped by a refill tube.
3. A surgical assistant device suitable for gastrointestinal surgery according to claim 1, characterized in that the partition plate (17) divides the inner cavity of the placing box (14) into two identical parts evenly and symmetrically.
4. A surgical aid adapted for gastrointestinal surgery according to claim 1 wherein the cover plate (23) is semi-circular and the area of the cover plate (23) is the same as the semi-circular area enclosed by the divider plate (17) and the inner wall of the cassette (14).
5. A surgical assistant device suitable for gastrointestinal surgery according to claim 1, characterized in that the top of the top plate (4) is provided with a through groove at the left side, and the through groove is matched with the Y-shaped conduit (19).
6. A surgical assistant device suitable for gastrointestinal surgery according to claim 1, characterized in that the drain pipe (30) is provided with a one-way valve.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201820902514.XU CN209826981U (en) | 2018-06-10 | 2018-06-10 | Operation auxiliary device suitable for gastrointestinal surgery |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201820902514.XU CN209826981U (en) | 2018-06-10 | 2018-06-10 | Operation auxiliary device suitable for gastrointestinal surgery |
Publications (1)
Publication Number | Publication Date |
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CN209826981U true CN209826981U (en) | 2019-12-24 |
Family
ID=68888535
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN201820902514.XU Expired - Fee Related CN209826981U (en) | 2018-06-10 | 2018-06-10 | Operation auxiliary device suitable for gastrointestinal surgery |
Country Status (1)
Country | Link |
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CN (1) | CN209826981U (en) |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111632168A (en) * | 2020-06-10 | 2020-09-08 | 广州金智医疗器械有限公司 | Rotary circulating type sterilizing machine for medical operating forceps |
CN111973782A (en) * | 2020-07-23 | 2020-11-24 | 中国人民解放军空军军医大学 | Surgical instrument disinfection device for orthopedic operating room |
CN115120448A (en) * | 2022-07-04 | 2022-09-30 | 宋桂芳 | Surgical disinfection nursing device |
-
2018
- 2018-06-10 CN CN201820902514.XU patent/CN209826981U/en not_active Expired - Fee Related
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111632168A (en) * | 2020-06-10 | 2020-09-08 | 广州金智医疗器械有限公司 | Rotary circulating type sterilizing machine for medical operating forceps |
CN111632168B (en) * | 2020-06-10 | 2021-01-05 | 青岛市黄岛区中心医院 | Rotary circulating type sterilizing machine for medical operating forceps |
CN111973782A (en) * | 2020-07-23 | 2020-11-24 | 中国人民解放军空军军医大学 | Surgical instrument disinfection device for orthopedic operating room |
CN115120448A (en) * | 2022-07-04 | 2022-09-30 | 宋桂芳 | Surgical disinfection nursing device |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20191224 |