CN210962871U - Improved body position pad for reducing difficult urination after anorectal operation - Google Patents
Improved body position pad for reducing difficult urination after anorectal operation Download PDFInfo
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- CN210962871U CN210962871U CN201920752011.3U CN201920752011U CN210962871U CN 210962871 U CN210962871 U CN 210962871U CN 201920752011 U CN201920752011 U CN 201920752011U CN 210962871 U CN210962871 U CN 210962871U
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Abstract
The utility model discloses a reduce improvement position pad of anus intestines postoperative difficulty of urinating, include: the upper side of the connecting pad is provided with a first adhesive strip; the two first supporting pads are respectively arranged at two ends of the connecting pad, the lower sides of the two first supporting pads are respectively provided with a second pasting strip, the second pasting strip is matched with the first pasting strip, and the upper sides of the two first supporting pads are respectively provided with a third pasting strip; two second supporting pads, two the second supporting pad is located two respectively on the first supporting pad, two the downside of second supporting pad is equipped with the fourth and pastes the strip, the fourth paste the strip with the strip phase-match is pasted to the third. The utility model discloses avoid or reduce abdomen and perineum under the compression when making patient prone position, keep in the art that abdomen well circulates, functions such as breathing, uropoiesis down to reduce patient postoperative dysuria complication's emergence, the position pad has fine compatibility with human tissue moreover.
Description
Technical Field
The utility model relates to a technical field of position pad especially relates to a reduce improvement position pad of anus intestines postoperative difficulty of urinating.
Background
Since the nerves for innervating the anus and the bladder are all from the same segment of the spinal cord (S2), the lumbar anesthesia can block the sensory function of the anus and achieve the purpose of relaxing the sphincter ani, and can block the visceral nerves of the pelvis at the same time, so that the smooth muscle of the bladder is weakened and the sphincter urethra is spastic to cause dysuria; and the postoperative anal edema caused by more extrusion injury in the operation or anal pain caused by spasm of anal sphincter due to excessive anal filler can reflectively stimulate the spasm of bladder neck and urethral sphincter, thus causing difficult urination after the operation. The placing of the operative position is very important for the patient under the anesthesia state, and the patient is injured if the operative position is not properly placed or the protective measures of the operative position are not properly taken. The prone position operation has the advantages of sufficient exposure of operation visual field, flexible and convenient operation and the like, and has wide application, but the prone position operation can cause complications such as breathing, circulatory system disorder, nerve injury, skin pressure sore, eye injury and the like due to the compression on partial visceral organs and blood vessels. The safe and reasonable operation position is the basic guarantee of the success of the operation, and how to provide comfortable and humanized nursing for the patient and reduce the complications to the maximum extent becomes the topic of clinical hot spots at present. However, the improper use of the position pad in the prone position is not currently studied for the potential complications of the patient.
As dysuria becomes one of the most common complications after anorectal surgery, the incidence rate is as high as 52%. Often cause great pain to the patient and are not favorable for postoperative rehabilitation.
In order to better expose the operation part during anorectal surgery, a general patient takes a prone position, and a lower abdomen is padded into an integral pad, the traditional prone position pad is cuboid, the middle of the traditional prone position pad is not concave, the hip is padded, so that the operation part is fully exposed, the lower abdomen and perineum of the patient cannot be subjected to vertical body pressure, and the lower abdomen blood circulation, urinary function, nerve function and the like are potentially influenced; secondly, when the patient is in a prone position, abdominal breathing is generally the main factor, and when the lower abdomen is compressed, the breathing function is also potentially affected, thereby increasing the risk of intraoperative and postoperative complications.
Therefore, on the basis of relevant research, the prone position bolster suitable for anorectal surgery can be designed, the prone position bolster can meet the requirement of fully exposing a surgical part and is convenient for an operator to operate, the patient can feel comfortable and stable in the surgical position, more importantly, the intraoperative and postoperative complications are reduced as much as possible by using the safe and suitable position bolster, and the patient can always keep a comfortable and pleasant feeling in the treatment and rehabilitation process, so that the trust and satisfaction among doctors and patients are improved.
Disclosure of Invention
Aiming at the problems of the existing position pad, the improved position pad which can prevent or reduce the compression of the lower abdomen and perineum when the patient is in the prone position and can keep the functions of good circulation, respiration, urinary and the like of the lower abdomen in the operation so as to reduce the postoperative difficult urination complications of the patient, has good compatibility with human tissues and can ensure that the patient feels more comfortable in the operation and reduce the postoperative difficult urination of the anorectal is provided.
The specific technical scheme is as follows:
an improved position pad for reducing post-anorectal urination difficulty, comprising: the upper side of the connecting pad is provided with a first adhesive strip;
the two first supporting pads are respectively arranged at two ends of the connecting pad, the lower sides of the two first supporting pads are respectively provided with a second pasting strip, the second pasting strip is matched with the first pasting strip, the upper sides of the two first supporting pads are respectively provided with a third pasting strip, a containing space is formed between the two first supporting pads, and the longitudinal section of each first supporting pad along the length direction and the longitudinal section of each first supporting pad along the width direction are respectively arranged in an isosceles trapezoid shape;
two second supporting pads, two the second supporting pad is located two respectively on the first supporting pad, two the downside of second supporting pad is equipped with the fourth and pastes the strip, the fourth paste the strip with the strip phase-match is pasted to the third, each the upper surface of second supporting pad is the arc setting respectively, each the second supporting pad is middle height respectively and sets up low all around.
Foretell improvement position pad that reduces anorectal postoperative urination difficulty, wherein, two first supporting pad symmetry is located the both ends of connecting pad, two one side that first supporting pad is close to mutually is the arc setting of indent respectively, two one side that first supporting pad kept away from mutually is the arc setting of evagination respectively.
Foretell reduction anorectal postoperative urination difficulty's improvement position pad, wherein, the downside of connecting pad is equipped with the friction arch, the friction arch is latticed setting.
Foretell improvement position pad that reduces anorectal postoperative urination difficulty, wherein, the friction arch includes a plurality of first sand grips and a plurality of second sand grip, and is a plurality of first sand grip respectively with a plurality of second sand grip mutually perpendicular, a plurality of the cross-section of first sand grip and a plurality of the equal semicircular in shape setting in cross-section of second sand grip, it is a plurality of first sand grip and a plurality of second sand grip formula structure as an organic whole.
Foretell reduction anorectal postoperative dysuria's improvement position pad, wherein, still include: a third supporting pad, the third supporting pad is located the connection pad with two between the first supporting pad, the downside of third supporting pad is equipped with the fifth and pastes the strip, the fifth paste the strip with first pasting the strip phase-match, the upside of third supporting pad is equipped with the sixth and pastes the strip, the sixth paste the strip with the second pastes the strip phase-match.
The improved body position pad for reducing the difficult urination after anorectal surgery is characterized in that the connecting pad comprises a connecting pad core and a connecting pad jacket which are matched, and the first adhesive strip is arranged on the upper side of the connecting pad jacket;
the first supporting pad comprises a first supporting pad core and a first supporting pad outer sleeve which are matched, the second pasting strip is arranged on the lower side of the first supporting pad outer sleeve, and the third pasting strip is arranged on the upper side of the first supporting pad outer sleeve;
the second supporting pad comprises a second supporting pad core and a second supporting pad outer sleeve which are matched, and the fourth adhesive strip is arranged on the lower side of the second supporting pad outer sleeve;
the third supporting pad includes assorted third support pad core and third supporting pad overcoat, the fifth is pasted the strip and is located the downside of third supporting pad overcoat, the sixth is pasted the strip and is located the upside of third supporting pad overcoat.
Foretell reduction anorectal postoperative urination difficulty's improvement position pad, wherein, friction protruding with connect the cushion core formula structure as an organic whole, the downside of connection pad overcoat is formed with the storage tank, the storage tank with friction protruding phase-match.
Foretell reduction anorectal postoperative dysuria's improvement position pad, wherein, still include: the blotter, the blotter is located two between the first supporting pad, the downside of blotter is equipped with the seventh and pastes the strip, the seventh paste the strip respectively with the first paste the strip phase-match is pasted to the sixth, the both sides of blotter are equipped with the eighth respectively and paste the strip, two first supporting pad is close to one side of blotter is equipped with the ninth and pastes the strip, the eighth paste the strip with the ninth pastes the strip phase-match, the upside of blotter is recessed arc form setting.
Foretell reduction anorectal postoperative urination difficulty's improvement position pad, wherein, the downside of blotter respectively with the junction of the both sides of blotter all is equipped with logical groove.
Foretell improvement position pad that reduces anorectal postoperative urination difficulty, wherein, the blotter includes mutual matching's blotter core and blotter overcoat, the seventh strip of pasting is located the downside of blotter overcoat, the eighth strip of pasting is located respectively the both sides of blotter overcoat, the ninth strip of pasting is located two respectively first support pad overcoat is close to one side of blotter.
Compared with the prior art, the technical scheme has the positive effects that:
the utility model discloses a distance between two first supporting pads can independently be adjusted to satisfy the needs of the patient of fat thin different sizes, accommodation space between two first supporting pads is just to belly and perineum portion down when using, make anterior superior eminence apophysis department exert oneself on two second supporting pads, thereby make pelvic cavity and perineum portion unsettled, do not receive the gravity oppression, in order to keep local good blood circulation, the unsettled abdominal respiration that also is favorable to of belly, the upper surface of two second supporting pads is the arc setting, patient's health of laminating more, let the patient experience more comfortable.
Drawings
FIG. 1 is a front view of the overall structure of an improved posture pad for reducing the difficulty of urination after anorectal surgery;
FIG. 2 is a side view of the overall structure of an improved posture pad for reducing the difficulty of urination after anorectal surgery;
FIG. 3 is a schematic structural view of a cushion pad used in the improved posture pad for reducing postoperative urination difficulty of anorectal surgery of the present invention;
FIG. 4 is a schematic structural view of a third support pad used in the improved posture pad for reducing postoperative urination difficulty of anorectal surgery of the present invention;
FIG. 5 is a top view of the overall structure of an improved posture pad for reducing the difficulty of urination after anorectal surgery;
in the drawings: 1. a connecting pad; 2. a first support pad; 3. an accommodating space; 4. a second support pad; 5. A friction projection; 6. a first rib; 7. a second convex strip; 8. a third support pad; 9. a cushion pad; 10. A through groove.
Detailed Description
The present invention will be further described with reference to the accompanying drawings and specific embodiments, but the present invention is not limited thereto.
Fig. 1 is the utility model relates to a reduce overall structure main view that the improvement position of anus intestines postoperative urination difficulty filled up, fig. 2 is the utility model relates to a reduce the overall structure side view that the improvement position of anus intestines postoperative urination difficulty filled up, fig. 3 is the utility model relates to a reduce in the improvement position pad of anus intestines postoperative urination difficulty use the schematic structure view of blotter, fig. 4 is the utility model relates to a reduce in the improvement position pad of anus intestines postoperative urination difficulty use the schematic structure view of third supporting pad, fig. 5 is the utility model relates to a reduce in the improvement position pad of anus intestines postoperative urination difficulty overall structure top view, as shown in fig. 1 to 5, shown the improvement position pad of reduction anus intestines postoperative urination difficulty of a preferred embodiment, include: a connecting pad 1 and two first supporting pads 2, the upside of connecting pad 1 is equipped with the first strip of pasting, the both ends of connecting pad 1 are located respectively to two first supporting pads 2, the downside of two first supporting pads 2 is equipped with the second respectively and pastes the strip, the second is pasted the strip and is pasted the strip phase-match with the first, form accommodation space 3 between two first supporting pads 2, each first supporting pad 2 is along its length direction's longitudinal section and along its width direction's longitudinal section and is the isosceles trapezoid shape setting respectively. Preferably, the upper surface of the first support pad 2 is rectangular, the lower surface of the first support pad 2 is rectangular, and the area of the lower surface of the first support pad 2 is larger than the area of the upper surface of the first support pad 2.
Further, as a preferred embodiment, the improved posture pad for reducing the difficulty of urination after anorectal surgery further comprises: two second supporting pads 4, on two first supporting pads 2 were located respectively to two second supporting pads 4, the upside of two first supporting pads 2 was equipped with the third respectively and pastes the strip, and the downside of two second supporting pads 4 is equipped with the fourth and pastes the strip, and the strip is pasted with the third to the fourth and pastes the strip phase-match, and the upper surface of each second supporting pad 4 is the arc setting respectively, and each second supporting pad is middle height respectively and sets up low all around. Preferably, the upper surface of second supporting pad is laminated patient's health more, lets patient's impression more comfortable.
Further, as a preferred embodiment, the two first supporting pads 2 are symmetrically disposed at two ends of the connecting pad 1, one side of the two first supporting pads 2 close to each other is respectively in an inward concave arc shape, and one side of the two first supporting pads 2 away from each other is respectively in an outward convex arc shape. Preferably, the arc-shaped arrangement of the two sides of the first support pad 2 can fit the abdomen of a part of patients, so that the part of patients is more comfortable.
Further, as a preferred embodiment, the lower side of the connecting pad 1 is provided with friction protrusions 5, and the friction protrusions 5 are arranged in a grid shape.
Further, as a preferred embodiment, the friction protrusion 5 includes a plurality of first protruding strips 6 and a plurality of second protruding strips 7, the plurality of first protruding strips 6 are perpendicular to the plurality of second protruding strips 7, the cross-sections of the plurality of first protruding strips 6 and the cross-sections of the plurality of second protruding strips 7 are semicircular, and the plurality of first protruding strips 6 and the plurality of second protruding strips 7 are integrated. Preferably, the friction protrusions 5 prevent the postural pad from slipping.
The above is merely an example of the preferred embodiments of the present invention, and the embodiments and the protection scope of the present invention are not limited thereby.
The utility model discloses still have following embodiment on above-mentioned basis:
in a further embodiment of the present invention, please continue to refer to fig. 1 to 5, the improved position pad for reducing the difficulty of urination after anorectal operation further comprises: a third supporting pad 8, third supporting pad 8 are located between connection pad 1 and two first supporting pads 2, and the downside of third supporting pad 8 is equipped with the fifth and pastes the strip, and the strip is pasted with the first strip phase-match of pasting to the fifth, and the upside of third supporting pad 8 is equipped with the sixth and pastes the strip, and the strip phase-match is pasted with the second to the sixth. Preferably, the third support pad 8 is capable of adjusting the height of the body pad, which may be controlled according to the patient's size.
The utility model discloses a further embodiment, the connection pad 1 includes assorted connection pad core and connection pad overcoat, and the upside of connection pad overcoat is located to first pasting the strip.
The utility model discloses a further embodiment, first supporting pad 1 includes assorted first supporting pad core and first supporting pad overcoat, and the downside of first supporting pad overcoat is located to the strip is pasted to the second, and the upside of first supporting pad overcoat is located to the strip is pasted to the third.
The utility model discloses a further embodiment, second supporting pad 4 includes that the assorted second supports cushion core and second supporting pad overcoat, and the downside of second supporting pad overcoat is located to the fourth strip of pasting.
The utility model discloses a further embodiment, third supporting pad 8 includes assorted third support pad core and third supporting pad overcoat, and the downside of third supporting pad overcoat is located to the fifth pasting strip, and the upside of third supporting pad overcoat is located to the sixth pasting strip.
The utility model discloses a in the further embodiment, protruding 5 and the connection pad core formula structure as an organic whole of friction, the downside of connection pad overcoat is formed with the storage tank, storage tank and the protruding 5 phase-matchs of friction.
The utility model discloses a further embodiment, the improvement position pad that reduces anus intestines postoperative urination difficulty still includes: blotter 9, blotter 9 are located between two first supporting pads 2, and the downside of blotter 9 is equipped with the seventh and pastes the strip, and the seventh is pasted the strip and is pasted the strip phase-match with first, the sixth respectively, and the both sides of blotter 9 are equipped with the eighth respectively and paste the strip, and one side that two first supporting pads 2 are close to blotter 9 is equipped with the ninth and pastes the strip, and the eighth is pasted strip and ninth and is pasted the strip phase-match, and the upside of blotter 9 is recessed arc form setting. Preferably, the cushion pad 9 is used to temporarily support the abdomen of a patient with heavy weight.
In a further embodiment of the present invention, the lower side of the buffer pad 9 is respectively provided with a through groove 10 at the connection part of the two sides of the buffer pad 9. Preferably, the distance between the two first support pads 2 is adapted by pressing the two through slots 10 through both sides of the cushion pad 9.
The utility model discloses a in the further embodiment, blotter 9 includes assorted blotter core and blotter overcoat, and the downside of blotter overcoat is located to the seventh pasting strip, and the both sides of blotter overcoat are located respectively to the eighth pasting strip, and one side that two first supporting pad overcoat are close to the blotter is located respectively to the ninth pasting strip.
The utility model discloses a first support cushion core, second support cushion core, third support cushion core, connection cushion core and cushion core adopt the high resilience sponge of 35 bubbles respectively, have softly, light, characteristics such as resilience force is good, and good material ability evenly distributed gravity makes pressure dispersion, makes bearing pressure obtain alleviating, and the material has better compatibility with the tissue simultaneously, has reduced shearing force and frictional force.
The utility model discloses a first supporting pad overcoat, second supporting pad overcoat, third supporting pad overcoat, connection pad overcoat and buffer pad overcoat adopt antiseep, pliable and tough wear-resisting top layer natural latex, and top layer latex carries out protein and breaks away from the processing, can not produce the allergy with human epidermis contact, and its antiseep characteristics can directly carry out cleaning and disinfecting on the surface, can tolerate and use repeatedly.
The utility model discloses a use:
step S1: before lumbar anesthesia is performed, a patient is allowed to lie down, and the distance between the anterior superior iliac spines on two sides of the patient is measured by a tape measure;
step S2: adjusting the distance between the two first supporting pads 2 and the two second supporting pads 4, wherein the highest horizontal position distance is obtained by subtracting 10cm from the distance between the anterior superior iliac spines on the two sides;
step S3: after the patient takes effect by anesthesia, the patient can take the prone position with assistance, the position pad is placed below the bed sheet and is placed on the lower abdomen in parallel, the front upper iliac spines on the two sides of the position pad are adjusted to be pressed on the upper surface of the first supporting pad 2 close to the inner edge, and the lower abdomen and the perineum of the patient are checked and ensured to be suspended without compression;
step S4: after the position pad is arranged, the patient is asked to feel the comfort and the stability, and whether the buttocks on two sides have the height or not is observed, and if the buttocks have the discomfort, the adjustment is carried out until the feeling and the position are proper.
The utility model discloses a distance between two first supporting pads 2 can independently be adjusted to satisfy the needs of the patient of fat thin different sizes, accommodation space 3 between two first supporting pads 2 is just to belly and perineum portion down when using, makes the anterior eminence apophysis department exert oneself on two second supporting pads 4, thereby makes pelvic cavity and perineum portion unsettled, not oppressed by gravity, in order to keep local good blood circulation, the belly is unsettled also to be favorable to the abdominal type to breathe, it is more comfortable to let the patient experience.
The above description is only an example of the preferred embodiment of the present invention, and not intended to limit the scope of the present invention, and those skilled in the art should be able to realize the equivalent alternatives and obvious variations of the present invention.
Claims (10)
1. The utility model provides a reduce improvement position pad of anus intestines postoperative dysuria which characterized in that includes:
the upper side of the connecting pad is provided with a first adhesive strip;
the two first supporting pads are respectively arranged at two ends of the connecting pad, the lower sides of the two first supporting pads are respectively provided with a second pasting strip, the second pasting strip is matched with the first pasting strip, the upper sides of the two first supporting pads are respectively provided with a third pasting strip, a containing space is formed between the two first supporting pads, and the longitudinal section of each first supporting pad along the length direction and the longitudinal section of each first supporting pad along the width direction are respectively arranged in an isosceles trapezoid shape;
two second supporting pads, two the second supporting pad is located two respectively on the first supporting pad, two the downside of second supporting pad is equipped with the fourth and pastes the strip, the fourth paste the strip with the strip phase-match is pasted to the third, each the upper surface of second supporting pad is the arc setting respectively, each the second supporting pad is middle height respectively and sets up low all around.
2. The improved posture pad for reducing the difficult urination after anorectal operation of claim 1, wherein the two first supporting pads are symmetrically arranged at two ends of the connecting pad, one side of the two first supporting pads, which is close to the connecting pad, is respectively in an inward concave arc shape, and the other side of the two first supporting pads, which is far away from the connecting pad, is respectively in an outward convex arc shape.
3. An improved posture pad for reducing postoperative urination difficulty of anorectal surgery, wherein the connecting pad is provided with friction protrusions at the lower side, and the friction protrusions are arranged in a grid shape.
4. The improved position pad for reducing the difficult urination after anorectal surgery, according to claim 3, wherein the friction protrusion comprises a plurality of first protruding strips and a plurality of second protruding strips, the plurality of first protruding strips are perpendicular to the plurality of second protruding strips, the cross sections of the plurality of first protruding strips and the plurality of second protruding strips are semicircular, and the plurality of first protruding strips and the plurality of second protruding strips are of an integrated structure.
5. The improved posture pad for reducing post-anorectal urination difficulty of claim 4 further comprising: a third supporting pad, the third supporting pad is located the connection pad with two between the first supporting pad, the downside of third supporting pad is equipped with the fifth and pastes the strip, the fifth paste the strip with first pasting the strip phase-match, the upside of third supporting pad is equipped with the sixth and pastes the strip, the sixth paste the strip with the second pastes the strip phase-match.
6. The improved position pad for reducing postoperative urinary difficulty of anorectal surgery according to claim 5, wherein the connection pad comprises a connection pad core and a connection pad jacket which are matched, and the first adhesive strip is arranged on the upper side of the connection pad jacket;
the first supporting pad comprises a first supporting pad core and a first supporting pad outer sleeve which are matched, the second pasting strip is arranged on the lower side of the first supporting pad outer sleeve, and the third pasting strip is arranged on the upper side of the first supporting pad outer sleeve;
the second supporting pad comprises a second supporting pad core and a second supporting pad outer sleeve which are matched, and the fourth adhesive strip is arranged on the lower side of the second supporting pad outer sleeve;
the third supporting pad includes assorted third support pad core and third supporting pad overcoat, the fifth is pasted the strip and is located the downside of third supporting pad overcoat, the sixth is pasted the strip and is located the upside of third supporting pad overcoat.
7. The improved posture pad for reducing postoperative urination difficulty of anorectal surgery, wherein the friction protrusion and the connecting pad core are of an integral structure, and a containing groove is formed on the lower side of the connecting pad jacket and matched with the friction protrusion.
8. The improved posture pad for reducing post-anorectal urination difficulty of claim 6 further comprising: the blotter, the blotter is located two between the first supporting pad, the downside of blotter is equipped with the seventh and pastes the strip, the seventh paste the strip respectively with the first paste the strip phase-match is pasted to the sixth, the both sides of blotter are equipped with the eighth respectively and paste the strip, two first supporting pad is close to one side of blotter is equipped with the ninth and pastes the strip, the eighth paste the strip with the ninth pastes the strip phase-match, the upside of blotter is recessed arc form setting.
9. An improved posture pad for reducing postoperative urinary difficulty of anorectal surgery according to claim 8, wherein the connecting portions of the lower side of the buffer pad and the two sides of the buffer pad are provided with through grooves.
10. The improved posture pad for reducing postoperative urorrhea difficulty of anus and intestine according to claim 9, wherein said buffer pad comprises a matched buffer pad core and a matched buffer pad outer cover, said seventh pasting strip is disposed on the lower side of said buffer pad outer cover, said eighth pasting strip is disposed on both sides of said buffer pad outer cover, said ninth pasting strip is disposed on one side of said first support pad outer cover close to said buffer pad.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920752011.3U CN210962871U (en) | 2019-05-23 | 2019-05-23 | Improved body position pad for reducing difficult urination after anorectal operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920752011.3U CN210962871U (en) | 2019-05-23 | 2019-05-23 | Improved body position pad for reducing difficult urination after anorectal operation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN210962871U true CN210962871U (en) | 2020-07-10 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920752011.3U Expired - Fee Related CN210962871U (en) | 2019-05-23 | 2019-05-23 | Improved body position pad for reducing difficult urination after anorectal operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN210962871U (en) |
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2019
- 2019-05-23 CN CN201920752011.3U patent/CN210962871U/en not_active Expired - Fee Related
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Granted publication date: 20200710 Termination date: 20210523 |