CN209899955U - A blood drainage mattress for obstetrical department's operation - Google Patents
A blood drainage mattress for obstetrical department's operation Download PDFInfo
- Publication number
- CN209899955U CN209899955U CN201920577653.4U CN201920577653U CN209899955U CN 209899955 U CN209899955 U CN 209899955U CN 201920577653 U CN201920577653 U CN 201920577653U CN 209899955 U CN209899955 U CN 209899955U
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- Prior art keywords
- concave surface
- blood
- mattress
- guide layer
- honeycomb duct
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- 239000008280 blood Substances 0.000 title claims abstract description 64
- 210000004369 blood Anatomy 0.000 title claims abstract description 64
- 238000001356 surgical procedure Methods 0.000 claims abstract description 13
- 239000000945 filler Substances 0.000 claims description 20
- 239000000463 material Substances 0.000 claims description 17
- 239000004744 fabric Substances 0.000 claims description 13
- 238000000034 method Methods 0.000 claims description 12
- 210000001217 buttock Anatomy 0.000 claims description 9
- 239000004816 latex Substances 0.000 claims description 7
- 229920000126 latex Polymers 0.000 claims description 7
- 230000000903 blocking effect Effects 0.000 claims description 6
- 230000002093 peripheral effect Effects 0.000 claims description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 4
- 239000000741 silica gel Substances 0.000 claims description 4
- 229910002027 silica gel Inorganic materials 0.000 claims description 4
- 239000012780 transparent material Substances 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 abstract description 5
- 208000032843 Hemorrhage Diseases 0.000 description 8
- 230000000740 bleeding effect Effects 0.000 description 5
- 239000012530 fluid Substances 0.000 description 3
- 230000003699 hair surface Effects 0.000 description 3
- 238000001802 infusion Methods 0.000 description 3
- 206010011985 Decubitus ulcer Diseases 0.000 description 2
- 208000004210 Pressure Ulcer Diseases 0.000 description 2
- 230000004888 barrier function Effects 0.000 description 2
- 239000003292 glue Substances 0.000 description 2
- 230000035699 permeability Effects 0.000 description 2
- 206010021138 Hypovolaemic shock Diseases 0.000 description 1
- 208000034486 Multi-organ failure Diseases 0.000 description 1
- 208000010718 Multiple Organ Failure Diseases 0.000 description 1
- 206010037423 Pulmonary oedema Diseases 0.000 description 1
- 206010046914 Vaginal infection Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 230000003139 buffering effect Effects 0.000 description 1
- 230000002612 cardiopulmonary effect Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 238000002637 fluid replacement therapy Methods 0.000 description 1
- 230000002209 hydrophobic effect Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 208000029744 multiple organ dysfunction syndrome Diseases 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 210000002640 perineum Anatomy 0.000 description 1
- 229920003023 plastic Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 208000005333 pulmonary edema Diseases 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 206010040560 shock Diseases 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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- Invalid Beds And Related Equipment (AREA)
Abstract
The utility model relates to the technical field of medical supplies, in particular to a blood drainage mattress for obstetrical surgery, which comprises a mattress body and a blood collecting device, wherein the top surface of the mattress body is provided with a concave surface, the bottom of the concave surface is provided with an inlet port, and one side of the mattress body, which is back to the concave surface, is concavely provided with a placing bin; the blood collection device includes guide layer, water conservancy diversion funnel, honeycomb duct and collection container, the guide layer is equipped with the connector, the guide layer is laid on the concave surface and is made the connector with the inlet port intercommunication, the water conservancy diversion funnel is located place in the storehouse, water conservancy diversion funnel one end with connector connection, honeycomb duct one end with the water conservancy diversion funnel turn-on connection, the other end run through in fill up the body, the collection container pass through the connecting pipe with the honeycomb duct is kept away from the one end of concave surface is connected. The utility model discloses can collect the blood that spills, prevent that bed clothes from being contaminated.
Description
Technical Field
The utility model belongs to the technical field of medical supplies technique and specifically relates to a blood drainage mattress for obstetrical surgery.
Background
At present, clinically in for obstetrical surgery process, because patient's perineum can constantly have blood to flow out, if the bleeding volume is big, then can soak whole operation table, even through spread the aseptic sheet of disposable on the sick bed, blood also can flow to ground to cause the pollution of ground environment, make medical personnel skid easily at the in-process of operation, and subaerial blood stain is difficult to wash, has increased clear work load.
Obstetrical hemorrhage is generally characterized by acute hemorrhage and most of the amount of hemorrhage, and even thousands of milliliters of blood can be lost within minutes, so that the blood pressure is rapidly reduced, and hypovolemic shock is caused instantly. However, the most common intraoperative blood loss assessment method in clinical obstetrical surgeries at present is a qualitative visual measurement method, the method cannot accurately measure the obstetrical surgeries with more blood loss, the estimated value of the method is often lower than the actual blood loss, both domestic and foreign scholars consider that the artificially estimated blood loss is only half of the actual blood loss, and the judgment result cannot quantify the intraoperative blood transfusion and fluid replacement treatment of patients. Once the bleeding volume estimation is inaccurate, the insufficient fluid infusion of blood transfusion can cause insufficient tissue perfusion and multiple organ failure; excessive and rapid blood transfusion and fluid infusion may cause complications such as cardiopulmonary dysfunction, airway pressure rise, pulmonary edema, etc., to further worsen the disease. Therefore, the clinical need is to accurately evaluate the blood loss in the cesarean section in time, and proper fluid infusion is realized on the basis, which has important significance for ensuring the life safety of patients.
SUMMERY OF THE UTILITY MODEL
In order to solve the problem, the utility model provides a blood drainage mattress for obstetrical surgery can collect the blood that spills, prevents that bed clothes from being contaminated.
In order to realize the purpose, the utility model discloses a technical scheme be:
a blood drainage mattress for obstetrical surgery comprises a mattress body, wherein a concave surface is arranged on the top surface of the mattress body, an inlet is arranged at the bottom of the concave surface, a placing bin is concavely arranged on one side of the mattress body, which is back to the concave surface, the concave surface is communicated with the inside of the placing bin through the inlet, a blocking cloth is arranged on the peripheral wall which encloses the placing bin, and the blocking cloth is fixedly connected with the mattress body;
the blood drainage mattress also comprises a blood collection device, the blood collection device comprises a guide layer, a flow guide funnel, a flow guide pipe and a collection container, the guide layer is provided with a connecting port, the guide layer is laid on the concave surface and enables the connecting port to be communicated with the inlet port, the guide layer is connected with the concave surface through a first magic tape, a hip pad is arranged on the top surface of the guide layer, and the hip pad is fixedly connected with the guide layer; the utility model discloses a novel magic storage bin, including the storehouse, the storehouse is placed to the diversion funnel, the diversion funnel is located place in the storehouse, the great one end of diversion funnel opening with enclose into the lateral wall fixed connection of connector, the honeycomb duct both ends are open structure, honeycomb duct one end with the less one end on-state connection of diversion funnel opening, the other end run through in fill up the body, it is equipped with the subsides of second magic to place the storehouse, the subsides of second magic are the loop configuration and overlap and establish on the honeycomb duct, the matte of subsides of second magic with the honeycomb duct is kept away from the perisporium fixed connection of diversion funnel one end, the knot face of subsides of second magic with keep off to separate cloth and keep away from fixed: the collecting container is connected with one end, far away from the concave surface, of the flow guide pipe through a connecting pipe, and the collecting container is provided with scale marks.
Furthermore, the placing bin is filled with a first filler, and the first filler is a buffer material.
Further, the honeycomb duct is the bellows, just still the cover is equipped with buffer spring on the honeycomb duct, buffer spring is located place the storehouse in and both ends all with honeycomb duct fixed connection.
Furthermore, the connecting pipe is a corrugated pipe, and two ends of the connecting pipe are respectively in threaded connection with the flow guide pipe and the collecting container.
Further, a second filler is arranged in the pad body, and the second filler is made of latex material.
Further, the buttock pad is anti-skidding silica gel material, the thickness of buttock pad is followed the sunken direction of guide layer increases gradually.
Furthermore, the collecting container is made of transparent materials.
The utility model has the advantages that,
1. because the pad body is provided with the concave surface, the guide layer laid on the concave surface has a structure sunken in the pad body, and the blood leaked by a patient can flow into the diversion funnel through the guide layer and then enter the collection container through the drainage tube, so that the cotton-padded mattress is prevented from being polluted by the blood, and the possibility of infection of the woman vagina is effectively reduced; the guide layer is connected with the concave surface through the first magic tape, and the guide pipe is connected with the cushion body through the second magic tape, so that the blood collection device is convenient to disassemble, and the cleaning difficulty of the bedding and quilt is reduced; the scale mark that the collection container was equipped with can measure the amount of bleeding in the lying-in woman operation to can accurately carry out the blood transfusion for the lying-in woman, avoid the insufficient and excessive problem that appears of blood transfusion volume.
2. The first filler is arranged in the placing bin, the first filler is made of a buffer material, the influence of the diversion funnel on the comfort level of a patient can be reduced through the first filler, the diversion pipe is a corrugated pipe and is sleeved with a buffer spring, the support performance of the diversion pipe can be improved, a puerpera is prevented from folding the diversion pipe, and outflow blood can be guaranteed to flow into the connecting pipe through the diversion pipe and is finally discharged into the collecting container; the latex material is used as the second filler in the pad body, and the characteristics of the latex material are utilized to improve the air permeability of the pad body and avoid pressure sores caused by overlong operation time.
Drawings
Fig. 1 is a schematic structural view of a blood drainage mattress for obstetrical surgery according to a preferred embodiment of the present invention.
Fig. 2 is a schematic view of the external structure of the blood drainage mattress for obstetrical surgery according to a preferred embodiment of the present invention.
Fig. 3 is a schematic view of the structure of the flow guide tube of the blood drainage mattress for obstetrical surgery according to a preferred embodiment of the present invention.
In the figure, 1-pad body, 101-concave surface, 102-inlet port, 11-placing chamber, 12-blocking cloth, 13-first filler, 14-second filler, 2-guiding layer, 201-hip pad, 21-connecting port, 22-first magic tape, 4-diversion funnel, 5-diversion pipe, 51-second magic tape, 52-buffer spring, 5-collecting container, 6-collecting container, 61-connecting pipe and 62-graduation line.
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.
It will be understood that when an element is referred to as being "secured to" another element, it can be directly on the other element or intervening elements may also be present. When a component is referred to as being "connected" to another component, it can be directly connected to the other component or intervening components may also be present. When a component is referred to as being "disposed on" another component, it can be directly on the other component or intervening components may also be present. The terms "vertical," "horizontal," "left," "right," and the like as used herein are for illustrative purposes only.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
Referring to fig. 1 to 3, the blood drainage mattress for obstetrical surgery according to a preferred embodiment of the present invention includes a mattress body 1, a concave surface 101 is disposed on a top surface of the mattress body 1, an inlet 102 is disposed at a bottom of the concave surface 101, a storage chamber 11 is concavely disposed on a side of the mattress body 1 facing away from the concave surface 101, the concave surface 11 is communicated with an inside of the storage chamber 11 through the inlet 102, a barrier cloth 12 is disposed on a peripheral wall enclosing the storage chamber 11, and the barrier cloth 12 is fixedly connected to the mattress body 1. In the present embodiment, the concave surface 101 is a four-sided concave structure and is formed in a regular quadrangular frustum shape. The second filler 14 is arranged in the cushion body 1, the second filler 14 is made of latex material, the latex material is used as the second filler 14 in the cushion body 1, the air permeability of the cushion body 1 is improved by utilizing the characteristics of the latex material, and pressure sores caused by overlong operation time are avoided.
The blood drainage mattress also comprises a blood collecting device which comprises a guide layer 2, a guide funnel 4, a guide pipe 5 and a collecting container 6.
The guide layer 2 is provided with a connecting port 21, the guide layer 2 is laid on the concave surface 101 and is communicated with the connecting port 21 and the inlet port 102, the guide layer 2 is connected with the concave surface 101 through a first magic tape 22, the hip pad 201 is laid on the top surface of the guide layer 2, and the hip pad 201 is fixedly connected with the guide layer 2. In this embodiment, the guiding layer 2 is a four-sided concave structure matching with the concave surface 101, and the guiding layer 2 is made of hydrophobic material, so that the flowing blood can be prevented from contacting with the cushion body 1 under the action of the guiding layer 2, and the cushion body 1 is prevented from being polluted. Buttock pad 201 is anti-skidding silica gel material, and buttock pad 201's thickness increases along guide layer 2's sunken direction gradually, because the concave surface 101 that exists, the lying-in woman can appear gliding condition in the operation, and under buttock pad 201's effect, increases lying-in woman and guide layer 2's frictional force, prevents to slide in the lying-in woman operation.
The diversion funnel 4 is of a frustum-shaped structure with openings at two ends and is made of a hard silica gel material with an angle of 70 degrees. The diversion funnel 4 is arranged in the placing bin 11, and the end with a larger opening of the diversion funnel 4 is fixedly connected with the side wall which is enclosed to form the connecting port 21. Both ends of the flow guide pipe 5 are of an open structure, one end of the flow guide pipe 5 is communicated with the end with a smaller opening of the flow guide funnel 4, and the other end of the flow guide pipe runs through the cushion body 1.
The placing bin 11 is also internally provided with a second magic tape 51, the second magic tape 51 is of an annular structure and is sleeved on the flow guide pipe 5, the hair surface of the second magic tape 51 is fixedly connected with the peripheral wall of one end of the flow guide pipe 5 far away from the flow guide funnel 4, and in the embodiment, the inner ring side of the hair surface of the second magic tape 51 is bonded and connected with the peripheral wall of the flow guide pipe 5 through medical glue; the periphery of the concave surface 101 far away from the buckling surface of the second magic tape 51 and the blocking cloth 12 is fixedly connected through medical glue, and the draft tube 5 is detachably connected with the blocking cloth 12 through the matching of the buckling surface and the hair surface of the second magic tape 51.
In this embodiment, the first filler 13 is a buffer material, and in this embodiment, the first filler 13 is polyester fiber, which has good buffering performance and can prevent the diversion funnel 4 from being pressed and deformed.
At present, the operation bed for the obstetrics and gynecology department is provided with an opening for discharging blood, the aperture of the flow guide tube 5 of the embodiment is smaller than that of the operation bed for the obstetrics and gynecology department, so that the flow guide tube 5 penetrates through the opening of the operation bed at one end of the cushion body 1.
The collecting container 6 is connected with one end of the draft tube 5 far away from the concave surface 101 through a connecting tube 61, and the collecting container 6 is provided with scale marks 62. The scale mark 62 can be convenient for medical personnel to observe the amount of bleeding of lying-in woman to can accurately carry out the blood transfusion for lying-in woman, avoid the insufficient and excessive problem that appears of blood transfusion volume. In this embodiment, collection container 6 is made for transparent material, preferably adopts transparent plastic material, can be convenient for medical personnel observe the blood volume in the collection container.
In this embodiment, the connecting tube 61 is a corrugated tube, and both ends are respectively screwed with the flow guide tube 5 and the collecting container 6. The connection pipe 61 is a bellows pipe so that the length of the connection pipe 61 can be adjusted, thereby adjusting the length of the connection pipe 61 in accordance with the height of the operating bed so that the collection container 6 can be placed on the ground.
Because the pad body is equipped with concave surface 101 for guide layer 2 laid on concave surface 101 has the structure of sinking in pad body 1 inside, and the blood that the patient leaked can flow to water conservancy diversion funnel 4 through guide layer 2, and blood gets into collection container 6 from connecting pipe 61 thereupon, avoids bed clothes to be polluted by blood, effectively reduces the possibility of woman vaginal infection, can avoid lying-in woman's excessive bleeding volume again simultaneously and lead to blood to flow to ground. Guide layer 2 is connected with concave surface 101 through first magic subsides 22, and honeycomb duct 4 is connected with keeping off through second magic subsides 51 and separate cloth 12 to make things convenient for blood collection device's dismantlement, reduce the clean degree of difficulty of cotton-padded mattress quilt.
In this embodiment, the draft tube 5 is further sleeved with a buffer spring 52, and the buffer spring 52 is located in the placing bin 11 and has two ends fixedly connected to the draft tube 5. Honeycomb duct 5 is the bellows and the cover is equipped with buffer spring 52, and its support nature that can improve honeycomb duct 5 avoids the lying-in woman to roll over honeycomb duct 5, guarantees that the blood of outflow can flow into connecting pipe 61 by honeycomb duct 5 smoothly, arranges into in the collecting vessel 6 at last.
Because the two ends of the connecting pipe 61 are respectively in threaded connection with the guide pipe 5 and the collecting container 6, when the guide layer 2, the guide piece 4 and the guide pipe 5 need to be disassembled and replaced, the connecting pipe 61 can be screwed to separate the connecting pipe 61 from the guide pipe 5, so that the guide layer 2, the guide piece 4 and the guide pipe 5 can be conveniently disassembled from the cushion body 1.
When the blood drainage mattress for obstetrical surgery of the embodiment is used, the mattress body 1 is laid on an operation bed, and the flow guide pipe 5 penetrates through one end of the mattress body 1 and penetrates through an opening of the operation bed. Both ends of the connection pipe 61 are screwed to the draft tube 5 and the collection container 6, respectively, and the collection container 6 is set on the ground by adjusting the length of the connection pipe 61. Lying on the pad body 1 and laying the buttocks on the buttocks pad 201, during operation, the blood leaked from the puerpera can flow to the diversion member 4 through the guide layer 2, and then the blood enters the collection container 6 from the connecting pipe 61.
When blood collection device after the use is dismantled to needs, twist and move connecting pipe 61 and make the both ends of connecting pipe 61 separate with honeycomb duct 5 and collection container 6 respectively, tear first magic subsides 22 and separate guide layer 2 and concave surface 101, tear second magic subsides 51 after taking out the first filler 13 of placing in the storehouse 11, make honeycomb duct 5 with keep off and separate cloth 12 separation, thereby make honeycomb duct 5 and diversion funnel 4 can take out in placing storehouse 11, blood collection device's dismantlement has been realized.
Claims (7)
1. The blood drainage mattress for the obstetrical surgery is characterized by comprising a mattress body (1), wherein a concave surface (101) is arranged on the top surface of the mattress body (1), an inlet opening (102) is arranged at the bottom of the concave surface (101), a placing bin (11) is concavely arranged on one side, back to the concave surface (101), of the mattress body (1), the concave surface (101) is communicated with the inside of the placing bin (11) through the inlet opening (102), a blocking cloth (12) is arranged on the peripheral wall enclosing the placing bin (11), and the blocking cloth (12) is fixedly connected with the mattress body (1);
the blood drainage mattress further comprises a blood collection device, the blood collection device comprises a guide layer (2), a diversion funnel (4), a diversion pipe (5) and a collection container (6), the guide layer (2) is provided with a connecting port (21), the guide layer (2) is laid on the concave surface (101) and enables the connecting port (21) to be communicated with the inlet port (102), the guide layer (2) is connected with the concave surface (101) through a first magic tape (22), a hip pad (201) is arranged on the top surface of the guide layer (2), and the hip pad (201) is fixedly connected with the guide layer (2); diversion funnel (4) are located place in storehouse (11), the great one end of diversion funnel (4) opening with enclose into the lateral wall fixed connection of connector (21), honeycomb duct (5) both ends are open structure, honeycomb duct (5) one end with the less one end turn-on connection of diversion funnel (4) opening, the other end run through in fill up body (1), it is equipped with second magic subsides (51) to place storehouse (11), second magic subsides (51) are loop configuration and cover and establish on honeycomb duct (5), the hair side of second magic subsides (51) with honeycomb duct (5) are kept away from the perisporium fixed connection of diversion funnel (4) one end, the knot face of second magic subsides (51) with keep off and separate cloth (12) and keep away from fixed connection all around of concave surface (101): the collecting container (6) is connected with one end, far away from the concave surface (101), of the guide pipe (5) through a connecting pipe (61), and the collecting container (6) is provided with scale marks (62).
2. A blood drainage mattress for obstetric procedures according to claim 1, characterized in that: the placing bin (11) is filled with a first filler (13), and the first filler (13) is made of a buffer material.
3. A blood drainage mattress for obstetric procedures according to claim 1, characterized in that: honeycomb duct (5) are the bellows, just honeycomb duct (5) are gone up still to overlap and are equipped with buffer spring (52), buffer spring (52) are located place in storehouse (11) and both ends all with honeycomb duct (5) fixed connection.
4. A blood drainage mattress for obstetric procedures according to claim 1, characterized in that: the connecting pipe (61) is a corrugated pipe, and two ends of the connecting pipe are respectively in threaded connection with the flow guide pipe (5) and the collecting container (6).
5. A blood drainage mattress for obstetric procedures according to claim 1, characterized in that: a second filler (14) is arranged in the pad body (1), and the second filler (14) is made of latex material.
6. A blood drainage mattress for obstetric procedures according to claim 1, characterized in that: buttock pad (201) are anti-skidding silica gel material, the thickness of buttock pad (201) is followed the sunken direction of guide layer (2) increases gradually.
7. A blood drainage mattress for obstetric procedures according to claim 1, characterized in that: the collecting container (6) is made of transparent materials.
Priority Applications (1)
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CN201920577653.4U CN209899955U (en) | 2019-04-25 | 2019-04-25 | A blood drainage mattress for obstetrical department's operation |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201920577653.4U CN209899955U (en) | 2019-04-25 | 2019-04-25 | A blood drainage mattress for obstetrical department's operation |
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CN209899955U true CN209899955U (en) | 2020-01-07 |
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CN201920577653.4U Expired - Fee Related CN209899955U (en) | 2019-04-25 | 2019-04-25 | A blood drainage mattress for obstetrical department's operation |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111227806A (en) * | 2020-01-14 | 2020-06-05 | 西安交通大学医学院第一附属医院 | Postpartum blood collection device |
CN111990970A (en) * | 2020-09-02 | 2020-11-27 | 无锡市妇幼保健院 | Obstetrical clinical bleeding measuring device |
-
2019
- 2019-04-25 CN CN201920577653.4U patent/CN209899955U/en not_active Expired - Fee Related
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111227806A (en) * | 2020-01-14 | 2020-06-05 | 西安交通大学医学院第一附属医院 | Postpartum blood collection device |
CN111990970A (en) * | 2020-09-02 | 2020-11-27 | 无锡市妇幼保健院 | Obstetrical clinical bleeding measuring device |
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Granted publication date: 20200107 |