CN212281484U - Practical elastic tension-reducing seam-free adhesive tape - Google Patents

Practical elastic tension-reducing seam-free adhesive tape Download PDF

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CN212281484U
CN212281484U CN201921986948.3U CN201921986948U CN212281484U CN 212281484 U CN212281484 U CN 212281484U CN 201921986948 U CN201921986948 U CN 201921986948U CN 212281484 U CN212281484 U CN 212281484U
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adhesive
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wound
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dressing
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张月高
张博音
尚爱加
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Abstract

The utility model relates to a practical elasticity subtracts exempts from seam and pastes of opening function, it includes medical self-adhesion dressing, self-adhesion elastic bandage, applies core pad and wound protection pad. The self-adhesive elastic bandage strip is connected to the back side of the medical self-adhesive dressing with the core applying pad end in an adhesive mode, and the middle part of the ventral side of the elastic bandage strip is connected with the wound protection pad. The cross sections of the core applying pad and the wound protecting pad are elliptic and made of materials with good flexibility. Fixing the skin on two sides of the wound by means of medical self-adhesive dressing adhesion; the self-adhesive elastic bandage strip provides a retraction force through stretching, the skin on two sides of the wound moves oppositely to reduce the tension of the wound and close the wound, and pressure is generated in the wound; the tension reducing effect can be adjusted by controlling the working length of the self-adhesive elastic bandage. The debridement and suture-free treatment of the small skin wound is more convenient and reliable; through physical detection, the requirement of quick sewing-free treatment on small body surface wounds (the length is less than or equal to 3cm) without skin soft tissue defects can be met.

Description

Practical elastic tension-reducing seam-free adhesive tape
Technical Field
The utility model belongs to a clinical medicine uses equipment, also is daily at home consumptive articles for use, specifically speaking is a practical elasticity subtracts exempts from seam and pastes of a function.
Background
The clinical surgery emergency treatment often meets the treatment of small skin wounds, the suture of the needle and the thread is complicated, time-consuming and labor-consuming, more resources are consumed, and a large amount of medical waste is generated; if only partial dressing is applied without suturing, there is a concern that wound coaptation will be poor and bleeding will be more frequent. When a large number of wounded personnel are treated in a battlefield environment, the on-site treatment is required to be convenient, quick and efficient. At present, most of 3M seam-free adhesive tapes clinically used at present have limited extension degree although partial elasticity, do not have self-elastic tension-reducing function and cannot adjust the tension-reducing degree according to the condition of a wound; better effect can be obtained by matching two persons for operation; the painless suture plaster Zipstich produced by American company can adjust the size of traction tension according to the condition of a wound, has good clinical application effect, but does not have a core pad and a wound protection pad which are coated on two sides, when in use, the middle connecting part of the suture plaster is directly contacted with the wound edge, which is not beneficial to absorbing wound exudates and easily leads the adhesive tape to be adhered with the wound, and when in use, the device needs an additional sharp tool, and the production cost is relatively high.
Disclosure of Invention
The purpose of the invention is: in order to more efficiently, conveniently, reliably and reliably treat small wounds on the body surface without sewing clinically.
The manufacturing method of the invention comprises the following steps: a medical self-adhesive dressing (15 x 9cm) (with a dressing part in the middle) is transversely cut into strips with the width of about 1-3cm, most of the middle part of the strips are transversely cut for standby, and small strips are reserved for applying a core pad. The self-adhesive elastic bandage is longitudinally cut to be about 3.2cm long and the width of the bandage is consistent with that of the medical self-adhesive dressing strip. The two ends of the self-adhesive elastic bandage are adhered to the back side of the dressing strip with the dressing core pad by cloth waterproof adhesive bonding, sewing, welding or needling and nailing, so that the cut medical self-adhesive dressing strip is adhered again into a whole by the self-adhesive elastic bandage, and the middle part of the elastic bandage is transversely connected with the dressing strip to serve as a wound protection pad.
The object of the invention can be achieved by: the medical self-adhesive dressing is adhered to and fixes the skin on two sides of the wound; the self-adhesive elastic bandage strip is used for providing elastic retraction force by stretching when in work, so that skin soft tissues on two sides of a wound move oppositely to relieve and close the wound, and pressure is generated in the wound. When in use, the working length of the self-adhesive elastic bandage is adjusted according to actual needs, so that the proper tension reducing effect of the tension reducing adhesive plaster is achieved; or the self-adhesive elastic bandage part of the tension-reducing adhesive plaster can be folded and self-adhered in a superposed manner, so that the core applying pads at the two sides of the adhesive plaster are close to the protection pad in the middle, and the common adhesive bandage can be changed into a common adhesive bandage.
The embodiment of the application provides a practical elasticity subtracts a seam-free sticker. This glue pastes includes: the medical self-adhesive dressing is a non-woven composite adhesive tape prepared by single-side pressure-sensitive adhesive coating treatment of medical-grade non-woven fabric, is reliable in fixation of adhered skin, good in air permeability and free of skin irritation; after the self-adhesive elastic bandage strip is stretched, the skin soft tissues at two sides of the wound are drawn to mutually close towards the middle by virtue of the elastic retraction force of the self-adhesive elastic bandage strip, so that the purposes of tension reducing and involution of two edges of the wound towards the middle and pressurization in the wound are achieved; the core pad is applied to assist in pressing skin and soft tissues on two sides of the wound to get close to the middle, and the core pad is made of nylon and polyester mixed fibers, so that compared with common cotton gauze, the core pad has the advantages of stronger absorption capacity, softness, no adhesion to the wound, difficulty in scab formation and the like; the middle protective pad is applied to the wound and is beneficial to the alignment of the skin edges of the wound. The cross sections of the core applying pad and the wound protecting pad are designed to be oval, the flexibility of the material is good, and the phenomenon that the skin is extruded to cause side damage is avoided.
The self-adhesive elastic bandage strip has self-adhesive properties, and after self-adhesion by self-overlapping extrusion, the two adjacent layers can be kept adhered to each other under certain elastic extension tension without using an additional fastening mechanism.
The self-adhesive stretch bandage strip has self-adhesive properties and is designed not to adhere to clothing, hair, skin or latex gloves.
The medical self-adhesive dressing, the protective pad and the self-adhesive elastic bandage strip, and the core applying pad and the medical self-adhesive dressing are integrated by cloth waterproof glue, suture, welding or needling.
The elastic tension-reducing seam-free adhesive is flatly paved and packaged in a sterile packaging bag.
The width of the self-adhesive elastic bandage strip is equal to or slightly smaller than the transverse width of the medical self-adhesive dressing strip.
The length of the dressing core pad and the wound protection pad is between 5mm and 10mm, the thickness of the dressing core pad and the wound protection pad is between 2.5mm and 4mm, and the width of the dressing core pad and the wound protection pad is equal to or slightly smaller than the width of the medical self-adhesive dressing strip. The wound protection pad is slightly thicker than the core applying pad, protects the wound when in use, prevents the skin edge of the wound from uplifting due to overlarge tension after elasticity and tension reduction and absorbs wound seepage.
The non-adhesive covering isolation paper is arranged on the ventral side of the medical self-adhesive dressing belt, the dressing core pad and the wound protection pad, and the isolation paper is firstly turned outwards to gradually remove the isolation paper in clinical application.
Drawings
Fig. 1, 2 and 3 are schematic structural views of the present invention, representing front, bevel and side views respectively for understanding the present application.
In the figure: 1. medical self-adhesive dressing 2, self-adhesive elastic bandage 3, wound protection pad 4, core applying pad 5 and isolation paper
Detailed Description
With reference to figures 1, 2 and 3 as follows: a practical elastic tension-reducing seam-free adhesive plaster comprises a medical self-adhesive dressing, a self-adhesive elastic bandage, a wound protection pad and a core applying pad. Is characterized in that a self-adhesive elastic bandage strip with the length of 25mm to 60mm and the width of 5mm to 40mm, which is consistent with the width of the medical self-adhesive dressing, is adhered to the back side surface of the medical self-adhesive dressing strip with the core applying pad in a sewing, welding, needling or cloth waterproof adhesive connection mode, the length of the mutual adhesion part is 3mm to 20mm, the length of the wound protecting pad is about 6mm to 10mm, and the width is consistent with the width of the core applying pad.
The medical self-adhesive dressing has various varieties, is mainly a non-woven composite adhesive tape prepared by single-side pressure-sensitive adhesive coating treatment of medical-grade non-woven fabric, is reliable in fixation of adhered skin, good in air permeability and free of skin irritation; highly preferred adhesives will be those that are biocompatible with the skin and do not cause irritation or undue sensitivity reactions when contacted with the skin under normal conditions for extended periods of time, such as natural rubber and acrylate-based adhesives.
The self-adhesive elastic bandage strip has self-adhesive property and elastic retraction property. Within a certain range, the longer the self-adhesive elastic bandage strip with the same original length is stretched, the larger the elastic retraction force is; when two self-adhesive elastic bandages with the same size are overlapped together for working, the elastic retraction force is increased.
Materials suitable for use in the self-adhesive elastic bandage strips of the present application, commonly used COBAN self-adhesive elastic bandages (3M, st. paul, Minn.), MD (Suzhou Medsport Products co., Ltd.) self-adhesive bandages and the like, are strong in elasticity, good in compliance and self-adhesive properties, provide sufficient compression or can be made self-adhesive by adding an adhesive surface thereto, and can be sterilized by various methods (including high pressure steam, alcohol soaking, ethylene oxide sterilization) without affecting their working properties.
The cross sections of the core applying pad and the wound protecting pad are designed to be oval, the materials of the core applying pad and the wound protecting pad are made of foamed woven or non-woven natural or synthetic fiber materials with good flexibility, and the natural or synthetic fiber materials are selected from the following materials: rayon, polyester, polyurethane, polyolefin, cellulose derivatives, cotton, orlon, and hydrogel polymeric materials. Compared with common cotton gauze, the cotton gauze has the advantages of stronger absorption capacity, softness, no adhesion to wounds, difficult scab formation and the like.
The medical self-adhesive dressing and the self-adhesive elastic bandage strip, the core applying pad and the medical self-adhesive dressing, the wound protecting pad and the self-adhesive elastic bandage are integrated by sewing, welding, needling and nailing or cloth waterproof glue.
The medical self-adhesive dressing is adhered and fixed on the skin on two sides of the wound; the self-adhesive elastic bandage strip provides elastic retraction force by stretching and stretching, so that the skin on two sides of the wound moves oppositely to open and close the wound, and a certain pressure is generated in the wound, thereby being beneficial to reducing bleeding and liquid seepage; the core applying pad plays a role in auxiliary extrusion; the wound protection pad is slightly thicker than the dressing core pad, absorbs wound exudate to protect a wound, and prevents the skin edge of the wound from being raised due to overlarge tension sometimes after elasticity and tension reduction.
The self-adhesive stretch bandage strip has self-adhesive properties and is designed not to adhere to clothing, hair, skin or latex gloves.
The application shows a concept of performing wound tension-reducing and seam-free treatment by means of elastic retraction force, and the manufacturing specification of the wound tension-reducing and seam-free treatment is not limited to the size, and other sizes and specifications according to specific purposes are also suitable.
Applications contemplated by the present application include:
(1) the device is suitable for clinical quick suture-free treatment of most of body surface small wounds (the length is less than or equal to 3cm) without skin defects. (2) use for acute and chronic wounds in need of tension reduction. (3) And is used for the tension-reducing bandaging treatment of lacerations, abrasions, surgical wounds, electric wounds, stab wounds, avulsion wounds and the like. (4) For reducing wound bleeding and exudate. (5) For the treatment of wounds requiring the relief of wound scarring. (6) Is particularly suitable for the suture-free treatment of small wounds on the head and the face. (7) The adhesive can be used as a common band-aid, aseptically protects small wound surfaces, and absorbs seepage without adhesion.
And (3) performance detection: three elastic tension-reducing seam-free adhesive tapes with the lengths of 68mm and the widths of 10mm, 20mm and 30mm are manufactured, the adhesive tapes are placed in different disinfection or soaking states, a WEIGAN portable electronic tension meter is used for detecting the maximum tension force (shown in table 1) which can be resisted by each part of the adhesive tape (the data of each cell is detected for three times, and the average value is taken), and the tensile resistance performance of different connecting parts of the adhesive tape in different states is verified. The method comprises the steps of transversely and longitudinally attaching a seam-free adhesive plaster with the width of 20mm to different parts of a body, observing the elastic tension force (shown in table 2) required by the translation of the skin at different distances, detecting the elastic tension force (shown in table 3) required by the elastic tension-reducing seam-free adhesive plaster with different widths (10, 20 and 30mm) to transversely move the skin of the forehead and the forearm at different distances, and comparing the elastic tension force with the tensile strength of each connecting part of the elastic tension-reducing seam-free adhesive plaster so as to judge the clinical application capacity and the clinical application effect of the elastic tension-reducing seam-free adhesive plaster.
Example 1: the length of the medical self-adhesive dressing strip with the same two sides is 25mm, and the width of the medical self-adhesive dressing strip is 10 mm; the length of the self-adhesive elastic bandage in the middle is 32mm, the width of the self-adhesive elastic bandage in the middle is 10mm, and the length of the part of the self-adhesive elastic bandage adhered to the dressing strip is 7 mm; the length, the width and the thickness of the core applying pad are 10mm, 7mm and 3mm respectively; the length of the wound protection pad is 10mm, the width is 8mm, and the thickness is about 4 mm.
Example 2: the length of the medical self-adhesive dressing strip with the same two sides is 25mm, and the width of the medical self-adhesive dressing strip is 20 mm; the length of the self-adhesive elastic bandage in the middle is 32mm, the width of the self-adhesive elastic bandage in the middle is 20mm, and the length of the part of the self-adhesive elastic bandage adhered to the dressing strip is 7 mm; the length, the width and the thickness of the core applying pad are 20mm, 7mm and 3mm respectively; the wound protection pad has the length of 20mm, the width of 8mm and the thickness of about 4 mm.
Example 3: the length of the medical self-adhesive dressing strip with the same length and width at two sides is 25mm and 30 mm; the length of the self-adhesive elastic bandage in the middle is 32mm, the width of the self-adhesive elastic bandage in the middle is 30mm, and the length of the part of the self-adhesive elastic bandage adhered to the dressing strip is 7 mm; the length, the width and the thickness of the core applying pad are 30mm, 7mm and 3mm respectively; the wound protection pad has a length of 30mm, a width of 8mm and a thickness of about 4 mm.
Table 1: the maximum tension (Kg) of each component part of the elastic tension-reducing seam-free adhesive plaster with the length of 68mm and different widths (10, 20 and 30mm) can be resisted under different disinfection states
Figure 47802DEST_PATH_GSB0000190803930000031
Table 2: elastic tension (transverse/longitudinal) (unit: Kg) required to make skin of adult male (BMI: 20-23) translate different distances at different parts after applying a seamless adhesive patch with a length of 68mm and a width of 20mm (example 2)
Figure 964943DEST_PATH_GSB0000190803930000041
Table 3: elastic tension reducing seamless adhesive plaster with length of 68mm and different width (10, 20, 30mm) for transversely moving the skin of the forehead and forearm of adult male (BMI: 20-23) for different distances (unit: Kg)
Figure 744680DEST_PATH_GSB0000190803930000042
The detection result mainly indicates that:
(1) the results in tables 1 and 2 suggest that the tensile properties of the components of the elastic tension-reducing seam-free adhesive plaster with different widths can meet the pulling force required for moving the skin of each main part of the body surface of an adult male by 5 mm; for small skin crack wounds without obvious skin defects, the wound edges on two sides can be moved by 5mm respectively to close the wound, and certain pressure is generated in the wound, so that the hemostasis and scar reduction are facilitated. The adhesive plaster is suitable for clinical quick suture-free treatment of most small wounds (the length is less than or equal to 3cm) without skin defects.
(2) The adhesive plaster can be soaked and disinfected by high-pressure steam and alcohol, the maximum tensile force which can be resisted by all the components after being soaked in water has no obvious change, the integral tensile property is not influenced, and the adhesive plaster can be widely used under the conditions of outpatient emergency treatment and field operations.
(3) Table 2 suggests that the pulling force required to move the skin at different positions by different distances in the transverse and longitudinal directions is different, and the skin at some positions has small mobility and a certain limit, so that the application of the adhesive patch should be specifically analyzed according to the position condition.
(4) The skin at different parts of the human body needs different pulling forces for horizontal pulling movement, and the required pulling force is obviously increased along with the increase of the moving distance. The adhesive patch can not bear the pulling force required for enabling the skin to translate more than 10mm at all parts, and needle thread layered suture (in the moment, the key is to suture the subcutaneous tissue) is still recommended for skin wounds with skin soft tissue defects and wound splitting widths exceeding 20 mm.
Compared with the prior art, the invention has the following advantages: 1. the self-adhesion and elastic retraction performance of the self-adhesion elastic bandage are utilized, the tension reducing effect is adjusted in time according to the requirements of the small wound edge involution and the bleeding condition, and the small wound (especially the head and face wound) is more favorably subjected to tension reducing involution without sewing treatment. 2. The tissue around the wound can be extruded from two sides to the midline to generate certain pressure, reduce the blood seepage and the venule bleeding in the wound and lighten scars after the wound is healed. 3. The adhesive tape is convenient to carry and operate by a single person, can be sterilized by high-pressure steam, can not influence the whole function of the adhesive tape after being soaked in alcohol or water, is particularly suitable for the environment of battlefield or non-war military operation in the future, and greatly reduces the workload of wound large bandaging and debridement needle and thread suture operations. 4. The elastic tension-reducing seam-free adhesive is attached to two sides of a wound to be padded by a core pad, so that the skin and soft tissue around (on two sides) can be pushed towards the middle of the wound, and the wound can be closed; the wound protection pad is slightly thicker than the dressing core pad, protects the wound and prevents the wound margin from uplifting due to excessive tension sometimes after the elasticity is reduced. 5. The self-adhesive elastic bandage is folded upwards from the middle part and is overlapped for self-adhesion, the core applying pads at the two sides of the adhesive tape are mutually close to the protection pad towards the middle part, and the elastic tension-reducing seam-free adhesive tape can be changed into a common band-aid for use.
The using method and clinical application effect are as follows:
thoroughly debriding the small wound, repeatedly washing the small wound with hydrogen peroxide and normal saline for three times, ligating the active arterial bleeding by using forceps or silk threads to stop bleeding, properly trimming the skin edges when the skin edges are not uniform, and keeping the skin edge tissues with vitality as much as possible. Sterile gauze was wiped to dry the skin around the wound. The method comprises the steps of taking an elastic tension-reducing and seam-free adhesive tape with proper width, gradually removing the isolation paper on the ventral side from the middle to the two sides outwards, properly stretching a self-adhesive elastic bandage, aligning a protection pad to the middle of a wound, transversely attaching the adhesive tape to the two sides of the wound, and enabling the skin soft tissues at the two edges to move towards the middle by means of the retraction force of the self-adhesive elastic bandage to close the wound. If the wound is slightly cracked or the tension reducing effect needs to be increased, the stretching range of the elastic bandage is enlarged, the retraction force of the elastic bandage is larger at the moment, the soft skin tissues on the two sides of the wound are driven to be further extruded towards the middle to ensure that the wound is closed in a tension reducing way and stopped bleeding is realized, and the middle part is provided with a protective pad for sticking so as to avoid the skin edge of the wound from rising.
The wound debridement suture operation machine is simple in structure, easy to manufacture, low in cost, convenient to carry and disinfect, convenient and fast to operate by one person, particularly suitable for rapid processing of a large number of wounded persons, capable of obviously improving the working efficiency of medical workers, reducing the workload of debridement suture operations and saving medical resources.
The use effect is as follows: the practical elastic tension-reducing suture-free adhesive plaster is already used in 35 patients, is convenient to operate, has a definite effect, has good healing effect on wounds, has small scars, causes no infection in one case, and has no complications such as pressing injury of surrounding skin or cracking of later-stage wounds.

Claims (6)

1. The elastic tension-reducing stitch-free adhesive plaster comprises a medical self-adhesive dressing, a self-adhesive elastic bandage strip, a core applying pad and a wound protection pad, and is characterized in that two ends of the self-adhesive elastic bandage strip with the length of 25mm to 60mm and the width of 5mm to 40mm are connected to the back side surface of the medical self-adhesive dressing in a cloth waterproof adhesive bonding, sewing, welding or needling nailing manner, the lengths of mutual bonding parts are 3mm to 20mm, the ventral sides of the bonding parts on two sides are bonded and connected with the core applying pad, the middle part of the self-adhesive bandage strip is bonded and connected with the wound protection pad, the cross sections of the core applying pad and the wound protection pad are designed to be oval, and the material of the core applying pad and the wound protection pad is made of flexible.
2. The elastic tension-reducing seam-free sticker of claim 1, wherein: the ventral surface of the joint of the medical self-adhesive dressing and the self-adhesive elastic bandage which are adhered by the elastic tension-reducing and seam-free adhesive is fixed with a dressing core pad with the same width, and the ventral surface of the middle part of the self-adhesive elastic bandage is connected with a wound protection pad.
3. The elastic tension-reducing seam-free sticker of claim 1, wherein: the medical self-adhesive dressing, the wound protection pad and the self-adhesive elastic bandage strip, and the core applying pad and the medical self-adhesive dressing are attached into a whole by cloth waterproof adhesive bonding, sewing, welding or needling and nailing, wherein the medical self-adhesive dressing is a non-woven composite adhesive plaster prepared by single-side coating of a medical non-woven fabric with a pressure-sensitive adhesive.
4. The elastic tension-reducing seam-free sticker of claim 1, wherein: the medical self-adhesive dressing is adhered to and fixes the skin on two sides of the wound; the self-adhesive elastic bandage strip is used for providing elastic retraction force by stretching when in work, so that skin soft tissues on two sides of a wound move oppositely to relieve and close the wound, and pressure is generated in the wound.
5. The elastic tension-reducing seam-free sticker of claim 1, wherein: the self-adhesive elastic bandage strip part in the middle of the elastic tension-reducing seam-free adhesive plaster is completely folded and is overlapped and self-adhered towards one side in parallel, so that the core applying pads on the two sides are completely closed to the middle and the protection pad, and the adhesive plaster can be changed into a common adhesive plaster for use.
6. The elastic tension-reducing seam-free sticker of claim 1, wherein: the length of the medical self-adhesive dressing on the two sides of the adhesive plaster is 20mm to 50mm, and the width of the medical self-adhesive dressing is 5mm to 40 mm; the length of the self-adhesive elastic bandage strip is 25mm to 60mm, and the width of the self-adhesive elastic bandage strip is 5mm to 40 mm; the core applying pad has a length of 5mm to 10mm, a width of 5mm to 40mm and a thickness of 2.5mm to 4 mm; the length of the wound protection pad is 5mm to 10mm, the width is 5mm to 40mm, and the thickness is 3.5mm to 5 mm; the width of the last three is consistent with the width of the medical self-adhesive dressing, and the thickness of the wound protection pad is 1mm larger than that of the core applying pad.
CN201921986948.3U 2019-11-18 2019-11-18 Practical elastic tension-reducing seam-free adhesive tape Active CN212281484U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113616262A (en) * 2021-08-31 2021-11-09 浙江朗特医疗科技有限公司 Adjustable tension reducer
CN117503484A (en) * 2023-11-09 2024-02-06 扬州市凯瑞特医疗用品有限公司 Medical non-woven fabric dressing and preparation method thereof
WO2024060467A1 (en) * 2022-09-21 2024-03-28 中国人民解放军总医院京西医疗区 Elastic tension-reducing suture-free adhesive patch enabling secondary fastening

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113616262A (en) * 2021-08-31 2021-11-09 浙江朗特医疗科技有限公司 Adjustable tension reducer
CN113616262B (en) * 2021-08-31 2023-03-10 浙江朗特医疗科技有限公司 Adjustable tension reducer
WO2024060467A1 (en) * 2022-09-21 2024-03-28 中国人民解放军总医院京西医疗区 Elastic tension-reducing suture-free adhesive patch enabling secondary fastening
CN117503484A (en) * 2023-11-09 2024-02-06 扬州市凯瑞特医疗用品有限公司 Medical non-woven fabric dressing and preparation method thereof

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