CN213282826U - Hard mirror of intubate with inhale phlegm function - Google Patents

Hard mirror of intubate with inhale phlegm function Download PDF

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Publication number
CN213282826U
CN213282826U CN202021816325.4U CN202021816325U CN213282826U CN 213282826 U CN213282826 U CN 213282826U CN 202021816325 U CN202021816325 U CN 202021816325U CN 213282826 U CN213282826 U CN 213282826U
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sputum
hard
sputum suction
suction tube
tube
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程磊
朱晓丹
陈广民
蒋宇航
郭忠蕊
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Harbin Engineering University
Harbin Medical University
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Harbin Medical University
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Abstract

The utility model discloses an intubate hard mirror with inhale phlegm function relates to the medical instrument field, include: the display, the hard mirror handle, the special sputum suction tube for the disposable hard mirror and the hard mirror body; the hard mirror body is connected with the hard mirror handle; the hard mirror handle is provided with a sputum suction tube inlet, and a sputum suction tube control system is arranged inside the hard mirror handle; the front end of the hard lens body is provided with a camera assembly, and the interior of the hard lens body is provided with a sputum suction pipe channel; the special sputum suction tube for the disposable hard endoscope is inserted from the sputum suction tube inlet, passes through the sputum suction tube channel of the hard endoscope body and penetrates out of the front end of the hard endoscope body; the camera assembly collects images and transmits the images to the display through the video transmission line. The utility model has more reasonable structure, more convenience and practicability, more exact sputum suction effect and can finish the sputum suction and intubation operation by one hand.

Description

Hard mirror of intubate with inhale phlegm function
Technical Field
The utility model belongs to the field of medical equipment, concretely relates to novel hard mirror of intubate with inhale phlegm function.
Background
The endotracheal intubation technique is a medical operation in which a tracheal catheter is placed into the trachea through the glottis through the oral cavity, and is widely applied to the fields of emergency treatment, general anesthesia, ICU (acute coronary syndrome) ventilator treatment and the like. The traditional laryngoscope is used for intubation operation, so that the defects of large operation stimulation, more side damage, inaccurate intubation, large learning difficulty, low intubation success rate of patients with difficult airways and the like exist. Therefore, the tube core intubation technology is becoming more widely used clinically. Hard scope intubation is becoming increasingly popular with clinicians as a technique for core intubation.
Many patients in clinic are because long-term smoking, inflammation are amazing, lead to the respiratory tract to secrete the sputum more, and the sputum adheres to very easily and blocks the operator field of vision in hard mirror head end, and the existence of sputum seriously influences the operator and judges local structure, has prolonged the intubate time, greatly reduced hard mirror intubate's success rate. In addition, if sputum in the oral cavity is brought into the trachea in the intubation process, lung infection is easily caused, and the recovery of the lung function of a patient after operation is influenced. Therefore, timely sputum aspiration during the hard scope intubation process becomes especially important. At present, the common sputum suction pipe is mainly adopted clinically, sputum suction operation is carried out outside the tracheal catheter, and the sputum suction mode has the main defects that: 1. the ordinary sputum suction tube needs to be operated by two hands to control the in-and-out direction of the sputum suction tube, and an assistant is needed to assist in sputum suction operation in the intubation process; 2. the sputum suction tube is directly inserted into the oral cavity and goes in and out of the tracheal catheter, the controllability of the direction of the sputum suction tube is poor, and the sputum suction position is not exact; 3. the sputum suction tube is difficult to suck the sputum which is adhered to the hard mirror.
In recent years, some patents propose solutions to the above problems, and propose a design scheme of a hard mirror (visible tube core) capable of sucking sputum, but some defects and inconveniences exist, and the sputum sucking and intubation effects are affected. At present, hard sputum suction scopes are roughly divided into the following two types:
the first type, sputum aspiration hard scope between the endotracheal tube and the hard scope, such as: a video light bar (authorized bulletin No. CN209048838U authorized bulletin day: 2019.07.02) with oxygen supply, airway administration and airway suction is provided, and the side connection opening 42 is connected with external negative pressure to suck out sputum at trachea through the space between a trachea cannula 5 and a bar body 1. The main disadvantages are: 1. sputum is inhaled through the inner wall of the tracheal catheter, a lot of sputum can be adhered to the inner wall of the tracheal catheter, the tracheal catheter is connected with a respirator after intubation is finished, and the sputum adhered to the inner wall of the tracheal catheter can be inhaled into the lung of a patient or cause pollution in the respirator; 2. the tip of the tracheal catheter is often provided with a side hole, and air can be sucked from the side hole by sucking phlegm through the space between the tracheal cannula 5 and the rod body 1, so that the phlegm sucking effect at the tip of the tracheal catheter is poor; 3. sputum can be adhered to the bar body 1 and the side connecting port 42, and needs to be disinfected and cleaned again after operation; 4. the lack of a suction control switch in the device prevents the operator from directly controlling the start and stop of suction.
The second category, suction of hard sputum via the interior of hard lens, is: when the visual multifunctional tracheal catheter tube core (authorized bulletin number: CN204092773U authorized bulletin date: 2015.01.14) is used for establishing an artificial airway, an operator turns on the video signal emission switch 6 and the switches of the display screen 7, simultaneously connects the negative pressure suction device to the suction connecting joint 8, and then inserts the tube core body 1 into the tracheal catheter. During intubation, the tube core body 1 is held to the right hand and patient's oral secretion is attracted while seeing display screen 7, insert the trachea catheter into the air flue slowly along patient's lingual surface simultaneously, the left hand is pushed down patient's lingual surface and is held up patient's lower jaw, attract head 2 to attract patient's oral secretion and get into the negative pressure aspirator through attracting connector 8 in, under the irradiation of light source head 4, the video file of 3 collections of making a video recording converts video signal into through video signal transmitter 5 and carries out wireless transmission, display screen 7 receives the wireless video signal of 5 launches of video signal transmitter and carries out the demonstration. The main disadvantages are: 1. the suction head 2, the camera 3 and the light source head 4 are designed to be parallel and level, when the suction head is close to sputum for suction, part of the sputum still adheres to the surfaces of the camera 3 and the light source head, and the visual field of an operator is influenced; 2. the sputum is deformed in the pipeline communicated with the suction head 2 through the suction connecting joint 8, so that the sputum is easy to remain and adhere to the pipeline, and the blockage of the channel is polluted if the sputum needs to be cleaned in time, and the sputum suction effect is influenced; 3. when the conventional hard endoscope is used for intubation, in order to avoid pollution and protect the hard endoscope, the front end of the tracheal catheter needs to exceed the front end of the hard endoscope, and the hard endoscope is completely wrapped in the tracheal catheter. At this time, sputum is sucked through the front end of the hard lens and cannot be fully touched; 4. the lack of a suction control switch in the device prevents the operator from directly controlling the suction to start or stop.
In view of this, the present invention is especially provided.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing an intubate hard mirror with inhale phlegm function, the structure is more reasonable, more convenient and practical, inhale that the phlegm effect is more definite and one hand can accomplish and inhale phlegm and intubate operation.
In order to achieve the above object, the utility model provides a pair of hard mirror of intubate with inhale phlegm function includes: the display, the hard mirror handle, the special sputum suction tube for the disposable hard mirror and the hard mirror body; the hard mirror body is connected with the hard mirror handle; the hard mirror handle is provided with a sputum suction tube inlet, and a sputum suction tube control system is arranged inside the hard mirror handle; the front end of the hard lens body is provided with a camera assembly, and the interior of the hard lens body is provided with a sputum suction pipe channel; the special sputum suction tube for the disposable hard endoscope is inserted from the sputum suction tube inlet, passes through the sputum suction tube channel of the hard endoscope body and penetrates out of the front end of the hard endoscope body; the camera assembly collects images and transmits the images to the display through the video transmission line.
Preferably, the sputum aspirator control system is composed of a sputum aspirator regulating wheel, a sputum aspirator pressure roller, a pressure roller frame, a button linkage rod, a rubber band and a sputum aspirator button; the sputum suction pipe adjusting wheel is cylindrical with a rough surface and is rotatably fixed on the rear wall of the hard mirror handle through a metal shaft.
Preferably, the sputum aspirator pressure roller is cylindrical with a rough surface and is rotatably fixed on the pressure roller frame through a metal shaft; the two sputum suction pipe pressure rollers are in contact with each other.
Preferably, the pressure roller frame is fixed in the hard mirror handle through a metal shaft, and two rubber bands are fixed on a cross beam at the upper end of the pressure roller frame; one end of the rubber band is fixed on the rear wall of the hard mirror handle; under the natural state, the rubber band is in an elastic tension state.
Preferably, the special sputum suction tube for the disposable hard mirror is in a hollow tube shape, and the tail end of the sputum suction tube is provided with a sputum suction tube joint; the head end of the special sputum suction tube for the disposable hard endoscope is inserted from the inlet of the sputum suction tube, penetrates between the pressure roller of the sputum suction tube and the sliding sputum suction tube regulating wheel, penetrates through the sputum suction tube channel of the endoscope body and penetrates out from the front end of the hard endoscope body; under the natural state, the two sputum suction tube pressure rollers flatten the sputum suction tube special for the disposable hard endoscope under the elastic action of the rubber band.
Preferably, when the sputum suction tube adjusting wheel slides up and down, the rotation of the sputum suction tube adjusting wheel and the two sputum suction tube pressure rollers drives the special sputum suction tube for the disposable hard endoscope to stretch in the sputum suction tube channel.
Preferably, the sputum suction button is connected with a cross beam at the lower end of the pressure roller frame through the button linkage rod; when the sputum suction button is pressed, the two sputum suction tube pressure rollers leave the surfaces of the sputum suction tube adjusting wheels; when the sputum suction button is released, the sputum suction tube pressure roller flattens the sputum suction tube special for the disposable hard endoscope again under the elastic action of the rubber band.
Preferably, the outer wall of the hard endoscope body consists of a stainless steel tube, a catheter positioning plug is arranged on the hard endoscope body, and a video transmission line and a sputum suction tube channel are arranged in the hard endoscope body; the sputum suction pipe is hollow and tubular in the passage position and is used for freely passing through the sputum suction pipe special for the disposable hard endoscope.
The utility model provides a pair of hard mirror of intubate with inhale phlegm function has following beneficial effect:
1. the utility model discloses a special phlegm pipe of inhaling of disposable hard mirror can stretch out from the mirror body front end and attract, has avoided the influence that sputum contact camera caused the field of vision.
2. Sputum is sucked out through a sputum suction pipe special for the disposable hard endoscope, so that the sputum is prevented from polluting the hard endoscope body, the disinfection and cleaning difficulty is reduced, and the cross infection risk of patients is reduced.
3. The utility model discloses a handle department is equipped with inhales the phlegm pipe regulating wheel, and the slip gyro wheel can control disposable hard mirror special use and inhale the phlegm pipe business turn over, has realized that one-hand control inhales the phlegm operation.
4. The utility model is provided with a sputum suction button at the handle, which can open or close the sputum suction function at any time.
5. The special sputum suction tube for the disposable hard mirror is always in the visual field of the camera, and the sputum suction position is more exact.
Drawings
FIG. 1 is a schematic view of the whole structure of a hard endoscope with sputum aspirating function of the present invention;
FIG. 2 is a schematic view of the internal structure of a hard endoscope with sputum aspirating function;
FIG. 3 is a schematic view of the internal structure of the sputum aspirating tube control system of the intubation hard mirror with sputum aspirating function of the present invention;
FIG. 4 is a cross-sectional view of the front end of the body of a hard intubation endoscope with sputum aspirating function;
fig. 5 is a sectional view of the front end of the body of the intubation hard scope with sputum aspirating function of the present invention.
In the figure:
1. a display; 101. a screen; 102. a power switch; 103. a charging port; 104. turning the display; 2. a hard mirror handle; 201. an inlet of the sputum suction tube; 202. a sputum aspirating button; 203. a sputum aspirator tube adjustment wheel; 204. A pressure roller of the sputum aspirator; 205. a pressure roller frame; 206. a button linkage rod; 207. a rubber band; 208. A video transmission line; 3. a sputum suction tube special for a disposable hard mirror; 301. a sputum aspirator connector; 4. a hard lens body; 401. a catheter positioning plug; 402. a stainless steel tube; 403. a camera assembly; 404. a suction catheter channel.
Detailed Description
In order to make the technical field better understand the solution of the present invention, the present invention will be further described in detail with reference to the following embodiments.
As shown in fig. 1-5, the utility model provides an intubation hard mirror with sputum suction function, which comprises: a display 1, a hard mirror handle 2, a special sputum suction tube 3 for a disposable hard mirror and a hard mirror body 4.
The hard mirror handle 2 is provided with a sputum suction tube inlet 201, a sputum suction button 202 and a sputum suction tube regulating wheel 203, and a sputum suction tube control system is arranged inside the hard mirror handle. The hard lens body 4 is connected with the hard lens handle 2, the front end of the hard lens body 4 is provided with a camera assembly 403, and the interior of the hard lens body 4 is provided with a sputum suction tube channel 404. The sputum suction tube 3 special for the disposable hard endoscope can be inserted through the sputum suction tube inlet 201 on the hard endoscope handle 2, is shaped in the sputum suction tube channel 404 of the endoscope body and penetrates out from the front end of the hard endoscope body 4. The camera assembly 403 can capture images and transmit them to the display 1 through the hard lens body 4 and the hard lens handle 2 via the video transmission line 208, and the captured images can be displayed on the screen 101 in real time.
The sputum aspirator control system consists of a sputum aspirator regulating wheel 203, two sputum aspirator pressure rollers 204, a pressure roller frame 205, a button linkage rod 206, a rubber band 207 and a sputum aspirator button 202; the surface of the sputum suction tube adjusting wheel 203 is rough and cylindrical, the sputum suction tube adjusting wheel is fixed on the rear wall of the hard mirror handle 2 through a metal shaft, one half of the sputum suction tube adjusting wheel protrudes out of the surface of the hard mirror handle 2, the sputum suction tube adjusting wheel 203 can be slid by fingers, and the sliding sputum suction tube adjusting wheel 203 can freely rotate around the metal shaft; the surface of the sputum aspirator pressure roller 204 is rough and cylindrical, the sputum aspirator pressure roller is fixed on the pressure roller frame 205 through a metal shaft, the two sputum aspirator pressure rollers 204 are mutually contacted, and the sputum aspirator pressure roller 204 can freely rotate around the metal shaft; the pressure roller frame 205 is fixed in the hard mirror handle 2 through a metal shaft, and two rubber bands 207 are fixed at the cross beam of the upper end of the pressure roller frame; the other end of the rubber band 207 is fixed on the rear wall of the hard mirror handle 2.
Under the natural state, the rubber band 207 is in an elastic tension state, and the pressure roller frame 205 is pulled to enable the two sputum aspirator pressure rollers 204 to be tightly attached to the sliding sputum aspirator adjusting wheel 203; the two sputum aspirator pressure rollers 204 can be driven to rotate when the sputum aspirator adjusting wheels 203 are slid; the special sputum suction tube 3 for the disposable hard endoscope is in a hollow tube shape and can be flattened after being pressed, the tail end of the sputum suction tube is provided with a sputum suction tube connector 301, the head end of the sputum suction tube connector can be inserted into the sputum suction tube inlet 201 on the handle and is formed between the sputum suction tube pressure roller 204 and the sliding sputum suction tube adjusting wheel 203, and then the sputum suction tube connector enters the sputum suction tube channel 404 of the endoscope and penetrates out from the front end of the endoscope.
Under the natural state, under the elastic action of the rubber band 207, the two sputum suction tube pressure rollers 204 flatten the special sputum suction tube 3 for the disposable hard endoscope, so that the sputum suction tube can not suck; when the sputum suction tube adjusting wheel 203 slides up and down, the rotation of the sputum suction tube adjusting wheel 203 and the two sputum suction tube pressure rollers 204 can drive the disposable sputum suction tube 3 special for the hard endoscope to extend and retract from the sputum suction tube channel 404; the sputum suction button 202 is connected with a beam at the lower end of the pressure roller frame 205 through a button linkage rod 206, when the sputum suction button 202 is pressed, the button linkage rod 206 pushes the beam at the lower end of the pressure roller frame 205, the pressure roller frame 205 performs lever motion around a metal shaft, the two sputum suction tube pressure rollers 204 leave the surface of the sliding sputum suction tube adjusting wheel 203, and the sputum suction tube 3 special for the disposable hard mirror is released from the pressed recovery suction function; when the sputum suction button 202 is released, the sputum suction tube pressure roller 204 flattens the disposable sputum suction tube 3 special for the hard endoscope again under the elastic action of the rubber band 207, and the suction function is stopped; the outer wall of the hard endoscope body 4 is composed of a stainless steel tube 402, a catheter positioning plug 401 is arranged on the hard endoscope body for fixing an endotracheal tube, and a video transmission line 208 and a suction catheter channel 404 are arranged in the hard endoscope body. The sputum suction pipe channel 404 is a hollow round pipe and penetrates through the hard endoscope body 4, and the sputum suction pipe 3 special for the disposable hard endoscope can freely pass through.
Use the utility model discloses a hard mirror of intubate with inhale phlegm function inhales the work process of phlegm and intubate operation for the patient: the special sputum suction tube 3 for the disposable hard mirror is inserted through the sputum suction tube inlet 201 on the handle, the sputum suction button 202 is pressed, the special sputum suction tube 3 for the disposable hard mirror is continuously sent into the special sputum suction tube 3 for the disposable hard mirror until the special sputum suction tube 3 for the disposable hard mirror penetrates out of the sputum suction tube channel 404 at the head end of the hard mirror body 4, the sputum suction button 202 is loosened, the sputum suction tube adjusting wheel 203 is slid up and down, and the length of the special sputum suction tube 3 for the disposable hard mirror is adjusted so that the tip of the special sputum suction tube 3 protrudes out of the head end of the hard mirror body 4. The sputum aspirator tube connector 301 is connected with a negative pressure suction tube. The tracheal catheter with a proper model is selected and sleeved on an intubation hard mirror with a sputum suction function, and the catheter positioning plug 401 is adjusted to enable the front end of the tracheal catheter to slightly exceed the front end of the hard mirror. During the intubate, the tongue face of patient and the lower jaw of holding up the patient are pushed down to the left hand, the trachea is slowly inserted with endotracheal tube and hard mirror along patient's hard palate face to right hand hard mirror handle 2, when finding that the sputum is more or the sputum blocks the field of vision, the sputum suction pipe regulating wheel 203 on the hard mirror handle 2 of right hand thumb slip makes disposable hard mirror special use inhale phlegm pipe 3 stretch out to near the sputum, the forefinger is pressed and is inhaled phlegm button 202 and attract, it stops to attract to loosen to inhale phlegm button 202 after accomplishing to attract, continue to deepen hard mirror deeply, look for the sound gate, if meet the sputum repeatedly above-mentioned operation and attract again, until the field of vision is clear. And after finding the vocal orifice, inserting the hard mirror to the vocal cord level, fixing the hard mirror, pushing the tracheal catheter for 2-3cm, fixing the tracheal catheter, and withdrawing the hard mirror to complete the tracheal intubation operation. After the operation is finished, the special sputum suction tube 3 for the disposable hard endoscope is cut off at the inlet 201 of the sputum suction tube by scissors, the sputum suction button 202 is pressed, and the used special sputum suction tube 3 for the disposable hard endoscope is drawn out from the head end of the hard endoscope body 4. The sputum suction operation is more exact, and the whole operations of sputum suction and intubation can be completed by one hand, so that the sputum suction and intubation processes are simpler and more convenient, the operation time is further shortened, and the intubation success rate is improved.
It should be noted that, in this document, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
The present invention has been described in detail with reference to specific embodiments, and the description of the embodiments is only for the purpose of helping understanding the core idea of the present invention. It should be understood that any obvious modifications, equivalents and other improvements made by those skilled in the art without departing from the spirit of the present invention are intended to be included within the scope of the present invention.

Claims (8)

1. A hard endoscope with a sputum suction function is characterized by comprising: the display, the hard mirror handle, the special sputum suction tube for the disposable hard mirror and the hard mirror body; the hard mirror body is connected with the hard mirror handle; the hard mirror handle is provided with a sputum suction tube inlet, and a sputum suction tube control system is arranged inside the hard mirror handle; the front end of the hard lens body is provided with a camera assembly, and the interior of the hard lens body is provided with a sputum suction pipe channel; the special sputum suction tube for the disposable hard endoscope is inserted from the sputum suction tube inlet, passes through the sputum suction tube channel of the hard endoscope body and penetrates out of the front end of the hard endoscope body; the camera assembly collects images and transmits the images to the display through the video transmission line.
2. The intubation hard mirror with sputum aspirating function according to claim 1, wherein the sputum aspirating tube control system is composed of a sputum aspirating tube adjusting wheel, a sputum aspirating tube pressure roller, a pressure roller frame, a button linkage rod, a rubber band and a sputum aspirating button; the sputum suction pipe adjusting wheel is cylindrical with a rough surface and is rotatably fixed on the rear wall of the hard mirror handle through a metal shaft.
3. The intubation hard scope with sputum aspirating function according to claim 2, wherein said sputum aspirator pressure roller is cylindrical with rough surface and rotatably fixed on said pressure roller frame by a metal shaft; the two sputum suction pipe pressure rollers are in contact with each other.
4. The intubation hard mirror with the sputum aspiration function according to claim 2, wherein the pressure roller frame is fixed in the hard mirror handle through a metal shaft, and two rubber bands are fixed on a cross beam at the upper end of the pressure roller frame; one end of the rubber band is fixed on the rear wall of the hard mirror handle; under the natural state, the rubber band is in an elastic tension state.
5. The intubation hard mirror with sputum aspirating function according to claim 4, wherein the sputum aspirating tube dedicated for disposable hard mirror is hollow tube-shaped, and the tail end thereof is provided with a sputum aspirating tube connector; the head end of the special sputum suction tube for the disposable hard endoscope is inserted from the inlet of the sputum suction tube, passes through a gap between the pressure roller of the sputum suction tube and the sputum suction tube regulating wheel, passes through the inside of a sputum suction tube channel of the hard endoscope body and penetrates out of the front end of the hard endoscope body; under the natural state, the two sputum suction tube pressure rollers flatten the sputum suction tube special for the disposable hard endoscope under the elastic action of the rubber band.
6. The intubation hard mirror with sputum aspirating function according to claim 5, wherein when the sputum aspirator tube adjustment wheel is slid up and down, the rotation of the sputum aspirator tube adjustment wheel and the two sputum aspirator tube pressure rollers drives the disposable hard mirror dedicated sputum aspirator tube to extend and retract in the sputum aspirator tube channel.
7. The intubation hard mirror with sputum aspirating function according to claim 5, wherein the sputum aspirating button is connected with a cross beam at the lower end of the pressure roller frame through the button linkage rod; when the sputum suction button is pressed, the two sputum suction tube pressure rollers leave the surfaces of the sputum suction tube adjusting wheels; when the sputum suction button is released, the sputum suction tube pressure roller flattens the sputum suction tube special for the disposable hard endoscope again under the elastic action of the rubber band.
8. The intubation hard mirror with the sputum aspirating function according to claim 1, wherein the outer wall of the hard mirror body is made of a stainless steel tube, a catheter positioning plug is arranged on the hard mirror body, and a video transmission line and a sputum aspirating tube channel are arranged in the hard mirror body; the sputum suction pipe channel is in a hollow round pipe shape and is used for freely passing through the sputum suction pipe special for the disposable hard endoscope.
CN202021816325.4U 2020-08-26 2020-08-26 Hard mirror of intubate with inhale phlegm function Active CN213282826U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113428618A (en) * 2021-06-30 2021-09-24 武汉市华鼎成新材料有限公司 Conveying device for machining shield tail sealing grease and using method thereof
CN113907856A (en) * 2021-08-12 2022-01-11 南京市儿童医院 Using method of two-stage bronchoscope for foreign tracheal body surgery

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113428618A (en) * 2021-06-30 2021-09-24 武汉市华鼎成新材料有限公司 Conveying device for machining shield tail sealing grease and using method thereof
CN113907856A (en) * 2021-08-12 2022-01-11 南京市儿童医院 Using method of two-stage bronchoscope for foreign tracheal body surgery
CN113907856B (en) * 2021-08-12 2023-05-16 南京市儿童医院 Two-stage bronchoscope for tracheal foreign body surgery

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